Collaboration for Health Wellbeing; the role of Health and Wellbeing Boards

1. Lynne Dean Deputy Regional Director Collaboration for Health & Wellbeing; the role of Health and Wellbeing Boards

2. 2 26 August, 2012 The Health & Social Care Bill and the establishment of Health and Wellbeing Boards Post White Paper consultation Health and Wellbeing Boards (HWBs) as Committees of local authorities Responsibility for the Joint Strategic Needs Assessment (JSNA) and the joint health and wellbeing strategy (JHWS) Ensure that JHWS and commissioning plans (CCG, PH, adults, children) align Post �Future Forum�: Promote joint commissioning and integrated provision A role in the annual assessment of clinical commissioning groups (also a non-statutory role in their initial authorisation) Sets a duty for HWBs to involve users and the public in JSNA and JHWS Collaboration on planning, commissioning, + integration and outcomes The Health and Social Care Bill, strengthened following the NHS Future Forum, underlines the critical role the boards have to play, and in particular It sets up health and wellbeing boards as committees discharging executive functions of local authorities It sets a core membership of the key commissioners, including a representative of each clinical commissioning group in the local area, the Directors of Adult Social Services, Children�s Services and Public Health, at least one elected councillor and a representative of patients and the public through local HealthWatch. Beyond that it will be for local authorities to determine further membership according to local needs and circumstances, and they will be free to insist upon having a majority of elected councillors. It sets a clear expectation that both the NHS (NHS CB and clinical commissioning groups) and councils contribute to the JSNA and JHWS. It makes clear that health and wellbeing boards should be involved throughout the process as clinical commissioning groups develop their commissioning plans. There will also be a stronger expectation, set out in statutory guidance, for the plans to be in line with the joint health and wellbeing strategy. Though they will not have a veto, health and wellbeing boards will have a clear right to refer plans back to the group or to the NHS Commissioning Board for further consideration. It gives health and wellbeing boards a stronger role in promoting joint commissioning and integrated provision between health, public health and social care. The boards will have a formal (non-statutory) role in authorising clinical commissioning groups and the Bill creates a requirement for the NHS Commissioning Board to take health and wellbeing boards� views into account in their annual assessment of commissioning groups. It gives Health and Wellbeing Boards a new duty to involve users and the public. Scrutiny Health and Wellbeing Boards will be subject to oversight and scrutiny by the existing statutory structures for the overview and scrutiny of local authority executive functions. Local authorities will still be able to challenge any proposals for the substantial reconfiguration of services, and we will retain the Government�s four tests for assessing service reconfigurations. The Health and Social Care Bill, strengthened following the NHS Future Forum, underlines the critical role the boards have to play, and in particular It sets up health and wellbeing boards as committees discharging executive functions of local authorities It sets a core membership of the key commissioners, including a representative of each clinical commissioning group in the local area, the Directors of Adult Social Services, Children�s Services and Public Health, at least one elected councillor and a representative of patients and the public through local HealthWatch. Beyond that it will be for local authorities to determine further membership according to local needs and circumstances, and they will be free to insist upon having a majority of elected councillors. It sets a clear expectation that both the NHS (NHS CB and clinical commissioning groups) and councils contribute to the JSNA and JHWS. It makes clear that health and wellbeing boards should be involved throughout the process as clinical commissioning groups develop their commissioning plans. There will also be a stronger expectation, set out in statutory guidance, for the plans to be in line with the joint health and wellbeing strategy. Though they will not have a veto, health and wellbeing boards will have a clear right to refer plans back to the group or to the NHS Commissioning Board for further consideration. It gives health and wellbeing boards a stronger role in promoting joint commissioning and integrated provision between health, public health and social care. The boards will have a formal (non-statutory) role in authorising clinical commissioning groups and the Bill creates a requirement for the NHS Commissioning Board to take health and wellbeing boards� views into account in their annual assessment of commissioning groups. It gives Health and Wellbeing Boards a new duty to involve users and the public. Scrutiny Health and Wellbeing Boards will be subject to oversight and scrutiny by the existing statutory structures for the overview and scrutiny of local authority executive functions. Local authorities will still be able to challenge any proposals for the substantial reconfiguration of services, and we will retain the Government�s four tests for assessing service reconfigurations.

3. 3 26 August, 2012 Transition and implementation; key timings April 2013 Health and wellbeing boards in statutory form PHE establishes, PH responsibility transferred to local government October 2012 HealthWatch England and Local HealthWatch start date Commissioning Support in place Clinical commissioning groups prepare commissioning plans for first year of authorisation July 2012; Clinical commissioning groups preparing for authorisation emerging JSNA and joint health and wellbeing strategies to underpin 2012/13 commissioning plans By April 2012; Health and wellbeing boards established to operate in �shadow� form CCG team in place and 100% budget delegation October 2011 � the NHS CB is established as a Special Health Authority (SpHA), responsible for developing clinical commissioning groups as well as designing the new commissioning architecture and the NHS CB as an organisation.

4. 4 26 August, 2012