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Feedback from Group Discussions on Listening Exercise

Agenda Item: 6.1 Ref: W08-09/035. Annex 3. Feedback from Group Discussions on Listening Exercise. Board/ PEC Away Day 13 May 2008. Health for All / Have Your Say: Board Meeting 10 June 2008. Q2: Improving Health. Tailored access for seldom heard groups (eg. BME, low literacy, LD)

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Feedback from Group Discussions on Listening Exercise

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  1. Agenda Item: 6.1 Ref: W08-09/035 Annex 3 Feedback from Group Discussions on Listening Exercise Board/ PEC Away Day 13 May 2008 Health for All / Have Your Say: Board Meeting 10 June 2008

  2. Q2: Improving Health • Tailored access for seldom heard groups (eg. BME, low literacy, LD) • Development for front-line staff re public health/ prevention/social marketing • Childhood obesity – specific training for HVs to target under 5s • Develop role of Health Trainers re accessing services

  3. Q3: Services nearer to home • Maximise IT solutions to release clinical time • Improve Discharge Planning • Include psychological assessment • Improve intermediate care as alternative to admission • Contract pathways/packages of care • Proactive work with GP/CM to “pull patients out” – GP ward rounds? • Explore possibility of GPs acting as members of discharge team • Contact Castlefields re update on progress • Improved communication between primary and secondary care clinicians • Increase number of specialists providing services in community • Establish Walk In Centre & Minor Injuries at SCH

  4. Q4: Children & Young People (YP) • Promote healthy lifestyles/healthy food/leisure/physical activities • Role of schools? Incentives? • Locate services for teenagers in more appropriate and tailored facilities • Use of IT (texting, internet etc) • Develop more parenting skills programmes

  5. Q5: Older People • Increased investment in community services • Admin support for all community services (eg. DNs, CMs, Physio etc • Improved technology (eg. dictaphones or voice recognition software) • Integrated nursing teams • Develop health worker for the elderly • Roll out Assistive Technology • Improve Discharge Planning • Don’t assume residential care as only option • Improve personalised care on wards • Increased role for Voluntary Sector • Investment in LD for over 65s • Work with Older People’s Parliament re piloting services • Develop Directory of Services

  6. Q6: Cancer & Palliative Care • Raise awareness of symptoms/promote early diagnosis • Provide choice for patients/family re end of life care • Explicit discussions with patients re preferences/expectations • Assess impact on family • High quality information • Support/empowerment for families and carers including after death • Integrated cancer care development – employ co-ordinator/s • Specify palliative care beds in each locality • Review role of Macmillan nurses • Develop standard palliative care protocol and education package for all clinicians • Specific training eg use of syringe drivers/symptom control • GPSIs for palliative care? • Incentives for seldom heard patients to attend for screening/ tailored programmes

  7. Q7: Mental Health • Scoping exercise on alternative forms of care to reduce dependence on medicines and medicalisation of mental health problems • More personalised services • Encourage self-help • More flexibility in the design of services • Proactive support/needs assessment for carers • Improve communication skills for staff dealing with LD patients

  8. Q8: Alcohol Misuse • Raise awareness re hazardous drinking • Respond to public perception re self-inflicted condition and no need to invest • More support for families and carers • Need for greater education to prevent problems particularly for young people

  9. Q9: General Comments • Service redesign projects to include front-line staff from an early stage • Need to encourage integrated working between services • Design models to achieve primary care access in the light of patient views in specific practices – local models to target local problems • How much is the PCT prepared to invest to “go the extra mile” on GP access? • Innovative access eg. telephone advice consultations/on-line appointment booking • Pre-bookable vs book on the day • Clarify patients’ expectations • Opportunities for dental practices within primary care centres? • Need to clarify approach to Estate development

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