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Stakeholder newsletter: Edition 7, Friday 30 November

Sharing our story.

Welcome to the seventh edition of the stakeholder newsletter from the Cheshire & Merseyside Health & Care Partnership.

Partnership update

This month's bulletin comes hot on the heels of the latest Partnership-wide get together in Liverpool. It was our opportunity to absorb the significant progress we've made as a Partnership over the last 12 months, and the fact that we are now in a good place to look to the future with confidence.

We discussed what that future holds - namely the need to spend the coming months working together to develop a new five-year health and care plan for Cheshire and Merseyside that is ambitious and transformative.

At the time of writing we're still awaiting the publication of the NHS Long Term Plan, which will act as our guide as we develop our own plan. There has been much conjecture about what will be in the Long Term Plan but, as far as our Partnership is concerned, I expect it will affirm our direction of travel and that our priorities are the right ones to be focusing on.

As a result, I think our own plan will be one of evolution, not revolution. It will build on the fantastic work underway in our nine places and across our strategic programmes. But it will challenge all partners to progress their work further and faster to deliver defined outcomes on health, care and sustainability in five years time. 

But the plan will only work if it is one which all our in our Partnership have worked on and can sign up to a plan which represents all communities. Look out for more information in the next week or so on how we're proposing the process for developing and engaging on the plan will work.

There's lots to do. I look forward to the next few months being full of ideas and debate. I hope you do too.

Place update
Each month we'll be using the bulletin to highlight the work going on in our Places.  If you want to share what has been developing in your Place, please contact CM.Partnership@nhs.net.  This month St Helens are updating us about the rollout and West Cheshire are updating us on the
 

St Helens

Shared care record to launch in St Helens 

The St Helens Shared Care Record is preparing to launch later this month – ahead of schedule.

A record will now exist for each resident in the borough registered with a GP giving professionals an overview of their health and care, including GP appointments (if their practice has signed the data sharing agreement), medication, diagnostics and hospital admissions and referrals and social care information.

This reduces the need for patients to repeat information and will help clinicians make a better informed clinical decision when treating patients – especially in emergency situations where understanding the full history of a person is vital.

Only health and social care workers directly involved in a person’s care and treatment are able to view the shared care record and all information is stored using the most secure technology available and covered by strict confidentiality guidelines and the Data Protection Act 2018.  Professionals access the shared care record through a secure NHS network and not the internet.


The system is now live and ready to use with data feeding currently from GP practices, social care, Whiston Hospital (ED, AMU, Pharmacy, Therapy) and the community and mental health information coming through in December.

The roll-out will be supported by information and materials for practices and face to face training/demos throughout this month and next.

It will be further supported by a public awareness raising campaign later this month and a public website where residents can go to find out more information and what the benefits to them as patients are.


Health and care professionals who have begun to use the Shared Care Record system have praised it for being such a fantastic asset and a support for them in their work.
 

West Cheshire

Event held to launch Integrated Care Partnership 
Work is ongoing with system leaders to develop a Transformation Plan for Cheshire West Integrated Care Partnership (ICP). To support this, a transformation event led by Managing Director Alison Lee and Associate Director of Transformation, Ali Wheeler was held on November 8.

Attended by system leaders across the Partnership and key ICP stakeholders, the event was designed to:
  • Discuss how transformation must drive integration.
  • Learn, share and practically apply Large Scale Change and Systems Leadership principles.
  • Understand the current picture in Cheshire West, the potential for the future and how to operationalise the ambition of the ICP
  • Review and reflect on what has been done and is being done to support the ambition of the ICP and check and challenge what has worked, what hasn’t and what needs to change.
  • Create a positive shift in our collective ability to lead complex system change
  • Create a network of distributed leadership across Cheshire West to drive and deliver transformation and build trust and understanding across those relationships.
The key focus was on transformational planning in order to establish pace. This included agreeing activities to create action across the next 30, 60 and 90 days.

Work developed by participants on the day will be used to develop a transformation plan for consideration by system leaders in January 2019 with a view to implementation from April 2019.
Programme update
Neuroscience

GP-neurologist hotline saving patient time and £100,000 for the NHS  

A neurology hotline for GPs in Cheshire and Merseyside is enabling quick access to specialist advice, sparing patients unnecessary worry and travel time, and reducing extra patient appointments.
The advice line, run by the Walton Centre in Liverpool, means less time off work for patients, less travelling and consequently less pollution for the environment. The approach, which is providing more joined-up care for patients, also means that £100,000 a year will be reinvested back into the NHS. Find out more.
Cardiovascular disease 

Cardiovascular Disease Prevention strategy launched in Liverpool

The CVD prevention strategy is focused on tackling the five key factors that have the biggest impact in preventing heart attacks, strokes and related conditions - diet, smoking, physical activity, alcohol and mental wellbeing. 
It also highlights the need for improved clinical care in high risk conditions (such as high blood pressure, high cholesterol and atrial fibrillation) where late diagnosis and condition management remains common. 

