Stakeholder newsletter: Edition 6, Monday 22 October

Sharing our story.

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

Partnership update
Hello and welcome to the latest edition of our Partnership bulletin. As ever it’s been a busy time for us all, with our nine places and programmes of work continuing apace. You can read more about that in this bulletin. 

What I wanted to focus on this month is the ask made of every STP, by NHS England and NHS Improvement, to produce their own five year plan by summer 2019 for how they will deliver high quality, sustainable health and care services.
This provides a tremendous opportunity for our Partnership. This time round, it must and will be different. I am determined to make our five year plan the best it can possibly be and one that commands as much support as possible across Cheshire and Merseyside.

Firstly, it allows us to build on the excellent progress we've made over the last 12 months to further integration of services in our local places and in bringing forward exciting plans for transforming care in areas that matter to local people - like cancer, mental health, primary care and urgent care.
Secondly, I believe the opportunity to produce a new plan for Cheshire and Merseyside will allow us to lay some ghosts to rest. 
When our first plan was launched back in 2016, it was met with suspicion and, in some cases, outright opposition from some key partners - most notably local government, for the way in which it had been produced. Because of the break-neck speed by which we were asked to produce that first plan, it left little or no time to engage properly and so, understandably, some partners were reluctant to sign up to a plan they'd had little or no involvement in producing.
This time round, it must and will be different. I am determined to make our five year plan the best it can possibly be and one that commands as much support as possible across Cheshire and Merseyside. So, over the next few weeks and months, we will be reaching out to all partners and to the public, to engage with them on what their priorities are, to hear their ideas and to work together to not just produce a plan but also deliver it for local people over the next five years. 
We have more time than in 2016 to produce the new plan. But there is a lot to do and that work starts now.  I hope you can join us at our next Partnership meeting on November 21 where we’ll start to agree the roadmap for producing the plan and how all partners can be involved. Look out for the save the date email.

Cheshire and Merseyside Place and Programme Community of Practice

To support the nine place based  and at scale programmes to develop their relationships more closely and with pace, a forum has been developed with the aim of helping to facilitate the exchange of information across place and programme.  

All have been invited to come together to facilitate and learn best practice.  At this event we have also invited 
in expertise and innovation from outside the patch. To link place with System, ensure the governance is in tune with system transformation and that any scale change filters through to place.

We have worked with partners in AQuA, Innovation Agency and CSU to develop a facilitated community of practice/series of masterclasses for those leading place-based system redesign. 

This event will help:
  • Develop capability and learn together
  • Stretch and develop thinking
  • Share good practice from across Cheshire and Mersey and wider afield
  • Give the opportunity to understand the strategic position across Cheshire and Merseyside
To register to attend, please click here.

Place hub visits 

Dave Sweeney, Implementation lead, and the Partnership team are in the process of arranging some visits to place to view how neighbourhood hubs are being implemented and starting to work across Cheshire and Merseyside.  The aim of which is to arrange to film some case studies which showcase this work.  The hub should be able to demonstrate integration and evidence transformational change.

Ideally we would also be able to speak to patients / clients who are in receipt of these services and who can help articulate how good the service is.  We have already arranged to visit Sefton and are also in discussions with St Helens.

If you would like to arrange a visit, please get in touch with Dave Sweeney or email    


Development of Clinical Academy moves towards being a reality

In July we held an event, at which over 80 local clinicians were able to attend, with the aim of gathering the thoughts and ideas of clinicians and health professionals across the region on what our Clinical Academy should do and how best it could deliver service improvement.  Since then, we have been working to develop these ideas in partnership with our clinical community.

We have developed a vision for the academy, that it "will empower clinicians to overcome barriers and drive forward change at scale and pace.”

In September, the Partnership board approved the move to mobilise the Clinical Academy.  There is a focus on supporting clinicians to deliver change at both place and system level.

