Winter engagement event 22 November 2018 1 Working together with - - PowerPoint PPT Presentation

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Winter engagement event 22 November 2018

Working together with the Barnet population to improve health and wellbeing

Working together with the Barnet population to improve health and wellbeing

Welcome

Dr Debbie Frost, Chair, Barnet CCG

Working together with the Barnet population to improve health and wellbeing

Housekeeping

• There is a hearing loop. This is switched on and available
• No fire alarm is planned today. If you hear the alarm,

please make your way outside

• Please turn your mobile phones off or put them on silent
• Please speak to a member of Community Barnet staff if you

have any questions

Working together with the Barnet population to improve health and wellbeing

Focus for tonight’s event

Choosing the right care this winter What service would you choose and why? Comfort break – Capture your experiences Some personal reflections from Ian Bretman, Lay Member for Patient and Public Engagement Moving to urgent treatment centres at The Royal Free London What does this mean for Barnet? Q&A CCG senior staff answer your questions Event close

Working together with the Barnet population to improve health and wellbeing

Please share your views

We are keen to hear about yours/family/friends experience of using these urgent and emergency care services locally. There are flipcharts and post-it notes dotted around the room. During the break, please take a minute to provide your experiences of the various services good and bad.

You can also give your views via email to: barccg.communications@nhs.net

Working together with the Barnet population to improve health and wellbeing

Supporting the national campaign

About the CCG

Working together with the Barnet population to improve health and wellbeing

We are a membership organisation, made up of 55 GP practices, responsible for planning and buying most of the local healthcare services for Barnet residents I along with the Governing Body, set the strategy for our CCG Our local leader is Kay Matthews, the Chief Operating Officer of our CCG

What we do

Working together with the Barnet population to improve health and wellbeing

CCGs are responsible for planning, buying and monitoring:

• The care and treatment you may need in hospital

and community health services, including district nurses, physiotherapy and other therapies

• The care that you may need urgently or in an emergency

(including out-of-hours services)

• Maternity and newborn baby services
• The medicines you may be prescribed by your GP
• Mental health and learning disability services

In April 2017, the CCG also took over the commissioning of GP services from NHS England

What does a CCG not do?

CCGs are not responsible for other out of hospital services, which include:

• Dentistry
• Optometry
• Screening programmes, e.g. cancer screening
• Immunisations
• Stop smoking services
• Sexual health services
• Health visiting services

These are commissioned by teams in NHS England, the Local Authority or Public Health

Working together with the Barnet population to improve health and wellbeing

Working together with the Barnet population to improve health and wellbeing

Barnet CCG’s Governing Body

Dr Debbie Frost Clinical Chair Dr Clare Stephens Dr Charlotte Benjamin Dr Barry Subel Vice Clinical Chair

Other Governing Body members Dr Jon Baker – Board Secondary Care Doctor Ian Bretman – Lay Member: Patient and Public Involvement Dominic Tkaczyk – Lay Member: Finance Claire Johnston – Nurse representative And observers from: Public Health – Dr Tamara Djuretic London Borough of Barnet – Dawn Wakeling Barnet Healthwatch – Selina Rodrigues

Dr Aashish Bansal Dr Murtaza Khanbhai Dr Tal Helbitz Dr Nikesh Datani Simon Goodwin Chief Finance Officer NCL CCGs Helen Pettersen Accountable Officer NCL CCGs

Who we work with

Amongst others we work closely with:

• London Borough of Barnet (Barnet Council)
• NHS England
• Central London Community Healthcare Trust
• Royal Free London Hospitals NHS Trust
• Barnet, Enfield and Haringey Mental Health Trust
• London Ambulance Service
• London Central and West Unscheduled Care

Collaborative

Working together with the Barnet population to improve health and wellbeing

Enfield CCG / Enfield Council GP registered population: 320,000 GP practices: 48 Barnet CCG / Barnet Council GP registered population: 420,000 GP practices: 55 Camden CCG / Camden Council GP registered population: 260,000 GP practices: 35 Haringey CCG / Haringey Council GP registered population: 296,000 GP practices: 45 Islington CCG / Islington Council GP registered population: 233,000 GP practices: 34 University College Hospital Barnet General Hospital ChaseFarm Hospital North Middlesex Hospital Royal Free Hospital St Ann’s Hospital The Whittington Hospital Edgware Community Hospital Finchley Memorial Hospital St Michael’s Primary Care Centre LondonAmbulanceService East

• f

England Ambulance Service Moorfields Eye Hospital Great Ormond Street Hospital Central Middlesex Hospital Highgate Hospital St Pancras Hospital Stanmore Hospital Tavistock Clinic,Portman Clinic, GloucesterHouse Day Unit

Our place in North Central London

Working together with the Barnet population to improve health and wellbeing

Choosing the right care this winter

What service would you choose and why?

