CCG

Integrated Care Communities in West North & East Cumbria, Stakeholder briefing – September 2017 (sent on behalf of Cumbria Partnership NHS FT)

Work to join up health and care services is progressing in west, north and east Cumbria through the development of eight ICCs. The following briefing for staff and stakeholders provides an overview of the progress that has been made to date, new ICC web pages and a summary of the communications and engagement approach that will be taken.

Please share this within your organisation through your usual channels. We will be issuing a press release next week which explains ICCs to members of the public and would appreciate your help sharing this on your websites and social media channels.

What is an ICC?

An Integrated Care Community works together to improve the overall health and wellbeing of local people by:

  1. Joining up health and care services
  2. Providing more care out of hospital
  3. Supporting people to manage their own health

Health and social care professionals, GPs, the voluntary sector and the community will work as one team to achieve this. By understanding the challenges that each area faces, and using the knowledge and experience of service users, the community can work together with health and care organisations to improve their health and wellbeing.

Why Integrated Care Communities?

The ICCs are being developed in response to the changing needs of the population which the current system is struggling to cope with. A growing elderly population with increasingly complex health needs mean people often spend longer in hospital than they need to or are admitted to hospital when it could have been completely avoided in the first place.

Health and social care professionals, GPs, the voluntary sector and the community are working as one team in each ICC to improve the health and wellbeing of local people.  They are focusing on helping people to manage long term health conditions, improve access to information about healthier lifestyles and providing more care out of hospital. They will focus on helping people to stay well and working with local communities, empowering them to take a more active role in their health and wellbeing.

ICC information now online

Information is now available online for each ICC on the North Cumbria Clinical Commissioning Group (CCG) website. It explains the areas covered, the health challenges that area faces and the progress that has been made as well as links to community groups, ICC contact details and the group of GP practices each ICC covers. The pages will be regularly updated with progress from each ICC.

Visit the new ICC webpages: www.northcumbriaccg.nhs.uk/iccs

Progress to date

New ways of working are being developed in each ICC to achieve the above. These include community teams joining up with North West Ambulance Service (NWAS) to help keep people out of hospital and musculoskeletal practitioners working in GP practices to ensure people with problems such as back pain can be seen quickly, by the right person. Work is underway to identify frail and elderly patients and put steps in place to prevent falls before they happen and work is progressing with communities in Alston, Wigton and Maryport to develop alternative models of care to hospital beds.

Communications & Engagement

Engaging with local communities will play a key part in the success of ICCs. Services will be developed and improved through co-production which means drawing on the knowledge, ability and resources of service users, as well as providers. This recognises that communities and service users have valuable experiences and insight that can help shape future health and care services.

A communications and engagement plan has been developed to set out the overall approach for sharing information and working with local people and stakeholders. Each ICC will develop their own individual plan, working with the community to do so. All communications and engagement aim to be done using the following principles:

  • Open to all: working with communities right from the start, including hard to reach groups.
  • Flexible: working with individual communities at a time and place that suits them.
  • Responsive: listening to and acting on feedback.
  • Clear: being honest and open in our messages and using plain English.

Progress will be updated regularly on the new ICC webpages, through partner organisations, social media and the local media as well as events and meetings.

Some colleagues may have received an invitation to attend an ICC workshop; these are taking place at different locations over the coming weeks. The aim of the workshops is to continue the dialogue about integration and present an opportunity to start to build relationships and networks. We also want you to take the opportunity to shape and influence how the new services will work.

For colleagues who are based in and working closely with partners and communities in the south of the county; there is a similar approach being taken – information about the ICCs in the south can be found here.

Leaders are currently agreeing the process and format for sharing the vision and next steps. It has been agreed that there will be an event in October 2017 to bring together colleagues with a view to exploring opportunities for integration. More details about this and the emerging model will follow shortly.

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Sign your organisation up to Compass in Cumbria today!

