Long Term Plan update: September 13 2019

General actions and activities

Work is continuing to finalise the first draft of the Long Term Plan which is due for submission to NHS England on 27 September. This will be followed by assurance and then a resubmission in November. The LTP is the health and care response to the Cornwall and Isles of Scilly health and wellbeing strategy which is currently being considered by partners. This is focused on working together to increase and improve prevention and wellbeing rather simply pulling together traditional health service plans. It is a continuation of the co-design work which is taking place with local professionals and the public to support people to maintain healthy lives in their communities.

Last week was the quarterly meeting with MPs. The meeting was attended by Sarah Newton and representatives for Scott Mann and Steve Double, and the Long Term Plan and links to the health and wellbeing strategy were discussed.

The MPs pledged to raise our concerns nationally on the availability of local NHS dental services and capital funding for premises, including for primary care and GP information technology. Locally they agreed to raise issues around primary schools rewarding children for 100 percent attendance which continues to put pressure on and unfairly treats many children and young people who have genuine health needs. They will also raise a repeated plea to Falmouth University to seek consent from students to contact their parents/guardians if concerns are raised.  

Royal Cornwall Hospitals NHS Trust is holding its first Brilliant Care Week during 16 to 20 September which incorporates World Patient Safety Day on Tuesday 17. This will involve seeking staff and public feedback on their thoughts about what they are doing well and what they can do better.

A flu clinic is being staged at Sunnyside GP surgery next week as part of the Winter Wellbeing campaign. Staff will also be attending Freshers Fairs events at a number of Cornwall College sites.

Finishing touches are being made to the presentation materials for the consultation and activities. The communications team is producing a leaflet to provide information about the LTP. This will also include questions on key areas of the LTP which we want to ask local residents. We are also finalising the online survey which contains the same key questions. Once the survey has been produced it will be promoted in the media and with the support of Healthwatch and via staff bulletins.

NHS Kernow’s consultation and engagement team continues to go out and about across Cornwall. Last week there was an Integrated Community Services Review workshop at Penzance where they talked with stakeholders about the community’s needs, and what the local service options may be in the future.  There have also been workshops at Fowey Community Hospital and at St Ives, and there will be a further workshop event at St Ives.  

Cornwall Council is reviewing services for adult carers, and wants to find out more about people who help look after another person and are asking all unpaid carers to complete an online survey. The information will be used to help the Council decide what future carers services could be like in Cornwall. The deadline for completing the survey is Sunday 27 October.

Health and Care Leadership Forum – this forum, which meets quarterly, is open to locality leads, as well as all boards/Governing Body/councils’ cabinet members etc. The focus of last week’s meeting was to talk through the priorities in the draft health and wellbeing strategy and to ask what people felt the health and care response should be.

The meeting concluded that successfully reducing health inequalities required a combination of civic, community and service based interventions built into local vision and strategy supported by engaged leadership and robust partnership arrangements. Specific actions included investing in prevention and realigning funding to address unmet need; focusing on system change; developing plans to integrate and pool resources for early years support across health, social care and education and developing a whole system approach to multi-morbidity. 

Community-based interventions: discussion focused around strengthening communities through asset- based approaches and community development; volunteer and peer support/ education roles; community engagement and coproduction and design, and community hubs and commissioning.  Specific actions included addressing stigma and social exclusion, providing community-based social and behavioural support e.g. through children’s hubs; using community outreach to increase uptake of early years education and childcare by disadvantaged families; developing a greater understanding of the highest / late service use and addressing underlying unmet needs

Civic level interventions: discussions focused around the use of legislation, regulation, taxation and licensing and public policy, such as transport, planning, education, employment and the built environment and welfare. Specific actions included developing healthier workplaces, social prescribing, using social movement to lead population health change, improving housing and tackling cold homes, developing housing options to meet the needs of ageing or vulnerable people, increasing employment and retention in the care sector, increasing funding on early years; providing quality pre-school early education and childcare; developing workforce employment and skills policies to tackle inequalities, introducing community safety initiatives ( ie road traffic and domestic violence) and providing infrastructure to increase physical activity.

Service based interventions : discussion focused around evidence-based services including immunisation and screening, health checks, and smoking cessation combined with community approaches. Specific actions included promoting the physical health of people with mental health problems, involving the third sector in designing and delivering services; targeting people who do not attend primary care; increasing the quality and uptake of parenting programmes ; improving the quantity, reach and quality of health visiting in years one to three; ensuring equity of access to services across Cornwall and the Isles of Scilly and exploring digital interventions that will have the biggest impact.

A copy of the presentation used at this week’s briefings and the long term plan workshop is available here.


Reports and briefings:

10 September: the LTP was discussed at this week’s meeting of the Clinical Practitioner Cabinet / Leadership Group meeting

13 September: members of the Cornwall and IOS Leadership Board received an update on the LTP as part of discussion on Health and Wellbeing Strategy: Click here for papers.

17 September: RCHT is holding its AGM at the Knowledge Spa where the Board will be talking about some of its future plans. Click here for papers.


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

6 September: first children and young people admitted to Sowenna unit

10 September: Penwith community services review

10 September: World Suicide Prevention Day
10 September: Cornwall working together for zero suicides  

10 September: views sought to help people use adult social care direct payments  

11 September: You may be drinking more than you think

12 September: Cornwall asked what sounds make you calm and happy 

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

5 September: England’s top nurse to recruit NHS ‘social media influencers ‘ to extend the reach of NHS app: England’s top nurse to recruit NHS ‘social media influencers’ to extend the reach of NHS App

6 September: NHS violence reduction lead calls for crackdown on knife sales: NHS violence reduction lead calls for crackdown on knife sales

10 September: Pioneering support: suicide bereavement

11 September: Life changing treatment on the NHS for children with rare deadly disease  

12 September: NHS ramps up support for survivors of female genital mutilation

12 September: Personalised care for children with special educational needs and disabilities  


Added on 20/09/2019, in Newsletters - Newsletters