Health and Wellbeing Board Bulletin by 8289566Y


									Health and Wellbeing Board Bulletin

                  Welcome to my first bulletin of the new year. As the Health
                  and Social Care continues its difficult passage through the
                  House of Lords, I would like to reassure you that here in
                  Leicestershire the Shadow Health and Wellbeing Board is
                  embracing the opportunity presented by the Bill to work
                  towards improving health and wellbeing and reducing
                  inequalities and improving service integration. You can see
                  performance against delivery of the Board’s priorities via

                  Ernie White,

Shadow Health and Wellbeing Board

The Shadow Board meets on 1 March. Amongst the items for consideration
are the Joint Strategic Needs Assessment and Leicestershire Partnership
Trust’s consultation on its Foundation Trust Application.

The Board is also receiving updates on national and local transition, including
the local Public Health Transition Plan and development of the National
Commissioning Board.

For the agenda and supporting papers for the meeting, please click on the link

Health and Social Care Bill

Briefing notes on the Government amendments to the Health and Social Care
Bill at the Lords Report Stage are accessible via the following link:-

The amendments currently being debated cover the following eight main

(i)   Clearer ministerial accountability. Health Minister Earl Howe has agreed
      changes with peers concerned about this area. They include making the
      health secretary’s duty to promote autonomy subsidiary to main duties -
      which are also amended - “to promote the comprehensive health service
      and to exercise their functions so as to secure the provision of services”.
(ii)    Education and training – including a new duty on the NHS
        Commissioning Board and clinical commissioning groups to promote
        education and training; and strengthening the duties of the health
        secretary, commissioning board and clinical commissioning groups to
        “promote research”.

(iii)   Integration and competition – including allowing Monitor to impose
        conditions on providers’ licences with the intention of, “enabling health
        care services… to be provided in an integrated way… [or to be]
        integrated with the provision of health-related services or social care
        services… [or for] enabling co-operation between providers”. Another
        change is that in the bill’s proposed seven-yearly reviews of the
        healthcare sector, the Competition Commission will look at the
        “effectiveness” rather than “development” of competition.

(iv) Health inequalities – including requiring the health secretary,
     commissioning board and CCGs to report annually on how well they
     have fulfilled their duties to reduce health inequalities,

(v)     Patient involvement – changes commissioning board and CCG duties to
        say they must promote the patient involvement in “the prevention and
        diagnosis of [their] illness [and] their care and treatment”. The
        commissioning board must publish guidance on how they do so. The
        changes have been welcomed by patient group National Voices.

(vi) Another change sets out that HealthWatch England, which will be a
     committee of the Care Quality Commission, must not be made up of a
     majority of people from the CQC. It is intended to protect its

(vii) Conflicts of interest – requires all members of committees or
       subcommittees of CCGs to declare their interests.
(viii) Public health – including that local councils must make Directors of
       Public Health a “statutory chief officer”, like Directors of Children’s
       Services and Adult Social Care.

(ix) Patient confidentiality – limits use of the NHS Information Centre’s new
     powers to collect, analyse and publish information. The Information
     Centre will also publish a code of practice for organisations dealing with
     person-identifiable information.

Health Select Committee Report on Elderly Care

The Health Select Committee report on elderly care states that the key to
securing better outcomes for older people and other vulnerable groups and to
delivering the required efficiency savings for the NHS is joined up services.
To read the full report, please click on the following link:-

British Medical Association Guidance for CCGs

The British Medical Association has produced guidance for CCGs on the
authorisation process and the content of their constitutions. The guidance
can be viewed via the following links:-

Children’s and Young People’s Outcomes Strategy

An independent group of experts has been established to help develop a new
strategy for improving care for children and young people. The Children's and
Young People's Outcomes Strategy will focus the health service on improving
health results for children, including those needing primary, hospital and
urgent care, and children with long-term conditions.

A press release about the Strategy can be viewed via

Public Health Outcomes Framework

The Public Health Outcomes Framework was published on 23 January 2012.
The full framework can be accessed via:-

The Local Government Association has produced a summary and analysis of
the framework which is accessible via:

Public Health Transition

The Government issued a series of factsheets on the new public health
system, including: a letter on reform of public health system, a summary of the
new public health system, public health in local government, Public Health
England's operating model and public health transfer of staff from PCTs to
local authorities.
The factsheets are available via:-

Design of the NHS Commissioning Board

The NHS Commissioning Board recently published a key document, Design
of the NHS Commissioning Board. This document sets out proposals for the
organisational design, structure and ways of working for the future NHS
Commissioning Board, subject to the passing of the Health and Social Care

The document is available via:-

Personal budgets discussion paper

The Department of Health has published a discussion paper which explores
personal health budgets for people receiving NHS Continuing Healthcare.
The discussion paper can be viewed via:-

Maintaining Dignity in Later Life: A Longitudinal Qualitative Study of
Older People’s Experiences of Support and Care

Older people feel that their health problems pose a challenge to their sense of
independence, dignity and identity and sometimes the health care they are
given makes things worse. According to research funded by UK Research
Council’s New Dynamics of Ageing programme (NDA), healthcare providers
must avoid taking a ‘blanket view’ of how to help older people cope with the
ageing process. The study carried out by Dr Liz Lloyd and her colleagues
found that people were often surprised by the impact that illness and growing
old had on their lives. The study was conducted by Dr Liz Lloyd of the
University of Bristol and colleagues from the Universities of Kent, Bristol and

The findings of the study can be viewed via:-

National/Regional Press Releases

The following national and regional press releases relate to Health and
Wellbeing and may be of interest:-
    Royal College of GPs has issued four new guides to improve mental
     health commissioning:-
    Hard-hitting ad highlights inappropriate use of Accident and Emergency
    Change4Life alcohol campaign:-
    DH advice and support keeping warm and well in cold weather:
    Government launches its first ever national bowel cancer campaign:-
    £100million fund to help VCS revive neighbourhoods:-
    CQC publishes reports from its review of services for people with
     learning disabilities:-
    The Cabinet Office is seeking views to help develop their plans for the
     expansion of the National Citizen Service, their flagship Big Society
     initiative for 16 year olds:-
    Sport England has opened its second funding round for applications, as
     part of a £50million programme to refurbish and improve up to 1,000
     community sports projects through the Inspired Facilities fund:-

If you want more information about the Shadow Health and Wellbeing Board,
we have our own website which includes reference documents and
presentations from recent conferences.

If there is anything else you would like to see in this bulletin, please feed back
to We would love to hear from you.

To top