Transcript Northfleet and Gravesend West Neighbourhood Forum 24th

Introduction –
setting the scene
• People are living longer, healthier lives due to
improvements in medicine and care
• With this brings challenges
• Many people live with several complex conditions,
• Children are born with complex conditions.
• Patients with learning disabilities have lifelong needs.
National Drivers
• The Health and Social Care Act 2012 and Care Bill 2013 put
integration as a key area of focus:
 promotion of overall well-being
 focus on prevention / delaying the development of need
 Ensure the right services are available
 Carers
• Health and Well Being Strategy
• Better Care Fund
• 5 Year Look Forward (published 23 Oct 14)
NHS England- 5 Year Forward View
• Radical upgrade in prevention and public health
• When people do need health services, patients will
have greater control of their own care
• The NHS will take decisive steps to break down the
barriers in how care is provided
• One size will not fit all areas - Small number of radical new
care delivery options
– Multispecialty Community Provider – GPs with nurses,
hospital specialists; mental health and social care etc.
creating integrated out of hospital care
– Primary care and Acute Care systems – integrated hospital
and primary care provider
Benefits of
integrated care?
• Patient centred care
• Breaking down the organisational barriers
• More cohesive and joined up services
• Smoother transitions in a patients care between
services for patients
• Improved patient care and experience
5 Year Plan
Work implemented and
in progress
• Implemented Integrated Primary Care Teams (iPCT) from
27 October
• Integrated Discharge Teams, based at DVH
• Integrated Dementia Care
• Urgent Care Re-design
• Adult Community Services Re-design
• Mental Health Services