West Leicestershire Clinical Commissioning Group Members Magazine Summer 2014

Members’ Magazine | Summer 2014www.wlmembership.org

Walkthis wayInside: Dementia Friends • Patient Participation • Let’s Talk •

• Choose Better Guides • Losing Weight • Meeting Care Needs

2 Summer 2014, Issue 9: be healthy be heard

Dear members,A warm welcome from your new chair for West Leicestershire Clinical Commissioning Group (CCG)

Contactus:If you have a practical tip, health suggestion or an interesting story, please send it for inclusion in the next issue using the contact details below. We are also looking for cover stars – send us your picture and health story if you would like to appear on our coverEmail: [email protected]

Post: Please send all correspondence to:

West Leicestershire Clinical Commissioning Group Freepost ADMAIL 4149 Loughborough LE11 1YW

Telephone: 0300 555 5345

Please note that the membership helpline is open between 9am and 5pm, Monday to Friday.

Published by: GEM CSU, St John’s House, 30 East Street, Leicester, LE1 6NB


I am delighted to be writing my first welcome and introduction to the June edition of ‘be healthy, be heard’ as the new chairman of West Leicestershire CCG.

I am also very excited about starting my new role because there is so much more now that we can do for patients – so much more in the way of treatment and better methods of diagnosis.

For me it is a once-in-a-lifetime opportunity to take the local health service to the next level. What that means to me is great quality, people being listened to, the doctor examining you and involving you in decision making, and if you need hospital care, that you have a great experience.

In this edition you will find an article explaining the decisions following the consultation on the future of community healthcare in Ashby, plus what must be done before any hospital services are closed. We will keep you updated on developments as this decision goes ahead.

I was delighted with the fact that around a hundred people attended our joint event called Everyone Counts, which we held at Burleigh Court, Loughborough University. On the day of the event we asked people to talk about their feelings relating to current and desired experiences of keeping well, such as their relationship with

the GP and other professionals, or coping with unfamiliar symptoms, or avoiding a crisis in health or care. Feedback from the event has been extremely positive, with delegates saying they felt engaged, listened to and excited about the new approach.

A big thank you to everyone who took part in this and in our public consultation. Our thanks, too, go to people who join their local Patient Participation Group at their GP surgery. This summer saw a national Patient Participation Awareness event, so we are delighted to show you how a local PPG works through the eyes of its chairman (please see page 6).

Prof Mayur Lakhani

Chair West Leicestershire Clinical Commissioning Group

Summer 2014, Issue 9: be healthy be heard 3

“I went on a special training course as a volunteer to be a walk leader,” Denise explained.

“We really need more people to become trained. It’s very enjoyable and it’s only a day’s training - it covers matters like health and safety and being aware of members’ health conditions and their different needs.”

Many Senior Strollers enjoy their walks to help them cope with difficult health conditions. Take Sue O’Callaghan of Burbage, for instance, who was there with her carer, occupational therapist, Claire Jay. Sue was joining in for

the third time when be healthy, be heard interviewed her. “I have Parkinson’s,” she said. “But I really enjoy the community side of or walks – the social side.” And her carer added: “ – as well as having a day when you’ve got to get up and go – no excuses – and get the benefit of exercise.”

Meanwhile, in nearby Earl Shilton, trained volunteer walk leaders Eunice Baines and Chris Norton have led the group on a variety of different 60-minute walks. With careful planning and car-sharing, the group are able to enjoy fresh air

and exercise in their own area and in places such as Sence Valley in Ibstock, Market Bosworth, Aston Flamville, Sapcote, Stoney Stanton and Thurlaston and Elmesthorpe.

Earl Shilton walker Risé Fullylove said: “I used to do a lot of walking on my own, but often felt vulnerable too, far off the beaten track. Walking with the group has meant I can now do that safely.”

So, if you are over 50, why not walk yourself into better shape by joining one of the Senior Stroller groups? Or you could become a walk leader. The training is paid for by Age UK Leicester Shire and Rutland, and is funded by The Big Lottery.

