Stakeholder newsletter: Edition 10, Monday 3 June

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 6 months, and how we are working to progress and drive transformation across our partnership.

There’s much to report on this month. As well as the great progress our Places and Programmes are making, both in terms of delivery and long-term planning, the work around our Partnership’s five-year strategy has developed and we are also kicking off the process that will lead to us making some important governance decisions.

First the five-year Strategy. We had an excellent Partnership meeting earlier this May at which we agreed on the four key themes on which our Strategy will be based as a way of improving whole population health. These are Healthy Living or how we will empower people to manage their own health, look after themselves and each other; Learning, Living and Working, or how we can influence major contributors to population health such as employment, education, family, social support and community safety; Easy Access to High Quality Care, or how we transform community-based care, standardise acute and specialist care, and enable better care; A Healthy Place to Live and Work, or how we tackle issues such as air quality and the built environment. These themes are derived from the work our Places are doing and represent their direction of travel as they seek to improve the health of their local population.

As well as our key themes, which by their nature are broad and long-term, we would also like to focus in our Strategy on some specific priorities, which fall-out of our key themes, but which can provide us all with an opportunity to come together quickly to move the dial on issues that have proved to be intractable for far too long. We will be identifying what these emerging priorities could be and will be seeking the views and endorsement of the whole Partnership in the coming months on what these should be.

We also have some important decisions that we need to make as a Partnership if we are to continue to mature and make our ambitions in our Strategy a reality. Our Board agreed in May that we should begin the process for developing a Memorandum of Understanding for how we work together as a Partnership, alongside the development of our Strategy. We will be seeking the views of all partners on this in the coming weeks and months. The NHS in Cheshire and Merseyside is also in the process of agreeing an Accountability Framework with NHS England and Improvement, to clarify our respective roles and to allow the local NHS system to mature its collective decision-making responsibilities. On this we will be seeking input from all NHS partners. Finally, we also need to agree the process for the appointment of a new Chair for our Partnership, as well as decisions on governance structures. I will be in a position to give you more details on this in our next edition of the Bulletin.

In the meantime, if there is anything you would like to discuss with me, please don’t hesitate to get in touch. I think you’ll appreciate what a busy and important time it is for our Partnership now, and thanks once again for your continued involvement.


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  

Warrington Together 

The Warrington Together board has approved the establishment of a citizen’s panel, to be known as the Healthwatch People’s Panel.  This is being developed by Healthwatch Warrington in conjunction with Warrington Together and Warrington Voluntary Action.

The panel, to be launched in the summer following a recruitment process, will act as an independent voice for all local residents and will scrutinise and advise on progress towards a genuinely integrated care system (ICS) by 2021. The work of a 14-member core panel will be supplemented by a 1,000-strong ‘virtual’ panel representative of the wider Warrington community. 


Multi-disciplinary teams to roll out across Warrington 

Following a successful pilot in central Warrington, the roll out of multi-disciplinary teams (MDTs) for the whole of Warrington is due to be completed by autumn. It is expected that all five MDTs will be co-located as integrated community teams (ICTs) across the whole of Warrington by March 2020.

The first co-located team will shortly be in place at Orford Jubilee Hub, with Bath Street and Great Sankey also confirmed locations. Hubs are yet to be identified for south and east Warrington. 


Simplified points of access was the topic of a Warrington Together workshop which took place on 21 May. At present advice and information about health and care is available to residents through a vast array of channels, and is characterised by inconsistency and missed opportunities. The workshop will look at how outcomes can be measured, how to improve services and how to simplify points of access.  

Warrington Hospital’s Frailty Assessment Unit (FAU), a Warrington Together project, was shortlisted for an HSJ value award in the Improving Value in the Care of Older Patients Award category.  The team did not win this time - congratulations to the Harrow Planning And Caring Together (PACT) Project which won the award.


One Halton

In the last few months there have been some developments at One Halton.  A new governance structure has been agreed and it is now held to account for delivery by Halton's Health and Wellbeing Board.

A provider alliance has been set up which includes Warrington and Halton Hospitals NHS Trust, St Helens and Knowsley Teaching Hospitals NHS Trust, Bridgewater Community Healthcare NHS Foundation Trust, North West Boroughs NHS Trust, Halton Borough Council, NHS Halton CCG, GPs and the voluntary sector.  This group came together for a priority setting workshop at the end of May.

