SLIDE 1
Building Healthy Communities
Public Event
14 April 2016
SLIDE 2 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
SLIDE 3 Have you seen any article or advertisement about the Newham community health services programme in the magazines (Newham Recorder/ The Newham Mag)?
Voting system – Test Question
Using the keypads provided to you press one best option only for the voting questions.
SLIDE 4
Introductions and welcome
Steve Gilvin Chief Officer , Newham , CCG
SLIDE 5 Our priorities
Our strategic goals
- Improving health outcomes through developing models
- f 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
- f our core strategy “Transforming Services Together”
which will ensure :
- Better care for our people
- Better outcomes for our patients
- Financial stability
SLIDE 6 Building healthy communities- central role!
Building healthy communities
Wellness Strong Sustaina ble hospital Integrate care Care Close to home
Why we need to change?
- Our population is projected to
grow considerably
- Our hospitals face unprecedented
demand
- We need to change to a social
model moving away from the current medical model.
- Our workforce is stretched
- We need to improve the quality of
care and patient experience.
SLIDE 7
Community Health Services past, present and future
Dr Stuart Sutton GP Lead and Co-Chair, Newham CCG
SLIDE 8 An opportunity for us to define what will meet our local priorities and needs
- 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
SLIDE 9 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
Vote 1
SLIDE 10 Our proposed vision
Large acute based services Multiple disconnected Small community services Social care system- separate Building Healthy Communities
Integrated Community Hub
Nursing/ Residential homes Enhanced primary care Voluntary service Social Care
Multiple access points and teams MDT teams Care Close to home Reduce hospital visits &stay Improved
experience
Care locally accessible and responsive to patient needs provided in community or in people’s homes rather than hospital
SLIDE 11 Our evolving healthcare services
Past
Multiple hospital visits
Present
Enhanced care at home
Future
Fully Integrated proactive care including wellness programme
SLIDE 12 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
Vote 2
SLIDE 13
Building Healthy Communities timelines and update
Ian Tritschler Director of Acute and Community
Commissioning, Newham CCG
SLIDE 14 Building Healthy Communities programme - Update
listen and engage design and test procure service plan & start new service
Feb-Aug 2016 Mar- Sept 2016 Oct 2016- May-2017 June 2017 - Feb 2018
engagement
- Needs analysis
- Provider events
- Vision and scope
- Delivery models
- Pathways
- Financial
analysis
SLIDE 15 Engagement so far
and public
100 GPs, clinicians and staff
meetings and workshops
...And continuing!!!
SLIDE 16 Family as a unit Ease and speed of access Faster diagnostics More choice Prevention Care in community
Single health record Joint decisions Keep us informed Self Management
What you have said…
SLIDE 17 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
SLIDE 18 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
Vote 3
SLIDE 19
My journey through a transforming health service from illness to wellness
Phillip Varlow Patient and Public Representative, Newham
SLIDE 20
February 2010 – Silvertown Ward, NUH
SLIDE 21
Community Health Service
SLIDE 22
20th March 2016 – Sports Relief Mile Run
SLIDE 23 If we get this transformation programme right – how will we know? How should we measure success?
A. Fewer people need to be admitted to hospital – more people are being cared for at home B. People’s experience of using our community services is much better and we see a reduction in complaints C. People recover more quickly from an illness and can return to independent living D. Number of times a person’s needs were addressed in the first 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
Vote 4
SLIDE 24
Q & A Session
SLIDE 25
Brainstorming Sessions
SLIDE 26 Scenario 1 Mohammed is 55 years old. He has diabetes He has kidney disease requiring dialysis three times a week at Newham hospital. He sees his diabetes specialist in East Ham, his podiatrist for his feet in Stratford and his GP surgery is near his home in Manor Park. He suffered a stroke two years ago Camilla is Mohammed's Care Navigator
- she is available in working hours
His GP has to ask his wife what the
- ther teams have agreed for his care as
letters can take some time to arrive in the post. Scenario 2 Case 2 - Jenny Jenny is 92 and lives alone in her house with stairs. She has COPD, She also has a foot ulcer which the district nurses come to her house to clean and apply a dressing twice a week. She was given a printed out care plan from her GP Jenny was in hospital for 2 weeks - although her chest was better after 3 days her discharge home was delayed because it took a long time to arrange the carers she would need at home to help her whilst she regained her strength.
SLIDE 27 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
- r 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)
SLIDE 28
Feedback from brainstorming sessions
SLIDE 29 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 4. Any other aspects of your or your carer’s life
- Discuss the impact these changes will have on the patient
and the carer
SLIDE 30
Feedback from brainstorming sessions
SLIDE 31 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
SLIDE 32
Feedback from brainstorming sessions
SLIDE 33 Next steps and further engagement
- Gather and publish all engagement feedback - website,
newsletter and focus group workshops
- http://www.newhamccg.nhs.uk/GetInvolved/community-
health-services-transformation.htm
- Ensure service users and patients are part of the design and
procurement phase and other on-going engagement activities
- Further event to validate future model and services redesign-
June/July 2016
- Formal public consultation process before procurement- Aug
2016
listen and engage design and test procure service Plan and start new service
SLIDE 34 How would you like to receive updates about the programme?
- A. Email updates/ electronic news letter
- B. Printed newsletters
- C. Social media- twitter/facebook
- D. Online website with email reminders
- E. Present in our focus groups or other
meetings
Vote 5
SLIDE 35 One Word
- On your table, can each attendee think about a word they
would use to describe this event
- The person with the loudest voice on each table to do a
‘shout out’ with the word that best reflects the groups thoughts
- Exercise (5 minutes)
- Shout out (5 minutes)
