Annual Showcase June 19 th 2019
Duke of Edinburgh Student volunteering project Lucy - Whitecross School, Year 9. https://youtu.be/rZFo7-N0W-U
Welcome & Introductions
Ewen Archibald - Head of Community Commissioning and Resources Adults and Communities Herefordshire Council Working with communities
Highlights from 2018-19
Results of Voting for our priorities in 2019-20 Votes on Healthwatch Priorities for 2019-20 Digital technology in health & social care 34 Oral health 29 42 Men's health Reasonable adjustments 52 Total 151 Prevention votes 544 Mental health 236 0 50 100 150 200 250
Our Main Projects for 2019-20 1. Mental Health 2. Prevention & Self-Care 3. Reasonable Adjustments 4. Men’s Health
NHS Long Term Plan Engagement Results Why? The NHS published a 10 year plan in January 2019. Our health & care system across Herefordshire and Worcestershire wanted the views of the public to shape the implementation of this plan. What did we do? 528 people responded to 8 • Out of hospital local care • Emergency services online surveys from 15 th • Specialist services March – 1 st June 2019 • Prevention & self-care • Health inequalities • Learning disability & autism services 1,182 people took part in • Mental health care for children focus groups 15 th March – 3 rd & young people • Mental health care for adults June 2019
Major themes Out of hospital local care Emergency services • • Ensure there is appropriate resource Improve health education for self- care and capacity in the community to • deliver this model of care Simplify and publicise information • about the options available for Integrated patient record systems for services urgent same day care • • Improve timely discharge Multi-disciplinary teams in community hubs coordination • • Increase access to the GP Increase access to GP’s Prevention & self-care Specialist services • Make support groups more attractive • Consider patient population and and accessible transport options when choosing • Educate families through schools locations • Address low level prevention of • Specialists could travel to smaller mental ill health hospitals for Pre and post op • Doctors should be more direct with • Seamless transitions between patients about the need to change specialist centres and local aftercare lifestyle • Utilise the expert patient model
Major themes Health Inequalities Mental health care for adults • Increase free access to sports • • How and who defines a crisis? Increase services to 24/7, increase • Increase access. Accessible 24/7 service access to GP’s and promote what is • Improve integrated working between available in alternative formats. • services Target resource in disadvantaged areas • • Clear information about where to go for Community work to identify groups at help risk, early intervention • Place of safety available 24/7 • Train all professionals in mental health Mental healthcare for children & young people Learning disability and autism services • Improve waiting times for all levels of • Quick access to early diagnosis support and increase times to 24/7 • Listen to family and carers • Make use of peer support models • Reasonable adjustments in GP • Tackle bullying surgeries • Reduce stigma and increase resilience in • Increase awareness of these conditions schools in general public • Increase whole family support • Multi agency approaches to • Improve transition from children to coordinated care and support adult services
What did young people say? What should the NHS do to help mental health for young people? What can schools and colleges do to help the mental health of young people?
NHS Long Term Plan – Next Steps Jade Brooks Director of Operations Herefordshire Clinical Commissioning Group
The NHS Long Term Plan and the Next Steps Find out more: www.longtermplan.nhs.uk
Background In June 2018, the Prime Minister made a commitment that the Government would provide more funding for the NHS for each of the next five years, with an average increase of 3.4% a year. In return, the NHS was asked to come together to develop a long term plan for the future of the service, detailing our ambitions for improvement over the next decade, and our plans to meet them over the five years of the funding settlement. That plan has now been published.
Delivering the ambitions of the NHS Long Term Plan To ensure that the NHS can achieve the ambitious improvements for patients, the NHS Long Term Plan also sets out actions to overcome the challenges that the NHS faces, such as staff shortages and growing demand for services, by: 1. Doing things differently 2. Preventing illness and tackling health inequalities 3. Backing our workforce 4. Making better use of data and digital technology 5. Getting the most out of taxpayers’ investment in the NHS
Clinical Priorities In Herefordshire, we will: • Work with our partners, e.g. Herefordshire Council, to tackle some of the most significant causes of ill health, such as help people stop smoking, overcome drinking problems and avoid Type 2 diabetes, with a particular focus on the communities and groups of people most affected by these problems. • Speed up Cancer diagnosis to 28 days from referral to diagnosis. • Further develop programmes of improvement in Cardiovascular disease, Cancer, Maternity, Mental Health, Stroke, Diabetes and Children and young people’s health.
Primary and Community Services In Herefordshire, we will: • Form five Primary Care Networks serving 30-50k people • Actively manage population health and target support where needed. • Develop multi-disciplinary teams in community services, offering rapid response to those that need it. • We are working across Health and Social Care as statutory agencies to improve collaboration across local community services. • This recognises that more people should receive earlier support to keep well and self-manage, and people should receive support to recover at times of ill- health.
Mental Health Services In Herefordshire, we will continue: • Grow range of mental health services and offer improved access for people • Continue to improve dementia care • Improve crisis care (and early intervention) • Develop mental health support for children and young people • Greater access to talking therapies for people with mild and moderate mental ill-health.
Acute Services In Herefordshire, we will: • Continue to look at ways to reduce pressures on Accident and Emergency Department • Continue to improve Same Day Emergency Care (diagnosis and treat on the same day and discharge where appropriate to home or other place of care) • Change how and where outpatients services are delivered • Continue to reduce people waiting long times for treatments
Making better use of digital technology The NHS will: • provide more convenient access to services and health information for patients, with the new NHS App as a digital ‘front door’; • provide better access to digital tools and patient records for staff. • Locally, we are supporting community services to use the same system. Digital enabled care will develop from 2020. This will include GP consultation via telephone or online. Extra support to residents in care homes and advice to care home staff. • Continue working with Herefordshire Council and community services to make the most of assistive technology to support people within their own home.
Refreshments & Networking
What impact are we having for people? https://youtu.be/LCWWIG3Rhes
Dementia Engagement Report A my Chandler – Healthwatch Engagement Officer
Outline of the Project Main Focus • Experience of the journey from diagnosis / What to expect after diagnosis / Experience across the whole pathway and living with the condition Additional Focus Point • The public’s general awareness of dementia / raising awareness and reducing stigma / Barriers to people seeking help with onset of memory issues and considering diagnosis Additional Focus Point People with a learning disability who have dementia •
Findings • Overall – generally positive comments • Support following diagnosis • Respite • Carers • Social care
Challenges with Engagement • Some people living with advanced dementia aren’t able to comment about their experience, so we relied on family members or carers. Family members are harder to reach if people living with dementia are in a care home. • The condition is still a difficult subject to talk about • Accessing people who don’t want to access support groups • There doesn’t appear to be a simple leaflet or communication which can highlight the benefits to an early diagnosis to the public
Recommendations • A single point of contact • Varied methods of trusted information for families/carers • Campaign to highlight benefits of an early diagnosis • Easy information on planning for RESPECT care (Lasting Power of Attorney, social care funding / CHC) • Expanding on Dementia friendly communities (Hairdressers, shops, banks etc) • Increase in Meeting Centre models in areas such as Bromyard, Ledbury & Hereford • Support with form filling /education sessions for carers • Thinking about respite in alternative ways
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