Patient Participation Group (PPG) Network 8 February 2019

1. Patient Participation Group (PPG) Network8 February 2019

2. Agenda • Welcome and Programme for the Morning • The NHS Long Term Plan – an Introduction • ‘Facilitating Feedback’ – testing the methods • 5 minute ‘tasters’ for the Market Place • Your Circle • Working with Gloucestershire Deaf Association • 2GT/GCS Merger information update • Integrated Locality Partnerships and Primary Care Networks, • Close and Market Place

3. NHS Long Term Plan: an Introduction Gloucestershire Patient Participation Group Network February 2019 Becky Parish, GCCG

4. National Long-Term Plan ENGAGEMENT

5. Key Messages A range of specific ideas and ambitions for how the NHS can improve over the next decade, covering all three life stages: • Making sure everyone gets the best start in life • Delivering world-class care for major health problems • Supporting people to age well

6. Making sure everyone gets the best start in life… …including: • expanding support for perinatal mental health conditions • taking further action on childhood obesity • increasing funding for children and young people’s mental health • providing the right care for children with a learning disability

7. Delivering world-class care for major health problems… …including: • preventing 100,000 heart attacks, strokes and dementia cases • providing education and exercise programmes to tens of thousands more patients with heart problems, preventing up to 14,000 premature deaths • saving 55,000 more lives a year by diagnosing more cancers early • investing in spotting and treating lung conditions early to prevent 80,000 stays in hospital • spending at least £2.3bn more a year on mental health care • helping 380,000 more people get therapy for depression and anxiety by 2023/24 • delivering community-based physical and mental care for 370,000 people with severe mental illness a year by 2023/24.

8. Supporting people to age well… …including: • helping more people to live independently at home for longer • improving the recognition of carers and support they receive • making further progress on care for people with dementia • giving more people more say about the care they receive and where they receive it, particularly towards the end of their lives.

9. Delivering the ambitions of the NHS Long Term Plan To ensure that the NHS can achieve the ambitious improvements for patients, the NHS Long Term Plan also sets out actions to overcome the challenges that the NHS faces, such as staff shortages and growing demand for services, by: • Doing things differently • Preventing illness and tackling health inequalities • Backing our workforce • Making better use of data and digital technology • Getting the most out of taxpayers’ investment in the NHS

12. NHSLong Term PlanGloucestershire

13. What we want to achieve in Gloucestershire What? A healthier population which is: • Less dependent on health and care services • Living in more active communities - with strong networks of community support • Able to access consistently high quality, safe, physical and mental health care when needed. How? • Getting access to advice, services and support • Support and services in communities • Hospital care for when you are very unwell - development of specialist Centres of Excellence • Supporting our workforce • Making best use of Technology • Reducing waste and making best use of the money available

14. Gloucestershire Priority Programmes NHS Long-term plan commitments Enabling Active Communities Prevention & addressing health inequalities Mental Health Clinical Programme Approach Best start in life cancer, stroke, diabetes, respiratory, cardiovascular Focus on integrated care & population health Reducing Clinical Variation Same day emergency care One Place, One Budget, One System Supporting people to age well Workforce Backing our Workforce Digital Efficient processes and reducing variation Primary Care Strategy Digitally enabled primary & outpatient care Estates Best use of digital technology

15. Local Engagement • Public engagement on what the Long Term plan means for people who live and work in Gloucestershire • Mid February – 30 April 2019 • Community Events / Awareness Raising • Working with Healthwatch Gloucestershire • ‘Facilitating Feedback’ Find out more: www.longtermplan.nhs.uk / https://www.onegloucestershire.net/

16. What matters to you…? Examples Living well You might want to think about healthy lifestyle advice, living with long term conditions, choice and control over care/support, listening and working together to recognise individual strengths and needs, or something else. What matters to you? Why does this matter to you? Getting support from your local GP practice You might want to think about access to your surgery, technology that could support your care, range of professionals (e.g. pharmacist, practice nurse) links to other community services, or something else. What matters to you? Why does this matter to you?

18. ‘Facilitating Feedback’ – testing the methods Julia Butler-Hunt, Healthwatch Gloucestershire and Becky Parish, NHS Gloucestershire Clinical Commissioning Group

19. Facilitating Feedback Toolkit

20. Why was this created? • Members of the public are increasingly involved in local decision making • However, there is a developing sense of ‘engagement fatigue’ • One way to overcome this is to employ alternative methods to more traditional techniques such as interviews and focus groups • It is time to try something different! • Created for the NHS Long Term Plan work, but can be used with any other engagement

21. What does it include? • The toolkit contains information and ideas about creative engagement methods – as well as more traditional methods! • It is not an extensive list, just a few ideas to get going. • There will be a companion page hosted on the Healthwatch Gloucestershire website containing how to guides, examples and downloads. • The toolkit is in its draft stage – we would appreciate your feedback! • Here are a few examples of what’s in the toolkit.

