Event: Driving forward the Population Health Agenda

Do you want to know more about the new and exciting area of Population Health Management (PHM)?

We are holding an event – The Art of the Possible – on Thursday 9 January 2020 at the John Fretwell Centre, Mansfield, Sookholme Road, Mansfield, NG19 8LL. It is open to colleagues working within our ICS across health and care.

We aim to give you the tools and confidence to help you deliver improved health and care for your patient and population.

Throughout the session you will hear from local and national experts including Professor Sir Muir Gray CBE, the internationally renowned authority on healthcare systems and Dr Andi Orlowski from Imperial College Health Partners. Click here to see more speakers.

Our event aims to:

  • Introduce you to what population health management is, what it is not, and its potential  applications
  • Discuss how to adopt population health tools to support local health care delivery
  • Explain how Population Health Management is reflected in the systems NHS Long Term Plan
  • Show you   how our local technology and data infrastructure is not only developing but also leading the way
  • Demonstrate practical examples of how PHM has been used locally within Diabetes

To reserve your place and advise of any dietary requirements, please email Sandra.pooley@nhs.net

Dozens of rough sleepers in Mansfield helped at latest Street Health event as winter weather arrives

Staff from the NHS and charities across Mansfield helped more than 50 street sleepers at its Street Health event on Monday, November 11.

For the last 18 months the Street Health team has pulled professionals together from across Mansfield and organised regular events that provide clothes, sleeping bags and health checks on one of the Mondays that Bridge Street Methodist Church holds its soup kitchen to vulnerable people living on the street.

Partners to the project are:

  • Bridge Street Methodist Church
  • Sherwood Forest Hospitals which organised the Street Health event and provided dietary advice, minor injury advice, sexual health advice and fresh fruit
  • Nottinghamshire Healthcare providing footcare
  • Roundwood Surgery helping give flu vaccinations and prescriptions
  • Change Grow Live providing liver scanning, wound support and advice on alcohol and drug misuse
  • Hairdressers from the Full Monty Barber shop in Chesterfield
  • Everyone who helped with donations of food, clothes and toiletries including staff from Sherwood Forest Hospitals, Caroline Boole, Steph Haslam and Ali Pipes from Mansfield and Ashfield CCG and Patricia Brown and her team from Woodland GP practice

One man has been attending the Street Health events since they started and has been homeless for nearly four years. He said: “Without this I’d be lost. It’s easier to come here and see a doctor. I went to the hospital and I heard one of them call me a ‘typical drug user’ because I had a needle stuck in my foot. You don’t hear that here, they don’t talk about you like that.”

However since the project started, five young men had died living on the streets.

Suzanne Banks, Chief Nurse at SFH said: “When we started this, what became clear to us was that even as health professionals we didn’t know all the different organisations or support that was out there. If we didn’t, how could we expect vulnerable people on the street to understand and access them?

“The Street Health events are a way to simplify this by bringing the services to them and from this hoping we all can build relationships and help these vulnerable and often overlooked members of our community.”

Information about Mid-Nottinghamshire ICP

We are a new partnership of NHS providers, commissioners and local authorities who want to create happier, healthier communities across Mansfield, Ashfield, Sherwood and Newark and reduce differences in healthy life expectancy (the number of years that people live in good general health) by three years.

The area has been divided into six ‘Primary Care Networks’ (known as PCNs) which are led by a GP. These are:

  • Ashfield North
  • Ashfield South
  • Mansfield North
  • Mansfield South
  • Newark
  • Sherwood

We believe we can best support the people living and working in mid-Nottinghamshire by supporting neighbourhood’s with what they specifically need while recognising where there are wider needs that sit across the whole of Mid-Nottinghamshire.

