Care experienced young people – the impact of the legacy
Barnardos was gifted a legacy from an individual who requested that the money be used to support work with children and young people. This wonderful gift has become known as the Legacy Funds.
Barnardos looked at funding and services already available within Nottingham City and Nottinghamshire County and agreed to focus the Legacy Funds on the pathway for care experienced young people.
This fitted with the Barnardos strategy of Positive Futures, and Nottingham City Place-based Partnership made this programme of work one of their priority areas. Therefore, Barnardos agreed to focus the use of the legacy funds in Nottingham.
Representatives from the Local Authority, Health, Education and the Voluntary Sector were brought together to explore what the focus of the work should be, and three priorities were identified:
Accommodation
Mental Health
Positive Destinations.
It was agreed that the focus should be on all three, so the life of the young person is considered holistically.
Progress so far
There has been impressive effective joint working, particularly on the ground where the Care Leavers Service has worked with Barnardos and other partners to develop services that meet the needs of the young people they support every day in the City
Supported Lodgings
Eight hosts have been approved, with a further host recommended for approval
There are currently four young people living with a Supported Lodgings Host, however one of these placements has proved to be unsuccessful and Nottingham City Council are looking for alternative accommodation for them. For more information contact supportedlodgingsnh@barnardos.org.uk.
Befriending Service
The volunteer befriending role is currently being advertised through a variety of sources, online, social media and through the place-based partnership and various stakeholders
There has been a positive response so far, and the volunteer co-ordinator is currently progressing three applications and communicating with a number of other potential volunteers who have expressed an interest. For more information contact nottinghambefriending@barnardos.org.uk.
Aspiration Champion network
The Aspiration Champion network aims to link care experienced young people from the age of 14 upwards with a mentor who can help them with education, training or employment.
Support can be anything from a one-off conversation about what options they are wanting to take at school, to on-going weekly support and potentially work experience.
Several Aspiration Champions have signed up to volunteer for this network, the focus of current work is around raising this opportunity with those professionals working closely with care experienced young people. For more information, please contact lorraine.sudlow@barnardos.org.uk.
Moving forward
There are several proposals for the Nottingham Legacy funding going forward, and these are being explored in each of the three work streams of work.
These proposals include embedding professionals directly within the Leaving Care team who can support in specialist areas, of mental health, education, and housing.
So, keep an eye out for further information on how the project develops.
Our Clinical and Community Services Strategy
Our ambition is for people living in Nottingham and Nottinghamshire to live longer, happier, healthier and more independent lives. Our Clinical and Community Services Strategy sets out how we will provide care in the future to achieve this. It aims to develop a model of care that is delivered by the whole health and care system as a whole, being more proactive, focusing on prevention and early intervention and providing services closer to people’s homes.
The Clinical and Community Services Strategy model is about the whole system working together to support people throughout their lives, helping them to live healthy lives and supporting them when they become ill. The strategy is the start of a long-term process of transformation and is driving a programme of service reviews across the health and care system. These reviews are bringing together doctors, nurses and other health professionals to work side-by-side with patients to look at how the way we deliver care can be improved. We have already completed 5 in-depth service reviews. These have looked at how to transform care for stroke; respiratory conditions; frailty; maternity and neonatal services and children and young people.
You can read about the detailed service reviews here.
Our reviews have been truly collaborative, putting patients and clinicians at the centre of the process and enabling different organisations to come together to share knowledge, experience and expertise.
Black Community & Health Inequalities Project supported by Community Champions
Nottingham City Placed Based Partnership (PBP) and Nottingham Majority Black Led Churches (MBLC) have formed a collaborative to address the health inequalities across the Black Community. By introducing a volunteer coordinator post working specifically with the black community, and in partnership with Nottingham Community Voluntary Service (NCVS). This postholder will signpost people to advice and support around health and wellbeing issues.
In another project we have been working with the Pilgrim Church based at Queens Walk, The Meadows, where a survey has been undertaken to help identify areas of concern around the vaccination from the black community perspective. The project has currently amassed over 1,000 responses, and the results of the survey will help shape the next steps of the city vaccination programme.
An appeal has also been launched seeking volunteers to join this new network of people to improve health and wellbeing in Nottingham City. Community Champions will work with their local neighbourhoods to signpost people to advice and support on health and wellbeing issues, embarking on partnership work established during the pandemic, having a focus on supporting and encouraging more people to get their Covid-19 vaccination.
