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Annual General Meeting 2014

On Wednesday, September 24, 2014, NHS North East Hampshire and Farnham CCG held its first annual general meeting. The event gave us the opportunity to look at how the CCG has developed in its first year and what has been achieved for patients in this time.

There were a number of speakers at the event. Dr Andy Whitfield, chair and clinical lead, spoke about the year in review. He highlighted our unique geographical position and what this meant for patients. He spoke of partnerships – both clinical and those with partner and provider organisations. A video about the CCG’s first year also accompanied his presentation.

Dr David Brown spoke of how GPs and the CCG are working together for both the benefit of patients and general practice.

Colette Lane, a patient, spoke of how the Safe Haven Project at the Time Out Café has helped her and many others who have used the out of hours service when suffering a mental health crisis. A video showed other service users experiences of the café.

Dr Arfan Ahmed and Dr Sharon Boylett introduced a video about the singing group called Lungs Aloud - a group for people with breathing difficulties.

Maggie MacIsaac, chief officer, and Dr Peter Bibawy presented last where they discussed the CCG’s five year strategy, the financial challenge ahead and the six improvement programmes that will make a real difference to not only outcomes for patients but as well to help bridge the financial gap that we are currently facing.

The CCG's new lay member, Kathy Atkinson did a wonderful job at comparing for the event.

Attendees were also given the opportunity to walk around exhibitions from both the CCG and partner organisations including Southern Health and Virgin Care. At the end of the event the audience asked questions for our Governing Body to answer.  

Attendees were given a summarised version of our Annual Report and Five Year Strategy

The videos played at the event are below:

 

Questions asked at the event

 

How do GPs balance their time with patients against all these new meetings?

The clinical leads and the Governing Body GPs dedicate a set number of sessions per week to their CCG work. This is separate to the time they work within GP practice.

 

Is the funding for the Safe Haven Project (Time Out Café) assured from November 2014? It is obviously helping people and saving time in A&E?

Funding for the café in Aldershot, which is open seven days a week for those in mental health crisis, is secured until 1 April 2015.

This pilot project is being carefully evaluated, and a decision on future funding will be made following this evaluation.

 

Any figures on how the Time Out Café has reduced A&E admissions?

Calculations so far indicate that the around 15% of the attendances at the café would have resulted in an individual going to A&E if the café had been unavailable.

However we will have a much clearer picture at the end of the year.  We are hoping to obtain funding from the Academic Health Sciences Network to support us with in depth analysis as part of our evaluation of this project.

 

What are the three most significant challenges that the CCG is facing over the next three years?

The three most significant challenges faced by the CCG over the next three years are as follows 

Money: All public services are facing a financial challenge.  We are fortunate in NHS North East Hampshire and Farnham CCG to have a strong set of service providers and we have not faced some of the difficulties that other parts of the NHS have.  However, we cannot be complacent.  Looking ahead  we face a £50 million challenge.  It’s imperative that we continue to work with our communities to help people stay healthier for longer, avoid unnecessary expensive treatment in hospital and reduce the bureaucracy and duplication between different parts of the health and social care system.

Complexity: We all know that we can provide more joined up services across health, social care, the voluntary sector and other public services such as housing.  With our CCG population being close to many different boundaries, for example two County Councils, different district and borough councils and many of our services provided in Surrey even if you live in Hampshire – we are going to have to work very hard to achieve this for our population.  We are committed to making this happen and have very positive relationships with our partners which means that we are confident that we will make significant progress on this during 2014 and into 2015. 

Workforce: As our population grows and their needs increase over time, having the right skills to meet health and social care demands is essential.  In common with many areas of the NHS, we face a challenge to recruit and retain an optimum workforce at times.  We will continue to make every effort to use the right skills in the right place and at the right time to benefit patient care and this includes the creation of new roles when required.

 

How are we improving access to GPs?

We recognise that access to GPs is very important to our patients. We will be working with our GP Practices to identify how access can be improved. This may include extended opening hours, electronic access to GPs , use of other professionals for primary health care advice as well as working with  Healthwatch  Surrey.

