Long Term Plan update: October 25 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.

National awards for pioneering GP surgeries: we are very proud of the progress which is being made in transforming the care provided in the community with our GP surgeries pioneering the way in which services will be organised in the future.

Two GP surgeries – St Austell Health Care GP practice and East Cornwall Primary Care Network – scooped top awards at this year’s National Association of Primary Care  (NAPC) ceremony for their innovative approach to working collaboratively – both as practices as well as with the acute hospitals, community and voluntary sector.

St Austell Health Care was named as NAPC’s Primary Care Home of the Year after being hailed a “beacon site” as a forerunner to the national Primary Care Network programme, while east Cornwall walked away with Primary Care Network of the Year award. Both surgeries were praised for the way they have worked relentlessly to not only improve people’s experience of visiting their GP surgery but to support the sustainability of general practice and bring it into the 21st century.

Dr Penny Atkinson, GP partner at Rosedean House Surgery in Liskeard, was also named runner up in the Clinician of the Year award.

Dr Minesh Patel, NAPC’s chairan, commended the incredibly high standard of the entries from Cornwall, adding that they embraced NAPC’s primary care home model and demonstrated their passion and commitment to transform care for their patients.

The clinical leaders and teams in our communities are delivering real improvements for local people. We want to say a huge thank you to the GPs, nurses, allied health professionals, administration teams and volunteers who are working together to make our general practice services so well regarded.

The innovation and commitment to service improvement demonstrated by these awards shows why our general practice, and the new primary care networks they have formed, will be the foundations for our integrated health and care system. You can read the full press release here

Changes to “Cinderella“ service of the NHS : one of the key aims of our Long Term Plan is to break down the barriers between different services and organisations so that our community health, social and primary care services work more closely together to support people living in their local communities. As shown by recent NAPC awards, we are leading the way in innovative primary care in Cornwall.

This week was Ageing Well Takeover Week and to mark the occasion Matthew Winn, the first national director for community health, has been looking at how the Ageing Well elements of the NHS Long Term Plan, sometimes described as the “Cinderella portfolio”, are being brought together.

In his article for NHS England, Matthew, the NHS England and Improvement Director of Community Health and Senior Responsible Officer (SRO) for the implementation of the Ageing Well programme in the NHS Long Term Plan and Chief Executive of Cambridgeshire Community Services NHS Trust, welcomes “the intent, the enthusiasm and the money all coming together to give us a real opportunity to do something different”. He argues that by being proactive in understanding people from their own perspective and wrapping support around them, we can shift the focus away from just hospitals to embrace the hundreds of thousands of NHS colleagues supporting people to be healthy and to maximise their independence and keep well.

He identifies three key areas for change. These are improving the responsiveness of community health crisis services to be able to respond within two hours in someone’s home seven days a week; guaranteeing NHS support to people living in care homes and implementing ‘anticipatory care’ for complex patients at risk of unwarranted health outcomes. You can read his full article here

Listening to our hard to hear populations: we want to make sure that the voices of all parts of our community are involved in shaping our Long Term Plan. We are working with Andy Brelsford from Volunteer Cornwall, Healthwatch Cornwall and local agencies to engage with people from the traveller and the care leaver communities. The aim of the project, which is being funded by NHE England, is to understand what people from these communities might want to see included in our LTP. It will also test assumptions about the kind of services we are seeking to provide, and where and how they are delivered, to ensure they will reach the target communities and look at how we can better engage and include these groups on an ongoing basis.  Carefree will be working with care leavers to make sure their voice is included and Travellers Space will work with the traveller community.

One of our LTP priorities is to support people to live healthier lives and we will be using the findings from this project to identify ways we can support people from these communities to play a more active role in looking after their own health and care needs and that of others in the communities around them.

Cystic fibrosis drug given green light in England: NHS England has reached an agreement with Vertex Pharmaceuticals to make available all three of their UK-licensed cystic fibrosis medicines. This means NHS patients will now have full access to Orkambi, Symkevi and Kalydeco, and around 5000 people across the country may now take up these treatments.

We are working with a range of partners to improve outcomes for people with major health conditions so this is good news for children and adults in Cornwall who are living with cystic fibrosis.

There is no cap on patient numbers, and each and every patient in England who might benefit can now get these treatments, free on the NHS. Clinicians will be able to begin prescribing these drugs within 30 days.  You can find out more here

Increasing vaccination rates: one of our key priorities is to support people to live a healthier life. We welcome NHS England’s announcement that it will be bringing GP groups and other health professionals together to agree joint action to reverse falling vaccination rates.