The next step will be to identify the capacity and skills development needs of those involved.  One off funding has been approved by NHS England to get the C&M academy up and running and delivering benefits as quickly as possible.

A programme director has been identified from within the system able to start at the end of the month at no extra cost to the partnership to help clinicians take forward their plans.  The Clinical Academy development is still in its infancy.  We are committed to continue engaging with clinicians as this work progresses.


Estates programme board moves to further integrate with Local Authorities 

In a bid to move further towards integration with Local Authorities, all LA's have been invited to contribute to the development of the Cheshire and Merseyside Estates strategy. 

In August, Partnership Director of Finance, Sam Proffitt and Professor Steve Broomhead, Chief Executive Warrington Borough Council and Partnership Local Authority representative, wrote to all LA's to encourage them to join the development of the strategy in order to enable a joint approach for Cheshire and Merseyside. 

If any LA's haven't already expressed an interest to join this group but would like to, please contact
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 Warrington Together are updating us on how they're using transformation monies to invest in a frailty hub at the hospital.

Warrington Together 

Investment into Frailty hub at Warrington Hospital 

Warrington Together has been awarded a further £500,000 from the Cheshire & Merseyside Health & Care Partnership to support the implementation of a frailty hub at Warrington Hospital.

The borough has an increasingly ageing population and partners recognise the need for a seismic shift in the way frail patients are cared for in order to avoid unsustainable increases in hospital admissions. They recognise that only a fully integrated and collaborative approach – one which reduces pressure on A&E, impatient beds and social services – can achieve this. 
The frailty hub – staffed by medics, nurses, pharmacist, therapists, social workers and voluntary services – offers an alternative to A&E. Suitable patients are ‘streamed’ at A&E within 30 minutes of arrival, assessed and offered specific care pathways in line with a policy of ‘home first’. 
Since a pilot commenced in April 2018 almost nine out of 10 people assessed at the hub have avoided admission to hospital – admissions that could have led to lengths of ten or more days.


St Helens Cares 

Contact Cares broadened to further grow integration in St Helens

Professor Sarah O’Brien, Clinical Accountable Officer for NHS St Helens CCG, spoke at the NHS Providers conference in Manchester earlier this month about her experiences of integrated working across health and social care – doing this not as an add-on but as a key part of the NHS 10 year plan – ensuring better service delivery and outcomes for patients.

St Helens Contact Cares is a tangible example of how health, social care, the voluntary sector and other partners such as housing are all working together from a ‘front door’ with four broad areas of service: intermediate care, integrated discharge, hospital avoidance and reablement.

When a referral or call is made to the Contact Cares advisor, they are able to make an assessment and then dependent on the intervention required, direct the help and support needed through an interlinked network of services which mean closer communication, less duplication, quicker response times, reduced hospital admissions and flow through the acute trust.

Contact Cares, which was formerly the Integrated Access St Helens (IASH) team, has been running now for a number of years, commencing integrated work in 2014, but continues to grow at pace with additional integrated services being added continually.  Current plans are to have one single point of contact number and to incorporate services such as Blue Badge under this umbrella.

A bid has been successful for transformation funding to enable Contact Cares to provide a further six intermediate care beds at Brookfield Resource Centre and a further 10 transitional tenancy flats – all of which is hoped will help with hospital discharge over the winter period.

Programme update

Know your numbers week
Know your numbers week took place in September across 120 healthy living pharmacies, local authorities, CCGs and Trusts.  Pressure stations were set up across these areas offering free BP checks.

A Facebook advertising campaign during the week also raised awareness, which achieved a reach of 170,000 people.  It directed people to find a pressure station for a free BP check via the new Happy Hearts website  The Happy Hearts website is a public facing website with information on how people can prevent cardiovascular disease. 


Blood pressure checks to be included in workplace health programmes thanks to funding secured from the British Heart Foundation

The new programme, funded by the British Heart Foundation (BHF), will enable further detection of high blood pressure by embedding blood pressure checks within wellbeing at work programmes.  All nine Cheshire and Merseyside (C&M) areas are taking part in this innovative programme in addition to Merseyside fire authority.

