Stakeholder newsletter: Edition 4, Thursday 16 August

Sharing our story.

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

Partnership update

There have been significant improvements in the NHS and social care over the past 15 years in Cheshire and Merseyside.  Survival from cancer and heart disease has increased, waits for some treatments are shorter and the quality of care is higher.
More people are cared for in their homes and extra support has been provided to families with children.   These gains have been achieved thanks to the commitment of health and social care staff.

But if we are to continue to deliver high quality care for local people we need the right number of staff with the right skills in the right roles. These are the challenges the Partnership’s Workforce programme has set itself and all health and care organisations in Cheshire and Merseyside.

Getting our workforce fit for purpose is also good for the wider economy. We employ about 70,000 staff in the NHS and 75,000 staff in care across Cheshire and Merseyside.  This is around 15% of all jobs in the region, and that’s before you include our GPs and Primary Care staff.  W
e do have some real challenges. For example, the number of district nurses has dropped by a quarter since 2012 and the number of learning disability nurses has dropped by more than a third.

We have a high turnover of staff with more choosing to leave health and social care jobs than ever before, but also staff moving between NHS organisations. We will support our staff to get the most rewarding career across health and care in Cheshire and Merseyside by working together . 

Demand currently exceeds supply. Up to 60% of graduates who study in Cheshire and Merseyside are retained in the area post qualification. At the same time we have an ageing workforce – more than half of staff are over the age of 40.

The workforce programme is developing a strategy for the next 5  year focusing on the following areas:
  • Creating a sustainable supply of staff – ideally from within our communities  and supporting local people to have a career in health and care .
  • Working with schools and colleges to encourage young people to consider a career in health and care
  • Ensuring that we look after our staff – with a real focus on keeping our staff well , feeling valued and having the skills and equipment they need .
  • Promoting Cheshire and Merseyside  as a great place to live and work
  • Using digital technology
  • Ensuring that we have high quality clinical and non clinical leaders of the future.
We are training more advanced clinical practitioners  and endoscopy staff  and are working with Health Education England to focus any investment in the areas where we need it most.
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  This month, we're hearing from both Cheshire West and Warrington.

Cheshire West Integrated Care Partnership (ICP)

Cheshire West appoint key role in their Partnership
Alison Lee, the Chief Executive of NHS West Cheshire Clinical Commissioning Group (CCG), has been appointed Managing Director for the Cheshire West Integrated Care Partnership.

She will take up her position on September 1st 2018.

Alison has spent the vast majority of her working life in the NHS. After graduating from the University of Kent, she joined the NHS Graduate Management Training Scheme.
Most of her subsequent career has been spent working in primary care and community services. She also worked as part of a national “turnaround” team focusing on improving the performance of NHS organisations and has been the Chief Executive of NHS West Cheshire CCG since its inception in 2013.

In her new dedicated role, Alison will continue to lead the development of an Integrated Care Partnership on behalf of health and the local authority across Cheshire West.

Alison said: “I am delighted to have been appointed Managing Director of the Cheshire West Integrated Care Partnership. This is a hugely exciting time for health and care in this area. For years local people have been telling us about their experiences of health and care – where we get things right and where the gaps are.

“Only by working together to join up health and care will we improve the health and care of the people of Cheshire West and help to safeguard the sustainability of the local health and care system.”

Find out more about the vision for Joining up Care in Cheshire West.


Warrington Together moves towards integrated health and social care model 

Warrington Together has modified its internal structure with the creation of four workstream groups working to the programme’s senior change team. 
These are:
  • Integrated community teams
  • Urgent, emergency & crisis care
  • Primary care
  • Self-care, independence & prevention
With members drawn from across the partnership, groups are adding extra impetus to the programme’s move towards an integrated health and social care model.

The main aim of the work this year is to create integrated community teams. This will be achieved largely by co-locating staff (where possible and appropriate) and ensuring that they are working together to deliver seamless services that offer the best possible outcomes for Warrington residents.  The first hub will be in Warrington’s central east neighbourhood.
Partners are also currently considering the draft of a joint council/CCG commissioning prospectus that will deliver integrated health and social care services. The ‘direction-setting’ document concentrates on key needs and areas of joint priority for Warrington Borough Council (including Public Health) and NHS Warrington Clinical Commissioning Group (CCG), while Warrington Together is identified as a vehicle to lead key elements of the health and social care economy towards ‘fuller integration by 2020.
Programme update

Prevention framework launched across Cheshire and Merseyside

Recognising the need to take a population health approach and embed prevention in everything we do, the Partnership asked the Prevention Board to consider the development of a framework that would consider evidence based practice and support the work happening locally.
The 'Population Framework' sets out evidence based guidelines that partners can use to create a transformational and sustainable shift in the health and wellbeing of the Cheshire and Merseyside population. The framework has been co-produced with Public Health England, the NHS and the voluntary and third sector.  

