A patient case study based on community support beds in Tibshelf.
Joined Up Care Derbyshire Newsletter July 2018
View the latest updates on Joined Up Care Derbyshire
Better Care Closer to Home Update
The latest information with regard to Better Care Closer to Home
Update: Thursday 3rd May 2018
Joined Up Care in Belper – Health Care Service Review
Update via NHS Southern Derbyshire Clinical Commissioning Group (CCG)
Closing date: Friday 30th March 2018
NHS Southern Derbyshire Clinical Commissioning Group (CCG) and care organisations in South Derbyshire have come together to plan changes to the way local health services are provided to make them fit for the future. They began the Joined Up Care in Belper review in 2015 to understand what was needed.
There has been a review undertaken to look at how our health services are provided in and around Belper to understand how, with the changing health needs of the local population, we may need to alter how services are delivered.
The review continues as part of Derbyshire’s Sustainability& Transformation Plan, known as Joined Up Care Derbyshire, but there is a pressing need to resolve the challenges presented by Babington Hospital.
Joined Up Care Derbyshire Newsletter
Joined Up Care Derbyshire Survey
Closing date: 31st October 2017
Joined Up Care Derbyshire is the name for Derbyshire’s Sustainability and Transformation Plan (STP), which will set out how the health system will look in Derbyshire, and Derby City, in the coming years. The people who are charged with making the changes want to hear from as many people as possible so as to take account of their views.
This is the beginning of the process in Derbyshire and is your chance to help shape the consultations and the eventual outcome of the plan. Healthwatch Derbyshire does not support any viewpoint but is helping to ensure that as many people as possible across the County have an opportunity to have their say. Therefore we do urge you to take part.
Link to online survey: www.surveymonkey.co.uk/r/joinedupcarederbyshire
If you would like a hard copy of the survey telephone 01773 880786 or email firstname.lastname@example.org
Healthwatch Derbyshire’s involvement with the Sustainability and Transformation Plan ‘Joined UP Care Derbyshire’
The reason Healthwatch Derbyshire is supporting the work of the Sustainability and Transformation Plan (STP) is to ensure that patients and the public have a voice in the decisions that are made about the design and delivery services. The STP sets out proposals to transform health services over the next four to five years, hence it is important that patients and the public have a say in what these changes look like.
We have always promoted the fact that patients and the public should be involved in decisions about changes to services at the earliest possible opportunity, so that their thoughts, wishes, ideas for improvement can be captured and used when decision makers are looking for solutions to the problems currently presenting themselves to the NHS today.
This type of involvement is in addition to ‘Public Consultation’ which is governed by legislation and therefore, required by law. We want people to be able to get involved before this stage, as it can often feel like once it gets to the public consultation stage that decisions have already been made.
Our current work with the STP is to raise awareness of a questionnaire that they have put together to get people’s early thoughts and feelings about the proposed changes.
The information from this questionnaire is coming directly to Healthwatch Derbyshire so that we can analyse the information and produce a report independently of the STP Communications and Engagement Team, and ensure the findings are listened to and taken into account when decisions are being made.
One of the main reasons for Joined Up Care Derbyshire is to ensure that services join up to ensure that limited resources are used effectively and efficiently. The support we are offering the Communications and Engagement Team of the STP is very much in the spirit of this, and working together to get the best possible outcome for the public.
Get involved and help shape the future of health and care in Derbyshire.
30/07/2017 Update via Karen Ritchie, Chief Executive of Healthwatch Derbyshire – the county’s independent health and social care watchdog.
Over the next few weeks and months we will be getting out and about to encourage people to join in a conversation on the proposed ideas set out for the future of Derbyshire’s health and care.
These ideas are set out in ‘Joined up Care Derbyshire’, a document in which health and social care organisations have set out how they need to work together to improve health, finance, and quality of care to meet the future needs of patients.
We will be working in partnership with Southern Derbyshire Clinical Commissioning Group (SDCCG) to visit community venues across the county to talk about how health and care services work now and how they might look in the future.
Along with SDCCG we’ll be attending community events and market places to give people the chance to drop in and find out more about the plans. We’ll also be helping to promote other ways for people to get involved in the conversations such as answering a questionnaire, attending a meeting or joining a discussion online.
