ENGAGING WITH THE NEW HEALTH LANDSCAPETHE WOMEN’S HEALTH AND EQUALITY CONSORTIUM (WHEC)

November 2012

BACKGROUND TO WHEC

Strategic Partner to the Department of Health in 2008

Partners: Platform 51, FORWARD, Imkaan, Maternity Action, Positively UK, Rape Crisis and Women’s Resource Centre

Network of women’s organisations across England

WOMEN’S HEALTH

“Health is a state of complete physical, mental and social well being and not merely the absence of

disease or infirmity. Women’s health involves their emotional, social and physical well-being and is determined by the social, political and economic

context of their lives, as well as by biology … major barrier for women to the achievement of the highest

attainable standard of health is inequality, both between men and women and among women in different geographical regions, social classes and

indigenous and ethnic groups.”

Source: Fourth World Conference on Women (Beijing, September, 1995)

WOMEN’S HEALTH AND INEQUALITY Poverty – 22% of women are on persistently low

incomes Low pay- two thirds of those working in low paid jobs

are women Discrimination - 30,000 women lose their jobs every

year because they are pregnant Caring responsibilities – over 50% of women will

have been carers before they are 60 and are more likely to experience poor health and long-term condition

Violence Against Women and Girls (VAWG) – over one in four women experience domestic violence and 6,500 girls are at risk of FGM every year

Anxiety and depression – recorded rates are twice as high for women and girls

A CHANGING HEALTH LANDSCAPE: THE THEMES OF CHANGE

KEY THEMES

Clinician-led commissionin

g

Patient voice

Public Health

Localism

Choice & Competitio

n

Integration

Quality, Innovation, Production, Prevention

A CHANGING HEALTH LANDSCAPE: OVERVIEW OF STRUCTURE

NHS

NHS Commissioning

Board

Monitor (provider regulator)

Clinical commissioning

groups

Department of Health

Social care

(in local authorities)

CQC (quality)

Providers

Public Health

England(executive agency of

DH)

(Local health improvement

in LAs)

Local authorities (via health & wellbeing boards)

HealthWatch

Local HealthWatch

A CHANGING HEALTH LANDSCAPE: OVERVIEW OF STRUCTURE

THE NEW HEALTH STRUCTURE: ENGAGING DECISION MAKERS Clinical Commissioning Groups (CCG)

NHS budget Pathfinders up and running PCTs active until April 2013

Local Authorities Ring-fenced Public Health budget Responsible for setting up their health and

wellbeing board Directors of Public Health

Responsible for local populations health Moving to local authorities from PCTs Sit on health and wellbeing boards

THE NEW HEALTH STRUCTURE: ENGAGING DECISION MAKERS Health and wellbeing boards

Strategic vision for local populations’ health and wellbeing

Integrated across NHS, Public Health and Social Care

Responsible for Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies

Shadow boards up and running Members include a representative from CCGs in

area, Director of Adult services, Director of Children’s services, Director of Public Health, HealthWatch, local elected councillor, others the local authority thinks relevant

THE NEW HEALTH STRUCTURE: ACCOUNTABILITY

Local HealthWatch Local elected Councillor Health and wellbeing boards to assess CCG

plans NHS Commissioning Board to hold CCGs to

account on spending and outcomes Outcomes Frameworks (NHS, Public Health,

Social Care) New duty on the Secretary of State on health

inequalities Community level (the public, local organisations

–using the new Equality Delivery System)

COMMISSIONING HEALTH AND SOCIAL CARE: THE ROLE OF THE VCS

The crucial role of the

VCS in health and social

care

Providers (delivering

‘health-related’ services)

Intelligence and expertise

Advocacy

Commissioning support

Holding organisations to account

COMMISSIONING HEALTH AND SOCIAL CARE: THE ROLE OF THE VCS

The new approach Competing under Any Qualified Provider (AQP)

tender with a range of organisations Demonstrate impact, value and cost-

effectiveness Evidence of need and service outcomes Working in partnership across agencies Achieving designated outcomes

A NEW SYSTEM – FINAL THOUGHTS Opportunities to engage although local

implementation may vary Health and wellbeing boards / JSNAs Opening up market to new providers New joined-up working Local needs assessment and local organisations Focus on public health (e.g. VAWG)

Challenges for VCS and women and girls A changing environment is hard to engage with ‘Localism’ and fragmentation Competitive environment Focus on outcomes can be hard to demonstrate / capacity Focus on individual voice may result in exclusion Uncertainty, fast change and loss of expertise and staff Cuts at national and local level

1419 April 2023

PROGRAMME TIMESCALES – HEALTH AND WELLBEING BOARDS AND HEALTHWATCH

Oct - Dec

2011

Jan – Mar

2012

Apr – Jun

2012

Jul – Sep

2012

Oct – Dec 2012 Jan – Apr

2013

By April; HWBs fullyoperational in every upper-tier local authority

Preparation for Shadow running HWBs, begin to refresh JSNAs

HWBs operate on shadow basis, produce JHWS and input to commissioning plans

HWB early implementers, HealthWatch pathfinders, emerging clinical commissioning groups, share learning to support implementation

October; Start date for Local HealthWatch organisations and HealthWatch England

CONTACT WHEC Website: www.whec.org.uk Email: zoe.palmer@platform51.org

USEFUL LINKS

The Health and Social Care Bill explained:

http://www.dh.gov.uk/health/2012/02/bill-factsheets/

CCGs:

http://healthandcare.dh.gov.uk/context/consortia/

http://healthandcare.dh.gov.uk/gp-consortia-map/

Local HealthWatch:

http://healthandcare.dh.gov.uk/local-healthwatch-pathfinders-announced/

USEFUL LINKS

Public Health Briefings:

http://healthandcare.dh.gov.uk/public-health-system/

Public Health Outcomes Framework:

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132358

Draft JSNA guidance (open to views and consultation):

http://www.dh.gov.uk/health/2012/07/consultation-jsna/

Developing the NHS Commissioning Board:

http://www.commissioningboard.nhs.uk/

The NHS Constitution:

http://www.dh.gov.uk/health/category/policy-areas/nhs/constitution/