The Hinckley group meet each Tuesday at 10.30am by the band stand in Argents Mead. The Earl Shilton group meet at the Age UK centre on Kings Walk each Thursday at 9.30am. Both groups are very friendly and look forward to welcoming new members.

For more information please contact Kate Webb, development worker, Age UK Leicester Shire and Rutland on 01455 619519.

Hinckley Senior Strollers are putting this principle into practice every week. Ably lead by Denise Larrad, the group shares varied weekly walks in and around Hinckley. Denise is a local celebrity. She was chosen to carry Hinckley’s own 2012 Olympic Torch in recognition for her achievements in running marathons for charity and even climbing Mount Kilimanjaro. But she also knows the benefits of far gentler exercise.

Walking has often been called the perfect exercise. Putting one foot in front of the other has been shown to result in many health and fitness benefits.

Walk

Denise Larrad (right) leads some of Hinckley’s Senior Strollers on one of their wellbeing walks.

this way


Let’s give a boost to the

DementiaFriendscampaign

West Leicestershire Clinical Commissioning Group (WL CCG) is supporting the current Dementia Friends campaign and encouraging people to develop an understanding of dementia to help those living with the condition.There are around 665,065 people in England with dementia, with an estimated 21 million people who have a close friend or family member who suffers from it.

People with dementia commonly lose their memory and, as a result, can start to lose their way, which is why the campaign is encouraging people to become a Dementia Friend by watching an interactive video online to improve their understanding of dementia and their attitudes towards people living with the condition.

Professor Mayur Lakhani, chair of WL CCG and a GP, said: “One in three of us over the age of 65 will develop dementia and over 4,000 patients in West Leicestershire are expected to be diagnosed with the condition in 2014/15.

“The CCG is working with the health and social care community to improve earlier diagnosis of the condition, to help improve services for people with

dementia, and to provide support programmes for patients, families and carers, including care home staff. I’d encourage everyone with dementia to ensure that they have a written plan for their future care so that their wishes are incorporated in advance.

“In the UK dementia is the most feared disease by the over 50s, but people with the disease can live well – and independently – for many years with a little help, understanding and kindness from those around them.

“It is only by personally understanding the issues that people living with dementia face that we can fully appreciate the challenges they have to overcome on a day-to-day basis. By becoming a Dementia Friend, you are playing a crucial role in helping take one step closer to creating a dementia-friendly society.”

People of any age and from all walks of life can be a Dementia Friend and turn their understanding into practical action to help make a difference to those living with the condition.

If you are worried that you, or someone close to you, may have dementia you can call the Alzheimer’s Society helpline on 0300 222 11 22. For further information on becoming a Dementia Friend visit www.dementiafriends.org.uk, where you can also find out how to become a Dementia Friends Champion and get more people involved too.


Over the past few months doctors and other health and social care professionals have led the biggest ever review of local services. The result is a widescale vision for the future shape of health and social care in Leicester, Leicestershire and Rutland.

It aims to tackle the major challenges facing the NHS – providing the right high quality serves within a limited budget, while facing a growing demand for services from an ageing population with increasing healthcare needs. If no action is taken, the local funding gap – between the likely budget and expected spending – would be around £400m by 2019.

This major piece of work goes under the title Better Care Together.

The review has now resulted in a five-year plan. It sets out the case for making changes and the principles that should guide those changes. The plan is aimed at prompting public debate and engagement in the coming months before any final decisions are taken.

Better Care Together is a partnership of NHS organisations and local authorities across the area. Patients, public and voluntary organisations have also been involved. It is driven by a shared recognition of the reasons why change is needed.

The overall aim is for organisations to work together to provide more community-based support for patients to live at home so reducing the risk of serious illness requiring admission to hospital. This will not only keep people well, but also improve their quality of life.

It will mean more efficient use of buildings. There are 148 NHS properties in Leicester, Leicestershire and Rutland, costing more than £80m a year to maintain, and improving efficiency may involve the closure of some and new roles for others.

The Better Care Together five-year plan sets out a vision of more care resources in the community,

including people’s own homes, and health and social care services which work closely, smoothly and efficiently together.