Working together with the Barnet population to improve health and well being

• Barnet has a growing diverse population which is projected to increase

by 6% by 2030 with a significant increase in people aged 65 and over

• Urgent & Emergency Care (U&EC) demand is all year round, with

increased pressures over the winter period

• Four-hour A&E waiting time standard is not being consistently met
• There were higher than average attendances at both Barnet Hospital

and Royal Free Hospital A&E Departments during November 2018

• New National Guidance Urgent Treatment Centre

Urgent & Emergency Care Landscape in Barnet

Working together with the Barnet population to improve health and wellbeing

Self-care

• Self Care − A lot of common illnesses can be treated in your home by using

medicines and getting plenty of rest. Self-care is the ideal choice to treat very minor illness and injuries.

• Local Pharmacist − Over the counter medicines − Your local pharmacist can give

you friendly, expert advice about over-the-counter medicines that can help with lots

• f common conditions, without the need for an appointment.
• Online resources − such as www.nhs.uk/staywell, https://www.nhs.uk/live-well
• Flu − Every year NHS England rolls out a flu programme with Public Health
• England. Certain people are more likely to develop potentially serious

complications of flu and these people are advised to have a free flu vaccine. You can find more information at www.nhs.uk/getflujab

Working together with the Barnet population to improve health and wellbeing

Contact your GP practice

• Make an appointment with your GP when you have an illness or

injury that will not go away. GPs are responsible for providing care, including seeing patients in an emergency Monday to Friday 8- 6.30pm (excluding bank holidays)

• Not registered? You have the legal right to choose a GP practice that

best suits your needs. You can find practices in your local area here: https://www.nhs.uk/Service-Search/GP/LocationSearch/4

Working together with the Barnet population to improve health and wellbeing

GP Extended Access Hub

• Barnet Federated GPs provide an extra 48,000 GP appointments per year in

Barnet

• Barnet residents can now access GP services from 8.00am to 9.00pm, seven

days a week and are provided from several GP practices or “hubs”

• Extra appointments are available from 6.30pm to 9.00pm on weekdays and

8.00am to 9.00pm on weekends and bank holidays

• To book one of these appointments, contact your own GP practice during normal

working hours and when your practice is shut, call 020 3948 6809 until 8.00pm

Working together with the Barnet population to improve health and wellbeing

GP Extended Access Hub

• The service is setting aside a number of appointments on weekends for

people who have attended A&E but would be better off being seen by a GP in a nearby practice.

• This will help to free up A&E and help those people who need it most to

be seen quicker.

• More information on the Enhances Access Service, visit

https://barnetfederatedgps.org.uk/

• More information on services this winter is available at

www.barnetccg.nhs.uk.

Working together with the Barnet population to improve health and wellbeing

NHS 111 Integrated Urgent Care Service

• The service combines 111 and GP Out-Of-Hours services

into a single integrated service operating a ‘clinical hub’ with GPs, nurses and pharmacists

• The service operates 24 hours a day, 365 days a year. Calls

to 111 are free, including from mobiles

• Calls to 111 will be assessed, advice given and, if needed,

patients will be directed and or booked into the most appropriate local health service such as GP Out of Hours

• NHS 111 online also is available

Working together with the Barnet population to improve health and wellbeing

Walk-in Centre Services in Barnet

Finchley NHS Walk-in Centre (WIC)

• Finchley Memorial Hospital, Granville Road, N12
• Open 8.00am to 10.00pm 7 days a week, 365

days a year

• X-ray facilities are available 9.00am to 5.00pm

Monday to Friday (excluding public holidays)

Edgware NHS Walk-in Centre

• Edgware Community Hospital, Burnt Oak Broadway
• Open 7.00am to 10.00pm 7 days a week, 365 days a year
• This centre also operates x-ray facilities from 9.00am to

8.30pm 7 days a week

Cricklewood NHS Walk-in Centre

• Britannia Business Centre, Cricklewood Lane, NW2
• Open 8.00am to 8.00pm 7 days a week, 365 days a year
• No X-Ray Facilities

These centres treat most injuries and illnesses that are urgent but not life threatening. For example: sprains and strains, broken bones, minor burns and scalds, minor head and eye injuries, bites and stings. Finchley WIC and Edgware WIC have x-ray facilities.

