1. Kent Health Commission “The Art of the Possible” Grasping the opportunity of the health and social care reforms 17 November 2011

2. The ambition “To develop a visionary model that demonstrates how the Government’s health and care reform agenda can empower GPs and commissioners to deliver better quality care, improve health outcomes and improve patient experience through working with GPs in Dover district as a pilot area.”

3. Identifying how we further empower GPs to embrace and enhance local commissioning Modelling of “ideal” patient outcomes and how they can be delivered through the ‘new’ health and social care system How we deliver integrated services through existing and emerging health and social care providers How we achieve a potential 5% shift in funding from acute to community health, working with GPs to model how freed-up resources could be used to deliver “good community health” How to make the NHS, public health and social care services more accountable to local people What we want to achieve

4. Membership to be made up of: GP representatives from clinical commissioning groups in Kent Paul Carter, Leader of Kent County Council Cllr Paul Watkins, Leader of Dover District Council Charles Elphicke, MP for Dover and Deal Cllr Graham Gibbens, Cabinet Member for Adult Social Care and Public Health or Cllr Roger Gough, Cabinet Member for Business Strategy, Performance & Health Reform Andrew Ireland, Strategic Director of Families and Social Care (KCC) Meradin Peachey, Director of Public Health (KCC and Kent and Medway PCT Cluster) Mike Birtwistle, Managing Director, MHP Health Mandate Alex Thomson, Chief Executive, Localis About the Health Commission

5. Next steps Engagement with health professionals and the public through an ongoing consultation process Survey of GPs who could not attend this meeting during November and December – questions to be informed by tonight’s discussion Next meeting to be held on 1 December Engagement with national policy makers on 8 December Initial paper to be presented to Secretary of State for Health, Andrew Lansley, in December Opportunity for GPs to sign up to initial paper and final report Ongoing work to develop a final report early in 2012 demonstrating how the model can achieve improved outcomes and experience for people in Kent

6. Group discussion Facilitated by Mike Birtwistle, MHP Health Mandate

7. Health and social care budgets are under pressure from changing demographics and limited resources The NHS is going through significant changes, with the potential for focus to be on the structures rather than on the opportunities in localism Resources and focus have often been directed at acute rather than community services, leading to unnecessary and expensive hospital admissions The challenge

8. Capture the good practice and innovation already being demonstrated by GPs locally Engage the local population in the development of their health and care services during a period of reform Ensure that health and care services are designed and delivered by those closest to the health needs of Kent - GPs, other health and care professionals, those involved in local government and the people of Kent itself The opportunity

9. “We will introduce real, local democratic accountability to healthcare for the first time in almost 40 years – by giving local authorities the power to agree local strategies to bring the NHS, public health and social care together.” Andrew Lansley, July 2010 “And when GPs are in control of their budgets, they can decide the best possible care for their patients and design health strategies that suit their local area.” David Cameron, June 2011 “As a local manager in services, I strongly believe we will get better responses to those individuals by local innovative ideas brought together by GPs, health providers and social care providers in relation to that. There is a fragmentation at the moment and we need to use those mechanisms to drive greater integration of those services.” Geoff Alltimes CBE, Chief Executive. London Borough of Hammersmith & Fulham and Lead, Patient Involvement and Public Accountability NHS Future Forum, June 2011

10. Making the most of the reforms in Kent Delivering care for patients in the most appropriate setting Health and social care working together to identify and meet the needs of people in Kent Introducing new providers to the healthcare environment to drive up quality and choice Using information and data to understand the health and care needs of the people of Kent

11. Questions for discussion

12. If Kent was going to be doing three things differently in 2015, what would they be and why?

13. What are the opportunities to make those things happen? What levers in the health, care and local government systems can we use to improve outcomes? Who needs to work and how together to achieve this? What examples of good practice in Kent could be spread?

14. What barriers need to be overcome to grasp the opportunities, and how can this be achieved? How can we mitigate the risks? What should we do less of or do in a different way? Who needs to work together and how to achieve this?

15. What are the key themes that have emerged from tonight’s discussion?

16. Next steps Engagement with health professionals and the public through an ongoing consultation process Survey of GPs who could not attend this meeting during November and December – questions to be informed by tonight’s discussion Next meeting to be held on 1 December Engagement with national policy makers on 8 December Initial paper to be presented to Secretary of State for Health, Andrew Lansley, in December Opportunity for GPs to sign up to initial paper and final report Ongoing work to develop a final report early in 2012 demonstrating how the model can achieve improved outcomes and experience for people in Kent