2. • Health & Social Care Act = largest change to NHS since 1948
• From April 2013 in Surrey:
- 80% NHS commissioning budget devolved to GP’s via
6 new Clinical Commissioning Groups (CCGs)
- 20% with new NHS National Commissioning Board
“Local Area Team” for Surrey/Sussex
- Public Health formally becomes part of the County
Council
- Health & Wellbeing Board as “Committee of the
Council”
- Surrey will work on its first Joint Health & Wellbeing
Strategy
Context
3. • CCG development
• Public Health transfer
• Healthwatch Surrey
• NHS Complaints Advocacy
• Health & Wellbeing Board
• Joint Health & Wellbeing Strategy
How are we getting on?
5. Surrey CCG’s
• EsyDoc (East Surrey) CCG
- 18 GP Practices = population circa 170k
• Surrey Downs CCG
- 36 GP Practices = population circa 290k
• North West Surrey CCG
- 43 GP Practices = population circa 350k
• Guildford and Waverley CCG
- 23 GP Practices = population circa 215k
• North East Hants and Farnham CCG
- 24 GP Practices = population circa 215k
(Farnham population circa 38k)
• Surrey Heath CCG
- 9 GP Practices = population circa 90k
6. CCG lead areas
• EsyDoc (East Surrey) CCG
- 18 GP Practices = population circa 170k
• Surrey Downs CCG
- 36 GP Practices = population circa 290k
• North West Surrey CCG
- 43 GP Practices = population circa 350k
• Guildford and Waverley CCG
- 23 GP Practices = population circa 215k
• North East Hants and Farnham CCG
- 24 GP Practices = population circa 215k
(Farnham population circa 38k)
• Surrey Heath CCG
- 9 GP Practices = population circa 90k
7. Public Health
• Public Health staff have been co-located with
Council teams since 2012
• Formal transfer of people, budgets and
commissioning responsibility takes effect 1st
April 2013
• This is an opportunity for the Council to
develop a dialogue with key partners and
stakeholders
8. • Health & Social Care Act = largest change to NHS since 1948
• From April 2013 in Surrey:
- 80% NHS commissioning budget devolved to GP’s via
6 new Clinical Commissioning Groups (CCGs)
- 20% with new NHS National Commissioning Board “Local
Area Team” for Surrey/Sussex
• Public Health formally becomes part of the County Council
• By April 2013:
- Health & Wellbeing Board as “Committee of the Council”
- newly commissioned Surrey HealthWatch (replace LINk)
- Surrey Health & Wellbeing Strategy
- newly commissioned NHS Complaints Advocacy Service
Healthwatch and Complaints
Advocacy
Surrey Independent Living Council
(SILC), Citizens Advice Surrey and
Help and Care have been appointed
Contract commences 1st April
SEAP appointed by tender with
11 other councils
Contract commences 1st April
9. What members have said:
Honest relationships, mutual trust & shared leadership for the Surrey
system:
- Maintaining the vision
- Proactive approach: being bold, present & influential
- Holding each other to account
Clear strategic commissioning purpose:
- Improving health of population
- Working within financial limits
- Agreeing priorities & implementing JHWS
- Focussing on outcomes
- Empowering residents
“we leave our
organisations at the
door”
HWB Board development
10. There were 14 proposed priorities from the Boards review
of the JSNA and partner strategies:
• Children’s health and wellbeing
• Protecting children and young people
• Integrated complex needs services
• Increasing physical activity
• Obesity
• Diabetes
• Alcohol
• Stroke prevention
• Long term conditions
• Adult mental health
• Dementia
• Safeguarding vulnerable adults
• Promoting independence
• End of life care
Developing the joint HWB Strategy
12. During the engagement process we heard people say...
Engaging with all
Stakeholders is important
Issues for carers
should be cross-cutting
II is not clear what the links are
between the CJS and the Health
and Wellbeing Board
Think family needs
to be included
Prisoners, homeless, gypsies
and travellers, asylum seekers
and ethnic minorities' health needs
must be taken in to
consideration
Carers and supporting
families could
be principles
Are you
going to reduce
health inequalities?
Safeguarding
should cut
through everything
We told the Board what we heard
13. The Board’s final decision
Agreed Priorities Underpinning Principles
Children’s health and wellbeing Centred on the person, their
family, and carers
Older adults health and
wellbeing
Reducing inequalities
Developing a preventative
approach
Evidence based
Emotional wellbeing and
mental health
Early intervention
Safeguarding the population Opportunities for integration
Improving outcomes
14. Implementing the strategy
The Board
showing systems
leadership
Telling the Surrey story
- One version of the truth
- Consistent messages
- Evidence what works
Increasing public
understanding
- Promote personal
responsibility
- Raise awareness
- Challenge inequalities
What can we do better
together?
- Collaborate early
- Make best use of
collective resources and
assets
How do we work together?
- Use structures that don't
duplicate but add value,
complement, and incentivise
- Use common outcomes
Being locally accountable
- Person-centred
- Locally engaged
- Decision-making with
involvement
Changing cultures
- Personal prejudice and
vested interests left at the
door
- Openness, transparency,
trust between partners
15. Applying the principles
The Board will review
each priority using this
framework: the
principles are points of
reference for system-
wide discussion
Centred on the
person, their
families, and carers
Early intervention
Opportunities for
integration
Reducing health
inequalities
Evidence based
Improved outcomes
16. What next?
• Using the informal meeting time
• Ongoing facilitated workshops
• Leadership from County Council and/or lead CCG’s
• Identifying and using wider partners e.g. BC/DCs, new
HealthWatch
• Acknowledge existing infrastructures/partnerships
before creating new ones
• Creating space for the Health & Wellbeing Board to do
the “how do we do this?”
• For each priority the Board has 6 hours of safe space
(private meetings) to develop each priority plan
17. Timescale
Forward plan of public meetings to launch each priority
plan:
• June – mental health AND children
• Sept – older adults
• Dec – preventative approach
• Mar 2014 - safeguarding
“Surrey Health and Wellbeing Board”
Notes de l'éditeur
You’ve spent some time over the past year working out Surrey HWB’s vision and ambitions. You’ve articulated both the ‘how’ and the ‘what’ you do. The blue box here is the ‘how’ and the yellow box the ‘what’ – both came from work you did together in December 2011. You’ve said you want to work through honest relationships…….etcYou’ve said that Surrey HWB will have a clear strategic commissioning purpose……etcThe speech bubbles here are quotes both from the workshop in Dec 2011 and more recently in November 2012, when you worked on an exercise about what sort of culture you wanted as a Board. This is your ambition and vision for Surrey as a HWB - is this good enough for now?
DinaWe gathered feedback from a huge range of different stakeholders – around 600 people attended one of our eventsA further 200 people gave us their views via an online survey
