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The force begins to awaken: a third review of the state of health and wellbeing boards

Author(s)

SHARED INTELLIGENCE

Publisher(s):

Shared Intelligence

Publication year:

2016

An evaluation of the current position of health and wellbeing boards (HWBs), which seeks to identify features and factors that influence whether or not a board makes significant progress. The report draws on information from interviews with 23 local and national stakeholders involved with HWBs; a workshop with people doing bespoke work with boards on behalf of the Local Government Association; observation of and a focus group discussion at a HWB leadership essentials course; and a review of eight health and wellbeing peer challenges. The report identifies a number of factors which have a significant influence on the effectiveness of a HWB. Factors identified are: committed leadership; a history of collaboration between health and social care; clarity of purpose; a geography that works; the response to austerity; a focus on place; a director of public health who understands the role of HWB; high quality day-to-day support; changes in board membership and leadership; and good basic housekeeping to enable effective leadership. The final section of the report summarises key actions and areas to address if boards are to be more effective. The report concludes that a small but significant number of health and wellbeing boards (HWBs) are now beginning to play a genuine leadership role across the local health and care system. It finds that boards are considerably more effective than they were a year ago and a number of other boards are on the cusp of making that shift. Most boards are doing useful work, but their potential remains unfulfilled. (Edited publisher abstract)


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