Month: March 2018

Critical Care Network Lancashire and South Cumbria


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I was pleased to attend the Network Quality Improvement event in the Marriott Hotel, Garstang Road, Preston, on Thursday 22nd February 2018.

One of my voluntary roles is to advise the Critical Care and Major Trauma Network Board about issues pertinent to patients and their families and I was delighted to be able to recount comments shared with me over the last 6 months.  I included abstracts from the Neurological Alliance Patient Survey, the distress of patients experiencing hallucination whilst unconscious, patient information leaflets, legal advice in the Tertiary Centre in Preston, and our Changing Places work.

If you have experienced a stay in critical care or neuro rehabilitation after major trauma and would like to share your comments please do email me at

We are delighted that Claire Horsefield has been appointed the new chair of CC3N. Claire is the quality Improvement Lead Nurse for the Lancashire and south Cumbria Critical Care Operational Delivery Network, a post she has held since 2014.





Call for more retailers to become Disability Confident

The Minister for Disabled People, Health and Work, Sarah Newton, is encouraging more retailers to realise the benefits of employing disabled people as the government launches a new campaign to get retailers to sign up to its trail-blazing Disability Confident scheme.

Read more


About Disability Confident

The Disability Confident scheme, launched in November 2016, provides employers with the skills, examples and confidence they need to recruit, retain and develop disabled employees.

The scheme was developed with employers, disability charities, and disabled people.

Find out more  –

Via Disability Rights UK

Care Assessment Cumbria County Council

We welcomed Tom Burden to our February meeting in Carlisle.

Tom has been doing a lot of work on developing an updated version of Care Assessment, which is (hopefully) far more user friendly. This will be what Social Workers and Occupational Therapists use when they come to assess a person. In addition to this piece of development  he has simultaneously been devising a self assessment version of the same form, which would allow someone to start this process themselves, and therefore be able to input their details and issues in a planned way before they meet up with a Social Worker or Occupational Therapist.

We have been speaking to people who might use a self assessment tool or a supported self assessment tool and Tom offered our members the chance to be included in the trial.

Tom Burden Project Delivery Lead | Transformation Team Resources and Transformation | Cumbria County Council

Cumbria House | 117 Botchergate | Carlisle | CA1 1RZ

m: 07795541289

Changing Places toilets Carlisle

I’m delighted to have teamed up with Carol Klein Occupational Therapist, Carlisle, the Cumbria Cerebral palsy society support worker Jane Brown, Kirsty Smith Physio, and Maureen Arca a parent.

Maureen came to address our Neurological Alliance meeting at the Hospice in Carlisle and shared details of their priorities in the City.

These included The Sands, The Lanes Shopping Centre and a County Council building which now has a changing places room but is not open at weekends.

We shall continue to pursue better provision in the area.


The European Committee of Social Rights (ECSR)

ECSR has published its annual conclusions on health, social security and social protection  for 2017.

View conclusions

These conclusions concerned the articles of the Charter relating to the thematic group “Health, social security and social protection”:

  • the right to safe and healthy working conditions (Article 3),
  • the right to protection of health (Article 11),
  • the right to social security (Article 12),
  • the right to social and medical assistance (Article 13),
  • the right to benefit from social welfare services (Article 14),
  • the right of elderly persons to social protection (Article 23),
  • the right to protection against poverty and social exclusion (Article 30).

The Committee found that the situation in the United Kingdom is not in conformity with Article 12 section 1 of the 1961 European Social Charter on the grounds that:

  • the level of the Statutory Sick Pay (SSP) is inadequate
  • the minimum levels of the Employment Support Allowance (ESA) are  inadequate
  • the level of long term incapacity benefits is inadequate
  • the level of unemployment benefits is inadequate

Tapping the potential – Lessons from the Richmond Group’s practical collaborative work in Somerset

New Care Models Evaluation

A policy report No hospital is an island – learning from the acute care collaborations,
highlights initial learnings from the acute care collaboration established in as part of the new
care models programme. This includes the Neuro Network, centred on the Walton Centre.

Findings include:
• High satisfaction with the nursing advice line and Integrated Neuro Nurse Specialist project
• The Neuro Network’s Consultant Advice Line has reduced the need for outpatient referrals,
leading to significant cost savings
• The direct replicability of some of the models such as the Neuro Network may be limited
because of their unique nature