Organisations involved in the ICP include:

  • Ashfield District Council
  • East Midlands Ambulance Service NHS Trust
  • GP practices with Mid-Nottinghamshire
  • Mansfield and Ashfield Clinical Commissioning Group
  • Mansfield District Council
  • Newark and Sherwood Clinical Commissioning Group
  • Newark and Sherwood District Council
  • Nottinghamshire County Council
  • Nottinghamshire Healthcare NHS Foundation Trust

If you have any queries about this please contact Kerry Beadling-Barron, Director of Communications and Engagement at Mid-Nottinghamshire ICP on Kerry.beadling-barron@nhs.net

Nottingham City Integrated Care Partnership Launch Event Overview

The Nottingham City Integrated Care Partnership (ICP) held a launch event on the afternoon of Thursday 7th November 2019 at Trent Vineyard in Nottingham.

The event was run as a drop-in session for staff working across health, social care and the voluntary sector in Nottingham City. More than 400 people attended the event, representing over 60 different organisations working across Nottingham City.

Stalls from 35 organisations showcased some of the successes of integrated working in the city. Staff attending the event were able to find out about the work of the ICP and its partners and talk to a range of different organisations working in the city. A ‘health zone’ was also set up for staff to get health and wellbeing advice and to get the flu jab.

The membership of the Nottingham City ICP is broad, bringing together all of the organisations that have an impact on health and wellbeing. It includes housing, pharmacies, the voluntary sector, fire service, schools and more. The launch event reflected this diversity, with stalls from across the breath of health and wellbeing organisations and the voluntary and community sector.

Some of the comments made by attendees included:

“Great, vibrant event showing your existing commitment and connections.   Fab!”

“So much information available, a fantastic event”

“The positivity and enthusiasm of staff in the room is very encouraging”

View the launch video below.

Applications open for patient/citizen leadership programme

This 4 day programme aims to enhance the knowledge, skills and confidence of patient/citizen leaders.

The East Midlands Academic Health Science Network (EMAHSN) and East Midlands Leadership Academy (EMLA) are coordinating a Leadership Programme for Patients/Citizens connected to Nottingham and Nottinghamshire Integrated Care System.

This 4 day programme aims to enhance the knowledge, skills and confidence of patient/citizen leaders. Places will be allocated subject to an Expression of Interest Form.

More information can be found here.

One criteria is delegates should be able to attend all 4 days which are:

  • 27 February 2020 – Trent Vineyard, Nottingham
  • 30 March 2020 – Rushcliffe Arena, Nottingham
  • Tuesday 5 May 2020 –The Towers, Mansfield
  • Tuesday 7 July 2020 – The Towers, Mansfield

Lunch and refreshments will be provided. The sessions will run from 10am – 4pm.

Reasonable travel costs will be reimbursed.

Please complete and return an Expression of Interest Form and return to katie.swinburn@nhs.net.

Mid-Nottinghamshire ICP November Board Meeting to focus on workshop on neighbourhood working

Members of the public and stakeholders are invited to the Mid-Nottinghamshire Integrated Care Partnership’s next Board meeting on November 18.

It takes place at Civic Quarter, Civic Centre, Chesterfield Road South, Mansfield, NG19 7BH. A copy of the agenda, papers and Board protocol are available on the ICP website here.

The main focus of November’s meeting will be on a workshop which will look at how on a focus on neighbourhoods could be taken forward between partners to improve the lives of residents.

The Mid-Nottinghamshire ICP is a new partnership of NHS organisations and local councils who are working together across Mid-Nottinghamshire to improve the lives of the citizens in Mansfield, Ashfield, Newark and Sherwood. The group formed in May 2019 and its vision is to create happier, healthier communities with the goal of reducing differences in healthy life expectancy (the number of years that people live in good general health) by three years.

Members on the ICP Board include representatives from:

  • Ashfield District Council
  • Chair of the Citizen’s Council
  • East Midlands Ambulance Service NHS Trust
  • Healthwatch Nottingham and Nottinghamshire
  • GP practices with Mid-Nottinghamshire
  • Mansfield and Ashfield Clinical Commissioning Group
  • Mansfield District Council
  • Newark and Sherwood Clinical Commissioning Group
  • Newark and Sherwood District Council
  • Nottinghamshire County Council
  • Nottinghamshire Healthcare NHS Foundation Trust
  • Nottingham University Hospitals NHS Trust
  • Sherwood Forest Hospitals NHS Foundation Trust

The Board has been meeting in public since September 2019.

