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Health and Healthy Communities Health reforms in action! Thursday 26 September 2013 - Melton Mowbray Workshop showing health and wellbeing in action Broader horizons for health scrutiny Ann Reeder Regional Advocate for the South of England and Adviser, Centre for Public Scrutiny.
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Health and Healthy Communities Health reforms in action! Thursday 26 September 2013 - Melton Mowbray Workshop showing health and wellbeing in action Broader horizons for health scrutiny Ann ReederRegional Advocate for the South of England and Adviser, Centre for Public Scrutiny
Introduce yourself, giving your: • Name • Organisation • Role • And your (one line) view of: • ‘a challenge for health scrutiny after the health reforms’
Objectives of the workshop: • To understand the role that health scrutiny can play within the complex web of health delivery • To provide examples of the practical outcomes from health scrutiny development activity in Cornwall, Plymouth and other areas
Principles of effective scrutiny • Provides a ‘critical friend’ challenge to executive policy-makers and decision-makers • Enables the voice and concerns of the public and its communities to be heard • Is carried out by ‘independently minded governors’ who lead and own the scrutiny process • Drives improvement in public services and finds efficiencies
Importance of accountability • Reforms strengthen local democratic legitimacy in the NHS and public health services • Objective is of a patient centred NHS • Priority is to deliver improved quality and safety and best outcomes for patients in the challenging economic context • Strengthened health scrutiny is a constant in the new arrangements
The role of the council after health reforms • Local authority statutory responsibility for: • Health improvement • Health protection • Wellbeing • Councils are leading many of the changes brought about by the Health and Social Care Act 2012, working with key partners eg Healthwatch
New scrutiny relationships need to be built Ways of working might need to change Scrutiny spans the system
Roles of health scrutiny Use its collective memory, mandate, experience around reconfiguration and partnership working to: • Help improve health and social care • Tackle health inequalities • Reassure people and listen to local concerns • Help establish health reforms in their area • Help ensure planning, delivery and reconfiguration is inclusive, accountable and effective
Health scrutiny – key agencies and relationships Other LA Scrutiny bodies Other scrutiny partners Local Authority Commissioners Health & Wellbeing Board Neighbouring Councils LA Executive /Commissioners Health Overview and Scrutiny Collaboration Scrutiny Clinical Commissioning Groups Healthwatch Involvement NHS England Public User/carer Groups NHS Commissioners Providers LA services, NHS Trusts, independent and private providers
Lessons from Cornwall, Plymouth and other places • Relationship building • Proactive scrutiny • Outcome focused • Layered scrutiny • Spanning the system
Shared aspirations • Overall goal - to improve health, social care and wellbeing outcomes for local communities and patients • Independent but complementary roles and responsibilities across the Health Scrutiny Committee, Health and Wellbeing Board, Healthwatch, Clinical Commissioning Group, NHS England and Public Health England
Questions • What are the shared priorities for our local health, care and wellbeing system? • How can we focus on the key elements of the system, rather than individual organisations? • Who are we working with and with whom should we be developing links? • How is our own structure and way of working going to affect our capacity to span the system?
Suggestions for broader horizons for health scrutiny in our local authorities • Shared priorities • Broader focus • Relationships and required links • Our structure and ways of working
Resources from www.cfps.org.uk: • Spanning the system. Broader horizons for council scrutiny • Health overview and scrutiny: Exploiting opportunities at a time of change • Achieving an effective Health and Wellbeing Board • Ten questions to ask if you’re scrutinising arrangements for effective local Healthwatch • Local Healthwatch, health and wellbeing boards and health scrutiny. Roles, relationships and adding value
http://www.cfps.org.uk/scrutiny-and-the-health-reformshealth scrutiny, health accountability and health inequalities programmes and publications www.cfps.org.uk - register on-line or sign up for: - e-newsletters, e-digests and scrutiny exchange - reviews library, on-line forum, latest news - new Policy and Skills Briefings Twitter: @CfPScrutiny info@cfps.org.ukor 020 7187 7362 for helpdesk