 

What additional services does the CCG hope to introduce at Farnham Hospital and will these improve the financial viability of the hospital and its GPs practices?

In its five year strategy NHS North East Hampshire and Farnham Clinical Commissioning Group has very ambitious plans to transform its health and care system.  There are a number of key programmes of work to ensure we provide, innovative, high quality, patient focused care in a community setting. 

We recognise our community hospitals as valuable local assets which will help us deliver our local integrated working. 

There are a number of pilot projects that could potentially expand and/or redesign the services provided at Farnham hospital.  These include:

  • A full review of the falls services provided in North East Hampshire and Farnham Clinical Commissioning Group.  In order to provide equity of services to our communities we are currently reviewing the falls assessment service at Farnham Hospital. 
  • We are currently developing a Discharge to Assess pilot which includes a review of our community hospital bed provision including Fleet and Farnham Hospital as well as the inpatient beds we commission for patients with mental health.  The Discharge to Assess pilot will establish trusted assessment, integrated health and social care delivery, enhanced access to rapid assessment and diagnostics, enhanced recovery and support at home.  There is an opportunity to pilot the Discharge to Assess model at Farnham Hospital.
  • North East Hampshire and Farnham Clinical Commissioning Group is currently developing a proposal to deliver more community geriatric services, providing specialist clinical experience in a community setting.  The CCG is currently scoping this project and the potential delivery model across its locality.

We recognise that there is more work to do.  We are eager to engage with people who use services and service providers.

 

What improvements in community services do you expect in the coming years?

We want to see our community services operating in a more joined up way with primary care, acute care and other agencies.  This benefits the patient, and makes best use of all resources (not just financial).

We want more person-centred care.  This means that care is provided around an individual’s needs, whether these are physical or mental health needs. 

We want to see our community health workforce becoming more resilient through working in partnership with other agencies and using nursing skills at the right time and in the right place.

Finally, we want to see the quality of our community services improve with good feedback from people using services and their carers, as well as a reduction in the incidences of infectious diseases.

 

Where are services for children with autism on your agenda? How do you plan to meet the need?

Representatives from the CCG are arranging to meet with the Mustard Seed Autism Trust. 

We have been working closely with Hampshire County Council to develop a Hampshire Autism Strategy for Children and Young People, and this is currently out for consultation.  It outlines the proposed priorities for Hampshire. 

The draft strategy for consultation is available from Hampshire County Council’s website, and comments can be made online: http://www3.hants.gov.uk/autism-consultation

Representatives from the CCG regularly meet with the National Autistic Society in Surrey and Children and Adolescent Mental Health Services (CAMHS)  to discuss how services can be improved .

We are currently procuring a new service  for CAMHS in Surrey but also  including in this  a review of services for children  with ASD and ADHD . We also are focusing on differential diagnosis with ADHD and Autism and engagement with CAMHS

 

How do we get our services known to the CCG and what is the process for meeting with the CCG to discuss how we can work together?

We are a very collaborative CCG and we look to many partners for ideas and joint solutions.  We have strong relationships with the voluntary sector too. 

You can get in touch with us through our website and enquiries will be targeted to the right person in the CCG. 

 

Is there a clinical lead for neurological conditions such as MS and Parkinson's, which typically (for Parkinson's) benefit from a multi-disciplinary approach and may be further complicated by other conditions (eg arthritis making mobility a real issue).

We have a Governing Body GP lead for planned care who would oversee this work along with the rest of his portfolio.

We do not, at present, have a dedicated clinical lead for neurological conditions, but we will review if evidence demonstrates that this is required. 

 

Why is AQP Hearing not available in Farnham when it is in the rest of the CCG? When will it be available for people to be seen on the 'high street' in Farnham?

Audiology AQP (any qualified provider) was commissioned by the former Primary Care Trusts in 2012. Surrey PCT did not commission audiology services, however Hampshire PCT commissioned audiology services. Specsavers were successful in the procurement and are providing community based services in a range of locations across Hampshire.

 

How does the CCG monitor quality in services for its local population?

