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Health and Social Care Bill Making the NHS Local

Health and Social Care Bill Making the NHS Local. Charles Alessi July 2011. Making the NHS local . Public Accountability and democratic legitimacy Joint Strategic needs assessments Integration of delivery of health and social care Prioritisation of care sensitive to population requirement.

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Health and Social Care Bill Making the NHS Local

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  1. Health and Social Care BillMaking the NHS Local Charles Alessi July 2011

  2. Making the NHS local • Public Accountability and democratic legitimacy • Joint Strategic needs assessments • Integration of delivery of health and social care • Prioritisation of care sensitive to population requirement

  3. CCG Public accountability • Every CCG should have a HWB to which it also has “additional secondary responsibilities” • Reflects the inherent tension between central bodies (DH/NCB) and those at a local level (health PLUS local authorities) • Also needs to reflect the philosophical differences and perceptions • Needs to ensure the National HS is also the Local HS

  4. Senates and Networks • The ideal vehicles to include all who also need to be consulted and could be a conduit to the NCB • Population health must be the “entry ticket” to anyone having commissioning responsibilities • Moving away from representationalism

  5. Population health • Care to a patient is given in the context of the population served by the practice and CCG. • Prioritisation within a finite resource • FTs also have a population health responsibility and need to be seen to discharge this responsibility

  6. HWB • The HWB could be the bridge between the local population, the CCG, the Local Authority and the NHSCB • JSNA – based in whole population health, with the joint strategic plan reflecting what is financially achievable and be “co-produced” with the CCG • Holds both CCG and the Local Authority to account

  7. Your reflections • On role of HWB • On relationship between the national health and local health system • On assisting in managing conflicts of interest

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