Northern, Eastern and Western Devon Clinical Commissioning Group
Northern, Eastern and Western Devon Clinical Commissioning Group
August 2013
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Festival-goers in ‘healthy people’ film
Sir Robert Francis Report by Jenny Winslade, Chief Nursing Officer
While attending the Exeter Respect Festival 2013, the CCG asked people what ‘healthy people living healthy lives, in healthy communities’ meant to them.
As a CCG we have reviewed the findings and recommendations set out in the Francis Report on the Mid Staffordshire NHS Foundation Trust public enquiry and we take these very seriously. We fully accept the principles set out by Sir Robert Francis and will work closely with our providers to make sure the whole health community adopt the recommendations.
PLAY FILM
Read more NHS England financial officer visits CCG NHS England’s chief financial officer Paul Baumann visited the CCG in July during a fact-finding tour. It went so well that he’s planning to return in a few months to hear more. Speaking after the visit Dr Tim Burke, CCG chair (pictured), said he was delighted that Mr Baumann had taken the trouble to visit Devon
to listen. “Mr Baumann was very interested in how our CCG is making a difference to patients. We also discussed how the CCG’s structure and governance was helping GPs become properly involved in commissioning.
Paul Baumann said: “It was a privilege to come and explore some great examples of clinical commissioning in action. “I was particularly impressed by the many and varied ways in which the CCG is working with partners to transform the quality of care for local communities.
“It is always inspiring to meet teams with such a clear sense of vision and energy, and we will all need this more than ever before as we tackle the enormous opportunities and challenges of the next few years. “I very much look forward to continuing to work with the team over the coming months.”
For me it’s about being fit enough to do the things I love like dancing and it’s also about diet as well.
The Exeter Respect Festival was held over the weekend of 1-2 June, celebrating and supporting equality and diversity in Exeter. The NEW Devon CCG communications team and nursing team sponsored and supported a stall at this lively event.
Northern, Eastern and Western Devon Clinical Commissioning Group
Northern, Eastern and Western Devon Clinical Commissioning Group
August 2013
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North Devon patients at risk of falling now get closer monitoring from their GPs North Devon patients at risk of falling are now being seen by their GP for an assessment thanks to a new system developed by the local NHS.
Falls Awareness Week took place from Monday 17-Friday 21 June and the theme this year was ‘best foot forward’, the aim being for people to keep their feet healthy to prevent falls in later life. A GP from Bideford has worked closely with Northern Devon Healthcare NHS Trust and Devon County Council to develop a new falls pathway for patients registered at North Devon GP practices who are assessed as being either at low or high risk of falling.
Dr Duncan Bardner, a GP from Bideford, has worked closely with Northern Devon Healthcare NHS Trust and Devon County Council to develop a new falls pathway for patients.
Dr Duncan Bardner, who is also a GP Board member of the Northern locality of the CCG, led the development of the pathway and said he expected more patients at risk of a fall to benefit from a more comprehensive package of care. “We are pleased to have developed this new pathway as it will help patients take greater control of their care,” he said.
WHAT THIS MEANS IN PRACTICE... When the patient visits their GP they will be assessed and then classed as either low or high risk. Typically, being assessed as ‘low risk’ will mean they get advice and information from their GP, while ‘high risk’ patients will usually be referred to the complex care team, where they will be assessed by a rehab nurse or physiotherapist. Outlining the next steps, Dr Bardner said: “The complex care team will then discuss the best treatment options with the patient – for example, a 12-week strength and balance class, home assessment or medical review.”
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Urgent care forum
The locality held the first meeting of the new urgent care forum, which brings together stakeholders to improve the pathways for urgent care in North Devon. All of the stakeholders were present, and there was strong clinical input from across the health community to work towards improving the way we provide care into and out of A&E. Commissioning staff will be working with primary care to access to same-day urgent consultations. They will also look at using an accessible and effective capacity measure to help assess rising demand for primary care. Work has been taking place inside A&E to improve capacity and reduce ambulance handover delays. Future projects include looking at data to analyse changing demographic and social pressures that appear to affect patient flows.
