CCG News - South Gloucestershire CCG

CCG Newsletter

Autumn 2015 October 2013

CCG News Help shape our priorities for 2016/17 We’re inviting South Gloucestershire residents to help shape our priorities for 2016/17, by taking part in a short online survey. We review our priorities every year, to make sure that we’re focusing our resources on the health and care issues that really matter for local people. To do this we look at a wide range of health and wellbeing data for the South Gloucestershire population to identify local needs. We also consider feedback on services from local people, as part of the process of monitoring services we commission and making sure they’re meeting local needs.

This information is considered by the CCG’s Governing Body and feeds into a set of strategic priorities that guide all of our commissioning decisions for the coming year. We’re now looking at our priorities for the next financial year – from April 2016 to March 2017 – and we want to know what you think. Please take a minute to share your views. The survey runs until 30 November and all comments received will be considered carefully by our Governing Body when they decide our priorities for the coming year. You can find out more at https://www. southgloucestershireccg.nhs.uk/get-involved/ commissioning-priorities-survey-201617/

Annual General Meeting update Items at the meeting included a presentation on the new community frailty service pilot, which launched in October, and a film describing the introduction of multidisciplinary team working by community healthcare services to support those with complex health care needs.

Thanks to everybody who came to share their views and join the debate at our Annual General Meeting in September. We had an excellent turnout at Cleve Rugby Club, including local residents as well as representatives of local voluntary and community sector organisations.

There was also a lively question and answer session with subjects covered including the future of the autism assessment and diagnosis service, the Thornbury Health Centre site and funding of Cossham Hospital. We look forward to further discussion with local people during the coming year. Keep an eye on our website for details of upcoming events and consultations at: www.southgloucestershireccg.nhs.uk 1

NHS South Gloucestershire CCG Newsletter: Autumn 2015

Go-ahead for practice-based minor injuries service

Plans to launch a minor injuries service based in South Gloucestershire GP practices were given the go-ahead by our Governing Body in September. The pilot service, which launches in April, will complement existing minor injuries services at Yate and Southmead and will be delivered by practice-based nurses, supported by GPs. All practices in South Gloucestershire have expressed an interest in providing the service, which will include treatment for a range of minor injuries including sprains and strains, cuts and grazes, minor fractures, minor burns and scalds, bites, minor eye injuries and minor head injuries. Appointments for the new service will be available during

normal GP opening times, reflecting peak periods of demand for minor injury services. The final design of the service reflects feedback from a public consultation in August and September, where we asked people to consider our proposals and share their views. One of the clear messages was the need for sevenday service provision. Many people also highlighted the need to make use of Cossham Hospital as part of the service. In response, the pilot includes plans for an outof-hours service based at Cossham, which will be available at weekends. Like the practice-based service, it will be led by GPs supported by senior nurses.

Further information and updates on the new service will be published at: www.southgloucestershireccg.nhs.uk/minorinjuries

3Rs update

We’re continuing to work closely with patients and carers as we finalise longterm arrangements for our new model of care for rehabilitation, reablement and recovery services (the ‘3Rs’) in South Gloucestershire. Deciding who will deliver the service is a key part of this work and as reported in our last edition, our Governing Body agreed that we will work with our not-for-profit community provider Sirona care & health and North Bristol NHS Trust (NBT) to deliver the service, subject to a detailed assurance process. The assurance process ended in October, and in November we hope our Governing Body will be in a position to formally confirm Sirona and NBT as our long-term service partners. As part of this work, the Governing Body will also consider the implementation plans prepared by Sirona and NBT, including how facilities at Frenchay and Thornbury will be developed. You can find out more about the 3Rs model at www. southgloucestershireccg.nhs. uk/rehab 22


Connecting Care award

New urgent and emergency care network We’re joining a new ‘Severn’ Urgent and Emergency Care Network (UECN) which is being established in the South West as part of national plans to manage urgent and emergency care services on a regional basis.