Recognising that respective systems are at different stages of development the framework is a helpful signpost and can be adapted and adopted to suit local circumstances. 
The framework provides practical suggestions for each Place Based Care System for working on population health with:   
  • Local system leaders
  • Local communities
  • General Practices and/or Primary Care Hubs
  • Local tertiary and acute providers. 
The Framework can be viewed here.
Women and Children's programme

Concordat signed by Women and Children's Partnership

In August 2017, the Improving Me programme commissioned a report to look at the benefits of implementing a more holistic approach to care within the women and childrens partnership.
The culmination of this work happened last month when a concordat was signed by all 27 organisations involved in the women and children's partnership.  This agreement, which was developed and agreed by all partners, ensures that there is an ongoing commitment to look at treating patients more holistically and outside the medical model of health.

The partnership will continue to adopt programmes like Baby Box and Gamechanger that aim to improve health and wellbeing through education and exercise.

Read the concordat here.
Learning Disabilities 

Cheshire and Merseyside Learning Disability and Autism News

The Transforming Care team produce a bi-monthly newsletter to update on the work happening in the programme across Cheshire and Merseyside.  You can view the latest newsletter here.  More information and past editions can be viewed here.
Primary Care

Local success implementing the Electronic Transfer of Care to Pharmacy (eTCP) / Transfer of Care Around Medicines (TCAM).

A new electronic system (eTCP / TCAM) to ensure patients leaving hospital get better support with their medicines is
being rolled out to 13 trusts in Cheshire and Merseyside, in a collaboration between NHS England and the Innovation Agency, the Academic Health Science Network for the North West Coast.

The aim of eTCP is to reduce patient safety incidents and patient re-admissions caused by poor communication when care is transferred at the point of discharge from hospital. Before their discharge, if patients are assessed as needing additional support with their medicines, they are referred to their community pharmacist.

This may be because they have had changes to their medicines, started something new, or just need further discussions to help them take their medicines safely and effectively.

Evidence shows that patients who see their community pharmacist after a stay in hospital are less likely to be readmitted, and if they are, they will have a shorter length of stay.

So far across Cheshire and Merseyside we have had more than 3,600 referrals. These are being accepted by all 620 community pharmacies across the region using a platform developed with Pinnacle Health.  The project savings are now at £1,855,000 and work to develop the system further is underway.
Mental Health

Placing mental health at the heart of what we do

The first edition of a new partnership bulletin from Cheshire and Merseyside Mental Health Board has been published.  The aim is to share the board’s work across all services and organisations that have a role in delivering the Mental Health agenda and to make colleagues aware of developments taking place at a Cheshire and Merseyside level.  
Each quarterly bulletin will provide a brief update on the progress of priority work streams. Read the bulletin here.
The next edition is due out in the autumn. To find out more contact 
Programme Board Manager Jill Gilliam.
Firefighters add heart checks to Safe and Well visits with expansion of innovative project

Firefighters in Eastern Cheshire will soon be adding potentially life-saving heart checks to their Safe and Well visits following the expansion of an innovative project.

Health Innovation Manchester, an Academic Health Science System supporting the implementation of health innovations, is working in partnership with NHS Eastern Cheshire CCG and Cheshire Fire and Rescue Service (CFRS) to improve the detection of atrial fibrillation in the community.  Read more here.
Stretching traditional partnerships - the Cheshire and Merseyside approach

The Cheshire & Merseyside Health & Care Partnership recently welcomed Michael Wood from NHS Confederation to co-host an event to connect the dots between local health and care partnerships and local industrial strategies.  The two regional local enterprise partnerships (LEPs) also joined us along with NHS and Local Authority leaders to explore the economic and social value of the local NHS pound. 

To find out more and read Michael's blog click here.

Health and Social Care Transformation posts

Cheshire West and Chester Council are recruiting to transformation posts to support the Cheshire West Integrated Care Partnership

Read more here about the roles and how to apply.

Tell us your good news and successes
Partnership website

Please don't forget that the Cheshire & Merseyside Health & Care Partnership website is live -  

It will be developed over the coming weeks and months as the work in our places and programmes gathers pace.  Let us know if there are any developments you would like on your place or programme pages and the team will be happy help.

You can contact the team at
Next steps

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
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