The feedback received will be presented to the clinicians and teams to make sure that people’s views and ideas are incorporated into the planning and thinking at the earliest stage.
Healthwatch Derbyshire’s role in this consultation is not to pass judgement on the proposals but to ensure that there is a strong voice for local people in this process.
We have been told that ‘Joined Up Care Derbyshire’ is better described as a proposal for change, not a plan, so there is still plenty of time for people to get involved and have a say on the future of their local health services.
I would therefore urge anyone who has questions or concerns about the proposed changes to health and social care in the county to get involved at this early stage.
A list of the events that we will be attending, to ensure there is meaningful opportunity for patients and the public to have their say about the proposed changes, can be found online https://www.healthwatchderbyshire.co.uk/stp-derbyshire-joined-care/stp-events/
NHS Hardwick CCG and NHS North Derbyshire CCG make their decisions following the Better Care Closer to Home consultation.
26/07/2017 Update via: NHS North Derbyshire Clinical Commissioning Group & NHS Hardwick Clinical Commissioning Group
After extensive public consultation Hardwick and North Derbyshire CCGs last night voted to replace outdated hospital wards with a clinically proven model of home-based care to help older people recover more quickly from illness and operations. The plans were unanimously approved at a joint meeting of the CCG boards on 24 July and will now be developed in detail. The CCGs have promised that no current service will stop until a clinically suitable alternative has been put in place.
The two Governing Bodies met in public at County Hall in Matlock to consider individually the feedback received during the Better Care Closer to Home consultation before making their decisions on the proposals that were put forward. Over 150 members of the public attended the meeting and hundreds more viewed the meeting over a live stream on YouTube.
Financial Boost For Derbyshire
Update via Southern Derbyshire CCG
Following the announcement by senior health leaders this week that the NHS is pumping £325 million into new projects in 15 areas across the country, it was confirmed that Derbyshire would receive up to £30m for the two local projects.
Derby Teaching Hospitals Foundation NHS Trust will now be able to move forward plans for an Urgent Care Village’ which will incorporate GP services, a frailty clinic and mental health services to make sure patients receive the right care in the right place, first time, and avoid going to A&E unnecessarily.
Sharon Martin, Chief Operating Officer at Derby Teaching Hospitals, said: “We are delighted to receive this funding to help us transform services in Derbyshire to support providing people with the right care, in the right place. NHS England’s confidence in our plans to change the way we deliver urgent care for our patients in southern Derbyshire will enable us to drive forward collaboration with other services to improve care. This investment gives us a significant opportunity to transform our emergency services at the Royal Derby Hospital to help us meet growing demand and maintain the highest quality standards of urgent care.”
The additional money will go towards supporting work that is considering new facilities that will bring community services, outpatient clinics, testing and diagnostics and specialist rehabilitation services together in one place in the county.
The £325m has been awarded to Sustainability and Transformation Partnerships (STP) which are considered to be the strongest and most advanced in the country. It’s a great financial boost for Derbyshire’s STP, Joined Up Care Derbyshire, which will support the vision set out in the plans.
We will share more details on how the money will be spent as the plans develop.
To read the national release visit https://www.england.nhs.uk/2017/07/patients-to-benefit-from-325-million-investment-in-nhs-transformation-projects/
£325 million invested in NHS transformation projects
Funding will support Sustainability and Transformation Partnerships (STPs) across England.
On 19 July 2017, Health Secretary Jeremy Hunt and NHS England Chief Executive Simon Stevens announced £325 million of capital investment for local projects that will help the NHS to modernise and transform care for patients.
Local capital investment schemes in 15 areas of the country have been given the go ahead, with the largest sums being used for urgent care in Dorset, surgery in Greater Manchester and cancer care in Cumbria.
The projects receiving funding include the following:
- in Greater Manchester, hospitals will deliver significant improvements in urgent and emergency care by concentrating services in 4 hub sites across the city, expected to save around 300 lives each year in general surgery alone
- in Bedfordshire local doctors and nurses are developing a primary care hub on the site of Bedford Hospital, which is expected to improve access to same-day appointments for around 50,000 patients and reduce the number of patients attending the hospital’s A&E department unnecessarily
- in Derbyshire an ‘Urgent Care Village’ will be created at the Royal Derby with GP services, a frailty clinic and mental health services, to ensure patients receive the right care in the right place, first time, and avoid going to A&E unnecessarily
This initial funding has been targeted at the strongest and most advanced schemes in the STP categories based on an assessment of leadership and service performance. All plans have been developed locally in consultation with the public.
