Dementia team set for September launch - South Gloucestershire CCG

CCG Newsletter

Autumn 2016 October 2013

Dementia team set for September launch Our newest community team will be complete in September, with the formal launch of six ‘dementia advisor’ roles across South Gloucestershire. Their role is to provide personalised support and information to people with a dementia diagnosis, and their families and other carers. About 2,000 people in South Gloucestershire are known to have dementia and they will now receive an improved level of support while their symptons are comparatively mild. Jonathan Stockwell and Jules Hammersley work across South Gloucestershire as Alzheimer’s Society Dementia Support Workers and they will be able to provide more support to people in GP clusters 4, 5 and 6 (see panel for cluster details). Call 0117 961 0693 to contact Jonathan or Jules. In cluster 5 Jonathan and Jules will work alongside Martin Colley, a mental health nurse employed by Sirona care & health, who will focus more on people who are housebound and in care homes. Bev Burne, Mark Swepson and Sue Holdaway are supporting people with dementia and their carers in clusters 1, 2 and 3 respectively. These Sirona care & health posts are funded until the end of June 2017. Bev, Mark and Sue can be contacted on: Bev Burne: 07773 031171 Mark Swepson: 07773 030826 Sue Holdaway: 07976 943748. Evaluation of the three models described above will help inform proposals for how we will provide post-diagnosis support for people with dementia and their families in the future. Slightly different services will be

(Left to right) Sue Holdaway, Mark Swepson and Bev Burne from the new dementia advisors team provided in each of the six clusters but all are working towards the same aim of helping their clients get the support they need. The dementia advisors’ team has been established as part of the joint CCG and council dementia strategy. Public consultation on a draft strategy ended on 22 August and we will develop the strategy incorporating your feedback soon. South Gloucestershire GP Clusters Cluster One:

St Mary’s Surgery, Almondsbury Surgery, Pilning Surgery, Thornbury Health Centre Cluster Two: Bradley Stoke Surgery, Coniston, Concord, Northville, Stoke Gifford and Conygre Cluster Three: Courtside, West Walk, Kennedy Way, Wellington Road Cluster Four: Hanham Health, Cadbury Heath Healthcare, Close Farm Surgery, Kingswood Health Centre Cluster Five: Willows Surgery, Christchurch, Orchard Medical Centre, Three Shires Cluster Six: Emersons Green, Leap Valley, Frome Valley

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NHS South Gloucestershire CCG Newsletter: Autumn 2016

Local Services Children’s community health service set for new partnership A new partnership of healthcare providers has been selected as the preferred bidder to deliver community health services for children and young people in South Gloucestershire, Bristol and North Somerset. The partnership is made up of local, not for profit and NHS providers; Bristol Community Health CIC, Sirona care & health CIC, North Somerset Community Partnership CIC, Avon and Wiltshire Mental Health Partnership NHS Trust and University Hospitals Bristol NHS Foundation Trust. Bristol, South Gloucestershire and North Somerset CCGs, Bristol City Council, South Gloucestershire Council and NHS England started the re-procurement process for children’s community health services at the beginning of February. Subject to successful preferred bidder discussions during the next few months, services under the new contract will begin in April. The services that fall within the scope of this contract include health visiting, school

nursing, child and adolescent mental health, speech and language therapy, occupational therapy and physiotherapy, community paediatricians, community nursing and a range of dedicated services for vulnerable children including children in care, children with learning disabilities, children with lifelimiting conditions and children with drug and alcohol problems. Two other services are being commissioned separately as part of the overall recommissioning of Children’s Community Health Services. These are CAMHS Tier 4 specialised services, which provide assessment and treatment for children and young people with more complex needs usually requiring inpatient treatment, and the Paediatric Primary Care Clinical Support Service.

Falls prevention service launch Our community health provider Sirona care & health starts work this autumn on a new Community Falls Service. We’ve funded the service to help reduce the number of people falling and to improve the rehabilitation of those who have recently returned from hospital. There are currently more than 300 calls a month in South Gloucestershire to our ambulance service to help someone after a fall, and 260 people were admitted to hospital following a hip fracture in 2013/14.

The investment in the Community Falls Service is the first phase of the implementation of our new 2016-2019 joint Falls Prevention and Bone Health Strategy with South Gloucestershire Council. Public engagement on the service and the strategy has been completed and the final version of the strategy and the rest of the action plan will be considered by the CCG and Council this autumn.

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NHS South Gloucestershire CCG Newsletter Autumn 2016

1,100 patients for minor injuries service with practice nurses providing most of the treatment. Referrals can be made if necessary for X-rays, fracture clinic appointments or to one of the practice GPs for an antibiotics prescription. Most of the cases seen by practice nurses are sprains and strains or cuts and bumps, and June saw 106 cases of animal and insect bites (25% of patients).

The minor injury service, running at South Gloucestershire GP surgeries, saw more than 1,100 people in its first three months. Since starting in April it has been used more frequently month-on-month, with 424 cases seen in June. The service operates during normal opening hours, as an alternative to attending a minor injury unit or emergency department,

CCG News

Each month, more than a third of people who have attended an appointment have not required treatment by the nurse or a doctor, but have been advised about ways of taking care of the problem themselves. The service is operating as a two-year pilot to gauge its effectiveness. As commissioners of the service, the CCG is analysing data to understand the impact on acute services and also asking patients for their feedback on their experience of the service after using it.

