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Stakeholder newsletter: Edition 9, Wednesday 27 March 2019

Sharing our story.

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

Partnership update

This month saw the latest Place and Programme Forum and it was really encouraging to hear about the progress that all are making with the five-year plans.  It’s also proving to be a really useful exercise in bringing people together – to hear what each other is up to and how it might apply to their area of work.

We also recently concluded the bidding process of the 2019/20 Transformation fund. Now in its second year, the Fund is growing in importance and it also sets our Partnership apart from the rest of the country.

I’m unaware of any other system that has its own version of the fund, and we are looked upon  with some envy for the maturity and togetherness we have shown, firstly in establishing the fund and then growing it to what it has become today.

I was delighted at the level of interest this time round. We were heavily oversubscribed in the bids we received from our Programmes. Unfortunately this means that some were left disappointed, but at the same time is demonstrates the scale of ambition to transform care that exists in our system.
 
In the end nearly £8 million was distributed to winning bids and you can read more about them below and on our website. Thank you to all those who took the time to take part and we’ll be looking for the money that’s been invested to really accelerate change on the ground for patients.

For further information on the successful bids and the funding amount allocated, please visit our website or contact sam.proffitt@nhs.net 
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.  
 

Warrington

Warrington Together multi disciplinary teams (MDTs)

Three multi-disciplinary team meetings have now been held in Warrington’s Central North cluster, coordinated by Warrington Together and involving North West Boroughs, Bridgewater community matrons, Warrington Council, GPs and practice managers. Patients have been identified as part of the NHS Warrington Clinical Commissioning Group (CCG) Dedicated Care Local Enhanced Service, while case managers have been agreed and allocated as part of the multi disciplinary team (MDT).

The staff taking part in the MDTs have been surveyed as to their opinions on the structure, process and outcomes of the MDT meetings. The survey feedback has been very positive and useful in structuring the meetings going forward. Wider MDT rollout is getting underway shortly.



Working Together Across Cheshire programme
 
The Working Together Across Cheshire programme will deliver future CCG working arrangements across the county, in consultation with GP memberships and alignment with the development of the Integrated Care Partnership (ICP) in Cheshire West and Cheshire East. The programme will prioritise engagement with GP memberships, staff, stakeholders and the public as this work develops. Read the whole bulletin here
 
Cheshire West

Transformation Planning

Senior leaders across the partnership have approved the Cheshire West Integrated Care Partnership (CWICP) approach to developing one-year and five-year transformation plans. The detail will be co-created across the partnership in the coming months.

As part of this work, CWICP recently hosted its first "Test for Change" workshop, at which local
GPs, therapists, Care Community team members and staff from Bluebell Unit and the Single Point of Access (pictured) joined forces to apply large scale change methodology to both identify a problem and work together to outline actions to resolve it.

Participants noted the importance of identifying 30, 60 and 90 day actions and changing systems, processes and behaviours as key to progressing collective aims.


St Helens
 

Since its development in 2018, Contact Cares has been accessed through one single point of contact, providing a better experience for service users (quicker support packages, earlier discharge from hospital, admission avoidance) and had a positive impact on staff:
 

https://www.youtube.com/watch?v=CxM4zfIzQ5c&feature=youtu.be

https://www.youtube.com/watch?v=gI5VlUJly6M&feature=youtu.be

 

Over the past year, Contact Cares has  recorded the following impacts:

  • Reduction in delayed transfers of care through rapid mobilisation of community services via Contact Cares
  • A slower rate of growth and demand in non elective admissions compared to regional neighbours
  • Association of Director of Adult Services (ADASS) data shows that St Helens is the best performer in the North West for  minimising delayed transfer of care.
  • Prevention of A&E ttendance through step-up provision
  • Social Prescribing has contributed to reducing social isolation, loneliness and improved wellbeing
  • Public is able to access the right services at the right timne, effectively and efficiently through Congtact Cares
  • Improved quality of care planning and co-ordinated srevice provision through the use of the Electronic Shared Care Record 
  • People supported by the integrated MDT reported they felt able to take control of their health and wellbeing
Programme update
Learning Disabilities and/or Autism
                                                            

Transforming Care for people with Learning Disabilities and/ or Autism
 

People First Merseyside have developed some excellent resources to educate people with learning disabilities about identifying the signs and symptoms of cancer, and how to look after their lungs.  The work was co-produced with people who use services to address learning identified through the national Learning Disabilities Mortality Review programme. 