The funding was secured in the Budget in March when the government also committed to make further capital investment available in the forthcoming Autumn Statement.
Health Secretary Jeremy Hunt said:
This funding will support strong local plans to help the NHS modernise and transform care for patients.
A measure of success of these transformation partnerships is that people can see and feel improvements being made in their local area – there are already excellent examples of this across the country and this money will allow them to go further and faster.
NHS England Chief Executive Simon Stevens said:
Today we’re firing the starting gun on the first wave of major service upgrades and care redesign which will benefit people living in counties, towns and cities across England. For patients it’ll mean easier GP appointments, modern A&Es, and better cancer and mental health care. For staff, we’re putting our money where our mouth is in backing these practical plans developed by doctors, nurses and local NHS leaders.
This is the first down payment of much needed investment in modern equipment and NHS facilities, with more promised in the autumn and beyond. Today is proof positive that when you back the NHS with investment, both patients and taxpayers see the practical benefits.
The strongest STPs have performed well across indicators in 3 broad areas: hospital performance, patient-focused change, and transformation.
Derbyshire STP Events
Update via Southern Derbyshire CCG
Get involved and help shape the future of health and care in Derbyshire.
Over the next few months, we will be getting out and about to have a conversation on the proposed ideas set out for the future of Derbyshire’s health and care outlined in our plan called, Joined up Care Derbyshire.
In partnership with Healthwatch Derby and Derbyshire we will be visiting community venues across the city and county to talk about how health and care services work now and how they might look in the future.
We will be offering people different ways to get involved in the conversations such as answering a questionnaire, attending a meeting or joining a discussion online. We will be attending meetings already planned by organisations and interest groups e.g. carers and voluntary sector; holding events ourselves in partnership with Healthwatch and be in places including hospitals and markets to give people the chance to drop in and find out more about the plans.
The feedback we receive will be presented to the clinicians and teams to make sure that people’s views and ideas are incorporated into the planning and thinking at the earliest stage.
In addition to these opportunities to get involved with the conversation on the future health and care services for Derbyshire there is also engagement work and consultations which have been taking place for some time and are a part of the plan but are working to different time lines. You can find out more about them here:
Derby and Burton Collaboration – http://www.burtonderbycollaboration.co.uk/
Better Care Closer to Home – http://www.joinedupcare.org.uk/
Belper – http://www.southernderbyshireccg.nhs.uk/have-your-say/consultations/belper-health-services/
Other – http://www.southernderbyshireccg.nhs.uk/have-your-say/consultations/
If you have any suggestions about meetings we can attend please contact email@example.com. We will try our best to attend those meetings that are suggested but we cannot guarantee we can attend everything that is suggested.
Dates for Your Diary
Please keep checking this page as more dates will be being added all the time.
|Southern Derbyshire Voluntary Sector Health and Social Care Forum – development session||Tuesday, 11 July|
|Northern Derbyshire Voluntary Sector Health and Social Care Forum – development session||Wednesday, 19 July|
|Derby City Healthwatch Reference Group||Wednesday, 19 July|
|National Play Day Swadlincote||Wednesday, 2 August|
|Alfreton Market||Friday, 4 August|
|Wirksworth Market||Tuesday, 8 August|
|Derby Fun Day, Arboretum Park||Wednesday, 9 August|
|Glossop Market||Friday, 11 August|
|Swadlincote Market||Friday, 11 August|
|Ilkeston Market||Thursday, 17 August|
|Hartington Show||Sunday, 10 September|
To keep-to-date on all the latest information please visit this page.
If you have any questions about Joined Up Care Derbyshire, please contact us at:
T: 01332 888 080
Alternatively, please write to:
NHS Southern Derbyshire CCG
First Floor North
10 Nottingham Road
Derby DE1 3QT
Postponement of Derbyshire STP Events
Update via Southern Derbyshire CCG
It is unfortunate that the first of a series of events planned for May and June has had to be cancelled following the announcement of the forthcoming general election 8 June.
