VCS Intelligence a public health asset Alison Patey

1. VCS Intelligence a public health asset Alison Patey

2. ‘Community is built on what people have rather than what they don’t have’ • Cormac Russell • ABCD Institute

3. Session • Policy • One year on……. • Assets • Challenges Presentation title - edit in Header and Footer

4. Public health Lanscape • Local Government context • Democratic accountability • Currency has shifted from: data – intelligence – stories • Connection to community Presentation title - edit in Header and Footer

5. Policy - JSNA /JHWS • The purpose of JSNAs and JHWSs is to improve the health and wellbeing of the local community and reduce inequalities for all ages. • They are not an end in themselves, but a continuous process of strategic assessment and planning – the core aim is to develop local evidence-based priorities for commissioning which will improve the public’s health and reduce inequalities. • Their outputs, in the form of evidence and the analysis of needs, and agreed priorities, will be used to help to determine what actions local authorities, the local NHS and other partners need to take to meet health and social care needs, and to address the wider determinants that impact on health and wellbeing. Health equity north

6. Who is responsible for JSNA / JHWS • Local authorities and clinical commissioning groups (CCGs) have equal and joint duties to prepare JSNAs and JHWSs, through the health and wellbeing board. • The responsibility falls on the health and wellbeing board as a whole and so success will depend upon all members working together throughout the process. • Success will not be achieved if a few members of the board assume ownership, or conversely do not bring their area of expertise and knowledge to the process. • As the duties apply across the health and wellbeing board as a whole, boards will need to discuss and agree their own arrangements for signing off the process and outputs. Health equity north

7. Policy - JSNA & VCS • Health and wellbeing boards may find that there is a lack of evidence about some issues, and some seldom heard and vulnerable groups, which could be indicative of unmet needs and deprivation. • Local partners such as voluntary sector organisations or local Healthwatch may be able to help where such evidence is lacking as they are well-placed to collect both quantitative and qualitative evidence and have good specialist knowledge of the community. • They can also help boards to directly engage with some of these seldom heard and vulnerable groups. Presentation title - edit in Header and Footer

8. PHE and VCS What we have got • Engagement ( one way) • Policy and issues to be handled What I think is missing • a structural debate • alignment of the offer and the ask • Two way traffic on data and intelligence Presentation title - edit in Header and Footer

9. HWB Boards – one year on review • Both the health and well being environment and ‘business’ are complex and risky • The ‘enormity’ of task for HWBs • Tensions perceived between need to drive big change now - such as integration and transformation - vs. longer term priority issues around, for e.g., health inequalities • Expectations have both grown and shifted during the period since inception e.g. expectations around role in integration of health and social care and transformation agendas • HWBs are still immature in development terms • HWB ‘levers’ are mainly those of persuasion and growing influence rather than immediate directive ‘powers’ •HWBs are part of the democratic, legal and cultural environment of local government and all opportunities/ challenges that brings Presentation title - edit in Header and Footer

10. VCS & HWB Boards • Have you got a place a the table? • Is your place at the table being used effectively? How could this be supported • Are you facilitating the evidence available to you in the most effective way to support the setting of priorities, driving change an monitoring progress? • how can you support the board to give due weight to qualitative evidence such as the personal stories of board members and the user, patient, carer and community voice? Presentation title - edit in Header and Footer

11. Evidence • health inequalities are not inevitable and they can be significantly reduced.’ • Michael Marmot • Fair Society, Healthy Lives Presentation title - edit in Header and Footer

12. Life expectancy and health life expectancy and premature mortality rates Health Equity North

13. Changes in council spending power 2010-2016 Effects mostly across North of England 13 Health Equity North Presentation title - edit in Header and Footer

14. Where are the stories ? • Rapid intelligence ?? • Social media?? Presentation title - edit in Header and Footer

15. Health Equity North – an opportunity ? • A programme to offer renewed focus and effort on North footprint to tackling health equity and addressing health inequalities • Maximise impact of sectors via collaboratives across the North of England (Local government, VCS, PH, Academic, HWB ) • Build on the assets of the North • Use the assets of the North : Health Inequalities academic leaders / think tanks/ JRF etc. • Build community & regional resilience • Using the evidence : we know the what but we lack systematic knowledge of how to make an impact in a place based system • Commissioning work to develop policy options & alternatives Health equity north

16. The independent inquiry Review panel Professor Margaret Whitehead chairing; a series of policy sessions on key themes relating to health inequality - identify potential new options for policy and action to catalyse change in the north; local government, voluntary and community sector, academic and business perspectives from across the north Evidence papers on • enhancing community control • early years and education • healthy economic development • place based approaches to reducing health inequalities • effective welfare policy in a time of austerity - Health Equity North

17. Routes for VCS intelligence • National - escalation of issues • Health & wellbeing boards • JSNA – a tool - not an answer • Leverage and position in the system at a local level • Service data / intelligence • Collective action : scale up horizontal & vertical • The power of stories • SOCIAL MEDIA Health equity north

18. The assets • Passion • Politics ( P & p) • People ( the tribe) • Power Presentation title - edit in Header and Footer

19. Contact Alison Patey Health & Wellbeing lead Y&H PHE Centre alison.patey@phe.gov.uk Presentation title - edit in Header and Footer