health, wellbeing and social care scrutiny committee
TRANSCRIPT
Health, Wellbeing and Social Care Scrutiny Committee
IntroductionWhat is Overview and Scrutiny?
• Overview and Scrutiny emerged in the Local Government Act 2000 as part of the government’s modernisation agenda.
• Delivered by a committee structure, Overview and Scrutiny holds the City Mayor, his Cabinet and other public service providers to account for delivering priorities and for the decisions they make. It is a key mechanism for driving forward service improvements.
How does it work?
• The roles of Overview and Scrutiny cover:-• Holding the decision maker to account - both before and after
decisions are made • Policy review and challenge • Monitoring of improvement plans • Ensuring corporate priorities met• Scrutiny of external agencies • Performance management and review • Engaging partners the public and media• Councillor call for action and petitions
How does it work? (2)
• Overview and Scrutiny committees are the main way by which decisions can be held to account in public for the roles we undertake. They will have an important role in reviewing the authority's policies and other matters of more general concern and making recommendations, either to the full council or to the cabinet on future policy options. Overview and Scrutiny can also influence the delivery of services of other partner organisations.
Health, Wellbeing and Social Care Scrutiny Committee• This scrutiny committee supports the Pledge of the
Council "Improving Health in Salford" and the cabinet priority of "Delivering services fit for people". Members work with the Community, Health and Social Care Directorate of the Council which includes culture and leisure services. Scrutiny also work with Salford Community Leisure, Salford NHS, Salford Royal Foundation Trust Hospital, Local Involvement Networks, Age Concern and other partners across the city.
Expected Role of HWB BoardsInclude:
• To promote integration and partnership through promoting joined–up commissioning plans
• To support joint commissioning and pooled budget arrangements.
• To provide a governance structure for local planning and accountability of health and wellbeing related services.
Sue Lightup
PCT Non Executive (joint chair during shadow status) Edward VitalisDeputy City Mayor Councillor David LancasterAssistant Mayor for Health and Well Being Councillor Margaret MorrisAssistant Mayor for Adult Services and Services for Older People Councillor Peter ConnorAssistant Mayor for Housing and Environment Councillor Gena Merrett Assistant Mayor for Services for Children and Young People Councillor John MerryAssistant Mayor for Communication and Community Engagement Councillor Lisa StoneCouncil Nomination Councillor Valerie BurgoyneStrategic Director for Children’s Services Nick PageStrategic Director for Community Health & Social Care Sue LightupSalford City Council CMT (Executive Director Representative) David GalvinDirector of Public Health Mel SirotkinStrategic Director for Environment Ben DolanAccountable Officer Hundreds Health N/ANon Executive Member Hundreds Health N/AGP Representatives: HH-S Chair Hamish SteadmanGP Representatives: Hundreds Health LA liaison Clive BoyceGP Representatives: Performance Lead (job share) Jeremy Tankel/Paul BishopPrivate Sector Representative (CEO, Unlimited Potential) Chris DabbsPrivate Sector RepresentativeVoluntary and Community Sectors Representative Lynne ElliotLINK Shadow Steering Group - NHS Salford Royston FutterOfficer Representative for GM PCT Cluster N/AManaging Director for NHS Salford Alan CampbellLead Commissioner for NHS Salford Alan CampbellGreater Manchester Police Representative Vincent GreenerGreater Manchester Fire & Rescue Service Representative Paul PetrykowskiChief Executive, Salford Royal Foundation Trust David Dalton
Membership of the Health and Wellbeing Board
Areas of responsibility • Adult Social Care : assessment and provision of
services for vulnerable Older People, Mental Health, Learning Disabilities, Carers, Physical Disabilities,
• Integrated Commissioning of Adult Social Care, the NHS and Public Health through using the JSNA
• Safeguarding, Service Quality and Business Management
• Delivery of Health Improvement Service• Welfare Rights and Debt Advice • Housing and support services for vulnerable
people; Services for independent living, supporting people, equipment and adaptations
