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Healthy Living Pharmacy Launch Andrew Scott-Clark

Healthy Living Pharmacy Launch Andrew Scott-Clark Director of Health Improvement (Public Health) KCC 24 h January 2012. Agenda. Context of NHS Reorganisation Outcomes frameworks Planning and Delivery Kent: Needs and Inequalities Place of Community Pharmacy

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Healthy Living Pharmacy Launch Andrew Scott-Clark

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  1. Healthy Living Pharmacy Launch Andrew Scott-Clark Director of Health Improvement (Public Health) KCC 24h January 2012

  2. Agenda • Context of NHS Reorganisation • Outcomes frameworks • Planning and Delivery • Kent: Needs and Inequalities • Place of Community Pharmacy • Professional links to Public Health

  3. PCT: Current activity • PCTs are currently commissioning organisations that commission health services: • Acute Care (both elective, non elective) (EKHUFT) • Mental Health Services (KMPT) • Community Services (KCHT) • Health Improvement and Protection Services • E.g. stop smoking, sexual health, health checks • National Screening programmes e.g. breast & cervical • Specialist Commissioning • Various providers, usually tertiary centres • Hold and administer Primary care contracts • GPs, Dentists, Community Pharmacists, and Opticians

  4. New Health Structures • Clinical Commissioning Groups • Acute Care (both elective, non elective) (EKHUFT) • Mental Health Services (KMPT) • Community Services (KCHT) • Local Authority (Upper Tier) • Health improvement services • Public Health England • Health protection services • National Commissioning Board • Specialist commissioning • Hold and administer Primary care provider contracts Emphasis on integrated commissioning and providing

  5. Outcomes frameworks • Moving towards commissioning based on outcomes (rather than commissioning on activity or other process measure(s)) • Eventually have three outcomes frameworks • National Health Services • Public Health • Social Care

  6. Health and Well-Being Boards • Are the place in the new system where it all comes together • Shared outcomes • Integrated commissioning • Strategic direction • Provide local strategic and collaborative leadership in improving health and well-being • Statutory for Upper Tier Local Authority • In development…both Kent County and Dover are pathfinders

  7. Joint Strategic Needs Assessments • First element of good commissioning is a joint understanding of need and assets in the population • Responsibility of the H&WB Board to produce agreed JSNA • The “best” JSNAs are those developed collaboratively through strong partnerships Planning

  8. Health and Wellbeing Strategies • Next step on from the JSNA • The H&WB Strategy • Plan the delivery of integrated local services • Collectively addressing the underlying determinants of health and wellbeing Planning Delivery

  9. Kent: Needs and Inequalities • Population of Kent about 1.4m • Large geographical area and diverse population • Includes large tract of coastal fringe • Includes some in the most deprived wards in England; e.g. Margate Central, Cliftonville West • Life Expectancy is 8.1 years lower for men and 5 years lower for women than the least deprived wards • Smoking in pregnancy, obesity in adults and physical activity in children all significantly poorer than the average for England. There are 2,421 deaths from smoking each year. • 24,500 stays in hospital for alcohol related harm in 2009-10. 9

  10. Place of Pharmacy • Health Inequalities • Long Term Conditions • Tackling poor lifestyle health impacts • Sustainability agenda • E.g. Climate change • Accessibility

  11. Professional links to Public Health • RPharmSoc new member for the BMA Public Health Forum. • RPharmSoc working on producing Public Health Standards for the whole profession. • Gaining recognition for the role Pharmacy plays in the Public Health workforce.

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