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Stakeholder newsletter: Edition 8, Friday 1 February 2019

Sharing our story.

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

Partnership update

Welcome to the first edition of the Partnership bulletin in 2019. Quite a lot has happened since our last edition.

 

In early December came news of the outcome of the capital allocation bidding round. The good news was that, for the first time, Cheshire and Merseyside was successful in securing funding – with both Alder Hey Foundation Trust (for CAMHS Tier 4 inpatient beds) and St Helens and Knowsley Teaching Hospitals NHS Trust (improving their Emergency Department capacity by integrating and expanding Ambulatory Emergency Care) receiving more than £11 million between them. 

Congratulations to both Trusts. And let’s not forget that, after the collapse of Carillion, we now have the funding in place to finally be able to deliver a new Royal Liverpool Hospital.

However, not all the schemes put forward by our Partnership were successful this time round. All prioritised bids were consistent with our Estates Strategy which has been rated Good by the regulators. And I am satisfied that we could not have been more rigorous in our preparation to ensure all prioritised bids demonstrated both service improvements and financial savings. My thanks go to all those who worked so hard on the prioritisation process.  I think our Estates Strategy provides a good base from which to plan and puts us in a much better position to bids for monies in future. And while it’s still unclear about the future for capital funding rounds, it goes without saying that as a Partnership we will continue to work towards solutions that will deliver much needed funding for our sites and buildings.

In early January, the publication of the NHS Long Term Plan affirmed the need for our Partnership to press ahead with the development of our own five-year strategy by the Autumn. We have started strongly, making engagement with our local authority partners a key priority. I met with the Chief Executives of Liverpool City Region’s local authorities recently who welcomed our intent to get the development of the strategy right this time and to ensure the primacy of place is writ large throughout. Similarly Warrington and Cheshire’s local authorities have also been sighted on our plans. Each place is also taking forward more intensive planning with their respective local authorities as we speak. And finally we are working with Healthwatch and Voluntary Sector North West to ensure that our community engagement is as deep and meaningful as possible.

We are also bringing our Place and Programmes together in a new Forum, which is meeting regularly over the next few months to ensure that their respective plans for the next five years are fully aligned. So there’s lots of work underway and, as ever, I am so grateful for the continued commitment all our partners as we develop a five year strategy for Cheshire and Merseyside we can all get behind, and which will have a meaningful and positive impact on the health and wellbeing of all our communities.

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 West Cheshire and Warrington share their progess with their Integrated Care Partnerships.
 
2019 is a big year for Cheshire West Integrated Care Partnership (CWICP) as we move firmly into the delivery of more joined-up care, while also working together to develop plans which improve care both in the "here and now" and in the future.

A number of initiatives are already underway to support the delivery of more joined-up care, most exciting of all is the development of Care Communities across Cheshire West which enable more people to access the care and support they need closer to home. Our care communities are already coming to life in a number of ways:
  • What people need - Public Health producing a comprehensive needs assessment.
  • What people want - Community conversations started in January 2019 (see below).
  • What people get - Community care review will help us understand the current offer.
     


Developing Care Communities

Community Conversations started last month across all Cheshire West Care Communities. Led by Cheshire Community Action, the programme will involve people living in each Care Community - including seldom-heard voices - to help us understand how best to support each community's health and care needs.

To build on the work of community care teams and support the development of thriving Care Communities, partners also need to understand ‘what works’ in order to form an objective view of existing integration. Exploratory work to analyse the existing community care offer across Cheshire West will help identify potential options for future working.

 

Key Workstream Updates
 
  • Work is underway to re-develop Cheshire West's ‘Local Offer’ online service directory. The new-and-improved platform will be the digital first point of contact for service users and providers, providing advice and signposting people to the most appropriate service for their needs. The first implementation phase is due to be completed in May 2019.
  • Materials will be worked up in the coming weeks using the new Cheshire West ICP branding - which was developed with input from staff, patients and third sector organisations.
  • ICP representatives attended a Healthwatch Cheshire development day to talk with staff, volunteers and board members about how we can best work together.
To find out more about the latest developmenets in the Cheshire West ICP, you can read the newsletter here

Warrington

Integrated Community Teams

Central North Warrington is a 'test bed' for multi-disciplinary team (MDT) working. The team is made up of district nurses, community matrons, social workers, Warrington Wellbeing and mental health professionals.

Following the ‘proof of concept’ stage, the first MDT meeting proper was held in December. In attendance were representatives from North West Boroughs Healthcare NHS Foundation Trust, Bridgewater Community Healthcare NHS Foundation Trust, community matrons, Warrington Borough Council, GPs, practice managers and a Warrington Together project manager. 

Five central Warrington practices each nominated two patients as part of the identified dedicated cohort LES submission. In all nine new patients were discussed, and case managers agreed reed and allocated: two to NWBH; one jointly to WBC/district nurse; one solely to WBC; one to community matron and three were referred to the Gold Standards Framework.
 