 

Supporting this, the team of service users and carers from People First Merseyside have been on a roadshow to local groups across Cheshire and Merseyside to promote this work with people with learning disabilities and/ or autism.
 

A poster, information booklet and video are all availabe now. Please contact
Jen Littlehales at NHS England (Jennifer.littlehales@nhs.net) for copies or to request a visit from the local team.


                             
 



CANDIDD First Annual Conference
 
Cheshire and Wirral Partnership NHS Foundation Trust’s (CWP) Centre for Autism, Neuro-Developmental Disorders and Intellectual Disability (CANDIDD) has announced its first annual conference (Double Tree Hotel Chester, 10 May 2019).  This year the theme for the conference is 'Autism Spectrum Conditions'. 
 
CANDDID is a centre of excellence which brings together, education, training and research in the fields of neuro-developmental disorders and intellectual disabilities.
The conference is open to all including people with learning disabilities or autism, family carers and support workers, health and social care professionals, commissioners, students and academics.

Further details on the programme, speakers and how to book will be available on CWP’s website.

 


Prevention

Champs Collaborative present at national CVD Prevention conference

Pictured: Dr Mel Roche presents at CVD conference in Manchester

The national CVD Prevention conference took place in Manchester on 14th February. This year's conference was the launch site for PHE's new national ambitions for CVD (see above) and was attended by key CVD prevention stakeholders from across the country.

Dr Mel Roche, Blood Pressure Lead with the Champs Support Team presented alongside Pippa Rose, GPFV Transformation Programme Nursing Lead for NHSE C&M, on development of the C&M Quality Improvement Support Package for high blood pressure in general practice.

Dr Muna Abdel Aziz DPH for Warrington and Lead DPH for high BP with the Champs Collaborative was part of a discussion panel and Q&A alongside Dr Dawn Harper, Dr Matt Kearney, Prof Steven Powis, Duncan Selbie and Prof Jamie Waterall.


Making Every Contact Count (MECC) - Making an impact on population health and wellbeing  

Behaviour change implemented at scale

Prevention is at the heart of the C&M MECC programme. The vision is for MECC to become everyday practice in organisations across the sub-region. Every small ‘chat for change’ will add up to a huge impact on health and wellbeing for our population and staff. Positive organisational culture change is key to ensure front line staff are trained and able to deliver health and wellbeing messages to the public.
 
Insight work has commenced by Public Health England (PHE) to explore the organisational landscape in local NHS trusts, through a series of interviews with senior leaders. The work will identify potential barriers and opportunities to strengthen MECC approaches. The results will be shared with key groups including HR Directors and Nurse Directors to enable the MECC Partnership Board to support organisations more effectively. Dave Sweeney from the Cheshire and Merseyside Health and Care Partnership and Dr Charlotte Simpson from PHE are co-chairs of the MECC Board.
 
Training for front line staff

A high quality C&M MECC face to face training programme has been developed and rollout commenced in January 19. The offer of sessions has been shared across secondary care and local places consistency throughout the sub-region. The feedback from pilot sessions has been very positive. Work with primary care is in progress and primary care nurse leaders, General Practice Nurses and Advanced Nurses Practitioners, will receive training as part of the preceptorship programme.
 
Communications and engagement

Increasing the awareness of staff and leaders is vital. Following insight work, a communications and engagement plan and campaign tool kit will be developed. An on-line resource and sign posting hub for frontline staff will be created. The communications campaign, resources and online hub will be launched in May.  
 
Share your ideas and join the C&M MECC network

If colleagues around the Partnership could please support the MECC programme and share widely and also consider how MECC could be incorporated more effectively and sustainably within local workplaces. If you have ideas to share or would like to be kept up to date with progress and join the MECC Network, please contact C&M MECC Programme Lead Louise.vernon@wirral.gov.uk

'Stay Alive' app launched 


Champs Public Health Collaborative and the NO MORE Suicide Partnership Board have launched a local version of a suicide prevention app, created by charity Grassroots. The app is designed for use by those who are at risk of suicide, as well as those who are worried about someone they know having suicidal thoughts.

