153:
132:(CCGs). However, CCGs and local authorities may delegate commissioning powers to health and wellbeing boards so that they can lead on joint commissioning. JSNAs and joint health and wellbeing strategies, produced by the boards, are key tools that CCGs use in deciding what public health services need to be purchased. In this sense the boards have a role in shaping the local public health landscape, and helping CCGs to commission services in an effective and targeted manner.
852:
72:. A JSNA provides local policy-makers and commissioners with a profile of the health and wellbeing needs of the local population. The aim of the JSNA is to improve commissioning and reduce health inequalities by identifying current and future health trends within a local population. It is expected that the JSNA should be based on analysis of:
138:
There is also a statutory requirement that CCGs consult health and wellbeing boards throughout the commissioning process in order to align with the local joint health and wellbeing strategy. The boards can also report any concerns regarding commissioning decisions to the national body responsible for
51:
The aim of the boards is to improve integration between practitioners in local health care, social care, public health and related public services so that patients and other service-users experience more "joined up" care, particularly in transitions between health care and social care. The boards are
119:
The boards are also responsible for producing a joint health and wellbeing strategy. The first of these were published by the "shadow" boards at the end of 2012. Priority areas identified from JSNAs are key for the development of joint strategies, which in turn feed into commissioning plans. The
188:
Health and wellbeing boards sit within unitary and top-tier local authorities as committees of those authorities. Although they hold responsibility for public health at the local level, the administration and governance of the boards is not part of the
233:
Beyond this minimum membership other interested local stakeholders may also be invited to hold membership of a health and wellbeing board. These may include representatives of third-sector or voluntary organisations, other public services, or the NHS.
42:
The 2012 Act required each upper-tier local authority in
England to form a health and wellbeing board as a committee of that authority; more than 130 "shadow" boards were created before April 2013, when they all became fully operational.
120:
boards also look at which areas may need deprioritising and decommissioning. The strategic direction of implementation and service delivery for health and wellbeing boards is outlined in the joint strategy documents.
530:
624:
254:
leaders were not enthusiastic about Labour suggestions of making health and wellbeing boards “system leaders” for services for people with multiple long term conditions, disability or frailty.
135:
An early survey of 50 local authorities found that the majority of the respondents thought that joint health and wellbeing strategies would be influential in relation to the decisions of CCGs.
128:
Health and wellbeing boards have no statutory obligation to become directly involved in the commissioning process, but they do have powers to influence commissioning decisions made by
242:
The boards could be put in charge of commissioning combined health and social care services if they beefed up their contingent of clinicians according to Kate Barker, who chaired the
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Each board produces a joint strategic needs assessment (JSNA) for its local authority area, replacing the JSNA formerly prepared by local authorities and
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called for Health and wellbeing boards to be handed responsibility for managing pressures in the health and social care system next winter.
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suggested that the boards could be in charge of the process of integration of health and social care which he wants to see.
780:
477:
552:
835:
307:
393:"Joint strategic needs assessment and joint health and wellbeing strategies explained: commissioning for populations"
445:
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31:
82:
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saw the creation of new local and national bodies within the system, such as health and wellbeing boards,
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34:, whose role is to promote integrated working among local providers of healthcare and social care.
190:
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172:. Within the local health and social care system, health and wellbeing boards sit below
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National
Medical Director (and interim Chief Executive of NHS Improvement): Professor
463:
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There is a minimum membership required for a health and wellbeing board, as follows:
111:
Department of Health guidance recommends that JSNAs are refreshed every three years.
97:
access to services and use of services (such as admissions, discharge and usage data)
94:(such as life expectancy, quality of life, and prevalence of diseases and conditions)
107:
service user and patient views (views and experiences of service users and patients)
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76:
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Department of Health - Early implementers of health and wellbeing boards announced
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behavioural determinants of health (such as smoking, drinking and dietary habits)
152:
743:
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Section 116 of the Local
Government and Public Involvement in Health Act (2007)
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681:
53:
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National
Director, Transformation and Corporate Development: Timothy Ferris
792:
369:"The joint strategic needs assessment: a vital tool to guide commissioning"
311:
247:
91:
478:"Overview of health and care structures - The Health and Social Care Bill"
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NHS Confederation - Operating principles for health and wellbeing boards
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and clinical commissioning groups. However, the boards sit above local
575:"Call to boost local government role in managing NHS winter pressures"
612:
Department of Health - Public health for local government factsheets
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147:
464:"Health and wellbeing boards: system leaders or talking shops?"
633:
806:
National
Director, Specialised Commissioning: John Stewart
509:"Beefed up HWBs 'could commission health and social care'"
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a representative nominated by the NHS Commissioning Board
83:
social, economic and environmental determinants of health
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National
Director, Chief Financial Officer: Julian Kelly
361:
114:
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National
Director, Strategy and Innovation: Ian Dodge
622:
The King's Fund - Health and wellbeing boards project
246:
commission on the future of health and social care.
