1.
Accountability
The Health and Wellbeing Board is set up in
accordance with section 102 of the Health and Social Care Act
2012. The Council can choose to
delegate decision making powers to the Health and Wellbeing
Board. Any recommendations are subject
to the agreement of the Leader of the Council if they are not
covered by the delegated authority.
Members of the Board will be required to abide by
the Code of Conduct.
2.
Purpose of the Board
2.1.
The Government proposes that statutory health and
wellbeing boards will have 3 main functions:
·
to assess the needs of the local population and lead
the statutory joint strategic needs assessment
·
to promote integration and partnership across areas,
including through promoting joined up commissioning plans across
NHS, social care and public health
·
to support joint commissioning and pooled
arrangements, where all parties agree this makes sense
The Board will cover both adult and children’s
issues.
2.2.
The purpose of the Board is to improve health and
wellbeing for the residents of Harrow and reduce inequalities in
outcomes. The Board will hold partner
agencies to account for delivering improvements to the provision of
health, adult and children’s services social care and housing
services.
3.
Key Responsibilities
3.1.
The key responsibilities of the Health and Wellbeing
Board shall be:
3.1.1.
To agree health and wellbeing priorities for
Harrow
3.1.2.
To develop the joint strategic needs
assessment
3.1.3.
To develop a joint health and wellbeing
strategy
3.1.4.
To promote joint commissioning
3.1.5.
To ensure that Harrow Council and the CCG
commissioning plans have had sufficient regard to the Joint Health
and Wellbeing strategy
3.1.6.
To have a role in agreeing the commissioning
arrangements for local Healthwatch
3.1.7.
To consider how to best use the totality of
resources available for health and wellbeing.
3.1.8.
To oversee the quality of commissioned health
services
3.1.9.
To provide a forum for public accountability of NHS,
public health, social care and other health and wellbeing
services
3.1.10.
To monitor the outcomes of the public health
framework, social care framework and NHS framework introduced from
April 2013)
3.1.11.
To authorise Harrow’s Clinical Commissioning
Group annual assessment
3.1.12.
To produce a Pharmaceutical Needs Assessment and
revise every three years
3.1.13.
Undertake additional responsibilities as delegated
by the local authority or the Clinical Commissioning Group e.g.
considering wider health determinants such as housing, or be the
vehicle for lead commissioning of learning disabilities
services.
4.
Membership
4.1.
The Chair of the Board will be nominated by the
Leader of Harrow Council.
4.2.
The voting membership will be:
·
Members of the Council nominated by the Leader of
the Council (5)
·
Chair of the Harrow Clinical Commissioning Group
(vice chair)
·
GP representative of the Harrow Clinical
Commissioning Group
·
A further representative of the Harrow Clinical
Commissioning Group
·
CCG Accountable Officer
or nominee
·
Representative of Healthwatch Harrow
4.3. The following Advisors will be non-voting members:
·
Director of Public Health
·
Chief Officer, Voluntary and Community
Sector
·
Senior Officer of Harrow Police
·
Chair of the Harrow Safeguarding Children
Board
·
Chief Operating Officer – CCG
·
Corporate Director, People
·
Director Adult Social Services
4.4.
The voluntary and community sector representative
shall be nominated by the Voluntary Community Sector Forum on an
annual basis.
4.5.
Members are appointed annually. Members of the Board shall each name a reserve who
will have the authority to make decisions in the event that they
are unable to attend a meeting.
4.6.
Board members shall sign a register of attendance at
each meeting and should not normally miss more than one meeting
within a financial year.
4.7.
The chair of the Clinical Commissioning Group will
serve as the vice chair of the Health and Wellbeing
Board.
4.8.
Providers will be invited to attend meetings as
required depending on the subject under discussion.
4.9.
Participation of the NHS
England
4.9.1.
NHS England must appoint a representative to join
Harrow’s Health and Wellbeing Board for the purpose of
participating in the Boards preparation of the JSNA and
JHWS.
4.9.2.
The Health and Wellbeing Board can request the
participation of the NHS England representative when the Health and
Wellbeing Board is considering a matter that relates to the
exercise or proposed exercise of the commissioning functions of NHS
England in relation to Harrow.
4.10.
Meeting Frequency
4.10.1.
The Board shall meet bi monthly subject to
review
4.10.2.
An extraordinary meeting will be called when the
Chair considers this necessary and/or in the circumstances where
the Chair receives a request in writing by 50% of the voting
membership of the Board
4.11.
Health and Wellbeing Board
Executive
4.11.1.
The purpose of the Health and Wellbeing Board
Executive is to:
·
Develop and deliver a programme of work based on the
Joint Commissioning priorities and the Joint Health and Wellbeing
Strategy
·
Shape future years joint commissioning
·
Shape the agenda for future HWB meetings
·
Engage and understand the views of different
organisations (including providers)
·
Bring together a collective view of partners and
providers to the bi-monthly Health and Wellbeing Board
·
Share Commissioning Intentions and common
priorities
·
Govern and quality assure the Health and Wellbeing
Board work programme
·
Be aware and discuss emerging policy and
strategy
·
Problem Solving
4.11.2.
The meetings of the Executive will be scheduled to
meet before the Board.
4.11.3.
Membership will consist of senior representatives
from both the Council and Clinical Commissioning Group, including
the Directors of Adults, Children’s, and Public Health
services, the Chair of Harrow Clinical Commissioning Group,
Accountable Officer, Chief Operating Officer, GP Clinical
Directors, and finance officers.
4.11.4.
The chairing of the Executive will alternate between
the council’s Corporate Director of People Services and the
Chief Operating Officer, Harrow CCG.
4.12.
Local Safeguarding Boards
4.12.1.
The Council’s two Local Safeguarding Boards
have a horizontal link to the Health and Wellbeing Board and
include:
4.12.1.1.
Local Safeguarding Adults Board
4.12.1.2.
Harrow Local Children’s Safeguarding
Board
4.13.
Conduct of Meetings
4.13.1.
Meetings of the Board will be held in public except
where the public are excluded from the meeting by resolution in
accordance with Access to Information Act.
4.13.2.
The quorum of the Board shall be 50% of the voting
membership – however there must be attendance of at least one
voting member from both the Council and the Clinical Commissioning
Group. Should the quorum not be secured the meeting will not take
place.
4.13.3.
Decisions shall be made on the basis of a show of
hands of a majority of voting members present. The Chairman will
have a second or casting vote.
4.13.4.
Each meeting will have provision for the public to
ask questions. There will be a total limit of 15 minutes for the
asking and answering of public questions.
4.13.5.
Harrow Council Democratic Services will service the
meetings including the preparation and circulation of agenda and
the production of minutes.
4.13.6.
Minutes of the meetings will be available on the
website of the council.
4.13.7.
The chair shall sign off the minutes as a true and
accurate record of the meeting.
4.13.8.
Agendas and supporting papers will be available on
the website of the council at least five working days before the
meeting.
Information on how to
submit a petition,
deputation or public question is available on the council
website.