Patient Revolution 2015: Improving Healthcare Services

1. ‘You said, we didPatient Revolution 2015 Patient Revolution Updatesince July 2015

2. Firstly, showing off awards for your services NHS Leadership Recognition Awards 2015/16 National winner: Outstanding Collaborative Leadership for Health and Social Care at the for the West Suffolk Care Home Model Regional winner: NHS Innovator of the Year for the hip and knee service. 

3. Themes from Patient Revolution 2015 1. Long term health conditions 2. Mental health 3. Coordinated services4. NHS Resources 5. Access to information and advice6. Preventative health care 7. Technology

4. Long term conditions: Cancer • We were rated by the Health & Social Care Information Centre in October 2015 as having the best stage 1 and 2 cancer diagnosis rate in England. • We also have the highest one year cancer survival rate in East England. • We still want to improve. As a nation we compare poorly to our European neighbours.

5. Long term conditions: Cancer We have: • Supported cancer survivors and improve survival rates through access to the National Cancer Survivorship Recovery Programme • Encouraged supported self-management through end of treatment summaries and individualised care plans being shared with both the GP and patient • Introduced a new operational framework to reduce emergency cancer admissions by 10% • Extended access to endoscopy to support the national screening programme. • Offered 95% of patients at the end of their treatment a place on a free wellbeing programme, e.g. the HOPE programme • Continued to focus on providing care closer to home and providing up to-date, quality and personalised cancer information – which supports shared decision making.

6. Long term conditions: Diabetes We have: Organised a diabetes workshop where about 50 people gave views on how health and care can work better together to deliver improved services Recruited two diabetes specialist nurses (DSNs) who support patients, help patients gain better control of their condition & reduce the risk of complications Launched the new diabetes scheme with GPs and many practices delivering mentored diabetes clinics within their surgeries Launched a new Diabetic Foot Care pathway to help clinicians classify risks & recommend action. Podiatrists now answer questions and can ask for more support.

7. . Mental health You said: • Support to recognise early signs of mental deterioration in self and others • Dementia, care, support and elderly carers • Recovery college in mental health • Personalisation in mental health • Young people and their emotional resilience • Holistic care for people with learning disabilities and complex needs

8. For Adult Mental Health Services: We have: • Agreed the Joint Mental Health Commissioning Strategy for Adults 2014 to 2019 with Suffolk Health and Wellbeing Board • Key themes set out in the plan focus on: • Tackling the causes, building community resilience and prevention • Primary and community care integrated with social care; reduction in medical prescribing with a shift towards social prescribing model • Addressing those with complex needs.

9. For Children’s and Adolescent Mental Health Services: We have: • Agreed a separate Children and Young People’s Emotional Wellbeing Transformation Plan 2015-2020 • This coproduced strategy focuses on young people getting help and support when they need it and increasing prevention. To see it click here.

10. Dementia We have: • Organised a conference so 200 people came to talk about dementia with West Suffolk CCG, Ipswich and East Suffolk CCG, Suffolk County Council and The Debenham Project • Developed a shared vision for integrating services • After assessment by a memory assessment clinic, all patients with a GP diagnosis of dementia will be offered a Dementia Advanced Care Plan .

11. Coordinated Services / Integrated Care You said: A system that provides support to leading healthy and independent lives, but also offers help swiftly and effectively, and where possible, in your own homes. We have: • Planned ‘wrap around’ care for individuals with providers and the voluntary sector e.g. ‘Sudbury Connect’ •   Provided comprehensive geriatric assessment and interface geriatricsfor people with complex care needs • Started an integrated early intervention service with services working together across acute and community services to help avoid unnecessary admissions. • Introduced an integrated care home model to help care home residents to identify their wishes.

12. NHS ResourcesYou asked: To see resources used more effectively, people receiving coordinated care and services which are not duplicated with no gaps. We have: • Promoted appropriate self-care Patients can buy treatments for minor conditions over the counter from a community pharmacy • Changed prescribing for gluten free foods Gluten free foods are now available in supermarkets and most shops. We have asked patients to buy their own goods • Medicines costing less than £20 will have the price printed on the pack along with the words ‘funded by the UK taxpayer’ to inform patients of the cost of their prescriptions.

13. Access to information and advice You asked how we can develop ‘one-stop shops’ for advice Quality information: Much information is available, eg on NHS Choices. We will do more to improve local information about services available. ‘Connect Sudbury’: Suffolk County Council has employed two local area coordinators for the Sudbury and village areas, so that vulnerable people can get more direct help and support – for health, care and social care and social needs Leaflets: Information for women diagnosed with incontinence to help them make decisions about their care with their clinicians. Further condition specific leaflets, are in development e.g. about medication Health guides: Theseries are available on line and also as hard copies - go to the West Suffolk CCG website Give Information and feedback: At Governing Body meetings; our Community Engagement Group; our Health Forum; Patient Revolution events, summer events; through social media; our newsletter and during GP Practice visits For direct advice and support: NHS 111 is a free-phone telephone advice service.

14. Preventative health care You wanted to know what more could be done to prevent health care problems before they arise What we’re doing: Introducing the three most cost effective interventions with the highest impact: • Increase the prescribing of drugs to control blood pressureby 40 % • Increase the prescribing of drugs to reduce cholesterolby 40 % • Double the capacity of smoking cessation WithPublic Health and Suffolk County Council, improving health by focusing on prevention to limit the onset, or reduce complications of long term conditions.

15. Preventative health care What we’re doing (cont.) • Review the obesity pathway and weight management treatment services ensuring all patients flow through a tiered programme to improve the quality of interventions for those requiring bariatric care • Embed prevention into our integrated care approach • Help maternity services increase the number of mothers & babies benefitting from breast feeding and supporting mothers to start breast feeding • The Medicines Management Team is working on dietetic leaflets that promote healthy eating.

16. TechnologyYou asked that local NHS organisations share patient data to improve your care. You want to understand how we are using technology to improve access and care. What we’re doing: Sharing records and data: Working with local agencies to provide effective information sharing, ensuring data remains confidential. Records are only shared with patient consentMany Suffolk providers have chosen the same records system to improve care where records are already shared with patient consentSharing patient data between health professionals is improving - 62% of patients in the area had a Summary Care Record at December 2015.

17. Technology: Clinical use 22 of 25 GP surgeries use a scheme to check on abnormal skin growths in their surgeries High resolution pictures are taken of suspect lesions & sent to skin specialists. The consultant dermatologists usually respond within 48 hours. Early results indicate 70% of patients have been helped this way. A ‘virtual’ fracture clinic is operating at West Suffolk Hospital which discharges patients who do not need face to face appointments. Patients are directed to most appropriate surgeon, reducing the need for patients to attend clinics. The scheme has improved patient satisfaction with shorter waiting times for clinics.

18. Patient Revolution 2016 Wednesday 29 June The Athenaeum, Bury St Edmunds 2-5pm and 5.30pm-7.30pm