In the days following the announcement NHS England issued Cabinet Office guidance, clearly outlining what was expected and permitted during the pre-election period.
As an extra measure, we specifically checked with NHS England whether we could continue with the event we had planned. As expected, we were advised we would need to cancel.
Full Government guidance on this matter can be found here:
We had planned to use all the channels available to us to promote the events as we are keen to involve and talk to people across Derby and Derbyshire about the future of health and social care. We have presented our plans, setting out how we plan to start these, with both city and county Health and Well Being Boards, and – as you are aware – with the city and county HealthWatch organisations. We did this to make sure all opportunities are taken to encourage Derbyshire people to share their views and ideas about health and social care.
As soon as the General Election result is established, we will continue with the plans to talk and listen to local people.
The ‘drop in’ sessions will still be held across the county, as soon as we are permitted to host them, and these will provide people with the chance to find out more about what is happening in each of the ‘places’, or areas, described in the STP.
The ‘drop in’ sessions will be just one way we invite people to get involved over the next five years and as part of our conversations we will be asking local communities for opinions about the best methods to make sure everyone has a chance to ask questions or give their views.
If you wish to share anything further on this, after June 8, please contact Jenny Goodwin…..
External Communications Manager
NHS Southern Derbyshire Clinical Commissioning Group
First Floor, Cardinal Square, 10 Nottingham Road, Derby DE1 3QT
T: 01332 888190
NEXT STEPS ON THE FIVE YEAR FORWARD VIEW: NHS SETS OUT ACTION TO DELIVER NHS CARE FIT FOR THE FUTURE
Update via NHS England
31st March 2017
As the NHS approaches its 70th anniversary the health service has today published the plan setting out how it will deliver practical improvements in areas prized by patients and the public – cancer, mental health and GP access – while transforming the way that care is delivered to ease pressure on hospitals by helping frail and older people live healthier, more independent lives.
These measures, probably the biggest national move towards integrated care currently underway in any Western country, will also help to put the service on a more sustainable footing for the future.
With the NHS under pressure this plan, Next Steps On The NHS Five Year Forward View, also details an accelerated drive to improve efficiency and use of technology in order to deliver better care and meet rising demand within the constraints of available resources.
Two-and-a-half years on from the publication of the widely-welcomed NHS Five Year Forward View, the plan spells out what has been achieved and the changes which will take place across the health service in key areas:
– Improved cancer care aimed at saving an extra 5,000 lives a year through new one-stop testing centres, screening programmes and state of the art radiotherapy machines.
– Boosting mental health services by increasing beds for children and young people to cut out of area care, more beds for new mothers and more mental health professionals in the community and hospitals to prevent crisis admissions.
– Better access to GP services with everyone benefiting from extended opening in the evenings and weekends, newly designated ‘Urgent Treatment Centres’ and an enhanced 111 service to ease pressure on A&Es.
– Better care for older people by bringing together services provided by GPs, hospitals, therapists, nurses and care staff, cutting emergency admissions and time spent in hospitals.
– Driving efficiency and tackling waste to make money invested in the NHS go further in delivering the services and staff that patients want, including the latest treatments and technology.
Launching the plan, NHS England Chief Executive Simon Stevens said:
“Heading into our 70th year, public support for the NHS is as strong as ever but so too are the pressures on our frontline staff.
“Today we chart a course for practical care improvements for the next few years. We do not underestimate the challenges but, get these right, and patients, staff and the tax-paying public will notice the benefits.”
The document outlines significant progress made over the last three years, including record high cancer survival rates, 8,000 extra doctors and nurses, the first ever waiting time standards for mental health treatment being introduced and met, and cutting waste – in particular agency staffing bills.
It also, however, frankly sets out where progress has not been as quick, with rising pressure on A&E and acute wards partly caused by delayed transfers of care.
Katherine Murphy, Chief Executive of the Patients Association, said: “We welcome this delivery plan, and will work with NHS England to ensure it is delivered successfully and engages with patients nationally and locally.
“This is essential both to ensure that the importance of change is understood by everyone, and to get input from patients about how new and re-designed services can meet their needs.