More major hospital services would probably be concentrated at Leicester Royal Infirmary and Glenfield Hospital. It could also mean a change of role for Leicester General Hospital, which would offer services such as community beds, the Diabetes Centre of Excellence, rehabilitation, psychological therapies, outpatient clinics and an ambulance service base.

There would be a redevelopment of the A&E area at the Royal Infirmary and the creation of a new cutting-edge heart and kidney disease service at Glenfield Hospital.

There will be a review of maternity services to ensure they are sustainable in the long term.

All the CCGs and other health and care professional involved realise that the case for change is compelling. They also know there may well be some tough choices along the way, so that services are fit for the future. As we develop proposals, we want to ensure that local people are fully informed and able to contribute to this very important debate.

Several months of intensive financial analysis have gone into creating this plan. Its publication signals the start of the next phase of work, to produce more detailed options for change by the end of September.

The views of patients, public and voluntary groups will continue to be sought throughout the summer to inform the development of these proposals, which will be subject to formal consultation at a later date. The plan and summary version can be found at www.bettercareleicester.nhs.uk.

If you want to express an opinion, ask a question or get involved in shaping services, email [email protected].

A BLUEPRINT FOR

HEALTH&SOCIALCARE


Since joining ‘almost by accident’ 18 months ago, and becoming chairman three months later, he has given the organisation its own constitution and helped Ashby Health Centre find the best site for a new future health centre.

“When I went along to my first PPG meeting, I did not know what to expect,” he said. “I found a group of very dedicated people, who really wanted to make a difference.

“I was happy to join them, to get proactive and I saw that there were lots of opportunities for us to work together so we all felt we had a clearer focus,” he said.

An early aim was to give the group a constitution to provide some formal structure, and that was rapidly achieved after several discussions. “It was good to get the whole group involved”, he said.

“Meetings are fun and generate a

lot of healthy value-added debate. We are fortunate in that we have attracted several new members over the last few months. It would also be good to attract younger members who are currently under-represented.

“We have started to put ourselves on the map now, and our carers sub-group is a significant contributor to this. Additionally, in July last year in my capacity as PPG Chair, I was invited to join the project board for the review called ‘Fit for the Future – Improving Community Health Services for Patients in Ashby’, as a lay representative.

“Patient participation is a partnership between GP and patients, and it’s got to be an equal partnership. It should not be something put in place by a practice to tick a box.”

Part of their vision is to help patients take more interest and responsibility for their own health. But topics can range from simple

things like improving the layout of the reception area and the health centre’s website to major items, such as the siting of a proposed new health centre for Ashby, which would become the practice’s – and his PPG’s - new home.

PPG members provided a lot of support, such as looking at several potential sites and assessing them against agreed criteria for suitability. Burton Road, now the proposed site, was the clear winner.

Ashby Health Centre PPG is now considering creating a ‘virtual PPG’ – an online network and forum of patients who would be happy to have their say using email and social media, rather than attending formal meetings.

“This I am sure will be a big feature of patient participation in the future,” Paul added.

When he’s not spending time on PPG matters, Paul is a volunteer gardener at the National Trust’s Calke Abbey, he likes walking, cycling, digital photography, and keeping tropical fish. And now retired from professional aero engineering, he likes to build model aircraft instead.

patient participation

“Patient participation is a partnership between GP and patients, and it’s got to be an equal partnership.”

take off

Helping

Former aeronautical engineer Paul Murfitt has certainly helped his local patient participation group take off.


New provider – new name:

Let’s talk...A new organisation has taken over the reins as the provider of

‘talking therapies’ across Leicestershire.

Nottinghamshire Healthcare NHS Trust was appointed by our CCG and East Leicestershire and Rutland CCG to manage the ‘Improved Access to Psychological Therapies Service’ (IAPT).

Set up in 2009, it is for people over 16 in Leicestershire and Rutland, who are feeling troubled, stressed, anxious or depressed. It offers patients a trained therapist to talk to, who can also direct them to other support and services.

