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Health & Well-being Boards in Derby City & Derbyshire

Health & Well-being Boards in Derby City & Derbyshire. Derek Ward – Director of Public Health, Derby City Cath Roff, Strategic Director of Adults, Health and Housing, Derby City Bruce Laurence, Acting Director of Public Health, Derbyshire County. Overview. Model in Derby City

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Health & Well-being Boards in Derby City & Derbyshire

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  1. Health & Well-being Boards in Derby City & Derbyshire Derek Ward – Director of Public Health, Derby City Cath Roff, Strategic Director of Adults, Health and Housing, Derby City Bruce Laurence, Acting Director of Public Health, Derbyshire County

  2. Overview • Model in Derby City • Model in Derbyshire County • Similarities • Differences • Local Authority reflections

  3. Derby City Health and Wellbeing Board

  4. Why this composition? • Strong democratic legitimacy • Fits with emerging statutory guidance • Attempted to balance different key organisations • Included Providers following Board discussion • HWB is already a Cluster sub committee, an LSP “outcome board” and will be a sub-committee of the City Council • Positioned as the health and wellbeing strategic group for the City

  5. Derbyshire County Health and Wellbeing Board

  6. Model In Derbyshire County • Six consortia and a two tier structure • therefore potentially very large board • No providers • size of board and at least four large providers. • No voluntary sector (ex Link) • Methods of engaging outside board important • Sub-committee of County Council • Adult board and children’s trust report in to HWB • Developing H and WB strategy

  7. Similarities and differences • Narrower membership to accommodate two tier structure and multiple CCGs. • Strong Democratic Legitimacy • Fits with emerging guidance • Oversight of county health and wellbeing strategy

  8. County CCG Development and the role of the board in NHS commissioning JSNA & the H and WB strategic framework Childrens joint commissioning + Health visitors Family literacy Screening, health protection, sexual health There has also been a large HWB stakeholder event with wide provider, public sector and voluntary sector input Some items covered • City • Facilitated sessions on the new system and roles and responsibilities • JSNA and Child Poverty needs assessment • Childrens joint commissioning and Health visitors • Citizen involvement / engagement in health and commissioning • Governance arrangements

  9. Local Authority Reflections • Readily embraced the place shaping and leadership role for local authority • Development sessions important to understand each other’s worlds • Members and GPs – both get local and people focus • Get the wiring right for children’s services • The work of the Board must be bigger than Board meetings • Inclusion and participation of all stakeholders important • Got to get the fit right with Oversight and Scrutiny

  10. Summary • Close working between City and County and 1 NHS Cluster across both • Some similarities in the composition of HWB • Differences reflect the views of the Boards • Infrastructure to support the Boards is still being developed • Links to Children and Young People Boards, Safeguarding and other groups still being developed but likely to be different.

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