We work hard to ensure that local services are safe, caring, responsive, effective and well led.  We put quality at the heart of all we do and we act quickly to put things right when they do not go as well as we would have liked. Ensuring high quality services requires collective effort, working together with patients and the public and with colleagues at all levels within and between organisations that provide health care and beyond (e.g. social care, public health).

We have in place a framework to ensure that the CCG is commissioning high quality services. This framework brings together a wide range of information from many different sources. This includes ‘hard’ data (e.g. quality standards set out in NHS contracts, healthcare acquired infection data, complaints data and serious incidents data) and ‘soft’ data (e.g. patient and health professional feedback, walkabouts, quality networks). We gather this information and cross reference it to ensure we know where we should focus our support, identify quality trends and themes and to celebrate and share good practice when excellence in care is delivered.

We also ensure that we listen to what people tell us about local services. This feedback is gathered from a variety of sources such as patient experience data, feedback from our patient participation groups, practices and other wider engagement and stakeholder feedback. We want you to tell us your experiences of using local services and some of the ways you can get in touch are through your own GP practice patient participation group, via the CCG website and CCG engagement events.

Working together with patients, providers of services, clinical commissioning groups and other partners, including the Care Quality Commission, local authority and Healthwatch, we bring together all of the information we have about local services and use this to make the NHS even better, for everyone, now and into the future.

 

There is to be a large amount of development in your area. Has the CCG taken this increase in population into consideration when devising commissioning plans?

When we plan for our services for the future we use our Joint Strategic Needs Assessment to consider the type, demand, location and cost of services that our population needs.  We work very closely with our colleagues in Public Health across Hampshire and Surrey County Councils to make sure that our everyday work reflects the needs of our population as well as planning for the future.

Considering the population needs in the future has helped us to be clear about the challenges ahead to help people stay healthier and avoid expensive hospital care so that our budget can stretch to meet the needs of our communities.

The CCG also liaises with NHS England regarding the provision of sufficient General Practice services and community pharmacists.

 

When I spent large periods in police custody suites I was concerned by the large numbers in cells as the only places of safety for people with mental health problems. Has this practice ceased?

We continue to work with partners in the delivery of the mental health crisis concordat which includes reducing the use of police stations as places of safety. 

The next multi agency group is in October and mental health commissioners will be attending.

 

Why is there so much difference in the treatment and supply of medication for diabetics? Following guidelines by Diabetic UK more needs to be done. Eg 1 example is the issue of the test strips some practices prescribe, some don’t unless you are on insulin.

Medication will depend on which type of diabetes a person has and on individual needs and situation. The National Institute for Health and Care Excellence (NICE) has produced guidelines for the management of diabetes for clinicians to follow. Self-monitoring of blood glucose is also based on individual needs and the decision on the type of meter and, therefore test strips, will be made in conjunction with a healthcare professional.  Self-monitoring is vital for patients with type 1 diabetes. For people with type 2 diabetes  self-monitoring should form an integral part of the patient’s self-management and the purpose, interpretation of results and action required should be clear.

 

You are already addressing the £150m gap in funding – but how will you handle the additional growth in GP load (+16%, unexplained) and the huge latest demand for mental health services, at primary and secondary levels, not handled by the Improving Access to Psychological Therapies programme?

The CCG recognises the increasing demand on primary care and the significant demand for mental health services. We are undertaking a number of initiatives which will provide improved services to people much earlier in their mental illness.  This will include supporting people out of hospital and closer to their own homes.  These include:

1)      earlier intervention and prevention, for example helping to reduce stigma within the community. This is being achieved via a Time To Change campaign within North East Hampshire and Farnham

2)      working with the third sector to support people with mental illness as early as possible eg via the Time Out Cafe in Aldershot, the Wellbeing Centre and community connections, developing integrated services 'wrapped around' primary care, comprising health, social care and third sector support.  These services will be aimed at helping people as soon as they start becoming unwell, and will enable easy access to both physical and mental health support in one place.

3)      working with our specialist providers, such as Surrey and Borders Partnership NHS Foundation Trust, to intervene much earlier to support people and their carers close to home.