Let’s Talk – Wellbeing is the service’s new name. It provides a range of treatment and help for people with problems, such as depression and anxiety, using trained psychological therapists. Patients are referred by their GP, however, the new provider is trialling a self-referral system in Loughborough University and for a selected group of patients with long-term conditions before extending this approach over the coming year.

Professor Mike Cooke is Chief Executive of Nottinghamshire Healthcare. He said: “We are delighted to be delivering our Let’s Talk – Wellbeing service in Leicestershire and Rutland. The service provides

essential support for people with mental health problems, helping to improve their overall health and wellbeing.”

“We have a proven track record in successfully delivering IAPT and Mental Health Facilitator services and will be enhancing the service with the introduction of self-referrals and other developments later this year to improve access for patients.

“Working with our colleagues at West Leicestershire CCG and East Leicestershire and Rutland CCG we will ensure that the highest quality services are delivered.”

Dr Peter Cannon, GP and our CCG mental health lead, said: “Anyone feeling low or stressed and wanting help is encouraged to speak to their GP who can make a referral to Let’s Talk – Wellbeing. Patients currently under the care of the IAPT and Mental Health Facilitator service will continue to see their existing therapist in the same location.”


Our CCG and Leicestershire Partnership NHS Trust (LPT) have reached a decision on how to best meet the long-term health needs of people living in and around Ashby de la Zouch.During the public meetings held near the end of May in Ashby, both boards agreed to move services out of Ashby and District Hospital to other local places, to increase the range of community health services and provide more care in people’s homes. That ultimately will mean Ashby and District Hospital will close to inpatients, so clinics and outpatient services will be moved to other local places.

LPT, as its owners, are now looking for options for the future of the old hospital, and assure local people that they will be involved in any proposals and decisions about the building.

Our spring public consultation on the future of community healthcare in Ashby received almost 400 responses, and our CCG was delighted with the quality of the discussions we had with people who took part. People drew on their own experiences of community health care, whether at home, in Ashby hospital or hospitals in the surrounding area, which helped the boards make a really informed decision.

CONDITIONS

The decision was given the go-ahead with some strict conditions attached, which were developed to provide assurances to the public and stakeholders who expressed concern about the ability of the NHS to deliver services elsewhere other than the hospital.

As part of these conditions our CCG board made it clear that, for the move of services out of Ashby hospital, they wanted to see more details, such as precise plans with clear stages, timings and evidence of successful new service delivery. The conditions include:

• When reducing inpatient beds at Ashby hospital, the CCG will invest in additional community based services in North West Leicestershire. Part of the solutions will mean arranging for a service to support earlier discharge home for North West Leicestershire patients who are admitted to a major hospital.

• There will also be a care home support service to ensure people, who are cared for in a nursing or residential home, are case-managed and supported to remain in their home as an alternative to going into a major hospital, when it is safe and appropriate.

• We will invest in domiciliary therapy services to ensure that people have more timely access to home based physiotherapy services. In addition, we will increase health funding to support preventative services in social care through the Better Care Fund.

• Outpatient services, such as clinics, will continue to be provided from Ashby hospital until suitable alternative accommodation can be found in Ashby.

This is not only to ensure that future outpatient services are available in Ashby, but also to allow the possibility of expanding such services. The optional locations will be appraised, and the travelling distance

for patients to the different sites will be considered.

• A new base will also be found for the community health staff teams who work out of Ashby hospital. Closure will not take place until outpatient services and community health staff teams have moved to suitable alternative local accommodation.

These conditions will be discussed at the CCG’s June public board meeting.

As the consultation document explained, our CCG and LPT have already been developing other forms of care outside hospital. Together we have set up a new “virtual ward” – a service that co-ordinates care and aims to stop people having to go into hospital, when avoidable.

THE FUTURE OF ASHBY COMMUNITY HEALTH SERVICES

‘Closure will not take place until outpatient services

and community health staff teams have moved to suitable

alternative local accommodation’


LPT has also developed home-based “intensive community support” services that aim to look after people at home following discharge from hospital at an earlier stage. Both these new services provide a range of hospital-style support to patients in their own home or in a care home.