Assurance ratings

Leadership award shortlisting

You may have read in the press in July that NHS England has announced a system ‘reset’ plan for the NHS. This follows the recent round of annual NHS assurance ratings which highlighted the significant financial challenges facing many NHS organisations.

We were delighted to be shortlisted for the national NHS Healthcare Transformation Awards in late June – in recognition of the value we place on clinical leadership and our ethos of the CCG being ‘clinically led, managerially driven’.

As part of the assurance process, South Gloucestershire CCG, along with North Somerset CCG and 24 other CCGs nationwide, received an ‘inadequate’ rating, in large part due to the financial challenges we face as a historically low-funded CCG with a significant inherited financial deficit. The rating means we will be formally placed in special measures and we are now working with NHS England to recover our financial deficit and implement an agreed improvement plan.

Notable successes we highlighted to the award committee were our Clinical Lead for Dementia, Dr Peter Bagshaw (pictured), leading the roll-out of one of the first memory assessment services in the country to be based in GP surgeries (rather than solely in hospitals). You can read more about the service on page four.

You can read the full July Governing Body report on our assurance ratings on our website at www.southgloucestershireccg.nhs.uk 3


Funding award for wellbeing service Our innovative community wellbeing service (see last edition) is expanding thanks to a successful application to access a £100,000 investment from a national Age UK programme. The service, which aims to help improve the health and wellbeing of people challenged by long-term conditions, is being run with Age UK, the council and Sirona care & health and was initially piloted in three practices. It has already gone live in seven practices in South Gloucestershire and will extend to 13 by the end of September. Paul Davenport, the team manager, and Jo Coulson have already been joined by Paul Jones, Graham Shrubshaw and Anja Bachmann to work with the 13 practices involved to date.

In the latest development, we’ve been successful in our bid to join Age UK’s national programme for the service – one of just four to be accepted onto the scheme, out of a total of 36 applications.

Photo courtesy of Age UK South Gloucestershire

Joining the national programme means that over 500 people will benefit from the South Gloucestershire scheme over 18 months, from January 2017. The Age UK team of professionals and volunteers will visit people in their own homes and help them to define and achieve their personal goals. The evaluation

of the pilot found that participants had 18% fewer emergency hospital admissions, and 25% fewer community health visits, compared with people of the same age with the same long term conditions and history of emergency hospital admissions.

Recognition for memory assessment service Our Primary Care Memory Assessment service has been entered for an HSJ Innovation in Mental Health Change award, in recognition of the success of this partnership between GPs and the specialist Memory Service in South Gloucestershire. Before this initiative people were waiting months to be seen, and even longer to get a diagnosis. The Memory Service was struggling to cope with the volume of referrals and the CCG was receiving complaints, most of which related to the time people had to wait for their diagnosis. Doing nothing was not an option with the number of people with dementia estimated to increase by 3% a year. A primary care memory assessment pathway was then established, parallel to the existing pathway to the specialist Memory Service. GPs were encouraged to diagnose people over 75 with a straightforward presentation with support from the memory nurses, and to take back patients 4 sooner.

GPs are still welcome to refer to the specialist service, especially where people are younger or their condition is more complex. Clinical leadership, willingness of GPs to diagnose, the availability of clear guidance and the flexibility of the memory nurse support were key to this success. Within three months of the June 2012 launch of the pilot, 85% of local practices had taken up the model. Following the success of this pilot the pathway was rolled out to the few practices not yet involved. The South Gloucestershire dementia diagnosis rate improved from 38% to 58% in the first year, and waiting times for assessment at a clinic reduced from about nine months to between four and six weeks. No complaints have been received about the Memory Services since the launch of the primary care pathway despite a significant increase in the number of people diagnosed with dementia.


Get involved 2016 AGM Don’t forget our annual general meeting Choosewell for Easter

(AGM) later this month, which is being held at Cleve Rugby Club on 28 September. As well as formally presenting our Annual Report and Accounts, the AGM is an opportunity to review CCG activities in the past year and look ahead to future challenges. There will be presentations on our work to support vulnerable residents and patient and public involvement, as well as a chance for people to take part in a question and answer session with directors and clinical leaders about health and NHS issues facing South Gloucestershire. CCG Clinical Chair and local GP Dr Jonathan Hayes said: “We’ll be delighted to see people at our AGM so they can find out more about the work we have been doing and for them to put their questions to us about local aspects of the NHS. “We have a lot to be positive about from our successes and initiatives from the previous year and the work which is underway, whilst at the same time being mindful of the challenges ahead.” As space is limited, anybody wishing to attend the event is asked to book a place in advance either by following the link on the Events section of the CCG’s website, or by contacting the CCG on 0117 947 4426 before 20 September.

Cleve Rugby Club 28 September 2.30-4.30pm

Diary Dates See our website for further events and updates at www. southgloucestershireccg.nhs.uk/events 28 September Governing Body meeting and AGM 26 October Governing Body meeting 30 November Governing Body meeting

Have you visited our website lately? Don’t forget that there’s much more news about the CCG on our website at www. southgloucestershireccg.nhs.uk The website is updated regularly with a wide range of information including: • Papers from our Governing Body meetings and other committees • Reports on our consultation and engagement activities, and news about opportunities to get involved in service development • Details of new CCG policies and strategies You’ll also find: • Advice and information about local health services, including service finders providing details of services near you • Publications and documents to download, including our Annual Report and Prospectus • Details of forthcoming events • You can also share your views and comments about local services via our Feedback page. Why not follow us on Twitter? We also post updates via our Twitter feed at @SGlosCCG

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