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OXON IN TRANSITION. Local Authorities are changing 2. The NHS is changing 3. Public Health is changing 4. Coordination is changing. What does it all mean for the Voluntary Sector?. 1. CHANGE IN LOCAL AUTHORITIES. Key Principles: Open Public Services. £.
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OXON IN TRANSITION
Local Authorities are changing 2. The NHS is changing 3. Public Health is changing 4. Coordination is changing
£ What is happening regarding Public Spending? £ £ £ £ £
THE NEW LA ROLE: LEADERSHIP JOINING UP HOLDING TO ACCOUNT COMMISSIONING SAFETY NET
2. THE NHS IS CHANGING
Department of Health (DH) NHS NationalCommissioningBoard PublicHealthEngland (PHE) 4 Sectors(Old SHAs) 50 Local NHSCommissioningBoard outposts (Old PCTs) NHS CommissioningSupport Services Free-standing from 2016 Local Authorities Oxon Clinical Commissioning Group (OCCG) Integration Social Care Mandatory Support to CCG Public Health Health and Wellbeing Board/JSNA/Joint Health /Well Being Strategy/Health Overview and Scrutiny Committee/Healthwatch
3. PUBLIC HEALTH IS CHANGING
The Local Authority Remit for Public Health Leadership and Influence MandatorySupport to GPCommissioners Portfolio of Public Health Services Public Healthin LAs Adding ValueAcross LAs Health protection&Emergencies
4. COORDINATION IS CHANGING
The Expanding Remit of the Health &Wellbeing Board “As far as Government is concerned, for coordinating healthcare, Health and Wellbeing Boards are becoming the only show in town.”
The Expanding Remit of the Health &Wellbeing Board Health and Wellbeing Board Health Improvement Partnership Board Adult Health and Social Care Partnership Board Children and Young Peoples' Partnership Board Public Involvement Partnership Board
The Expanding Remit of the Health &Wellbeing Board • Joint Strategy – Local Priorities • Binding agencies together (NHS, LAs, Public, Healthwatch) • Holding to account • Knowledge-base • Pooled budgets
The Expanding Remit of the Health &Wellbeing Board ‘In Counties, the Health & Wellbeing Board becomes like a local Ministry of Health’
‘In the future, LAs will be leading the Health & Wellbeing Board, and within that will be running what amounts to a ‘wellness service’ from 2013.’
NOT ALL VOLUNTARY AGENCIES ARE THE SAME: ? 2 TIERS (AT LEAST)
WHO WILL PAY? • PEOPLE - donations • PEOPLE – direct payments • LOCAL STATUTORY • BODIES? • GOVERNMENT?
ADVOCATE OR PROVIDER OR BOTH
INFLUENCER OR PROVIDING SERVICES OR CONFLICT OF INTEREST
INDIVIDUAL ACTION OR ORGANISED GROUPS
CONCLUSION • TIMES ARE CHANGING • ALL STATUTORY BODIES ARE CHANGING • GOVERNMENT POLICY IS CHANGING • £ IS TIGHT • = CHANGE FOR THE VOLUNTARY SECTOR