Joint Health and Wellbeing Joint Health and Wellbeing

UnitUnit

Elisabeth Smart27 February 2012

www.dghealthandwellbeing

dghealthandwellbeing

Population Pyramids for Scotland Population Pyramids for Scotland and Dumfries & Galloway, 2008and Dumfries & Galloway, 2008

Scotland 2008

300,000 200,000 100,000 0 100,000 200,000 300,000

0 - 4

10 - 14

20 - 24

30 - 34

40 - 44

50 - 54

60 - 64

70 - 74

80 - 84

90 +

Females Males

Dumfries & Galloway 2008

9,000 6,000 3,000 0 3,000 6,000 9,000

0 - 4

10 - 14

20 - 24

30 - 34

40 - 44

50 - 54

60 - 64

70 - 74

80 - 84

90 +

Females Males

Percentage change in population in Percentage change in population in Dumfries & Galloway and Scotland, Dumfries & Galloway and Scotland, 2008-2033 (2008-based projections) 2008-2033 (2008-based projections)

Dg health and wellbeingDg health and wellbeing

Driversimprove efficiencytackle health inequalitiesimprove health

Policy context – Equally Well- SOA/GIRFEC

- Change Fund

Crichton Hall Crichton Hall

Dg health and wellbeingDg health and wellbeingAgreement in May 2010 by both

the LA and NHSConsultation (>70)Key FeaturesDPH as headAccountable to the strategic

partnershipLifecourse approach and all staff

moving to generalist jds

Dg health and wellbeingDg health and wellbeingStrategic and commissioning

functionOperational function to the four

localitiesCombined budgetsStaff remain on existing T&CsAlignment to SOA, GIRFEC

DG Health and wellbeing org chartDG Health and wellbeing org chart

DGHW PlansDGHW Plans Mix of drivers Existing work New work SOA GIRFEC Change Fund Need for Performance Indicators

Plans agreed Dec 2011. Actions will be the responsibility of a named team member

to take forward in partnership and consultation with key stakeholders

For commissioned work a named individual in the team will be responsible for monitoring progress of work and assessing against quality standards

Children’s and Young People’s Children’s and Young People’s TeamTeam

Team comprises of:Lead Consultant1 Council staff3 NHS staff

Children and Young People’s TeamChildren and Young People’s Team

Outcome 1

Children enter primary school with optimum

levels of health and wellbeing

Outcome 2

Children enter secondary school with

optimum levels of health and

wellbeing

Outcome 3

Young people enter adulthood with optimum

levels of health and wellbeing

High level outcome

Children and young people enter adulthood with optimum levels of health and wellbeing

Adults and Older People Adults and Older People TeamTeam

Team comprises of:Lead Consultant2 Council staff4 NHS staff

Sustaining the environment

Community Resilience

Healthy Living

Mental Health and Wellbeing

Workplace

Adults and Older People

Themes

Branding and nameBranding and name

3 sets of artworkConsiderable consultationName: D&G health and wellbeing Strapline: dghealthforlife Website:

www.dghealthandwellbeingBrand

dghealthandwellbeing

FinanceFinance

NHS staff costsNHS various: incl. BHC; HWL Council staff costsCouncil various: incl. schools

budget; Choose Life; HWC Non pay/recurrent from council

£255KNon pay/non recurrent £289K

DG Health and wellbeing - DG Health and wellbeing - overviewoverview

PositivesGood partnership

workingClear targeting of

resourcesPlan well received Able to utilise

other resources

Not so great‘wicked problems’

and under pressure to deliver NOW

Reporting 2 lots of T&CsCost efficienciesFinance

Dg health and wellbeing – Dg health and wellbeing – current situationcurrent situation

Still working through the commissioning model

Corporate branding – difficultPlan – too many indicators – move

to covalent Balance of regional vs local

resourcesFunding – just difficultReporting

What does the future What does the future hold?hold?Health inequalities won’t disappearWicked health problems remain – eg

alcohol consumption; maintaining a healthy weight, breast feeding rates low

SG policy encouraging an assets based model

Cost efficiencies won’t disappearExpectation of increased joint

working and shared budgets (Change Fund)

Any questions?Any questions?