How would you make it easier for people to take control of their own health and wellbeing?
What would you do to make support better for people with long-term conditions?
This report fits nicely with our Community Conversations work across the Borough and the key messages are very much aligned. For example, the most important factor to people was having access to help and treatment they need when they want it. This forms part of our overall mission as an Integrated Care Partnership – getting you support where and when you want it. Whether this is getting help from your GP or support around emotional health and wellbeing, we have a big job to do to get this right.
At the moment many people are unable to get the right help at the right time. Frontline staff in many of our services report being unable to deal with the numbers of people needing our help. To solve the problem we need to work with different partners - voluntary organisations, community groups, patient groups and individuals who use our services to come up with different solutions.
If you can’t read thefull Healthwatch report, the Summary of Findings on page 6 are a really good start. Healthwatch are an important partner in our ICP and I look forward to our continued good relationship with them.
Here’s to five more healthy years and to support where and when you need it - for everyone in Cheshire West.
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Case for change
CWICP services update
The Countess of Chester Hospital's Intermediate Care and Joint Therapies services became the first to transfer under the management of CWICP in December 2018. Joint Therapies consists of Speech and Language Therapists, Occupational Therapists, Physiotherapists and Dietitians working across hospital and community services.
Therapies As the specialist vascular centre at the Countess of Chester Hospital, the therapy team constantly look at ways to improve outcomes for lower limb amputees. Rigid removable dressings have been identified as a best practice model that improve wound healing, oedema control and stump protection. They may also enable patients to return home sooner. Implementation will start in the the next few weeks with effectiveness due to be audited in the coming months.
Hospital at Home and intermediate care A Hospital at Home development group continues to look at ways to transform the service and forge even stronger working relationships with colleagues in primary care and community services. The group focuses on key objectives in with the NHS Long Term Plan:
We will boost ‘out-of-hospital’ care and finally dissolve the historic divide between primary and community health services
We will reduce pressure on emergency hospital services
Speech and Language Therapy Our Speech and Language Therapy team have received funding to deliver a ‘risk feeding’ training package to GPs, nurses and care homes. Advanced care planning and ceilings of care will form part of the conversations.
Reminder The #Homefirst study day on November 19th 2019 is open to bookings. If you work with people with advancing frailty and support a person-centred, risk-embracing approach then this course is for you. For more details or information please contact cochhomefirst@nhs.net
Developing our Care Communities
Community Conversations - What People Want Led byCheshire Community Actionon behalf of CWICP, Community Conversations were conducted across all Cheshire West Care Communities between February and June 2019 to help us better understand each community's health and care needs. More than 550 people engaged with the project via face-to-face sessions, one-to-one meetings, over the phone and anonline survey.
The project team are now busy writing up a detailed report of their findings while working closely with CWICP to look at how best to deliver the next stage of the project – delivery of the key recommendations. An event to present the final report is planned in October. The next phase will involve more conversations with participants at a local level and with more stakeholders: particularly those that can help to implement participants' recommendations.
Care Community Review - What People Get
To build on the work of Care Community teams, CWICP partners need to understand “what works” to help identify areas of best practice and potential options for future working.
A CWICP project team has collated all the findings from recent workshop sessions, which resulted in 600 recommendations, and are now using these, along with other management information and data, to develop of a long list of options.
Care Community Profiles - What People Need
Profiles to outline each Care Community's key health and care issues are being developed by CWICP partners to help with service planning, commissioning and evaluation. Bespoke data packs which map each Care Community's key health, care and demographic indicators in one place have now been shared with local Primary Care Network leads. Among the detail included is:
Adult Social Care
Key health indicators
Wider determinants of health and health behaviours
A summary table of all Cheshire West Care Communities
Primary Care Development Team
On July 1st 2019 the Primary Care Development teams from NHS Vale Royal CCG and NHS West Cheshire CCG formally aligned with Cheshire West Integrated Care Partnership (CWICP).
Led by Sarah Murray, the team consists of Care Community Development Manager Sam Richards, Care Community Development Facilitator Sharon Yates and Locality Managers Emma Cousens and Colin McGuffie. A third Locality Manager is currently in the process of being recruited and will also join the team once in post.
The team will play a key role in supporting the development of Primary Care Networks across Cheshire West and the wider Care Communities.
Soon to be supported by a Cheshire West ICP Medical Director, this includes supporting GP practices to recruit to additional roles outlined in the GP Contract e.g. clinical pharmacists.
Celebration of Achievement Awards
A Cheshire NHS team that supports people with diabetes has won an award following a round of public nominations.
Central Cheshire Integrated Care Partnership’s (CCICP) Diabetes Specialist Team (pictured) was one of 12 winners at Mid Cheshire Hospitals NHS Foundation Trust’s annual Celebration of Achievement awards.
The service which, in Cheshire West, supports people in Northwich and Winsford, won the ‘Public Choice Award’, which acknowledged how the team go the extra mile to support patients.
Irene Doldon, Clinical Specialist Practitioner for Diabetes, said: “Self-managing diabetes takes time and effort and for our patients to acknowledge our service makes our job worthwhile. We are delighted to have won this award.”
Associate Director Tony Mayer said: “The Patient Choice Award recognises the fact that providing healthcare isn't just about delivering effective treatments but is also about how staff work with patients to make sure that they feel empowered to help themselves to manage their condition."
CCICP's Advanced Community Practitioners, who work to help reduce avoidable hospital admissions, were also among the winners.
Campaign to prevent falls in care homes
Older people, particularly those living with dementia, can struggle to recognise their own walking frame and, if they pick a frame that is not properly adjusted for their height, are at much greater risk of falling.
Nationally, the “Pimp my Zimmer” campaign, which works with residents and their families to personalise people's walking frames and make them easier to identify, has been shown to reduce falls by as much as 60%.
In Cheshire West, residents at four care homes, including Crabwall Hall resident Mary (pictured), have engaged with the campaign so far.
Vintage Pride
Silver Rainbows, Age UK Cheshire and Brightlife are inviting older LGBT+ people to dress up in their finest 1950s attire and come along to Vintage Pride, a dedicated space at the Chester Pride Festival.
Older LGBT+ adults are at higher risk of experiencing social isolation, social stigma and health problems than their heterosexual counterparts according to a Strategy Group for the Ageing Better programme established by The National Lottery Community Fund. There is an ongoing need to ensure LGBT+ people aged over 50 have access to services and should not fear discrimination or prejudice about accessing the services they will require as they age.
The report also reveals that more work needs to be undertaken with care homes and the health sector to ensure that services are LGBT+ appropriate.Read the reports in full here
“Many older LGBT+ people have had lots of experiences of prejudice and there are still older people who find it difficult to be out and open and accepted,” explains Colin Avery fromSilver Rainbows.“Being part of Vintage Pride really helps them feel part of the community.”
Media round-up
Majority of residents back Cheshire NHS CCG mergers plans
Winsford residents to get first look at multi-million pound football complex
Special guests help Neuro Therapy Centre launch new facilities
Have your say on five-year homelessness strategy
New facility for disabled adults to open in Winsford
'Recovery Package' gives cancer patients targeted support
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