1. Integration and Primary Care
Dr David Mckenzie
Horsham and Mid Sussex CCG

2. 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

4. 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).

5. 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

6. 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’)