What a difference a place makes: the growing impact of health and wellbeing boards

What a difference a place makes: the growing impact of health and wellbeing boards
LGA 3 July 2020

• This resource captures the achievements, challenges and learning from 22 effective health and wellbeing boards (HWBs) across the country.

Health and Wellbeing Boards reset tool To support HWB chairs move into the next stage of COVID-19

Health and Wellbeing Boards reset tool To support HWB chairs move into the next stage of COVID-19
LGA 4 June 2020

• A simple tool to support Health and Wellbeing Board chairs/chairmen move into the next stage of COVID-19.

Health and wellbeing boards and integrated care systems

Health and wellbeing boards and integrated care systems
Kings Fund 13 November 2019

• This long read examines the part Health and Wellbeing Boards, and local government more broadly, have played in the emergence of ICSs so far and options for their future. 
• It examines the contribution of ICSs, to what extent the HWB features in the overall governance arrangements for ICSs and how it works in practice, and the future of HWBs in a world of ICSs.

Partnership or insanity: why do health partnerships do the same thing over and over again and expect a different result?

Partnership or insanity: why do health partnerships do the same thing over and over again and expect a different result?
Journal of Health Services Policy and Research, August 2019

• A three-year study of Health and Wellbeing Boards (2015–2017) in five localities across England indicates that they have "largely followed the path of previous partnerships in terms of a lack of clear aims and objectives, lack of ownership and accountability by partners, and an absence of any significant impact on health outcomes."
• [Contact your NHS library for a copy of this article]

Abstract

What a difference a place makes: the growing impact of health and wellbeing boards

What a difference a place makes: the growing impact of health and wellbeing boards
LGA 3 July 2019

• This resource captures the achievements, challenges and learning from 22 effective health and wellbeing boards (HWBs) across the country, including reducing hospital admissions and time spent in hospital, reducing demand for GP appointments, helping thousands of smokers to quit, imposing restrictions on fast food outlets near schools, and reducing unemployment, poverty and poor housing.

The growing impact of health and wellbeing boards

What a difference a place makes: the growing impact of health and wellbeing boards
LGA 3 July 2019

• This resource captures the achievements, challenges and learning from 22 effective health and wellbeing boards (HWBs) across the country, all of which are making good progress on integrating health and care, improving wellbeing and tackling the wider determinants of health.

Health in All Policies (HiAP)

Health in All Policies: a manual for local government

LGA 29 September 2016

• Health in All Policies (HiAP) is a collaborative approach to improving the health of all people by incorporating health considerations into decision-making across sectors and policy areas.
• HiAP is based on the recognition that the greatest health challenges are highly complex and often linked through the social determinants of health ie health behaviour, socio-economic factors, clinical care and built environment.
• Preface by Professor Sir Michael Marmot

Integrated care value case toolkit

Integrated care value case toolkit
LGA, NHS England, The Association of Directors of Adult Social Services (ADASS), The Association of Directors of Children's Services (ADCS), Monitor, NHS Confederation and the Department of Health

• The toolkit should enable Health and Wellbeing Boards and local partners to understand the evidence and impact of different integrated care models on service users, as well as the associated impact on activity and cost to different parts of the health and care system.
• The toolkit includes Value cases for integrated care, Modelling tool, Tools to help overcome barriers to Integrated Care, and Online Forums for ongoing Integrated Care Support.

Collaborative Healthcare: Supporting CCGs and HWBs

Collaborative Healthcare: Supporting CCGs and HWBs to support integrated personal commissioning and collaborative care
Inclusive Care, January 2016

• A guide and collection of case studies for CCGs and HWBs around the principles of collaborative care, individual choice and control and patient and public participation. 
• Includes
• 1. Experts by experience and self-advocacy. 
• 2. Self-Directed Support and personal (health) budgets. 
• 3. Capabilities (asset-based) approaches to health and care. 
• 4. Co-production and citizen-led commissioning. 
• 5. Community development and building social capital. 
• 6. Networked models of care.

Strengthening HWBs

Making it better together: A call to action on the future of health and wellbeing boards
LGA, NHS Clinical Commissioners, 1 June 2015

• A call to action and a set of proposals to local system leaders and the Government to strengthen the impact and leadership of health and wellbeing boards across the country.
• Includes a section on "What a good HWB looks like"

Duties of the Care Act for HWBs

Developing the Power of Strong, Inclusive Communities
Think Local Act Personal and Public Health England, October 2014

• A strategy, which can be adapted locally, for how HWBs can work with partners to meet the new wellbeing and prevention duties in the Care Act. 
• How to get started – what Health and Wellbeing Boards can do
• Keep people at the centre and focus on their outcomes
• Focus on both assets and needs 
• Focus on all levels of prevention
• Rethink integration
• Target people with two or more Long Term Conditions 
• Work through universal service providers
• Enable community and cross-sector Systems Leadership
• Develop a new approach to Health and Wellbeing Strategies
• Adopt a collaborative approach to priority setting and savings

Social media for HWBs

Connecting health and wellbeing boards: a social media guide
LGA, November 2014

• A guide for health and wellbeing boards on the effective use of social media.
• The guide explores:
• some of the current social media channels
• five broad principles for using social media
• five levels of social media engagement for health and wellbeing boards to encourage progress and best practice.