 

The Compass in Cumbria Project is a joint partnership linking together Third Sector and Public Health in a new way. Third Sector organisations provide specialist knowledge and support for a huge variety of conditions. Compass in Cumbria seeks to bring those organisations together, promoting partnership working and assisting in getting the people of Cumbria the best support they need to manage their conditions and live well.

There are so many Third Sector organisation doing such vital work in the county. By signing up to Compass in Cumbria, any non-profit organisation (i.e. Third Sector and statutory services) in the county can have access to the facets of the system absolutely free – The Client Record Information System (CRIS), the Multi-Agency Referral Service (MARS), the diary and networking function Placebook, and this very e-Hub to advertise their events, bulletins, factsheets and jobs.

To register, go to either the Resource Centre or the Organisations page, click the button “Register my Organisation”, and fill in the simple form. One of the regional District Administrators – West (Allerdale and Copeland), North (Carlisle and Eden) or South (South Lakeland, Barrow and Millom) – will get in touch to act as a point of contact and guide you through the application.

To complete the application, a member of the registering organisation able to make decisions on behalf of the organisation must sign and return the Data Sharing Protocol and Data Sharing Agreement that will be sent out to you, which will be then Countersigned by the District Administrator. These agreements ensure the relevance and quality of the material all partners agree to upload to the site.

The whole result of this process is the free access to the Compass in Cumbria e-Hub – a professional resource working to streamline services for the benefit of the people of Cumbria.

Working together works for everyone.

The link to sign up: https://www.compassehub.com/

Allerdale Health and Wellbeing Forum

Health and Wellbeing Forum in Allerdale are pleased to announce grant funding for a Wellbeing Advisor role.

Completed forms to be returned to Valerie Ayre, Public Health Locality Manager (Allerdale) at valerie.ayre@cumbria.gov.uk by 9am on Monday 30 October 2017.

They are also looking for a third sector representative to sit on the Forum (role description attached). With the support of Allerdale Borough Council the Third Sector Representative is responsible for representing the collective views and priorities of local third sector organisations through regular meetings with the Allerdale Health and Wellbeing Forum and at key stakeholder meetings and networking events, where representation of, and consultation with the third sector is required. Closing date for expression of interest is 20 October 17

 

NEW Neuro Drop in Centre Barrow – next meeting

Watch the new page – we are planning a new weekly drop in centre at Hindpool Community Centre Barrow in Furness

Thanks to Local GP Dr Farhan Amin and Lesley Graham Public Health Locality Manager with Cumbria County Council we are being supported to start a new regular drop in session.

Our partners include Headway South Cumbria, Parkinson’s UK, The MS Society, Cumbria Partnership Trust’s ABI team, Epilepsy UK and Louise Chance at A Chance for Life.  We hope to include more neurological charities as we develop, but anyone living with a neurological condition will be welcome

 

Initial planning meeting with Shirley Mickalak, Lesley Graham, Glenys Marriott, Christine Wilson, Jan Waddington, Chris Wilson and Vivienne Rogerson

If you are interested in helping or just want to know more, join us at 10.30 am Thursday 12th October at

24 Nelson Street Barrow in Furness LA14 1NF

Please contact me if you would like to be involved:

 

Accessing your patient records

Have you accessed your records yet? If you want to see how Dr Amir Hannan’s practice has enabled patients take a look at his website http://www.htmc.co.uk/pages/pv.asp?p=htmc0520

Follow him on Twitter @amirhannanDr Amir Hannan

Patients have had the right to read their paper records since the 1990s. However, few ever choose
to do so unless there is a problem or a complaint, perhaps in part due to procedural and physical
constraints. With the widespread use of electronic records, it is now much more feasible for
patients to access their own records directly. This presents new challenges and opportunities for
health professionals.

This document has been created primarily by the doctors who pioneered the work to enable
patients to access their own electronic health records. The doctors have explored the opportunities
for people not just to read their records but also to enable them to better look after their own
health, interacting positively with the healthcare system.