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the governance of CCGs, the NHS Commissioning Board.
100:
evidence of effectiveness (such as guidelines of the
30:
are statutory bodies introduced in
England under the
411:"Healthy places: councils leading on public health"
59:
531:"Burnham: I will 'not mandate' structural change"
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52:also responsible for leading locally on reducing
868:
385:
302:
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223:the local director of children's social services
533:. Local Government Chronicle. 26 September 2014
331:
329:
123:
555:. Local Government Chronicle. 5 September 2014
440:
438:
416:. New Local Government Network. Archived from
337:"Guidance on joint strategic needs assessment"
308:"A short guide to health and wellbeing boards"
148:Structure of the health and social care system
649:
553:"CCGs oppose bigger health role for councils"
297:
180:groups and health and social care providers.
326:
196:
156:Structure of the NHS England from April 2013
142:
104:, quality standards, good practice examples)
446:"Health and wellbeing boards: GPC guidance"
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220:the local director of adult social services
160:From April 2013 the changes enacted by the
77:demographic data about the local population
656:
642:
577:. Local Government Chronicle. 6 March 2015
511:. Health Service Journal. 4 September 2014
291:"Health and Wellbeing Board directory map"
183:
461:
402:
455:
151:
85:(such as housing, crime and employment)
237:
14:
869:
408:
342:. Department of Health. Archived from
310:. Department of Health. Archived from
283:
637:
487:
462:Humphries, Richard (12 April 2012).
374:. NHS Confederation. Archived from
226:the local director of public health
115:Joint health and wellbeing strategy
79:(such as age, gender and ethnicity)
24:
25:
888:
877:National Health Service (England)
593:
495:"Health and Social Care Act 2012"
214:a representative from each local
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208:a representative from the local
60:Joint strategic needs assessment
37:
663:
567:
545:
523:
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271:Health and Social Care Act 2012
162:Health and Social Care Act 2012
32:Health and Social Care Act 2012
451:. British Medical Association.
205:a local elected representative
13:
1:
701:Clinical commissioning groups
276:
166:clinical commissioning groups
130:clinical commissioning groups
744:hospital trusts/acute trusts
252:Clinical commissioning group
216:clinical commissioning group
124:Involvement in commissioning
7:
706:Health and wellbeing boards
264:
28:Health and wellbeing boards
18:Health and wellbeing boards
10:
893:
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813:
791:Chief Operating Officer:
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729:
693:
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197:Composition of the boards
143:Structure and composition
46:
836:Chief Scientific Officer
716:Local HealthWatch groups
754:community health trusts
483:. Department of Health.
398:. Department of Health.
184:Structure of the boards
170:NHS Commissioning Board
781:Lord Prior of Brampton
711:Integrated care system
157:
827:Chief Nursing Officer
721:NHS Property Services
627:19 April 2012 at the
155:
814:Professional leaders
764:mental health trusts
686:Maple Street, London
605:5 April 2012 at the
238:Future possibilities
409:Kuznetsova, Daria.
66:primary care trusts
54:health inequalities
739:List of NHS trusts
466:. The King's Fund.
381:on 13 August 2011.
293:. The King's Fund.
158:
864:
863:
785:Chief Executive:
759:foundation trusts
174:local authorities
16:(Redirected from
884:
854:
853:
787:Amanda Pritchard
749:ambulance trusts
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607:Wayback Machine
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259:London Councils
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594:External links
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423:on 24 May 2012
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257:In March 2015
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68:(PCTs), under
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822:Stephen Powis
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694:Commissioning
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38:Establishment
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793:David Sloman
677:Quarry House
579:. Retrieved
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559:29 September
557:. Retrieved
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537:29 September
535:. Retrieved
525:
515:29 September
513:. Retrieved
503:
489:
472:
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425:. Retrieved
418:the original
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376:the original
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351:. Retrieved
344:the original
316:. Retrieved
312:the original
285:
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248:Andy Burnham
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159:
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92:epidemiology
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665:NHS England
244:King’s Fund
210:Healthwatch
178:Healthwatch
779:Chairman:
731:NHS trusts
277:References
871:Category
857:Category
840:Sue Hill
831:Ruth May
625:Archived
603:Archived
581:10 March
265:See also
168:and the
427:22 June
47:Duties
481:(PDF)
449:(PDF)
421:(PDF)
414:(PDF)
396:(PDF)
379:(PDF)
372:(PDF)
353:9 May
347:(PDF)
340:(PDF)
318:9 May
583:2015
561:2014
539:2014
517:2014
429:2012
355:2012
320:2012
102:NICE
191:NHS
873::
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437:^
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193:.
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