Working together with the Barnet population to improve health and wellbeing

Urgent Care Centres

These centres treat most injuries and illnesses that are urgent but not life

• threatening. For example sprains and strains, broken bones, minor burns

and scalds, minor head and eye injuries, bites and stings. Barnet Hospital Urgent Care Centre Wellhouse Lane, Barnet, EN5 3DJ Open 9.00am to 11.00pm 7 days a week, 365 days a year Royal Free Hospital Urgent Care Centre Pond Street, London, NW3 2QG Open 10.00am-10.00pm 7 days a week, 365 days a year Chase Farm Urgent Care Centre Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL Open 8.00am to 10.00pm 7 days a week, 365 days a year

Working together with the Barnet population to improve health and wellbeing

Attending A&E and calling 999

• Attend A&E or call 999 for life-threatening emergencies or other

serious conditions. Access 24 hours a day, 365 days a year.

• Attending A&E or calling 999 should only be used in a critical or

life-threatening situation

Working together with the Barnet population to improve health and wellbeing

What service would you choose first and why?

Working together with the Barnet population to improve health and wellbeing

Patient Scenario 1

Wednesday at 4pm, a six-year-old boy has Chicken pox. The boy’s

• lder brother had it last week and

now younger brother has a similar rash, otherwise well.

Working together with the Barnet population to improve health and wellbeing

Patient Scenario 2

Monday at 10pm, a ten year old girl is experiencing an ear ache. She has a fever, her ear is red shiny and sore to touch.

Working together with the Barnet population to improve health and wellbeing

Patient Scenario 3

Tuesday at 2pm, a female aged 25 is unable to get an appointment with her GP. She has been feeling down today, she has not got out of bed for two days and won’t go to work. She is getting increasingly agitated and saying the voices in the TV are “taking over her mind.” She has not thought about harming self or anyone else. She is diagnosed with Schizophrenia but this has been controlled over the past two years.

Working together with the Barnet population to improve health and wellbeing

Patient Scenario 4

Sunday morning at 11:00am, a 60 year old lady at home watching TV with her family. Suddenly feeling faint and distant with head pain increasing. Family notice weakness in her muscle tone on

• ne side of her face and that she can’t speak

clearly, muscle weakness also down the same side of her body. Not able to stand or grip with her hand on the weak side.

Working together with the Barnet population to improve health and wellbeing

Patient Scenario 5

Saturday afternoon at 4.30pm, a 35 year

• ld female has been experiencing

intermittent abdominal pain for the past four hours. It is not interfering with normal activity and there are no other symptoms. She is not registered with a GP.

Working together with the Barnet population to improve health and wellbeing

What we will do with this information

Following tonight’s event, a report based on your comments and feedback will be prepared to help shape the services that will keep you well over winter and beyond. If you have registered, you will be sent this directly, and it will also be shared on our website.

Working together with the Barnet population to improve health and wellbeing

Break

Get a cup of tea and do leave feedback on our services

Working together with the Barnet population to improve health and wellbeing

Why A&E? - video

Personal reflections

Ian Bretman, Lay Member for Patient and Public Engagement

Working together with the Barnet population to improve health and wellbeing

Moving to Urgent Treatment Centres at Royal Free London NHS Foundation Trust – What does this mean for Barnet?

Urgent treatment centres will standardise and simplify the system so patients know where to go and have clarity of which services are on offer where. Urgent treatment centres will be equipped to diagnose and deal with many

• f the most common ailments people

attend A&E for. Urgent treatment centres will ease the pressure on hospitals, leaving other parts

• f the system free to treat the most serious

cases.

Working together with the Barnet population to improve health and wellbeing

Panel Q&A

Working together with the Barnet population to improve health and wellbeing

Event close