Health, Wellbeing and Social Care Scrutiny Committee

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Health, Wellbeing and Social Care Scrutiny
Committee
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Introduction

• What is Overview and Scrutiny?
• Overview and Scrutiny emerged in the Local
  Government Act 2000 as part of the governments
  modernisation agenda.
• Delivered by a committee structure, Overview and
  Scrutiny holds the City Mayor, his Cabinet and
  other public service providers to account for
  delivering priorities and for the decisions they
  make. It is a key mechanism for driving forward
  service improvements.

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How does it work?

• The roles of Overview and Scrutiny cover-
• Holding the decision maker to account - both
  before and after decisions are made
• Policy review and challenge
• Monitoring of improvement plans
• Ensuring corporate priorities met
• Scrutiny of external agencies
• Performance management and review
• Engaging partners the public and media
• Councillor call for action and petitions

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How does it work? (2)

• Overview and Scrutiny committees are the main way
  by which decisions can be held to account in
  public for the roles we undertake. They will have
  an important role in reviewing the authority's
  policies and other matters of more general
  concern and making recommendations, either to the
  full council or to the cabinet on future policy
  options.  Overview and Scrutiny can also
  influence the delivery of services of other
  partner organisations.

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Health, Wellbeing and Social Care Scrutiny
Committee

• This scrutiny committee supports the Pledge of
  the Council "Improving Health in Salford" and the
  cabinet priority of "Delivering services fit for
  people". Members work with the Community, Health
  and Social Care Directorate of the Council which
  includes culture and leisure services. Scrutiny
  also work with Salford Community Leisure, Salford
  NHS, Salford Royal Foundation Trust Hospital,
  Local Involvement Networks, Age Concern and other
  partners across the city.

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Expected Role of HWB Boards

• Include
• To promote integration and partnership through
  promoting joinedup commissioning plans
• To support joint commissioning and pooled budget
  arrangements.
• To provide a governance structure for local
  planning and accountability of health and
  wellbeing related services.

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Membership of the Health and Wellbeing Board

• Sue Lightup

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Areas of responsibility

• Adult Social Care assessment and provision of
  services for vulnerable Older People, Mental
  Health, Learning Disabilities, Carers, Physical
  Disabilities,
• Integrated Commissioning of Adult Social Care,
  the NHS and Public Health through using the JSNA
• Safeguarding, Service Quality and Business
  Management
• Delivery of Health Improvement Service
• Welfare Rights and Debt Advice
• Housing and support services for vulnerable
  people Services for independent living,
  supporting people, equipment and adaptations

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Whats it like out there?

• New policy imminent white paper for adult
  social care
• Changing pathways of support citizen first and
  asset focused, information and advice provided
  early
• Transforming support expanding use of personal
  budgets to get a life not a service
• Changing expectations to promote self help,
  wellbeing and community support to maintain
  independence
• Re-shaping services across the whole system to
  respond to welfare reforms that is fit for
  purpose
• Managing pressures of demand for adult social
  care support
• Unsustainable funding framework for adult social
  care
• Market management, safeguarding, quality of
  provision critical
• New health partnerships to increase integration

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Aims

• Commission services that
• encourages people to be independent
• maximise life chances and quality of life
• Increase prevention and early intervention
• Personalisation think local, act personal
• support vulnerable people to take control of
  their lives, maximise personal resilience and
  widen choices
• Promote well-being with partners through
  integration and public sector reform

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2010
FUTURE
TRANSITION
NHS Salford PBC (local) Association of G M
PCTs, NW Specialised Commissioning Team, SHA (GM
Regional) Salford Health and Well Being
Partnership Board
Clinical Commissioning Group (Hundreds Health
Salford) Jan 2011
Hundreds Health Salford Apr 2013
NHS Greater Manchester PCT Cluster June 2011
National Commissioning Board Local Field Force
(?) Statutory Apr 2012
NHS
National Commissioning Board Shadow April 2011
as a special health authority
Salford Health and Wellbeing Board Apr 2013
Salford Health Well Being Board Shadow Oct 2011
Integrated Commissioning Board for Health and
Well Being Jan 2012
City Council DPH Specialist Team April
2013 Public Health England April 2013
City Council Shadow Arrangements April 2011 (NHS
Salford Legal Accountability until Apr 2013)
Public Health England (shadow) Apr 11
NHS Salford DPH Specialist Team
LA and Public Health
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Areas of responsibility

• Leadership for all council public health services
  and health protection advice (outbreaks,
  infection control, immunisation)
• Commissioning health improvement services
• Joint Health and Well Being Board development
• Surveillance and assessment of the populations
  health and well-being (via joint strategic needs
  assessment)
• Population healthcare advice to the new CCG
  -Hundreds Health Salford
• Integrated commissioning hub development

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Whats it like out there?

• Safe transition of new public health
  responsibilities for the City Council, Public
  Health England and the NHS Commissioning Board
• Maintaining progress on the joint strategic needs
  assessment and the joint health and wellbeing
  strategy
• Good progress on key public health goals but
  more to do on alcohol, smoking and healthy start
  in life
• Commissioning and decommissioning so that we get
  the services we need to improve health and well
  being

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Aims

• Maintain progress on reducing early deaths and
  reducing health inequalities across the city
• Increase the scale and rate of health improvement
• Increasing the development of Integrated
  Commissioning
• Ensure that through the successful transfer of
  Public Health the City maintains key strategic
  partnerships with the NHS

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Further Changes

• Links to Healthwatch by April 2012
• ICAS complaints service for Health from April
  2012
• Review of Scrutiny following Elected Mayor in
  place by September 2012
• New roles for members eg Assistant Mayor for
  Engagement and Communication, role pf AM for
  Health and Wellbeing