Surrey Downs Health and Care
Emma Cox (Associate Director of Delivery – Surrey Downs and Health and Care Partnership) and Dr Hilary Floyd (Co-medical Director Surrey Downs and Health and Care Partnership) presenting on the following at 7.45pm
• The work of Surrey Downs Health and Care Partnership, and the place-based activity that looks to support our local communities in addressing the wider determinants of health
• An overview of the Pulling Together Programme and the agenda for change in partnership working
Minutes:
The Panel received a presentation on the following matters:
a) The work of Surrey Downs Health and Care Partnership, and the place-based activity that looks to support local communities in addressing the wider determinants of health.
b) An overview of the Pulling Together Programme and the agenda for change in partnership working.
Dr Floyd followed on from the earlier presentation by Dr Charlton and advised that healthcare delivered in the community had been impactful on Epsom and St Helier Hospitals, and that during the pandemic, there had been more emphasis on community delivery.
There were lots of elements of the service that rapidly increased or developed. This was aimed at preventing people presenting to A&E and how to speed up discharge from the hospitals by linking in primary and care and general practice to keep people at home. This has helped Epsom in respect of its bed utilising and flowing through quicker. Social Care was also vital in this delivery.
Dr Floyd talked through what Surrey Downs Health and Care Partnership is as a vehicle for bringing together all the partners that are key in delivering better healthcare and wellbeing outcomes for the population. Within this there is an emphasis on ‘place’, and an acknowledgement that these initiatives should be delivered where people live.
The partnership brings together the NHS, community partners, the voluntary sector, local government, and other providers that service the community.
The Partnerships covers Dorking, Epsom and Ewell and East Elmbridge, and a population of about 320,000 patients.
The Partnership is formed of 6 PCNs to jointly look at the needs of PCN areas to delivery better care and boost up the capacity of General Practice by delivering collectively. This will include the work of the boroughs and district and voluntary sector moving forward.
Dr Floyd talked the Panel through the Partnership board.
The Partnership has developed a transformation programme to look at how things can be done differently, especially after the pandemic. This highlighted lots of issues and it is accepted that a lot of things ‘stopped’ during the pandemic, especially elective procedures. They are now looking at re-referrals for these patients.
The issue of having an Integrated Community is a key issue for the Partnership and they are looking to integrate roles such as district nursing back in at PCN level, as opposed to a GP level. Workforce is a determining factor in this.
Dr Floyd went on to explain that a key element of their transformation programme is ‘Thriving Communities’, and that this is being driven by population health management. This seeks to understand what might be causing ill-health and a lack of wellbeing in groups of the population. Dr Floyd reflected that often decision makers think they know the answer, but this is often incorrect; a patient attending the GP with stress and anxiety will often have an underlying social/economic determinant and the programme seeks to address this.
Dr Floyd reflected on the Pulling Together event and reflected that the aim was ... view the full minutes text for item 14