ISSUE 15 August 2013 Welcome from the Chair Welcome to the August newsletter, and what a varied month it has been. The Health and Wellbeing Board started with a presentation about a campaign a young local girl Vickie Bromfield and her parents are involved in. Vickie’s friend and schoolmate Lizzie Andrews died while awaiting a lung transplant. Before she died, one of Lizzie’s goals was to increase the number of registered organ donors by 10,000. Now, her family and friends are continuing this campaign in her memory. Both the local authority and the CCG are supporting this and feel certain Lizzie’s target will be achieved and surpassed. I visited the North Manchester CCG referral hub and discussed the process with one of the local GPs and triagers to see if there is anything we can learn for our own triage system. There seemed to be a lot of advantages, consistent standards of referrals, rapid assessment and turnaround of referrals, live-time data regarding where your referral was – and no need to use Choose and Book within the surgery. This was followed by a meeting with the other board clinicians and Ivan Bennett – a GP from Central Manchester CCG in his role as primary care lead for Healthier Together. This and the recently released ‘Call to Action’ from NHS England give an indication of the expectation and standards for general practice in the future. Having received my invitation for an NHS health check recently, this month I took up the offer. Although the whole process was simple and straightforward, it was a little strange being on the other side of the consultation. A full report is being included in our public newsletter Livin’ it! to help promote the importance of having a health check, so look out for that. I attended the Rochdale East locality meeting with a very interesting and informative presentation about the bowel screening programme. I also stayed to listen to the peer review of referrals which provoked some interesting discussion and debate. This was reported back to the governing body meeting and was echoed by attendees at the other two localities. As was also reported at the various locality meetings, both the Heywood and Middleton demonstrator site bids were successful, which will provide funding to pilot different ways of using technology, increasing access to primary care and integrated working between health and local authority. Hopefully, both bids will be presented at the next engagement event in September as a rehearsal for the presentation at the second primary care summit in Manchester on 25 September. On a lighter note, before I go on holiday, following an interesting strategy development session for the governing body, look out for more members tweeting as we look to increase our use of social media – old dogs and new tricks spring to mind but let’s give it a go. In the meantime, I’d encourage you to follow our CCG corporate account @NHSHMR. Dr Chris Duffy Chair of NHS Heywood, Middleton and Rochdale CCG Contents Biography – Alan Cook, Lay Member 2 Integrated care 3 Middleton Talking Newspaper 2 Springhill Hospice at Home 3 Quick links 2 GP event 2 Provider / partner news Newsletters and bulletins 3 4-5 Quick links • Next NHS HMR CCG Governing Body meeting – 20 September • Liverpool Care Pathway – guidance for doctors and nurses • Launch event: Dera project for people with dementia – 12 September • Workshop: Docman, Heywood and Middleton – 18 September • Workshop: Docman, Rochdale – 19 September • Workshop: Safety and quality revalidation workshops – September-November • Event: GMPH Network Public Health Strategy Engagement Event – 10 October • Conference: Reducing HCAIs 2013 – Supporting Community Health – 10 October Alan Cook, Lay Member Alan is one of three lay members on NHS HMR CCG’s governing body. He has specific responsibility for taking the lead on ensuring that the systems of internal control on governance and financial management are properly established and appropriate systems of risk management are in place. A qualified accountant with extensive experience in finance and general management, Alan has more than 30 years’ experience of successful direction, planning, relationship and team management in various NHS and voluntary organisations. He believes he can offer the HMR CCG governing body a mixture of professional expertise based on his career, local knowledge having lived in and around the area all his life, combined with a common sense attitude. • Online course: Clinical audit, appraisal and revalidation for GPs Middleton Talking Newspaper Newsletters and bulletins • Rochdale Improvement Board News – Issue 5 • PAHT GP/CCG bulletin – August • Pennine Care Progress – August • Rochdale and District Mind newsletter – issue 10 • Healthier Together stakeholder briefing – August • NHS England CCG bulletin – issue 39, 8 August • NHS England CCG bulletin – issue 40, 22 August • AQuA Bulletin – issue 64, 16 August • AQuA Bulletin – issue 63, 2 August • Tobacco Free Futures newsletter – August 02 For almost 30 years, Middleton Talking Newspaper (MTN) has been providing people with visual impairments with an alternative way to receive local news. The weekly audio newspaper accepts referrals from health and social care professionals and is always keen to welcome new users. It provides a locally-orientated collation of selected news items from the Middleton Guardian, covering a wide range of topics, from council related matters, good performance news from schools and leisure activities at the arena, by-gone days articles and family notices, all of which are designed to alert listeners to what is going on in their local area and keep them feeling in touch. In addition, the MTN is not restricted to people