If anyone has any queries about One Halton, please contact:

St Helens Cares

A top health boss has praised innovative projects that are transforming people’s health in St Helens.

Public Health England chief executive, Duncan Selbie, visited St Helens this month to find out more about how St Helens Cares is leading the way in integrating health and social care to make a positive difference to residents lives and transforming people’s health.

Among the projects he saw were the Smokefree St Helens Hub and the Recovery Landing programme at the Salvation Army, which helps people with drug and alcohol dependency issues in partnership with CGL (Change Grow Live).

The Smokefree St Helens Hub is a place where anyone can walk in and get a range of support options to help quit smoking for good. But it is not just stop smoking services that are on offer as there is also the opportunity to have a mini health check and help on a wide range of topics that could impact on someone’s health.

Recovery Landing is a new programme at the Salvation Army’s base which is a suite of five rooms dedicated to those residents who are in recovery from their addiction and gives them a space to help continue their progress with support to find work, get back into education and move on to a permanent housing solution.

Mr Selbie highlighted the work being done by St Helens Cares and its partners in his weekly blog which is published on the Public Health England website. “I spent Wednesday morning in the North West with the fabulous team in St Helens, where well before the concept was included in the NHS Long Term Plan, they had enacted integrated, place-based working simply because this was the right thing to do.

People are at the centre of all services here, with the clinical accountable officer for the CCG also the Council strategic director for people. This brings together NHS commissioning with children’s and adult social care, public health and educational improvement and they have realised that by leaving organisational self-interest at the door, they can work together to win together. 

“Good leadership knows that the failure of any one service would pull the others down, and in St Helens they are safeguarding against this. They have an intensely proud past in mining and glass and while their health profile reflects the loss of these industries, they are creating a new narrative and are seeing steady improvement in a number of health indicators and major new investments in jobs and homes.

This is exactly the joined up, future proofing and smart working we need to encourage and support everywhere and a big well done to them for showing the way.”



Integrated Community Frailty Team launches in Knowsley

Following a successful bid for transformation funding from the Cheshire and Merseyside Health and Care Partnership, the Knowsley place partners have developed an integrated, multidisciplinary Community Frailty Team.
The service brings together key partners with a shared aim of reducing unnecessary hospital admissions for people aged 65 and over by wrapping care around them in the community. Treating frail or older people in their own homes when they become ill not only reduces hospital admissions, but also relieves pressure on the whole of the local healthcare system. In addition, research shows when a patient reaches 80, spending 10 days in hospital is equivalent to losing 10 years of muscle strength.
Commissioned by Knowsley Clinical Commissioning Group, the service launched on 5 March and is delivered by North West Boroughs Healthcare NHS Foundation Trust, with support from Knowsley Council. Operating seven days a week (8am to 7pm on weekdays and 9am to 5pm at weekends), the team provides an urgent, two-hour rapid response service to all Knowsley residents aged 65 and over who may be at risk of hospital admission.
The team is led by community matrons with advanced skills in the frailty care pathway and is supported by nursing staff, therapists, a consultant geriatrician, social care professionals, medicines management and specialist falls assessors.
For further information, watch our short animation.
Programme update

Making every contact count in Cheshire & Merseyside

A new campaign that supports positive health and wellbeing choices for people in Cheshire and Merseyside (C&M) is kicking off this month. The campaign is called Making Every Contact Count (MECC) and its goal is to create positive behavioural change on a large scale.
Every week there are millions of interactions between the public and healthcare workers - one million every 36 hours, in fact.