Rachel Bilsborough, Divisional Director of Community Health Services at LPT, said: “Work will begin immediately on developing plans for more modern,

co-ordinated health services that will allow a growing number of patients to be treated in their own homes, or to leave hospital earlier. A new night assessment service is already being set up to help avoid unnecessary emergency hospital admissions.

“Both ourselves and the CCG would like to reassure people that closure will not take place until the 16 in-patient beds have been phased out and outpatient services and teams have moved to suitable alternative local accommodation.

Dr Nick Willmott, GP and our CCG’s clinical lead during the consultation said: “It is vital that we always involve patients and the public in the development of local health services, and on behalf of the CCG and LPT I would like to thank the people of Ashby for their invaluable input during the consultation. We will continue to inform and engage with the local community as we start work on the next stage of this process.”

THE FUTURE OF ASHBY COMMUNITY HEALTH SERVICES

Ashby hospital – its owners are now looking for options for its future.

‘COTTAGE HOSPITALS’

You may have seen the publicity surrounding recent statements by the chief executive of NHS England, Simon Stevens. Some news media interpreted his remarks as a call for a halt to the closure of ‘cottage hospitals’. First, Mr Stevens appears to have made no direct reference to cottage hospitals or, as they’re now more often labelled, community hospitals. NHS England said he was not suggesting the return of ‘50s-style cottage hospitals’. His statement was about how the NHS divides care between main hospitals, such as those in towns and cities, and in smaller locations in the local community or in people’s own homes. In effect, these were also the issues which our recent consultation explored.

Dr Chris Trzcinski, GP and our Deputy Chair, said: “We welcome the comments made by Simon Stevens and share his commitment to making high quality, modern healthcare services available to local communities.

“Across the West Leicestershire area, in addition to Ashby Community Hospital, we have four

other community hospitals that provide a range of services that meet the needs of the local population. The decision made this week to move clinical services out of Ashby Community Hospital, whilst correspondingly increasing the range of local community health services and providing more care in people’s homes, was made after in-depth research and considerable consultation with patients, the public, clinicians and key stakeholders.

“The hospital in Ashby is an ageing Victorian building on a small site with no room to expand and in need of substantial repair, which was a key consideration in our decision-making process.

“It is right that some services are concentrated in specialist centres, but the NHS should provide high quality care as close to home as possible, particularly for older, more vulnerable patients. We need to think innovatively about how to achieve this and feel this has been the approach to Ashby, but it is clear community hospitals can and will play an important role in West Leicestershire.”


Leicestershire GP, Prof Mayur Lakhani, said: “We hope families and older people will find these two new guides helpful in directing them to the right service at the right time.”

One helps parents looking after their children. The other is for people in their later years.

Parents Choose Better short film

This video helps parents find the best way and the best place to get advice or medical care for their children. It has been filmed as a chat with a busy mother-

of-three, who talks about the common illnesses her children have had and where she went for help or advice. Please visit www.choosebetter.org.uk to view the short film. It’s on the home page.

Julia McGinley, a parent supporter at the popular Netmums website, commented: “It’s always a worry when your children are ill, so online health information and the NHS videos are really helpful to the busy parents on the Netmums website.

“They clearly explain the issues and, because they are written and delivered by health professionals, they are credible sources of information. It’s easy to find out what to do next and where to go for more information whatever time – day or night.”

Please take a look at the Choose Better video. It’s amazing how much you’ll find out in less than five minutes.

A guide to keeping healthy and happy in later life

This is our new brochure called A guide to keeping healthy and happy in later life, which gives specific advice on where to go for help and how to keep well. It is available to download from the Choose Better website and printed copies are being sent out to GP surgeries, pharmacies and Age UK branches.

In its information-packed 24 pages, you’ll find sections on keeping healthy, long-term conditions, heart health, wellbeing and mental health, as well as advice for carers. And because we published this useful booklet with our neighbouring CCGs, there is a directory of where to go for help and advice across Leicester, Leicestershire and Rutland. It’s well worth browsing through then keeping around the house for when you need it.

Tony Donovan, executive director of Leicester Shire & Rutland Age UK, added: “The over-60s is the fastest-growing group in society and the guide is a great resource, providing a wealth of information and advice to help them stay fit and healthy in later life.