It is important that all health professionals understand that new ways of working with patients
become possible with electronic records. However, it is essential to apply these new ways safely
and effectively. This document offers sound principles, developed in conjunction with lessons
learnt, to underpin such changes in clinical practice.

Record Access provides most benefit if used as an integral part of the care process. If patients
access their records, particularly in the context of joint decision-making in partnership with their
health professionals, the result can lead to improvements in their care.

Record Access is a new development and this guidance is intended to be a dynamic document
that will evolve as more experience is gained.

Dr Libby Morris, Chair, RCGP Informatics Group
Dr Bob Milne, Deputy Chair, RCGP Informatics Group
1 September 2010

Check out this link Health Informatics Report (1)

 

Using co-production to build a population health system

This presentation was given by Professor John Howarth
MBBS DTM&H FRCGP FFPH Deputy CEO, Cumbria Partnership NHS Foundation Trust
Professor of Primary Care UCLAN Clinical lead for CLIC and BLIC

Citizen led healthcare

Shared by Cumbria Action for Health Network News (9 May 17)  The presentation was given at the last Cumbria Action for Health Network meeting. It provides some useful context and is relevant to the whole of Cumbria.

If you are not already a member of Cumbria CVS we recommend that you join.  Check out their website – lots of support on offer at http://cumbriacvs.org.uk/

Better Care Together Grange and the Lakes ICC

Last night I attended the Better Care Together meeting at The Marchesi Centre. Windermere LA23 2AF

 

Better Care Together is an initiative that brings together local people with health and care staff from the NHS and Local Government to promote and maintain health and well being. http://www.bettercaretogether.co.uk/

There was praise from Colin Ranshaw for the village community of Staveley north of Kendal and mentions for their excellent pharmacist Anothai Chareunsy  

We shared ideas and discussed how we can make a difference together in the Grange and Lakes area.

Our local contact is Angela.Robinson@MorecambeBayCCG.nhs.uk Tel: 01539 777327

It is really important that everyone supports their local ICC – I shall publish details of meetings when I receive them, but watch the local press and follow @BCTMorecambeBay on Twitter

 

Integrated Care Communities in North Cumbria – Primary and Community Delivery Framework

Developing joined up health & care in communities – via Cumbria Partnership Trust

Integrated Care Communities (ICCs) is one of the terms being used nationally and locally to describe the ambition to join up health and care services in a given community, tailored to the needs of the local population.

5 things you need to know about Integrated Care Communities:

  • An ICC will see health and social care professionals, GPs, the voluntary sector and the community working as one team within one system to support the health and care needs of population it serves. It will focus on helping the population to manage long term health conditions and improve access to information about healthier lifestyles locally.
  • Evidence shows that the most successful ICCs will reduce the overall number of people who need to be cared for in hospital and improve the health and wellbeing of communities.
  • The evidence is supported locally by early work in Millom and Carlisle that has shown that providing more care outside hospital, particularly for the frail and elderly, has led to faster recovery times and enabled more people to be treated at the same time.
  • The leaders from all partners across the system including Cumbria Partnership NHS Foundation Trust, North Cumbria University Hospitals Trust, NHS Cumbria Clinical Commissioning Group, Cumbria County Council, & GP practices have made a firm commitment to develop ICCs and have started work together to provide better support to teams locally, many of whom are already using principles of integrated working in providing care.
  • West, North & East Cumbria has been divided into eight Integrated Care Communities to align with clusters of GP practices and their registered populations. Three Integrated Care Communities managers have been appointed to work across all the organisations in West, North & East Cumbria to support the development of ICC’s with a specific focus on 3 ‘Early Implementer areas’ – Workington, Cockermouth & Maryport and Eden.

This animation of ‘Sam’s Story’ describes the thinking behind the ICCs.

