This document summarizes the annual meeting of Healthwatch Stoke-on-Trent from 2017-2018. It includes welcome remarks, a presentation on transforming health and wellbeing in the area, and an annual report. Key highlights from the past year are noted, including work on drug and alcohol services, audiology, and homeless access to GPs. Priorities for 2018-2019 include community hospitals, the sustainability transformation partnership, and mental health. A case study on the rollout of care navigation is presented, along with volunteer activities over the year. Attendees are encouraged to get involved in future engagement activities.
Transforming End of Life Care in Acute Hospitals PM Workshop 3: Vital Signs ‘...NHS Improving Quality
Transforming End of Life Care in Acute Hospitals PM Workshop 3: Vital Signs ‘Making Measurement Better’ How well things are going and how to make it better’ presented by Sean Manning, NHS England
Measuring Improvement: Using metrics and data to evaluate seven day servicesNHS England
A supporting document from a webinar run by Rhuari Pike, Programme Lead (Seven Day Services, London) on behalf of the NHS England Sustainable Improvement Team.
Transforming End of Life Care in Acute Hospitals PM Workshop 3: Vital Signs ‘...NHS Improving Quality
Transforming End of Life Care in Acute Hospitals PM Workshop 3: Vital Signs ‘Making Measurement Better’ How well things are going and how to make it better’ presented by Sean Manning, NHS England
Measuring Improvement: Using metrics and data to evaluate seven day servicesNHS England
A supporting document from a webinar run by Rhuari Pike, Programme Lead (Seven Day Services, London) on behalf of the NHS England Sustainable Improvement Team.
Transforming End of Life Care in Acute Hospitals AM Workshop 2: AMBER Care Bu...NHS Improving Quality
Transforming End of Life Care in Acute Hospitals AM Workshop 2: AMBER Care Bundle by Dr Irene Carey, Susanna Shouls, Guy’s and St Thomas’ NHS Foundation Trust
How is quality faring? Priorities and impact on the frontlineQualityWatch
A presentation given to the QualityWatch 2015 annual conference by Professor Tim Evans, Medical Director and Responsible Officer, Royal Brompton and Harefield NHS Foundation Trust.
Transforming End of Life Care in Acute Hospitals AM Workshop 4: Advance Care ...NHS Improving Quality
Transforming End of Life Care in Acute Hospitals AM Workshop 4: Advance Care Planning, sharing perspectives presented by Dr David Howlett, Dilan Joshi, Sarah French, Sherree Fagge, Brighton and Sussex University Hospitals NHS Trust and Dr Karen Groves, Queens Court Hospice
2.5 Partnership working - Anne Forletta, Katherine HewittNHS England
Partnership working. Building partnerships with acute hospitals, voluntary and community services. Featuring examples from Birmingham and Coventry. Anne Forletta, My Healthcare Birmingham; Katherine Hewitt, Gateway Family Services, Birmingham.
Making Seven Day Services a reality, pop up uni, 2 pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
NHS England and partners have published six Quick Guides to bring clarity on how best to work with the care sector. They can be accessed at www.nhs.uk/quickguides
Want to find out how the care sector can support local systems in the run up to winter? Want to break down barriers between health and care organisations? Want to find out how Leicester has achieved a 60% reduction in care home admission costs? Want to finally break down the myths around sharing patient information and assessments? Want to use other people's ideas and resources?
Webinar outcomes:
Introduction to the care homes quick guides
Two examples of models referenced in the guides:
- Angela Dempsey, Baker Tilly on the Quest4care tool
- Dawn Moody on MDT working and a model implemented in a CCG
Guest Speakers: Nicola Spencer and Emily Carter - NHS England
Dr Derek Thompson: Building a caring futureNuffield Trust
In this slideshow, Dr Derek Thompson, GP and Medical Director at Northumbria Healthcare Foundation Trust, on reducing the length of hospital stay and building a caring future.
Dr Thompson spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September2014.
Using simulation to drive changes in health and care - long term conditions Year of Care model
Bev Matthews and Claire Cordeaux
Presentation from Day 1 of the Health and Care Innovation Expo 2014, Manchester Central
Transforming End of Life Care in Acute Hospitals AM Workshop 2: AMBER Care Bu...NHS Improving Quality
Transforming End of Life Care in Acute Hospitals AM Workshop 2: AMBER Care Bundle by Dr Irene Carey, Susanna Shouls, Guy’s and St Thomas’ NHS Foundation Trust
How is quality faring? Priorities and impact on the frontlineQualityWatch
A presentation given to the QualityWatch 2015 annual conference by Professor Tim Evans, Medical Director and Responsible Officer, Royal Brompton and Harefield NHS Foundation Trust.
Transforming End of Life Care in Acute Hospitals AM Workshop 4: Advance Care ...NHS Improving Quality
Transforming End of Life Care in Acute Hospitals AM Workshop 4: Advance Care Planning, sharing perspectives presented by Dr David Howlett, Dilan Joshi, Sarah French, Sherree Fagge, Brighton and Sussex University Hospitals NHS Trust and Dr Karen Groves, Queens Court Hospice
2.5 Partnership working - Anne Forletta, Katherine HewittNHS England
Partnership working. Building partnerships with acute hospitals, voluntary and community services. Featuring examples from Birmingham and Coventry. Anne Forletta, My Healthcare Birmingham; Katherine Hewitt, Gateway Family Services, Birmingham.
