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Stakeholder newsletter: Edition 5, Thursday 20 September

Sharing our story.

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

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, we're hearing from Sefton and getting an update from St Helens.
 

Sefton

Funding success for Sefton schemes 

Transformation funding is supporting partners in Sefton to develop innovative integrated programmes that will benefit borough residents.

The funding awards recognise the innovative work emerging across Sefton Health and Care Partnership to deliver its vision for better integrated health and care.   

At the start of August, GP practices from Sefton’s two clinical commissioning groups (CCGs) received confirmation of their success in bidding for a share of the Cheshire and Merseyside Primary Care Network Development Fund.

Over the next two years, GP practices will use the funding to create ‘primary care networks’ in seven of the CCGs’ eight well established geographical ‘localities’. The aim is to strengthen joint working arrangements between practices, so together they can achieve more for their patients across these bigger areas. 

Importantly, the seven primary care networks will also be looking at how they can work differently and much more effectively with partners from across health and care, including Sefton’s vibrant voluntary, community and faith sector. 

In the eighth CCG locality, funding has been secured from Health Education England for a CCT fellowship post. This GP role, based in Bridge Road Medical Centre will play an important part in supporting transformation across the Seaforth and Litherland locality.   

Earlier in the year, Sefton was also successful in bidding from our Partnership’s Transformation Fund to support the development of a community frailty service in the north of the borough.

This innovative nurse led service will address the increasingly complex needs of Southport and Formby residents, whose population is significantly older than the national average. The area has amongst the highest number of over 75 year olds and this is expected to grow further and much quicker than most other areas of the country over the next decade. 

 
St Helens 

Shared care record developing in St Helens

St Helens Cares is well on the way to delivering a Shared Care Record for each resident in the borough which will give health and care professionals an overview of the patient’s health and care record, including GP appointments, medication and hospital referrals.

This reduces the need for patients to repeatedly tell their story to health and care staff information and will help clinicians make a better informed clinical decision when treating patients – especially in emergency situations where understanding the full history of a person is vital.

The formal project for the Shared Care Record began in April 2018 following the contract signing in March with testing being carried out over the summer and further recruitment to the project team.

Once this has been done and all information governance arrangements are in place to ensure patients’ data is shared in line with data protection regulations, the Shared Care Record will be rolled out as a phased approach over the coming months beginning next month.  Nearly half of all GP practices are signed up and we are on target to have all 34 data sharing agreements in place by the end of September which will be followed by a period of training in both general practice and the hospital setting to ensure take up.

Draft communication material has been produced and will be circulated across the borough once all testing has taken place and we are ready to go live.

Additionally, on 1 June 2018, Professor Sarah O’Brien, Clinical Accountable Officer for NHS St Helens CCG took up a new role as both Strategic Director for People’s Services and Clinical Accountable Officer.  CCG staff are in the process moving base to be alongside council colleagues which will see much closer working within St Helens Cares under this integrated leadership, with the focus on improving health and care outcomes for residents.

Programme update
Prevention

Happy Hearts website launched in Cheshire and Merseyside during Know your Numbers week
 
Cheshire & Merseyside have worked collaboratively to create a public facing Cardio Vascular Disease (CVD) prevention website which was launched this week alongside the Know Your Numbers Week high blood pressure campaign.

The project arose after the NHS RightCare Hot Housing Scheme identified C&M as an Health and Care Partnership (HCP) region where blood pressure and CVD prevention work-streams had reached a level of maturity, at which, it could benefit from a localised version of the ‘Healthy Hearts’ websites designed for Bradford and York. This is the first time that such a website has been established for a larger footprint area.

Read more here.  You can visit the Happy Hearts website here

 

Update from Anti-Microbial Resistance (AMR) board

View the latest update from the AMR board here.
Primary Care

Primary Care Networks explained

Primary care networks are a new way for local health services to work together to care for populations of around 30-50,000.  The national NHS England team have developed a new animation that describes how the networks use pooled staff and resources, improve record-sharing and create better access for patients.
With the support of NHS England, primary care networks will help practices in England to achieve the objectives set out in the General Practice Forward View, the five year plan for general practice which began in 2016.  Watch the animation.
 

Primary Care Networks (PCN) – Cheshire and Merseyside

In July we announced a £4m Primary Care Network Development Fund for 2018/19 to support the development and implementation of Primary Care Networks across the area.

Following the application process which closed on the 9 July, a total of 58 applications were received, of which, following a rigorous assessment process 35 were supported to receive funding. These supported applications were then presented to the Health and Care Partnership on 31 July for final consideration and approval.

