Building Healthy Communities
Public Event
14 April 2016
Agenda
Time
Activity
Presenter
18:00 – 18:05
Introductions and welcome
18:05 – 18:10
Community Health Services - Context
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
19:30 – 19:45
Feedback from groups
19:45 – 19:50
Next Steps
Dr Shivam Natarajan
19:50 – 20:00
One Word
Yasmin Ajmal
Steve Gilvin
Dr Stuart Sutton
Yasmin Ajmal
Facilitators
Voting system – Test Question
Have you seen any article or
advertisement about the Newham
community health services programme
in the magazines (Newham Recorder/
The Newham Mag)?
A. Yes
B. No
Using the keypads provided to you
press one best option only for the
voting questions.
Introductions and welcome
Steve Gilvin
Chief Officer , Newham , CCG
Our priorities
Our strategic goals
•Improving health outcomes through developing models
of 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
of our core strategy “Transforming Services Together”
which will ensure :
• Better care for our people
• Better outcomes for our patients
• Financial stability
Building healthy communities- central role!
Wellness
Why we need to change?
Care
Close to
home
Building
healthy
communities
Integrate
care
Strong
Sustaina
ble
hospital
•
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.
Community Health Services
past, present and future
Dr Stuart Sutton
GP Lead and Co-Chair, Newham CCG
• 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
An opportunity for us to define what will meet our local
priorities and needs
Vote 1
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
Our proposed vision
Large acute
based
services
Care Close
to home
MDT teams
Nursing/
Multiple
disconnected
Small
community
services
Residential
homes
Building
Healthy
Communities
Social Care
Social care
systemseparate
Integrated
Community
Hub
Enhanced
primary
care
Voluntary
service
Multiple
access points
and teams
Reduce
hospital
visits &stay
Improved
outcomes &
experience
Care locally accessible and responsive to patient needs provided in community or in people’s homes
rather than hospital
Our evolving healthcare services
Past
Multiple
hospital
visits
Present
Enhanced
care at
home
Future
Fully
Integrated
proactive care
including
wellness
programme
Vote 2
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
Building Healthy Communities
timelines and update
Ian Tritschler
Director of Acute and Community
Commissioning, Newham CCG
Building Healthy Communities programme Update
• Patient & public
engagement
• Needs analysis
• Provider events
•
•
•
•
Vision and scope
Delivery models
Pathways
Financial
analysis
listen and
engage
design and
test
Feb-Aug
2016
Mar- Sept
2016
procure
service
Oct 2016May-2017
plan & start
new service
June
2017 Feb 2018
Engagement so far
• Over 450 patients
and public
• Engaged with over
100 GPs, clinicians
and staff
• 11 focus group
meetings and
workshops
• 8 site visits
...And continuing!!!
What you have said…
Keep us
informed
Care in
community
or home
More choice
Self
Management
Prevention
Family as a
unit
Faster
diagnostics
Joint
decisions
Single health
record
Ease and
speed of
access
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
Vote 3
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
My journey through a
transforming health service
from illness to wellness
Phillip Varlow
Patient and Public Representative, Newham
February 2010 – Silvertown Ward, NUH
Community Health Service
20th March 2016 – Sports Relief Mile Run
Vote 4
If we get this transformation programme right – how will we know? How
should we measure success?
A.
B.
C.
D.
E.
F.
Fewer people need to be admitted to hospital – more people are
being cared for at home
People’s experience of using our community services is much
better and we see a reduction in complaints
People recover more quickly from an illness and can return to
independent living
Number of times a person’s needs were addressed in the first
contact/ appointment – ‘we get it right first time’
Reduction in complications for people living with long term
conditions – eg fewer people with diabetes developing kidney,
nerve or eye problems
More People supported to have End of Life care provided at
home
Q & A Session
Brainstorming Sessions
Scenario 1
Mohammed is 55 years old.
Scenario 2
Case 2 - Jenny
He has diabetes
Jenny is 92 and lives alone in her house
with stairs. She has COPD,
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.
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
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
other teams have agreed for his care as
letters can take some time to arrive in
the post.
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.
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
or 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)
Feedback from brainstorming
sessions
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
• Exercise (15 minutes)
Feedback from brainstorming
sessions
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
• Exercise (15 minutes)
Feedback from brainstorming
sessions
Next steps and further engagement
• Gather and publish all engagement feedback - website,
newsletter and focus group workshops
• http://www.newhamccg.nhs.uk/GetInvolved/communityhealth-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 redesignJune/July 2016
• Formal public consultation process before procurement- Aug
2016
listen and
engage
design and test
procure service
Plan and start
new service
Vote 5
How would you like to receive updates about the programme?
A.
B.
C.
D.
E.
Email updates/ electronic news letter
Printed newsletters
Social media- twitter/facebook
Online website with email reminders
Present in our focus groups or other
meetings
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)