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 http://politics.leics.gov.uk/Published/C00000961/M00003461 /AI00030677/HealthandwellbeingdashboardQ320111221Feb 12toSHB.pdf Ernie White, Chairman 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 below:- http://politics.leics.gov.uk/ieListDocuments.aspx?CId=961&MId=3461&Ver=4 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:- http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPo licyAndGuidance/DH_132469 The amendments currently being debated cover the following eight main areas:- (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 independence. (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:- http://www.parliament.uk/business/committees/committees-a-z/commons- select/health-committee/news/12-02-02-socialcarereport/ 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:- http://www.bma.org.uk/images/nhsreformgpcguidance14athourisation_tcm41- 210995.pdf http://www.bma.org.uk/images/nhsreformgpcguidance15ccgs_tcm41- 211415.pdf 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 http://www.dh.gov.uk/health/2012/01/children-forum/ Public Health Outcomes Framework The Public Health Outcomes Framework was published on 23 January 2012. The full framework can be accessed via:- http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPo licyAndGuidance/DH_132358 The Local Government Association has produced a summary and analysis of the framework which is accessible via: http://www.local.gov.uk/web/guest/topic-health-adult-social-care-and-ageing/- /journal_content/56/10161/3411673/NEWS-TEMPLATE 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:- http://healthandcare.dh.gov.uk/public- health-system/ 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 Bill. The document is available via:- https://www.wp.dh.gov.uk/commissioningboard/files/2012/01/NHSCBA-02- 2012-5-Organisational-Design-Recommendations-Final.pdf 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:- http://www.dh.gov.uk/health/2012/02/personal-health-budgets-and-nhs- continuing-healthcare/ 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 Nottingham. The findings of the study can be viewed via:- http://www.newdynamics.group.shef.ac.uk/assets/files/NDA%20Findings_8.pd f 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:- http://www.rcgp.org.uk/news/press_releases_and_statements/mental_he alth_commissioning.aspx Hard-hitting ad highlights inappropriate use of Accident and Emergency Departments: http://www.lcr.nhs.uk/Library/155HardhittingadverthighlightswronguseofA E.pdf Change4Life alcohol campaign:- www.dh.gov.uk/health/2012/02/c4l- alcohol-campaign/ DH advice and support keeping warm and well in cold weather: http://www.dh.gov.uk/health/2012/02/keep-warm-keep-well/ Government launches its first ever national bowel cancer campaign:- http://www.networks.nhs.uk/networks/news/government-launches-its- first-ever-national-bowel-cancer-campaign £100million fund to help VCS revive neighbourhoods:- http://www.oneeastmidlands.org.uk/news.php?readmore=1810 CQC publishes reports from its review of services for people with learning disabilities:- http://www.networks.nhs.uk/networks/news/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:- http://www.oneeastmidlands.org.uk/news.php?readmore=1825 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:- http://www.oneeastmidlands.org.uk/news.php?readmore=1822 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. http://www.leics.gov.uk/healthwellbeingboard.htm If there is anything else you would like to see in this bulletin, please feed back to email@example.com. We would love to hear from you.
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