Attendees
Cllr Piers Allen, Convenor and Chair of Richmond Health and Wellbeing Board
Jo Farrar, NHS Executive Lead for Kingston and Richmond
Jennifer Allan, Mental Health Lead
Dominic Conlin, Acute Lead
Ian Dodds, Children’s Lead
Tara Ferguson-Jones, Communications and Engagement Lead
Shannon Katiyo, Public Health Lead
Sue Lear, Transformation, NHS South West London ICB Lynn Wild
Anne Stratton, NHS Community Lead
Melissa Wilks, Carers Lead
Kathryn Williamson, Voluntary Sector Lead
Jummy Dawodu, Director of Operations, Central London Community Healthcare Trust
Dr Usman Khan, Public Health, Health Protection, Richmond Council
Transformation
Integrated Neighbourhood Teams workshop
The committee discussed the outputs from the recent Integrated Neighbourhood Teams workshop, held jointly with Place Partners in June.
Integrated Neighbourhood Teams aim to improve coordination and communication between health (including GPs), social care and other partners. The committee considered the commonalities between the two boroughs, how this work could be shared with stakeholders as a model of care and how best to carry out engagement with primary care networks as well as wider community care networks.
The committee also considered how this work could link with the PAC project and other existing initiatives.
The next steps are:
• A lead for the work programme will be agreed.
• This work will be mapped against other existing work programmes – to avoid duplication and ensure we are making best use of our resources.
• The workplan will be developed and there will be engagement with all partners before we proceed with setting up our integrated neighbourhood teams.
Richmond Joint Health and Wellbeing Strategy
Following publication of the refreshed Joint Strategic Needs Assessment (JSNA) for Richmond in 2022, the Richmond Health and Wellbeing board approved a proposal on a refreshed Joint Local Health and Wellbeing Strategy.
The strategy is a collaborative effort produced by a multi-agency task and finish group and chaired by the Director of Public Health.
To help determine which priorities identified in the JSNA would be the focus of the refreshed strategy, we held a series of prioritisation seminars, one focusing on children ‘Start Well,’ and a second focusing on adults and older people ‘Live Well and Age Well.’
This life-course approach addresses the diverse needs and challenges of Richmond residents at different stages of life and acknowledges the wide range of factors influencing our health and wellbeing over time.
The theme of the strategy, ’18 Steps to Health and Wellbeing,’ follows this life course approach. Priority leads were delegated for each priority area or ‘step,’ and they worked with authors and key stakeholders to develop the actions for each step.
The ‘Start Well’ seminar identified the main priorities as self-harm and social, emotional, and mental health needs; childhood obesity; and childhood immunisations.
The priority areas from the ‘Live Well’ chapter of the JSNA were immunisations, cervical cancer screening, long-term conditions, lifestyles and health behaviours, suicide prevention, and air quality and climate change.
This prioritisation seminar identified falls and frailty, dementia, and social isolation as the priority areas for the ‘Age Well’ chapter of the JSNA.
The purpose of the paper at the place committee was to present the draft Joint Local Health & Wellbeing strategy.
The committee noted that work on the draft strategy is ongoing and due to be finalised pending input from the council’s design team. An easy read version has also been produced to accompany the main consultation version.
An Equality Impact Needs Assessment (EINA) is in development with support from the council’s policy officers to ensure that the strategy serves all members of the community fairly. The outstanding content will then be incorporated into a pre-consultation draft strategy for public consultation.
Feedback and progress will be monitored through the Health and Wellbeing Board.
Community Infection Prevention and Control
The committee heard about the current state of community Infection Prevention and Control provision in South West London and in other London ICBs with the aim of continuing system-wide discussions about the roles of partners and how to maintain this important function in response to need.
The committee considered the roles and responsibilities of system partners and how to maintain this important function in response to need, especially in the post-COVID-19 pandemic era, in order to develop a sustainable system response to infection prevention and control in Richmond.
Update from Transformation Delivery Group and Personalisation
The committee was presented with an overview of the transformation programmes at ‘’place’. These include:
Priority – Children and Young People’s Mental Health and wellbeing ensuring local access.