The app includes signposting both to local and national services, as well as other features such as the ability for those at risk to design a safety plan in case of crisis.


Click here to read more
Cancer 

Prostate cancer patients in Cheshire and Merseyside are benefiting from a new surveillance programme aimed at making outpatient care easier. 

Royal Liverpool and Broadgreen University Hospitals NHS Trust patients are being enrolled onto a new remote Prostate Specific Antigen (PSA) surveillance programme in an effort to reduce the need for return trips for the patient.

This remote monitoring allows surveillance tests to be undertaken on patients who have completed their treatment without the need for face to face outpatient appointments. So far since its launch, 271 patients have used the PSA programme.

Click here for the full story.



Significant waiting time reductions for lung patients

Lung cancer patients are being assessed, diagnosed and beginning their cancer treatment more quickly, thanks to radical changes to patient pathways.

Cheshire and Merseyside Cancer Alliance has been working in partnership with acute and specialist providers across the region to introduce a standardised lung cancer pathway which covers the patient’s journey from the initial suspicion of cancer, investigation and diagnosis through to treatment.
 
Click here for the full article

 


 

Liverpool’s Healthy Lung programme

 

Liverpool has one of the highest mortality rates from lung cancer, and survival from the disease is the second lowest out of 20 common cancers in England and Wales. There are also estimated to be around 6,000 undiagnosed cases of chronic obstructive pulmonary disease (COPD) in the city.

 

Now approaching its third year, Liverpool’s Healthy Lung programme takes a proactive approach to the early detection of both conditions, specifically targeting support at those identified as being at higher risk. People are invited by their GP practice to attend an assessment clinic with a lung nurse - around 43% of these people are then offered a further chest scan at hospital.

 

In the past three years more than 10,000 patients have visited a lung clinic, and the programme has helped to identify around 60 cases of cancer – the majority at an early stage. For more information visit: https://www.liverpoolccg.nhs.uk/health-and-services/healthy-lungs/.

 

This targeted approach is now being tested more widely, with projects being funded in ten other areas in line with NHS Long Term Plan ambitions to increase the number of cancers diagnosed at an early stage: https://www.england.nhs.uk/2019/02/lung-trucks/

Primary Care

Latest Primary Care Transformation Stakeholder bulletin

Click here to view the latest update from the Primary Care Transformation workstream.  
Highlights in this edition include:
  • New GP contract welcomed by local health and care leaders
  • Funding secured to bring 30 new Physician associates into general practice by April 2019
  • Updates on primary care network development

Campaign Launched to Recruit GPs Back into Practice

A new campaign aimed at enticing more GPs to return to general practice was launched last week.

Jointly run by NHS England and Health Education England, the campaign is designed to raise the profile of the GP induction and refresher (I&R) scheme, which provides a safe, supported and direct route for qualified GPs to return to NHS general practice in England. The campaign involves publishing a new brochure for GPs considering a return and running social media, print and digital adverts.

The Induction and Refresher Scheme was upgraded in 2016 with a new package of support to make it easier for doctors to return to the profession and a target of recruiting 500 GPs by 2020. By the end of 2018 a total of 785 GPs had applied to join the scheme. Of these, 279 have now fully completed the programme and joined the GP workforce in England.

Now NHS England and HEE are looking to recruit hundreds more to help deliver the ambitions of the NHS Long Term Plan. 

We encourage you to share the campaign with any trained GPs who may be thinking about a return to practice. Learn more at: https: https://www.gpreturner.nhs.uk/

 


Mental Health 

Green light for new mental health services

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

Dr Anushta Sivananthan, medical director at Cheshire and Wirral Partnership NHS Foundation Trust, added: “We are extremely grateful to our service users and carers, mental health forums, Healthwatch, other local community groups, our staff and the public who have all contributed to the new model of care. As a consultant psychiatrist I am passionate about getting the right care for my patients – at the right time and in the right place. This new model of care sets the foundation to do that and has been brought about by collaborative working across the NHS, social care and with patients and the public.”