Dedicated NHS England support buddies have been aligned to each successful Primary Care Network across the area to provide support, help and advice as Networks begin to mobilise their plans, which will cover a population in excess of 1.4m patients.

As an indirect consequence of the application process, there has been defined geographies of ‘non-award’ identified – NHS England and the Clinical Commissioning Groups for these areas are working closely together to support the Networks affected as a result of this.

A Primary Care Network Leadership Festival event will take place on the 3 October to which all Network leaders from across Cheshire & Merseyside have been invited. We want to bring together PCN leaders who actively want to shape a future NHS that is better for everyone, and connecting with a purpose is a valuable first step.

For enquiries relating to the Primary Care Network programme for Cheshire and Merseyside please contact England.PCN-Development@nhs.net.

 

GP Federations – Cheshire and Merseyside

Across Cheshire and Merseyside there are 14 GP Federations and earlier this year Primary Care Commissioning (PCC) were asked by NHS England - Cheshire & Merseyside to conduct a pre-assessment exercise, collating views to ascertain the current status of, and training needs of local GP collaborations/federations. In terms of supporting Federations to develop, there are a number of priority next steps that we have identified to build an ambitious programme working closely with place SROs, Primary Care Networks and CCG colleagues.  

The GPFV concentrates on 3 areas:
  1. stabilisation,
  2. development and
  3. transformation.
The majority of national GPFV initiatives focus on stabilising general practice. This has been important as it has been a building block for longer term sustainability. Clearly, the focus now is around building “place” and the “at scale” general practice contribution to that and federations can help to facilitate this.

The federations’ vision is that they will work collaboratively so that patients across Cheshire and Merseyside receive safe, effective and caring healthcare from an appropriately resourced and skilled Primary Care Team that is accountable to its population and shares innovative practice. They are also committed to improve the health and well-being of populations by developing general practice and community care across Cheshire and Merseyside.

NHS England - Cheshire & Merseyside and the Health and Care Partnership remain committed and enthusiastic on working with GP Federations.

 

2018/19 General Practice Resilience Programme

The 2018/19 General Practice Resilience Programme is a national £40 million scheme to support GP Practices to build their resilience. The primary purpose of the fund is to deliver support to assist practices in becoming more sustainable and resilient, better placed to tackle the challenges they face now and into the future and secure continuing high quality care for patients.

In Cheshire and Merseyside all applications received for funding against our allocation of £295,000 were considered by a panel of representatives from Clinical Commissioning Groups and Local Medical Committee member from across the region. The panel meeting took place on 17 July 2018. 48 applications in total have been approved. There were a number of applications that were considered as part of the Primary Care Networks process due to dual applications being submitted in some instances.  

 

GP Retention Fund
 
Cheshire and Merseyside have been successful in securing £323,000 in funding to support a number of identified workforce retention initiatives.  

We look forward to delivering this broad range of initiatives that will encourage our highly trained and experienced staff from within General Practice to explore alternative ways of working rather than opting to leave general practice. For example, the fund will support training opportunities for GPs at all stages of their career.

We will also be working with the Primary Care Nursing team to support the development of a preceptorship programme for Practice Nurses and Physician Associates to encourage the uptake of these roles in the region.

Currently, this funding is only available for 1 year so we are working with our colleagues from across the region to determine the areas of greatest impact and need for us to address.
Cardio Vascular Disease (CVD)

C&M CVD Programme host pop up university at EXPO

At last week's NHS Health and Care Innovation EXPO, the C&M CVD Programme hosted a pop up university session to provide insight into the development and outcomes of a Lipid Management Pathway project in the North West of England.

The pathway covers prevention, identification and management of CVD through lipid modification and will be validated through an audit across ten practices within the Cheshire and Merseyside geography.

The pop up university heard from speakers with a national and international profile in CVD prevention.  Jamie Waterall, the national lead for CVD Prevention and Associate Deputy Chief Nurse joined Halton Borough Council's Consultant in Public Health Dr Iefoma Onyia, who shared insight into some of the work being carried out in C&M, what the priorities have been and what is the local public health view along with Dr Joe Mills, Consultant Cardiologist and Clinical lead for the C&M Cardiology Clinical Network. Joe updated on the thinking and process that goes into developing a new lipid pathway, the expected impact and what outcomes are.

Mental Health

Adult mental health service consultation findings published

On Monday 10 September, NHS Eastern Cheshire Clinical Commissioning Group published the independent report of the findings of the 12-week public consultation, on the proposals to redesign specialist mental health services for adults and older people in Eastern Cheshire, South Cheshire and Vale Royal.  To view a full update go to: https://bit.ly/2wXdrIy

News

More than 40 people diagnosed with lung cancer at ‘MOT’ clinics - despite having no symptoms

A groundbreaking project in Liverpool to detect lung cancers before symptoms even appear has already found and treated more than 40 new cases of the disease.  Read more here.

