1. Working with Districts Helen Buckingham Andrew Scott-Clark

2. Questions What does the new architecture look like? What are the challenges for health & well- being in Kent & Medway How are we working together now? How will it be different in the future?

3. New Structures in Health Clinical Commissioning Groups – GP-led, responsible for 80% of NHS spend ‘Top tier’ local authority responsibility for public health, supported by Public Health England National Commissioning Board – Local Area Teams responsible for commissioning primary care services, screening, specialist services, offender health

4. What are the big challenges for the Health Service? Support to people who have long term conditions Aging population Increasing diversity Moving focus from hospital to community Increasing specialisation where appropriate Improvements in experience Value for money Sustainability Agenda Impact of Climate Change on health e.g. water, changing nature of communicable disease Transport and car parking!

5. Current Practice Representation on statutory partnerships e.g. CDRPs Growing links between emerging CCGs and Districts Working links through Public Health to district officers inc. Health Protection Agency to EHOs Direct commissioning of LAs in West Kent Local engagement in specific programmes West Kent Health Policy Board

6. Discussion What are your big challenges for health and well-being? How can we work together better to support each other?