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Stakeholder newsletter: Edition 2, Thursday 7 June

Sharing our story.

Welcome to the second edition of the partnership newsletter from the Cheshire & Merseyside Health & Care Partnership.

Partnership update
To accelerate the pace at which each of the nine places across Cheshire and Merseyside can transform the way in which health and care is delivered locally, they can access a Transformation Fund over the next three years.

Places submitted their plans for 2018/19 on how they would invest their share of the fund to improve the quality of care, improve the health of their population and also deliver care more efficiently. And at the end of May, the Partnership allocated £3.9 million to successful bids. Two places that were successful were Sefton and Wirral.

Southport and Formby has a higher concentration of people over 65 than national average and neighbouring localities. There is a significantly high number of Care Homes (79) and a large demand for step up / step down Intermediate Care Beds to enable hospital flow.

The partnership in Sefton has secured funding to bring together a team of professionals, starting work from September, to manage the cases of patients with complex needs. Working across the localities, the team will be better able to assess, treat, evaluate and plan a patient's care needs closer to home, with a focus on avoidance of admission to hospital, as well as facilitating discharge.

Wirral has been successful in securing funding to enhance its ‘Neighbourhood’ teams with staff who will be working out ways of improving how services can be delivered. Their initial focus will be reducing unplanned hospital admissions amongst people over the age of 50 by 12% during 2018/19, creating significant savings for the NHS.

A further bidding round to the Transformation Fund is to be held in September. 
Tell us your good news and successes
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 on your place, please contact CM.Partnership@nhs.net.  This month, we'll be focussing on St Helens.
 

St Helens

St. Helens is one of the most deprived council areas in England and life expectancy for both men and women is lower than the England average.  The borough faces significant challenges in improving outcomes for its residents and reducing the unsustainable levels of demand experienced by health care and community services.
The St Helens People’s Board (a multi-agency partnership established to tackle these issues) has developed a new way of delivering health and care called St Helens Cares.  One of the intiatives put in place by St Helens is Extra Care.
Extra Care

Working with local housing trust, Torus, the St Helens team have been able to reduce the number of patients staying in hospital beds over the winter period who might be able to go home, but require adjustments to be made to their home first.
Instead of the patient waiting in the hospital for these changes to be made to their home, they were transferred to the extra care units within the Torus group. These units provide patients with the comforts of home and mean their friends and family can visit any time they want to, but also have healthcare professionals on hand when needed.

This not only means that the hospital beds can be used for those who desperately need them, but also gives patients a sense of independence and transition from hospital to home with the medical support on hand for security.
Programme update
Women and Children's

NICE Impact report features best practice from Improving Me

NICE has published a new impact report on maternity care that explores how its evidence-based guidance contributes to improvements.

The improvements include promoting safer maternity care and reducing stillbirths, and in increasing choice and personalisation.  The report highlights in detail the work around Maternity transformation in Cheshire and Merseyside - the Improving Me programme.  The report can be viewed here.

 

Hat trick of babies born at Seacombe Birth Centre
The first babies have been born at Seacombe Birth Centre.  Baby Harley, Margo and yet to be named baby number three were born last week at the pioneering centre.
The facility is run by experienced, highly skilled midwives from Wirral University Teaching Hospital NHS Foundation Trust (WUTH), and if successful, could inspire the development of permanent freestanding midwifery led units (FMLUs) across the Cheshire and Merseyside region.

Find out more here.

 
General Practice Forward View

Partnership welcoming applications for the Primary Care Network Development fund

During the course of the past few months, we have been having conversations with GPs, federations, emerging Primary Care Networks and other stakeholders about the important role and function which general practice and wider primary care has in terms of delivering care together across place.
General practice and wider primary care is a fundamental element of the Cheshire & Merseyside Health & Care Partnership’s strategy for improving health and outcomes and the services delivered to our population of 2.8 million people.  

The C&M Health & Care Partnership and NHS England (Cheshire and Merseyside) are pleased to announce the creation of a £4m Primary Care Network Development Fund for 2018/19 to support the development and implementation of Primary Care Networks across the area, and we are welcoming bids from networks now. 

