Effective Representation for Health and Wellbeing

Liam HughesChair, Oldham HWBB and Associate

of the LGA and Networkidea

The New Landscape for Health and Wellbeing

• HealthWatch, CQC (and Monitor)• Overview and Scrutiny• NHS Commissioning Board• Clinical Commissioning Groups• Public Health England• Transfer of (some) public health staff and functions to local councils• Health and Wellbeing Boards

Health and Wellbeing Boards- the policy ambition!

People and Places Better Outcomes

JSNA

Service Integration

Health and Wellbeing

ProductivityEfficiency

Health and Wellbeing Boards

• Committees of the Council – like none other!• Strategic leadership for the health and wellbeing

system• Partners – Councillors, GPs, Statutory Officers

and HealthWatch plus …• Joint Strategic Needs Assessments and Health

and Wellbeing Strategies• Informing, Influencing, Directing• “Holding to Account”

Improving health, reducing health inequalities

• Wider determinants of health

• Lifestyles and health behaviours

• Services – access, quality, integration

• Health protection and resilience

Board Effectiveness

• Leadership and partnership• Strategies, priorities, needs and assets• Community engagement and communications• Co-production (?)• Governance and accountability• Impact and outcomes

The Oldham Story

• A Co-operative Community• Localities and a life-course approach • 3 Strategic Themes: - Giving every child the best start in life - Living, learning and working well - Ageing well and later-life care

HealthWatch in Oldham

• Individual complaints and advocacy- Greater Manchester

• Information, advice and advocacy- Gaddum

• Influencing- Gaddum

Some emerging issues (1)HealthWatch

• “HealthWatch : caught in the middle?” -corporate member of board - independent voice for local people• Independent yet established by council• Not about individual cases or conditions• “Being a critical friend” – a skilled

performance!• Who will be most suited?

Some emerging issues (2)CVF Sectors

• Multiple voices - complexity • Experience and information about assets and needs• Commitment, passion and energy• Resources • Co-production: - involvement in the design phase - reviewing effectiveness

Making the jigsaw fit at local level: HWBBs, CCGs, Community, Voluntary and Faith

Sectors, Providers and other partners….