From left to Right. Phoebe Parsons, Alexander Armstrong (presenter), Emma Pace, Natasha Neads, Gavin Start, Joss Palmer, Emlyn Jones, Andy Kinnear, James Norman Steve Gray, and Neil Hadland (EMC2 presenters). We were delighted to hear that the Connecting Care scheme, a key project within our Better Care programme in South Gloucestershire, has won two national awards. Connecting Care won the category for ‘best use of IT to support integrated healthcare services’ at the national E-Health Insider 2015 awards. The scheme was also named as the award’s overall winner for 2015. Connecting Care is a local electronic record that allows authorised health and social care professionals including GPs, clinicians and social care staff, to share a summary of your medical record. The system allows information to be shared quickly and safely, ensuring more ‘joined up’ care for patients as well as reducing the need for people to give

their details each time they come into contact with a different health or care professional. Connecting Care is one of five key projects within our Better Care programme to integrate health and social care service in South Gloucestershire. We were involved in the initial development of The Connecting Care Partnership and funded phase two of the project which rolled the scheme out to users across the South West. The programme went live in Bristol, North Somerset and South Gloucestershire in December 2013 and aims to reach 10,000 users over the next five to seven years. You can find out more about the programme, and Connecting Care, at www. southgloucestershireccg.nhs. uk/bcp

The UECN will help to ensure that patients with more serious or life threatening emergencies receive treatment in centres with the right facilities and expertise, while also ensuring that individuals can have their urgent care needs met locally by services close to home. The Severn service will be based on the ‘footprint’ of the North Bristol Trauma Network, which covers Bristol, North Somerset, Somerset, South Gloucestershire, BaNES, Wiltshire, Swindon and Gloucestershire. The UECN is expected to improve the consistency and quality of Urgent and Emergency Care, through shared objectives and leadership across the region, as well as ensuring representation from key organisations across the region.

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Local Services Discharge service helps hospital patients go home sooner

South Gloucestershire residents are being helped to return home sooner following an inpatient stay at Southmead Hospital, thanks to an innovative service launched last month by the local NHS and social services. We commissioned the ‘Discharge to Assess’ service in partnership with North Bristol NHS Trust, not-forprofit social enterprise Sirona care & health and South Gloucestershire Council. The service focuses on the routine assessments carried out to establish an individual’s care and support needs following a hospital stay. Typically these assessments are carried out in hospital but as part of the new service, community healthcare teams will provide same-day assessments for people in their own homes on the day of discharge, allowing them to return home as soon as they are no longer in need of hospital care. Sirona care & health will continue to support patients as necessary in the days following discharge, working closely with South

Gloucestershire Council to arrange social work assessments and ongoing care if this is required. Benefits of the approach for patients include a quicker return home, the ability to rest and recover in familiar surroundings and less risk from the secondary complications that can be associated with longer hospital stays. Assessments in more familiar surroundings also help to provide a more accurate assessment of individuals’ needs. The service also supports measures to improve the ‘flow’ of patients through Southmead Hospital by ensuring individuals are discharged as soon as they are clinically fit to leave. Within Southmead Hospital, it will be supported by an Integrated Discharge Service which will bring together social care and health teams to focus on safe, timely and appropriate discharge arrangements for patients. Welcoming the launch, our deputy chair and CCG clinical lead for urgent care Dr Ann Sephton said: “Discharge to assess is a good example of how we are working in different ways to provide a better experience for patients as well as better use of NHS resources. “Few people want to stay in hospital once they have been declared fit for discharge and

with this service we’re ensuring that people can leave hospital as soon as they’re ready to go. “That’s good for patients, but it’s also good for the wider NHS as it frees up beds for people who do require acute hospital care.” Cathy Daffada, Sirona’s Rehabilitation Lead, said: “Individuals, their families and carers are always really pleased about being able to be assessed in their own home rather than in hospital. “They know they will be safely supported by services that meet their needs and will receive help to enable them to be independent at home. It’s about having the right care at the right time in the right place.” David Allison, NBT Head of Transformation, Patient Flow and Discharge added: “Ensuring that we have staff in the hospital who work closely with patients to fully understand their needs is essential to this project. “Our aim is to make the transfer of care from hospital to home or other destination as easy as possible for patients, their families and carers.” The service is being commissioned by NHS South Gloucestershire CCG as part of measures to improve patients’ experience of urgent care services while responding to the challenges of South Gloucestershire’s growing and ageing population. 4