The aim is to place more emphasis on actions that promote the conditions for good health rather than simply improving Liverpool’s ability to respond to disease. 

The strategy was developed in conjunction with the Partnership's CVD programme.
Women and Children

Seacombe birthing suite continues to thrive

The pop-up birth centre, which opened on 20 March at Seacombe Children’s Centre as part of Arrowe Park’s community midwifery service, continues to go from strength to strength.   So far, there has been 11 births at the centre and 30 home births.

There has been excellent feedback for both the midwifery and home birth service as well as, families who have used the facility. Bookings for the pop-up birth centre are over 40 since its inception.

The team is in place and offering a continuity of care service for home birth and birthing within the centre. The centre also offers parent and family support, paediatric clinics and is home to the health visiting team. A collaborative piece of work has commenced in relation to family support with midwives and health visitors.

The midwifery team and the birthing centre have also been pleased to receive an award at the North West Midwifery Award for Innovation in Practice. 

 
Community hubs

On 21 September a joint community hub development and implementation session was held with both the paediatric and maternity networks. The focus of the meeting was to plan for the implementation of our first community hubs for women and children in Cheshire and Merseyside.

This will build on the previous work of the Improving Me programme and the consensus from the paediatric and local maternity system networks to deliver care closer to home. We were joined by primary care colleagues, Health & Care Partnership leaders and a range of speakers and facilitators to make the vision a reality.

The hubs will be a centre of excellence for family services which will provide maternity, postnatal, paediatric and family services under one roof and be the first centre in the UK to offer Baby Boxes to all women in pregnancy. This will enable multi-disciplinary teams and community and hospital teams to work jointly on pathways to develop care from preconception through to childhood.

Following the meeting, expressions of interest (EOI) were circulated to organisations/partnerships wishing to open a hub by the end of the year. The programme received nine EOI’s, five of which were successful which will result in the opening of six hubs.

The objectives and next steps are to plan for further pop ups in Warrington, Southport and Ormskirk and St Helens and Knowsley. Initial kick start meetings have been held with each successful provider and work is well underway to progress further.
Cancer

Lift off – launch of new Alliance website
This Autumn, Cheshire and Merseyside Cancer Alliance has launched its new website. To find contact information, useful links and up to date information on the work of the Alliance, please visit www.cmcanceralliance.nhs.uk, the Alliance team would be grateful for your feedback.
 

The CURE Programme – Curing Tobacco Addiction in Cheshire and Merseyside
 
Smoking is the single biggest risk factor for the development of cancer and directly linked to at least 15 different types of malignancy. In our region, the prevalence of smoking is among the highest in the country.
 
Cheshire and Merseyside Cancer Alliance is funding a project modelled on a comprehensive approach to treating tobacco addiction in hospitals that has been highly effective in Canada.  All smokers admitted to hospital will be offered intensive support and medication to help them kick their tobacco addiction.  Following a bidding process and submissions from six Trusts, the scheme will initially be piloted with Royal Liverpool and Broadgreen University Hospitals NHS Trust.
 
Remaining Trusts are also being encouraged to look at ways of developing an approach to CURE and to have discussions with their local Directors of Public Health and local commissioners.
If the pilot proves successful, the Alliance will seek national support to expand the project.
 
For further information regarding the C&M CURE pilot, please email gemma.hockenhull@nhs.net

Diabetes 

Thousands of people across Cheshire and Merseyside join NHS Diabetes Prevention Programme

To mark world diabetes day on 14 November, health and care organisations across Cheshire and Merseyside celebrated the success of a flagship NHS diabetes prevention programme which is helping prevent Type 2 diabetes, with over 8,000 people being referred to the programme.

The national Diabetes Prevention Programme, a partnership between NHS England, Public Health England and Diabetes UK, is a free programme available to people who are at high risk of developing type 2 diabetes. The initiative offers tailored, personalised help to support people to reduce their risk of type 2 diabetes, including education on lifestyle choices, advice on how to reduce weight through healthier eating and bespoke physical activity programmes.

Read more here.

Prevention 

Making every contact count develops at pace in Cheshire & Merseyside

The vision of the Cheshire & Merseyside (C&M) Making Every Contact Count (MECC) programme is to see MECC flourish, building on great existing local work and creating new innovative approaches to embedding MECC into every place. As a priority for the Health & Care Partnership, the programme aims to enable MECC to become normal, everyday practice and integral to organisational policy and commissioning processes. The ambition goes beyond increasing MECC training opportunities to creating a culture shift and focus on prevention.
 
A C&M MECC Partnership Board is now established and has met twice. It provides oversight for the programme and is supported by three task and finish groups focusing on training, evaluation and communications & engagement.
 
A recent successful bid to the Local Workforce Advisory Board awarded the programme £120,000 to focus on strategic support for the programme and development and delivery of a suite of resources including face to face high quality training for frontline staff. It will also fund the development and delivery of a comprehensive communications and engagement strategy.
 