Frailty Hub

A frailty assessment unit (FAU) opened at Warrington Hospital in July 2018. The Frailty Hub is a system partnership venture, led by Warrington Together, aiming to redesign services for older people. The FAU has gradually increased the number of days it operates per week and aims to outreach into the community. Last month the FAU launched the direct referral process for primary care. The process will support primary care to proactively manage the care of frail patients within their home.

Planned appointments for assessment utilising an MDT approach can be arranged by the unit and limit the need for patients to attend A+E or be admitted to a Hospital bed. The direct referral process has now been extended to include referrals from Community Matrons and North West Ambulance service (NWAS). The unit aims to provide care closer to home where appropriate, reducing A&E attendances, reducing admissions to acute services and providing care in a more person-centred and efficient way.

It is hoped as referrals increase there will be a reduction in emergency admissions by utilising the expertise of the FAU, use of step up beds and support from community services to care for the patients within the community.
 


Halton

Have Your Say on the Development of Halton's Urgent Care Treatment Centres 

Patients and the public in Halton are being asked to provide their views on how they feel about the mix of treatment centres available to them in the borough.

Recent national research has revealed that patients find the mix of walk-in centres, minor injuries units and urgent care centres around the country confusing, in addition to numerous GP health centres and surgeries offering varied levels of core and extended services. There was also some confusion around opening times, the types of staff present and what diagnostics may be available.

Patients in Halton are invited to have their say on these services at two events in the area. For more information, visit NHS Halton CCG's website

 


Wirral

Wirral has  launched a 'heart failure' programme to support patients with Atrial Fibrilation and Heart Failure.

The programme offers:

  • Initial contact at the bedside if you have been admitted to hospital
  • Follow up appointments with symptom and medication review
  • Home visits if you are too unwell to attend clinic
  • Referral onto other specialist services if required eg psychology, Liverpool Heart and Chest Hospital or Wirral University Teaching Hospital NHS Foundation Trust’s Arrowe Park Hospital
  • Referral to the Living with Heart Failure rehabilitation programme if appropriate

Our specialists work with patients, families and carers to help them better understand the diagnosis and how to ensure they stay well.

Referalls are accepted from GPs, Practice Nurses and hospital staff in Wirral for patients who have been admitted with heart failure. 

For more information please visit Wirral's Heart Support Service website

Programme update
Prevention

Blood Pressure Programme

The Blood Pressure annual report has now been launched outlining progress and key achievements during the last 12 months.

You can read the full report here.


Anti-Microbial Resistance (AMR)

The Local Workforce Advisory Board (LWAB) has been successful in a bid to support further work on AMR.

The funding of £94,500 will be used in partnership with Liverpool University Medical School to develop an innovative approach to teaching and learning through the production of a virtual reality platform which individuals can access to engage and immerse in clinical scenarios relating the AMR prescribing.

 

Alcohol Harm Programme

A capital funding bid has been submitted to Public Health England  for a pooled resource to fund five FibroScan machines to be located at various locations across Cheshire and Merseyside.  A FibroScan machine is a non-invasive device that assesses the condition of an individual’s liver. The Board will provide an update on the outcome of the bid in due course.

 
Primary Care 

New Primary Care networks will improve patient care 

General practices across Cheshire and Merseyside are transforming the way they work to improve services for patients.  

They are joining together as groups of practices working with community service providers and other health and care organisations – a partnership known as primary care networks.

The development of primary care networks was described in the NHS Long Term Plan and is key to the transformation of primary care and community services. 

Primary care networks will plan and deliver services for populations of 30,000 to 50,000 people, which will enable them to focus on local physical and mental health priorities. They will build on the core services currently available from GP surgeries, offering more care closer to home in communities rather than in hospitals and supporting patients with long term conditions to better manage their own health. 

Read more here.



Sharing the Learning from Existing Primary Care Networks - series of webinars 
 

NHS England is hosting a series of webinars for anyone working within primary care and the wider NHS, focusing on the benefits, impacts and development of primary care networks. The webinars will provide an update from the national primary care network programme, share examples of work already in progress across the country, and offer a chance to ask questions and find out more about next steps in relation to the development of primary care networks. 

Staff within NHS England who would like to hear more about this programme of work are welcome to join us for one of these sessions, see here for a full list of dates  

Workforce

Last year in 2018, the programme achieved the following successes:

  • Secured funding for an additional 141 advanced clinical practitioner training places and increased the number of endoscopy training places across Cheshire and Merseyside
  • 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
  • Hosted a radiology workforce conference for the North of England, bringing together delegates from providers and higher education institutes to look at workforce challenges
  • Working in partnership with clinicians and HEE, developed workforce plans for cancer, mental health, IAPT services and sexual health
  • Established an organisational development collaborative with the North West Leadership academy, The Innovation agency, AQuA, HEE and MIAA with the aim of removing duplication and ensuring that the ‘offer’ meets the local need 
  • Secured the support of the Leadership Academy for the Cheshire and Merseyside programme for transformational leadership for band 8 staff and received funding for an OD lead and talent management lead, which will feed into the new Regional talent Board
  • Held an event in Liverpool to support those on the autistic spectrum to consider careers in health and social care. In the summer of 2019, a small cohort will undertake paid internships with a number of Trusts
  • Worked with Local Authority and Skills for Care colleagues to better understand the challenges facing the social care workforce and are developing programmes of work in the Liverpool City Region, Cheshire and Warrington to help us move to a more integrated workforce
  • Benefitted from learning from the Wirral Community Foundation Trust on the successful integration of adult social care staff into the NHS and the benefits this can bring in developing an effective integrated system. 