Findings from a new NHS review of immunisations in general practice show vaccination rates at a record low in England at just 91.2 percent for measles, mumps and rubella (MMR), with rates also falling for all 13 major illnesses.  One in seven five years olds have not had both doses of essential measles jabs.

Actions under consideration include:

  • Introducing a consistent way of reminding people to attend vaccination appointments;
  • Ensuring that IT systems can alert staff to people who need to be vaccinated in the community;
  • Broadening access to training for healthcare professionals;
  • Continuing to promote information on vaccine safety and effectiveness to tackle concerns about misinformation.

NHS England is also looking at ways to expand access to appointments through the  introduction of new ‘primary care networks’ nationwide, providing more access to evening and weekend appointments, and at how payments to GPs can ensure they vaccinate as many children and young people as possible against MMR.

You can find out more here

Thanks to everyone who has been helping us to raise awareness of our draft LTP during the past few weeks. Earlier this month Karen Kay attended the St Blazey, Fowey and Lostwithiel Community Network Panel, and Ethna McCarthy will be attending the meeting of the Camborne, Pool, Illogan and Redruth Community Network Panel in November. You can still help by promoting the LTP online survey –www.shapingourfuture.info/get-involved/long-term-plan/

We are also encouraging the public to fill in the online survey for our draft mental health strategy. 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

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 )

17 October: St Austell and east Cornwall GP surgeries scoop national awards https://kernowccg.nhs.uk/news/2019/10/st-austell-and-east-cornwall-gp-surgeries-scoop-national-awards/  LTP Priority 5 : transform care provided in the community that can keep people at home )

21 October: Help Cornwall’s NHS by planning for a safe and healthy October half term: https://kernowccg.nhs.uk/news/2019/10/help-our-nhs-by-planning-for-a-safe-and-healthy-october-half-term/  ( LTP Priority 3 increase support for people to live a healthier life  )

NHS England briefings / news releases: (about or related to LTP )

18 October: What can the NHS do to improve wellbeing for women https://www.england.nhs.uk/blog/what-can-the-nhs-do-to-improve-wellbeing-for-women/ (LTP Priority 3 increase support for people to live a healthier life  )

18 October: the fairy godmother service of the NHS https://www.england.nhs.uk/blog/the-fairy-godmother-service-of-the-nhs/ (LTP Priority 5: transform care provided in the community that can keep people at home )

18 October: mental health nursing student experience

https://www.england.nhs.uk/publication/coaching-and-peer%e2%80%90assisted-learning-c%e2%80%90pal-%e2%80%90-the-mental-health-nursing-student-experience-a-qualitative-evaluation/  ( LTP Priority 8 : improve mental health services)

18 October: research into maternity care: LTP Priority 1 : improve maternity services

18 October: evaluation of a drop in clinic for young people with attention deficit hyperactivity disorder https://www.england.nhs.uk/publication/evaluation-of-a-drop-in-clinic-for-young-people-with-attention-deficit-hyperactivity-disorder/ (LTP  Priority 2: improve services for children and young people)

18 October: Don’t go with the ‘FLO’ a student mobile texting service to enhance nursing student retention  https://www.england.nhs.uk/publication/dont-go-with-the-flo-a-student-mobile-texting-service-to-enhance-nursing-student-retention/ (LTP Priority 11 Digitally enabled care and support)

18 October: developing an integrated memory assessment and support service for people with dementia  https://www.england.nhs.uk/publication/developing-an-integrated-memory-assessment-and-support-service-for-people-with-dementia/ ( LTP Priority 8 : improve mental health services)

21 October: Tens of thousands given life changing diabetes monitors thanks to NHS long term plan https://www.england.nhs.uk/2019/10/tens-of-thousands-given-life-changing-diabetes-monitors-thanks-to-the-nhs-long-term-plan/

(LTP Priority 6 : Review pathways of care to improve outcomes for people with major health conditions )

21 October: World Antibiotic awareness week https://www.england.nhs.uk/2019/10/world-antibiotic-awareness-week-18-22-november/     https://www.england.nhs.uk/publication/world-antibiotic-awareness-week-letter-from-senior-nhs-and-health-system-leaders/  LTP Priority 3 increase support for people to live a healthier life  )

21 October: Improving tech, treatment and care for people with type 1 diabetes

https://www.england.nhs.uk/publication/improving-tech-treatment-and-care-for-people-with-type-1-diabetes-letter-from-partha-kar/ (LTP Priority 6  Review pathways of care to improve outcomes for people with major health conditions )

24 October: How a cup of coffee started something fantastic https://www.england.nhs.uk/blog/how-a-cup-of-coffee-started-something-fantastic/  (Priority 5: transform care provided in the community that can keep people at home)

Added on 01/11/2019, in Newsletters - Newsletters