Primary Care Networks are groups of general practices who will join together to deliver services across a wider footprint.  This would allow the network to share services like community nursing, mental health, and clinical pharmacy teams, expand diagnostic facilities, and pool responsibility for urgent care and extended access.

Applications can be made by a network of practices, a GP Federation on behalf of a Primary Care Network, or a GP Federation on behalf of more than one network.  If you have any questions or queries, please email england.pcn-development@nhs.net.


Mental Health

Cash boost to turn Widnes mental health facility into safety haven

North West Boroughs Healthcare NHS Foundation Trust has been successful in their bid for funding to transform a mental health facility in Widnes into a place of safety for people experiencing mental health crisis.
Half of the mental health Assessment and Home Treatment team based at the Brooker Centre in Runcorn will soon be relocating to the facility on Vine Street in Widnes town centre to enable patients on both sides of the river to access support closer to home.  Find out more here.
Transforming Care Programme

Cheshire and Merseyside Transforming Care Partnership (TCP) is aiming to make change across the whole system to the way services for people with learning disabilities and/ or autism are delivered. 

We are a Partnership made up of people who use services, parents and carers working with the NHS and local councils to help people live in homes, not hospitals and improve people’s health, quality of care and quality of life.
This will mean that fewer people in Cheshire and Merseyside will need to go into hospital for their care. To do this we are making sure that services in the community are better able to meet people's needs, particular those who might need additional support. For people who do need to go into hospital though we want to make sure that they are as close to where they live as possible. 

Stephen's story 

Stephen (not his real name) has a Learning Disability, Autism, and Anxiety Disorder.  For the past 7 years, he had only left the family home for 30 minutes every 6 weeks to go to the barbers and for an hour on birthdays to go out for tea. His anxiety was such that, when he split his head open and needed medical attention, he was too anxious to leave his house to get it.    Last Autumn, Stephen began to physically attack his father and wouldn’t let his mother leave the house, with these incidents increasing.

During 2017/18, our Partnership invested in the development of an Intensive Support team within the existing Community Learning Disability Team that looks after Stephen, to reach out and treat people with more complex needs in the community, rather than bring them into hospital. 

Intensive Support had the time and skills to treat Stephen’s high anxiety at home. The team were able to do more for Stephen, like health checks, in his own home so he didn’t need to attend a hospital and become more distressed.

Intensive Support were able to support Stephen and his family with daily visits from Associate Practitioners and a Challenging Behaviour Nurse.  Alongside this, the team introduced support staff from a new agency and provided in-depth support to build relationships with these new people who could help Stephen cope better and improve his daily life.  Find out more about Stephen's story here.

 
Centre-stage for learning disabilities

People with learning disabilities will get more support to live within the local community thanks to the major makeover of a Liverpool care hub.  Work has begun this week on the transformation of Besford House, a Learning Disability facility in Belle Vale.

Liverpool City Council and NHS Liverpool Clinical Commissioning Group (CCG) successfully bid to the Department of Health for £850,000 to create the modern accommodation for people with autism and learning difficulties.

The investment will mean a complete refurbishment for the 16 bed centre, including decorating, new carpet and flooring, new bathroom suites, kitchens and furniture.
But the transformation is about much more than upgrading the fixtures and fittings.
The centre will become a model for ‘step up, step down’ care. This means it will allow people to ‘step down’ from a hospital setting when they are ready to live more independent lives. At the same time it will allow people already living within the community to ‘step up’ into the facility should they need more support.  Find out more here.
Digital 

Digital Liverpool shortlisted for NHS70 Parliamentary Awards


Digital Liverpool has been chosen as the northern champion in the Future NHS award by The NHS in the North.
Ten individuals and teams from over 200 nominations were chosen as regional champions are part of a prestigious competition to mark the NHS’s 70th birthday.

The NHS70 Parliamentary Awards recognise the massive contribution made by the individuals who work in and alongside the NHS.