The Community Champion role will include:
Sharing information with people you know in a way that best suits you. This could include sharing information with family and friends, local groups, parents and carers at the school gates or people you work with, putting posters in shops, restaurants, pubs, notice boards or community spaces and sharing posts on social media
Talking to people about your Community Champion role and encourage others to be Champions
Supporting other Champions
Attending regular online meetings to keep up to date with the latest information and guidance
Attending events to share information
Taking part in promotional activities, for example, giving out leaflets or having an information stall at an event
We’re looking for volunteers from across the city who can help to shape this new network of Community Champions – people who really understand how their local communities work and what is important to them. You do not need any special skills or experience to be a Community Champion – we’ll make sure you get all the training and support you need.
South Notts physios 1st in England to achieve new accreditation
Patients in South Notts already benefiting from specialist physio care from their GP surgery now have the most advanced care in England
In March 2022, England’s first cohort of clinicians completed the Government’s new course for first contact practitioners in primary care from the University of Hertfordshire.
With one in four working adults reporting musculoskeletal dysfunction and pain, GPs have recruited First Contact Physios who offer expert care quickly and close to home.
Hundreds of thousands of patients across South Nottinghamshire can now see advanced physios who assess soft tissue, muscle and joint pain and propose the most appropriate care. The new accreditation offers assurance for patients of the skill, safety and expertise of the clinicians in their new role.
The impact of the new roles on improving patient care and reducing waiting times is immense. Musculoskeletal (MSK) problems account for approximately 30% of the overall GP caseload. The new service reduces pressure on GP workload by approximately 10 per cent.
Despite the pandemic, GPs in South Nottinghamshire worked tirelessly with Primary Integrated Community Services (a local healthcare provider) to accelerate a scheme from NHS England that funds specialist roles who work in community GP surgeries.
First contact practitioners see patients straight away, without waiting for a referral from a GP or an appointment at a hospital. If needed, they enable patients who need to be seen by a hospital consultant to go as quickly as possible. Other roles being rolled out are community Paramedics, Clinical Pharmacists and Dieticians. It’s all part of the NHS Long Term Plan to ensure patients are seen by the right person at the right time. Health Education England (a Government body that oversees the development of the healthcare workforce) developed the ‘roadmap to practice in primary care’ programme that enables these specialists to join GP surgeries by accrediting their qualifications, supervision, experience and training and providing assurance of safety for patients.
Primary Integrated Community Services (PICS) employ 13 FCPs across South Nottinghamshire and have carried out over 6,500 appointments that would otherwise have fallen to a GP. Given the success of the programme, GPs plan to expand further and employ 5 by March 2024.
The First Contact Physio team at PICS have worked with GPs and the University of Hertfordshire and HEE to develop the programme. They have produced and tested templates and materials for other practitioners across England to help provide equally quality care for patients, no matter where they live.
Charlie Akiens was the first First Contact Physio in Nottinghamshire to be recruited to this new type of role when she was employed by PICS on 5 April 2020 to work across Byron PCN in Hucknall. You can read more about Charlie here. She now joint-clinical lead for one of the busiest FCP teams within primary care in the country. She says: “I am pleased and proud to be part of a pioneering team as we’ve developed the FCP service, driving forward the health and well-being of our population at a local level through primary care.
Mel Barrett appointed as Lead for Nottingham City Place Based Partnership
Mel Barrett, Chief Executive of Nottingham City Council, has been appointed as Lead for Nottingham City Place Based Partnership (PBP). He will take over from Dr Hugh Porter as Interim Lead on 1 April 2022. The Nottingham City PBP, formerly known as the Integrated Care Partnership, was established in 2019 to bring together health and care services including GPs, local authority services, community services and hospitals, as well as wider services provided by the community, voluntary and social enterprise sector. All partners of the Nottingham City PBP have a key role to play in supporting the health and wellbeing of citizens, working together to provide care and support to people, regardless of background, circumstances or where people live in the city.
Mel Barrett’s role leading both the City Council and the PBP will strengthen his ambition to improve health and wellbeing and reduce health inequalities in Nottingham.
He said: “The response to the Covid-19 pandemic in Nottingham has proven what is possible when a group of organisations corral together around a shared purpose and set of objectives and I am keen that we continue to build on this. However, what the pandemic has also done is bring into sharp focus the acute inequalities that exist in Nottingham.