NHS South Gloucestershire CCG Newsletter Autumn 2015

New contracts secure continued choice of ‘planned care’ services non-emergency surgery, diagnostic tests and outpatient appointments. Locally, they have been provided by independent provider Care UK at Emersons Green, Cirencester and Devizes. We have received positive feedback from patients on the services and have worked with our neighbouring CCGs to ensure they remained available to residents after the contract expired. Local NHS patients will continue to have access to a wide choice of high-quality services for planned surgery such as hip operations, thanks to arrangements agreed by the region’s clinical commissioning groups. We’ve worked with our neighbouring CCGs to ensure that services previously delivered by the region’s Independent Sector Treatment Centres (ISTCs) continued to be available to local people when the local Avon, Gloucestershire and Wiltshire ISTC contract expired at the end of October. ISTCs were originally established by the Department of Health to provide additional capacity in the local hospital system and give NHS patients a greater range of options for

Following agreement on these contracts we’ve now confirmed that the services will be provided by Care UK, Gloucestershire Hospitals NHS Foundation Trust, Independent Health Group, New Medical Systems, trading as Newmedica and Ramsay Health. From 2 November, patients will have the option of choosing these providers for their elective care, using the NHS e-Referral system available through their GP practice. A key feature of the new local contracts for commissioners is that they carry no guarantee of income for providers, with their value ultimately depending on the number of patients who choose to use the services.

Frailty service We’ve commissioned a new pilot Community Frailty Service to help frail elderly residents live independently and safely, while reducing their need for emergency hospital admissions. The service is delivered by a multidisciplinary team of therapists and other staff, led by a GP specialising in geriatric care. Individuals identified as requiring additional support, whether living at home or in a care home, receive a comprehensive specialist assessment of their needs

supported by a tailored care plan delivered by a community healthcare team. The service will be available five days per week during office hours and outside of these hours urgent cases will be referred to an out of hours GP service. It will be piloted for 12 months in Yate and Kingswood South on a test and learn basis and if successful, it will be expanded to all patients registered with a South Gloucestershire GP practice who are living in care homes or who are housebound. 5


Goodbye to Dr Stephen Illingworth We were sorry to say goodbye to Dr Stephen Illingworth, our Clinical Lead for Rehabilitation and Reablement, who retired from South Gloucestershire CCG at the end of August. In recent years Stephen has played a vital role in driving forward our plans to transform rehabilitation, reablement and recovery services (the ‘3Rs’) in South Gloucestershire and while sorry to lose him as a formal member of the CCG, we’re delighted that he has agreed to continue to support our 3Rs work post-retirement.

Stephen’s contribution to the health needs of the local population, throughout his career of over 40 years, has been immense and has included championing the development and deployment of practice nurses and nurse practitioners, as well as multidisciplinary team working and early supported discharge from hospital. Stephen was one of two general practitioners who worked with senior managers and clinicians to bring together Southmead and Frenchay NHS trusts to form North Bristol NHS Trust. Between 2011 and 2013, Stephen led the CCG from our shadow form to a formally authorised and accountable statutory body. We’re very grateful for his work on behalf of local patients and wish him the very best in his retirement.

New safeguarding website for South Gloucestershire

A new joint website for the South Gloucestershire Adults and Children Safeguarding Boards was launched at the end of the summer. The website holds safeguarding information for a wide audience including children and

young people and members of the public, professionals, parent/carers and patients and service users. To see the joint website, go to: http://sites. southglos.gov.uk/safeguarding

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Health Promotion Stay Well This Winter

Among these, taking up the flu jab is one of the most important ways to stay well, especially for those who are more vulnerable to winter illnesses.

