Kent Forum Afternoon Session Monday 6 June 2011

1. Kent Forum Afternoon SessionMonday 6 June 2011 GP Consortia and Kent’s Councils: how do we work together? Roger Gough Cabinet Member for Business Strategy, Performance & Health Reform

2. Milestones • Relationship with GPCCs • Early implementer for Kent-wide Health & Wellbeing Board • First H&WBB workshop with GPs on 16 March; next one on 20 July • Dover as early implementer, one of only 3 districts in the country • Bid for HealthWatch pathfinder on 12 May • Recommendation to County Council in July 2011 • Shadow H&WBB from April 2012 • An opportunity for local experimentation in 2011/12 (what will work best in different settings for different purposes) • Public health transition

3. Consortia in Kent and Medway 1) Ashford 2) C4 3) Dartford, Gravesham and Swanley 4) Dover 5) DASH 6) East Cliff Medical Practice 7) Maidstone and Malling 8) Medway 9) Shepway 10) Salveo 11) Swale 12) Thanet 13) Whitstable Medical Practice

4. “Building a new partnership with GPs” • Has already started with ‘early implementer’ status • The initial meeting of the H&WBB • “The art of the possible” • - rebuilding local primary care teams • unified approach on needs assessment • jointly-appointed commissioners • …..what else?

5. What’s at Stake? • How will GP commissioning meet health needs of residents? • How will commissioning encourage a variety of providers? • How best to integrate health and social care to reduce costs and avoidable demand? • How best to focus the preventative approach to improve public health? • How best to work with GPs to reduce health inequalities?

6. Responsibilities of the H&WBB • Joint Strategic Needs Assessment (JSNA) • Identifies the health priorities of the population • Pharmaceutical Needs Assessment (PNA) Identify what pharmaceutical services are needed • Health and Wellbeing Strategy • Agreed strategy to address priorities identified by JSNA and PNA • Ensuring the commissioning plans of the GPCC, Public Health, and Adult and Childrens’ Social Care reflect the priorities of the JSNA and the Health and Wellbeing Strategy • Promoting integration and partnership and joined up commissioning plans across the NHS, social care and public health • Supporting joint commissioning and pooled budget arrangements where agreed

7. From Strategic Oversight Board to H&WBB • Topics for far: • Dementia • Shared commissioning: • Children’s Health • Mental Health • People with Learning Difficulties • Older People • Carers • Public Health • Mental health • 20th July meeting will combine process with substance

8. H&WBBs – Lessons from Ely • Health Select Committee negative on H&WBBs……. • But listening exercise strongly in favour • Keep the board lean • Build the network around the board • Build on core H&WBB requirements

9. What Common Issues are emerging from Early Implementers? • Children, Young People and Families • • Mental Health/Dementia • • Frail Elderly • • Health Improvement (promotion and prevention) • • Tackling health inequalities (building on Marmot) • • Service reconfiguration • • HWBs relationship with Scrutiny Committees • • 2 tier authorities • • Healthwatch /public engagement • • JSNA/Joint Health and Wellbeing Strategy

10. HWBB Public Health Health promotion Senate Evidence (pathways etc) ? HWBGs Districts ? Locality Boards Social care Childrens Trusts GPCC Acute providers Other providers CHT