Health and Healthy Communities
Health reforms in action!
Thursday 26 September 2013 - Melton Mowbray
Workshop showing health and wellbeing in action
Broader horizons for health scrutiny
Ann Reeder
Regional Advocate for the South of England
and Adviser, Centre for Public Scrutiny
• Introduce yourself, giving your:
• Name
• Organisation
• Role
• And your (one line) view of:
‘a challenge for health scrutiny after the
health reforms’
Objectives of the workshop:
• To understand the role that health scrutiny can
play within the complex web of health delivery
• To provide examples of the practical outcomes
from health scrutiny development activity in
Cornwall, Plymouth and other areas
Principles of effective scrutiny
• Provides a ‘critical friend’ challenge to executive
policy-makers and decision-makers
• Enables the voice and concerns of the public and
its communities to be heard
• Is carried out by ‘independently minded
governors’ who lead and own the scrutiny process
• Drives improvement in public services and finds
efficiencies
Importance of accountability
• Reforms strengthen local democratic legitimacy
in the NHS and public health services
• Objective is of a patient centred NHS
• Priority is to deliver improved quality and safety
and best outcomes for patients in the challenging
economic context
• Strengthened health scrutiny is a constant in the
new arrangements
The role of the council after health reforms
Local authority statutory responsibility for:
• Health improvement
• Health protection
• Wellbeing
Councils are leading many of the changes
brought about by the Health and Social Care Act
2012, working with key partners eg Healthwatch
New scrutiny
relationships
need to be built
Ways of working
might need to
change
Scrutiny spans
the system
Roles of health scrutiny
Use its collective memory, mandate, experience
around reconfiguration and partnership working to:
• Help improve health and social care
• Tackle health inequalities
• Reassure people and listen to local concerns
• Help establish health reforms in their area
• Help ensure planning, delivery and reconfiguration
is inclusive, accountable and effective
Health scrutiny – key agencies and relationships
Local Authority
Commissioners
Health &
Wellbeing
Board
Other LA
Scrutiny bodies
Neighbouring
Councils
LA Executive
/Commissioners
Scrutiny
Clinical
Commissioning
Groups
Health
Overview and Scrutiny
Collaboration
Involvement
Healthwatch
Public
NHS
England
NHS
Commissioners
Other scrutiny
partners
Providers
LA services, NHS Trusts,
independent and private providers
User/carer
Groups
9
Lessons from Cornwall, Plymouth and other places
•
•
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Relationship building
Proactive scrutiny
Outcome focused
Layered scrutiny
Spanning the system
Shared aspirations
• Overall goal - to improve health, social care and
wellbeing outcomes for local communities and
patients
• Independent but complementary roles and
responsibilities across the Health Scrutiny
Committee, Health and Wellbeing Board,
Healthwatch, Clinical Commissioning Group,
NHS England and Public Health England
Questions
• What are the shared priorities for our local
health, care and wellbeing system?
• How can we focus on the key elements of the
system, rather than individual organisations?
• Who are we working with and with whom
should we be developing links?
• How is our own structure and way of working
going to affect our capacity to span the system?
Suggestions for broader horizons for health
scrutiny in our local authorities
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•
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Shared priorities
Broader focus
Relationships and required links
Our structure and ways of working
Resources from www.cfps.org.uk:
• Spanning the system. Broader horizons for
council scrutiny
• Health overview and scrutiny: Exploiting
opportunities at a time of change
• Achieving an effective Health and Wellbeing Board
• Ten questions to ask if you’re scrutinising
arrangements for effective local Healthwatch
• Local Healthwatch, health and wellbeing boards
and health scrutiny. Roles, relationships and
adding value
http://www.cfps.org.uk/scrutiny-and-the-healthreforms health scrutiny, health accountability and
health inequalities programmes and publications
www.cfps.org.uk - register on-line or sign up for:
- e-newsletters, e-digests and scrutiny exchange
- reviews library, on-line forum, latest news
- new Policy and Skills Briefings
Twitter: @CfPScrutiny
[email protected] or 020 7187 7362 for helpdesk