Information about Mid-Nottinghamshire ICP

We are a new partnership of NHS providers, commissioners and local authorities who are working together across Mid-Nottinghamshire to improve the lives of the citizens in our communities. The area has been divided into six ‘Primary Care Networks’ (known as PCNs) which are led by a GP. These are:

  • Ashfield North
  • Ashfield South
  • Mansfield North
  • Mansfield South
  • Newark
  • Sherwood

We believe we can best support the people living and working in mid-Nottinghamshire by supporting neighborhood’s with what they specifically need while recognising where there are wider needs that sit across the whole of Mid-Nottinghamshire.

If you have any queries about this please contact Kerry Beadling-Barron, Director of Communications and Engagement at Mid-Nottinghamshire ICP on Kerry.beadling-barron@nhs.net

Local NHS counts the cost of missed GP appointments

Patients urged to cancel appointments rather than just not show up

More than 22 thousand local general practice appointments were missed in a single month after patients failed to warn surgeries that they will not be attending.

The figures, published by NHS Digital, reveal that 22,108 appointments were missed with healthcare professionals across Nottingham and Nottinghamshire during September.

Each appointment costs an average of  £30, putting the total cost to the NHS at more than  £663,000 on top of the disruption for staff and fellow patients.

Dr Hugh Porter, a local GP and Clinical Lead for the NHS Nottingham and Nottinghamshire Clinical Commissioning Group, said: “Providing timely access to GP appointments is a priority for our local health system but healthcare services are under intense pressure this time of year by the number of patients suffering with winter illnesses.

“Patients can do their part by letting the NHS know if they can’t make their slot – freeing up doctors, nurses and other professionals to see those who do need care and attention.

“When patients miss appointments it can be a frustrating waste of resources for GPs and our teams, but also for other patients who are struggling to secure an appointment for themselves.

“We would urge patients to let us know if they can’t attend as soon as possible, so that we can offer that time to someone else who really needs it.

“If people are unsure about whether to book a GP appointment, advice from healthcare professionals is available from the NHS 111 service.

“Community pharmacies also offer a range of services that can help with the most common winter illnesses, and can provide the flu jab.”

Across England more than 15 million general practice appointments are being wasted each year because patients do not turn up and fail to warn surgeries that they will not be attending.

There are around 307 million sessions scheduled with GPs, nurses, therapists and other practice staff every year and 5% – one in twenty – are missed without enough notice to invite other patients. That works out as around 15.4 million missed slots.

Of these, around 7.2million are with busy family doctors, which adds up to more than 1.2 million GP hours wasted each year – the equivalent of over 600 GPs working full time for a year.

The estimated national total cost to the NHS is more than  £216million pounds that would pay for:

  • The annual salary of 2,325 full time GPs
  • 224, 640 cataract operations
  • 58,320 hip replacement operations
  • 216,000 drug treatment courses for Alzheimer’s
  • The annual salary of 8, 424 full time community nurses

Patients across Nottingham and Nottinghamshire can access GP appointments on weekends and evenings. Urgent treatment is available at the two Urgent Care Centres on London Road in Nottingham and at Newark Hospital.

Blog 2: Updates on recruitment, retention and joy within General Practice

Dr Sonali Kinra is a GP Partner at Hucknall Road Medical Centre, Nottingham and our ICS lead for GP Retention.

This is the second of her monthly blog series where she focuses on improving recruitment, retention and joy within General Practice.

This is the second in my monthly blog series as GP retention lead for our ICS.

It was my first opportunity to chair the Primary Care Workforce Group (PCWG) in early October – the remit of this group is to bring together health and care organisations and key stakeholders to support workforce transformation ambitions and design future primary care workforce across Nottingham and Nottinghamshire.

We also looked at the membership of this group and have decided to expand it to include representation from sessional GPs and Allied Health Professionals. In the near future I hope to be working closely with the three ICPs (Integrated Care Partnerships) and Primary Care Networks around their workforce needs.

