How health and wellbeing boards will work

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How health and wellbeing boards will work

How health and wellbeing boards will work

As the healthcare sector gears up for April, the former national director of health and wellbeing board implementation explains how he envisages the boards working, taken from the Guardian newspaper 15th Jan 2013

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£907m adult social care funding gap in London by 2018

The funding gap for providing adult social care in London will amount to £907m within five years, according to a new analysis by London Councils, supported by Ernst and Young, which is published today (9 January).

A Case for Sustainable Funding for Adult Social Care sets out the severe financial challenges faced by London boroughs for adult social care. It highlights how councils are already taking action to narrow the funding gap by working more closely with the NHS, improving procurement and developing new ways to provide social care for older and disabled people.

However the report warns that the combined savings from all of this would total between £240m and £735m, leaving a daunting funding gap. This calculation assumes that the Dilnot Commission recommendations are not implemented. If they were, the funding deficit would rise from £907million to around £1.5billion.

Councils in the capital currently spend a third (£2.8 billion) of their total budgets on adult social care. This spending is set to rise dramatically as the number of Londoners aged 65 and over increases by an estimated 50,000 during the next five years.

The report warns that by 2020, social care and waste collection – the main statutory responsibilities of local government – could require more than 60 per cent of all local authority funding.

London Councils’ Executive Member for Adult Services, Councillor Ravi Govindia said:  “We want Londoners to lead fit and active lives and stay healthy well into old age, but if people do need support, affordable social care services need to be available for them.

“It is clear that even if every council could implement all the efficiency changes outlined in the report the funding gap remains daunting; the report is an urgent call to action for Government and councils alike.

“We need a concerted effort to ensure that boroughs are able to continue to fund both their statutory responsibilities and the range of other services they provide.

“We are calling on the Government to decide quickly how to implement the Dilnot recommendations; remove some of the red tape which would make providing adult social care services more efficient and recognise that help will be needed to fill the funding gap as our population ages and needs more care.”

The report sets out how the Government can help councils by:

  • speeding up changes to data protection regulations so social workers and NHS staff can share information about clients safely.
  • removing target and tariff based payment models in the NHS that discourage investment in multi-agency services
  • making it easier for councils to develop new ways of providing adult social care by removing red tape.
  • setting funding for public health at appropriate levels and ensuring that it is subject to minimal ring fencing so that councils can respond in an innovative way to the challenges they face.

London Councils will be carrying out further research to support improved planning, funding and delivery of adult social care in the capital.

Online tools to help improve health, care and wellbeing

The NHS Commissioning Board is looking for good examples of online tools to help people improve their health and wellbeing. It is creating a directory of online tools, often called apps, to help people find the best online tool for their condition or health need.  People and organisations who are designing online tools for specific conditions or health areas are invited to submit these for consideration for the directory.

Click here for more info.

NHS mandate and national outcomes frameworks – implications for local authorities

NHS mandate and national outcomes frameworks – implications for local authorities

  • The Government’s mandate to the NHS Commissioning Board (NHS CB) sets out a direction for the NHS that will have a major impact on joint work between clinical commissioning groups (CCGs) and local authorities.
  • Most of the topics in the mandate are already shared local priorities, and there is significant emphasis on further integration, including in areas that have traditionally been difficult to implement such as access to records.
  • The NHS CB is expected to work in partnership with the Local Government Association (LGA) at a national level and with local authorities at a local level.

Recognize your favorite bloggers in the 2012 WEGO Health Activist Awards!

The WEGO Health Activist Awards recognize the bloggers, tweeters, facebook leaders, and community members who have inspired you, helped you, or even changed your life this year.

Healthwatch briefings by Local Government Association

Healthwatch briefings by Local Government Association

Establishing local Healthwatch (LHW) is a series of briefings produced by the LGA to assist local authorities and their partners in local communities and the NHS to support the commissioning, setting up and early development of local Healthwatch. The briefings are intended as a general introduction to what is involved and a brief summary of issues and questions which local authorities and others may wish to consider.

Consultation on strengthening the NHS Constitution – implications for local authorities

This policy briefing by the Local Government Information Unit summarises proposals to strengthen the NHS Constitution so it is more responsive to the needs of patients and the public and can be better used to hold the NHS to account. The consultation is particularly pertinent in light of the most recent set of damning reports about poor care and complaint handling in some NHS services.

There are several issues of relevance to local authorities in these proposals. In particular, one of the new measures involves extending the application of the NHS Constitution to local authorities in their new public health functions.  This could have complex and possibly challenging consequences, some of which are considered in the comments section of this briefing.

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