Making Seven Day Services a reality, pop up uni, 2 pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
NHS England and partners have published six Quick Guides to bring clarity on how best to work with the care sector. They can be accessed at www.nhs.uk/quickguides
Want to find out how the care sector can support local systems in the run up to winter? Want to break down barriers between health and care organisations? Want to find out how Leicester has achieved a 60% reduction in care home admission costs? Want to finally break down the myths around sharing patient information and assessments? Want to use other people's ideas and resources?
Webinar outcomes:
Introduction to the care homes quick guides
Two examples of models referenced in the guides:
- Angela Dempsey, Baker Tilly on the Quest4care tool
- Dawn Moody on MDT working and a model implemented in a CCG
Guest Speakers: Nicola Spencer and Emily Carter - NHS England
Dr Derek Thompson: Building a caring futureNuffield Trust
In this slideshow, Dr Derek Thompson, GP and Medical Director at Northumbria Healthcare Foundation Trust, on reducing the length of hospital stay and building a caring future.
Dr Thompson spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September2014.
Using simulation to drive changes in health and care - long term conditions Year of Care model
Bev Matthews and Claire Cordeaux
Presentation from Day 1 of the Health and Care Innovation Expo 2014, Manchester Central
Working together for Better Care in Richmond HW_Richmond
Presentation from Richmond CCG, Healthwatch Richmond, Hounslow and Richmond Community Healthcare, Kingston Hospital, West Middlesex University Hospital and the Richmond GP Alliance on the changes happening to community services in Richmond.
Integrated health & social care: service transformation supported by technolo...flanderscare
Wat is de toekomst van zorg op afstand in Vlaanderen? Dat was de centrale vraag van het event van 17 juni. 100 deelnemers dachten hier samen over na. Studiebezoeken aan andere Europese regio's toonden dat daar reeds op grote schaal met telecare en telehealth gewerkt en geëxperimenteerd wordt.
Involving patients in outcomes based commissioning in community services, pop...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
These slides were presented by Ali-Jan Haider head of commissioning for Bradford District's Clinical Commissioning Group at the Digital Health and Well-Being Festival. Part of the Start-up Support Session 1.
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Dr Eileen Pepler, Academic, Researcher and Consultant in the Canadian Healthcare will discuss how NHS England work in chronic disease is being translated into a Canadian context.
The changing vanguard workforce, pop up uni, 11am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Presentation delivered by Voices of Stoke, Expert Citizens and Healthwatch Stoke at the Centre for Health and Development (Staffordshire University). Feb 2017
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
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TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
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ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
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PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
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- The role of FDG PET in NET.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
3. Transforming Health and Wellbeing
Andrew Hughes
Joint Director of Strategy and Development
North Staffordshire Combined Healthcare
Trust/GP Federation
5. Healthwatch Stoke-on-Trent will enable a strong
voice and provide support to local people and
community and voluntary groups so that they
can influence the way their health and social
care services are planned, purchased and
provided
6. Highlights
• Community Drug and Alcohol Service (CDAS)
• Audiology services
• Homeless access to a GP
• Future of Community Hospitals
• Active participation in community events - Brinsley Befrienders A and E
Charter
• CQC Local System Review
7. Priorities 2018/19
• The future of Community Hospitals
• Staffordshire and Stoke-on-Trent Sustainability and Transformation
Partnership (STP)
• Mental Health
• GP Services
• Promote our Dignity and Respect Charter
10. Background
• Care Navigation is being rolled out
across North Staffordshire.
• Overview and Scrutiny at Stoke LA
requested a report on its roll out.
• Healthwatch were asked to carry out
the work as an independent body.
• We had four weeks until completion.
11. What is Care Navigation?
Care Navigation is a tried and tested model of care that improves access
to primary care services for patients and reduces GP pressures all in one.
It enables frontline staff to provide patients with more information about
local health and wellbeing services, both within and outside of primary
care, in a safe, effective way.
Care Navigation offers the patient ‘choice not triage’ to access the most
appropriate service first which as we know, isn’t always the GP.
Care Navigators do not make clinical decisions
Providing receptionists with information as to the reason for the
appointment will result in a choice around appropriate services being
offered. If receptionists are able to work with the patients who are willing
to share the information about the reason for the appointment, this will
build confidence in the service, and patients will quickly feedback to
others in the community.
“However, the patient may wish not to give any details about the
problem and that is fine.”
12. Data from the CCG
It is well documented that Primary Care
is under pressure.
In June 2018, 1,721 signposts were made
with a 92% acceptance rate and an
estimated 238 GP hours saved.
15. Source - https://bjgp.org/content/bjgp/63/608/e177.full.pdf
"In practice B, at the request of a senior GP,
receptionists were required to ask every
patient their presenting complaint and note it
on the booking system. Following this rule
put receptionists further into the clinical realm
and brought hostility from patients."