Looking at the year ahead, the Cheshire and Merseyside workforce strategy identifies six priority areas to focus on in 2019:

  • Creating a sustainable supply of staff (paid and unpaid)
  • Up-skilling, re-skilling and training of our workforce
  • New ways of working, including the introduction of technology and the creation of a digital workforce
  • 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
Mental Health 

A group of 17 staff at Leighton Hospital, part of Mid Cheshire Hospitals NHS Foundation Trust, have received specific training to support colleagues.  

The training, which is accredited by Mental Health First Aid England, allows the group to be a first point of contact for someone who is experiencing a mental health issue or in emotional distress.  

Whilst the group aren’t therapists, psychiatrists or counsellors they are trained to listen in a non-judgemental way, provide crisis support and signpost people to the most appropriate help.  

For more information on MHFA England visit: https://mhfaengland.org/



Outstanding for care in Cheshire and Wirral

Congratulations to Cheshire and Wirral Partnership NHS Foundation Trust (CWP) who announced it has received an Outstanding for Care rating from the Care Quality Commission (CQC) in its latest inspection; with an overall Good rating.

Dr Paul Lelliott, deputy chief inspector and lead on mental health for the CQC, said: “We found the standard of caring to be outstanding. Staff treated people with compassion and respect and were skilled in adapting their approach to the person, and family, they were supporting, even in difficult situations. We also found outstanding practice in children’s and young people’s services both in the hospitals and in the community.”


Click here for more information
 



Green light for new mental health services

Plans to improve the care of more than 7,000 people in East Cheshire, South Cheshire and Vale Royal who need support every year with serious, long-term mental health problems have received the green light.

Approval was given for the redesign of adult and older people’s specialist mental health services by the three clinical commissioning groups in East Cheshire, South Cheshire and Vale Royal at a Committee in Common held at the end of 2018. Members of the Cheshire East Health, Adult Social Care and Communities Overview and Scrutiny Committee subsequently confirmed due process had been followed throughout the consultation period, commended the CCGs and Cheshire and Wirral Partnership NHS Foundation Trust (CWP) on the approach to consultation and welcomed the new model of care proposed.

CWP’s enhanced community services will include a new dementia outreach service and 24/7 crisis care, alongside modern inpatient facilities for those that require hospital care. For more information click here 

Diabetes 

The Long Term Plan for the NHS outlines that commitments in diabetes respond to key challenges in rising rates of obesity. This will continue to drive growth in the diabetic population, uptake to self-management services and access to services and technologies for patients with both Type 1 and Type 2 diabetes, and prevention of Type 2 diabetes, in particular among our younger populations.

You can read more in the first 2019 edition of the NHS Diabetes Programme Bulletin

News
Long Term Plan for the NHS is Launched

As we are all aware now, Prime Minister Teresa May launched the NHS Long Term Plan last month at Alder Hey Children's Hospital in Liverpool.
The Plan will make sure the NHS works more effectively with other agencies and organisations to provide high quality treatment and care for patients and their families. 

For more information, visit the Long Term Plan website or take a look at The Kings Fund website. 

Every Day is Different when you Care

New Recruitment Campaign for Adult Social Care

The Department of Health and Social Care are developing an adult social care workforce recruitment campaign to raise awareness of and drive recruitment into the sector, and help equip the sector with the knowledge of how to support the campaign and boost its recruitment marketing.

Read  more about the every day is different when you care campaign here


'We are the NHS' campaign is launched 

The NHS is recruiting IT and support staff now. The latest video has been produced as part of a national recruitment campaign aimed at potential Support and IT staff. This phase marks a change of focus as it showcases the immense contribution that those working in these invaluable roles make to the health service. The campaign has been commissioned by NHS England and will run in 2019.   

Resources for this campaign can be found here.
 



Help us Help You campaign launch

NHS England and Public Health England (PHE) has launched a series of winter campaigns, under the brand ‘Help Us Help You’.

The brand brings together a family of campaigns incorporating messages about flu, staying well in winter, NHS 111, pharmacy and extended GP hours.

The next phase of the Help us Help You campaign will be launched on Monday 4th February.

New National Roles for mental health experts 

Two Consultant Psychiatrists from Cheshire and Wirral Partnership NHS Foundation Trust (CWP) have secured national roles. Dr Ian Davidson has been appointed to the NHS healthcare improvement programme Getting it Right First Time (GIRFT), and Dr Andy Cotgrove has been appointed a National Clinical Advisor for the Royal College of Psychiatrist’s National Collaborating Centre (NCCMH). Dr Davidson will be supporting the GIRFT programme to focus on Crisis and Acute Adult Mental Health, with Dr Cotgrove advising NCCMH’s implementation of the Mental Health Support Teams supporting schools.

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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