Long Term Plan update: October 18 2019

General actions and activities
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.

New independent chairman: we are delighted to welcome John Govett as the new independent chairman of the Cornwall and Isles of Scilly Health and Care Partnership. John, who took up his new role earlier this week, has extensive experience in working at a senior level in both the NHS, and local and central government, as well in the private, voluntary and charity sectors. His family roots are in the South West and he is looking forward to moving back to the region with his family.

This is a key time for the partnership as we continue to develop and implement strategies for joining up health and care services in partnership with local people. John will be using his experience and insights to lead the work which is taking place to create an Integrated Care System (ICS) for Cornwall and the Isles of Scilly. This is where NHS organisations, in partnership with local councils and voluntary organisations and communities, take collective responsibility for managing resources, delivering NHS standards, and improving the health of the population they serve. His appointment will challenge us to deliver what we promise and we are looking forward to working with him to meet our ambitions and deliver integrated services for local people.

You can read more about John’s appointment here

LTP submission: we had a very positive meeting with NHS England and Improvement on our draft long term plan submission. While we know we still have further improvements to make, there was a real acknowledgement on how far we have come in the past two years. We came away with some detailed and helpful feedback and are now working on refining some of the measures for the final submission of our plan on 1 November.

Allied Health Professionals (AHP): this week has seen the second national AHP Day which brings together the 14 different AHP disciplines and highlights their importance as essential partners in the health and care workforce. This movement began in Cornwall and we are very proud of our part in its development. Joining up health and care services is a key element of our long term plan and once again Cornwall and the Isles of Scilly are leading the way in developing new models of modern general practice where professionals from a range of disciplines work together to provide services and support. From dieticians, podiatrists, orthoptists, paramedics, pharmacists, and art and drama therapists, to osteopaths, speech and language therapists, orthotists, radiographers, operating department practitioners, occupational therapists and physiotherapist, we have a wealth of motivated AHPs in Cornwall. We want to build on this strong foundation and are developing plans to expand our collaboration with AHP colleagues in the coming months. One key area of focus will be diet. With the impact of childhood obesity and malnutrition on older people affecting the health and wellbeing of increasing numbers of people we will be working closely with dieticians to draw up programmes to tackle these issues. Watch this space.

Screening programmes: Prof Sir Mike Richards’ review of NHS screening programmes was published this week. Sir Mike had been asked by NHS chief executive Simon Stevens and Health and Social Care Secretary Matt Hancock to look at adult screening services for bowel cancer, cervical cancer, breast cancer, abdominal aortic aneurysms and diabetic eye screening as part of the NHS drive for earlier diagnosis and improved cancer survival.

Research shows that screening programmes are saving around 10,000 lives a year through prevention and early diagnosis. However Sir Mike’s review concludes that more needs to be done to ensure that the programmes are reaching their full potential, particularly with regard to cancer programmes.
Nationally just over 10 million of the 15 million people invited to take part screening programmes each year are currently taking up the invitation, with the uptake for bowel cancer screening the lowest at below 60 percent.

Sir Mike’s report calls for better access to NHS screening programmes in England, including evening and weekend clinics, to make it as easy and convenient as possible to attend appointments. He also wants tests to be offered in a wider variety of locations, including mobile units in car parks and in other health clinics. The report also recommends extending the use of artificial intelligence and genetic testing to help determine the risk people face of developing cancer or other diseases and testing them appropriately, and using social media to promote what is available.

We are already reviewing our current pathways of care to improve outcomes for people with major health conditions, including cancer. This is part of our Long Term Plan goal of catching three quarters of all cancers early when they are easier to treat. We are also looking at how we can improve our use of technology to help people lead healthier lives. We will be looking closely at the recommendations in the report to support this work. You can find out more about Sir Mike’s review here .

Accreditation: huge congratulations to staff from the integrated urogynaecology service which has been formally accredited by The British Society of urogynaecology. This is the first accreditation for urogynaecology services in Cornwall and the Isles of Scilly and is an acknowledgement that we offer excellent standards of care, organisation and quality within our urogynaecology unit. Only a handful of NHS hospitals across the UK have received Accreditation status with the urogynaecology accreditation and the award demonstrates the progress which is being made in improving our maternity services. The service, provided by Royal Cornwall Hospitals, and Cornwall Foundation Trust, cares for women who are living with a range of conditions including problems with bladder and bowel dysfunction, prolapse of the vagina or uterus; recurrent or repeated urinary infections or cystitis or who have had a problem with bowel control following child birth and need further care afterwards. You can find out more here

Digital technology: did you know that we are in the middle of a massive digital transformation programme which is set to put Cornwall and the Isles of Silly at the cutting edge of innovative use of technology? Kelvyn Hipperson, chief information officer for RCHT and CPFT and Cornwall and Isles of Scilly IT services lead, and Paul Lidder, clinical lead for IT, are working together to develop strategies which use advanced technology to tie our health and care services more effectively together.