Launched in February, it asked the region’s MPs to find and nominate those individuals or teams they thought have made the biggest improvements to health services in their constituencies across ten categories. Digital Liverpool were nominated by Liverpool, Riverside MP Louise Ellman.  Find out more here.

 

Cheshire and Merseyside digital roadmap 

Following great engagement and feedback across Cheshire and Merseyside, work is underway to refresh our local digital roadmaps with a single roadmap for the C&M Partnership.  Our digital roadmap is a strategy that aims to connect the digital resources of public services to improve health and social care, and help organisations work more effectively together.

This will be launched at the ILINKS conference, being held at Aintree Racecourse on the 5th July, which will showcase our C&M digital achievements on the 70th birthday of the NHS.

Presentations will be delivered by a range of digital leaders, the Kings Fund and the Liverpool City Region Metro Mayor. In addition, there will be a panel of our local Chief Executives discussing digital priorities for the future, and a Hackathon in partnership with Massachusetts Institute of Technology (MIT).
Events
Clinical Academy design event - 10 July at LACE.

We want to bring a group of clinicians together to help us look at ideas on how we can develop and implement a ‘Clinical Academy’ that places clinical leadership at the centre of how we work and make decisions, enables personal development and facilitates best practice.  You can view more information on the event here.
Dr Claire Fuller (lead for the Surrey and Heartlands STP), who has been at the forefront of developing their Clinical Academy, will be coming along to talk to us about their experiences and how we may take this forward.  See this short video for more information about their own experiences.

Who is the event for?
  • Medical Directors
  • Directors of Nursing
  • GP Federation Leads
  • Directors of Adult Social Care
  • Directors of Public Health
  • C&M Partnership workstream Clinical Leads
  • Clinical Senate
  • CCG Chairs
  • SCN Clinical Leads
  • Health Education England
  • RightCare and Getting It Right First Time partners
  • University representatives.
Book your place here.


Webinar re free innovations
 
Please nominate a senior member of your team to attend a webinar which will describe innovations being provided for free through the NHS Innovation Technology Payment.
 
The webinar is being repeated on five dates for ease of access; it will explain the zero cost, procurement and reimbursement model and give you the opportunity to learn more about the products directly from representatives of the innovations.
 
This will be of particular interest to Heads of Procurement, Divisional Managers/Assistant Divisional Managers; Directors of Finance/Deputy Director of Finances.
  
The innovative products are: 
  • HeartFlow - Rapid diagnosis of patients with suspected Coronary Heart Disease (CAD) using advance image analysis software.
  • Plus Sutures - Reduction of Surgical Site Infection (SSI) through the use of antimicrobial suture packs.
  • Endocuff - Improved colorectal examination for patients undergoing bowel colonoscopy 
  • SecurAcath - Improved stability and reduced infection risk for patients with a peripherally inserted central catheter.
Webinar dates:  
News
Website launch

The Cheshire & Merseyside Health & Care Partnership website is now live - www.cheshireandmerseysidepartnership.co.uk.  It will be further developed over the coming weeks and months as the work in our places and programmes gathers pace.

Many thanks for your help in getting the website ready for launch. The 31 May was the ‘soft launch’ of the site to test that we have got it right.

We would welcome any feedback, content and news from you. Please send your comments through to cm.partnership@nhs.net.

 
Partnership bids farewell to Sam Simpson

Last week we said goodbye to Finance Director Sam Simpson.   Sam has been part of the Cheshire & Merseyside Health & Care Partnership from the very beginning.  We wish her well in her new role at Tameside Hospital NHS Foundation Trust.
With Sam's departure, we welcome another Sam into the post!  Sam Proffitt joins us from North West Boroughs Healthcare NHS Foundation Trust.  We are sure you will join us in welcoming Sam into the role and the Partnership.
Dates for the diary
  • Executive Team meeting
    12 June
  • Maximising the value of the Cheshire and Merseyside £
    19 June
  • System Management Board 
    26 June
  • Partnership Event
    4 July
  • NHS 70
    5 July
  • Clinical Academy design event 
    10 July 


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 CM.Partnership@nhs.net.
 
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