17. • Maintain our independence. We will not compromise our position
through commercial or provider interest.
• We will be free of political influence.
20. We decided that we wanted to understand if . .
• Patients felt comfortable sharing details with a receptionist?
• Patients were confident to explain what is wrong receptionist?
• Patients felt confident that the receptionist understood what they said?
• Patients felt supported to get the right help?
21. Whilst booking my appointment I was able to easily
answer questions asked about my illness – CCG
identified surgeries delivering care navigation
(n230)
Whilst booking my appointment I was comfortable
answering questions asked about my illness – CCG
identified surgeries delivering care navigation
(n230)
22. Whilst booking my appointment I was confident
that what I explained was properly understood –
CCG identified surgeries delivering care
navigation (n220)
Whilst booking my appointment I felt supported to get the
right help – CCG identified surgeries delivering care
navigation (n228)
23. Were you satisfied with your experience of making
an appointment? – CCG identified surgeries
delivering care navigation (n223)
24. Respondents report being largely
comfortable discussing details of their
condition with the GP receptionist, even
though a significant number expressed
disagreement with the practice in principle.
Overall satisfaction with the appointment-
making process appears to be heavily
affected by things outside of Care
Navigation. Many patients mentioned
difficulties reaching the receptionist with
one reporting over 80 early morning phone
calls.
25. A small number of respondents reported
being refused GP appointments once they
had explained their symptoms.
"In practice B, at the request of a senior
GP, receptionists were required to ask
every patient their presenting complaint
and note it on the booking system.
Following this rule put receptionists
further into the clinical realm and
brought hostility from patients."
Care Navigation offers the patient ‘choice not
triage’ to access the most appropriate service first
which as we know, isn’t always the GP.
Care Navigators do not make clinical decisions
Providing receptionists with information as to the
reason for the appointment will result in a choice
around appropriate services being offered. If
receptionists are able to work with the patients who
are willing to share the information about the
reason for the appointment, this will build
confidence in the service, and patients will quickly
feedback to others in the community.
“However, the patient may wish not to give
any details about the problem and that is
fine.”
26. Ensuring Learning
• Presented to the Overview and Scrutiny Committee.
• Comment from a GP – “Everyone in the organisation should read this
as it helps to demonstrate challenges faced by the NHS as a whole as
well as individual GP practices”.
• Shared with our national body.
• Will be shared with the Joint Strategic Needs Assessment.
27. Coming Up
• CQC Systems Review
• Community Mental Health
• Social Care
28. Help us
• Visit our website (use our Feedback Centre)
• Share your stories
• Share your opinion
30. • Active volunteers 39
• ‘Pending’ volunteers 24
• Enter and View trained 19
• ‘Full time’ Volunteer Co-ordinator left
• A natural decline in numbers – students leaving College, illness etc
• Formed STP/Volunteers group and re-invigorated whole process
And now…
End of 2017
32. Volunteers – anything else?
• Patient Congress, Keele University
• Focus Groups
• Work with the seldom heard
– Mental Health (Sutherland Centre, Greenfields etc.)
– Headway
– Trans+ community
LOTS!
33. Transgender – who cares? event
• Biggest ever event on the subject – almost 180 attendees
• Local and national speakers, including:
– Mermaids
– Staffordshire Police
– CCGs
– UHNM
• Outcomes:
– Local branch of Mermaids
– CCG funding for awareness training for Health staff
– Further national event for those in education in Spring 2019 (Keele University)
• Impossible without our Volunteers (including Newleaf)
34. Can YOU help?
• Enter and View with the Council – help reduce Homes in Special Measures?
• Community Hospitals – consultation to begin end of 2018?
• STP work – engagement ensuring patient voice starting Spring 2019?
WE NEED YOUR HELP!
Please speak after the meeting or contact us on 01782 683080
Thank you
Notes – The CCG were asked by Overview and Scrutiny Committee at Stoke Local Authority to find out what patients thought about Care Navigation. Describe what it is using the poster.
The most frequently heard complaint about health and care services are in relation to access to GP services. This isn’t because they are worse than another service, but the sheer number of people that use the service. This also meant that Care Navigation was likely to be a considerable news item.
Another element in this is the Receptionist themselves and how they have been characterised by the public. This even led to academic papers exploring this issue, such as this one. This made significant media interest with appearances in the Daily Mail and Telegraph.
The CCG need Care Navigation to be successful to support their GP’s. Overview and Scrutiny rightfully want to be able to watch this carefully as it is quite controversial, whilst at the same time we have a responsibility to represent the views and experiences of patients whilst also being fair to staff who are working in difficult, strained conditions.
We try and design questions that lead to service improvement opportunities.
NHS England pulled this together when looking at equality of access and what factors affected it. We wondered how Care Navigation might influence this.
NHS England pulled this together when looking at equality of access and what factors affected it. We wondered how Care Navigation might influence this.
Alternatively
Problem is one of implementation. Practices, some that are not even part of the program, are not implementing in the same way.