By giving workforce colleagues across the region consistent, simple messages they can use those conversations to point the public towards services that help improve their health and wellbeing.
Those conversations don’t need to be long. A chat as brief as thirty seconds could be all it takes to help signpost people towards better decisions about their lifestyle.
The main preventable illnesses we want to target are caused by smoking, alcohol, lack of exercise and poor mental wellbeing.  36% of adults don’t get the recommended amount of exercise each week, and the NHS spends £17.9bn a year on illnesses caused by smoking, weight and alcohol.
With MECC, this will hopefully change for the better. Many organisations now have a dedicated MECC lead who will be taking MECC forward and making sure everyone has access to the right information and resources.
Until then, you can keep an eye on the MECC Moments website for more information and where you can join the C&M network of professionals. Please do help spread the word through your own networks. This could be as simple as word of mouth – short chats is at the heart of the campaign after all. But if you’re on social media, feel free to start using the hashtags #MECCMoments too.
Champs Public Health Collaborative, led by the Directors of Public Health across C&M, is working with the Partnership and others to upscale and embed MECC across the region following a successful bid to the C&M Local Workforce Action Board.  MECC is a priority for the Partnership and the MECC Board is co-chaired by Dave Sweeney, Executive Implementation Lead of the Partnership and Dr Charlotte Simpson, Health Care Public Health Consultant at Public Health England.
For more information on the MECC programme and the C&M MECC training opportunities contact


In July 2018, the C&M Health and Care Partnership launched ‘Digit@LL’ – the digital strategy and roadmap for C&M.  Digit@LL presents an ambitious vision for the delivery of digital health and care services centered around five key transformation themes: 

  • Empower
  • Enhance
  • Connect
  • Innovate
  • Secure 

Digit@LL aims to bring all places and organisations up to a minimum digital standard, whilst focussing on pioneering innovation and developments for the future. It has a significant focus on connectivity and empowerment for staff and patients, whilst ensuring that our work is underpinned by a joined-up approach to cyber security.

Funding for schemes within these themes has been secured via the Health System Led Investment (HSLI) programme, which was launched by NHS England in August 2018. A bidding process was undertaken where a range of both system-wide, and organisational schemes were supported for capital investment. A range of lead providers across C&M agreed to host the capital schemes on behalf of the local system.
The system wide schemes supported are:
  1. System Wide Bed Management & Patient Flow to support Capacity and Demand: Delivery of a unified solution to support staff in the discharge of patients to relevant locations, thus optimising capacity and patient flows in ways which are both economical and sustainable.
  2. C&M e-Xchange Connect (Share2Care)/LHACRE: Delivery of a shared record for the population of Cheshire and Merseyside with a unified solution supporting staff having access to real–time digitised information across organisational boundaries in multiple care settings.
  3. Diagnostics transformation: Radiology Collaborative and ‘Other Ologies’ onto PACs. Provision of a solution that facilitates a shared diagnostics workflow to be achieved across organisations within Cheshire and Merseyside.
  4. Enhance / Brilliant Basics: Delivery of a scheme to collectively assess and drive up digital maturity within Cheshire and Merseyside, ultimately removing paper processes from care delivery, enabling the flow of digital information across patient pathways and supporting population health management
  5. Secure / Cyber: Delivery of assurance and resilience around cyber security and also to consider the recommendations of Lord Carter’s report recommending seeking to operate at scale for the Health and Care Partnership
  6. Patient Portal / PHR: A mechanism to complement the shared record work such that citizens can have appropriate access to their individual health and care records. Enabling people to be empowered through technology, interacting differently with local services and empowering them to take control of their health and wellbeing
  7. Wifi: sustainable HCP wide Wi-Fi solution for staff to work seamlessly across Cheshire and Merseyside.

We are currently starting to mobilise each of these programmes.  

Celebrating 10 years of the iLINKS Innovations conference and exhibition
iLINKS Innovations is a FREE to attend NHS conference and exhibition, which aims to showcase innovation and technology in healthcare.

Organised by NHS Informatics Merseyside, this year’s event, called iLINKS X, will be taking place on Thursday 4 July 2019 at Aintree Racecourse in Liverpool and promises to be extra special - celebrating the 10-year anniversary of the iLINKS Innovations conference and exhibition.
As part of the day, delegates will hear from a host of distinguished speakers, including a keynote address from Will Smart, the Chief Information Officer (CIO) for the NHS in England and Louise Shepherd CBE, Chief Executive, Alder Hey Children’s NHS Foundation Trust.
This year’s event will focus on the Cheshire and Merseyside Digital Strategy and the important role of digital technology in supporting people to live healthier lives, whilst transforming the way health and care services are delivered and experienced.
As well as a selection of thought-provoking pre-bookable seminars, there will also be a showcase of the innovative work and technologies being trail blazed at Alder Hey Children’s NHS Foundation Trust.
New for 2019 is the Med X Panel, which will be represented by clinicians across the region including Alder Hey’s Iain Hennessey, who is a Consultant Paediatric and Neonatal Surgeon and Clinical Director at Alder Hey Innovation Hub.  This panel will give their thoughts on how they feel digital technology is helping to enhance healthcare and will be taking questions from delegates on the day providing an interactive and engaging session.
For further information and to register to attend, please visit:
Follow on Twitter via @iLINKSInnovator
Pledge support via #iLINKSX


