Summary of the Kingston Place Committee Meeting held on 18 April 2023.
Attendees
Iona Lidington, Convenor and Public Health Lead
Jo Farrar, Executive Lead
Alison Danks, Associate Director of Health Services, Achieving for Children
Diane White, Carers Lead
Liz Meerabeau, Healthwatch Kingston Lead
Sanja Djeric Kane, Voluntary Sector Lead
Denise Madden, Place Development Programme Lead
Nick Merrifield, Primary Care Development Lead
Annette Pautz, Primary Care Provider Lead
Ed Montgomery, NHS Community Lead
Tara Ferguson-Jones, Communications and Engagement Lead
Rachel Tucker, Head of Psychology & Psychotherapy, CAMHS and All Age Eating Disorders Consultant Clinical Psychologist, South West London and St Georges Mental Health NHS Trust
Omid Gilanshah, Deputy Director of Primary Care Transformation, Kingston and Richmond, NHS South West London ICB
Fergus Keegan, Director of Quality, Kingston and Richmond, NHS SWL ICB
Sue Lear, Deputy Director of Transformation, Kingston and Richmond, NHS SWL ICB
Sam Morrison, Assistant Director, Adult Social Care, Health Commissioning and Transformation, Royal Borough of Kingston
Dawn Secker, Interim Assistant Director Operations, Adult Social Care
Alexandra Thomson, SWL Strategy and Transformation, NHS SWL ICB
Christina Bushra, Senior Primary Care Pharmacist, NHS SWL ICB
Jill Dawe, SWL Strategy and Transformation Team, NHS SWL ICB
Vicki Harvey-Piper, Director of Strategy and Partnership, K&R, NHS SWL ICB
Eleanor Walker Todd, Neighbourhood and Communities Manager, Public Health London Borough of Kingston
Una Dalton, SWL Programme Director, Covid-19 & Flu Vaccinations, NHS SWL ICB
Moya Stirrup, Head of Communications and Engagement (Covid-19 Vaccination Programme), NHS SWL ICB
Alison Stewart, Designated Clinical Officer for Children and Young People with Special Educational Needs and Disabilities, NHS SWL ICB
Hannah Keates, Engagement Manager, NHS SWL ICB
Transformation
Workforce and Integrated Neighbourhood team’s workshop
In response to the challenges facing the Health and Care workforce nationally and locally in Kingston and Richmond, and because of the Fuller report the two place partnership committees came together with other stakeholders to:
Start to develop an understanding of what Integrated Neighbourhood Teams might look like for Kingston and Richmond, and how development of these teams could start to be taken forward
Develop our integrated neighbourhood teams programme of work including timescales
Identify how this programme will support delivery of our priorities and build on existing programmes e.g. prevention
The initial outputs of the workshop have been collated and were presented to describe the core components of an Integrated Neighbourhood Team. Recognising that each
neighbourhood will have its own variations to consider in terms of demography and need. Each neighbourhood team will be asked to review data identifying population need, and inequalities for their areas, this will be mapped against place and prevention priorities, which will help to inform the core support that is needed, and resources required to deliver that. Further work will then be required to agree and implement actions to take this work forward.
SWL Primary Care Strategy
NHS South West London is developing a 5-year strategy for primary care and is engaging stakeholders to ensure the strategy will support place, system and national strategies for improved health and care.
Primary care, including general practice, is an essential element of a high-quality and cost-effective health system. For most people, it is the typical entry point into health services. However, it is known that primary care is experiencing many challenges such as a changing workforce, as well as changing patient needs. Through this strategy the aim is to set a direction of travel that will address these challenges and ultimately benefit patients. The ambition is for people in South West London to access primary care in the way that suits them best so that they can get the information, care, and support they need quickly. The vision is based on three aspects:
- Helping people stay well – part of a more ambitious and joined-up approach to prevention;
- Proactive, personalised care – supported by integrated neighbourhood teams for people with more complex needs, including those with multiple long-term conditions;
- Streamlining access to care – providing better access to care for people when they need it, including same-day and routine care. Access to care will also be better integrated between different providers between general practice and A&E departments.