4)      further development of IAPT (Improving Access to Physiological Services) services to support primary care.  The CCG has further invested in this service so that more services are available to support patients who also have a long term condition.  There are also plans to extend the service  so service so that patients can self- refer to IAPT, without getting an appointment with their GP first.

Annual General Meeting 2015

Patient engagement is the way forward

Working with patients to design health and care services is the future, according to the person in charge of planning and buying health services for North East Hampshire and Farnham.

Dr Andy Whitfield, the Chair and Clinical Lead of NHS North East Hampshire and Farnham Clinical Commissioning Group (CCG), closed the organisation’s Annual General Meeting at Farnham Castle by telling the audience: “The powerful message from this evening is about patient engagement and designing services together.

“It is the way forward. It is the future of how health and social care should be designed.

“Our task is to improve healthcare locally and to improve quality in everything we offer to our patients.

“Traditionally services have been designed by the professionals. Actually people who use services have a more accurate idea of what services should be provided.”

During the evening Dr Whitfield and other leading CCG figures and partners outlined the organisation’s performance for the year 2014/15 and highlighted some of its main current activities.[i]

He said: “We have delivered a balanced budget for 2014/15. What that allows us to do is to plan for the future in a more innovative way.

“We have been successful and we fully intend to continue that into the future, involving local people more, working with them to shape the services they need.”

Dr Whitfield spoke of some of the CCG’s success stories, including the Hydrate in Care Homes and the Walk and Live Confidently (WALC) campaigns, both of which have contributed to a reduction in the incidence of fractured neck of femur – an injury associated with falls and a major contributor to premature death among elderly people.

He praised Frimley Park Hospital, saying he felt very privileged to be working with the first hospital rated by the Care Quality Commission as outstanding.

Audience members were shown a powerful video of the Safe Haven, at Aldershot’s Crisis Café, as seen through the eyes of a service user. She described the impact the service – designed by and for people experiencing mental health crisis – has had on her life. The service has been so successful that it was shortlisted for a national award and is being rolled out across Surrey.

Dr Jane Dempster, the CCG’s Clinical Director for Community Care and Integration, explained the Vanguard scheme, which the CCG and its area partners bid to join earlier in the year and which allows local projects to introduce new models of health and social care by supporting them with central funding and resources. For North East Hampshire and Farnham she said this is allowing health and social care partners to make the changes they were already making or planning but to do this much faster and with the resources to support them. 

She said: “We want people who live locally to be happy, healthy and at home, when that is the best place for them to be.”

Dr Dempster added that the joined-up care would mean people would not have to repeat their story over and over again to medical and care staff as they would be treated by an integrated care team (ICT) made up of representatives of many different organisations, working as one.

“It won’t matter which provider is providing the services. It won’t matter which badge they are wearing and where they are coming from,” she said. “There won’t be any gaps.”

Her colleague Dr Edward Wernick, the CCG’s Clinical Director for Quality, Patient Experience and Patient Engagement, was joined by Steve Manley, the Community Engagement and Outreach Officer from Healthwatch Hampshire, to talk about meaningful patient engagement.

Dr Wernick urged members of the public to approach the CCG if they had ideas on how it could engage more with its community.

“Don’t commentate; Participate,” he said.
ENDS

[i]  For the CCG’s full annual report and accounts for 2014/15, visit: http://www.northeasthampshireandfarnhamccg.nhs.uk/documents/class-1-who-we-are-and-what-we-do/publications

 

 

Questions asked at the event.

Question:
Noting the importance of education – especially of the generations for whom we are planning – what opportunities does the CCG see for partnership working in schools (all levels) – through teachers, students and others in the children’s workforce?

Response:
The CCG believes that working with children and young people and hearing their views is very important.

The CCG has a number of examples where commissioners have engaged with young people to help shape service re-design. It is currently involved in re-tendering the Child and Adolescent Mental Health Service (CAMHS) and has ensured that young people were involved, both with the service and the tendering process.

The CAMHS provider has been commissioned to work with and in schools to train teachers to help them support children before they reach crisis point.

The CCG has also recently commissioned a pilot scheme in Rushmoor, working in four schools. This is around recognising that educational attainment can often be severely hampered by mental health difficulties – not just those of a child but within a child’s family. One element of this is looking to establish safe places within schools where children can go for help and support.