NHS App to be piloted in Liverpool

Patients in Liverpool have been selected to take part in a trial of the new NHS app, revealed health secretary Matt Hancock at the NHS Expo in Manchester last week.

Users will be able to book GP appointments, order repeat prescriptions and see their medical files held by their surgery.

The trial will start in October, with a view to the app being rolled out nationally in December.

Online functions like this do already exist, but the Government believes having them available as a smartphone app will make them more attractive.

More than £200m will also be invested to transform a group of NHS trusts into centres for technological and digital innovation, the Department of Health and Social Care said.

Mr Hancock added that he wants to "set our sights on the NHS being the most cutting-edge system in the world for the use of technology to improve our health.”

How housing and health can work together

Cheshire and Merseyside Healthcare Partnership are driving strategic conversations to ensure Healthy Housing is at the heart of our population health implementation. Here are the slides from the event.

Re-Imagining Healthcare: Wellbeing Enterprises CIC Documentary Film 

Stakeholders from across Cheshire and Merseyside are invited to attend the premiere of Wellbeing Enterprises CIC documentary film, Re-Imagining Healthcare, featuring leaders from across the Cheshire and Merseyside region exploring what the future of healthcare provision might become by embracing people power and asset based approaches.

To find out more and book your place to attend click here.

CSU offer support to drive forward place implementation 

Midlands and Lancashire Commissioning Support Unit is supporting the Health & Care Partnership to drive forward the work happening at place.

Pam Hughes is currently supporting the place developments in an effort to bring local/national best practice to increase transformational change across Cheshire and Merseyside. 

Pam is a senior health professional with a career in local Government, private sector and since 1999 within the NHS.  She has worked in acute/specialist Trust, national special health authorities and commissioning organisation. A chartered IT professional by background she set up the first information graduate trainee scheme in England. She is currently responsible for a wide range of commissioning support delivered by MLCSU in Merseyside and Shropshire.

Her work has a focus on supporting organisations to develop and the delivery of efficient operations; she offers a systematic approach to use of people, process and systems; the development of systems to their potential and using intelligence to drive informed decision making.

Dave Sweeney, Implementation Lead said ‘Having some of Pam's time and support is very much appreciated and her wide broad expertise can only benefit our system change. Big thanks to our CSU leadership for this collaboration and forward thinking agreement’
Cheshire and Wirral Partnerships Best Practice event 

Thursday 4th October 2018 - 9.30am – 12.45pm
Ellesmere Port Civic Hall, Civic Way, Ellesmere Port, Cheshire, CH65 0AZ

CWP's Best Practice event is a showcase of the most innovative, exciting and joined up work done by the trust over the past year to ensure the best possible outcomes for people who access their services, their carers and families. The day will also see the launch of our Big Book of Best Practice 2018/19.
 
This is an opportunity for partners to see what CWP has achieved over the past year and learn more about the services that they provide. It will also be a unique chance to engage with our wider range of stakeholders (staff, governors, partners, commissioners and third sector health and wellbeing groups).
 
The event will be followed by our Annual Members’ Meeting, which will begin at 1pm at the same venue. This will include a look back at the Trust’s activities during the past 12 months and focus on our objectives for the future.  You can register to attend the event here.
Plans unveiled for community stroke service in Eastern Cheshire

Hospital stays for patients who have had a stroke are set to fall by up to eight days after a new community service is launched next March.

Several NHS trusts have bid to provide the service designed and funded by us to bring together a wide range of health and care workers to help people recover fully from a stroke after hospital treatment.  Read more here.

 
Developing the long term plan for the NHS 

With the recent Government announcement of additional funding, the NHS is now working on a plan setting out ambitions for improvement over the next decade, and plans to meet them over the five years of the funding settlement.  

As part of that process it is vital that all those who rely on and work in or alongside the NHS have the opportunity to contribute their ideas, experiences and insights.  To gather this information, a consultation running until 30 September to get these views.  To contribute to the consultation or find out more click here.

 
Tell us your good news and successes
Partnership website

Its been a few months since we launched the Cheshire & Merseyside Health & Care Partnership website www.cheshireandmerseysidepartnership.co.uk.  

Please take the time to check your place or programme pages and let the team know if there are any updates or developments you would like on your pages.

You can contact the team at cm.partnership@nhs.net.
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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