I attended an evening networking event organised by Nottinghamshire LMC bringing together GPs from Mid and South Notts and consultants from Sherwood Forest Hospitals. This was an opportunity to meet with each other, find common ground and solutions to issues that we may all be getting frustrated about and inadvertently impacting patient care. Sometimes it’s just nice to put faces to names.

Further information about GP-Consultant twinning scheme and how to get involved is available here.

Following on from, this I attended the Primary Care Delivery Board – this board has been established by the six CCGS to provide a structure through which they can coordinate a number of workstreams to deliver our primary care strategy. We were asked to provide an update on activities of PCWG.

It was the AGM for RCGP Vale of Trent faculty and Helen Garr – @thewellbeinggp – got us all on our feet and spoke about burnout and resilience – please look up the resources on LMC website.

Did you also know about NHS health practitioner programme? It’s a free and confidential NHS service available to all doctors within the NHS to help with issues around mental health or addiction problems.

The LMC launched the revamped sessional GP sub-committee on the evening of 17 October led by Dr Kalindi Tumurugoti. I attended both in my role as LMC committee member but also as GP retention lead.

We had a healthy turnout with very lively discussions focusing on the needs of both locum and salaried GPs which has led us to think about: communication with locums, locum chambers model, new ways of working within PCNs. Our next meeting is planned for January 2020 and I will send you further details on this

If you are a locum GP in Nottinghamshire and not receiving emails from various local organisations then I would highly recommend joining the mailing list on Nottingham TeamNet Clarity. It is a web-based platform to share resources across the health community. It includes newsletters, information about local learning events, PLT, Webinars and pathways and guidelines. All locums are able to access TeamNet via simple registration process here.

Dr James Waldron and I attended a GP workforce co-design event in Brierly and we heard about the work they have done in last year to improve recruitment and retention in their patch and plans for the future including career development leadership programme for mid-career GPs and setting up locum chambers.

It was a rather long drive but we both came back enthused with ideas to bring to Nottinghamshire – more on this in the coming months. James will be publishing his own blog focused on first five GPs very soon.

We have exciting schemes available in Nottinghamshire for trainees, first5 GPs and now also mid-career and senior GPs – preceptorship, GP special interests and fellowship lite to name a few. Explore further on the Phoenix Programme.

The Phoenix Programme is keen to support older GPs to continue their invaluable role in the NHS. If you are or know of a GP considering retirement then please contact the Phoenix Programme. We would be keen to see if there anything we can do to encourage your involvement in the NHS and particular how we can use your wisdom to support younger colleagues. Contact them through info@phoenixprogramme.co.uk

Have you heard about this exciting opportunity for to become Digital GP fellow? We have two funded opportunities for newly qualified GPs locally – click here for more information.

Are you a registered nurse or allied health professional working in primary care, general practice or social care? There is funding available for course fees for approved higher education modules at degree or postgraduate level, commencing before 31 March 2020. Please email alliance.hub1@nhs.net and check out NEMS Partners Facebook page. Also they have exciting CPD session on Don’t be a Dipstick! Book here for 13 November.

For those of you who couldn’t make it to the RCGP annual conference in Liverpool this year – all the videos are available here.

I highly recommend the John Hunt lecture by Sir Michael Marmot @MichaelMarmot on Social Injustice in health – watch here. His book The Health Gap – Improving health in an Unequal world is a must read. He states “The Utopians of today are the realists of tomorrow”.

As the winter months set in I know we are all feeling the pressure in general practice and its multi-factorial not least due to funding but also workforce and workload pressures. My hope and focus is on creating opportunities for your learning and development to ensure sustainability and engagement – if you have any ideas please do get in touch with me.

I have my first Nottinghamshire women’s network meeting on 6 November – I am looking for people who may be interested.

Until next time,

Sonali

@SonaliKinra

sonali.kinra@nhs.net

75-year-old volunteer with lung condition urges everyone to get the flu jab.

Great-grandfather Peter Burrows from Mansfield Woodhouse gets his flu jab every year to stop him getting seriously ill. He has emphysema, a serious condition where the air sacs in the lungs have been damaged, which can make breathing difficult. This year he is urging others to do the same to make sure as many people as possible are protected.