Nominations are NOW OPEN for the Cheshire and Merseyside Digit@LL Awards
This year's iLINKS X conference and exhibition will be hosting the Cheshire and Merseyside Digit@LL Awards on Thursday 4 July 2019.

These awards aim to recognise and celebrate innovative work and digital technology developments that have delivered real benefit to the local health and care economy.

The awards have been aligned to the key themes of the
Cheshire and Merseyside Digit@LL Strategy.

Award categories include:

 The Digit@LL Empowerment Award
The Digit@LL Enhancement Award
The Digit@LL Connect Award
The Digit@LL Innovation Award
The Digit@LL Secure Award

There will also be a Digit@LL People’s Award, where delegates of the iLINKS X conference and exhibition will choose their overall Digit@LL champion by taking part in an electronic vote!
Submitting your nomination...

To submit a nomination, go to the
iLINKS Innovations conference website and complete the entry form.

There is no restriction on nominations. However, you will need to fill out a separate entry form for each submission.

In the spirit of digital, you must include a brief one-minute supporting video. If successfully shortlisted for the ‘Digit@LL People’s Award’, this will be screened at iLINKS X.

The deadline for nomination entry is Friday 21 June 2019. All submitted nominations will then be reviewed by our expert judging panel including both clinical and digital representatives.

Finalists will be announced on Monday 1 July 2019, with winners revealed at the iLINKS X conference and exhibition on Thursday 4 July 2019. If you wish to attend iLINKS X, please ensure you book your place online.


Mental Health 

The latest edition of the partnership bulletin from the Mental Health Programme Board is now available featuring highlights from 2018-19 and a look forward to priorities for 2019-20.

Highlights from the last year have included successful transformation funding bids attracting over £9 million of national monies to create, expand and/or develop mental health services for the Cheshire and Merseyside population. 
Examples include specialist perinatal mental health, crisis support for children and young people, suicide prevention and Individual Placement Support.
Recent developments

Recent national media coverage highlighted the important role that Individual Placement Support (IPS) can play in supporting people with mental health problems return to work. 70-90% of people with mental health problems would like to work, but only 37% are in paid employment. For people with severe mental illness, it’s just 7%. IPS is an evidence-based intensive employment support model which has a track record of delivering outstanding job outcomes for this group.
Exciting news from the IPS workstream is the announcement it has secured both Wave 1 and Wave 2 National Transformation funding to deliver IPS services across Cheshire and Merseyside. Wave 1 funding was secured in 2018, expanding IPS provision in Liverpool, Knowsley and South Sefton. Wave 2 funding has recently been awarded to introduce IPS provision to Wirral, Halton and St Helens, expand services in Liverpool and to continue provision in Cheshire and Warrington. The funding allocation is in excess of £1 million over 2 years (2019/20 and 2020/21) and the Mental Health Programme Board are working in collaboration with commissioners to mobilise the funding and new services.
Priorities for 2019-20
  1. Crisis Care: New Pathways for crisis care, including NHS 111 and alternatives to admission
  2. Specialised CAMHS (Tier 4) New Care Model: Develop alternatives to admission
  3. Secure Care - New Care Model: Deliver objectives for those with forensic needs as outlined in the New Care Model Business Case (Prospect Partnership)
  4. Integrating Physical and MH services: Recommend model of care for spanning primary and tertiary care services (e.g. pain, CVD)
  5. Personality Disorder Services: Develop improved pathways and community provision
  6. Suicide Prevention: Delivery of CHAMPS public health collaborative ‘NO MORE’ Zero suicide strategy
  7. Mental health workforce planning: Coordinate MH workforce plans across C&M to support delivery of MH commitments outlined in the Long Term Plan. 
If you are interested in finding out more about the work of the Mental Health Programme Board or would like any further information, please contact Programme Board Manager Jill Gilliam:

Cheshire and Merseyside Imaging Network
The long term plan for the NHS makes it clear that imaging networks are going to feature, and while we are awaiting further clarity from NHS England / Improvement on what the networks are going to look like in Cheshire and Merseyside (C&M) we felt that establishing a programme of change would ensure we are well placed once further direction is shared.