What’s it like out there? • New policy – imminent white paper for adult social care
• Changing pathways of support – citizen first and asset focused, information and advice provided early
• Transforming support – expanding use of personal budgets to get a life not a service
• Changing expectations to promote self help, wellbeing and community support to maintain independence
• Re-shaping services across the whole system to respond to welfare reforms that is fit for purpose
• Managing pressures of demand for adult social care support
• Unsustainable funding framework for adult social care
• Market management, safeguarding, quality of provision critical
• New health partnerships to increase integration
Aims
• Commission services that:– encourages people to be independent– maximise life chances and quality of life– Increase prevention and early intervention
• Personalisation: think local, act personal– support vulnerable people to take control of their
lives, maximise personal resilience and widen choices
• Promote well-being with partners through integration and public sector reform
2010 FUTURETRANSITIONN
HS
NHS Salford & PBC
(local)
Association of G M PCTs, NW Specialised Commissioning
Team, SHA
(GM & Regional)
Salford Health and Well Being Partnership Board
NHS Salford & PBC
(local)
Association of G M PCTs, NW Specialised Commissioning
Team, SHA
(GM & Regional)
Salford Health and Well Being Partnership Board
Clinical Commissioning Group
(Hundreds Health Salford) Jan 2011
Clinical Commissioning Group
(Hundreds Health Salford) Jan 2011
NHS Greater Manchester
PCT Cluster June 2011
NHS Greater Manchester
PCT Cluster June 2011
Hundreds Health Salford
Apr 2013
Hundreds Health Salford
Apr 2013
National Commissioning Board
Local Field Force (?)
Statutory Apr 2012
National Commissioning Board
Local Field Force (?)
Statutory Apr 2012
Salford Health & Well Being Board
Shadow Oct 2011
Salford Health & Well Being Board
Shadow Oct 2011
National Commissioning Board
Shadow April 2011 as a special health authority
National Commissioning Board
Shadow April 2011 as a special health authority
LA
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LA
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NHS Salford
DPH & Specialist Team
NHS Salford
DPH & Specialist Team
City Council
DPH & Specialist Team
April 2013
Public Health England
April 2013
City Council
DPH & Specialist Team
April 2013
Public Health England
April 2013
City Council
Shadow Arrangements
April 2011
(NHS Salford Legal Accountability until Apr 2013)
Public Health England (shadow) Apr 11
City Council
Shadow Arrangements
April 2011
(NHS Salford Legal Accountability until Apr 2013)
Public Health England (shadow) Apr 11
Salford Health and Wellbeing Board Apr 2013
Salford Health and Wellbeing Board Apr 2013
Integrated Commissioning Board for Health and Well Being – Jan 2012
Areas of responsibility
• Leadership for all council public health services and health protection advice (outbreaks, infection control, immunisation)
• Commissioning health improvement services
• Joint Health and Well Being Board development
• Surveillance and assessment of the population’s health and well-being (via joint strategic needs assessment)
• Population healthcare advice to the new CCG -Hundreds Health Salford
• Integrated commissioning hub development
What’s it like out there?• Safe transition of new public health responsibilities for
the City Council, Public Health England and the NHS Commissioning Board
• Maintaining progress on the joint strategic needs assessment and the joint health and wellbeing strategy
• Good progress on key public health goals – but more to do on alcohol, smoking and healthy start in life
• Commissioning and decommissioning so that we get the services we need to improve health and well being
Aims
• Maintain progress on reducing early deaths and reducing health inequalities across the city
• Increase the scale and rate of health improvement
• Increasing the development of Integrated Commissioning
• Ensure that through the successful transfer of Public Health the City maintains key strategic partnerships with the NHS
Further Changes
• Links to Healthwatch by April 2012• ICAS – complaints service for Health from April 2012• Review of Scrutiny following Elected Mayor in place by
September 2012• New roles for members eg Assistant Mayor for
Engagement and Communication, role pf AM for Health and Wellbeing