Every year flu causes serious illness and even death. That’s why those over 65, people under 65 with a long term condition, pregnant women and children aged 2-3 are all able to get a vaccination for free from their GP.

Peter said: “Having a chest infection is bad enough for me, I definitely don’t want to get the flu. To me you’d be a fool not to get the jab.”

He retired from his work as an engineer in Oxford 14 years ago and was diagnosed with emphysema eight years ago. But the 75-year-old is still busy, volunteering at the Pulmonary Rehab Clinic at Mansfield Community Hospital, chairing the local Breathe Easy support group for those with lung conditions and spending the rest of his retirement with his wife Patricia, exercising and walking their dog.

The great-grandfather, who has two great-grandchildren, nine grandchildren and three children, knows that having the flu jab not only protects him but protects those patients at the pulmonary rehab clinic every week at Mansfield Community Hospital he comes into contact with.

Because of his emphysema he looks after his health by taking an exercise class every Monday and walking his dog twice a day. He is urging everyone to get the flu vaccination to protect themselves, their loved ones and those who are too sick to be able to get the jab themselves.

He said: “I ask people why they don’t get the jab and sometimes they say ‘it’s because the jab can give you flu’ and I tell them that’s rubbish.

“I have a lot going on and don’t have time to be ill. I also don’t want to pass the flu on to others who may not be well enough to fight it. Getting the jab is a no brainer to me.”

GPs in the Mid-Nottinghamshire Integrated Care Partnership (ICP) are working together this year to focus on vaccinating as many people as possible with the flu jab.

Dr Gavin Lunn, Clinical Chair for Mansfield and Ashfield and GP at Brierley Park Medical Centre in Sutton in Ashfield said: “We know that Australia, which often predicts the UK winter season, has had a bad flu season. We also know that those with respiratory conditions like emphysema and asthma are a major cause for emergency admissions to hospitals in winter. This is why all GPs across Mansfield, Ashfield, Newark and Sherwood are working together to make protecting our populations against flu our priority this winter.”

People should contact their GP if they qualify for a free flu jab. Even if they are not eligible for a free vaccination they can still book a flu jab at some local chemists or supermarkets for a small charge.

Information about flu

Those who are entitled to a free jab are:

  • everyone aged 65 and over
  • everyone under 65 years of age who has an ‘at risk’ medical condition listed below:
    • a heart problem
    • a chest complaint or breathing difficulties, including bronchitis, emphysema or severe asthma
    • a kidney disease
    • lowered immunity due to disease or treatment (such as steroid medication or cancer treatment)
    • liver disease
    • had a stroke or a transient ischaemic attack (TIA)
    • diabetes
    • a neurological condition, e.g. multiple sclerosis (MS), cerebral palsy or learning disability
    • a problem with their spleen, e.g. sickle cell disease, or have had their spleen removed
    • are seriously overweight (BMI of 40 and above)
  • Children and babies over six months of age
  • all pregnant women, at any stage of pregnancy
  • all two- and three- year-old children (provided they were aged two or three years old on 31 August 2019)
  • all children in primary school
  • everyone living in a residential or nursing home
  • everyone who cares for an older or disabled person
  • household contacts of anyone who is immunocompromised
  • all frontline health and social care workers

Information about Breathe Easy

The Mansfield and Ashfield branch of the Breathe Easy group is part of the British Lung Foundation charity. It provides support for those with lung conditions and meets every second Tuesday at the Towers in Mansfield from 1.30pm-3.30pm. More information is here.

Breathing a New Life single is available to download on Apple music here or Amazon here with money going to the British Lung Foundation.

Information about Mid-Nottinghamshire ICP

We are a new partnership of NHS providers, commissioners and local authorities who want to create happier, healthier communities across Mansfield, Ashfield, Sherwood and Newark and reduce differences in healthy life expectancy (the number of years that people live in good general health) by three years.