We have developed a large scale change programme focusing on establishing an Imaging Network across the 14 Acute Trusts that fall within its boundaries. The programme has been successful in receiving sign up to a Memorandum of Understanding (MOU) by all Trusts, bidding for and being awarded funding to support the change and developing a sound governance structure that feeds into the C&M Health Care Partnership (HCP).

Key deliverables for 2019/20 include:
  • Joint procurement of capital equipment, joint procurement of non-pay consumables.
  • Development of a collaborative reporting hub to bring outsourcing back into the NHS.
  • Implementation of Optimum Timed Cancer Pathways across Acute Trusts.
  • Implementation of Artificial Intelligence technology to support the reporting of stroke imaging.
  • Baseline capacity and demand data to inform the large scale change. 
Since the beginning of 2019, Dr David White (clinical lead for the network) has achieved full engagement from all Radiology Clinical Directors across C&M. Alexi Shenton has started as programme manager, currently supported by Carol Cunningham former Radiology Manager and subject matter expert who is leading the implementation of the imaging element of the optimum timed cancer pathways, Angela Gaskell who has a wealth of experience in the world of procurement and is leading the procurement work stream, Iain McDonald, a Clinical Scientist working on the data element of the programme and Caroline Jacobs an experienced project manager is delivering a piece of work reviewing the C&M Radiology Information System (RIS) and options for a shared workflow for radiology services across the region. In addition to these team members a successful recruitment and selection process has been completed to find another senior project manager and a programme support officer to continue to implementation of an exciting programme of work to ensure sustainability of imaging services across C&M.

Over the past 12 months the workforce programme has met with Executive teams and boards from across Cheshire and Merseyside to present the challenges that we face as a health and care system and our plans to try and overcome these challenges.
The workforce position continues to be exceptionally challenging, with the number of applications for student nurse degree programmes reducing for the third consecutive year, recruitment remains difficult despite the national NHS recruitment campaign last summer and the recent national social care recruitment campaign.  It was pleasing to see that in the 2018 national staff survey, Cheshire and Merseyside Trust performed well, with a number of Trusts scoring highest in their category.

Our workforce strategy identifies a number of priority areas:
  • Creating a sustainable supply of staff ( paid and unpaid)
  • Up-skilling, re-skilling and training of our workforce including new ways of working, including the introduction of technology and the creation of a digital workforce following the publication of the Topol report
  • Employee wellbeing – ensuring that our staff are healthy and well and that we support them when they become unwell or have additional demands placed on them because of family illness or carer responsibilities
  • New models of employment and engagement
  • Talent management and leadership development
Throughout the strategy we also have the ‘golden threads’ of culture, equality, diversity and inclusion.
Our governance structure and procedures have matured throughout the year and we have enjoyed the support of all of our partners, NHS and care,together with the Arms Lengths Bodies, Skills for Care, ADASS, HEI’s and our regulators.

Through the local workforce Action Board (LWAB) we have been able to invest significant funding during 2018/19 and have supported a wide range of workforce transformation programmes together with  training staff to implement a number of the Health and Care Partnership priority programmes including Making Every Contact Count, Microbial Resistance training, Transforming Care and Moving with Dignity. 

At the last LWAB meeting it was agreed that we will invest in a Cheshire and Merseyside career and engagement hub.  In the past, similar hubs have been hosted by 2 of our Trusts ( one in Cheshire and one in Merseyside) and  they have been predominantly focused on health careers, however we now have the opportunity to look at the wider health and care sector and are therefore looking to have  a non NHS home for this hub. 

