Shadow Health and Wellbeing Board

Local authorities were invited to become ‘early implementer’ sites for the development of Health and Wellbeing Boards in January 2011. Cheshire East was successful in achieving ‘early implementer’ status (March 2011) and is part of a national early implementer network that is supporting local areas in the development of their Boards.

The Health and Wellbeing Board is expected to provide vision and a co-ordinated drive to address the health and wellbeing needs of the local population Cheshire East to reduce unacceptable and avoidable variations in health and healthcare.

Health and Wellbeing Boards are intended to act as the ‘glue’ between the NHS bodies (Clinical Commissioning Groups, Providers, NHS Commissioning Board and others) local authorities and other agencies (Police, Fire, 3rd Sector) and give local people greater say in how care is provided - thereby improving local democratic accountability for local decisions about commissioned services.

Functions

The Health and Social Care Bill outlines four main functions for Health and Wellbeing Boards:

  • to assess the needs of the local population and lead the statutory joint strategic needs assessment (JSNA) of the local population
  • to promote integration and partnership across areas, including through joined-up commissioning plans across the NHS, social care and public health
  • to support and co-ordinate joint/integrated commissioning and pooled budget arrangements, where all parties agree this makes sense, for the benefit of the population
  • enhance joint working arrangements through the development of a Joint Health and Wellbeing Strategy, informed by JSNA intelligence, spanning the NHS, social care, public health and potentially other services. This strategy will assist the development of commissioning intentions, and subsequent procurement and contracting of health and social care services by commissioners. Local authority and NHS Commissioners will be required to have regard to the Joint Health and Wellbeing Strategy. There will be no statutory guidance on the nature of these strategies and no requirement to submit them to the Department of Health, the NHS Commissioning Board or any other central organisation, but they will need to be made public. It is expected that this strategy should provide a concise summary of how member organisations of the Health and Wellbeing board will address the health and wellbeing needs of their community and help reduce inequalities in health – rather than it being a large, technical document

Additional duties also include:

  • the co-ordination of pharmaceutical needs assessment - which will inform the commissioning of community pharmacy services by the NHS Commissioning Board and local public health commissioning decisions
  • a formal role in authorising clinical commissioning groups. The NHS Commissioning Board will have to take Health and Wellbeing Boards’ views into account in their annual assessment of commissioning groups

Shadow Board Membership

The following Statutory members have been invited to form the initial Shadow Cheshire East Health and Wellbeing Board:

Organisation Role Post Holder
Cheshire East Council  Cabinet Portfolio Holder – Health and Wellbeing Janet Clowes – HWBB Chair Designate
Cheshire East Council Cabinet Portfolio Holder - Adults Roland Domleo
Cheshire East Council Cabinet Portfolio Holder – Children & Families Hilda Gaddum
Cheshire East Council Chief Executive Erika Wenzel
Cheshire East Council Director Children’s, Families and Adult Services Lorraine Butcher
Cheshire East Council Leader of the Labour Group Dorothy Flude
Central and Eastern Cheshire Primary Care Trust Director of Public Health Dr Heather Grimbaldeston
South Cheshire Clinical Commissioning Group Chief Officer Simon Whitehouse
South Cheshire Clinical Commissioning Group Chair / GP Lead Dr Andrew Wilson
Eastern Cheshire Clinical Commissioning Group Chief Officer Jerry Hawker
Eastern Cheshire Clinical Commissioning Group Chair / GP Lead Dr Paul Bowen
Cheshire East LINKs Chair Barrie Towse

The Health and Social Care Bill prescribes that there must be a minimum of at least one local elected representative as a core/statutory member of the Board. It will be for local authorities to determine the precise number of elected members on a Health and Wellbeing Board, and they will be free to insist upon having a majority of elected councillors.

Other core/statutory members will be:

  • the Director of Adult Social Services
  • the Director of Children’s Services
  • the Director of Public Health
  • a local HealthWatch representative – Health and Wellbeing Boards will be given a clear duty to involve local Health Watch, patients and the public in informing the work of the Board.

Beyond this core membership, the Local Authority/Health and Wellbeing Board will have the responsibility to decide who to invite and it will have flexibility to include other members, such as local representatives of the voluntary sector and other relevant public service officials.

Further Details

For further details please contact:

Julie North
Senior Democratic Services Officer
Cheshire East Council
Westfields
Middlewich Road
Sandbach
CW11 1HZ

Tel - 01270 686460
e-mail - julie.north@cheshireeast.gov.uk

Cheshire East Council  Telephone: 0300 123 55 00
Westfields, Middlewich Road, Sandbach, CW11 1HZ
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