Jan 24, 2016
Today’s presentation
Creating a new system for public health service across Cheshire and Merseyside
Progress and challenges identified on the way
The start of the journey in the NW
“Shifting the Balance of Power”
Dispersed public health expertise
PH networks recommended to solve a capacity issue
Three networks were launched during 2003 to map the then three SHAs
Overseen by the DPH collectively and funded by the PCTs
Cheshire and Merseyside Partners For Health
ChaMPs is the public health network for Cheshire and Merseyside
CHeshire And Merseyside PartnershipS for Health
Serves 2.3 million people in Cheshire & Merseyside
Mix of urban and rural communities
Incorporating 8 PCT’s (5 were spearhead) and 9 local authorities
Life expectancy in the sub-region up to 10 years lower than England and Wales average
Why a network approach?
Maximise economies of scale
Share specialist public health expertise
Avoid duplication of effort
Shared learning through CPD
Prevent professional isolation
CHESHIRE AND MERSEYSIDE’S PUBLIC HEALTH NETWORK
Key successes
Creating successful strategic partnershipsLiverpool City Region, Safer Healthier Communities Board and
Cheshire & Warrington Health & Wellbeing Commission
2. Effective commissioning – collaboration DoCs/DoFs
• PLCV standardised and evidenced based• New Screening commissioning framework
• Review of Bariatric services
Developing a new public health system across Cheshire and Merseyside Using Large Scale Change
21/04/23
Large Scale Change is about…
Articulating a vision of something much better than status quo
Tapping into and mobilising the imagination, will and energy of a large number of diverse stakeholders
Creating change in multiple processes and systems
Continually refreshing the story & attracting new, active supporters
Monitoring progress and adapting as you go
Our journey
• C&M DsPH agreed a LSC project plan, DPH Champions and a Core Team, led by ChaMPs
• The team developed a shared vision, driver diagram and time line and shared these with the ChaMPs Steering Group
• Supported by influential LA CEOs (Sefton MBC and Cheshire East Council)
• Established Task and Finish Groups
• Public Health Intelligence and Knowledge Management
• Health Improvement
• Health Protection
• Public health offer to GP Consortia
Our journey ……
• Also established a Communications/Social Marketing Task and Finish Group to commission insight into views and perceptions of public health from LA CEO’s, Elected Members, GPs etc
• Business Case on the future public health system being developed
In light of the national changes to the public health system we will transform public health services into effective, resilient and fit for purpose services to support the achievement of better health outcomes for the people of Cheshire and Merseyside by 2012
Develop a marketing plan to communicate the C&M public health offer to GP’s and Local Authorities and engage Local Authorities in planning the public health system across C&M
Confirm and agree the public health functionality at a Local Authority and Sub-regional level and develop a model
Develop a public health workforce and build capacity in the transition process
•Establish a small Task and Finish Group to set marketing objectives, develop stakeholder analysis, agree critical success factors and discuss research options to understand current public health perceptions (30 days)•Develop a marketing plan with activities to target and engage Stakeholders (90 days)•Implement marketing activity and measure against critical success factors (90 days and to 2012)•Monitor and review marketing plan as required (90 days and to 2012)•Prepare DsPH response to PH White paper for C&M (60 days) •Engage and provide a brief to C&M LA CEO Meetings (30 days) •Provide a brief to CM DsPH to engage with their LA CEO and PH Teams (30 days)
Overall map of public health functions (Completed) Review the functionality of Health Protection (90 days)Consider the CEC PCT model to enable public health to support GP Consortia across C&M (90 days)Review the commissioning of Wellness Services (90days)Review the functionality and develop a model for public health intelligence and knowledge management across C&M to support commissioning (90days)Prepare a paper for ChaMPs Steering Group/HWB Boards/CEOs to clarify where public health functions are best delivered (90 days)Engage with Greater Merseyside Service Development (60 days)Review education/training and academia need for the system (30 days)Understand the strategic leadership requirements for Liverpool City Region/Cheshire and Warrington Health and Wellbeing Commission (60 days)
•Map public health workforce across C&M (Completed)•Plan DPH Masterclass, public health CPD Programmes, Health and Wellbeing Board developments and NW Public Health Conference (60 days)•Support the transition of public health teams to the Local Authorities (90 days)•Encourage engagement in the workforce charter and 2020 to promote staff wellbeing (60 days)•Plan and deliver NW PH Conference (90 days to Autumn 2011)
Explore the development of a social enterprise/charity arm
•Consider options of a social enterprise/charity/joint venture arm (90 days)
Develop an internal performance monitoring dashboard to measure and track the evolution of our system
•Establish small Task and Finish Group to develop a performance monitoring framework that will include a ‘risk’ reporting process (30 days)•Scope and define success criteria against the monitoring of the evolving system (60 days)•Monitor the performance (90 days and to 2012)
C&M Public Health Driver DiagramNew and Integrated Public Health Service in Cheshire and MerseysideVISION PRIMARY DRIVERS SECONDARY DRIVERS
Emergence of a New Managed and Integrated Public Health Service in Greater Merseyside and Cheshire, Warrington and
Wirral Clusters
Both Clusters have established an Executive DsPH Leadership Group to develop their PH Service by March 2013
Greater Merseyside DsPH have developed a robust strategic delivery plan with actions to achieve
Greater Merseyside DsPH have led the delivery of two public health staff and wider stakeholders events with a third 21st July 2011
Cheshire, Warrington and Wirral DsPH are deliverying their 1st staff stakeholder event 15th August 2011
Greater Merseyside DsPH have focused on Public Health functions and resisted focusing on structure/organisational form
Both are challenging assumptions with a focus on value for money whilst recognising economies of scale
Greater Merseyside DsPH have establishing task and finish groups to determine the optimum delivery of public health functions similar to LSC approach
Challenges….
The constant changes to landscape – new rivers start flowing!
Health & Social Care Bill currently going through parliament – we don’t know the size of the river!
We need to take our work force with us; some see change as a threat to their current ways of working (we are anticipating and coping with push back!)
Maintaining motivation and engagement with key stakeholders – esp LA – framing it differently and using the LSC cycle to have buy-in
Maintaining staff focus and drive in difficult and uncertain times and engaging them as current and future leaders
Not looking for a perfect solution but to get on!
Thank you – any questions?
For more information: www.champspublichealth.com