22. Padlet

23. Community Fête • Community fêtes/festivals are a themed co-operative process where information, ideas and opinions are shared between everyone taking part. • This can be a “drop in” event, that people can attend over the course of a few hours. • Decorate the venue with traditional fête or festival items (such as bunting, flags, banners, beanbags, pop-up tents etc) and set up a series of “stalls” with key topics that you wish to discuss.

24. Digital Storytelling https://www.instagram.com/p/BFSJucGNrFg/

25. How can you help? • We would like feedback of the draft copy • Does the pack give you what you need to facilitate on your own event/feedback session? • What else might you need in terms of resources, extra help etc? • Do you have any ideas to add? • Please fill in the evaluation form –available in hard copy or online at: https://www.surveymonkey.co.uk/r/FFVJKRL

26. Thank you

27. 5 minute ‘tasters’ for the Market Place • Your Circle • Working with Gloucestershire Deaf Association • 2GT/GCS Merger information update • Integrated Locality Partnerships and Primary Care Networks

28. Build Your Circle Campaign Lucy Mellor Demand Management Champion Adult Single Programme Gloucestershire County Council

29. Communications Objectives To raise awareness and promote understanding of adult social care and the things people can do to help themselves and others as day-to-day life becomes a struggle: • Support a change in attitude towards social care – ‘social care is not just a care home’ • Empower people to take more control of their lives and the lives of family and friends who start to need more support by signposting them to information that is available

30. Approach The Build Your Circle Toolkit • The Build Your Circle campaign is built around three key media and the communications challenge is how we get this out to the right audience via the most effective channels: • The Adult Social Care sub site • The Build Your Circle animation which helps to ‘bring the concept to life’ • The Build Your Circle pack, which includes everything people need to physically start mapping out their own circles, available through: • A downloadable version on the website • By calling or emailing the adult helpdesk • By picking up a copy at one of the enablement drop-ins

31. Phase One The campaign will be rolled out in three phases: (LIVE NOW) • Soft launch: the webpages go live and the resources become available. • We will focus on testing the new materials and raise awareness of the campaign with key staff within adult social care and across the county council

32. Phase Two (March 2019) • Formal public ‘launch’ including targeted communications to key groups, in key areas, based on insight and data and to all GCC and partner staff, outside of the adult social care arena

33. Phase Three (Timescales to be agreed depending on the level of engagement to date - potential for Spring/Summer) Focus on targeting key areas of the healthcare sector to make sure Build Your Circle becomes part of their everyday conversations for example with GPs

34. Materials The animation, booklet and new webpages can be found using the following link: https://www.gloucestershire.gov.uk/buildyourcircle

35. Our Ask Please email feedback on new materials to: Lucy.Mellor@gloucestershire.gov.uk

36. Working with Gloucestershire Deaf Association – supporting deaf patients to access GP practice services Caroline Smith Senior Manager Engagement and Inclusion, NHS Gloucestershire Clinical Commissioning Group

37. Waiting Area Information Film Patient Information Film – Video link to follow

38. 2GT/GCS Merger information update Hazel Braund Programme Director: Better Care Together, Gloucestershire Care Services NHS Trust & 2Gether NHS Foundation Trust

39. Better Care Together2gether NHS Foundation Trust and Gloucestershire Care Services NHS Trust are bringing together mental health, learning disability and physical community health services

41. We are passionate about providing the best possible care for the people we support. We believe that, together, we can improve the physical health of people with mental illness and learning disabilities and reduce the mental health consequences for people with long term physical illness. People with long term physical health conditions are two to three times more likely to develop mental health problems. People with Severe Mental Illness die on average 15 to 20 years earlier than the general population. Over a third of deaths (37%) of people with a learning disability are due to avoidable causes, compared to 9% in the general population.