The Cheshire and Merseyside Social Partnership Forum was established in June 2018 and we now have a very active and engaged group of regional and local trade unions officers and professional organisations. To date this group has received presentations from a number of programmes and place based leads and we have engaged the trade unions on the challenges we face through the collaboration at scale agenda. In March we were invited to present to the national SPF meeting on the work that we have done in Cheshire and Merseyside and this is now being developed into a case study of best practice.

Over the past year we secured funding for an additional 141 advanced clinical practitioner training places and increased the number of endoscopy training places across Cheshire and Merseyside.  We have funded a new primary care nursing fellowship programme, which will enhance the skills and competencies of staff within general practice and promote this field of nursing.

In November, Cheshire and Merseyside hosted a radiology workforce conference for the North of England, which brought together over 100 delegates from providers and higher education institutes to look at the workforce challenges facing this group and how roles may be impacted by technological advancements. In partnership with your radiology managers we have developed our local radiology workforce priorities and a report has now been produced for Trust Executive teams to consider and to ensure that we can respond to the challenges and attract people to work in our area.

Working in partnership with clinicians and Health Education England, we have developed workforce plans for cancer, mental health, IAPT services and sexual health.  Within primary care mental health, we are working in partnership with the ICS in Lancashire and South Cumbria, the Innovation Agency and GE consulting to develop a new workforce planning tool. Chorley and Ellesmere Port (Cheshire and Wirral Partnership) are developing a range of scenarios to test out the model. When tested, the model should be transferable to other services.

Over the past six months, we have been undertaking a piece of research with the Innovation Agency and a market research organisation, Kaleidoscope, to understand what would make health and care an attractive career in our area. An independent ‘think tank’ has been established to challenge the traditional approaches to recruitment. A final report, with recommendations, will be available by September.

Our Cheshire and Merseyside NHS Occupational Health providers have worked collaboratively to develop a common pricing structure and now share information on vaccinations and immunisations within 2 days which means that staff moving from one Trust to another are not required to have additional and costly tests, resulting in savings and a better employee experience.

We have worked with our colleagues in Local Authorities and Skills for Care to better understand the challenges facing the social care workforce and now have a prioritised list of programmes of work in the Liverpool City Region.  In partnership with Skills for Care we are developing our approach in Cheshire and Warrington and have held a number of joint events.

Looking forward to this year, we will be developing our detailed delivery plans to support the workforce strategy.  During national Carers week we have arranged a workshop to develop the Cheshire and Merseyside NHS Carers charter, to ensure that we recognise and care for those staff who balance work with demanding carer responsibilities.  This event will be held in partnership with the North West Voluntary Services and builds on a piece of research undertaken in Cheshire and Merseyside to understand the challenges that staff with carer responsibilities face.

Our approach to employee health and wellbeing will be developed in line with the recommendations of the national Workforce implementation plan when this published. We are working with the Trade Unions on a joint approach to equality, diversity and inclusion – this will be the first Cheshire and Merseyside wide campaign and I hope that all partners will support and promote this work.
VIP opening for Wirral Birch Centre

Cheshire and Wirral Partnership NHS Foundation Trust welcomed aspiring mental health nurse Maddison Ormond-Donnelly, her classmates from St Joseph’s Primary School and chief nursing officer for England Ruth May at a spectacular opening ceremony for our Wirral Birch Centre – our new home for Wirral Child and Adolescent Health Services.
Director of Nursing, Therapies and Patient Partnerships Avril Devaney MBE was also honoured on the day with a special nursing award from Ruth May. The day was featured on both the BBC and ITV regional news, as well as numerous radio stations.
Knowsley chosen as pilot site for early detection of lung cancer

Knowsley has been chosen as one of just ten areas across England to pilot a new four-year programme to detect lung cancer earlier.

NHS Knowsley Clinical Commissioning Group (CCG) will be awarded a share of a £70 million national fund designed to detect symptoms of lung cancer at an earlier stage – improving survival rates among patients and cutting the number of premature deaths from cancer across the borough.

People aged between 55 and 74 years, who currently smoke or who have ever smoked, will be offered free lung health checks. The project will focus on identifying those patients who have a more than 5% risk of developing lung cancer over the next five years. These patients will then be invited to have a CT scan for the early detection of lung cancer.