This is the second time the Partnership has secured funding from the BHF, making a total of £200,000 achieved to accelerate its work on reducing high blood pressure. The first round of funding has seen 3,586 new blood pressure checks so far and 225 people trained to undertake blood pressure checks. Fire and rescue services in C&M have been trained to take blood pressure measurements as part of their Safe & Well visits and pharmacy staff in 120 healthy living pharmacies.
Primary Care

Latest Primary Care Transformation Stakeholder bulletin

Please click here to view the latest update around the Primary Care Transformation workstream.  Highlights include:
  • Information around the development and investment in Primary Care Networks
  • How the GP resilience programme is helping to support practices in the region
Delivering care more efficiently

The recommendations in the Government’s Carter review looking into how the NHS can become more efficient in the way it runs itself have been developed into a key programme of work here in Cheshire and Merseyside. We estimate that there is an opportunity to deliver many millions of pounds in savings over the next few years, just by working in different and smarter ways.  These are savings that can be made around the back office to free up money to deliver patient care.
A large part of this has been the work across pharmacy. How we make or buy medicines, and the choices we make as to which medicines to use at what time could significantly reduce waste in the system, but there are other solutions including encouraging patients coming to hospital to bring with them their own drugs they use at home rather than relying on the hospital to provide more. Then there’s logistics services, we move lots of different items around the system, and employ lots of different solutions to do so. We are working with expert logistics providers to see whether a more efficient model of working could be achieved.

We are looking at using our collective buying power to keep our fuel bills down and also make sure we make the best use of the millions of square feet of space we have across the NHS estate. In addition we are reviewing the rates we pay for agency staff, which vary across organisations, to deliver a single more competitive rate.

There are multiple organisations using similar financial ledgers and financial services contracts which could be aligned to support a better contractual payment term, create opportunity to develop systems and enable the potential for future sharing of back office functions.

These are just a flavour of what’s possible for this programme. As we mature as a Partnership, and develop closer collaborative ways of working, there will be more efficiencies that we can identify – a priority for all of us as we seek to maximise the budget we spend on patient care.
Pathology network established across Cheshire and Merseyside

Chief Executives for NHS Trusts across Cheshire & Merseyside have approved a memorandum of understanding, which now establishes with immediate effect a Cheshire & Merseyside Pathology Network. 

This is a huge positive step forward for our Health & Care Partnership, which aims to improve the heath of the population, improve the quality of care and deliver care more efficiently.

In part a response to national policy to establish 29 pathology networks across England, and in part a desire to make the most of the strengths we already have across our region, the initial focus for our Pathology Network will be actions that reduce unwarranted variation, remove unnecessary duplication and that allow us to be more consistent in what we do to ensure we make the best us of our resources. 

We spend approximately 2.5% of NHS funding on laboratory tests, these tests are an essential part of almost three quarters of clinical pathways. Doing more of the right tests, fewer of the wrong tests and working together to deliver cost effective, efficient and sustainable diagnostics is an important part of how we will respond to the growing demands for health & care services. 

Look out for more information in the coming months.

Mental Health

The Cheshire and Merseyside Mental Health Programme Board have published the latest edition of their quarterly partnership bulletin.  The quarterly bulletin aims to ensure that work is shared with all services and organisations which have a role in delivering the mental health agenda to ensure teams are aware of developments taking place at a Cheshire and Merseyside level and to help link the programme into the work being done at place.

Tackling hepatitis C in Warrington – progress through partnership
An estimated 71 million people globally have chronic hepatitis C, a liver disease caused by a blood-borne virus which can have devastating consequences.  At greatest risk of contracting hepatitis C here in Warrington are drug users, through unsafe practices and chaotic lifestyles.