with severely impaired vision, but is also available to people who by virtue of a different incapacity are not able to hold a newspaper comfortably or read a newspaper in the conventional way. For example, people who have had a stroke or people who have Parkinson’s. Anyone wanting to refer patients to this free service should contact Brian Brown on 0161 653 9814 or the MTN on 07950 450006. Integrated care NHS HMR CCG and its partner organisations The Pennine Acute Hospitals NHS Trust, Pennine Care NHS Foundation Trust and Rochdale Borough Council are working together to develop, commission and provide an integrated care model for the borough of Rochdale. The teams will be arranged in clusters working with and wrapped around general practice. They will be able to build relationships with practices in the interest of patient care being delivered in multi-disciplinary approaches. The proposed model will be based on the following:  Health and social care teams will be integrated, particularly for the frail elderly and people with long term conditions. Patients and carers will experience seamless care planned and delivered in partnership.  Patients and their carers will be helped to manage their care and wellbeing so they can live independently.  Urgent care needs will be met quickly and the appropriate services will be easy to access.  Patients will receive standardised care through care pathways agreed by them and their clinicians. They will get the required appropriate specialist input at the right time. There will be no unnecessary spells in hospital and discharge into the community will be instigated as soon as safe and practical. Some of the characteristics of an integrated model will be:  Cross-agency leadership, commitment and governance between partnering agencies.  All partners in the proposed service model understanding the costs and benefits, and the contracting and reimbursement models that would allow integrated commissioning.  A focus on scale to target new interventions at greater numbers of those at risk.  A focus on outcomes, not processes.  Recognition of how regional and sub-regional interventions impact on local delivery.  A demonstration that patient experience is embedded in the design, commissioning, development, delivery and monitoring of services.  A plan to share and commit resources in partnership. We will continue to involve you and keep you updated about details and progress on this programme of work. Thursday 12 September, Rochdale Masonic Buildings, OL11 1DU 1pm-2.30pm, lunch 12.30pm Come and join us on the above date for an update on where we are, and have the opportunity to raise any questions. We hope you can join us. Dr Chris Duffy, Dr Paul Laker, Dr Bob Wood, Dr Lynn Hampson and Dr Hazel Platts To book your place, email [email protected] or call 01706 652826 before 5 September Springhill Hospice at Home For almost 24 years, Springhill Hospice has provided quality palliative and end of life care to local patients and families at the hospice at Broad Lane, Rochdale. In June 2012, the hospice launched a new Hospice at Home service, jointly commissioned by HMR CCG and Rochdale Borough Council. The main aim of the service is to ensure more patients will be cared for in their preferred place of care at the end of life and their families will benefit from the extra level of support this service will offer. In addition, the Springhill Hospice at Home service, working alongside existing community services, is playing a significant part in facilitating a reduction in avoidable and unnecessary admissions to hospital in the last weeks of life and assisting in the process of rapid discharge from hospital for patients who wish to be cared for at home – both key objectives as identified in the HMR CCG End of Life Care Strategy for Adults. The Hospice at Home service consists of a team of skilled, experienced hospice nurses providing a visiting service throughout the day, from 8am to 10pm. The team provides patient care and family support according to the needs of the individual. The timing, length and frequency of visits is flexible and determined by the needs of the individual patient and their family. Night support for these patients and their families is provided by way of a night sitting service staffed by hospice trained nursing assistants from 10pm to 8am, thus providing a dedicated end of life service 24 hours a day, seven days a week. Evaluation of the service is extremely positive in respect of outcomes for both the patients and their families. Following a successful pilot year, the service is set to continue to provide dedicated end of life care services to patients and their families. Further funding has been made available from HMR Clinical Commissioning Group which will secure the service until the end of March 2014. For further information about the Springhill Hospice at Home service, please contact the Admissions Coordinator at Springhill Hospice, on 01706 649920. 03 Provider / partner news RAIDiant Toasty Rochdale – we need your help Rochdale Borough Council is calling on frontline staff and partners to help identify eligible customers who would benefit from free or part-funded home improvements that will save them money on their energy bills. Meet us for breakfast? Breakfast will be provided.  Where: Rochdale Town Hall, Reception Room  When: Around 7,500 people across Greater Manchester, including the Rochdale borough, have benefitted from new and innovative psychiatric liaison services. The initiative, known as RAID (Rapid Assessment Interface and Discharge), is run by Pennine Care NHS Foundation Trust. It involves experienced mental health workers working with hospital colleagues to support people with mental health or alcohol problems. Read the full story online. 