Welcome Quarterly engagement event
Welcome and update Dr David Kelly
Agenda • Welcome and update West Yorkshire and Harrogate STP – stroke engagement Locala – podiatry consultation • Talk Health Kirklees – Health optimisation • West Yorkshire and Harrogate STP, and Kirklees plans • Urgent care services presentation and table discussion • Next steps and Close
West Yorkshire and Harrogate STP - Stroke services engagement • Healthwatch led engagement - over 1,500 people gave their views via an online survey, outreach sessions with VCS groups, and interviews with people in GP practices, rehabilitation units, and stroke wards. Stroke consultants also took part in sessions so that people could hear first-hand about the care and support available. • Engagement report has been published • Over the next few months West Yorkshire and Harrogate STP will be having more conversations with staff, partners, public, communities and stakeholders to develop and design options to further improve stroke services for people living in West Yorkshire and Harrogate. • Consultation will follow as appropriate in 2018.
Locala - Podiatry consultation Locala are consulting with local people who use podiatry services in Kirklees. The consultation will run from 19 June - 11 August 2017. What are the proposed changes? • To help us improve the podiatry service we provide, we would like to reduce the number of locations where clinics are held in Greater Huddersfield. • The podiatry team uses a set of criteria to help decide who is eligible for treatment. This criteria has not been applied consistently throughout Kirklees. This means that there are patients on the caseload who may not be eligible for podiatry care. We would like to apply the existing eligibility criteria across the whole service to ensure that patients who have the greatest clinical need for podiatry care, receive it when they need it most. This may mean that some patients will no longer be eligible for podiatry services. This is a proposed change for all patients living in Kirklees.
What this means • If you live in Greater Huddersfield there is a possibility that your podiatry appointments will be provided in a different location to the one you currently use. • If you are a podiatry patient living anywhere in Kirklees and are seeing a podiatrist for: toe nails cutting, dry skin removal, fungal infections or verrucae, you may not be eligible for this service in the future. How can you have your say? Locala have produced a consultation document which includes more details on the proposed changes and how people can share their views on the proposals. A copy is in your delegate pack or you can access it here: https://www.locala.org.uk/podiatry-consultation/
Talk Health Kirklees – health optimisation Alan Turner Programme Manager
Talk Health Kirklees - Health Optimisation • To improve health outcomes for the population of Kirklees, we are introducing new criteria, referred to as Health Optimisation. • Before undergoing routine (elective) surgery we are asking; – Patients with a BMI over 30 to lose weight – Smokers to quit The Health Optimisation Period is • 12 months or a reduction of 10% for those with BMI>30 • 6 months or to stop smoking for a period of 4 weeks for those who smoke
Exclusions The following group/patients with the specified conditions would not be subject to this policy: • The condition is immediately life-threatening • Patients requiring emergency surgery or with a clinically urgent need where undue delay would cause clinical risk of harm • Patients undergoing surgery for cancer; • 2ww referral for suspicion of cancer; • Any procedures deemed as urgent by the surgical team • The procedure needs to be performed within a strict timeframe as delay would result in it becoming ineffective • Patients previously completed Health Optimisation Period within the last six months • Any surgical interventions that may be required as a result of pregnancy • Patients under the age of 18 • Frail Elderly • Vulnerable patients, this includes patients with the following: – learning disabilities – significant cognitive impairment – severe mental illness**
Patient information leaflets
Next steps • Implementation – Engagement – Recruitment – Procurement • Monitoring Impact • Continue to engage with clinicians, patients and wider stakeholders, as appropriate • Take through relevant governance inclusive to review
West Yorkshire & Harrogate Sustainability and Transformation Plan Kirklees Health and Wellbeing Plan North Kirklees 2 Year Operating Plan 2017/19 Becca Spavin Senior planning and development manager
Our WY and Harrogate STP vision • Everyone will have the best start in life, and be able to live and age well • If you have a long term health condition you will be supported to self-care through peer support and the latest technology • For those with various health conditions, their physical, social and mental health needs will be met by health and social care and the VCS working together with them, their family and carers • Local hospitals will be supported by centres of excellence for cancer, stroke, mental health etc. Although people may need to travel further, lives will be more likely to be saved and long term needs will be fewer • All of this will be planned and paid for once, with councils and the NHS working together to deliver fair and speedy access to health care • Staff and the public will be involved in the design, delivery and assessment of services • We will make health and care better by harnessing the power of communities, information and technology.
Our nine priorities for WY&H • Prevention at scale • Primary and community services • Mental health • Stroke • Cancer • Urgent and emergency care • Specialised commissioning • Hospitals working together • Standardisation of policies.
Our big issues and ambitions
Kirklees Health and Wellbeing Plan 2017 – 2021
Kirklees 2020 Vision for our health and social care system: No matter where they live, people in Kirklees live their lives confidently and responsibly , in better health , for longer and experience less inequality . Kirklees Health and Wellbeing Plan 17
Kirklees Health and Wellbeing Plan
Our Focus will be Transformation of primary care services to respond to national directives and integrate into the wider system Continued development of the integrated community service model Transformation of our Urgent Care services and initiatives to support admission avoidance Transformation of planned care pathways with a view to sustainably managing demand for services in different ways
Urgent Care services Dr David Kelly
What is Urgent Care? ‘The range of health services available to people who need urgent advice, diagnosis and treatment quickly and unexpectedly for needs that are not considered life threatening’. Excluded from this is emergency care which is defined as ‘immediate or life threatening conditions, or serious injuries or illnesses. Examples of Urgent Care are: • Pharmacy • GP out-of-hours • Walk-in centre • Minor illness unit
NHS changes to Urgent Care • A primary care service must be available alongside A&E . The service must be led by a GP and open between 8am and 11pm every day. Patients get to where they need to go and A&E departments are free to care for the sickest patients, including older people. • NHS recommended that we must simplify the confusing range of places a patient can go if they have an urgent health problem by introducing ‘ Urgent Treatment Centres’ (UTCs)
What should patients expect? • Be able to access Urgent Treatment Centres that will be open at least 12 hours a day and staffed by nurses and doctors • Have a consistent route to access urgent appointments offered within 4 hours and booked through NHS 111 and GPs, with walk-in access also retained • Increasingly be able to access extended hours and Out of Hours (OOH) general practice, for both urgent and routine appointments, at the same facility, where geographically appropriate • Expected reduced attendance at A&E as a result of this standardisation, as well as an improved patient experience
What is an Urgent Treatment Centre? • GP-led, teams may include nurse practitioners, mental health practitioners, paramedics, pharmacists, etc. in line with locally identified need • Opening hours: minimum 12hrs, to be agreed in line with locally identified need • Direct booking from NHS 111 • Access to basic diagnostics and access to x-ray facilities (with clear access protocols if not available on site)
What you’ve told us already Location of services: • You don’t want to travel a long distance when you need urgent or emergency care. • You want a service that is close to home /convenient to access. • You support the idea of a range of Urgent Care services, including GP, delivered from a single location. • You support the idea of Urgent Care services being located alongside A&E with someone to assess your condition and get you to the right place. • You feel that delivering services in one place would relieve the pressure on A&E department.
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