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Stakeholder newsletter: Edition 3, Thursday 19 July

Sharing our story.

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

Partnership update
Our Partnership has developed a five year Estates Strategy setting out how the health and care estate across Cheshire and Merseyside needs to develop to keep pace with the transformation in how care is delivered in each of the nine places that make up our area.

NHS buildings in Cheshire and Merseyside account for 1.6 million square metres of floor space and cost nearly £500 million a year to run. The Estates Strategy sets out how the Partnership will make the best use of its assets over the next few years.

The priority will be to ensure that our estate is configured and used appropriately to support more care closer to home – whether that’s providing facilities to neighbourhood teams to work out of or places that allow people to be treated round the corner from where they live. 

Similarly, as we concentrate more care outside of hospital, this will have implications for how acute hospitals and also mental health providers use the buildings they own to provide care. And we also want to make sure that we run our estate as efficiently as possible, making the most of the assets we own but also finding ways of releasing more funds to invest in patient care. 

Finally, we want to reduce the backlog of repairs by 35%, making sure more patients are treated in modernised facilities.
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 Wirral.
 

Wirral Health and Care Commissioning 

How transformation fund is driving forward neighbourhood teams
In common with many health and care systems across the region and indeed the country, Wirral has large scale health challenges - an ageing population and significant variation in health and wellbeing outcomes.

To overcome the huge challenges facing local caring services and to improve the health of its population, health and care partners in Wirral have been thinking and working differently.
Four integrated care ‘hubs’ where health and social care colleagues worked on jointly identifying and managing the care of people with complex health and social care needs were established.

This has provided a firm foundation on which to build the nine neighbourhood teams.  

They include representatives from primary and community care, social care and third sector, and will work closely with secondary care colleagues in determining and responding to the specific needs of the population in their neighbourhood.  

Thanks to a successful bid to Cheshire and Merseyside Health and Care Partnerships Transformation Fund, the teams are working to address how frailty is managed at a neighbourhood level; addressing unwarranted variation in care across and between neighbourhoods to prevent avoidable hospital admissions and focus on predictive and preventative support aimed at keep people in or close to their own homes.  

The aim is to reduce non-elective admissions by 12% during 2018/19 for our population.

 
St Helens

Innovative partnership programme which looks to improve people’s lives in St Helens has won a prestigious award

 
Established to address the rising cost and demand in health and social care, St Helens Cares came out top in the Care and Health Integration category at the Municipal Journal (MJ) Achievement Awards 2018 in London.

Made up of a wide number of public sector providers including St Helens Council, NHS St Helens Clinical Commissioning Group (CCG), St Helens & Knowsley Teaching Hospitals NHS Trust and housing group, Torus - St Helens Cares is an integrated approach in supporting people to live well, with a focus on preventing the need for health and social care by supporting people to remain independent for as long as possible.

The St Helens model – which could save residents in St Helens £80m by 2020 - is unique in the sense that is also includes services and support such as housing, education and arts and culture.

St Helens Council’s Strategic Director for People’s Services and Accountable Officer for St Helens CCG, Professor Sarah O’Brien said. “These are proactive and exciting times in St Helens, with a number of public sector organisations coming together to best meet the needs of local people - taking an integrated, coordinated and people centered approach.

“I am delighted that St Helens Cares has won this award which is testament to the hard work we’ve invested into putting our residents and patients at the heart of all that we do.”

Read more here.
Programme update
Cheshire & Merseyside Cancer Alliance 

Cancer Alliance fund training to assist in the earlier detection of colorectal cancer
Cheshire and Merseyside Cancer Alliance have commissioned training over the next six months which will result in a 65% increase in the number of radiographers able to undertake a preliminary review of CT colonographies. They will then have the expertise to alert radiologists to any suspicion of colorectal cancer and for patients to receive a staging CT scan.
                                             
The training is fully funded by the Alliance as part of its transformation programme following a successful bid to the national cancer transformation fund. It is leading a colorectal pathway project which aims to optimise the patient pathway and reduce the time to diagnosis and treatment for patients suspected of colorectal cancer.

The Alliance will continue to drive forward the prevention, earlier diagnosis, improved waiting times to access services and better treatment and care.  It aims to close the gap between our area and England and bring together patients and partners across health and social care to address the current challenges and meet the needs of our population.

Read more here.
General Practice Forward View

Applications for the Primary Care Network Development fund update

Last month we told you about the launch of the Primary Care Network development fund to support the development and implementation of Primary Care Networks across the area.  The deadline for applications has now closed and we are pleased to say that we have received 58 submissions from networks across the local area.
We have been working closely 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.

To support the launch of the £4 million Primary Care Network Development Fund for 2018/19, the Partnership and NHS England (Cheshire and Merseyside) have held a series of briefing sessions across Cheshire & Merseyside to fully inform perspective applicants of the funding opportunity and application process. 

The deadline for submissions of completed applications from Primary Care Networks was noon on Monday 9 July  This has been a very engaging process with a high level of interest and participation from Networks across Cheshire and Merseyside who are all in varying states of establishment.

These applications will now be delivered to the Health & Care Partnership board on 31 July for consideration with successful applicants receiving award notification on 3 August 2018.

If you have any questions or queries, please email england.pcn-development@nhs.net.


Mental Health

Additional funding for C&M Mental Health

Cheshire and Merseyside has received an additional £7.8 million of national funding for mental health and care services for our residents in the last 18 months through collaborative working initiated by the mental health programme of the Cheshire & Merseyside Health & Care Partnership. This includes funding for increased Liaison Psychiatry Services, Crisis Care for our children and young people and specialist perinatal mental health provision for our new mums and mums to be.
 