Throughout this the CCG and the collaborative Children and Maternity Team is looking to learn what it is that the children and young people themselves would like, and building that into the service.

 

Question:
a) What plans do the CCG have to prepare for and address winter pressures this year?

b) Will this include commissioning a minor ailment service from community pharmacy?

Response:
We are better prepared than last year. We have learned a great deal from last year’s winter pressure and how we were able to proactively plan and be on top of the situation from early on: using funding from the System Resilience Group and working with the acute and voluntary sectors, with community providers, with the Out of Hours service, with social care colleagues. Partners in the Frimley System have been talking to each other about this since June.

The integration hubs are up and running and will be looking after the vulnerable population. We will be looking at early intervention, at using pharmacies. We will be working with Frimley Park Hospital and social care colleagues on Discharge to Assess (when a person is ready to be discharged from acute hospital care but not yet ready to return to their own home and is placed temporarily in a care home for social care assessment and/or rehabilitation – this will be done in consultation and collaboration with the patient, their family and/or carer). 

Additional funding is available for psychiatric liaison support. The falls/WALC (Walk and Live Confidently) campaign continues to work well to reduce injuries and hospital admissions. This involves identification of people at greatest risk, swifter access to falls treatment, self-referral, single point of access.

There is a new alcohol treatment service up and running and also a re-ablement service pilot being provided by Southern Health NHS Foundation Trust and Frimley Health NHS Foundation Trust, with beds at Fleet Hospital.

The CCG is keen to introduce Healthy Living pharmacies in our area following the success seen in Portsmouth. These pharmacies have seen an increase in access for patients to self-care and prevention services, such as smoking cessation, weight loss services and services to improve the use of medicines.

We are looking at the benefits of a minor ailments service and may commission in the future.

 

Question:
a) How is the NE Hants & Farnham CCG explaining to the public how they are improving health provision?

b) Who is selected to be involved and told?

Response:
While some communication is targeted, there is no process of exclusion when passing information to local people.

This question touches on how the CCG reaches people it currently does not engage with. At an event the day before the AGM it was observed that of the approx. 120 attendees, not many were of working or school age, as it was during the working day. The latter raises questions about how the CCG might better work with Parent Teacher Associations, for example. The CCG will also need to have a distinct approach when engaging with socially-deprived parts of the community, and so on.

The CCG is trying to build up a better picture of the voluntary sector, to be able to work more systematically and to better use the assets that are already out in the community.

The CCG will be working with its Community Ambassadors and it is also looking to use patient leaders.

The CCG invites anybody who has any ideas on how it might better communicate with local communities to get in touch.

“Don’t commentate, participate”

 

Question:
I believe NEHF CCG has become a type 2 Joint Co-Commissioning organisation. I understand that this entailed bringing together primary (GP) funding and secondary care funding. Is this a true or false perspective? I have seen little evidence so far.

Response:
This is not quite true. Co-commissioning is about NHS England and the CCG jointly working together regarding primary care services. This might include looking at premises, quality issues, workforce etc.

Co-commissioning increases our local voice to influence arrangements for local people based on the needs of the population.

There had been concern beforehand about conflicts of interest but the structure of the joint commissioning committee is such that no GP has a vote and the committee is chaired by a lay member.

 

Question:
What proportion of AGM attendees were members of the public?

Response:
A show of hands at the AGM revealed two people were members of the public. We were pleased to see a significant number of representatives of health and social care organisations and voluntary/community groups.

Attracting more members of the public to events and to meetings is something the CCG is keen to work on and would welcome any suggestions on how this situation can be improved and how CCG meetings can be made more relevant to ordinary members of the public.

 

Question:
As a mental health provider IAPT/TalkPlus, we have not been involved in recent Vanguard meetings (since July). Shouldn’t we be involved in some way?

Also we only found out about yesterday’s (Tuesday, Sept 22) meeting by accident. Is there a way where all parties can be involved to ensure full coverage of providers?