“We are pleased to support the Choose Better campaign by distributing the guide throughout our network of shops and centres across Leicester, Leicestershire and Rutland.”

To see for yourself visit www.choosebetter.org.uk, click on the Useful Information tab and scroll down. You’ll find lots of other guides on the same page.

Parents and older people targeted in new

GUIDESThe youngest and oldest users of NHS services in Leicester, Leicestershire and Rutland now have their own new Choose Better guides.

Choose Better


West Leicestershire CCG may have the opportunity to jointly commission some of the area’s GP medical services in future.

Currently NHS England pays for GP primary medical care services for patients in West Leicestershire. However, CCGs do have a statutory duty to continually improve the quality of GP care and we already have powers to commission some services from general practice or other primary care providers.

Recently NHS England announced it would be prepared to ‘co-commission’ a selection of GP services by entering into special joint arrangements with CCGs who wished to participate.

Services which may be jointly commissioned include:

• working with patients and the public and with Health and Wellbeing Boards to assess health needs and decide strategic priorities

• designing and negotiating local GP contracts

• approving ‘discretionary’ payments, eg, for maintenance of surgery premises

• managing budgets and making sure expenditure does not exceed the resources available

• monitoring contractual performance

• applying any contractual sanctions

• deciding in what circumstances to bring in new providers, managing the procurement process involved, and making decisions on practice mergers.

We are currently discussing this opportunity with stakeholders to enable us to put together an ‘Expression of Interest’ to NHS England.

Further information will then come back to us, which will enable us to share information more widely and gain patient, carer, staff and stakeholder insights.

In partnership with a range of other organisations, work continues through a number of workstreams to implement the ‘five-point plan’ for how the CCG, and in particular our member GP practices in the North Charnwood locality, will progress our vision for Loughborough Community Hospital.

We are currently exploring new opportunities to expand the range of elective outpatient, diagnostic and day case activity. This will increase patient choice and it will reduce the need for patients to travel to the frequently more congested acute hospitals. In addition, significant work is being undertaken to investigate the feasibility of a new elderly frailty service which, given the proximity to the Urgent Care

Centre and the availability of certain diagnostic and inpatient services, makes Loughborough potentially attractive for such a service.

We remain fully committed to Loughborough Community Hospital and there are some really exciting opportunities that will transform local healthcare and enable us to provide services in ways that our patients tell us they prefer. However, these are complex areas with longer term implications, and our plans must be carefully considered in conjunction with the wider health economy.

It is vital that we get this right and we hope to be able to share progress with our local community in the coming weeks.

Joint commissioningSOME

GP services

Our vision for Loughborough Community Hospital


Whatever happened to that ‘care.data’ project?Earlier this year a leaflet was sent to every home in England explaining that the project would use patients’ data, stripped of names and addresses. Analysts would examine the masses of data to produce statistics for research. Patients could opt out of having their data used, if they wished.

Fears over the security of the data were expressed by some GPs and national voluntary groups, prompting negative media coverage. So in February NHS England announced a six month extension to the start of the care.data project.

Tim Kelsey, NHS England’s National Director for Patients and Information, said: “Since February we have been listening to the views of patients, the public, GPs and stakeholders on how best to build trust and confidence in this project.”

Parliament has also passed legislation to provide tighter controls of patient data. Tim Kelsey explained: “To me this feels like a real milestone for patients, clinicians and researchers. The new law means that a person’s data can only be shared and analysed when there is a benefit to healthcare, never for other purposes, and that all uses will be scrutinised with full transparency by an independent statutory body. In addition, there will now be a legal basis for people to stop their data being shared if they wish to.

“These legal safeguards were introduced as a direct result of concerns about the safeguards around data sharing in the NHS raised in light of the care.data initiative.”

Another important development has been creating a Care.Data Advisory Group. Local GPs, patients and public, plus health and care representatives, are all being encouraged to air their views and help ensure any future approach is right.

