What the Health is going on?

Hands up – it has been a while since any reports on attendance at health meetings, so this blog is designed to rectify that and to draw together some general thoughts on health related issues and the voluntary sector.

So what is going on – the big news is that the new provider for adult services has been announced. UnitingCare Partnership, which is a consortium of Cambridgeshire and Peterborough NHS Foundation Trust with Cambridge University Hospitals NHS Foundation Trust, are the lucky winners. They will have a duty to work with voluntary sector providers and we will need to keep a close eye on how the sector can get involved and especially how smaller local providers can be supported.

Another big announcement saw the publication of the Public Health Annual Report This can be viewed here. This report sets out the different health issues facing the county broken down by district. The report will inform much of the future work across the council and CCG and should be regarded as a source of information for VCS organisations.

Other big health news includes

  • The Better Care Fund which is a government plan for allowing local areas to reform health care. It looks to move funding from acute to community health provision. The County Council are responsible for this and have put in their initial plans to government. This has been a long and difficult process and the sector have been involved to some part, but expressions of interest for projects have not been taken forward despite the time and effort put into preparing them. More information can be found in the papers from the latest Health and Wellbeing Board here.
  • The Cambridgeshire and Peterborough Clinical Commissioning Group CCG have been developing a Five Year Plan. More information can be found on the CCG website. There is ongoing discussion as to the role of the VCS in this and it is important that we keep an eye on how providers can get involved. The fact that this area is one of the countries ‘financially challenged health authorities’ probably precludes lots of money for grants to support projects, this does not mean that some funding should not flow into the sector.

These notes follow attendance at the following meetings (if papers are available follow the links)

So what does all this tell us about health and what the voluntary sector can do?

There seem to a whole raft of positives for the sector in all these new initiatives. Firstly everyone is expressing their love for the work that we do to ensure healthier communities; secondly there is a real narrative that services have to move to a more preventative nature, this is great for the sector because as a rule it is where the bulk of our work is situated. Thirdly there is a move to a more person centred, local style of service, again right up the sectors street. There are undoubtedly going to be opportunities for sector providers to play a role in the new ways of working but things are not all rosy – given that there are severe financial constraints, given that commissioning does not generally favour the small, localised and specialist services that a lot of CCVS members provide, and given that acute services can not be stopped and will continue to demand greater funding despite the desire to work more preventively.

Finally we must recognise that change brings about a certain amount of introspection and this has been evident in those organisations responsible for funding health and wellbeing; hopefully, although there are still changes happening, both the CCG and the County Council are looking out more and more. I believe that it is important that as they start looking out they see a confident and professional VCS waiting to take up the opportunities that arise. There needs to be more joined up thinking about how the sector delivers and this is starting to happen, and there needs to be projects that clearly align with the priorities that have been articulated.

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