Dartford, Gravesham and Swanley
Integrated Care Partnership

Dartford, Gravesham and Swanley ICP is a partnership of NHS organisations, councils, and the local community.

We are committed to working together to improve the health of the population of Dartford, Gravesham and Swanley.

Our aim

Our aim is to reduce health inequalities and provide the right support for people to stay healthy and well where possible.

We plan to do this by building health and care services and support around individuals.

We want to support local people to live well and stay well. When they are unwell, we want to support them to self care where possible, and access the right care and support in the right place when needed.

Our vision

Our vision is being developed and co-produced by partners.

Our population

Around 260,000 people live in the area covered by Dartford, Gravesham and Swanley Integrated Care Partnership (ICP) which focuses on providing joined-up health and care for people living within the boundaries of the current Dartford, Gravesham and Swanley CCG.

There are 35,000 children aged 0-9 years (13.2%) in the area, and 45,000 aged 65 or over (16.9%).

Life expectancy varies across Dartford, Gravesham and Swanley. In Bean and Darenth ward in Gravesend, the life expectancy of the average male is 75.9 years. In Riverhead ward in Sevenoaks area, it is 89.9 years.

This is not acceptable. We want to reduce this inequality and help as many people as possible to have the same opportunities to live a healthy and long life.

How things will change

We plan to build health, care and support services around people, putting them at the heart of what we do, and tailoring care to the needs of individuals.

We want to join up services, work more closely than ever before, and use our collective resource (staff, buildings and money) more effectively. We want staff, local people and the community to work with us to improve services provided by the NHS, social care, councils and the voluntary sector to meet the needs of local people.

Individuals and services will be at the centre of our decision making without organisational boundaries and historic ways of working getting in the way of doing the right thing at the right time.

At the moment, health services focus on making people better when they are ill.

Different NHS organisations provide health services which are commissioned by Dartford, Gravesham and Swanley Clinical Commissioning Group. Kent County Council provides social services, public health advice and support, and services for adults and children and young people. Our local district and borough councils in Dartford, Gravesham and Sevenoaks provide housing support for people needing it, leisure services and health advice.

We all have a responsibility to help people live their best lives.

In the past, we have worked within our own organisations to make this happen.

By coming together under the banner of Dartford, Gravesham and Swanley ICP, we hope to break down some of the organisational barriers which have sometimes prevented us from working effectively together in the past.

Who are we?

The Dartford, Gravesham and Swanley Partnership Board includes representatives from the following organisations:

  • Dartford and Gravesham NHS Trust
  • Dartford, Gravesham and Swanley CCG and primary care networks (PCNs) (all primary care network clinical directors have an open invite)
  • Bexley CCG and PCNs
  • Kent and Medway Sustainability and Transformation Partnership
  • Virgin Care
  • Kent Community Health NHS Foundation Trust
  • Kent County Council (for public health, and services for adults, children and young people/education)
  • Kent and Medway NHS and Social Care Partnership Trust
  • Sevenoaks District Council
  • Dartford Borough Council
  • Gravesham Borough Council
  • SECAMBS
  • Healthwatch

Governance

We plan to use a shared governance approach to make sure staff and people using our services  are involved in the decision making process.

A new system wide Clinical and Professional Board will provide clinical strategic and operational advice and support for the ICP.

We have a Partnership Board, an Advisory Board, an Operational Steering Group, and five workstreams including:

  • workforce
  • finance and contracting
  • population health
  • communications and engagement
  • data and digital.

We plan to set up the following groups to make sure colleagues and local people work with us to develop plans:

  • citizen’s panel
  • staff panel
  • elected members’ forum
  • third sector voice.

Get involved

If you’d like to be kept informed about our plans to work closer together to improve health and wellbeing for local people, email shelley.whittaker@nhs.net. We’ll also let you know about opportunities to work with us to shape health and care services for local people.

What is an integrated care system/partnership/primary care network?

In an integrated care system, NHS organisations, in partnership with local councils and others, take collective responsibility for managing resources, delivering NHS standards, and improving the health of the population they serve. The population of an integrated care system is usually around one million people.

In Kent and Medway, organisations are working towards the creation of a countywide integrated care system. This will include a system-wide commissioner for the whole of Kent and Medway (one CCG if approved later this year), a Partnership Board and Clinical and Professional Board which represent the organisations involved, plus partnership arrangements such as Health and Wellbeing Boards and Health Overview Scrutiny Committees. Local people and the voluntary sector will also be represented.

An integrated care partnership looks at health needs on a more local level, often based around an acute hospital trust catchment but involving all health and care providers including councils, local people and the voluntary sector. Each integrated care partnership covers a population area of around 250,000-500,000 people.

The four emerging integrated care partnerships in Kent and Medway are:

  • Dartford, Gravesham and Swanley
  • East Kent
  • Medway and Swale
  • West Kent

Local providers and organisations work together within this partnership to provide better and more joined-up care for patients. For staff, this can help to make it easier to work with colleagues from other organisations, using data about local people’s health, to provide care that is tailored to individual needs.

By working alongside councils, and drawing on the expertise of others such as local charities and community groups, the integrated care partnership can help people to live healthier lives for longer, and to stay out of hospital when they do not need to be there.

Primary care networks are based around groups of GP practices and usually cover a population of about 30,000 to 50,000.

They focus on improving the health of people in their area and the local out of hospital services needed for their residents.

In Dartford, Gravesham and Swanley, there are seven primary care networks:

Dartford Central:

  • Horsmans Place
  • Redwood
  • Temple Hill

(plus Elmdene registered practice population)

Dartford MODEL:

  • Dr Shimmins and partner
  • Lowfield
  • Maple
  • The Orchard

Garden City:

  • Downs Way
  • Pilgrims Way
  • Swanscombe
  • (plus the Joydens Wood registered practice population)

Gravesend Alliance:

  • Gateway
  • The Forge
  • Oakfield
  • The Shrubbery and Riverview Park
  • White Horse
  • (plus the Old Road West registered practice population)

Gravesend Central:

  • Chalk
  • Gravesend Medical Centre
  • Parrock Street
  • Pelham
  • Rochester Road

LMN Care:

  • Jubilee
  • Meopham

Swanley and Rural:

  • Braeside, Farningham
  • Devon Road
  • Hextable
  • The Cedars
  • The Oaks

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