The strategy is focusing on four key enablers, digital, workforce, estates and IT to take the work forward. Next steps will be to engage on the strategy over spring, asking people if these are the right areas to focus on, and what does good look like? With the aim to take the final strategy to the May 2023 ICB to get their support. Each borough, via local governance, will be responsible for implementing their own agreed actions.
Diabetes care in Kingston
The committee were informed that the transformation team have been working with the SWL ICB long term conditions team to develop and test out a whole system change programme using a population health management approach. They have chosen to look at diabetes as there is variation in our identification of people at risk of developing type 2 diabetes and in achievement against the optimal treatment targets. They have modelled the population cohort and identified where benefits could be achieved.
A workshop was held with key professional stakeholders across the system where we
agreed a vision and identified 3 priority areas, namely:
• A prevention programme targeted at areas of inequalities
• Development of a consistent, reliable, and informative service model
• Development of long-term holistic support including mental health
Next steps are to engage with wider stakeholders. Establish task and finish groups with a nominated lead for each group.
SWL Immunisation Strategy
The ICB are developing a three-year immunisations strategy for SW London to include six borough specific immunisation delivery plans. The aim of the strategy will be to support boroughs by providing a framework within which to operate, the resources available to support this work and to learn from each other whilst delivering national requirements. Engagement with borough teams will happen over the next few months, to hear views on opportunities to broaden our approach to immunisations to include other areas of work such as prevention and making every contact count (MECC).
The process of strategy development starts with a borough based discussion about the current position in terms of uptake, the vision for immunisations and what future delivery could look like. The committee discussed challenges to vaccination and immunisations across Kingston, looking at inequalities and deprivation. They also discussed the communications and engagement approach and what has been learnt from the methods that have been used.
Next steps will be to ask borough based teams for their views on the strategy and the NHS England (London) principles to support future immunisation programmes.
New SEND local area inspection framework
The committee was informed that the new framework for Local Area Special Educational Needs and Disability (SEND) inspection was introduced in January 2023. The framework has been jointly devised by Ofsted and the Care Quality Commission (CQC).
They will work together as a single inspection team. Inspectors will be assessing Local Area compliance with relevant legal duties relating to Children and Young People (CYP) with Special Educational Needs and Disabilities. This includes the Children and Families Act 2014, the Equality Act 2010 and the Human Rights Act 1998. Each local area within South West London has begun preparation activity. The framework has been developed with involvement from stake holders and reflecting learning that has emerged from the previous inspection framework.
Communications and Engagement
The committee were informed that the place engagement approach that was approved in October last year is being implemented. One aspect of that was to setup community voices Kingston (CVK) as a forum for community groups and organisations to share experiences of local health services with us, to ensure local community voice is at the centre of service delivery & development locally and to hear what they think of our engagement activities – local assurance. The first CVK meeting was held in February. Discussions at the meeting with Healthwatch Kingston & KVA occurred about joining up on our engagement approach and working in partnership more. To avoid our groups and organisations having attend multiple meetings and forums we are tapping into existing ones, aiming to further the reach of community voices Kingston. We will be having a regular slot at HWK open meetings as well as KVA’s health & wellbeing network and/or VCSE forum. The first community voices slot at HWK open meeting was held this month. The team felt that the meeting went was very positive and they received lots of helpful feedback and comments.
The committee were informed that the team are currently working on the Q4 report engagement assurance report, covering our ICS engagement activities between Jan – March this year. This report will be coming to place committee in May, before going to the SWL People and Communities Engagement Assurance Group (PCEAG) later in the month. The team is also working with Denise Madden on how they can work collaboratively on engagement at place with the KHFT patient experience lead, joining up where appropriate to support local transformation programmes.
Date of next meeting is 16 May 2023.