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NHS South West Armed Forces Health Forum

NHS South West Armed Forces Health Forum. NHS SE Coast Armed Forces Network Launch Monday 7 February 2011 Richard Swarbrick NHS Devon Justin Cunningham South West Strategic Health Authority. 2. NHS South West profile. Population of 5.2 million people. 14 Primary Care Trusts.

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NHS South West Armed Forces Health Forum

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  1. NHS South West Armed Forces Health Forum NHS SE Coast Armed Forces Network Launch Monday 7 February 2011 Richard Swarbrick NHS Devon Justin Cunningham South West Strategic Health Authority 2

  2. NHS South West profile Population of 5.2 million people 14 Primary Care Trusts 15 NHS Foundation Trusts and 11 NHS Trusts High life expectancy alongside inequalities gap Largest geographical region in the NHS £8 billion resource limit

  3. South West - military locations South West is home to 39,000 military personnel Wiltshire - 30,000 serving and dependants Devon - Royal Navy and Royal Marines Royal Air Force – Lyneham/HQ ARRC Salisbury Super Garrison ‘ ‘Spiritual Home’

  4. Two interdependent aims: To discuss, debate and develop how we can deliver appropriate care in the South West to the AF - including their dependants, reservists and veterans To inform and feedback to the Department of Health & MOD (via the Partnership Board and WGs) on their approach to delivery of health and mental health care to AF - including their dependants, reservists and veterans NHS South West Armed Forces Health Forum - Aims

  5. NHS South West Armed Forces Health Forum • Why • Common sense needs analysis • What we did • People/organisations • How • Agenda/forum • Outcomes • Achievements/future agenda • Develop role of forum (South West and elsewhere)

  6. NHS South West Armed Forces Health Forum – Why • Emergingneed • Iraq and Afghanistan • Devon and Wiltshire • Reservists and veterans • National interest – DH and MoD • Network • More acute and responsive • Drives own agenda • Feedback • Command Paper & Consultation Paper • Policy and discussion documents • Health Handbook • Reservist policy 7

  7. NHS South West Armed Forces Health Forum – What we did • Scoped issues/aims • What were they and why • Identified stakeholders • Who were they and why • Members – families, federations, associations, charities, • Outcomes • Assurance and awareness • Inform – ‘up and down’ 8

  8. NHS South West Armed ForcesHealth Forum Structure Regional Champion Lead PCT Chief Executive SHA Director of Performance EXECUTIVE SHA Operational lead PCT Operational lead WORKING EXECUTIVE Department of Health Primary Care Trusts Secondary Care Mental Health Partnership Trusts GP Consortia Specialised Commissioning Group NHS ORGANISATIONS Royal British Legion Soldiers, Sailors and Air Force Association Combat Stress Regional Charity Action Groups Armed Forces Families Federation Regimental Associations THIRD SECTOR • Ministry of Defence • Royal Navy Regional • Command • Primary Health Care • Air Command • RAF Primary Health • Care • 43 Wessex Brigade • Army Primary • Healthcare Services • Ministry of Defence • Hospital Units • Army Recovery • Centres/Hasler • Company MILITARY • Local Authorities • Industry • Employment Charities • Service Personnel • and Veterans Agency • Academic – Uni of • Exeter Centre for • Leadership Studies OTHER Representatives from: NHS Military Third Sector MENTAL HEALTH

  9. NHS South West Armed Forces Health Forum – How does it operate? • Forum • Quarterly forum/hub – daily basis • Cut across boundaries - welcomed • Use of 3rd sector/utilise commercial experience • Improve commissioning & provision • Improve links with Primary Care, Acute and Partnership Trusts • Joint Strategic Needs Assessment (JSNA) • Targeted healthcare/Local delivery plans • Equal and Fair Access 10

  10. NHS South West Armed Forces Health Forum – Outcomes • Assurance • South West operating iaw principles of Command Paper • Focussed forum • Adapt to deal with key issues • First point of contact • Magnet and demand effect • Hub of expertise • Points of contact • Sharing key and emerging issues

  11. South West Armed Forces Forum – Outcomes achieved (1) Primary care links strengthened Firm Base and Mil primary Health Care Services General practitioners using Armed Forces experience to support patients General practitioner registration pre-leaving Other care links strengthened Continuous Health Care issues linked to Army Recovery capability and Royal Navy/Royal Marines process

  12. South West Armed Forces Forum – Outcomes achieved (2) • NHS Mental Health Trusts and Military Community Psychiatric Nurse engagement • Reservists issues moved up agenda • Mental Health Sub Group • Response to Murrison Report • Veterans Info Service/quick access service • Six Rifles Lessons Learned • Offenders MH work • Voluntary sector MH programmes

  13. South West Armed Forces Forum – Outcomes achieved (3) Local Authority support County Council – Families’ policy and strategy Links to Government Office South West Joint Strategic Needs Assessment (JSNA) and commissioning intentions altered Public Health strategy Smoking, screening, sun, chlamydia and obesity End of Life Strategy as targeted group

  14. South West Armed Forces Forum – Outcomes achieved (4) • Ministry of Defence/ Department of Health Partnership Board and Networks’ development • East Midlands Strategic Health Authority • North East Strategic Health Authority • North West Strategic Health Authority • London Strategic Health Authority • SE Coast Strategic Health Authority • W Mids Strategic Health Authority • East of England Strategic Health Authority • Welsh Assembly Group • BMJ and Pulse letters • Newsletters and awareness • Voluntary sector • Strategic Health Authority • Local Medical Committees

  15. South West Armed Forces Forum – Outcomes achieved (5) • Voluntary and third sector organisations engaged and supporting • Royal British Legion, Combat Stress, BLESMA, Warrior and Soldiers, Sailors, Airmen and Families Association (SSAFA), • Relate • Charities action groups and COBSEO • Support projects • SHA, PCT, Trust and GP leadership involved – consistent with NHS Transition intentions

  16. Identification and complexity of stakeholders Articulating relevance/capacity within already busy jobs and NHS Transition Boundaries – artificial and cultural Translation of policy into action – priorities? Making bottom-up demand/top-down policy coherent to Commissioners/Providers Role of Commissioning Board MoD changes to health care delivery South West Armed Forces Forum – Challenges 18

  17. NHS South West Armed Forces Health Forum – Next Steps • Mental Health Sub Group and Murrison Review • Families/Relate/alcohol • Support elsewhere to NHS and Local Authorities • Pilot care projects, e.g. • Offenders rehabilitation – ‘Life Change’ • Progressive Rehabilitation • Warrior programme • Prosthetics • Develop Commissioning Board principles for continued delivery

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