Health, Wellbeing and Social Care
Scrutiny Committee
Introduction
What is Overview and Scrutiny?
• Overview and Scrutiny emerged in the Local Government Act
2000 as part of the government’s modernisation agenda.
• Delivered by a committee structure, Overview and Scrutiny holds
the City Mayor, his Cabinet and other public service providers to
account for delivering priorities and for the decisions they make. It
is a key mechanism for driving forward service improvements.
How does it work?
• The roles of Overview and Scrutiny cover:• Holding the decision maker to account - both before and after
decisions are made
• Policy review and challenge
• Monitoring of improvement plans
• Ensuring corporate priorities met
• Scrutiny of external agencies
• Performance management and review
• Engaging partners the public and media
• Councillor call for action and petitions
How does it work? (2)
• Overview and Scrutiny committees are the main way
by which decisions can be held to account in public for
the roles we undertake. They will have an important
role in reviewing the authority's policies and other
matters of more general concern and making
recommendations, either to the full council or to the
cabinet on future policy options. Overview and
Scrutiny can also influence the delivery of services of
other partner organisations.
Health, Wellbeing and Social Care
Scrutiny Committee
• This scrutiny committee supports the Pledge of the
Council "Improving Health in Salford" and the cabinet
priority of "Delivering services fit for people". Members
work with the Community, Health and Social Care
Directorate of the Council which includes culture and
leisure services. Scrutiny also work with Salford
Community Leisure, Salford NHS, Salford Royal
Foundation Trust Hospital, Local Involvement
Networks, Age Concern and other partners across the
city.
Expected Role of HWB Boards
Include:
• To promote integration and partnership through promoting
joined–up commissioning plans
• To support joint commissioning and pooled budget
arrangements.
• To provide a governance structure for local planning and
accountability of health and wellbeing related services.
Membership of the Health and Wellbeing Board
PCT Non Executive (joint chair during shadow status)
Deputy City Mayor
Assistant Mayor for Health and Well Being
Assistant Mayor for Adult Services and Services for Older People
Assistant Mayor for Housing and Environment
Assistant Mayor for Services for Children and Young People
Assistant Mayor for Communication and Community Engagement
Council Nomination
Strategic Director for Children’s Services
Strategic Director for Community Health & Social Care
Salford City Council CMT (Executive Director Representative)
Director of Public Health
Strategic Director for Environment
Accountable Officer Hundreds Health
Non Executive Member Hundreds Health
GP Representatives: HH-S Chair
GP Representatives: Hundreds Health LA liaison
GP Representatives: Performance Lead (job share)
Private Sector Representative (CEO, Unlimited Potential)
Private Sector Representative
Voluntary and Community Sectors Representative
LINK Shadow Steering Group - NHS Salford
Officer Representative for GM PCT Cluster
Managing Director for NHS Salford
Lead Commissioner for NHS Salford
Greater Manchester Police Representative
Greater Manchester Fire & Rescue Service Representative
Chief Executive, Salford Royal Foundation Trust
Sue Lightup
Edward Vitalis
Councillor David Lancaster
Councillor Margaret Morris
Councillor Peter Connor
Councillor Gena Merrett
Councillor John Merry
Councillor Lisa Stone
Councillor Valerie Burgoyne
Nick Page
Sue Lightup
David Galvin
Mel Sirotkin
Ben Dolan
N/A
N/A
Hamish Steadman
Clive Boyce
Jeremy Tankel/Paul Bishop
Chris Dabbs
Lynne Elliot
Royston Futter
N/A
Alan Campbell
Alan Campbell
Vincent Greener
Paul Petrykowski
David Dalton
Areas of responsibility
• Adult Social Care : assessment and provision of
services for vulnerable Older People, Mental Health,
Learning Disabilities, Carers, Physical Disabilities,
• Integrated Commissioning of Adult Social Care, the
NHS and Public Health through using the JSNA
• Safeguarding, Service Quality and Business
Management
• Delivery of Health Improvement Service
• Welfare Rights and Debt Advice
• Housing and support services for vulnerable
people; Services for independent living, supporting
people, equipment and adaptations
What’s it like out there?
• New policy – imminent white paper for adult social care
• Changing pathways of support – citizen first and asset focused
information and advice provided early
• Transforming support – expanding use of personal budgets to
get a life not a service
• Changing expectations to promote self help, wellbeing and
community support to maintain independence
• Re-shaping services across the whole system to respond to
welfare reforms that is fit for purpose
• Managing pressures of demand for adult social care support
• Unsustainable funding framework for adult social care
• Market management, safeguarding, quality of provision critical
• New health partnerships to increase integration
Aims
• Commission services that:
– encourages people to be independent
– maximise life chances and quality of life
– Increase prevention and early intervention
• Personalisation: think local, act personal
– support vulnerable people to take control of
their lives, maximise personal resilience and
widen choices
• Promote well-being with partners through
integration and public sector reform
2010
TRANSITION
NHS Salford & PBC
Clinical Commissioning Group
Hundreds Health Salford
(local)
(Hundreds Health Salford) Jan 2011
Apr 2013
Association of G M PCTs, NW
Specialised Commissioning
Team, SHA
NHS Greater Manchester
National Commissioning Board
PCT Cluster June 2011
Local Field Force (?)
(GM & Regional)
National Commissioning Board
NHS
FUTURE
Salford Health and Well
Being Partnership Board
Statutory Apr 2012
Shadow April 2011 as a special
health authority
Salford Health & Well Being Board
Salford Health and Wellbeing
Board Apr 2013
Shadow Oct 2011
LA and Public
Health
Integrated Commissioning Board for Health and Well
Being – Jan 2012
NHS Salford
DPH & Specialist Team
City Council
City Council
Shadow Arrangements
DPH & Specialist Team
April 2011
April 2013
(NHS Salford Legal Accountability until Apr
2013)
Public Health England
Public Health England (shadow) Apr 11
April 2013
Areas of responsibility
• Leadership for all council public health services and
health protection advice (outbreaks, infection control,
immunisation)
• Commissioning health improvement services
• Joint Health and Well Being Board development
• Surveillance and assessment of the population’s health
and well-being (via joint strategic needs assessment)
• Population healthcare advice to the new CCG Hundreds Health Salford
• Integrated commissioning hub development
What’s it like out there?
• Safe transition of new public health responsibilities for
the City Council, Public Health England and the NHS
Commissioning Board
• Maintaining progress on the joint strategic needs
assessment and the joint health and wellbeing strategy
• Good progress on key public health goals – but more
to do on alcohol, smoking and healthy start in life
• Commissioning and decommissioning so that we get
the services we need to improve health and well being
Aims
• Maintain progress on reducing early deaths
and reducing health inequalities across the city
• Increase the scale and rate of health
improvement
• Increasing the development of Integrated
Commissioning
• Ensure that through the successful transfer of
Public Health the City maintains key strategic
partnerships with the NHS
Further Changes
• Links to Healthwatch by April 2012
• ICAS – complaints service for Health from April 2012
• Review of Scrutiny following Elected Mayor in place by
September 2012
• New roles for members eg Assistant Mayor for
Engagement and Communication, role pf AM for
Health and Wellbeing