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Healthwatch CWL. Christine Vigars Chair , Healthwatch CWL. Out of Hospital services (page 16). Ease of access to GP most important factor Low levels of awareness of alternatives such as Parsons Green Walk-in Centre
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Healthwatch CWL Christine Vigars Chair, Healthwatch CWL
Out of Hospital services (page 16) • Ease of access to GP most important factor • Low levels of awareness of alternatives such as Parsons Green Walk-in Centre • 50% did not know of the location or purpose of an Urgent Care Centre (UCC) • Primary reason for accessing a GP was opening times • 26% of people know of NHS 111 • Next: Shaping a healthier future, Whole Systems Integrated Care, Charing Cross
Mental health (page 24) • 67% of respondents knew what their care plan was • But, of those that knew: • 64% said they felt involved in creating their care plan • 51% said they created it jointly with staff • 50% had involved friends, family, advocates • Next: Action plan from Central and North West London NHS Foundation Trust, quarterly monitoring meetings, mental wellbeing for children and young people.
Home care (page 23) • Spoke with over 200 users as LINks • Action plans with five providers • 52 recommendations for the re-design of home care • Co-drafted service specification and tender questions • As users, we presented on dignity in home care to over 50 potential providers • Next: carry our home care assessments in all three boroughs this summer, work with Councils on contract monitoring arrangements, encourage people to complain.
Hospital discharge (page 33) • Discharge planning not happening within 48 hours • Insufficient mobilisation on wards • Discharge days/times change making planning difficult • Poor access to medication • Patient transport delays • Poor linkages to outpatients and primary care • Particular issues for patients with mental health needs, learning disabilities and those whom are olderand/or homeless • Next: Healthwatch England Special Inquiry, working on ‘whole systems’ integrated care and with the Health and Wellbeing Boards.
Dementia (page 31) • GP diagnosis • Frequency of care reviews • Staff training on dementia • Support for carers • Respite • Information on how to access services • Hospital care • Next: Presenting to Health and Wellbeing Boards, Tri-borough Dementia Strategy, Dementia Action Alliances, assessments of dementia services.