OXON IN TRANSITION 1. Local Authorities are changing 2. The NHS is changing 3. Public Health is changing 4. Coordination is changing What does it all mean for the Voluntary Sector? 1. CHANGE IN LOCAL AUTHORITIES Key Principles: Open Public Services Choice Accountability Fairness Decentralisation Diversity What is happening regarding Public Spending? THE NEW LA ROLE: LEADERSHIP JOINING UP HOLDING TO ACCOUNT COMMISSIONING SAFETY NET 2. THE NHS IS CHANGING Department of Health (DH) NHS National Commissioning Board Public Health England (PHE) 4 Sectors (Old SHAs) 50 Local NHS Commissioning Board outposts (Old PCTs) Oxon Clinical Commissioning Group (OCCG) NHS Commissioning Support Services Free-standing from 2016 Local Authorities Integration Social Care Mandatory Support to CCG Public Health Health and Wellbeing Board/JSNA/Joint Health /Well Being Strategy/Health Overview and Scrutiny Committee/Healthwatch 3. PUBLIC HEALTH IS CHANGING The Local Authority Remit for Public Health Leadership and Influence Mandatory Support to GP Commissioners Portfolio of Public Health Services Public Health in LAs Adding Value Across LAs Health protection & Emergencies Portfolio of Public Health Services in LAs from 2013 ALCOHOL CAYP’s HEALTH 5-19 CHILD Measurement NUTRITION DENTAL HEALTH ACCIDENTS & INJURIES BIRTH DEFECTS CANCER PREVENTION LONG TERM CONDITIONS WORKPLACE HEALTH MENTAL HEALTH Immunisations SCREENING SEXUAL HEALTH WINTER DEATHS Emergencies & Disasters COMMUNINTY SAFETY SOCIAL EXCLUSION Environmental RISKS NHS HEALTH CHECKS 24/7 OUT OF HOURS ?HEALTH VISITING 2015 DRUG MISUSE OBESITY SMOKING 4. COORDINATION IS CHANGING The Expanding Remit of the Health &Wellbeing Board “As far as Government is concerned, for coordinating healthcare, Health and Wellbeing Boards are becoming the only show in town.” The Expanding Remit of the Health &Wellbeing Board Health and Wellbeing Board Health Improvement Partnership Board Adult Health and Social Care Partnership Board Public Involvement Partnership Board Children and Young Peoples' Partnership Board The Expanding Remit of the Health &Wellbeing Board • Joint Strategy – Local Priorities • Binding agencies together (NHS, LAs, Public, Healthwatch) • Holding to account • Knowledge-base • Pooled budgets The Expanding Remit of the Health &Wellbeing Board ‘In Counties, the Health & Wellbeing Board becomes like a local Ministry of Health’ ‘In the future, LAs will be leading the Health & Wellbeing Board, and within that will be running what amounts to a ‘wellness service’ from 2013.’ WHAT DOES IT MEAN FOR THE VOLUNTARY SECTOR? NOT ALL VOLUNTARY AGENCIES ARE THE SAME: ? 2 TIERS (AT LEAST) WHO WILL PAY? PEOPLE - donations PEOPLE – direct payments LOCAL STATUTORY BODIES? GOVERNMENT? ADVOCATE OR PROVIDER OR BOTH INFLUENCER OR PROVIDING SERVICES OR CONFLICT OF INTEREST INDIVIDUAL ACTION OR ORGANISED GROUPS CONCLUSION •TIMES ARE CHANGING •ALL STATUTORY BODIES ARE CHANGING •GOVERNMENT POLICY IS CHANGING •£ IS TIGHT = CHANGE FOR THE VOLUNTARY SECTOR WHICH WAY WILL YOU GO?