Response:
North Hampshire Urgent Care (the parent body of TalkPlus) is a member of the Vanguard Steering Group and is represented at this by Sue Paterson, its Chief Executive.  North Hants Urgent Care is already involved in two of our workstreams (Prevention and Integrated Care Teams) and is about to become involved in a third project.

However, we have not yet brought primary care mental health services into these discussion and need to do so.  We would be keen to have TalkPlus involved in our workstreams and projects and the best first step would be for the Clinical Director and General Manager of TalkPlus to meet with the Programme Lead and this is being arranged.   

The co-production event on September 22 was designed to engage the third sector and patient participation/engagement groups rather than to engage with staff who work in health and social care. Vanguard steering group members were also invited to hear from these groups.

There will be many more opportunities for all kinds of organisations and their staff  to input into the design and delivery of new models of care and we would hope TalkPlus would continue to work with us on this.

 

Question:
£1.3M MH (Mental Health) spend – what on?

(This was a reference to a section of the presentation by the Clinical Commissioning Group’s Chair, Dr Andy Whitfield.)

Response:
We have increased our funding in mental health from £27.3m in 2014/15 to £29.0m in 2015/15. Included within the in-year increase is £1.3m parity of esteem investment, the chart below shows how that investment has been used:

 

Question(s):
Is the federation of GPs simply a means of transforming services from the hospital sector to “private” GP practices?

Could key financial resources slides be provided to those attending please?

Are the presentations available on the CCG website?

Responses:
The federation is about 24 GP practices working closely together. This may be to deliver new services but it is also about making existing services sustainable for the future.

Under the Vanguard programme we are aspiring to a provider model which will have acute trust, community care and GPs included, working within a pooled budget.

Detailed financial information is available in our Annual Report. Financial reporting is also available in Governing Body papers.

The presentation from the AGM can be found here: AGM slides
while the videos which formed part of the presentations can be found here: Kirsty's Story and here: Vanguard: Integrated Care Teams

 

Question:
How do you see Technology changing the way NEHF patients receive better care outcomes in the future?

Response:
The main improvement that we can expect is improved access to quality data for all clinicians. At the moment the many organisations involved in patient care keep individual records, the most detailed of which is the GP record itself.

Although stringent systems are necessary to ensure that confidential medical information is shared, in accordance with the 7 Caldicott Principles respecting the individual's consent to share, many patients are surprised that we are not able to share their medical information more effectively. To this end we are working with Frimley Park Hospital, Royal Surrey County Hospital, community nursing providers, mental health, social and unscheduled care providers in order to enable them to have access to information recorded in GP records in order to improve continuity and efficiency of care.

In time as soon as technology allows we aim for the flow of information to be in both directions and for closer collaborative work to be possible. We are collaborating with neighbouring CCGs in order to co-ordinate this development work. The gradual migration of all practices within the CCG to using the same system will enable mutual support in the development of local tools optimised for our own population.

At the same time our GP clinical system continues to evolve with the aim to enable patients to have greater access to their own GP record, which will help them understand their care better, and even contribute to the record using approved health apps. The hope is that this will enable patients to use NHS resources responsibly and appropriately while firmly grounded in their ongoing care.

 

Question:
The experience of some of the members of Surrey Independent Living Council and myself is that when presenting at the GP surgery with an illness or ailment the default response can be to assume it is related to an existing long term condition or disability. For example when I go to the GP with my symptoms I always now say how would you treat this if I didn’t have cerebral palsy as it’s maybe not connected to it.
Are there any projects or programmes planned to address this please, so that people are treated by everyone in primary care (including nurses, practice managers, receptionists, etc.) as people and not first and foremost by their condition?’

Response:

There is no specific training planned to address the issue but the CCG would be happy to reconsider the matter if similar concerns were expressed by other patient comments and feedback. The 
CCG is planning to put in place a way of collating patient feedback from all Practices and we will be addressing training according to the broad number of issues raised. In the meantime we would suggest patients direct queries to their Practice Managers/Practice Patient Participation Groups either anonymously or otherwise so the issue is raised with the Practice concerned.

