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Health. Watch Devon: National update Mark Woodcock Head of Engagement NHS South of England
Summary • • Current national position; Recent developments Recap on the NHS reforms What Local Health. Watch will do and why is it different? • What should the local authority be doing? • What should the local community be doing? • Next steps?
Current national position • Creation of Health. Watch subject to legislation; • Abolition of Local Involvement Networks; • Health & Social Care Bill in the House of Lords: • Report stage debated in February and March; • Third Reading on Monday 19 March; • Royal Assent, April 2012. • Regulations will follow to bring into effect Local Health. Watch from April 2013; • Health. Watch England, will be established at
Recent developments • A new start date for Local Health. Watch, April 2013; • Lords Amendments on organisational form; • Funding for Health. Watch Pathfinders; • Funding, through local authorities, for start up costs for Local Health. Watch, £ 3. 2 M; • Learning Sets established via Regional Voice (South West Forum).
Where are we on the NHS Reforms? • NHS Commissioning Board Special Health Authority, now in place in shadow form: – HQ in Leeds; Four Sectors and Local Offices; – Fulfil the Mandate of the Secretary of State; – Support local commissioning groups; – Directly commission: • Specialist Regional and national services, i. e. Burns • Primary Care services, i. e. GPs, Dentists etc;
Clinical Commissioning Groups • 227 now established in shadow form across England, most co-terminus with local Social Services, but not all; • Commission secondary healthcare for their population; • Employ people directly to deliver functions; • Commission support from shared services to help CCGs operate, i. e. finance, workforce.
Health and Well Being Board • Established in shadow form in all local authorities; • Will oversee the production of the Joint Strategic Needs Assessment for the area; • Develop a Joint Well Being Strategy based on that assessment against which Clinical Commissioning Groups will commission health services to meet that need; • Local Health. Watch is a full member of the Board
What Local Health. Watch will do? • Local Health. Watch will continue with the existing LINK functions: – Gather local views on health and social care; – Engage with local communities and individuals; – working with the NHS and Local Authority on improving care pathways; – Visiting services to monitor delivery.
What extra will Local Health. Watch do? • A new set of roles include: – Individual advocacy on complaints; – Signposting on advice and help to make choices in health and social care; – Membership of the Health and Well Being Board. • Being a more effective organisation as a Corporate Body exercising statutory functions
What should the Local Authority be doing? • Engaging with local communities on the shape of the Local Health. Watch; • Developing a specification and overseeing a procurement or grant funded process; • Developing existing monitoring processes; • Considering roles and responsibilities in relation to Health & Well Being Boards.
What should the local community be doing? • Engaging on what they want as a strong Local Health. Watch; • What shape the organisation could take; • What skills or people are required: – Professionals? – Volunteers? • How to carry out the functions; • Track record.
Next Steps • • Preparation for bidding; Building relationships; Learning from others; Being as clear as you can on the prospective role: – what’s going to be expected of Health. Watch and how can it be delivered?