Welcome IMPROVING DENTAL CARE AND ORAL HEALTH – A CALL TO ACTION Elliot Howard-Jones

1. WelcomeIMPROVING DENTAL CARE AND ORAL HEALTH – A CALL TO ACTIONElliot Howard-Jones 8 May 2014 Kent and Medway Area Team NHS | Presentation to [XXXX Company] | [Type Date]

2. The new commissioning system • NHS England is the commissioner of primary care services, including in-hours general practice • Clinical Commissioning Groups (CCGs) are the local commissioners but are responsible for improving the quality of primary care and commission out-of-hours general practice • Local Authorities and Area Teams commission public health services from primary care

3. Does the local NHS need to change?

4. The case for change in Primary Care A clear case for change, coupled with a desire to transform services, has emerged and has been reinforced through the Call to Action on primary care: • Population changes - including an aging population, an increase in people living with multiple long term conditions and changing public expectations – are increasing demand for health services • Improving our primary care services will improve patient care and offer better value for money. • Addressing inequalities in access, quality and outcomes will require new and innovative ways of providing services, with better co-ordination for service users being key • Action is needed to address emerging workforce pressures

5. Wider Primary Care Call to Action Key messages from the wider Call to Action events: • We must transform primary care • The need to work collaboratively with CCGs to commission primary care effectively for outcomes • Different primary care contractors need to collaborate more effectively • Direct referrals for all practitioners • Joined up technology/shared patient notes

6. Our ambition for primary care (1/2) Our ambition is to deliver, through excellent commissioning: • A common, core offer for patients of high quality patient-centred primary care services • Continuous improvements in health outcomes and a reduction in inequalities • Patient engagement and empowerment, with clinical leadership and engagement visibly driving the commissioning agenda • The right balance between standardisation/consistency and local empowerment/flexibility

7. Our ambition for primary care (2/2) Primary and community services, reconfigured and recommissioned, with excellent access, can support people to manage their own health, stay out of hospitals and have fewer episodes of health care intervention. Our ambition is to develop a radical primary/community strategy: • To deliver reconfigured primary/community services and integration of provision • To incentivise right activities and behaviours in primary/community care • To have aligned strategies and contracts over wide health and social care areas

8. What does this mean for dentistry – primary, community and secondary care?