From a project which will enable the computer programmes used by the different NHS organisations and local councils to finally talk to each other and the development of an electronic patient record system, to increased use of video consultation and conferencing, via phone, desktop or laptop, to help reduce travel, we are looking at ways of using technology to transform connectivity and improve the safety, efficiency and quality of care. Other ground breaking initiatives include an exciting pilot project which is trialling the use of Alexa Voice activated smart speakers to provide practical support to elderly people. Options include prompts to take medication and reminders for appointments as well as communicating with family, friends and health care professionals and providing links to community information resources. The aim of the project, which is being led by EPIC (E-health and Productivity in Cornwall and the Isles of Scilly) is to look at the impact of the devices on the everyday mental wellbeing of elderly people, particularly in terms of loneliness and isolation.

We are also working with Healthwatch Cornwall to trial the ASK Cornwall and ASK Isles of Scilly project. Funded by Cornwall Council and NHS Kernow, the project provides a new tech-enabled social media conversation platform where the people and the health and care system can speak freely to each other.
Last week saw some fantastic examples of the cutting edge technology being developed in Cornwall showcased at our first ever health and care Expo. You can read more about the work which is taking place to use digital technology in this article published in the Western Morning News.

This is the latest in a series of articles about different elements of our Long Term Plan which have appeared in the paper over the past few weeks. Other topics have included how community spirit and voluntary services are helping everyday wellbeing; our ‘big conversation’ with the public about what matters to them; how we can work together to meet the health care needs of an ageing population; and providing an joined up approach to meeting the health and care needs of children and young people.

Wasson Kerrier: we are working closely with the voluntary sector to encourage people to live healthier lives and remain in their own homes by transforming the care which is provided in the community. As part of this work we will be taking part in next week’s Wasson Kerrier event at Redruth Youth Centre on 23 October. The aim of the event, which is being hosted by Volunteer Cornwall Community Team and partners, is to provide an opportunity for community groups, projects and public sector partners to engage with local residents in Kerrier to find out about activities, local services and resources that are available. We are very happy to be taking part in the event and look forward to showcasing the support which is available from health and care providers.

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/ . The LTP leaflet has now been printed and is available for distribution. We have also produced an easy read version.

We are also asking the public to fill in the 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 were clinics at the surgeries in Lander and St Keverne. 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.

We are continuing to work with our partners to develop new ways of transforming care provided in the community to keep people at home. Last week members of the Integrated Community Services Review team held a second drop in session in Saltash to enable the local community to give their views.

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/

Reports and briefings:

17 Oct         System Leadership Team

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

9 October: Prestigious accreditation recognises excellent urogynaecology service https://www.royalcornwall.nhs.uk/prestigious-accreditation-recognises- excellent-urogynaecology-service/ (LTP Priority 1 : improve maternity services

9 October: Friends donation of rehabilitation chair provides state of the art support for patients https://www.royalcornwall.nhs.uk/friends-donation-of- rehabilitation-chair-provides-state-of-the-art-support-for-patients/  LTP Priority 10 Improve hospital services )

11 October: Nurse asks people not to come to hospital if they have diarrhoea and sickness https://www.kernowccg.nhs.uk/news/2019/10/nurse-asks-people- not-to-come-to-hospital-if-they-have-diarrhoea-and-sickness/ (LTP Priority 3 increase support for people to live a healthier life )

11 October: CITS cycle for children https://www.royalcornwall.nhs.uk/cits-cycle- for-children/ (LTP Priority 2: improve services for children and young people)

14 October: Specialist diabetes nurses helping to reduce length of hospital stays https://www.kernowccg.nhs.uk/news/2019/10/specialist-diabetes-nurses- helping-to-reduce-length-of-hospital-stays/ (LTP Priority 6 Review pathways of care to improve outcomes for people with major health conditions)

16 October: Men in Hayle area are urged to sign up for football fitness training https://www.cornwall.gov.uk/council-and-democracy/council-news-room/media- releases/news-from-2019/news-from-october-2019/men-in-hayle-area-urged- to-sign-up-for-football-fitness-training/ LTP Priority 3 increase support for people to live a healthier life)

