Health & Well-being Boards in Derby City & Derbyshire Derek Ward – Director of Public Health, Derby City Cath Roff, Strategic Director of Adults, Health and Housing, Derby City Bruce Laurence, Acting Director of Public Health, Derbyshire County
Overview • Model in Derby City • Model in Derbyshire County • Similarities • Differences • Local Authority reflections
Why this composition? • Strong democratic legitimacy • Fits with emerging statutory guidance • Attempted to balance different key organisations • Included Providers following Board discussion • HWB is already a Cluster sub committee, an LSP “outcome board” and will be a sub-committee of the City Council • Positioned as the health and wellbeing strategic group for the City
Model In Derbyshire County • Six consortia and a two tier structure • therefore potentially very large board • No providers • size of board and at least four large providers. • No voluntary sector (ex Link) • Methods of engaging outside board important • Sub-committee of County Council • Adult board and children’s trust report in to HWB • Developing H and WB strategy
Similarities and differences • Narrower membership to accommodate two tier structure and multiple CCGs. • Strong Democratic Legitimacy • Fits with emerging guidance • Oversight of county health and wellbeing strategy
County CCG Development and the role of the board in NHS commissioning JSNA & the H and WB strategic framework Childrens joint commissioning + Health visitors Family literacy Screening, health protection, sexual health There has also been a large HWB stakeholder event with wide provider, public sector and voluntary sector input Some items covered • City • Facilitated sessions on the new system and roles and responsibilities • JSNA and Child Poverty needs assessment • Childrens joint commissioning and Health visitors • Citizen involvement / engagement in health and commissioning • Governance arrangements
Local Authority Reflections • Readily embraced the place shaping and leadership role for local authority • Development sessions important to understand each other’s worlds • Members and GPs – both get local and people focus • Get the wiring right for children’s services • The work of the Board must be bigger than Board meetings • Inclusion and participation of all stakeholders important • Got to get the fit right with Oversight and Scrutiny
Summary • Close working between City and County and 1 NHS Cluster across both • Some similarities in the composition of HWB • Differences reflect the views of the Boards • Infrastructure to support the Boards is still being developed • Links to Children and Young People Boards, Safeguarding and other groups still being developed but likely to be different.