Tim Kelsey added: “In light of all these conversations, we are now proposing to phase the implementation of care.data and work with between 100 and 500 GP practices in the autumn to test, evaluate and refine the data collection process ahead of a national roll out.”

He would not announce a new ‘launch date’, however. “We do not subscribe to artificial deadlines here – we will roll it out nationally only when we are sure the process is right,” he said.

He also said it was important that patients know how their data has been used for improvement of services. The national director highlighted three good reasons for re-using data:

• Data empowers commissioners to ensure the highest standards of care and clinical safety are met – or shout loudly and respond quickly if standards drop

• Data can tell us what happens to people cared for outside of hospital and whether their needs are met or not

• Data helps researchers develop new medicines and improve our understanding and treatment of disease.

We will let BHBH members know more when further information is available.

You may have been wondering what happened

to the massive care.data project to share NHS

databases for research and planning. So we thought we’d give you an update.



In March 2014 we started a conversation with local people on how they would like commissioning of health and care services to be different.

Over 100 members of our local community joined us to start the conversation, share their thoughts and experiences, reflect on stories and experiences and discuss how this can be used to inform the procurement of services that meet people’s needs.

We can now share with you the evaluation report from the day, which also contains a summary of the recommendations made by the Leicestershire community on developing person-centred commissioning. The thought provoking report is available at www.westleicestershireccg.nhs.uk. Some of the top-line themes in the report are:

• Understanding that commissioning is as much about understanding attitudes and behaviours as it is about big service change and transformation

• Why sharing the experiences of patients, their families, clinicians and front line staff is essential to commissioning services that meet patients’ needs

• Sharing experiences and stories with each other has therapeutic value for both those telling and those listening

• De-medicalising commissioning and outcomes is vital to enable better understanding of the ‘whole person’, their care experience and their life journey

• Commissioning on values of the ‘human’ experience as well as the ‘technical’ or ‘transactional’ aspect of care is really important

• Involving the whole community is central to experience-led commissioning

• Measuring and holding providers to account for person-centred care and experience is a critical part of the experience-led commissioning process

Our board recently held a development session to discuss the findings of the March event. A number of immediate actions are now being taken forward including:

• Sharing the report as widely as possible across the whole health and social care community, including with patients, patient groups and patient participation groups, the voluntary and community sector, providers of health and social care, Healthwatch, local authorities and other organisations

• Agreeing an action plan using the learning from this and other work

• Implementing the actions and working with our communities to develop and embed this experience-led commissioning approach

We will continue to keep you informed of how we are taking this work forward and the actions undertaken as a direct outcome. If you want further information please contact Sue Venables by emailing [email protected] or Craigie Morrison by emailing [email protected].

EVERYONECountsWhy involving and sharing the

experiences of patients, their families and the wider community is vital to health and care services commissioning.


Rick Moore is the new chair of Healthwatch Leicestershire (HWL). In September 2012 Rick was listed by the Leicester Mercury as being one of the 200 most influential people in Leicestershire.

He is the longest serving Magistrate in Leicestershire having been on the Bench for more than 30 years. Rick is also Chair of Leicestershire and Rutland Community Foundation Charity and a trustee of the Hope Against Cancer charity.

One of Rick’s first tasks along with Healthwatch Board members was to clarify the role of Healthwatch Leicestershire.

He explained that the HWL Board recognised the importance of setting a vision, mission and success criteria, so that Board members, the staff team and volunteers remain focused on what needs to achieve.

They agreed its mission was “to be an independent, influential consumer champion of health and social care services in Leicestershire where people’s rights and responsibilities in health and social care are understood and delivered”.

They have set five priorities, which are all based on listening to residents about their views on local health and social care services in the organisation’s first year. The priorities are:

• listening to the local population, consumers and stakeholders – engaging with the public and targeting seldom-heard and hard-to-reach communities to understand what matters most

• advice and information – delivering an effective helpline providing high quality advice and information that is supported by an extensive information bank developed with key stakeholders

• gathering intelligence to inform Healthwatch Leicestershire’s role of influence, challenge and scrutiny, to be well informed about local and national health and social care initiatives, analysing and reporting on intelligence gained from local people

• influence on key stakeholder committees to inform commissioning and service delivery - to have representatives on key strategic boards and committees and develop collaborative partnerships that will influence health and social care services. (Ed: We delighted to confirm that Ian Clarke will be the Healthwatch representative for our CCG’s Board meetings.)