Two pilot face to face MECC training sessions are to take place in November and December, in a Local Authority specialist team and a NHS provider trust, prior to the roll out of the training across the sub region. The programme is offering one free training session per provider trust and one per place in 2019. This training will be delivered by the Halton Health Improvement Team.
 
A suite of resources is being developed to support frontline staff having those behaviour change conversations and includes a resources/signposting website, an awareness raising campaign and a toolkit to support local communication teams. An evaluation framework is being developed to understand the impact of the training on individuals and also at an organisational level.
 
If colleagues around the Partnership could please support the MECC programme and share widely and also consider how MECC could be incorporated more effectively and sustainably within local workplaces. If you would like to be kept up to date with progress and join the MECC Network, please contact C&M MECC Programme Lead Louise.vernon@wirral.gov.uk 
 
For further information, please view the latest MECC briefing here.

News
North West Ambulance Service announces new Chief Executive

Following the retirement earlier this year of North West Ambulance Service (NWAS) Chief Executive, Derek Cartwright, the trust is pleased to announce the appointment of Daren Mochrie who will be joining NWAS in spring of next year.
Currently the Chief Executive of South East Coast Ambulance Service, Daren was appointed following an intensive recruitment process, involving commissioners, non-executive directors and external representatives.

Daren has worked for the NHS since the age of 17.  He has extensive experience of managing ambulance services in both rural and urban settings. Prior to joining South East Coast Ambulance Service Daren was Director of Operations for the Scottish Ambulance Service and the lead for ambulance provision in the 2014 Commonwealth Games in Glasgow.  Daren has also held the position of specialist advisor with the Care Quality Commission (CQC), leading four recent CQC inspections of ambulance trusts in England.

NWAS Chair, Wyn Dignan said: “We’re very pleased to be welcoming Daren to the trust, he has a wealth of experience within the NHS, and in particular the ambulance sector, and we look forward to continuing to provide the best care for our patients under Daren’s leadership.” 

 
Review of same day health care in Liverpool gets underway

NHS Liverpool Clinical Commissioning Group (CCG) has launched a review of urgent care services in the city.

Urgent care is for when people need medical advice or treatment straight away, or on the same day. It covers a range of different services, including: pharmacies (chemists); GP practices (surgeries); out-of-hours GPs; the NHS 111 phone line and website; walk-in centres; accident and emergency (A&E) departments; and 999.   Read more here.

 


Appointment of Clare Watson to single Accountable Officer for Cheshire

The four clinical commissioning groups in Cheshire - NHS Eastern Cheshire CCG, NHS South Cheshire CCG, NHS Vale Royal CCG and NHS West Cheshire CCG are pleased to announce the appointment of Clare Watson to the role of Accountable Officer across the four CCGs.

Since September 2017 Clare has held the role of interim Accountable Officer at NHS South Cheshire and Vale Royal CCGs, arriving in Cheshire from NHS Tameside and Glossop CCG where she was Director of Strategic Commissioning.

It is anticipated that Clare will take up her new position in January 2019.  She will be tasked with progressing the work undertaken so far in realising the CCGs’ stated intent of formally merging from April 2020.
 


Cash boost for Eastern Cheshire mental health

NHS Eastern Cheshire Clinical Commissioning Group has increased its spending on mental health services by £250,000 or nearly three per cent.  

The extra investment for 2018-19 brings the CCGs total annual expenditure on mental health to £32.9m or £38.9m when spending on learning difficulties and dementia is added. Read more here.

 

Liverpool named as one of the world’s first Global Active Cities

Liverpool is to become one of the world’s first Global Active Cities, and the first in the UK.  Liverpool and five other cities – Buenos Aires, Argentina; Hamburg, Germany; Lillehammer, Norway; Ljubljana, Slovenia; and Richmond, British Columbia, Canada – have worked hard to offer all their residents the opportunity to choose active and healthy lifestyles and improve their wellbeing.

Each city has embraced a management model that motivates people at risk of inactivity-related illnesses to take up regular physical activity and sport.  Read more here.

 

Health Matters - Helping Flo
 

Last winter was the busiest ever for healthcare and there's no reason to think that this year will be any easier. Macclesfield General admits 30 patients a day and this year there have already been days when this is a challenge.

NHS Eastern Cheshire CCG have joined with East Cheshire NHS Trust and other health and social care partners to launch a campaign called #helpingflo. The aim is to ensure that patients don’t remain somewhere longer than is clinically necessary and that they’re able to get home promptly at the end of their hospital stay. If we get it right, our patients and staff will benefit and we'll be in a much better position as we approach this winter.

Read more here.

Tell us your good news and successes
We want you to get the most out of this bulletin, so please do get in touch with team and let us know what positive work is happening in your places or programme areas. - contact CM.Partnership@nhs.net.
 
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