“Health” in Gravesham

John BrittService Manager (Communities)

What do people usually mean when they talk about health?

Other things that affect health

How is all this now organised?

NHS England has taken over responsibility for regulating• Clinical services– at home / in hospital (Acute) • Pharmacies – Community Healthcare• General Practitioners (Primary Care)• Dentists – aiming to increase NHS provisionCo-ordination via Clinical Commissioning Groups – there are seven CCGs across Kent

The situation in Kent

Health Inequalities

Responsibility for health inequalities has transferred to Public Health within (1st tier) Local Authorities (county / unitary).Need will be assessed through the updating of the Joint Strategic Needs Assessment (JSNA) which will use the Area Health Profiles as the base source for information and through local versions of the “Mind the Gap” assessment.

Health and Wellbeing arrangements

• As part of the Public Health responsibility KCC has a H&WB Board

• There are also seven H&WB Boards across the county (mirroring the CCG areas)

• Each Board has a variety of representations including the local authorities, CCGs, Education, Health and Social care, Healthwatch

Local arrangements

• Dartford Gravesham and Swanley H&WB Board exists in “shadow” form – goes “live” February 2014 – the meetings will be “held in public”

• Both Dartford and Gravesham councils as well as representation from the Swanley part of Sevenoaks district attend

• The CCG, Public Health, Education, Adult Social Care also attend

• This is an “emerging” agenda

Likely Priorities• A&E / inappropriate admissions / getting (older)

people home quicker / co-ordinate discharge• Integrating health and social care functions• Preventing trips, slips and falls• Teenage pregnancy• Obesity – both child and adult• Child and Adolescent Mental Health Services

(CAMHs)• Mental health (other than young people)

Supporting Wellbeing: the six steps to wellbeing

1. Connect… With the people around you. With family, friends, colleagues and neighbours. At home, work, school or in your local community. Think of these as the cornerstones of your life and invest time in developing them. Building these connections with support and enrich you every day.

2. Be Active… Go for a walk or run. Step outside. Cycle. Play a game. Garden. Dance. Exercising makes you feel good. Most importantly, discover a physical activity that you enjoy; one that suits your level of mobility and fitness.

3. Give… Do something nice for a friend, or a stranger. Thank someone. Smile. Volunteer your time. Join a community group. Look out, as well as in. Seeing yourself, and your happiness, linked to the wider community can be incredibly rewarding and will create connections with the people around you.

4. Keep Learning… Try something new. Rediscover an old interest. Sign up for that course. Take on a different responsibility at work. Fix a bike. Learn to play an instrument or how to cook your favourite food. Set a challenge you will enjoy achieving. Learning new things will make you more confident, as well as being fun to do.

5. Take Notice… Be curious. Catch sight of the beautiful. Remark on the unusual. Notice the changing seasons. Savour the moment, whether you are on a train, eating lunch or talking to friends. Be aware of the world around you and what you are feeling. Reflecting on your experiences will help you appreciate what matters to you..

6. Grow your World.. look after your community and the world. Make small changes to your life that will reduce your energy use, recycle more, leave the car at home, use low energy light bulbs, small steps to a greener life can make a difference.