Be Part of Something Important

NHS North East Hampshire and Farnham Clinical Commissioning Group (CCG) has pledged to listen to and work more closely with patients, voluntary and faith organisations in a drive to deliver better, more efficient healthcare.

Determined to improve patient care and public health while reducing costs, NHS North East Hampshire and Farnham CCG has called for bold ideas to deliver a fundamental change in how healthcare is provided.

Patient representatives, members of voluntary and faith organisations were welcomed to a special event in Yateley on Tuesday, November 25. Under the banner: Be Part of Something Important delegates were invited to comment on the CCG’s five-year strategy and to propose how working in partnership could lead to new ways of making the strategy a reality.

They were asked to comment on how the strategy’s main aims, which involve extending patients’ lives, improving the quality of life for patients with long-term conditions, reducing time spent in hospital, returning elderly patients to independent living after hospital stays, boosting the number of positive patient experiences both in and out of hospital, and making progress in eliminating deaths caused by problems in care, could be achieved by working in partnership.

Dr Andy Whitfield, clinical lead and chair of the NHS North East Hampshire and Farnham CCG, said: “Healthcare is not something which is done to us, it is something we are all part of and in which we all have a say.

“The current structure of healthcare provision needs to evolve, both to meet the need of our patients and to create a more sustainable NHS.

“We need fresh, innovative ideas as to how we can better serve the local population and keep them fit and healthy in mind and body for as much as their lives as possible.

“There is a wealth of experience in the community and it is essential that we not only persuade those with expertise to come forward and share it with us, but also that we listen to their suggestions and include these in our future plans.

“Our event demonstrated how passionate and dedicated local people are and I am determined that we should make full use of their input.”

A particular aim of the NHS North East Hampshire and Farnham CCG is to reach out to minority groups, who find themselves isolated from the NHS through cultural issues.

Greg Bramwell, from Hampshire Romanys, attended the event in Yateley.

He said: “It’s really good, to have a voice and to be able to explain where there is an issue between the Romany community and the outside world.

"This is a way of engaging them instead of being lost.

"Now I know the information on what's going on I can pass that information over, to say there are people we can go to, that there are links, ways to access the health community.”

Visual minutes

Pledges received at the event include:

