Long Term Plan update: 8 November 2019

This is a summary of the actions, achievements and events which are taking place across health and care services to help us meet our Long Term Plan.

General actions and activities

Winter pressures: all partners are continuing to work hard to ensure that we make the best use of all resources to provide care for people across Cornwall and the Isles of Scilly. Following reports of cases of norovirus at RCHT, people have been asked to stay at home if they are unwell to reduce the risk of spreading the infection to vulnerable and sick people. Cases of norovirus always rise at this time of year and it is important for everyone to work together to tackle the issue. 

You can find out more here Major milestone for health and social care integration on Isles of Scilly: our plans to transform health and social care services to ensure people receive care as close to home as possible have received a fantastic boost this week with news that the Department of Health have agreed to progress plans for a single campus on the Isles of Scilly.

The innovative scheme will see primary care, community health, mental health, urgent care and adult social care co-located in a single site based on an integrated service model to meet the needs of residents.  The scheme will act as a blueprint for the integration of health and social care services across Cornwall, as well as for other rural communities across the country.You can find out more here

Delivering integrated care: all parts of our health and care system have been working together through the Cornwall and the Isles of Scilly Health and Care Partnership programme to improve the health and wellbeing of our local population, improve the quality of local health and care service and deliver financial stability in the local health and care system.

Preventing ill health and providing more care at home are at the heart of our health and care plans for Cornwall and the Isles of Scilly.  This week Karen Kirkham, the Senior Medical Advisor to the Primary Care Provider Transformation team and a Dorset GP, has written a new blog outlining her views on what can make integrated care thrive.

Calling on health and care services to move from silos to coordinated working, she says health organisations must forge closer ties with social care, the voluntary sector, patients and carers, plus the wider landscape of partners including housing and education. They also need to develop leaders with the ability not just to lead a single organisation but to lead across boundaries and among communities, through greater cooperation and connections.

She argues that with this widening engagement comes an increased need to help people move forwards together in a spirit that supports each other’s work, and a bottom up approach that gives local clinicians and others working on the ground permission to innovate together.

She concludes that the first step to delivering the transformational change needed is for partners to work on developing a common vision of the goal in sight, and gaining consensus by building trusted relationships, often starting with changes that are small and organically grown from the bottom up.  You can read more here

While we know we have more work to do, we are very proud of what we have achieved so far to integrate our health and care services in Cornwall and the Isles of Scilly and it is good to see that we are already focusing on many of the areas she identifies in her article.

Outstanding children’s services: Cornwall’s children’s social care services have been rated as “outstanding” in a new report from Ofsted.  This puts Cornwall in the top 10 percent of local authorities in the country and makes it the only authority to receive an outstanding rating in the South West.

The report praises some of Cornwall’s most innovative services, including the Multi-Agency Referral Unit (MARU) and Early Help Hub developed jointly with partners.  Inspectors also highlight Gweres Tus Yownyk (Cornish for Helping Young People), the specialist adolescent multi agency service supporting young people on the edge of care.

We have been working closely with the council and other partners to improve services for children and young people in Cornwall and it is great to see this recognised in this positive report from Ofsted.Huge congratulations to everyone involved. You can find out more here

New online training to help people get home from hospital quicker  NHS England and Health Education England have launched ActNow, an e-learning tool developed for health service and care staff to help them reduce hospital delays.

These new resources are designed to help staff take prompt practical actions and use every opportunity to ensure people are cared for in the best place for them. It will cover the use of new technology, effective early discharge planning and caring for people at home. Another added benefit for staff is professional development as completing the online course can be used as evidence of continued professional development and ongoing learning.  Find out more here

Promoting patient experience and engagement: CPFT has produced a new patient experience and engagement strategy which was discussed at its recent Board meeting.  The aim of the strategy is to drive improvement across all services by embedding patient experience and engagement at the heart of all their activity.  You can read the strategy here   (page 88 – 96)

Diabetes Awareness Month: November has been designated as Diabetes Awareness Month, with this year’s World Diabetes Day taking place on Thursday, 14 November. We want to redesign care for people with long term conditions such as diabetes and support them to lead healthier lives.

We are currently working with more than 31,000 people through Cornwall and the Isles of Scilly who are living with diabetes to reduce the risk of heart attack, stroke, amputation, kidney disease and blindness.

As well as helping people with diabetes to manage their condition, including monitoring and improving their blood pressure, sugar and cholesterol levels, we have been working closely with colleagues in public health and primary, secondary and community care through the NHS diabetes prevention programme Healthier You to help people recognise the risks of developing with diabetes and encourage them to reduce those risks. We also commission DESMOND (Diabetes Education and Self-Management for Ongoing and Newly Diagnosed) a free education programme for people newly diagnosed with type 2 diabetes.

As part of our focus on helping people to better manage their own health and health care and conditions, we are working with 15 community pharmacies to support people with type 2 diabetes to develop personalised care plans so they can better manage their conditions and reduce the risk of long term complications. We have also published more than 50 videos online, on topics including self-care, looking after your feet, getting your eyes checked, and preparing for pregnancy to help people understand and better manage their condition. You can find out more about support available for people with diabetes here

NHS England is also running a series of blog posts to mark Diabetes Awareness Month. In the first blog, a patient explains how access to a flash glucose monitor has been life-changing in managing her condition. Thanks to the NHS Long Term Plan, this innovative technology is now available to 30,000 patients on the NHS.

Cornwall’s inspiring 60 over 60 shine: last week a group of very special people were brought together at County Hall to celebrate their achievement of being selected to become part of Cornwall’s inspiring 60 over 60 campaign.

