Building Strong Partnerships to Improve Health –

1. Building Strong Partnerships to Improve Health – Mandy Chambers Head of Health Improvement NHS Derbyshire & Chair of Bolsover Partnership (BLSP)

2. Unpicking Partnership Working Context for Partnership Working Benefits of Partnership Working Features of Effective Partnerships Health Partnership in Action Impact of Reform& Re-organisation on Partnership Working

3. Public Health Context - Social Model of Health

4. Strategic Context – Marmot Review Tackling Health Inequalities …. “Requires action across the social determinants of health and beyond the reach of the NHS” Marmot 2012

5. Health & Local Government Context Partnerships between health and local authorities exist for: • Health Protection • Emergency Planning • Health Promotion • Health Improvement • Health Inequalities

6. Local Context - Partnership Working in Bolsover District Bolsover Partnership – Local Strategic Partnership (LSP) is a key mechanism Commitment to addressing widespread inequality, including health inequalities Integration of the complex factor which influence health throughout Bolsover Partnership Action Groups Removal of barriers by demonstrating the value of sharing information, skills & resources

7. Benefits of Working In Partnership: Helping to get the best from - Strategic Planning & Priority setting Skills & Experience of Staff Information & Evidence Funding & Resources

8. Use of Resources Achieve Shared Goals Share Costs & Risks Avoid Duplication & Waste Combine Skills & Experience Streamline systems Culture & Ethos Create Shared Learning & Training Encourage Innovation & Creativity Build relationships for the future Remove barriers Benefits of Working In Partnership

9. Benefits of Working In Partnership Better Experience & Outcomes for Service Users: Joining up services Advice & information at a single access point Joining up referral processes Signposting across services/agencies Saving time & effort Increased satisfaction

10. Common Features of Strong Partnerships

11. The Magic Ingredients !!!

12. Building Strong Partnerships –Practical Steps Make Use of Local Contacts Be Part of Local Networks & Partnerships Understand Partner Roles & Responsibilities Make Partners Aware of the role of Environmental Health Share Information & Organisational Plans Identify Shared Priorities – ‘The Win-Win’ Communicate Often Review Regularly & Monitor Outcomes Celebrate Success!

13. Health Partnerships in Action In Bolsover District Council & Bolsover Local Strategic Partnership

14. Health Partnership in Bolsover District Vision & Priorities

15. Health Partnership in Bolsover District Sharing Information Local Strategic Partnership (LSP) structures & systems used to share population level health data in a meaningful way Increased awareness amongst partners of information available e.g. Public Health Observatories, Community Health Profiles Using established networks to gather local information to enhance statistical data Ensuring that priorities are informed by needs assessment

16. Health Partnership in Bolsover District Sharing Information - Example

17. Go to ……. www.ons.gov.ukwww.communities.gov.ukwww.neighbourhoodstatistics.gov.ukwww.apho.org.uk

18. Health Partnership in Bolsover District Sharing Information In Practice what information can be shared? Distinguish Population & Personal Data Protection & Confidentiality Information Sharing Protocols Information Sharing with Consent Using referral processes to overcome difficulties, where appropriate

19. Health Partnerships in Bolsover District Some Examples Affordable Warmth Initiative - Tackling Excess Winter Deaths Food Hygiene Advice & Training - Reducing A&E visits for D&V* Grot to Green - Improvements to Local Environment ‘By Communities For Communities’ Supporting Older & Vulnerable People at Home - Reducing unplanned hospital admissions Food Partnership – Promoting & Enabling Healthy Eating Green Doctor – Working with GPs to Reduce CO Emissions

20. Affordable Warmth Initiative Links up key partners, e.g. primary care Uses information & evidence to inform priorities & actions Raises awareness of Fuel Poverty issues & solutions throughout local community Co-0rdinates referral process for vulnerable people Delivers training & briefings for all Partners Produces targeted materials, e.g. support hospital discharge

21. Building Strong Partnerships –Practical Steps Make Use of Local Contacts Be Part of Local Networks & Partnerships Understand Partner Roles & Responsibilities Make Partners Aware of the Role of Environmental Health Share Information & Organisational Plans Identify Shared Priorities – ‘The Win-Win’ Communicate Often Review Regularly Celebrate Success!

22. Impact of Reform & Re-organisation on Partnerships Presents opportunities as well as threats Chance to strengthen Public Health awareness & advocacy within the democratic process Potential to develop Public Heath skills and capacity across wider Local Authority workforce Specific challenges for areas with a two tier structure Important to maintain relationships with the emerging health commissioning organisations

23. The Future – Moving Forward Partnership Strong Partnership working uses resources more efficiently, therefore when things are more challenging & uncertain it is essential that working together remains a priority, ‘Necessity is the mother of invention’ (ascribed to Plato ) By working together & sharing our resources we can achieve more than if we work alone