  • Support the NHS North East Hampshire and Farnham Clinical Commissioning Group in supporting carers.  Integrated care too.
  • Help in key performance indicators – financial accountability.
  • Aim to keep the patient at the centre.
  • I will make sure the NHS North East Hampshire and Farnham Clinical Commissioning Group invests in the voluntary sector to transform the way things run.  We will continue to make sure our patient and public engagement is real.
  • Continue to be a link between the NHS North East Hampshire and Farnham Clinical Commissioning Group and the local voluntary sector in Hart.
  • As long as I am on Patient Participation Group – continue to push Clinical Commissioning Group, strategically, to do something different and invest serious money and resource in mental health, and use the huge, untapped private practice therapies available in England.
  • To be open to, and support the NHS North East Hampshire and Farnham Clinical Commissioning Group in their work to facilitate an inclusive community in taking forward the this strategy.
  • Make sure that health and wellbeing outcomes are engaged with, reflected and incorporated in our service.
  • I am sure the Rushmoor Healthy Living Board and management team are fully committed to working with the NHS North East Hampshire and Farnham Clinical Commissioning Group to promote healthy living.
  • Support NHS North East Hampshire and Farnham Clinical Commissioning Group mental health strategy in providing funding for useful 3rd sector services.
  • Send something out to all by Christmas, asking myself at least once a day “have we engaged with people in the right way at the right time – what else can we do?”
  • Use the very small Patient & Public Engagement Committee budget to try something innovative.
  • Share my local knowledge of resources with the NHS North East Hampshire and Farnham Clinical Commissioning Group – ensure that the experiences of service users, including myself, are used, listened and with engaged with to shape practice.
  • Ask our English and Nepalese service users what would help or improve the quality of the service when obtaining health or social care and feedback.
  • Work and contribute to the production of the plan that supports delivery of the 5 year plan from a patient and public perception.
  • Work in partnership with other agencies to improve the wellbeing of our community.
  • Work harder with the Patient Participation Group to see the bigger picture and to share innovations and practices.
  • Feedback to the Romany/traveller community to build access to facilities and trust in health care.
  • Give patient’s views whenever needed and sometimes when not asked.
  • To work with Charlotte Keeble to develop models of integrated care.
  • Act as a conduit between Farnham and voluntary community services (VCS) and the NHS North East Hampshire and Farnham Clinical Commissioning Group and help with capacity building of the VCS.
  • Be part of a fully integrated care within South West Surrey for older people.
  • To be a partner in delivering integrated care service for older people using staff and volunteers.
  • To attend and try to contribute, but at 82 no great commitment on top of current involvement.
  • Show how Patient Voice South (engagement network) can support the work of the Clinical Commissioning Group.
  • Ensure that quality is at the heart of our strategy – services our patients and those new we develop and treat people with compassion, are safe and effective and well-led.
  • Assist as best possible in the patients concerns and requirements to include a meeting of the four surgery patient participation group chairs/doctors in Fleet.
  • Be actively involved with both Patient Participation Groups and ensure patient involvement in as much as possible, particularly integration.
  • The proof of the pudding is in the eating, I pledge to be a good chef in this work.
  • Work hard every day in my job to make this happen.
  • That the Friends of Farnham Hospital & Centre for Health will work with the NHS North East Hampshire and Farnham Clinical Commissioning Group to help fulfil their aims and objectives for the local community.
  • Building local models of joined up health and care with local people around local needs.
  • Continue to support urgent care integration programme.
  • To keep an open mind and think about “normalising” engagement in everything we do and to continue to support this innovative work.
  • Stay involved and signpost voluntary sector organisations in Rushmoor.
  • Ask Patient Participation Group to clarify who might be names person to approach for different pathways of planned care.
  • Help develop a “hub” in Fleet.
  • To bring a voluntary sector viewpoint and share information widely (even across clinical commissioning groups).
  • Yes to next steps, do more of the same.  Past to the future (commitment, delivery and outcomes).
  • Support and develop partnership working.  Share directory of local services.
  • Provide continual support from the Hampshire County Council Public Health team as you progress through each stage of this exciting journey.
  • Commit fully to my new role, increase my knowledge and understanding and use that to benefit the work of the Clinical Commissioning Group.
  • Increase communication and understanding between the NHS North East Hampshire and Farnham Clinical Commissioning Group and community partners to lay the foundation for closer operation.

 

Focus on children at 2016 Annual General Meeting

Children and young people were at the heart of the annual celebrations held by local NHS commissioners.Around 150 people attended the Annual General Meeting of NHS North East Hampshire and Farnham Clinical Commissioning Group (CCG), at The Harlington, in Fleet.

The event covered the work done by the CCG and its partners during 2015/16 to design and provide the best possible health and care services for local people, with a particular focus on improving the mental and physical wellbeing of the younger members of the area’s population.

This includes working with schools in Rushmoor and Farnham to create a Young Persons Safe Haven to support the mental health of school age children and the Better Me programme, which is delivered by Hampshire Fire and Rescue Service and promotes confidence, physical activity and a healthy lifestyle.Guests at the event heard about the Doing it Differently programme, which is working to join up health and social care services for children in Hampshire.

Also highlighted was the work of Home Start to support troubled families, and of Action for Carers in Surrey to identify and support young carers.

Dr Andy Whitfield, Clinical Chair of the CCG, said he was proud to lead the CCG.During the event Dr Whitfield gave an overview of the year, explaining that the CCG had assumed extra responsibility for commissioning GP services.

He also gave an overview of the Happy Healthy at Home programme, which is working with health and social care partners to improve the health of local people by testing new models of care.

Against a background of NHS finances in the national news, he told the audience: “We are in a fortunate position locally – I like to think due to the good management we have, the good providers, the clinical input and the patient input – that we are providing a balanced budget.”

There was a tribute to the late Dr Kate Granger, the Yorkshire doctor whose own experience of undergoing treatment led her to found the #hellomynameis… campaign to humanise health services and encourage clinicians to introduce themselves to their patients.

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