There are no outward signs or obvious symptoms, yet many of the chronically infected will develop cirrhosis or liver cancer.
But 95% of those treated will get better – and that’s why the Warrington Borough Council commissioned drug and alcohol service, CGL Pathways, is now running a regular clinic in the town centre.
“The people most at risk in Warrington are traditionally the hardest to reach” explains Pauline Kua, hepatology clinical nurse specialist with Warrington & Halton Hospitals NHS Foundation Trust. “We have a specialist hepatology clinic at hospital, but some prospective patients make only one visit and never come back. If we want to save more lives our service needs to be as convenient and as accessible as possible. CGL identifies those most at risk and I do the rest.”
Treatment isn’t cheap, but is relatively inexpensive compared with organ transplants and subsequent success rates.
“This year”, says Pauline, “the lives of three seriously ill people have been saved thanks to our relationship with CGL Pathways. There are many still who remain hard to reach, but we’ll keep persevering because treatment works.”
Pictured above: Charis Kelly of CGL Pathways (left) with Pauline Kua, a specialist hepatitis C nurse with Warrington & Halton Hospitals NHS Foundation Trust.

The North West Coast Research and Innovation Awards 2019 are now open for entries

If you’ve carried out great work in clinical research or innovation, the North West Coast Research and Innovation award want to hear from you!  Entries are invited to recognise and celebrate the work of our brilliant colleagues in health and social care in Cheshire, Merseyside, Lancashire and South Cumbria.  

The deadline for nominations is Friday 30 November and the awards will be presented on 7 March in Liverpool, with three free places for each finalist.  Entries are invited from any health, care and related organisations - NHS, local authorities, universities, businesses, charities and voluntary sector.


Launch of 'Re-imagining health' film

On 27 September a number the Partnership team attended the premiere of re-imagining health film created by Wellbeing Enterprises. The film includes leaders across the country who are all specialist or advocates for prevention and general wellbeing.  

Showcased at FACT in Liverpool with guest speakers Henk Parmentier, World Mental Health Foundation, Dr Chris Manning, from the Royal College of Mental Health and fully endorsed by Dave Sweeney Implementation Lead C&M Health care Partnership, the film shows what the future of the NHS could be with the help of communities.  
See the film here.
Beat the Scrum wins best sponsorship in world sports award

A campaign that was devised and developed by the rugby league club, Widnes Vikings, has been named the Best Sponsorship programme in world sport at the prestigious Leaders Sport Awards, receiving the top honour ahead of initiatives with the likes of Manchester United, NFL, LA Clippers, NHL and England Cricket.

The Beat The Scrum campaign sees Widnes Vikings stars and legends of Rugby League unite to help educate the public on how to make the right NHS choices when they experience illnesses or injuries.

Through delivering creative social media campaigns, securing significant PR coverage, featuring on the Vikings playing shirts, and being showcased matchday events, it gives the NHS an exceptional platform to engage with the public.

The Beat the Scrum initiative has also been shortlisted for an HSJ Award in Primary Care Innovation.

Read more here.

Partnership team attend NHS West Cheshire CCGs AGM

Last month, some members of the C&M Partnership team were pleased to attend and have a stand at NHS West Cheshire CCGs Annual General Meeting.  It gave us a chance to speak to local people about the work the Partnership is doing and explain how that fit into the CCGs work.  The event was very well attended, it was very positive to see the CCG share the positive work that they have been doing over the past year.

#HelpingFlo - keeping hospital beds free for those who really need them

Health and social care partners in eastern Cheshire are urging local people to help keep hospital beds free for those who really need them this winter.

Recent winters have proved challenging for health and social care services across the country, with high numbers of patients, many of them elderly and with increasingly complex needs, requiring admission to hospital.

Local health and social care staff across hospital and community settings have worked very hard to safely manage this but it has led to patients waiting longer than they should in Accident and Emergency and additional temporary beds being set up within Macclesfield Hospital.  

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
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