Programmes – Children and Young People’s Menth Health and Adults Mental Health.
Priority – Frailty
Programmes –Proactive Anticipatory Care and Frailty.
Priority – Population Health and Inequalities.
Programmes – Diabetes, Long Term Conditions, Screening and Core 20 plus.
Priority – Personalisation.
Programmes – Personalisation.
Priority – Community/Stronger Together Hub (K).
Programmes – Leisure Strategy.
There was also a more in-depth look at the personalisation programme. Kingston and Richmond Places have commenced a strategy to support the implementation of Personalised Care in Primary Care to deliver the best outcomes for our workforce and residents. Personalised care means people have choice and control over the way their care is planned and delivered, based on ‘what matters to me’ conversations with their practice staff. An animation which explains this further was shared: What is personalised care?
Primary Care upskilling sessions are due to start in September 2023 and communication with residents will begin in January 2024.
Better Together update
Jo Farrar gave an update on the Better Together programme. Since 2021, Kingston Hospital and Hounslow and Richmond Community Healthcare have been working together more closely to improve the way care is delivered, working in a more integrated way. This programme of work is called Better Together.
The leadership teams of Kingston Hospital and HRCH have come together as one, and their boards have also come together in what is called a Committee in Common (i.e. a joint board.)
Colleagues at HRCH and Kingston Hospital have seen improvements in staff and patient experience as a result of this developing partnership. With the support of NHS England and the SW London Integrated Care System, the Trusts have been discussing what more they can do to bring more teams together across the hospital and the community to further improve care.
To that end, a piece of work is underway, called a strategic outline case, reviewing the relationship between Kingston Hospital and HRCH; including the option of a merger. We are also working on a memorandum of understanding with West Middlesex Hospital on the basis that around 30% of Richmond residents attend West Mid, so that benefits to Richmond residents who attend Kingston Hospital are also felt by those who attend West Mid.
No decisions have yet been taken. Should we proceed with a merger we will be running an extensive piece of public, patient and partner engagement, so further updates will be brought to the place committee.
In other parts of the country where organisations have come together in this way, the results have included reduced hospital stays and more people able to maintain their independence at home.
Jo Farrar also highlighted the partnership principles which were agreed to guide the work we are doing through the Better together partnership.
• Test of any change: It benefits patients or our population, builds resilience and has value for money.
• Parity of esteem: Equal voice for acute and community services, where there is consensual approach to reaching shared decisions.
• Drivers of our collective activity would enrich staff, broaden their experiences and support innovation.
• Patients and staff are actively engaged in shaping and informing our collaborative work.
• Operating model supports Place and local delivery, and helps patients move seamlessly between primary, community and acute care.
• Empower our staff to make improvements at scale and pace.
• Streamline governance to empower staff.
• Where economies of scale are sought, these would be co-designed (ie no asset stripping).
Communications and Engagement
Tara Ferguson Jones updated on the next People and Communities Engagement Assurance next engagement assurance reports that are due in early August and will summarise our engagement activity between April and July.
Across Kingston and Richmond we have completed a piece of work which has contributed to the engagement for the SWL Joint Forward Plan. We were engaging where gaps were identified in the insight reports partners also shared, and in K&R we were focusing on the learning disability and autism chapter. Engaging to check that the views of local people and communities reflected what they thought, and the ambitions identified were the right ones.
To that end we attended the K&R All Age Disability Partnership Board to ask them how best to do this. The outcome was a focus group with Eco-op in Kingston using an easy read version with 16 people with learning disabilities. In Richmond we took part in a mental health event for secondary schools and spoke to over 20 young people about the mental health and learning disability/autism chapters. Views were fed into the final version of the SWL Joint Forward Plan.
• The Joint Forward plan will also include more specific pieces of work which has been done in Richmond on Homes for Ukraine engagement RUILS/Richmond Council and the SEND engagement work in Richmond.
• We have also given support with a review of autism /ADHD pathway – supporting engagement on this through a survey and focus groups.
• Our engagement outreach programme seeking views on local health services has continued, and in recent week we have focused on sharing messages on industrial action and heatwave – both through communications channels and through our community networks.
Date of next meeting – 16 August 2023