National Director visits Specialist Perinatal Mental Health Services

We are very proud that the National Director for Mental Health, Claire Murdoch, visited our Specialist Perinatal Mental Health service recently. Claire met the team which launched last year and is delivered by three NHS trusts working in partnership - Cheshire and Wirral Partnership, Mersey Care and North West Boroughs Healthcare.

During pregnancy and in the first year after birth, women can be affected by a range of mental health problems, including anxiety, depression and postnatal psychosis. These are known as perinatal mental illnesses. The service provides support for women with complex or severe mental illnesses during the perinatal period.

Claire said: “Mental ill health doesn’t discriminate. It can happen to anyone at any time and it disrupts life not just for mums but the whole family, which is why NHS England is absolutely committed to driving forward improvements in care and ensuring this important area of mental health continues to get the attention it deserves. Women with lived experience can play a pivotal role when it comes to shaping the services for others so it was great to hear first-hand from women who have accessed the service and hear how it is providing vital support and making a difference to people’s lives across Cheshire and Merseyside.” 

Dr Mark Barsoum, our Consultant Perinatal Psychiatrist said: “The perinatal period is the most critical time for a woman's mental health. We are delighted that we now, following NHS England’s investment, can offer a gold standard, evidence-based service for all the women and families of Merseyside.”

 
Digital 

Launch of Digit@ll  - Cheshire and Merseyside Digital Roadmap


Following great engagement and feedback across Cheshire and Merseyside, on Thursday 5 July we launched our single digital roadmap for the C&M Partnership.

There are many examples of great work underway across our geography.  Digit@ll is the latest example of how we are pooling our expertise and 'can do' attitude
to continue to deliver high quality care for all.  Cheshire and Merseyside is already one of the best places in the country for the way we are harnessing technology to improve patient care.  But we want to go even further.

To deliver our vision, we will focus on the five key digital transformation themes: 
To find out more or to view the strategy go to cheshireandmerseysidepartnership.co.uk/our-work/digital-revolution 
Events
Partnership event - 4 July

Thank you to those of you who attended our latest partnership event held last week at LACE conference centre.  It was wonderful to see the room so full of colleagues from across our partnership including Local Authorities, Acute Trusts, Primary Care including GP Federations and the Voluntary Sector.  We hope you found the day as useful as we did.

Hearing Donna Hall's personal account of the Wigan journey towards closer partnership working was a real inspiration and something we aspire to replicate across Cheshire and Merseyside.


Clinical Academy design event - 10 July

The Partnership will deliver a blueprint this year for a Cheshire and Merseyside Clinical Academy, following a busy design session held last week. 
The aim of the meeting, which was very well attended, was to gather the thoughts and ideas of clinicians and health professionals across the region on what the Clinical Academy should do and how best it could deliver service improvement.

Attendees heard from Partnership Clinical Lead Dr Kieran Murphy on how a fully functioning Academy, running alongside the Health and Care Partnership could transform health and care in Cheshire and Merseyside.

Dr Claire Fuller, SRO of Surrey Heartlands delivered a presentation about how their Clinical Academy operates and has overcome any challenges.

From the design session, it was clear that the most popular themes emerging were:
  • Engagement
  • Leading service transformation/planning
  • Intelligence led quality improvement
  • Methodology
  • Workforce
  • Clarity of role
  • Culture/leadership
  • Accountability/governance 
In her summary, Partnership lead Mel Pickup committed to the room that following the event there would be a blueprint drawn up on the Clinical Academy by September.
News
Thanks to Andrew.....

This month we bid a fond farewell to Executive Chair, Andrew Gibson.  Over the last year Andrew has been instrumental in driving forward the work of the Health & Care Partnership and we would like to take this opportunity to thank him for his contributions.

Until we have greater clarity on the new proposed regional plans of the collaboration between NHS Improvement and NHS England, there will be an interim arrangement to replace Andrew which will be announced in due course.  The Partnership will continue to be led by Mel Pickup.
We are committed to ensure that the partnership will continue to go from strength to strength without any loss of focus or momentum.

East Cheshire NHS Trust wins prestigious award via innovative approach to managing pressures

East Cheshire NHS Trust has won a prestigious award thanks to its innovative approach to managing seasonal pressures.  The trust, which is based in Macclesfield, scooped the ‘Changing Culture’ category in the Health Service Journal’s Patient Safety Awards 2018.
East Cheshire was given the award for its strategy to manage challenging conditions over winter by deploying non-clinical staff as ‘runners’ around Macclesfield Hospital, helping serve food and drinks at patient mealtimes, assisting with discharges and escorting patients between departments, among other tasks.

Read more here.
 
Wirral nurse chosen as the regional winner in the Care and Compassion Award category of NHS70 Parliamentary Awards

Wirral Community NHS Foundation Trust’s Emma Taylor, Nurse Practitioner for Older People, is celebrating after being chosen as the regional winner in the Care and Compassion Award category of NHS70 Parliamentary Awards. Emma, who has a special interest in Dementia and Alzheimer’s, will be attending a ceremony at the House of Commons on 4 July when the national winner will be announced.

Emma was selected from 800 nominations for her work with dementia patients and their families and the ‘Forget Me Not’ sticker system she has implemented in people’s homes.

Read more here.

 
Tell us your good news and successes
Partnership website

Please don't forget that the Cheshire & Merseyside Health & Care Partnership website is live - www.cheshireandmerseysidepartnership.co.uk.  

It will be developed over the coming weeks and months as the work in our places and programmes gathers pace.  Let us know if there are any developments you would like on your place or programme pages and the team will be happy help.

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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