Northern, Eastern and Western Devon Clinical Commissioning Group
Northern, Eastern and Western Devon Clinical Commissioning Group
August 2013
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We’ve been short-listed for a Chartered Institute of Public Relations (CIPR) Award The Choose Well campaign, a national NHS initiative, aims to give people information so that they know where to go in the first instance to get fast, expert advice when they need it and at the most appropriate place.
Locally, the Royal Devon and Exeter NHS Foundation Trust is getting recognition beyond the NHS and healthcare community, thanks to a successful campaign launched by the CCG and devised by Gingernut Creative. The regional Choose Well campaign was launched in winter 2012 and it’s being partly credited for the RD&E’s stable emergency admissions. Informative and eye-catching posters, leaflets and cards help young people make the right decisions about the services they should use and when. In March, the campaign was nominated for a Social Impact Award. In May, it was featured on Channel 4 News. And now our Choose Well campaign has been shortlisted for a CIPR PRide Award for its achievements – a big event in the UK’s public relations calendar.
Congratulations to the Royal Devon and Exeter NHS Foundation Trust and everyone who’s supported the Choose Well campaign. The CIPR PRide winners will be announced in November.
We are very pleased with the efforts of all local healthcare staff to make sure pressures at the RD&E remained relatively stable this winter compared with most of the country. Together we have been successful in making improvements to reduce demand for emergency care services. This work could not have been achieved without clinicians working closely with expert managers. DR DAVID JENNER, CHAIR, EASTERN LOCALITY
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The Royal Devon and Exeter NHS Foundation Trust has launched a joint early memory assessment service in partnership with Devon Partnership NHS Trust. This is part of a larger Devon memory service that incorporates geriatrician and psychiatric assessment in the same clinic visit. Patients will be referred from their GP, seen by specialists and have access to their CT scan and diagnosis on the same day. Providing an early diagnosis of dementia and access to follow-up support will help ensure that people in East Devon can make informed decisions about their future care and maximise their quality of life. Early diagnosis of dementia is thought to reduce the risk of crisis as the illness progresses and enables people to remain in their own homes for as long as possible.
NEW MEMORY ASSESSMENT SERVICE
Northern, Eastern and Western Devon Clinical Commissioning Group
Northern, Eastern and Western Devon Clinical Commissioning Group
August 2013
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Our thanks to Dr Peter Rudge
New contract for non-emergency patient transport The CCG has awarded the contract to provide patient transport in and around Plymouth to SRCL Limited.
Commenting on the new contract, Rebecca Harriott, chief officer for NEW Devon CCG, said:
The chairman of NEW Devon CCG has paid tribute to fellow GP, Dr Peter Rudge, who stands down in the autumn as chair of the CCG’s Western locality.
SRCL, which provides patient transport in other areas of England, will take over the service on 1 October 2013. The current provider, South Western Ambulance Service NHS Foundation Trust (SWASFT), will continue to deliver the service until 30 September.
“We wanted to ensure that patients attending healthcare appointments or being discharged from hospitals in Plymouth have access to quality non-emergency patient transport.
Dr Dr Tim Burke said Dr Rudge had helped the CCG establish solid foundations on which to build patient-centred NHS services. “Dr Rudge has been inspirational in helping to build an organisation which really puts GPs in the driving seat to improve care for patients across our area,” Dr Burke said. “His enthusiasm and foresight over the past eight years have helped the NHS in Plymouth put patients firmly at the heart of everything we do and for this we are very grateful indeed.” Dr Rudge said: “After eight years as a GP involved in commissioning I felt that a change of perspective was important to me and to my family.” “I will, however, continue to practice as a GP and will always remain
committed to delivering high quality care in whatever role lies ahead. “I leave behind a dedicated team and a CCG who are in good shape and are well placed to meet the challenges ahead.” Dr Rudge will also step down as vice-chairman of Plymouth’s Health and Wellbeing Board. Following his departure in the autumn vice chair and Ivybridge GP Steve Harris will step into the role on a temporary basis. GPs in the area will then vote for a permanent successor.
The transfer will not impact on A&E arrangements currently provided by SWASFT as these are separate services.
“We have listened to our patients who use the transport service, as well as our healthcare providers, to find out what works best for them. “We also took into account aspects such as patient safety and experience, quality, staff training, and respect and dignity.”