16 October: Don’t give up giving up is the message to all of those doing Stoptober this year
https://www.cornwall.gov.uk/council-and-democracy/council-news-room/media- releases/news-from-2019/news-from-october-2019/don-t-give-up-giving-up-is- the-message-to-all-of-those-doing-stoptober-this-year/ LTP Priority 3 increase support for people to live a healthier life)

NHS England briefings / news releases: (about or related to LTP ) 11 October: Stop the MSK health ripples spreading https://www.england.nhs.uk/blog/stop-the-msk-health-ripples-spreading/ (LTP Priority 6 Review pathways of care to improve outcomes for people with major health conditions)

11 October: Providing patients with faster access to the right care : https://www.england.nhs.uk/blog/providing-patients-with-faster-access-to-the- right-care/ (LTP Priority 6 Review pathways of care to improve outcomes for people with major health conditions)

11 October: Improving identification of people with a learning disability – guidance for general practice

https://www.england.nhs.uk/publication/improving-identification-of-people-with- a-learning-disability-guidance-for-general-practice/ (Local Priority 9 improve outcomes for people with a learning disability and / or autism)

12 October: NHS bids to cut up to 100 million plastic straws and cups from hospitals https://www.england.nhs.uk/2019/10/nhs-bids-to-cut-up-to-100- million-plastic-straws-cups-and-cutlery-from-hospitals/ ( LTP Priority 12 improve how we make the best use of our resources)

14 October: Strong back, soft front, wild heart https://www.england.nhs.uk/blog/strong-back-soft-front-wild-heart/ (LTP Priority 5 : transform care provided in the community that can keep people at home )

14 October: rough sleepers in homeless hotspots to benefit from NHS mental health outreach https://www.england.nhs.uk/2019/10/rough-sleepers-in- homeless-hotspots-to-benefit-from-nhs-mental-health-outreach/ ( LTP Priority 8: improve mental health services)

14 October: we’ve achieved efficiencies far more effectively working as a cluster than we would have achieved as individual practice teams : Chester East ,North West https://www.england.nhs.uk/publication/weve-achieved-efficiencies-far- more-effectively-working-as-a-cluster-than-we-would-have-as-individual- practice-teams-chester-east-north-west/ (LTP Priority 12 : improve how we make the most efficient use of our resources)

14 October: From small to large scale chance across Doncaster primary care , Doncaster North East and Yorkshire https://www.england.nhs.uk/publication/from-small-to-large-scale-change- across-doncaster-primary-care-doncaster-north-east-and-yorkshire/ (LTP Priority 12 : improve how we make the most efficient use of our resources )

14 October: redesigning primary care at scale across Hereford : https://www.england.nhs.uk/publication/redesigning-primary-care-at-scale- across-hereford-taurus-healthcare-midlands/ (LTP Priority 5 : transform care provided in the community that can keep people at home )

14 October:78% reduction in correspondence going to GPs : Northgate Medical Centre North West. https://www.england.nhs.uk/publication/78-reduction-in- correspondence-going-to-gps-northgate-medical-centre-north-west/ (LTP Priority 11 Digitally enabled care and support)

14 October: Less stress and a smoother patient consultation : Churchill medical Centre London https://www.england.nhs.uk/publication/less-stress-and-a- smoother-patient-consultation-churchill-medical-centre-london/ (LTP Priority 12: improve how we make the most efficient use of our resources )

14 October: Delivering partnership working in West Cheshire – the Rural Alliance North West https://www.england.nhs.uk/publication/delivering-partnership- working-in-west-cheshire-the-rural-alliance-north-west/ (LTP Priority 12 : improve how we make the most efficient use of our resources )

16 October: care together has transformed our health system : https://www.england.nhs.uk/blog/care-together-has-transformed-our-health- system/ (LTP Priority 12 : improve how we make the most efficient use of our resources )


October planned activities

19 Oct         Flu clinic -Middleway surgery

23 Oct         Wasson Kerrier event , Redruth Youth Centre 1pm to 4pm 24 Oct       Flu clinic -Chacewater surgery

24 Oct         Flu Clinic – Chacewater surgery

25 Oct         Citizens Advisory Panel

26 Oct         Flu clinic – Wheal Northey surgery & Newquay Health Centre

29 Oct         Flu clinic – Harris Memorial

30 Oct         Cornwall Council Health and Adult Social Care Overview and Scrutiny Committee

31 Oct         RCHT Board meeting

Added on 23/10/2019, in Newsletters - Newsletters