Agenda item

-  Kent & Medway Plan

-  NHS West Kent Clinical Commissioning Group Primary Care

-  Strategy

Kent & Medway Sustainability & Transformation Plan

The Chair updated Board members of the progress regarding development of the Sustainability & Transformation Plan for the Kent & Medway footprint. The Chair reported a challenging situation regarding financial sustainability with a £100m deficit in the current  year. The STP had therefore included  a series of measures with a focus on:

•  Delivering ‘quick wins’ on prevention (falls; blood pressure prevention; self-care and patient expertise)

•  Transforming hospital care (considering the development of centres of excellence and possible hospital  re-configuration)

•  Local Care (with services offered out of hospital in community settings; development of GP Federations and clusters of practices formed around populations of around 50,000 patients supported by enhanced care/support teams which will demand closer relationships with local councils).

Comments and Discussion:

•  Earlier engagement with the STP process would have been helpful (AB)

•  Need to seize opportunities to have discussion with boroughs and districts about assets and plans for ‘places’ as soon as possible as local councils can help the developments towards ‘GP clusters and hubs’ happen through their planning, Local Plan  role (AB, SH)

•  Presentation to the Board on the ‘West Kent Deal’ would be helpful(LB)

•  NHS WK CCG Town Hall event planned for 10 November, with District and Borough council officers from the 4 local councils presenting to all CCG staff as part of a process aimed at strengthening  working relationships between officers and Executive members (MV)

•  Planning for health in local communities is important to help shift the burden away from healthcare services towards ‘health creating assets’ - based thinking that’s more focused on creating healthy societies (Dr CJ)

It was resolved:

1.  That Chair, Bob Bowes would support the development of the Federations to encompass the establishing of cluster structures and conversations between GP leaders and District and Borough councils.

2.  District and Borough Council Chief Officers to be invited to meet with CCG Governing Body members to discuss the ‘West Kent Deal’

NHS West Kent Clinical Commissioning Group Primary Care Strategy

Bob Bowes gave a brief outline of the NHS WK CCG Strategy for transforming Primary Care focusing on specific aspects of the presentation slides ‘A Vision for a Vibrant and Sustainable Future For Out of Hospital Services in West Kent 2016 – 2021’.

Dr Bowes explained that plans for the future include networks of practices are working together in Multisystem Community Providers; integrated with care teams from community, secondary care, social care and the voluntary sector. New structures and workforce models will allow clinicians to spend more time with their patients, greater continuity of care and higher quality care. Dr Bowes reported that the new ways of working will allow easy access to the right clinician at the right time, and for patients with complex needs proactive management in the community by a wider multidisciplinary team headed up by their GP and appropriate specialist.  This approach would be underpinned by a shared clinical record.

Dr Bowes outlined a selection of the emerging CCG Work Programme for strengthening primary care:

·  Estate Strategy

·  Managing demand for general practice services

·  Reduce the complexity of reporting

·  Develop IT

·  Strengthen the workforce; recruitment, training, retention and Make Every Contact Count

·  Tackle out of hospital bed capacity/Care homes

·  Enhance access to diagnostics

·  Build teams of community and complex care nurses

·  Mental health provision outside hospital

·  Advice from Consultants

·  Work with partners to create integrated services

There was consensus in the meeting about the need to enable the development of closer working relationships with district and borough councils and Make Every Contact Count was felt to be an important vehicle for strengthening confidence amongst staff and professional groups.

It was resolved that:

The Board invites Public Health England to attend the Board to give a presentation on Make Every Contact Count.