Supporting governance in HWBs

Making an impact through good governance: A practical guide for health and wellbeing boards
Local Government Association, 28 October 2014

• The guide offers practical ideas and different models to help health and wellbeing boards become efficient and effective system leaders. 
• It is intended to be of practical use to members of HWBs in all of the membership categories: councils, CCGs, local Healthwatch and voluntary sector members, representatives of NHS England who sit on HWBs, and additional non-statutory members.

Resources for HWBs

Resources for Health and Wellbeing Boards from NHS Confederation

• A range of publications which share learning and good practice on various aspects of health and wellbeing boards' work from NHS Confederation, Department of Health and Local Government Association.
• Includes integration, criminal justice, public patient engagement, children and young people  and leadership.

Remove the distinction between the NHS and social services for integrated care - Barker Commission report

Commission on the Future of Health and Social Care in England (also known as the Barker Commission)
Kings Fund, September 2014

• The commission recommends moving to a single, ring-fenced budget for the NHS and social care, with a single commissioner for local services. It proposes a new approach that redesigns care around individual needs regardless of diagnosis, with a graduated increase in support as needs rise, particularly towards the end of life. 
• Key proposals include
•  a single ring-fenced budget, 
•  a single local commissioner (possibly the Health and Wellbeing Board) and 
• a new care and support allowance which removes the “battlelines” between who pays for care – the NHS or the local authority.

HWBs are a year old - lessons learned

Distillation of learning during the first year of HWBs
NHS Confederation, 19 March 2014

• Practical new resources distilling lessons learned during health and wellbeing boards’ (HWBs) first full year of operation.
• The multi-media resources to share valuable learning and insight from HWBs across England on their development as system leaders, and explore three key themes: facilitating shared ownership; working across boundaries; and the future of system leadership.
• The resources are based on three workshops run by the NHS Confederation, Department of Health, Local Government Association and NHS England in February 2014.
• Key findings from the workshops include:
• HWBs are at different stages of development 
• organisations working together to provide system leadership is not easy, and a ‘big ask’ at such an early stage 
• the importance of having challenging conversations about difficult issues 
• the need to develop a shared purpose, invest in relationships and build trust 
• the importance of working with the public and others from the beginning and having bottom-up approach.

Encouraging use of NHS Health Checks

Encouraging people to have NHS Health Checks and supporting them to reduce risk factors
NICE 26 February 2014

• This briefing summarises NICE's recommendations for local authorities and partner organisations that could be used to encourage people to have NHS Health Checks and support them to change their behaviour after the NHS Health Check and reduce their risk factors. It is particularly relevant to health and wellbeing boards. 
• Read alongside the Department of Health and Public Health England's NHS Health Check Best Practice Guidance 
• "NICE recognises the debate on the effectiveness of health checks that is ongoing at the time of publication of this briefing. Because the NHS Health Check programme is currently part of the health delivery infrastructure in England, NICE seeks to support its effective delivery. NICE notes that where delivery and uptake are sub-optimal and the lifestyle advice offered does not meet the person's needs, then there is a risk of the programme being ineffective."

Tips for Health and Wellbeing Boards

Health & Wellbeing Boards - orchestrating the possible for integrated care: How Boards can harness
the energy of partnerships to achieve real change
OPM, May 2013

• This top tips guide is based on our experience of working with health and wellbeing boards and answers the key questions that they need to address make sure that they reach their full potential.
• Contents:
• Have you got the basics right? 
• How will you engage stakeholders? 
• How will you add value? 
• How will you know if you are making a difference?

Health and Welbeing Boards need to develop say MPs

Public expenditure on health and social care: seventh report of session 2013/14
Commons Health Select Committee, 18 February 2014

• This report covers Pay restraint, Allocation of resources, Trusts and Foundation Trusts, Integration of health and social care, Reconfiguration, System leadership, Competition, "Cherry-picking".
• Conclusions include:
• 8. The Committee continues to believe that fragmented commissioning structures significantly inhibit the growth of truly integrated services. The Committee has recommended in previous reports that Health and Wellbeing Boards should be encouraged to develop their role to provide an integrated commissioners' view of the transformative change which is necessary in our health and care system. (Paragraph 62)
• 10. The Committee believes that in the absence of stronger commissioners and a commitment to ring-fenced real terms funding for health and social care, there is a serious risk to both the quality and availability of care services to vulnerable people in the years ahead. (Paragraph 64)
• 11. Advocating service integration without recognising that the consequence of integration is reconfiguration of acute services is simply dishonest. (Paragraph 70)
• 15. Health and Wellbeing Boards were established by Parliament to enable commissioners to take a view across the whole of a local health and care economy. In the light of the urgent need to increase the pace and scale of service reconfiguration in the health and care system, the Committee repeats the recommendation it has made in earlier reports that the role of Health and Wellbeing Boards needs to develop to allow them to become effective commissioners of joined-up health and care services. (Paragraph 80)

Integration from a public health perspective

Health and care integration: making the case from a public health perspective
PHE 19 December 2013

• The aim of this document is to help local areas, in particular health and wellbeing boards, make the case for integration focused on individuals’ health and wellbeing as well as their quality of life if they become sick.
• It supports the case for integrated healthcare services and exploiting the Better Care Fund to take forward transformational change.