The LGA and the Association of Democratic Services Officers have now published a practical guide to governance and constitutional issues to support local government members and officers interpret and implement their statutory duties in relation to the creation of health and wellbeing boards.
On 14 May, the Minister of State for Care and Support, supported by the LGA, NHS England and others, announced plans to accelerate integrated care and support across the country. The announcement committed national partners to work together to provide support to all areas to stop people being passed from pillar to post, improving care and efficiency at scale and pace across the whole health and care system.
This work will be led at local level by 10 pioneer projects which will be announced in September with the expectation that they will lead the way for all local areas improving outcomes and efficiency across the system. Health and wellbeing boards (HWBs) will have a key role in leading these initiatives locally. LGA Chairman Sir Merrick Cockell said members would be working hard to play their part. “Councils have a key role to play in integrating services to both improve the quality of care and support that people receive and help find new ways of addressing the long-standing concerns around the future funding of care services.”
The announcement also included plans for 2 per cent of CCG budgets to be used to support integrated care initiatives locally, and a narrative for integrated care, developed by National Voices, which provides a definition for integrated care from the perspective of people who use and interact with services on a daily basis.
The main resource that local Healthwatch will have to achieve this will be the people involved in them and the knowledge, skills and competencies they bring or develop during their involvement. A competence (as defined by Chartered Institute of Personnel Development) is a minimum standard demonstrated by performance outputs, rather than individual traits.
This document sets out an initial view of what the key knowledge, skills and competencies of an effective local Healthwatch would include. The document is not constructed in terms of individual roles in recognition that:
? Local Healthwatch will all be different and have different combinations of roles reflecting local need and budgets.
? The areas of knowledge, skills and competencies identified in this document are interlinked and do not sit in isolation from each other. In some cases they are specific to particular roles but others, for example, an understanding of safeguarding will be common to all roles within the organisation.
Extensive work on outlining the knowledge and skills needed by local Healthwatch has already been undertaken through consultations and documents produced by other groups and organisations. This document aims to outline the commonly identified knowledge and skills from that previous work.
Our consultation on our strategy for 2013 to 2016
It is three and a half years since the Care Quality Commission (CQC) came into existence as Englands first regulator of health care and adult social care. During that time we have brought in a new system of regulation for 40,000 organisations that provide care. We have introduced a new, common set of standards that focus on peoples experiences and put their rights and interests at the centre of our work.
We recognise that there are five main influences on the quality of care: providers of care, frontline professionals and staff, commissioners of care quality, economic and professional regulators, and the voices of people who use services. All five have a role to play in promoting the quality of care.
The draft Care and Support Bill was published on 11 July 2012 for public consultation and pre-legislative scrutiny in Parliament.The draft Bill consolidates existing care and support law into a single, unified, modern statute. It refocuses the law around the person not the service, strengthens rights for carers to access support, and introduces a new adult safeguarding framework. The draft Bill also establishes Health Education England (HEE) and the Health Research Authority (HRA) as non-departmental public bodies (NDPBs).
The consultation closed on 19 October 2012. Over 1,000 written comments were received from a total of 433 unique respondents. We also held a number of engagement events with stakeholders, those who use social care services and their carers.This document provides a summary of the views expressed during the consultation process. It does not set out the Governments view or response to the comments made. The Government will respond formally to the public consultation alongside its response to the recommendations of the joint committee carrying out pre-legislative scrutiny on the draft Bill.
The UK is one of the countries at the vanguard of the wellbeing debate. In 2010 David Cameron tasked the Office of National Statistics to come up with a way of measuring wellbeing, including peoples own assessment of their wellbeing and satisfaction with their lives. Their first results were published in summer 2012, and full national wellbeing accounts will follow. Scotland has been measuring wellbeing through a dashboard of indicators since 2007.T
his report shares the findings of a project undertaken by Carnegie UK Trust and IPPR North to ask what needs to happen to ensure that measuring wellbeing is made to matter in policy-making practice. The project involved visiting six case studies that are, in different ways, further ahead than the UK with measuring wellbeing These were: the City of Somerville (Massachusetts, USA); the Commonwealth of Virginia (USA); Torontos Vital Signs project (Canada); the City of Guelph (Canada); the Canadian Index of Wellbeing; and France.
What is clear from the case studies is thatleadership is critical for a wellbeing agenda to prosper. Adopting a serious approach to promoting wellbeing requires changes to conventional policy-making processes and ways of understanding the world.
The Mandate reaffirms the Governments commitment to an NHS that remains comprehensive and universal C available to all, based on clinical need and not ability to pay C and that is able to meet patients needs and expectations now and in the future.
The NHS Mandate is structured around five key areas where the Government expects the NHS Commissioning Board to make improvements:
- preventing people from dying prematurely
- enhancing quality of life for people with long-term conditions
- helping people to recover from episodes of ill health or following injury
- ensuring that people have a positive experience of care
- treating and caring for people in a safe environment and protecting them from avoidable harm.