“The fact that a woman in Hyson Green can have the second-lowest healthy life expectancy in the country is something we must address, and we will only improve this by addressing it together in genuine co-production with our citizens.
“I believe that by working together at pace with our citizens, we are stronger than any individual partner acting alone. By continuing this journey together, we have not just the opportunity but the responsibility to deliver on our shared ambition to give every person living in Nottingham equal access to care and support that meets their needs, regardless of their background, circumstances or where they live in the city. I am confident that we have what it takes.”
The Nottingham City PBP is one of four ‘place-based’ partnerships in the Nottingham and Nottinghamshire Integrated Care System. Subject to parliamentary process for the Health and Care Bill on 1 July, the Nottingham and Nottinghamshire ICS will establish an Integrated Care Board (ICB) that will be responsible for NHS services.
The Nottingham City PBP will be responsible for the delivery of the Joint Health and Wellbeing Strategy for 2022-2025.
Dr Kathy McLean, Chair of the Integrated Care System, said:
“This is an exciting time to be leading and working in health and care and we welcome Mel into his new role as lead for Nottingham City Place Based Partnership. We are in a position of real opportunity to truly make positive change through the integration of people, teams, organisations, professions and citizens with one key aim for the benefit of our public and patients.
“Mel’s skills and leadership will be a huge asset to the city Place Based Partnership as it moves into this next phase of development, driving the work on reducing health inequalities and improving care. I know Mel will focus on real change that will address the needs and views of local citizens.”
Dr Hugh Porter, Interim Lead for the Nottingham City PBP, said:
“It’s been an honour to act as Interim Lead in addition to my role as Clinical Director for the PBP over the last two years. With the support from many colleagues, the partnership with its new ways of working has gone from strength to strength.
“The partnership has played an important role during the pandemic and the challenges we have all faced have provided learning opportunities. We know as we come out of the pandemic other challenges remain, especially addressing the health inequalities across our city and its communities.
“The new City Health and Wellbeing Strategy and the partnership’s agreed role in delivering this, together with the advent of the new Health and Care Bill that will see the formation of Integrated Care Systems as statutory bodies, means the partnership now needs to progress into its next phase of development.
“I’m therefore delighted to welcome Mel as the new Lead, who will bring the skills and expertise to really help make this next phase of the partnership flourish and start to broaden its role across the city. I’m looking forward to continuing in my role as Clinical Director, working closely with Mel and colleagues to make the next phase as successful as the first.”
Cllr Adele Williams, Portfolio Holder for Adults and Health in Nottingham and Chair of the Nottingham City Health and Wellbeing Board, said:
“Reducing health inequality is a top priority for Nottingham. We are determined that the gap in healthy life expectancy between the different neighbourhoods of our city and with Nottingham as a whole compared to other similar cities must close.
“We want Nottingham to be a healthy and inclusive city, where people are able to live well and keep active throughout their lives. We will do this by working together with our partners and with Nottingham to ensure people are supported at the right time and in the right place to live their lives as they would want to, but also by working to ensure that together we use our resources to support good local employment and procurement, and that we use our leadership to build on the progress Nottingham has made to improve air quality and other determinants of good health such as education.”
The partners of the Nottingham City PBP are Nottingham City Council, CityCare, Nottingham City General Practice Alliance, NHS Nottingham and Nottinghamshire Clinical Commissioning Group, Nottingham Community and Voluntary Service, Framework, Nottingham City Homes, Nottingham University Hospitals NHS Trust, Nottinghamshire Healthcare NHS Foundation Trust, and Healthwatch Nottingham and Nottinghamshire.
The Wellbeing campaign has been launched in the city (February 2022) with positive and motivating messages to support citizens in the city to improve their own health. The campaign will show the public the simple steps they can take to help them feel better and have better health outcomes.
