Merton Health and Well Being Strategy Dr Geoff Hollier

Welcome Who am I? Very happy to have the opportunity to work with colleagues establishing the HWBB over the past 18 months

The borough of Merton Mixed population health inequalities No.200 bus - 11 year gap in life expectancy between a girl born today in Wimbledon Village and a child born in East Merton Approx 33% of population are from BAME groups (2011 Census)

Merton Clinical Commissioning Group Who are we? What do we do? A new organisation – 26 practices = membership = 211,000 population First co-terminous arrangements in Merton for heath care and social care

To effect change we need: Partnership working using collective resources, energy and commitment to ensure healthier population/environment. Combine Merton CCG priorities with those of the LA and voluntary groups. Provide a platform for us to ensure we focus on a few areas but achieve maximum output from them. MCCG delighted to lead on Long Term Conditions (LTC) and End of Life Care (EOLC). Right services, right time, delivered by the right person.

How will Merton CCG achieve this? · Ensure detection of those at risk - Stratification Register in every practice · Care management plan for each patient on the risk register with the integrated primary care team. Regular review and appropriate input including social care and community nurses and others, as required · Virtual ward for those who need services to remain at home where appropriate – staffed by a general physician/geriatrician, rehabilitation team and social care

How will we achieve this? Enable patients to take care of their own health through expert patient programmes & excellent information, e.g. COPD Met Alert Continue to promote CMC – results show those needing EOLC who are on the CMC Register over 60% achieve preferred place of care and death, as opposed to those not on the Register.

The Future We will support other initiatives HWB Strategy is the beginning Together we must make it work for our population

Please let us have your views by Monday 3 December 2012 How to contact us: go to or request a copy of the draft strategy by ing