Date: 24 September 2014 ATTACHED: Wolverhampton Public Health Effective Commissioning Strategy 2014-2019 Executive summary. Wolverhampton Public Health Effective Commissioning Strategy 2014-2019
Executive Summary The purpose of the strategy is to set out the way that Public Health Wolverhampton intends to utilise and rebalance its resources in the financial years 2014 to 2016 and vision to 2019. Public Health duties transferred to the Council in April 2013 with a set of legacy contracts and arrangements transferred at that point from the NHS PCT in Wolverhampton. In January 2013 the Department of Health allocated public health ring fenced grants to local authorities in England. Local authorities from April 2013 have a duty to take appropriate steps to improve the health of their population, funded through the ring-fenced grant. The budget allocated for 2014/2015 is 19.296 million. Public health has effective commissioning as a business priority. The focus is on outcomes and evidence based practice supported by strong information and intelligence systems. joined up commissioning at a local level, local authorities and GP consortia through the Joint Strategic Needs Assessment (JSNA) and health and wellbeing board. a business model used in collaborative commissioning that integrates stakeholder consultation, citizen involvement and empowerment into commissioning process. The vision is to do things differently through a programme of transformation across the council. There will be a rigorous focus on health and wellbeing strategic ambitions, local priorities and action across the life course to ensure a preventive approach is embedded in the local system. The return of public health to the Local Authority has provided an opportunity to address public health outcomes, improving the wider determinants of health, through the Public Health grant and a transformational Fund. Public health business plan has been developed to big address the six health issues identified in the Wolverhampton health needs assessment - Healthy weight and keeping active, smoking, mental wellbeing, health inequalities and life expectancy, alcohol and substance misuse and sexual health A programme of interventions and investment has transferred with public health. The legacy contracts are in a programme of review and proposals for renewed commissioning intentions that align with the public health outcomes framework, local need and the restructure of public health within Wolverhampton City Council. From analysis of population need a set of commissioning priorities for 2014 to 16 are proposed, plus commissioning intentions extended to 2019. Public health has a sole commissioner role for the large clinical services - sexual health and school nursing as well as a role in collaborative and specialist commissioning.
There is also an additional priority to focus on data quality throughout the commissioning process. Data is our most critical business asset and keeping it clean is a key business objective. Based on knowledge of data quality in the UK, 17% of the data we hold may be inaccurate. The aim is to increase data reliability where there are local bespoke data systems used to report to critical public health outcomes, such as stop smoking service, NHS health checks programme. Delivery is prioritised into short, medium and a longer term vision of commissioning activity.
Six immediate priorities for 2014 to 2016 which we will review, benchmark and ensure focus to deliver public health outcomes Healthy lifestyles Service review healthy lifestyles, within this we will specify smoking cessation and education programme as a priority. Healthy lifestyles will undergo a whole contract review and re commissioning plan. Service improvement plan in existing resources to increase smoking quitter data reporting Service improvement plan in existing resources to increase number of women stopped smoking at delivery Review of NHS Health Checks service Healthy places Sexual health Integrate council teams into public health healthy places service - countryside, healthy schools, Sport development Service review sexual health and HIV, specifying integrated service model of sexual health services. Commissioning intention Improving service delivery and achieving value for money transforming team to impact on public health outcomes Re commission delivery model against the recommendations from the review and national service standards To improve public health outcomes - chlamydia diagnoses; under 18 conceptions; reducing inequalities Commission and test intervention to increase access and uptake of postpartum contraception for population of vulnerable women Commissioning Committee 24 th September 2014 Page 4 of 2
Children 5 19 years ( School nursing ) Children 0 to 5 years (Health Visiting) Primary Care Service Commissioning Service review school nursing, specifying the model of service delivery against evidence, best practice and benchmarking. The local authority receives responsibility for the commissioning of child health services 0-5 years - Health Visiting service. Preparation for new commissioning responsibilities is being completed in 2014/15 Pharmacy Needs assessment Service portfolio Review range of primary care contracts Identifying procurement options e.g. AQP/PH Criteria/ Registered Supplier list Commissioning intention Re tender to new specification Commissioning intention To align service delivery to child public health outcomes Review outcomes with a view to establish a set of criteria and standards for public health enhanced services delivered by pharmacy Consider where services need improvement / tender Health Protection Service reviews of TB and Infection Prevention Improve surveillance, monitoring and response Scope service design and commissioning responsibilities Re tender to new specification Commissioning Committee 24 th September 2014 Page 5 of 2
Wider determinants of health 2016 to 2019 longer term vision Our ambition is to increase improvement in public health outcomes where there is joint commissioning responsibility and impact on other council delivery. Healthy places team; increased public health reach and impact Obesity call to action - invested in evidence based interventions Review and integrate transformation investment and plan for integration of interventions that have impacted on public health outcomes The process of transformation and public health skills will be part of usual business The focus of longer term priorities to 2019 is to embed public health into local authority organisation and embed processes that will ensure public health outcomes are in the centre of improving the wider determinants of health. Focus contract monitoring and commissioning improvements on the services that perform significantly lower or worse than the England value as measured on the public health outcomes framework Continue securing quality and performance of legacy and new public health contracts To develop the future commissioning business plans for the big six priorities Healthy weight and keeping active, smoking, mental wellbeing, health inequalities and life expectancy, alcohol and substance misuse and sexual health Commissioning Committee 24 th September 2014 Page 6 of 2