WHAT THIS MEANS IN PRACTICE... The new contract aims to give patients: Faster response times both into and out of hospital Improved communication the day before and on the day of their appointment A commitment to continually improve the service.
Northern, Eastern and Western Devon Clinical Commissioning Group
Northern, Eastern and Western Devon Clinical Commissioning Group
August 2013
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Out and about in the Western locality Western locality staff have been out and about this month at events across the region that include the Kingsbridge Community event where residents shared their thoughts about staying healthy in words and pictures.
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Do YOU want to be more involved with making decisions about healthcare? Visit www.newdevonccg.nhs.uk/involve/100055 to find out how. The locality chair, vice-chair and managing director were among the staff who attended a joint event run with Plymouth Healthwatch to launch Healthwatch in Plymouth and ask the people in the city about how we can best engage with them.
A number of staff were at the re-launch of Colebrook Housing association in Plymouth. Colebrook provides supported accommodation, time banking, outreach and a network for adults with mental health issues and their carers.
The community relations manager also spent an afternoon with the crossroads organisation that provides support and activities for adults with mental health issues.
The organisation has relocated to the HQ Building on Union Street in Plymouth. You can find out more by visiting their website: www.colebrookhousing.co.uk
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Exeter commissioners are examining the role and function of walk-in centres (WICs) and their relationship to emergency department sustainability, which has recently become an area of national focus.
Walk-in centre focus groups HEALTH SUMMITS were held in a number of localions across the Eastern locality in June and July, providing opportunities for the public, local organisations, local councillors and many more to meet the GPs involved in commissioning their health services.
The Eastern locality held two walk-in centre focus groups in Exeter in June, where members of the public provided the CCG with their feedback on how they thought the Exeter WICs should be provided.
During Falls Awareness Week, in June, community relations managers from the communications team and Patient Advice and Liaison Service (PALS) attended falls awareness events at both Endsleigh Garden Centre (Ivybridge) and Westbank Healthy Living Centre (Exminster). The events were attended by older people at risk of falls, carers and volunteers. They consisted of a sample of taster sessions for exercise and balance, podiatry and advice on medicines management.
Northern, Eastern and Western Devon Clinical Commissioning Group
Northern, Eastern and Western Devon Clinical Commissioning Group
August 2013
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Improving early diagnosis: ‘working to save 5,000’
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Traditional matrons return to Derriford
A conference has been held by the Eastern locality at Exeter Racecourse for 120 GPs and secondary care colleagues. The aims were to discuss:
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LAUNCH OF New liaison and diversion service for devon, plymouth & TORBAY
We are redefining the matron role and putting matrons back on the ward where they should be. Greg Dix, director of nursing, derriford hospital
Issues raised through the significant event audit work (i.e. last year’s elective QP work) Service improvement ideas Symptoms, patient presentations and referrals Ways to improve liaison between primary care and secondary care Improving patient experience in diagnosing their cancer.
More beds and more nurses have been promised for the region’s largest hospital.
The conference ended with a talk by local and national cancer lead Prof. Hamilton on ways for GPs to improve earlier cancer diagnosis and some of the common mistakes which may result in missing a cancer diagnosis.
The traditional role of the matron will also return to Plymouth’s Derriford Hospital as bosses launch a new strategy vowing to ‘get the basic things right’.
The new strategy will include five core clinical leaders feeding information straight from wards to the boardroom as part of an ‘executive team’. Greg Dix, director of nursing, announced that matrons in their traditional form were to make a return to the wards.
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“We are redefining the matron role and putting matrons back on the ward where they should be,” he said. “And another big thing will be the reintroduction of intentional care rounds on the wards where all patients will be visited every one to two hours.”
Many people in the criminal justice system have a multitude of issues which hinder their ability to engage with mainstream servies. A new liaison service is aimed at tackling this problem. The service has been commissioned by NEW Devon CCG, South Devon and Torbay CCG and Devon and Cornwall Probation Trust. It will be run in partnership by Devon Partnership NHS Trust and Plymouth Community Healthcare for the whole of Devon, including Plymouth and Torbay. The aim of the scheme is to reduce offending by diverting offenders with identified mental health, learning disability or related issues away from the criminal justice system and into mental health, learning disability or other related support. The service will also mean appropriate information and advice will be given to the courts to aid decision-making and ensure more appropriate sentencing.
