Integration and Primary Care Dr David Mckenzie Horsham and Mid Sussex CCG
Service Interfaces in the NHS “Acute” Physical Health Mental Health Child Protection Welfare Social Care GP Schools Community Health Services Patient and Carer Housing Public Health Child Centres Dentistry, etc Voluntary Pharmacy Criminal Justice
The GP Timeline “More than half of all adults with mental health problems were diagnosed in childhood. Less than half were treated appropriately at the time” (2003).
The NHS Five Year Forward View (2014) radical upgrade in prevention and public health. urgent and emergency care redesign for integration break down the barriers GP-hospital, physical-mental, health - social care Multispecialty Community Provider
Just a taster… Street Triage – Police and Ambulance Physical Health (SMI-LES, CQUIN, …) Targeted Community Programs (“Tier 2”) Crisis Café Information Sharing (ROCI, DOCOBO, ..) Summary Care Record (the NHS ‘spine’)