Health Scrutiny

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Health Scrutiny Health and Wellbeing
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Commissioning and funding flows

• Health and well being boards statutory
  requirements with representation from NHS, LA, GP
  commissioners, Health watch
• Health and wellbeing strategy to drive all local
  commissioning informed by the JSNA
• DPH to be strategic health advisor and advocate
  for health of local populations

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Roles Responsibilities Public health services
commissioned / provided by LAs
Sexual health services Seasonal deaths and
accidental injury prevention Public mental
health Obesity, nutrition and physical activity
Smoking and tobacco control Alcohol drug harm
prevention and treatment programmes Immunisation
programmes (delivered through schools) NHS CB
LA NHS Health Check Programme Early presentation
and diagnosis Childrens public health
services for children young people aged
5-19 Community safety, violence prevention and
social exclusion Dental public health JSNA and
local public health intelligence
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Health and Wellbeing Boards
To assess the needs of the local population and
lead the statutory joint strategic needs
assessment To promote integration and
partnership across areas, including through
promoting joined up commissioning plans across
the NHS, social care and public health To
support joint commissioning and pooled budget
arrangements, where all parties agree this makes
sense To undertake a scrutiny role in relation
to major service redesign.
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Health and Wellbeing BoardsStrong Partnership
ArrangementsEngagement via Board and
PartnershipAddresses conflictsSubject to review

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Emerging Issues
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Pause?Funding?Outcomes?Timescales?