Health Reforms in
Lancashire
and improved health and
wellbeing outcomes for
Children and Young People
and their families
CSS
Commissioning
support service
NCB
National
Commissioning
Board
Children’s
Trust
Clinical
Senates
Health &
Wellbeing
Board
Children’s
H&W
Board
PULSE
Health
Watch
Third
Sector
Public
Health
England
Support
organisations
and networks
e.g. Advanced
Quality
Alliance AQuA
Overview
and
Scrutiny
Public
Health
Lancashire
Monitor
District
arrangements
including
development of LSP
H&W groups & New
H&W Partnerships
Greater
Preston
(including
Longridge)
Chorley
and
South
Ribble
West
Lancashire
East
Lancashire
Morecambe,
Lancaster,
Carnforth,
Garstang
Care Quality
Commission
Other providers
Including:
•Lancashire Care
Trust
•Lancashire
Teaching Hospitals
Trusts
Fylde &
Wyre not
including
Garstang
Blackburn
with
Darwen
Blackpool
CCG
NETWORK
The Public Health system in
Lancashire
Public Health teams in:
• Lancashire County Council
• Public Health England (Cumbria & Lancashire)
• NHS Commissioning Board Local Area Team
(pan Lancashire)
Five main contributions
1. Directly commission public health services
2. Provide public health leadership and support to NHS
Commissioners, LCC, Districts, the Third Sector and
other partners
3. Be the interface between the Health and Wellbeing
Board, the District level partnerships and the rest of
the health system
4. Develop new relationships with CCGs, NCB, PHE,
CSU and LCC Directorates to improve health and well
being outcomes
5. Contribute to develop national policies
New Approaches
• Use of assets
• Integrated commissioning
• Generic skills with matrix working on public health
priorities
• Greater focus on wider determinants, delivering
improved outcomes and reducing inequalities
• Aligned with the shifts envisaged in the Health and
Wellbeing strategy
Matrix Working across themes
• Health Checks
• Healthy Lifestyles inc. physical
activity
• Drug and alcohol misuse
• Tobacco control and stop smoking
services
• Healthy Settings
• School nursing
• Mental health
• NCMP and childhood obesity
• Infant mortality
• Accidental injuries
• Seasonal mortality reduction
• Children and young people’s
healthcare, older people’s
healthcare
• Healthy Child Programme
• Infant feeding
• Sexual health
• Long term conditions, cancers,
circulatory disease
• Dental public health
Healthy Settings
Public Health Lancashire co-produced workstream to:
• develop proposals for the management of health
improvement in 0-19 settings
• Schools; Children's Centres; Children Homes; Colleges;
Youth Offending Institution and Youth Centres
• Currently mapping the ‘Understand’ phase of the
Commissioning Cycle
What, How and Who ?
Overview of Transition Process
NL
LDAAT
CL
PH in NHS
PH in LCC
PHN
EL
2012
April 2013
Organisational Structure
(All in Place - December 2012)
Chief Executives
(NHS Lancashire &
Lancashire County
Councils)
Executive Director of
Public Health
To be appointed
Director of Population
Healthcare
Dr Sakthi Karunanithi
Director of Health
Improvement
Mike Leaf
Director of Health
Protection and Policy
Deborah Harkins
Greater
Preston
Chorley
and South
Ribble
Children’s
H&W
Board
PULSE
Health
Watch
Health &
Wellbeing
Board
Public
Health
Lancashire
West
Lancashire
East
Lancashire
Lancaster
North
Fylde &
Wyre
CCG
NETWORK
Health and Wellbeing Strategy
• Overall goal – narrow the gap in healthy life expectancy
• Priority shifts
–
–
–
–
Shift resources towards prevention
Build and utilise community assets, skills and resources
Promote self-care and responsibility for health
Commission and deliver accessible services within communities;
improving the experience of moving between primary, hospital and
social care.
– Make joint working the default option
– Narrow the gap in health and wellbeing and its determinants
Health and Wellbeing Strategy
• Outcomes:
– Improve the health and wellbeing of new and expectant families
– Improve mental health and wellbeing
– Reduce long term conditions and improve quality of life of those
affected
– Improve health and independence of older people
• Interventions:
Smoking in
pregnancy
Affordable
warmth
Support for
carers
Risk
stratification
and response
Healthy weight
environmental
measures
Loneliness in
older people
Domestic
abuse
Alcohol liaison
Self care
Vulnerable
families from
1st pregnancy
Children’s version of Shadow
Health and Wellbeing Board