There are 8 Integrated Care communities in the North Cumbria area –

  1. Workington – ICC manager ann-marie.grady@northcumbiraccg.nhs.uk
  2. Eden – ICC manager angela.reynolds@cumbria.nhs.uk
  3. Maryport and Cockermouth – ICC manager vanessa.connor@cumbria.nhs.uk
  4. Copeland – ICC manager – linda.haig@cumbriaccg.nhs.uk
  5. Solway and Keswick – main contact martin.woodman@gp-a82014.nhs.uk
  6. Carlisle Urban (I) also known as Carlisle Healthcare – tracey.scott@gp-a82016.nhs.uk and Eleanor.clark@cumbria.nhs.uk
  7. Carlisle Urban (II) – no ICC management function currently in place
  8. Carlisle Rural – no ICC management function in place but Muriel Nixon was providing some support to the ICC –muriel.nixon@northcumbriaccg.nhs.uk

Catherine Withington is the Programme Manager for the ICC work – now known as the Primary and Community Delivery Framework.  Catherine’s email address is Catherine.withington@cumbria.necsu.nhs.uk

I hope to be able to share links in South Cumbria shortly

Many STPs failing to engage with the voluntary sector – NAVCA

NAVCA has published the annual survey on relations between the voluntary sector and the local health and care system.

 It shows that although relationships are improving overall, in some key areas the voluntary sector is frozen out; Sustainability and Transformation Plans (STPs) where local health services are commissioned are a particularly worrying example.

The findings are:

·         Generally relationships are getting better.

·         There is voluntary sector representation on 79 per cent of Health and Wellbeing Boards,

·         Relationships with CCGs continue to improve.

·         The majority of NAVCA members have good or excellent relationships with their local Healthwatch.

·         NAVCA members’ involvement with JSNAs has fallen.

 Neil Cleeveley, Chief Executive said “The NHS is facing unprecedented pressure and needs the help of the voluntary sector. Simon Stevens, the chief executive of NHS England, made this clear in the NHS Five Year Forward View. NHS England has also said that local voluntary sector infrastructure is key to helping the NHS work with local and smaller organisations. This survey identifies where the NHS locally is getting it right and that’s to be celebrated. We need those local NHS bodies that are not engaging with their voluntary sector to raise their ambitions”.

 Read more at: https://www.navca.org.uk/news/345-many-stps-failing-to-engage-with-the-voluntary-sector?

New Parkinson’s campaign backed by NHS chiefs

With Parkinson’s Awareness Week taking place between 10-16 April, the Parkinson’s UK charity have introduced a new campaign “We Won’t Wait”, which encourages the public to donate towards research, aiming to find new treatments for the disorder.

Doctors at Morecambe Bay Clinical Commissioning Group (CCG) are supporting the campaign to help find new treatments for the condition, as well as educating the public on what treatments are currently available.

The last significant drug discovery for Parkinson’s disease was over 50 years ago and campaigners are keen that more is done, so that people who suffer from the disorder can benefit from improved treatments. Parkinson’s affects part of the brain and over time the condition is deteriorative. The most common symptoms include tremors (involuntary shaking of parts of the body), stiff muscles and slow movement.

Parkinson’s disease is a serious condition; there are an estimated 127,000 people in the UK, who suffer from the disorder.

The treatments currently available to help reduce the symptoms include:

  • Physiotherapy and occupational therapy
  • Medication
  • Surgery

A number of people who suffer from the disease respond well to the treatment and their quality of life is enhanced; however, in a few cases, patients do not respond well to treatment and for this reason, campaigners are keen that research into new treatments continues.

Dr Alex Gaw, from Morecambe Bay CCG, said: “There is still a lot that needs to be done for people who suffer from Parkinson’s disease. This is why I am calling upon local residents to support the Parkinson’s UK charity, so more money can be spent on research into new life-changing drugs.

“If you feel you are experiencing symptoms of this disorder, I would suggest seeing your GP for a consultation. They may refer you to a specialist for further tests if needed.”

For more information about the charity, Parkinson’s UK, which can help people who are living with the disease and provide them with support groups in their local area, call 0808 800 0303 or email hello@parkinsons.org.uk

NHS Choices is also available for anyone who needs any help or advice regarding the disorder.