Building Healthy Communities Public Event 14 April 2016
Agenda Time Activity Presenter 18:00 – 18:05 Introductions and welcome Steve Gilvin 18:05 – 18:10 Community Health Services - Context Dr Stuart Sutton 18:10 – 18:15 Purpose of the evening Ian Tritschler 18:15 – 18:20 My journey through the NHS Philip Varlow 18:20 – 18:30 Question & answer session All 18:30 – 19:30 Facilitated brainstorming sessions Yasmin Ajmal 19:30 – 19:45 Feedback from groups Facilitators 19:45 – 19:50 Next Steps Dr Shivam Natarajan 19:50 – 20:00 One Word Yasmin Ajmal
Voting system – Test Question Have you seen any article or advertisement about the Newham community health services programme in the magazines (Newham Recorder/ The Newham Mag)? A. Yes B. No Using the keypads provided to you press one best option only for the voting questions.
Introductions and welcome Steve Gilvin Chief Officer , Newham , CCG
Our priorities Our strategic goals •Improving health outcomes through developing models of integrated care and focusing on prevention • Reducing inequalities and improving accessibility • Reducing quality variation Over the next 5 years we will aim to deliver all aspects of our core strategy “ Transforming S ervices Together” which will ensure : • Better care for our people • Better outcomes for our patients • Financial stability
Building healthy communities- central role! Wellness Why we need to change? • Our population is projected to grow considerably • Our hospitals face unprecedented Strong Building demand Care Sustaina healthy Close to • We need to change to a social ble home communities model moving away from the hospital current medical model. • Our workforce is stretched • We need to improve the quality of care and patient experience. Integrate care
Community Health Services past, present and future Dr Stuart Sutton GP Lead and Co-Chair, Newham CCG
• Community nursing such as district nursing • Home care • Wellness programmes • Tele-health • End of Life care • Rehabilitation • Care on Discharge • Physiotherapy, Podiatry • Phlebotomy • Care co-ordination • Long term conditions management, e.g. Diabetes Service An opportunity for us to define what will meet our local priorities and needs
Vote 1 How would your rate the current community healthcare services in Newham ? A. Very good B. Good C. Satisfactory, need some improvement D. Poor, need radical change
Our proposed vision Large acute Care Close based MDT teams to home services Nursing/ Multiple Residential homes disconnected Small community Building Integrated services Healthy Enhanced Community Social Care primary Communities care Hub Social care system- separate Voluntary service Reduce Improved Multiple hospital outcomes & access points visits &stay experience and teams Care locally accessible and responsive to patient needs provided in community or in people’s homes rather than hospital
Our evolving healthcare services Past Present Future Fully Multiple Enhanced Integrated hospital care at proactive care visits home including wellness programme
Vote 2 What would be the most important achievement of this programme? A. People can be cared for at home or in the community instead of having to be in hospital B. Better access to a wider choice of community health services C. Promoting healthy living and wellbeing and preventing illness D. Residents receive the right care, when they need it E. Enable patients and their carers to live independently and remain socially active F. Provision of joint health and social care services from one location
Building Healthy Communities timelines and update Ian Tritschler Director of Acute and Community Commissioning , Newham CCG
Building Healthy Communities programme - Update • Vision and scope • • Patient & public Delivery models • engagement Pathways • • Needs analysis Financial • Provider events analysis listen and design and procure plan & start engage test service new service June Feb-Aug Mar- Sept Oct 2016- 2017 - 2016 2016 May-2017 Feb 2018
Engagement so far • Over 450 patients and public • Engaged with over 100 GPs, clinicians and staff • 11 focus group meetings and workshops • 8 site visits ...And continuing!!!
What you have said … Keep us informed Care in Self community Management or home More choice Prevention Family as a Joint unit decisions Faster Single health diagnostics record Ease and speed of access
What is the focus for today • An interactive workshop • Tell us about your needs and expectations from a community health service which is fit for the future • Understand better the current challenges and problems you are facing • Help define what would excellence in community health services mean for Newham • Help prioritise the changes we plan to make
Vote 3 Which of the following do you think will be most important to ensure this programme is a success? A. Integrated health and social care teams working together from the same building. Have number of such centre across the borough B. A team to co-ordinate all the different aspects of my care to help keep me out of hospital C. Care that works around me and my needs and supports me to look after my own health D. Single point of access to all my healthcare services – just one telephone number or email to get whatever care I need E. A single shared health and care record that can be used by me, my carers and professionals
My journey through a transforming health service from illness to wellness Phillip Varlow Patient and Public Representative , Newham
February 2010 – Silvertown Ward, NUH
Community Health Service
20 th March 2016 – Sports Relief Mile Run
Vote 4 If we get this transformation programme right – how will we know? How should we measure success? Fewer people need to be admitted to hospital – more people are A. being cared for at home People’s experience of using our community services is much B. better and we see a reduction in complaints C. People recover more quickly from an illness and can return to independent living Number of times a person’s needs were addressed in the first D. contact/ appointment – ‘we get it right first time’ E. Reduction in complications for people living with long term conditions – eg fewer people with diabetes developing kidney, nerve or eye problems F. More People supported to have End of Life care provided at home
Q & A Session
Brainstorming Sessions
Scenario 1 Scenario 2 Mohammed is 55 years old. Case 2 - Jenny He has diabetes Jenny is 92 and lives alone in her house with stairs. She has COPD, He has kidney disease requiring dialysis three times a week at Newham hospital. She also has a foot ulcer which the district nurses come to her house to He sees his diabetes specialist in East clean and apply a dressing twice a Ham, his podiatrist for his feet in week. Stratford and his GP surgery is near his home in Manor Park. She was given a printed out care plan from her GP He suffered a stroke two years ago Camilla is Mohammed's Care Navigator Jenny was in hospital for 2 weeks - - she is available in working hours although her chest was better after 3 days her discharge home was delayed His GP has to ask his wife what the because it took a long time to arrange other teams have agreed for his care as the carers she would need at home to letters can take some time to arrive in help her whilst she regained her the post. strength.
Activity 1 – what is happening already? • Read through the case scenarios on your desks • In your groups, think about what is already working for the patients using a scale of 1 – 10, with 1 being no treatment or support at all and 10 being fantastic and excellent services • Once you have given ratings, think about what is happening: 1. What difference does this make? 2. How does this help? • Exercise (15 minutes)
Feedback from brainstorming sessions
Activity 2 – what if things were to improve? • Let’s imagine its now 2020 and patient care and services have improved beyond expectations • In your groups, think about what the patient experience is like in regard to: 1. Services to manage your health, support you to remain in your home and to live as independently as possible 2. Communication and accessibility 3. Preventing conditions getting worse or developing complications Any other aspects of your or your carer’s life 4. • Discuss the impact these changes will have on the patient and the carer • Exercise (15 minutes)
Feedback from brainstorming sessions
Activity 3 – prioritisation • Pick 2 things that you think will have the biggest impact on the management of people’s health • In your groups, discuss what will be happening in these 2 areas, why they should be prioritised and what evidence you would want to see to demonstrate that things are working well • Think about the 2 points you would want Commissioners to focus on that should be considered for future community health services • Exercise (15 minutes)
Feedback from brainstorming sessions
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