Keep an eye out for the NHS ‘Stay Well This Winter’ campaign which launched in midOctober. The campaign aims to help reduce preventable hospital admissions this winter by encouraging people to take simple actions to stay well. These include taking up the flu jab when offered, keeping homes warm, seeking advice from a pharmacist if you are feeling under the weather and making sure you have enough repeat medication to last the holiday.

Locally, we’re working with GPs, pharmacists and healthcare providers to make sure the messages get through. We’ll soon be publishing pharmacy opening times over Christmas and the New Year on our website and in the coming weeks we’ll also be reminding people of their options for nonemergency urgent care if they have a minor injury or illness over the holidays. Christmas typically sees an increase in people attending A&E for non-emergency conditions, but in many cases they could have easily received the treatment and advice they needed by seeing a pharmacist or GP, visiting a minor injuries unit or simply dialling NHS 111. You can find out more about the Stay Well campaign at nhs.uk/staywell

Invitation to dementia roadshow We are inviting South Gloucestershire residents to a free ‘Living Well with Dementia’ roadshow on January 20 2016. Around 3,000 people in South Gloucestershire have dementia and this is expected to double in the next 30 years. We hope the roadshows will raise awareness of dementia and help reduce the stigma around the condition. The free roadshow, follows a series of successful roadshows in 2014 and 2015. It is aimed at anyone who has recently been diagnosed with dementia, their carers or relatives.

The roadshow will offer practical, emotional and health advice and is intended to provide people with the information they need to understand their diagnosis, find out what support is available to them and learn how to live well with dementia.

‘Living Well with Dementia’ roadshow 20 January 2016. 10:30am - 1pm The Greenfield Centre Park Avenue Winterbourne, BS36 1NJ.

How to book https://www.eventbrite.co.uk/e/patchway-living-well-withdementia-roadshow-registration-17062565593 email: [email protected] Telephone: 01454 862 356.

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Have your say on Children’s Health Services Do you, or someone you know, use children’s community health services? If so, we want your views. Together with our neighbouring CCGs we’re running a 12-week consultation on the future of children’s health services in Bristol, North Somerset and South Gloucestershire, which will help to determine how services will be provided when they’re re-commissioned from 2017. The consultation ends on 25 November, so there’s still time to have your say. These services include school and community nursing, speech and language therapy, child and adolescent mental health services and more, so we’re keen to gather as many views as possible from all users as well as professionals involved in caring for children and young people.

Everyone deserves a healthy future We have been looking at the way children and young people‘s community health services are working for you and seeing if we can make them better

Children’s community health services are changing...

We asked the public last year if these services could be improved

We listened to this feedback and made a draft plan of the way children and young people’s community health services could look in the future

The consultation was designed in partnership with young people from across Bristol, North Somerset and South Gloucestershire and features an innovative and eye-catching website, with a range of animations, caricatures and different response mechanisms.

Patient Transport Services survey departments, interhospital transfers, renal dialysis, oncology centres and your home. It is only available for eligible patients with medical reasons. We are reviewing plans for the future provision of Patient Transport Services in South Gloucestershire, as our current contract comes to an end in March next year. The patient transport service provides planned, nonemergency transport to and from NHS hospitals and clinics, including outpatient

www.yourhealthyfuture.org

If you or someone you care for has used the services in the last 12 months, please let us know about your experience to Jeremy Richards, NHS South, Central and West Commissioning Support Unit, Suite 15, Corum 2, Corum Office Park, Crown Way, Warmley, South Gloucestershire, BS30 8FJ. Email: [email protected]

Now we need your opinion - turnover and tell us!

Please share the consultation details and visit the Your Healthy Future website at https://www. yourhealthyfuture.org/ for more information You can also email info@ yourhealthyfuture.org or telephone: 0117 976 6000

Dates for your diary 25 November, 1-5pm Governing Body meeting Emersons Green Village Hall, Emerson Way, Emerson Green, BS16 7AP 25 November 2015 Children’s community health services consultation closes 30 November 2015 Deadline for comments to CCG priorities survey. 20 January 2016 Living well with Dementia Roadshow

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