42. Service Service User Stories – What’s Working Well and Even Better If.. “Dani” WWW? Perinatal mental health, Health Visitor champions and Infant mental health meeting Dani has depression that she usually self-manages. She is being supported by a team that is sharing information and supporting her during her pregnancy and after her baby is born. EBI: a single team sharing a base, training together and working to a single set of service objectives; consistently sharing information at every stage of Dani’s care and helping her to plan for her future. “Adam” WWW? Rapid Response in-reach into Charlton Lane Adam has a serious mental illness and receives regular support; he has also developed a medical condition but his mental health needs make it hard to access some services. If the Rapid Response Team hadn’t been able to support him in Charlton Lane, he would have had to be transferred to the acute hospital. EBI: staff regularly meet to share their knowledge and skills which helps people like Adam get care in the right place when they need it and not just in a crisis. “Fran & Frank” WWW?Community teams work alongside each other Fran has dementia and a heart condition and Frank struggles with walking and has difficulty breathing. They are living independently at home with support from community health and mental health teams. They are both becoming increasingly frail and worry about what the future holds for them. EBI: a single team that shares training, skills and information. They work together with Fran and Frank to agree the best way to provide support and how they want to receive care in the future. All Service User Stories are based on true individual stories which have been anonymised .

43. Service Service User Stories – What’s Working Well and Even Better If.. “Evie” WWW? Children’s services share information to ensure children’s care and safety. Evie lives in a care home and has visited a local Minor Injury and illness Unit as she has a large self-injury wound. The emergency nurse and Evie discuss the different types of support she could access to get some help, understanding and advice about self-injury. EBI: Staff training, learning and skills sharing was part of a single strategy to support earlier intervention and consistency. “Kody” WWW?Children’s school nurse and learning disability teams work together to help children have their immunisations. Kody has learning disabilities, communication and sensory problems. This makes it difficult to receive routine health checks and care. Children’s teams plan special clinics to support children like Kody to receive the immunisations that they have previously missed. EBI: Children’s physical, mental health and learning disabilities services were able to more easily share information, skills and resources to improve joined up approaches to care. “Clive” WWW? Physiotherapy teams are working together to improve services and share expertise. Clive has knee pain and attends an appointment with the community musculoskeletal physiotherapist. A programme of treatment is recommended, however Clive struggles with anxiety and despite the teams best efforts he does not attend further sessions. EBI: Primary care and community services work closely to increase availability of services that are local, easy to access and can adapt to meet the needs of individuals. All Service User Stories are based on true individual stories which have been anonymised .

44. Get involvedOver the coming months we will be listening to our service users, their families and carers, as well as our partners and stakeholders, to help us to develop our plans for our new organisation. We will be joining with our partners in the Integrated Care System to ask you to tell us what matters to you.We will be working with our colleagues in primary care to align our services with Primary Care Networks and to provide care as locally as possible.

45. Become a member • As an NHS Foundation Trust, 2gether has a public membership programme.  Members can have a say in the way the Trust is run by:   • Voting in Governor elections • Sharing views and concerns with Governors • Taking part in consultations and discussions about services • Standing as a Trust Governor • Volunteering • As a member, you do not need to play an active role. You can still receive updates and show your support just by ‘being’ a member. If you want to join, we have membership forms here today. • You can also sign up online at www.2gether.nhs.uk/members, email 2gnft.comms@nhs.net  or ring 01452 894393 with any queries. • When our two Trusts join together, your membership will automatically transfer into the membership of the new organisation, giving you a voice in how our new Trust is run.

46. Developing Primary Care Networks andIntegrated Locality Partnerships in Gloucestershire Helen Edwards Associate Director of Locality Development and Primary Care Networks, NHS Gloucestershire Clinical Commissioning Group

47. People And Place Specialist Regional Centres My Region (2,000,000) Integrated Care System Delivery Board Specialist Hospital Services My County (600,000) Integrated Locality Partnerships Community, Primary and Support My District/Locality (50-170,000) Primary Care Networks My Local Area (30- 50,000) Services plan responding to a ‘people and place’ perspective / Place based commissioning building on Jack’s Story Jack My Village or Suburb (5–10,000) Me / My Home (1) My Street (500-1,000)

48. 3. Transformational Support Gloucestershire Primary Care Networks

49. People And Place – Developing ICS Governance Specialist Regional Centres My Region (2,000,000) GSF / ICS Delivery Board Specialist Hospital Services My County (600,000) Integrated Locality Partnerships Community, Primary and Support My District/Locality (80-100,000) Primary Care Networks/Homes My Local Area (15-30,000) Services plan responding to a ‘people and place’ perspective / Place based commissioning building on Jack’s Story Jack My Village or Suburb (5–10,000) Me / My Home (1) My Street (500-1,000)

50. Primary Care Networks and Integrated Locality Partnerships