• challenge and scrutiny – an ‘enter & view’ programme delivered by authorised and trained volunteers who will report findings and recommendations to commissioners and providers.

You can download a summary from HWL’s Strategic Plan 2014/16 on www.healthwatchleicestershire.co.uk. It provides an overview of HWL priorities and what a successful county healthwatch will look like.

Board meetings in public

Healthwatch Leicestershire Board will be meeting in public on 16 July – at 10am at Voluntary Action LeicesterShire – and 15 October 2014, as well as 22 January and 23 April 2015.

The agenda and papers for each meeting, along with details on how to book a place will be available five days before the meeting on www.healthwatchleicestershire.co.uk

New chair forHealthwatch Leicestershire

Become a member of Healthwatch Leicestershire and have a stronger voice to influence and challenge how health and social care services are provided locally. Members are kept up to date with the latest health and social care news, events and consultations as well as representing local people at health and social care meetings. For more information and to become a member visit www.healthwatchleicestershire.co.uk or email: [email protected] or phone 0116 257 4999.

Become a member of Healthwatch Leicestershire


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Method:

Slice bananas and feed onto lolly-maker stick then dip into low fat chocolate yogurt/mousse and (optional) chopped nuts. Place in freezer for three hours. Enjoy!

Ingredients:

• 2 bananas• 200mls low fat chocolate

yogurt/mouse• 20g chopped nuts (optional)

Nutritional information:(per serving)

67kcals (80kcals with nuts)8.4g sugar (10g sugar with nuts)1g fat (2g fat with nuts)

This recipe has been tried and tested from the Leicestershire Nutrition and Dietetics service.


Serves: 6 adults

Preparation time: 15 mins

Cooking time: 0 mins

If the answer to the above question is ‘yes,’ then let us provide you with information on a programme at the NHS Leicestershire Nutrition and Dietetic Service. LEAP – it nicely stands for ‘Lifestyle, Eating and Activity Programme’ – is a free 10-week programme which has been running for a number of years across Leicestershire, successfully helping hundreds of people to lose significant amounts of weight, and more importantly, keep if off. The weekly, two-hour long programme is run by registered dieticians and includes a nutrition session, covering everything from food labelling myths to comfort eating. This is followed by an hour-long exercise session by a trained physical activity co-ordinator, who will always tailor the session to the varying abilities in the group.

Participants are encouraged to be weighed weekly in private and are fully supported to reach individual goals. The focus is never towards a ‘diet’ but instead on making healthy changes which can be sustained for life.

If you are interested in losing weight in a supportive, friendly and successful group please give us a call on 0116 222 7154 to see if you are eligible for the group.

LOSING WEIGHTAND KEEPING IT OFF?

Banana ChocolateGood as a snack or pudding to keep hunger at bay or satisfy sweet cravings especially as the weather gets warmer. ICE LOLLIES

We can provide versions of all be healthy, be heard membership publications in other languages and formats such as Braille and large print on request. Please contact on 0116 295 4183. Please state which publication you require when you call.

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Congratulations to member Patricia Oxspring who was the winner of our Choose better competition.

It’s our summer edition so here’s a summer themed puzzle for you.

For a chance to win a ‘choose better’ first aid box send in your completed puzzle to the freepost address:

West Leicestershire CCG Membership, Freepost Admail 4149, Loughborough, LE11 1YW

All entries should reach us before Friday 15 August 2014.

Good Luck.

Name:

Membership No:

Telephone No:

competitionIt’s

time

n Suncream

n Smoothies

n Picnic

n Sunshine

n Hayfever

n Holiday

n Summer

n Fruit

n Outdoors

n VitaminD

n Seaside

n SPF

West Leicestershire Clinical Commissioning Group Members Magazine Summer 2014

Documents

Transcript of West Leicestershire Clinical Commissioning Group Members Magazine Summer 2014