The aim of the campaign, led by Cornwall Council, was to find and recognise 60 people over the age of 60 who have gone out of their way to contribute to their community and prove that age is no barrier to living well.  Achievements included volunteering, leading their community, and inspiring others through their athletic achievements.  One of the categories was health crusaders – you can meet some of the nominees for this category  here

All 60 nominees were presented with certificates by judges Cornwall Council portfolio holder for adults, Cllr Rob Rotchell, Helen Tite from iCareiMove and Nigel Clark from Age UK before enjoying a cream tea and an opportunity to meet each other and hear each other’s stories.

Research shows that being more active has a number of benefits, for example, reducing the risk of falls – a leading cause of injury and confidence issues in people over 65. Having close social connections and taking part in social activities can also enhance physical and emotional wellbeing in later life.

We want to support people to live healthier lives and we welcome this campaign which aims to challenge some of the negative stereotypes faced by those over 60 and inspire people to make their own positive plans to age well.

Safeguarding adults: The Cornwall and Isles of Scilly Safeguarding Adults Board have published their annual report for 2018 – 2019   You can read it here
Medical cannabis trial: NHS England has announced a new medical cannabis trial aimed at creating the largest body of evidence on the drug in Europe to help convince policymakers that the drug should be made as widely available, and affordable, as other approved prescription medications.

Although medical cannabis was legalised in the UK a year ago, a lack of evidence about its efficacy means that it has not been widely prescribed by doctors.

Project Twenty21 will see 20,000 people supplied with subsidised cannabis products by the end of 2021 as part of the two year trial. The project, which is backed by the Royal College of Psychiatrists (RCP), will study the drug’s effects on patients who have either chronic pain, epilepsy, multiple sclerosis, post-traumatic stress disorder, Tourette’s syndrome, anxiety disorder or who have had a history of substance misuse.

We are waiting for further details of how the trial will be delivered. You can read more here

New lift platform : RCHT has been presented with a new radiography patient lift platform – thanks to donations from the Friends of the RHC.  The £9,000 Simple-Up patient lift platform allows the radiographer to elevate the patient to a practical working height, helping to remove the risk of falls, and offering greater flexibility for patient positioning and improved posture and positioning for the radiographer. The new platform was presented to Liz Betts Assistant Practitioner for Clinical Oncology by the Friends of the Royal Cornwall Hospitals’ chairman Beatrice Dyer.

Improving hospital services is one of our key priorities and we are very grateful to the Friends for their generosity.  You can read more here

Raising funds to improve hospital services : a huge thank you to RCHT staff Wendy and Lisa Sawyer who have volunteered to take part in the London to Parish 2020 cycle challenge to raise money for RCHT services.

Senior Staff Nurse Wendy has a track record in raising money for the hospital – having taken part in RCHT’s “Come Dance with us 2019 “ This time she will be raising funds for the Memory Café at West Cornwall Hospital. The Memory Café, which is held every Thursday at the Hospital for patients with dementia, encourages patients with dementia to revisit their youth, sing songs, and listen to music.

Her wife Lisa will be raising funds for the hospital’s Recovery Departments where she works as a Staff Nurse. The units are spread across the hospital site, with the main Trelawny Recovery being open 24 hours a day, 365 days a year. The departments cover all aspects of the post-operative recovery phase from complex oncology surgeries, high dependency patients and new mums after caesarean births.

This week staff from Healthwatch Cornwall have held drop in sessions at Bodmin, St Austell and St Michael’s hospitals as part of their regular programme to enable people receiving and delivering health services to give their views. Next week the team will be visiting Camborne and Redruth hospitals and Newquay Health Centre.

There is still time to help promote the LTP online survey. If you haven’t already done so already, we’d be grateful if you would – www.shapingourfuture.info/get-involved/long-term-plan/ .

We are also asking the public to fill in the draft adult mental health strategy online survey.  The development of the new Adult Mental Health Strategy is a key part of our work to improve mental health services in Cornwall and the Isles of Scilly so we are asking all our partners to help promote the survey. You can read copies of the full draft Mental Health Strategy and the summary document on the NHS Kernow website .

Staff are continuing to support flu clinics, one of the opportunities people have to live healthier lives. This week there was a clinic at Chacewater surgery. It is important that NHS staff have the flu vaccination so please take up this offer and encourage your colleagues, families and friends to follow your example.

Don’t forget you can keep up with news and information about the Long Term Plan on the LTP website  https://cioshealthandcare.nhs.uk/get-involved/long-term-plan/

Articles / media releases: (about or related to LTP )

I November: Cornwall’s inspiring 60 over 60 shine at celebratory event  https://cioshealthandcare.nhs.uk/cornwalls-inspiring-60-over-60-shine-at-celebratory-event/  (LTP Priority 3 increase support for people to live a healthier life  )

1 November: A step in the right direction : https://www.royalcornwall.nhs.uk/a-step-in-the-right-direction/  LTP Priority 10  Improve hospital services )

1 November: Supergirl Sawyer and Wonder woman Wendy ready for London to Parish 2020 https://www.royalcornwall.nhs.uk/supergirl-sawyer-and-wonder-woman-wendy-ready-for-london-to-paris-2020/  LTP Priority 10  Improve hospital services )

5 November: Ofsted rates Cornwall’s children’s social care services as the best in the South West  https://www.cornwall.gov.uk/council-and-democracy/council-news-room/media-releases/news-from-2019/news-from-november-2019/ofsted-rates-cornwall-s-children-s-social-care-services-as-the-best-in-the-south-west/ LTP  Priority 2: improve services for children and young people)

5 November: Ministerial support for health and social care integration on Isles of Scilly. https://scilly.gov.uk/news/ministerial-support-health-and-social-care-integration-isles-scilly  LTP Priority 5. Transform care provided in the community that can keep people at home

Added on 19/11/2019, in Newsletters - Newsletters