Northern, Eastern and Western Devon Clinical Commissioning Group
Northern, Eastern and Western Devon Clinical Commissioning Group
August 2013
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Devon recovery walks The first Devon recovery walk, organised by Recoverylink, took place in Exeter on 22 June. This event was organised by people with lived experience of substance misuse, and was the culmination of a huge amount of commitment and effort to raise awareness of it.
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Our aim is to raise awareness that Recovery is possible, and to tackle the stigma of addiction and mental health problems. RECOVERYLINK
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The new DRSS As part of the formation of the new CCGs it was agreed in September 2012 to bring together two management teams under one structure. Devon Access and Referral Team (DART) and Tamar Referral and Appointments Centre (TRAC) have merged, and will maintain local delivery to meet locality needs. While the two teams have retained their individual identities, they are now collectively known as Devon Referral Support Services (DRSS).
As part of ongoing work to improve the way mental health and wellbeing are integrated, Tim Francis, mental health commissioning support manager, was pleased to have been able to attend the recovery walk.
better, acting better’, on 4 July, to demonstrate how important it is that mental health services stand alongside substance services in tackling the associated issues.
The event captured the importance of people working together to form strong and vibrant communities, which support each other to ensure healthy and sustained wellbeing.
The walk kicked off at Exeter City Football C lub and snaked its way through the streets of Exeter finishing on Exeter Cathedral green, where a series of speakers provided national, local and personal accounts of recovery in action. In addition, there was live music and several provider stands offering a range of information and support.
Tim also attended the Devon Drug and Alcohol Action Team (DAAT) conference event; ‘Developing Recovery – thinking better, feeling
Visit Recoverylink’s website: www.devonreform.org
DRSS sits within the delivery directorate of NEW Devon CCG and provides services to NEW Devon CCG, South Devon and Torbay CCG and the Eastern locality of Kernow CCG.
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As part of our future planning we are continuing to work with each locality to develop key work areas. Both teams moved offices in June.
DART is now based at: Bridge House Collett Way Newton Abbot TQ12 4PH
TRAC is based at:
Windsor House Tavistock Road Plymouth PL6 5UF Please note that while DART’s contact numbers remain unchanged, all contact telephone and fax numbers for TRAC have changed.
For an updated list please email: d-ccg.trac@nhs.net
Devon’s NHS to “discover the secrets of the John Lewis customer experience” The NHS in Devon has teamed up with award winning-department store John Lewis to find out why its customers have such a great experience. The CCG’s chief nurse Jenny Winslade sais:“We want to find out
from John Lewis the secrets behind why its customers are so satisfied and we will use these to benefit our patients.”
For the whole story click here
Northern, Eastern and Western Devon Clinical Commissioning Group
Northern, Eastern and Western Devon Clinical Commissioning Group
August 2013
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Dates for your diary Northern locality board: 14 August, 2-5pm Crown Yealm House, Pathfields Business Park, South Molton, EX36 3LH. More info
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The NEW Devon CCG website now includes a ‘What’s On’ page for staff and public to view details of public events in each locality.
Contacts CCG website: www.newdevonccg.nhs.uk
Eastern locality board: 14 August, 3-5.30pm Lympstone Village Hall, School Hill, Lympstone, Exmouth EX8 5JY. More info
Communications team: 01769 575 153 or 01392 267 647.
Western locality board: 28 August, 2-5pm Windsor House, Tavistock Road, Plymouth, PL6 5UF. More info
Email: d-ccg.communications@nhs.net
Public Governing Body: 18 September, from 10am Exeter Racecourse, Kennford, Exeter, Devon, EX6 7XS More info
Follow the CCG on Twitter, Facebook and YouTube: Search ‘NEWDevonCCG’.
This includes health summits, public engagement events, focus groups and details of monthly public board meetings. The page will be updated as dates are booked. If you have an event to be added to the page please email:
keri.ross@nhs.net
International Youth Day, 12 August More info Learning Disability Week, 19-25 August
To find out about the latest engagement work which has been taking place across the CCG click here.
Click on the page shot to go to ‘What’s on’