“We call on decision-makers nationally and locally to support this process, to ensure that NHS services work well for patients now and in the future.”
Sir David Behan, Chief Executive of the Care Quality Commission, said: “The NHS and the wider health and care system needs a clear direction of travel if it is to meet both the current and future demands of the people across the country, who deserve nothing less than safe, high quality and compassionate care. Through our inspections, the case for change has never been more obvious.
“It is important that leaders across health reach out to their colleagues in local authorities to break down organisational barriers so that collectively, they can ensure people’s needs are always put first.
“The good news is that we are seeing this already through our inspection findings, with the development of the sustainability and transformational plans, and with the Government’s additional investment in social care.“For the Next Steps on the Five Year Forward View to be a success, it should not just be seen as a plan for the NHS but for local authorities to actively engage in too. Only this will bring about real and sustainable improvements in quality.”
Southern Derbyshire CCG – Monthly Update – January 2017
Work on Joined Up Care Derbyshire (STP) is continuing as health and social care organisations work towards turning initial ideas into tangible plans.
NHS commissioners have agreed contracts with providers for services up to 2019, meeting NHS England requirements and deadlines. Funds initially intended to be invested in creating new ways of providing services, as suggested in the STP document, have now had to be committed elsewhere in the health and social care system. As a result, priorities and work will be moved on and updated to reflect the current circumstances.
All 11 partner organisations are looking at what can be achieved this year, and in 2018, and continuing to work closely together to achieve the agreed priorities and make sure patients get the best possible services, making the best use of all available resources.
Healthwatch Derbyshire and Healthwatch Derby, and the voluntary sector, are working closely with us to finalise plans for how, and when, we start holding events, so we can share the latest information and talk to as many people as possible across the county. These groups will help us hear from people from all communities and take on board a broad range of ideas and views, to help shape future services.
We will give you monthly updates about what is happening and how you can get involved.
If you have a question about Joined Up Care Derbyshire please contact firstname.lastname@example.org
The Public Must Have Their Say on Joined Up Care Derbyshire – STP
In the first of a series of blog posts to update the general public on the Derbyshire Sustainability Transformation Plan (STP) – Healthwatch Derbyshire Chief Executive Karen Ritchie advocates the need for the meaningful consultation about the issues surrounding ‘Joined Up Care’.
The recent publication of the Derbyshire Sustainability Transformation Plan (STP) entitled ‘Joined Up Care Derbyshire’ is already causing concern amongst local people and Healthwatch Derbyshire is committed to ensuring that the public have their say on these proposals.
Healthwatch Derbyshire’s role with regards to the STP is not to pass judgement on the plan but to ensure that there is a strong voice for local people in this process.
The feedback we have received so far indicates that carers are particularly concerned about what the plan will mean for them.
There is also concern amongst the wider public that there is currently no information as to how the new models of care will be financed, and concerns that beds will be closed before new services are up and running effectively.
There is a perception that the development of the STP has been ‘behind closed doors’ which, unfortunately, has led to public confidence in the process being significantly undermined.
One of our main concerns has been the absence of a robust Engagement Plan for the STP but we have been assured that this is in hand.
As a result, we will be meeting with local Engagement Leaders in early January to discuss the plans for engaging local people in the STP and to see how Healthwatch Derbyshire can support the process and add value going forward.
Following on from this we hope that it will be clear how patients and members of the public will be involved in the STP process.
We are committed to working with the organisations involved in the STP to advise them on meaningful engagement and consultation based on our knowledge and experience of talking to and gaining feedback from local people.
We will be pushing for:
- Full disclosure about the proposals in the STP as they develop
- The publication of good quality information which is easily accessible for all of our local communities
- Meaningful engagement with patients, their representatives and particularly carers, as well as the wider general public
- Opportunities for the voluntary sector to be involved in the development of the plans
- Co-production of any news services with the people who use them
- Formal consultation should it be required.
We have been told the STP for Derbyshire is better described as a proposal for change, not a plan, so there is still plenty of time for people to get involved and have a say on the future of their local health services.
I would therefore urge anyone who has questions or concerns about the proposed changes to health and social care in the county to get in touch at this early stage. Also please keep checking our website for our latest updates and opportunities to get involved.
