The West Kent Health Integration Deal – Promoting Independent Living Sevenoaks DC, Tonbridge & Malling BC, Tunbridge Wells BC and Kent County Council Cllr Michelle Lowe Deputy Leader & Portfolio Holder for Housing & Health
Inspired by Victorian Local Government
Pressured the water companies to clean up the water
Cleared the slums
Built parks, theatres and swimming baths
New health and social care crisis Response needs to be the same
Health spending nationally
Health challenges: Ageing population – more pressure on health & social care
Health challenges: Life-saving but expensive new drugs and treatments push up costs
Health challenges: People unable to access the NHS out of hours turn to the very expensive A&E alternative
Duncan Selbie DCN Conference The NHS contributes between 10 & 20% of our health Lifestyle choices contribute a further 30% (smoking, drinking, exercise, what we eat) The rest is made up of Social & Environmental factors: Our home, whether we have a job etc
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West Kent Health Integration Deal Ten Point Plan 17
Debt & Housing advice extended to include healthy lifestyle referrals
Making every contact count
Communication campaigns
GP partnership Social prescribing
Hub model for integrated public health Preventative services Working from GP surgeries and other settings dealing with the non-medical reasons why people visit the GP – even if the symptoms are medical: • Asthma caused by damp housing • Anxiety caused by debt (HERO) • Range of issues caused by loneliness • Falls prevention (DFGs) • Addictions
Rapid Hospital Discharge Scheme Handy HERO
Assessment of wider determinants based on GP surgeries (mapping) Putting in place appropriate prevention and council services in order to reduce identified health inequalities
Natural ways to wellbeing – Promotion and use of green spaces & active travel
Healthy Workplaces Working with employers to help them access healthy workplace initiatives
Accessing other external funding to support health work
Policy Review Smashing down the silos All our functions are working together to promote wellbeing Housing, Planning, Licensing, Environmental Health, Community Safety, Economic Development, Leisure, Communications,
Creating healthy environments for people to live and work
Using direct action to prevent hospital admissions and GP visits (Social Prescribing)
Working together – a more effective model wider determinants policy review local needs and opportunities are addressed One to one holistic support Campaigns Events, GP referrals
County & District working together • Integration deal is between the four local authorities pooling funding of £2m in West Kent (£1m 3x Districts and £1m from KCC Public Health) • One You Advisors and Super HEROs work with family centres, health visitors, social workers as a joined up service • Hospital Discharge Scheme works with KCC, the hospital and the Districts
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