To:                              Thanet Health and Wellbeing Board 25 May 2017


Subject:                     Draft Joint Kent Health and Wellbeing Strategy 2018-23

Classification:           Unrestricted



Summary: This paper introduces the outline draft of the Kent Joint Health and Wellbeing Strategy 2018-23 as discussed at the Kent Health and Wellbeing Board on 22nd March 2017. This strategy is a radical departure from previous strategies and has been produced in response to the challenge set by commissioners to more effectively support commissioning decision making.


1.    Introduction

A radical approach to the Kent Joint Health and Wellbeing Strategy 2018-2013 was approved at the Kent Health and Wellbeing Board on November 23rd 2016.  This new way of working was driven by the needs of commissioners who were asking for better guidance from the strategy and the Joint Strategic Needs Assessment (JSNA) to support them in their decision making.

 The Board’s decision in November led to the development of both:

·         a strategy that was presented as a draft outline on March 22nd, based on the model shown overleaf and

·         a new methodology  to the JSNA that includes the modelling of flow and capacity through the health and social care system with the opportunity to explore the impact of different commissioning and planning decisions on outcomes. This is called whole system dynamic modelling.   

The draft strategy is attached (Appendix 1).  A final version of the strategy is due to be presented to the Board in September.

2.    The Strategy

The Strategy focuses on the Board’s unique role as a statutory board to oversee the whole system and work through its partnership to increase the effectiveness of commissioning for the local population. The Board has a responsibility for the health of the whole population, from healthy people to those experiencing disability, chronic conditions, frailty and end of life. This is depicted in the pyramid of health population needs, shown below, which sets out this whole population approach and indicates how different organisations including those beyond health and social care can impact on the health and wellbeing of the population across all the segments of health need.


3.    Priorities

The draft strategy was approved by the Board with the expectation that the priorities section would be a particular focus for development.  More work has been done to describe the priorities coming from the JSNA and to identify those areas of health needs where Kent is either not performing well or where new initiatives need to be embedded. It is hoped that this section becomes the template from which Local Boards can extract their priority areas for action based on the needs of their local populations.  The initial draft is attached at Appendix 2. This will be used as the basis for stakeholder and public engagement and discussion.

4. For Discussion
 a) Thanet Health and Wellbeing Board are asked to comment on the strategy, particularly the priorities section attached at Appendix 2.






Report Author:

Karen Cook

Policy and Relationships Adviser (Health)

Kent County Council

03000 415281