This will ensure that everyone has their say, and will start a dialogue between members of the public and local leaders on the STP process.
Healthwatch Derbyshire Chief Executive Officer
Healthwatch Derbyshire Appeals For Public To Have a Say in Future of Health and Social Care Services
Health watchdog Healthwatch Derbyshire has appealed to local leaders of the recently published Sustainability Transformation Plan (STP) to ensure there is meaningful opportunity for patients and the public to have their say about the proposed changes.
The organisation says that there has been limited engagement with the public so far and that this is likely to lead to mistrust and scepticism about the plans.
The local Sustainability and Transformation Plan for Derbyshire and Derby, has involved health and social care organisations working together more closely than ever before to look at how services could and should run over the next five years.
Derbyshire’s STP, called Joined Up Care, highlights what services are offered already, where gaps might be, and what changes should be considered to make sure care is offered in the best way for everyone, now and in the future.
Healthwatch Derbyshire Chief Executive Karen Ritchie said: “It’s no secret that the health and social care services we all rely on, e.g. our hospitals, GP practices and care homes, are facing big challenges.
“This is due to a combination of a growing and ageing population, people with more long-term, complex conditions, and a challenging economic climate.
“There is no doubt that change needs to happen and Healthwatch Derbyshire’s role in this, is to ensure that patients, and members of the public, have the opportunity to input their views into the process.
“To date there has been very little input into the STP plan in Derbyshire from patients and the public, due to strict timescales, but this needs to change.
“Now the plan has been published, we need to have an open and transparent public debate about the reasons behind the Joined Up Care plan and the potential scenarios for change.
“If the plan is designed to meet the needs of the local population, it needs to include them in the design and delivery of services.”
“Healthwatch Derbyshire have been assured by officers leading on the plan that over the coming months there will be plenty of opportunities for local people to find out more and share their views on what they think health and social care services should look like. We are currently discussing the detail of how this will happen.”
Anyone that would like to know more can contact Healthwatch Derbyshire, or visit the website, where regular updates will be published on the process – www.healthwatchderbyshire.co.uk
STP leads have ‘duty to talk with the public’
- Healthwatch England warns “sense of fear” among policymakers risks leaving public consultations until the “very end” of the STP process
- Chair warns public is at risk of “feeling betrayed” over lack of engagement
- Healthwatch has previously said the speed of the STP process “has been a challenge”
Healthwatch England has today warned that the public are at risk of being brought in at the “very end” of the sustainability and transformation plan process to “simply ‘rubber stamp’ over-simplified plans”.
Jane Mordue, interim chair of the national health and care “consumer champion”, said a “strong sense of fear” among policymakers that proposed services changes will face an “army of activists” could translate into delayed public consultations.
In an article on hsj.co.uk, Ms Mordue said if this happened it would leave the public “feeling ignored” and this would “understandably fuel the fires of opposition”.
She urged STP leads to not retreat from “their duty to talk with the public”, warning that a lack of proper consultation risks creating a “vicious circle” where service change becomes “needlessly painful”, communities are left “feeling betrayed” and future change would be jeopardised by the creation of “unnecessary barriers”.
HSJ also spoke to Susan Robinson, acting national director for Healthwatch, last month to discuss the organisation’s role in the STP process. She said Healthwatch has not asked NHS England to push back its implementation timeline for STPs, which could enable a more robust consultation process, and it will work within the constraints NHS England has set. She said Healthwatch will “do what we can with the role that we have… and make sure that the public are adequately involved in any kind of changes in their local services”.
However, a Healthwatch paper authored by Ms Robinson and submitted to the Care Quality Commission’s September board meeting said: ”We all know that good public engagement requires time… The STP process has moved so fast that this has been a challenge.”
When asked if STPs should be published without delay, Ms Robinson said: “Well until we see the plans it is all speculative, isn’t it? We are working with local Healthwatch groups to make sure that they are there poised ready to do what needs to be done and make sure that the public are involved as quickly as possible.”
Full submissions from the 44 STP areas were made to NHS England last Friday, and two plans have so far been published.
To help local groups support STP consultations, Healthwatch has established a 20-member group, which first met over the summer. It also has two “champions” that will represent Healthwatch England at the national STP oversight group.