Summary of the Kingston Place Committee Meeting held on 19 April 2023
Attendees
Cllr Piers Allen, Chair, Richmond Health and Wellbeing Board and South West London Integrated Care Partnership Local Authority Member
Melissa Wilks, Carers Lead
Jeremy DeSouza, Local Authority Lead
Shannon Katiyo, Public Health Lead
Heather Bryan, Primary Care Provider Lead
Jen Allan, Mental Health Lead
Ian Dodds, Children’s Lead
Tara Ferguson- Jones, Communications and Engagement Lead
Kathryn Williamson, Voluntary Sector Lead
Denise Madden, Place Development Programme Lead
Nick Grundy, Primary Care Development Lead
Anne Stratton, Community Lead
Lynn Wild, Associate Director Health and Care at Richmond and Wandsworth Councils
Sue Lear, Deputy Director of Transformation, Kingston and Richmond, NHS SWL ICB
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
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
Eleanor Walker Todd, Neighbourhood and Communities Manager, Public Health London Borough of Kingston
Alison Stewart, Designated Clinical Officer for Children and Young People with Special Educational Needs and Disabilities, NHS SWL ICB
Vicki Harvey-Piper, Director of Strategy and Partnership, K&R, NHS SWL ICB
Amanveer Nathan, (NHS South West London ICB)
Alexandra Thomson, SWL Strategy and Transformation, NHS SWL ICB
Jummy Dawodu, Director of Operations, Central London Community Healthcare NHS Trust
Dr Justin Woolley, Parkshot Medical Richmond
Transformation
Workforce and Integrated Neighbourhood teams – 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.
Quality and Performance
SWL Immunisation Strategy
The ICB is 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 Richmond, looking at inequalities and deprivation. They also discussed communications and engagement approach and what has been learnt from the methods that have been used.
Next steps will be asking 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 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 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 stakeholders and reflecting learning that has emerged from the previous inspection framework.
Communications and Engagement
We are now implementing the place engagement approach approved by the Place committee in October 2022. One aspect of that is setting up Community Voices Richmond 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. This builds on the established Richmond Community Involvement Group (CIG)
We held the first meeting in February and in an effort to make it as accessible as possible for smaller community groups to join we ran it as an online event in the evening. Attendance wasn’t great so we decided to postpone and move back to a daytime meeting the following week and this was much better attended. We are continuing to work with Richmond Council to increase our reach to less heard communities, and are pleased that RUILS, who are running the Core 20 programme are now part of community voices. We will continue to work develop the group including how the strong Richmond PPG network can feed into this group and vice versa.
We are now finalising our quarter four engagement assurance report, covering our ICS engagement activities between Jan – March 2023. This will be coming to place committee in May, before going to the SWL People and Communities Engagement Assurance Group later in the month.
Date of next meeting is 17 May 2023.