1. Healthy Towns and Place-Based Integration
Transformers II, Session 3, 17:45 to 20:45
The Ramada, Ballina, NSW

2. Population Health: A Global Trend
Care systems that have effectively created a population health-based approach delivering community-based integrated care have the greatest potential for transformational change to meet the “Triple Aim”
This requires the development of “accountable care systems” where multiple health and social care providers come together into new forms of collective governance arrangements and risk-sharing frameworks that work with and alongside local communities
The development of such systems is, to-date, rare. They are faced with continual and significant challenges, require committed and sustained leadership, and take considerable time to develop and mature.
There are few short cuts or ‘magic bullets’ as the journey itself builds alliances and supports the right models of care to emerge in different country and regional contexts

3. 8 Key Characteristics of Effectiveness
Theme
Characteristics
1 Population-health management
The ability to have an in-depth understanding of the health needs of communities supported through data that can provide intelligence on the priorities that should be addressed
2 Primary and secondary care prevention
The ability to support people to live better with their conditions, for example through educational programmes or self-care support
3 Personalised care co-ordination
The ability to plan and co-ordinate services effectively around people’s needs helps to overcome fragmentations and improve care experiences ad outcomes
4 Effective ICT systems
Care professionals must be able to communicate well with each other and people must be able to interact effectively with care providers in a way that supports shared decision-making.
5 Workforce competencies skills and new roles
Care professionals need to be educated and trained differently to support new roles that enable team based working and collaborative practice
6 An integrated delivery system
Care systems need to be responsive to people’s needs, especially during times of crisis. The inability of provider networks to respond in real-time means that care co-ordination efforts are undermined.
7 Building social capital and collaborative capacity
Promoting shared values and understanding can help provide the necessary commitment to take integrated care forward.
8 Research and evaluation
Measuring, monitoring and responding to evidence to judge or benchmark care quality and outcomes is essential to improving quality of care through integration

4. Going Beyond Health and Care

5. Healthy New Towns, England
HALTON CONNECTED
Downloadable apps that reward walking with discounts at local shops.
An urban obstacle course connecting public gym equipment and sprinting tracks marked out on safe pavements.
A community kitchen that provides food to local schools, hospitals and Meals on Wheels as well as running healthy cooking lessons for local residents.
Developers providing new houses and flats with free bikes in order to cut car use and promote cycling.
Universal wifi so residents can get in touch with health services from home and make the most of new technology, such as online GP consultations which NHS England is backing to the tune of £45 million.
Converting a car park into a new community square and outdoor cinema, offering more chances to socialise, boost the sense of community and improve mental health.
Since March 2016, the English NHS has been working with ten housing developments across England to shape the health of communities, and to rethink how health and care services can be delivered.
The programme seeks to unite public health, NHS providers and commissioners, planning and housing development to plan and build healthier places.
Their objectives are to develop best practice, case studies and guidance to help ensure all new housing developments embed certain principles, promoting health and wellbeing and securing high quality health and care services.

6. WHO European Healthy Cities Project
The primary goal is to put health high on the social, economic and political agenda of city governments to protect and promote their citizens' health and well- being.
The Healthy Cities movement promotes comprehensive and systematic policy and planning for health and emphasizes:
the need to address inequality in health and urban poverty
the needs of vulnerable groups
participatory governance
the social, economic and environmental determinants of health.
This movement not about the health sector only. It includes health considerations in economic, regeneration and urban development efforts