Transcript Dr Jonathan McWilliam, Director of Public Health for

OXON
IN
TRANSITION
1.
Local Authorities are changing
2.
The NHS is changing
3.
Public Health is changing
4.
Coordination is changing
What does it all
mean for the
Voluntary Sector?
1. CHANGE IN
LOCAL
AUTHORITIES
Key Principles: Open Public Services
Choice
Accountability
Fairness
Decentralisation
Diversity
What is happening regarding Public Spending?
THE NEW LA ROLE:





LEADERSHIP
JOINING UP
HOLDING TO ACCOUNT
COMMISSIONING
SAFETY NET
2. THE NHS
IS
CHANGING
Department of Health (DH)
NHS National
Commissioning
Board
Public
Health
England (PHE)
4 Sectors
(Old SHAs)
50 Local NHS
Commissioning
Board outposts
(Old PCTs)
Oxon Clinical
Commissioning Group
(OCCG)
NHS Commissioning
Support Services
Free-standing from
2016
Local Authorities
Integration
Social Care
Mandatory
Support to CCG
Public Health
Health and Wellbeing Board/JSNA/Joint Health /Well Being Strategy/Health Overview and Scrutiny
Committee/Healthwatch
3. PUBLIC
HEALTH
IS
CHANGING
The Local Authority Remit for
Public Health
Leadership
and Influence
Mandatory
Support to GP
Commissioners
Portfolio of Public
Health Services
Public Health
in
LAs
Adding Value
Across LAs
Health protection
&
Emergencies
Portfolio of Public Health Services in
LAs from 2013
ALCOHOL
CAYP’s
HEALTH
5-19
CHILD
Measurement
NUTRITION
DENTAL
HEALTH
ACCIDENTS
&
INJURIES
BIRTH
DEFECTS
CANCER
PREVENTION
LONG TERM
CONDITIONS
WORKPLACE
HEALTH
MENTAL
HEALTH
Immunisations
SCREENING
SEXUAL
HEALTH
WINTER
DEATHS
Emergencies &
Disasters
COMMUNINTY
SAFETY
SOCIAL
EXCLUSION
Environmental
RISKS
NHS HEALTH
CHECKS
24/7
OUT OF
HOURS
?HEALTH
VISITING
2015
DRUG
MISUSE
OBESITY
SMOKING
4. COORDINATION
IS
CHANGING
The Expanding Remit of the
Health &Wellbeing Board
“As far as Government is concerned, for
coordinating healthcare, Health and Wellbeing
Boards are becoming the only show in town.”
The Expanding Remit of the
Health &Wellbeing Board
Health and Wellbeing Board
Health Improvement
Partnership Board
Adult Health and
Social Care
Partnership Board
Public Involvement Partnership Board
Children and Young
Peoples' Partnership
Board
The Expanding Remit of the
Health &Wellbeing Board
• Joint Strategy – Local Priorities
• Binding agencies together (NHS, LAs,
Public, Healthwatch)
• Holding to account
• Knowledge-base
• Pooled budgets
The Expanding Remit of the
Health &Wellbeing Board
‘In Counties, the Health & Wellbeing Board
becomes like a local Ministry of Health’
‘In the future, LAs will be leading the
Health & Wellbeing Board, and within that
will be running what amounts to
a ‘wellness service’ from 2013.’
WHAT DOES IT
MEAN FOR THE
VOLUNTARY
SECTOR?
NOT ALL
VOLUNTARY
AGENCIES ARE
THE SAME:
? 2 TIERS (AT LEAST)
WHO WILL PAY?
PEOPLE - donations
PEOPLE – direct payments
LOCAL STATUTORY
BODIES?
GOVERNMENT?
ADVOCATE
OR
PROVIDER
OR
BOTH
INFLUENCER
OR
PROVIDING SERVICES
OR
CONFLICT OF
INTEREST
INDIVIDUAL ACTION
OR
ORGANISED
GROUPS
CONCLUSION
•TIMES ARE CHANGING
•ALL STATUTORY BODIES ARE CHANGING
•GOVERNMENT POLICY IS CHANGING
•£ IS TIGHT
= CHANGE FOR THE VOLUNTARY SECTOR
WHICH WAY WILL
YOU
GO?