Aims
Reduce the isolation that citizens experience
Increase citizen’s wellbeing and health outcomes
Increase the number of vaccinations in the city population
Raise awareness of the services available to citizens, and reduce reliance on the Emergency Department in hospitals
Objectives
Produce of toolbox of assets for use across the city and partner channels
Provide GP practices, PCNs, Dentistry, Pharma and Opticians with a suite of assets so they can engage with patients, including email, website assets, and literature
Increase awareness of the health and wellbeing resources to enable citizens to improve their health outcomes
Work closely with partner organisations to help citizens improve their health
Promotion
So far we have booked the following locations for artwork:
Tram stops x 14 – with your guide to health services artwork (see below)
Tesco digital screen – Bulwell – 14 wellbeing artworks
Tesco digital screen – Top Valley – 14 wellbeing artworks
Forest RecNottingham Trent UniversityTop Valley TescoTop Valley TescoBulwell TescoTop Valley Tesco
Please find a link to a presentation of artwork produced: HERE
Moving forward
Assets will be repurposed for a continued Wellbeing campaign across the year.
A briefing document will be sent to all partners, including GPs, opticians, dentists and pharmacies, along with a toolbox of assets that can be used on their website, email signature, newsletter snippet, plasma screens and literature.
Co-Mentoring Programme – expressions of interest
As part of Developing the Primary Care Networks and establishing a culture across the Place-Based Partnership (PBP), we are due to launch the 3rd wave of the Co-Mentoring Programme, and are seeking expression of interests with the aim to start the programme in May 2022.
The Co-Mentoring Programme is delivered twice per year April-Sept and Oct- March, where all candidates are required to buddy up over a 3-4 month period.
Benefits to signing up to this programme allows individuals to share knowledge and expertise across the PBP, contributing to the development of its culture, improving awareness of roles and responsibilities of the organisations at a local level that make up the Nottingham City partnership.
Each candidate will be required to commit to attend a virtual launch/briefing session for approximately 90 minutes which will provide an introduction to co-mentoring and how this programme will be delivered.
Following this, you will be introduced to your co-mentor and will be expected to meet virtually or face to face at a time and date to suit you both, agreeing to meet a minimum of twice before the end of the Programme in August 2022. At the end of the programme, we will look to hold a post programme session evaluating the success based on feedback and learning from the group, and what we might do differently in the future.
If you are interested, please complete the attached form and return back to Gemma Kidd gemma.kidd@nhs.net by Friday 29 April.
Programme schedule:
Wednesday 11 May – Candidates to be notified if been shortlisted/who they have been paired up with
The Bulwell and Top Valley (BTV) Primary Care Networks have been accepted to take part in the Community Care Transformation Programme to become an early adopter site.
As part of the PCN1 acceleration work already underway, BTV PCN will become an early adopter for the city, bringing together health, social care and the wider workforce where there will be a shift in focus on delivering new models of care, reducing inequalities and improving the health and wellbeing of the local population.
About the Community Care Programme
The Community Care programme is one of the key transformation workstreams for the Nottingham and Nottinghamshire Integrated Care System (ICS). The Community Care Programme has been established to plan for and deliver a future sustainable model of community care provision. It aims to optimise people’s independence by addressing physical and mental health and social needs; delivering care to meet the needs of the Nottingham and Nottinghamshire population.
The Integrated Care System (ICS) approach has a wider scope, and improved methodology which expects to deliver greater benefits for citizens, workforce and is anticipated to have greater and broader positive impact on the ICS system outcomes framework. The new approach focuses on place-based redesign of community services and develops greater integration between health and non-health services. Given the landscape at the time, the original CCG led approach, was understandably a more traditional methodology, focused on transformation of existing service areas such as urgent care, children’s services, planned care etc.
It is believed that this revised approach will deliver true transformation of the breadth of community services, rather than transformation of an existing service structure.
Progress to date
Bulwell and Top Valley PCN have recently established a number of workstreams (Childhood Immunisation, Healthy Lifestyle and Mental Health), and each of these groups have formed a collaborative partnership across providers with a shared focus and understanding of the population health and care needs, with agreement and contribution from the membership.
Progress on the delivery of these workstreams are reported into the BTV Health Forum on a quarterly basis. The purpose of the forum is to improve connections and coordination between organisations on a wider scale; share learning and showcasing best practice, supporting community engagement, and taking on a range of actions as a collaborative to improve the overall health and wellbeing of the BTV population.
As part of the Community Care Transformation offer supporting BTV, there will be a 100-day cycle where BTV will receive dedicated support and resource around organisational development, with a focus on co-production and community engagement. There will be access to online resources, and support to explore different methodologies that will assist in the delivery of those key quality outcomes we are all aiming to achieve.
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