The area has been divided into six ‘Primary Care Networks’ (known as PCNs) which are led by a GP. These are:

  • Ashfield North
  • Ashfield South
  • Mansfield North
  • Mansfield South
  • Newark
  • Sherwood

We believe we can best support the people living and working in mid-Nottinghamshire by supporting neighborhood’s with what they specifically need while recognising where there are wider needs that sit across the whole of Mid-Nottinghamshire.

Organisations involved in the ICP include:

  • Ashfield District Council
  • East Midlands Ambulance Service NHS Trust
  • GP practices with Mid-Nottinghamshire
  • Mansfield and Ashfield Clinical Commissioning Group
  • Mansfield District Council
  • Newark and Sherwood Clinical Commissioning Group
  • Newark and Sherwood District Council
  • Nottinghamshire County Council
  • Nottinghamshire Healthcare NHS Foundation Trust

If you have any queries about this please contact Kerry Beadling-Barron, Director of Communications and Engagement at Mid-Nottinghamshire ICP on Kerry.beadling-barron@nhs.net

End of Life Conference a great success

End of Life Conference hailed a great success

Do you know how or where your loved ones would want to die, if they had the choice?

Death is one of the final taboos but around 100 NHS and care staff, along with members of the public came along to a special End of Life conference on October 3. Its aim was to highlight how the last days of life could be better for everyone across Mansfield, Ashfield, Newark and Sherwood through partnership working with organisations and full involvement with loved ones.

Julie McIntyre is a member of the public and Chair of the Patient and Public Engagement Committee (PPEC) who came and spoke about the importance of engaging the patient, their carers and loved ones. She said: “Engagement with patients and their carers at the outset of a service design ensures that their views are heard from and services meet their needs. This is why PPEC members have had a key role in the design and ongoing development of the End of Life service.”

The conference was organised by the End of Life (EoL) Care Together team which is a new partnership initiative in Mansfield, Ashfield, Newark and Sherwood. NHS, bereavement and hospice organisations have worked together to develop the new End of Life (EoL) Care Together service which provides a single point of access to deliver care for patients and their loved ones at the end of their life.

The EoL Care Together team is one of the teams in the Mid-Nottinghamshire Integrated Care Partnership (ICP) working to make a positive difference to the people in Mid-Nottinghamshire. It aims for everyone to have the same choices and care in their final days of life regardless of where they live.

Julie Barker, GP and End of Life Clinical Lead presented on the day. She said: “This service ensures that we are being proactive and supporting a patient’s choice and needs together with maximising quality of life. It is about partnership working across Mid-Nottinghamshire to respond to patients’ needs, seeking solutions and planning their care. Crucially, the Patient Call support line is available 24/7 so that if needs change, urgent assessment and support can be obtained without having to go through 111. We aim to enable people to be confident in services both day and night as our partners work together as a big team.”

Patient Call is a telephone number (01623 781891) providing advice and support 24 hours a day for the patient and the family. This was set up from October 2017 and the team will direct guide patients on making suggestions on services who can help them. This includes nursing, doctors, hospice and community support.

Partners who attended the day included:

  • Beaumond House Community Hospice.
  • Nottinghamshire Hospice.
  • Nottinghamshire Healthcare Trust
  • East Midlands Ambulance Service
  • Clinical Commissioning Groups
  • Patient and Public Representatives from GP Practices
  • Sherwood Forest NHS Hospitals Trust
  • Nottinghamshire County Council
  • MacMillan
  • John Eastwood Hospice
  • PICS
  • Nottingham/Nottinghamshire Integrated Care System
  • GPs
  • Cruse

If you have any queries about this please contact Kerry Beadling-Barron, Director of Communications and Engagement at Mid-Nottinghamshire ICP on Kerry.beadling-barron@nhs.net

Additional notes  

End of Life Care Together project

The partners involved in this project are:

  • Beaumond House Community Hospice.
  • Nottinghamshire Healthcare NHS Foundation Trust.
  • Nottinghamshire Hospice.
  • Primary Integrated Care Services.
  • Sherwood Forest Hospitals NHS Foundation Trust.
  • Cruse Bereavement.