Dr Paul Morris, GP and Clinical Lead for Cancer at NHS Knowsley CCG, said “I have worked as a GP in Knowsley for 27 years and regularly see patients who present late with symptoms of lung cancer, and unfortunately their outcome is usually poor. This work offers a real opportunity to diagnose lung cancer at its earliest stages, increasing the likelihood of a much better prognosis and even cure.”

“These new free targeted lung health checks mean that lung conditions, including cancer, can be detected early and NHS treatment is more likely to be successful.”

The CCG will be working with its neighbour, Halton CCG, which has also been selected to take part in the pilot, with support from the Cheshire & Merseyside Cancer Alliance.  Knowsley and Halton CCGs have been awarded £8m for the cancer screening programme.


First ever CANDDID conference a huge success!

The first annual conference of Cheshire and Wirral Partnerships NHS Foundation Trust CANDDID (Centre of Autism, Neuro-developmental Disorders and Intellectual Disability) took place earlier this month.

Over 175 delegates attended with speeches from colleagues, partners and other professionals. Social media activity created over 15k impressions. Click here for more information about CANDDID.
New city-wide awareness campaign launched in Liverpool
NHS Liverpool Clinical Commissioning Group (CCG) has launched a new city-wide campaign aimed at improving care for patients with communication needs.
The 5 Rights campaign reminds both NHS patients and staff of the rights that everyone has when accessing healthcare services – including those who rely on braille, BSL, or other interpretation services. It highlights how the NHS is required to follow five important steps when providing care to anyone who is D/deaf, blind, visually impaired, has speech or language difficulties, or any other communication need.  More information is available on the NHS Liverpool CCG website: .
Physician Associates working in primary care to support the Cheshire and Merseyside Respiratory Improvement Programme 

Physician Associates (PA) are now available to work in general practice across Cheshire and Merseyside to support the respiratory improvement programme.  

The main role of the PA will be to review patients in their primary care centre, who have been identified as requiring review of their respiratory condition.  The patients will be those with a diagnosis of COPD and currently prescribed LABA/ICS and LAMA inhalers.  
They will be supported by their community respiratory consultant supervisor and a named General Practitioner within the surgery where they are based. 

Physician Associates will rotate between primary care centres.  This role will help relieve pressure on practices as it completes patients annual review and complies with QOF requirements. 

Reviews will involve:
  • taking a clinical history
  • clinical examination if appropriate
  • reviewing investigation results (e.g. Chest X-rays, blood tests
  • spirometry results
  • radiology investigations, other tests) and then formulating an appropriate ‘evidence based’ management plan.  
  • Respiratory Medication optimisation will be key to the role in addition to supporting patients to manage their long-term condition more effectively.  Treatments will be based upon national and local guidelines for excellent respiratory care.  
How to get involved
If your practice would like to take part in the programme, please contact the programmes support administrator, who will be organising and planning the clinics with practices, on

Please include the following information:
  • Surgery name and address
  • Contact person
  • Room availability (day and time)
The support administrator will then be in touch to arrange for a Physician Associate to come to the GP practice to provide a presentation on how the clinics will be set up, what they will provide and what the GP Practice needs to do. 
Next generation GP
The Cheshire and Mersyside Primary Care team are hoping to bring an exciting evening leadership programme to the area, called ‘Next Generation GP’, but we need the help of local doctors and practices to explore the appetite for something like this.

This leadership programme was started by Dr Nish Manek and other GP trainees in London 2 years ago, and is now in 16 other cities across the country with over 1000 participants to date.
The programme could start in September 2019 and run for 5 months, consisting of 1 evening session each month. It will be free to attend for all GP trainees and new GPs (approximately first 5-7 years post CCT).
Each evening consists of a workshop or lecture around topics that isn’t often covered in GP training (such as the structure of the NHS, influencing skills, learning to develop your strengths as a leader), and an interview with an aspiring senior leader (previous speakers have included Prof Helen Stokes Lampard, Chair of the RCGP, Sir Bruce Keogh, immediate past National Medical Director of the NHS, and Dr Sarah Wollaston, Chair of the Health and Social Care Committee).
More details about the programme can be found here, this includes a short video about their progress around the country and some amazing feedback from GPs who have completed it.
Please contact to express your initial interest.
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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