Community Networks Meeting your community’s health and social care needs FEEDBACK FROM ENGAGEMENT EVENTS

Community Networks These are the five community networks, setting out the value of CCG commissioned services. This doesn’t include the spend on specialist and other services which are commissioned via NHSE.

Tasks Each group was asked to: Review the ‘picture of your population’. What did this tell them? Are there any gaps? Discuss which order the priorities should be in for their area. Agree/debate the order of priorities as a group. Consider: are there services that every area needs? Any gaps? Any services not required in their area? Any services that they would expand?

Canterbury Town Top 3 Needs Higher proportion of 15-29 year olds High number of people who binge drink More smokers in Canterbury Town compared to rest of Canterbury

Canterbury Town Table 1

Priorities Care in the Home Long Term Conditions Mental Health Community Hospitals Older Peoples Services Unscheduled Care (Emergency) End of Life Care Hospital Outpatient Services Long Term Conditions Heart and Circulation Respiratory Cancer Musculoskeletal Services Mental Health

Canterbury Network Top Priority Care in the home Home being the community Step up step down beds Care navigators

Canterbury Network 2nd Priority Long-term conditions Health & social care integration Including dementia Health education

3rd Priority Mental health All ages Signposting Canterbury Network 3rd Priority Mental health All ages Signposting

Post-it! Messages Domiciliary care or community supports services – gap in data. Mental health – not recognising date broken down into; demographic age groups, drinking, drug abuse, homeless., learning disabilities capturing separate data. Obesity – gap in the data. Adults/children.

Canterbury Town Table 2

Priorities Mental Health Information Sharing Services for Young People & Care in the Home Learning Disabilities Children Care in the Home Older People’s Services Non-Emergency Medical Services Community Hospitals Long Term Conditions Cancer Musculoskeletal Services End of Life Care Heart and Circulation Respiratory Non-emergency Diagnostic Services Hospital Outpatient Services Unscheduled Care (Emergency)

Canterbury Network Top Priority Mental health Increase in student population Improved working with CVS

Canterbury Network 2nd Priority Information sharing Advice & guidance for patients & clinicians

Canterbury Network 3rd Priority Services for young people & care in the home Preventative services Vulnerable groups

Post-it! Messages Canterbury Town has hugely disparate wards – difficult to generalise. Areas of deprivation or ‘pockets’ of other populations within the wider population. Link – mental health and debt., support workers gone. Mental health – gaps around early stage of depression, social activity work through voluntary sector. M.H. – People being referred from secondary back to primary care – GP’s not MH experts. Cases of bi-polar MH very common in social housing estates. These cases are seen as serious, yet they only seem to be part treated, not wholly. KMPT services “appalling”. Priorities done on numerical (cost of information provided) not vulnerability terms.

Next Steps This is a three year programme of work 18th September meeting to review findings Locally driven Stakeholder Forums Based around individual networks Dedicated page on website http://www.canterburycoastalccg.nhs.uk/get-involved/a-picture-of-health/ Key themes that have emerged across all areas are: Mental Health – all ages Navigation and signposting across the system Better Prevention and support for self care and Management of LTC The events were just the start of the conversation. There will need to be 8 project plans put in to place within an overarching plan. To do this, KCC are providing me with some project management support commencing at the beginning of October, Robyn Parsons. As part of the planning we will need to set up stakeholder groups and will be asking Sam Terry to work with the PRG to seek representation – these will not be large groups. Nominated members of the CCG Commissioning team will provide specific support to each group as there will be a requirement to prepare a business case for the changes identified. In addition, there will be some selection criteria identified to enable the groups to go forward in a phased approach.

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