8-9am, Wednesday 11 September Why you? You and your team have been identified as people who could greatly assist in reaching many more householders who may have cold or poorly heated homes this winter. Through your work, you come into contact with the targeted audiences: low income families, benefit recipients, older people and families or individuals living in older properties. These customers are most likely to benefit from additional support from the Toasty Rochdale scheme. Education and training The council is offering you breakfast and a chance to find out how you can help your clients. They will provide you with an introduction to Toasty Rochdale and a pack of leaflets for you to use to publicise the scheme to potential eligible customers you feel need some extra help. It’s important that as many people from across Heywood, Middleton and Rochdale take up this offer of help and support while this programme is available. Benefits to your service include reduced fire and flooding risks, improved health and wellbeing and reduced crime. Let’s get more homes in Rochdale toasty in time for winter! To register, please contact Helen Wilkinson, Communications Officer, on 01706 925349 or email [email protected]. If you want more information or would like to bring along other colleagues, please get in touch. 04 innovative mental health project Tell us sessions The council’s top bosses are opening their doors to Rochdale’s children and young people and GPs are urged to ensure young patients are aware. On the first Thursday of every month, anyone aged 11 and over is invited to speak to Gladys Rhodes White, Director for Children’s Services, and Councillor Donna Martin, Cabinet Member for Children, Schools and Families about any topic. Whether it’s something they’d like to change in their community, or a teacher that has made a positive difference in their lives, as long as Rochdale’s young people have something to say, the council wants to hear it. The drop-in sessions take place at Number One Riverside on the first Thursday of each month, from 4.30pm to 6pm. Posters will be sent to all practices to promote these events, so if you could please display them in a prominent position it will help support the work of the Rochdale Improvement Board. Provider / partner news Plans to develop a new strategy for district nursing District nursing is the foundation of a large proportion of adult care delivering planned, unplanned and end of life care. The key to the success of district nursing is the emphasis on care closer to home, increased capability to support long term conditions through clinical skills, care coordination, more use of technology and integration of community teams. However, as with all services, there is an opportunity to review, redesign and transform district nursing to meet the future care challenges and identify opportunities for innovation. In order to deliver this, Pennine Care NHS Foundation Trust has launched a project to develop a new district nursing strategy and drive transformation forward. Over the next 12 months, the project will seek to develop a strategy for district nursing that:  takes account of the Department of Health’s national vision for district nursing  is responsive to commissioning intentions  takes account of the views and experiences of staff, GPs, service users and partner agencies  clearly defines the core business of the district nursing service, articulating the outcomes expected and the scale of service required  ensures the service consistently delivers against agreed common standards reducing variation, but allowing for flexibility to meet diverse needs in the community and local commissioning plans  ensures robust clinical governance of standards and practice  raises the profile of district nursing and recognises the service’s role as the cornerstone that underpins the delivery of many planned and unplanned episodes of care  develops and puts in place a plan for the future workforce that has the capability and profile to sustain high quality service delivery The project is being led by Jackie Taylor, Service Director for Bury Community Services, and Ian Trodden, Director of Nursing. The project’s key work streams are benchmarking, engagement, workforce, technology, performance and service redesign. Pennine Care recognises the need to ensure that any review and subsequent plans reflect stakeholder needs and commissioning intentions. Therefore, as a priority stakeholder of district nursing services, the trust would like to closely engage and collaborate with the CCG and GPs on this important agenda and hopes that we can jointly develop a strategy that improves patient care. The trust is currently in liaison with the locality engagement leads to agree a collaborative approach. If you have any queries about the trust’s plans, please contact Jackie Taylor, Service Director, on 0161 762 7359. New video about preventing and treating bed sores The Pennine Acute Hospitals NHS Trust has released a new video for its staff and the public about how best to treat and prevent pressure ulcers. In the video, Judy Harker, specialist nurse consultant for tissue viability at the trust, talks about what can be done to combat and treat what is an entirely preventable condition in the majority of cases. Find out more on PAHT’s website or watch the video on YouTube. CCG News – future editions CCG News is produced on a monthly basis. The information that it includes will be determined, to a large extent, by you. Please let us know your thoughts about this issue and what you would like us to include in future issues. Contact us at [email protected]@nhs.net 05