The new care model will provide the following:

  • Improved community mental health teams, with 30 more staff
  • Improved crisis home treatment teams, with eight more staff
  • A new dementia outreach service to support people in their homes and care homes
  • 26 specialist inpatient beds at Lime Walk House in Macclesfield for adults and older people with serious mental ill health (plus four complex/intensive care beds in Chester and an extra three beds in Wirral)
  • 15 specialist inpatient beds in Macclesfield for people with dementia (based on the Macclesfield District General Hospital site);
  • six community-based crisis beds, in locations to be determined in partnership with service users;
  • 13 rehabilitation beds in Chester.

The inpatient beds currently situated within the Millbrook Unit on the Macclesfield Hospital site will be re-provided and replaced by 47 local beds designed to the latest modern standards, meeting privacy and dignity requirements set out by the Care Quality Commission.

Together with the enhanced local community support, a further seven beds for people with very complex needs – bringing the total re-provided beds to 54 – will be provided in Chester and Wirral. This approach is in line with current arrangements, where people requiring a psychiatric intensive care unit (PICU) receive their care in Chester or Wirral.

The revised proposal, called Option 2 Plus, was given final approval following an additional one month consultation on the move of rehabilitation patients (13 beds) from Lime Walk House in Macclesfield to Bowmere Hospital in Chester.
 


Mental Health First programme launches in South Cheshire general practices 
 
A new initiative to provide people with mental health difficulties improved access to support has been launched in three GP practices in Cheshire.
 
The Mental Health First programme sees the introduction of mental health experts from Cheshire and Wirral Partnership NHS Foundation Trust (CWP) into local GP practices.

This on-site presence will allow patients with mental health problems such as depression and anxiety speak directly with a mental health practitioner upon first appointment – rather than wait for a GP referral into mental health and wellbeing services.
Read the full story

 

News

Lights, Camera, Action!

Filming begins across Merseyside this month for BBC One documentary ‘Ambulance’ with North West Ambulance Service NHS Trust (NWAS).

Following the successful filming and broadcast of ‘Ambulance’ last year with crews in Greater Manchester, NWAS committed to take part in another series with six episodes being filmed in Merseyside.

Ambulance shows the connection between the stories on the ground and the challenges faced in the control room and gives an unprecedented insight of how the service operates, providing a snapshot of the volume of calls, scale and range of patients, pressures and health issues the service deals and, most of all, the care and commitment shown by staff in ever challenging and changing circumstances. It does this sensitively by focusing on the stories of patients, ambulance crews and control staff throughout one 12 hour shift. 

Filming will take place until 7 April 2019 and during this time there will be five ambulances and one rapid response car with fitted cameras and a film director on board. There will also be camera crews in our call centres and with North West Air Ambulance. Filming will be done in block with breaks rather than running continuously throughout this period. The rigged ambulances will start their shifts from Fazakerley, St Helens and Wallasey (subject to change) but, as Ambulances move wherever they are needed, it is possible they could end up in other parts of Merseyside and indeed Cheshire. 

If you have any enquiries during this time, our communications lead for the project is Fiona Bateson, fiona.bateson@nwas.nhs.uk and the production team’s email is BBCambulance@dragonfly.tv.

 

NHS to celebrate health and care heroes 

The NHS has launched its parliamentary awards to celebrate and give national recognition to staff who go above and beyond the call of duty.

The awards were created to celebrate NHS staff, carers and volunteers – their hard work, innovative ideas and unwavering efforts to put patients first.

Individuals and teams will be key to delivering the Long Term Plan, by leading improvements on major conditions including cancer, mental health and stroke, helping to make the NHS fit for the future.

MPs are now searching for and want to hear from outstanding individuals in their local area for 2019 who have innovated, impressed and made a real difference to how the health service provides care for patients.

Visit NHS England for more information 

NHS England - preparing for EU Exit 

The EU Exit pages on NHS England’s website are now live – www.england.nhs.uk/eu-exit. As further information relating to the EU Exit preparations becomes available it will be published here. As further updates on each workstream are produced they will also be linked to from these pages.  

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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