2015 – 16 Strategy & Plans

1. 2015 – 16Strategy & Plans May 2015

2. Health and Wellbeing System System Enablers The CCG’s current strategy – ‘Mapping the Future’ New Secondary Care Tertiary Services Urgent Transfer Service Mobile Clinical Service New Primary Care GP Practices Community services OOH Self and Informal Care MENTAL HEALTH CARE Social care Pharmacies Expert patients Patient information System capacity and performance information

3. New Primary Care

4. NHS England’s current strategy – ‘5 Year Forward View’ • Getting Serious about Prevention • Empowering Patients and Engaging Communities • New types of Providers • Multispecialty Community Providers (MCPs) • Primary and Acute care Systems (PACS) • Urgent and emergency care networks • Specialised care • Enhanced health in care homes • Smarter use of technology • Efficiency and more money

5. Similarities - 5YV & Mapping the Future • MTF – What we buy • Self & informal Care • New Primary Care • Federations • Proactive care • Reactive care • New Secondary Care • Health and wellbeing systems and use of IM&T (CPM & Kinesis) • 5YFV – What is provided • Empowering individuals & communities • New Models of Care • MCPs • PACs/MCPs & enhanced care in care homes • PACs, Urgent & emergency care networks • PACs, Viable smaller hospitals, specialist networks, modern maternity services • Upgrade Public health and prevention & exploit the information revolution

6. Achievements after two years… • Competent organisation • Financial Balance • Improved Child and Adolescent MH services • New inpatient Adult MH beds in Maidstone • Started to re-procure Patient Transport • Improved performance • Shorter waiting lists and reduced C’dif & MRSA • Still issues with A&E and diagnosing dementia

7. In 2015 -16 our plans are to develop.. • New Primary care • New Secondary Care • Mental Health Services • Integration with Local Authorities

8. We are developing New Primary Care by: • Coaching clinical Microsystems to support primary care • Integrating GP Out of Hours Services and Hospital at home Services • Introducing the Care Plan Management System to help clinicians share information about vulnerable patients • Supporting GPs to develop Federations or similar networks of practices • Piloting schemes to develop teams of community nurses and social care staff integrated with groups of practices • Reviewing diabetes services with a view to implementing a Level 3 Specialist Community based Service, integrated with Federations of GPs

9. We are developing New secondary Care by: • Transforming outpatient services and the use of Kinesis • Developing a long term service strategy with MTW to ensure a sustainable future for them and for the CCG • Developing an integrated Urgent Care Service that brings together A&E and non-elective inpatient activity in new ways.

10. We are developing Mental Health Services by: • Improving crisis care in line with the Concordat • Increasing the diagnosis and support for Dementia sufferers • Continuing to develop IAPT services • Developing improved services for children and young people with MH problems by developing and implementing with NHS England and KCC; an Emotional Wellbeing strategy, a Neurodevelopmental Pathway (including ASD and ADHD), and Eating Disorders.

11. We are integrating with Local Authorities by: • Continuing to develop joint commissioning arrangements for LD, Children’s services, and Emotional Wellbeing • Developing an understanding of the total budgets spent by all agencies in West Kent - a total place approach to commissioning. • Working with District and Boroughs to develop a primary care strategy that supports spatial development and regeneration activity