1. Governance Structure
Kent & Medway STP Prevention Work Stream Committee
Provider Trust Boards
CCG Governing Bodies
Kent & Infection Prevention & Control and Antimicrobial Stewardship (KIPCAS) Committee
We have revised the number of meetings and have streamlined and sense checked.
The newly formed KIPCAS is the strategic committee that sets the direction and plan and holds partners to account if they are not collaborating.
This committee reports to the STP Prevention work stream and providers and CCGs report outcomes into their respective Boards and Governing Bodies.
The improvement collaborative and the 2 ASGs report into the KIPCAS.
We have streamlined to 2 ASGs reflecting the current STP structure but this will be reviewed.
There has been one K&M Antimicrobial strategy with 2 work plans that reflect each other.
East Kent Antimicrobial Stewardship Group
Kent & Medway HCAI Improvement Collaborative
West Kent, North Kent & Medway Antimicrobial Stewardship Group

3. Now starting to move into new system of working with one system commissioner – Integrated Care System, which is where this work will sit
Under this will be 4 Integrated Care Providers: (ICPs) and approximately 42 PCNs – still to be confirmed
DGS - ?7 Primary Care Networks
West Kent - ?9 PCNs
East Kent – 16 PCNs
Medway & Swale – 10 PCNs
At this level is where provider teams will be looking at how they integrate services etc
It is not clear how or who the PCNs will be accessing IPC advice.
The two halves of the K&M system are working at a different pace
East Kent – 1 single ICP, 1 Acute provider, 1 community provider, 1 LA
The rest – 3 ICPs, 3 Acute providers, 3 community providers and 2 LAs