20120222 li nks joint meeting presentation
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Health and Social Care Bill update
Eddy McDowall & Ann BullenHealth and wellbeing workstream leads
LINks joint meeting
22-02-12
It’s Lent
If your public engagement strategy had to give up one bad habit, what would it be?
Latest events: 8th and 13th February Report Stage with line by line examination Amendments discussed covered clauses 1
– 6, 8-14 and 19 of Bill
Next event: 27th February Report Stage with line by line examination
Lords progress: http://tinyurl.com/5sscgpe
Lawful, or pre-emptive?“the work currently underway is taking place under the broad powers of the Secretary of State and NHS bodies under existing legislation [the 2006 Act]…the arrangement of PCTs into management clusters…the creation of pathfinder consortia are possible under existing powers in the National Health Service Act 2006.“…redundancies in PCTs reflect the longstanding challenge, which pre-dates the Bill, to deliver up to £20bn of efficiencies across the NHS over the next four years for reinvestment in frontline services".
House of Lords, Hansard, 8 Feb 2012: Column 260
Ongoing debate
Surrey health and wellbeing board backs bill2 February 2012
The government’s health reforms will do “irreparable harm” to the NHS, a group of public health doctors and specialists, including Sir Michael Marmot, have warned.10 october 2011
The editors of the British Medical Journal, the Health Service Journal and the Nursing Times say the Health and Social Care Hill is so badly thought out that it will leave "an unstable system that is only partially fit for purpose".31 January 2012
NHS 'in peril' if health reforms fail, warn senior GPs27 January 2012
Ongoing debateHealth and Social Care Bill may compromise patient safety A former NHS hospital Chief Executive and now senior academic at the University of Exeter Business School, has warned that patient safety may worsen if the Health and Social Care Bill is passed in its current form.2012
The Faculty continues to voice concerns about the Health and Social Care Bill and to work with the Academy of Medical Royal Colleges to seek changes as the Bill goes through the Report stage in the House of Lords.15 February 2012
NHS reform: Difficult birth, slow recoveryA divisive NHS bill may end up being less alarming than its many foes predict18 February 2012
Ongoing debate
NHS reforms: Lib Dems submit emergency motion to spring conferenceParty activists table motion calling for entire section of the bill extending competition in the health service to be scrapped21 February 2012
PM under fire, Darzi re-emerges and Lansley stays silent The commotion surrounding Prime Minister David Cameron's No 10 health bill ‘summit' dominates the health headlines. Andrew Lansley's street-side showdown with a veteran health campaigner ahead of the meeting.21 February 2012
Only the inefficient need fear NHS competitionNew research from the LSE shows competition in the NHS – the issue that most agitates the opponents of reform – is actually a good thing. 21 February 2012
Key issues
• ‘Don’t strip HealthWatch of its statutory status: NALM challenges Minister on downgrading of HealthWatch’ (http://www.nalm2010.org.uk/uploads/6/6/0/6/6606397/dont_let_....pdf)
• Concern over words describing creation of statutory body
• End of February, Government will need to state intentions
• Children’s social care• Branding work continues
Around England
North East: LHW and HOSCNorth West: No difference between Pf and non-PfYork & Hum: Funding clarity requestedWest Midlands: CCG link to LHWEast Midlands: Some awaiting guidanceEast of England: Commissioning frameworkLondon: What does good look like?South West: Good data and public health
Essex
• Pathfinder with joint working with Southend-on-Sea and Thurrock unitaries
• Two models explored:• 1) Small core membership supported by large group of
associate members, who have less formal responsibility than core members and won’t have full voting rights
• 2) Membership equivalent to hospital trust structure where board members with formal responsibilities are elected from a broader trust membership
• Essex and Southend LINk to be abolished by commencement of relevant part of Bill (c. July 2012)
Current work
Ongoing idea development on how Local HealthWatch will operate. Current focus on:• Information: range of key issues for future planning,
including:• successful signposting depends on good relationships
with statutory partners • Connecting into what’s already there• a ‘transition plan’ from PCT PALS to local HealthWatch• importance of training and support for staff• different levels of support : signposting vs formal
referrals• Importance of recording systems that work for staff and
volunteers
Forthcoming work
Further workshops on:• communication• how HealthWatch will influence specialised
commissioning• how HealthWatch can engage with whole
community including people in secure settings and people in temporary accommodation (to complement learning coming from Pathfinder areas)
Other news
• LINks workshops: www.regionalvoices.net/2012/01/free-learning-events-for-links-members/
• Snap survey: through Regional Voices• Return date – 27th February
• Consultation on regulations for HealthWatch England: comments deadline Friday 2nd March
• Funding should have come through for Pathfinder
Local HealthWatch Pathfinder - survey of lead
commissioners
Eddy McDowall & Ann BullenHealth and Wellbeing workstream [email protected]
www.hscpartnership.org.uk