Joint Health and Wellbeing Strategy (Plan) 2012-2015

Mick Hancock

Assistant Director

Joint Commissioning

Introduction

• In the Health and Social Care Act, the Government says we should have a Health and Wellbeing Board in place by April 1st 2013

• Its job is to make sure we have the right health, social care and wellbeing services

• The people on the Board are local commissioners of health and social care, public health, councillors, patient/user representatives and the voluntary sector

What does the Board do?

• Two key tasks of the new Health and Wellbeing Board are:

1. To write the Joint Strategic Needs Assessment (JSNA) (more about this in a minute)

2. To write the Joint Health and Wellbeing Strategy (JHWS) (Plan)

• The Law says Milton Keynes Clinical Commissioning Group (MKCCG) and Milton Keynes Council (MKC) must do these 2 things

• Both must be published

JSNA JHWS

Joint Strategic Needs Assessment (JSNA)

• The JSNA will tell us: • How things like money, housing and education

affect health and well being• About changes in the number of people who live in

MK• If people are not as healthy as other people – why

is this?

JSNA

Examples

For example, the JSNA can tell us about• People who need a better place to live• How many carers live in Milton Keynes and care for

more than 50 hours per week• People’s education (do they have 5 GCSEs including

English / Maths) • How many adults smoke• How many people we think will need to go

to hospital

Joint Health and Wellbeing Strategy

Things the JHW Board must do:

• Write a shared strategy (plan) to do the things the JSNA said people need

• Commissioners have to look at the plan before they buy services

• Write an annual report to tell people how they are doing• NHS Commissioning Board must look at how MK CCG

has done these things

What the Joint Health & Wellbeing Board need to do

There are 9 important things for them to do:

Improve Wellbeing• Healthier Lifestyles

– Smoking, Exercise, Diet, Alcohol, Sexual Health, Healthy Workplaces

• Mental Health– IAPT (Increasing Access to Psychological Therapies), dementia,

self esteem, exercise

• The strength of community – Work with families, connections, carers

Reduce Early Deaths and Tackle Major Diseases• Help to stop diseases and deaths

– Give the same advice to everyone – Find illnesses quickly – Tell people how to look after themselves if they are ill

• Accidents and Injuries– Over 65s and under 5s

• Reduce unnecessary hospital admissions– Find people most at risk and target services– Reduce people admitted from care homes– End of life care within the community– Join up more health and social care services

Reduce health inequalities• Reduce poverty

– Employment opportunities – High quality child care– Affordable housing– Children in poverty

• Equitable employment opportunities– Focus on 18-25 years– Those with disabilities– Long term unemployed

• Vulnerable adults and children– Maximise capabilities– Children gain good development level at 5 years– Safeguarding – high quality and integrated

Timeline

• December 2011 – first Shadow Health and Wellbeing Board (HWB)• Tasks identified included:

• JSNA • MK Health and Wellbeing Strategy

• Jan – May 2012 Monthly meetings of Strategy Development Group • 24th May Shadow HWB – agreed strategy consultation• 23rd August Consultation closed• 27th September Final Draft to Shadow HWB• 2nd October CCG Board approval• 17th October MKC Cabinet• 23rd November Strategy Launch – Stadium MK