Monthly Archives: December 2016

Transforming Care: Review of Respite Services for People with Learning Disabilities and Complex Needs

NHS South Tees Clinical Commissioning Group and NHS Hartlepool and Stockton-on-Tees Clinical Commissioning Group (‘the CCGs’) are working together to carry out a review of health respite services for people with learning disabilities and complex needs, and their families and carers, across Teesside.

The review will focus on health respite services for people with complex needs. There is an Easy Read summary of the review in the document below.

Easy Read Document – Review of Respite Services for People with Learning Disabilities and Complex Needs

The CCGs are working in partnership with the four Local Authorities across the South Tees and Hartlepool and Stockton-on-Tees areas to ensure that the review considers complex health and social care needs.

The review will ensure that health respite services appropriately meet the needs of the local population now and into the future. It is being carried out in the context of the Transforming Care programme.

Transforming Care is a programme of work to enable more people with learning disabilities and/or autism who have complex needs to live in the community, with the right support and close to home. More information about Transforming Care is available on the NHS England website or the North East and Cumbria Learning Disabilities Transformation Programme website

Both Transforming Care and the NHS Five Year Forward View include a strong emphasis on personalised care and support planning, personal budgets and personal health budgets to put people at the centre of their care to enable maximum choice and control about how their own needs are met.

The review of health respite services for people with learning disabilities will help the CCGs to make sure that families and carers of people with learning disabilities and complex needs are supported, valued and recognised within their roles.

As part of the review, the CCGs want to talk to people with learning disabilities and complex needs, and their families and carers, to understand more about:

  • What the expression ‘respite services’ means to them
  • What they think works well with current respite services
  • How they think respite services could be improved.

Engagement activity will take place from December 2016 until the end of February 2017. This will include discussion groups and questionnaires. The aim is to ensure that people with learning disabilities, their families and carers are influential in the development of appropriate services to meet their needs now and into the future.

To ensure that people with learning disabilities and complex needs can have their say, the CCGs are working in partnership with Inclusion North, a not-for-profit organisation that promotes the inclusion of people with learning disabilities, their families and carers.

Questionnaire

There is a questionnaire for families and carers. This can be completed online here. If you would prefer, you can download and print off a copy below and return in to the FREEPOST address on the questionnaire (no stamp required). Alternatively, printed copies are available on request using the contact details below.

Questionnaire for families and carers

The engagement activity will help to inform the development of a number of possible ‘scenarios’ for the provision of health respite services for people with learning disabilities in the future. These scenarios will be ideas on how learning disability respite services could be further developed or delivered differently to best meet the needs of the local population.

It is important to note that there will be no fundamental change to the type of respite services currently available for people with learning disabilities while this review is conducted. Following the review, scenarios that are developed that are viable and sustainable in the longer term may be taken forward as proposals for change to improve respite services.

Any proposals for significant change will be subject to formal consultation with people who use respite services and the wider public. If any proposals for change are not significant, these will be subject to a further period of informal engagement, as opposed to formal public consultation.

The CCGs have produced a Respite Needs and Responsibilities’ paper  This contains background information that will help people take part in the review.

We are holding an extra discussion drop-in event. This will take place on Friday 24 February 2017 from 10am to 12.30pm at Cumberland Resource Centre, Chelmsford Road, Middlesbrough, TS5 6PH.

If you have any questions, or would like further information, please contact the Communications and Engagement Team on 0191 374 2795 or by email at NECSU.Engagement@nhs.net.

Please make sure we receive your completed questionnaire by Monday 27 February 2017.


Be prepared, think a little and enjoy!

The Christmas break is nearly upon us. We hope you will all be able to enjoy some time with friends and/or family over the festive period. Stay warm, stay well, and look after yourselves if you over indulge.

There is still time to make sure that you have ordered all the medications from your GP that you take regularly to save running out over Christmas. Your GP surgery will be open as usual between Christmas and New Year – Wednesday 28th December, Thursday 29th December and Friday 3oth December, then open again as usual on Tuesday 3rd January.

If you require urgent medical advice or treatment over the weekends or bank holidays then please ring 111 (free from landlines and mobiles and open 24/7. The STAR service will be providing appointments with GPs and nurses locally throughout the holiday period that can be accessed by phoning 111. Minor injury services are available at Redcar Primary Care Hospital and James Cook.

For minor ailments such as coughs and colds your community pharmacy can give advice and recommend treatment without the need for an appointment. Medical services will be busy over the festive period, we can all help to make sure that these services are available for those that really need them by looking after ourselves and looking out for those around us.


Winter Health Advice

General health advice

Generally we feel unwell during winter time as we spend more time indoors and coughs and colds are passed around our family, friends and colleagues at work.

If you are normally healthy there are many winter ailments and illnesses that can be easily treated at home with the aid of some common sense advice and a range of medicines you can buy from a shop or local pharmacy.

To help you during the winter months, visit NHS Choices to find out how you can treat some of those common winter illnesses or we have a handy guide below.

winterhealth

If you need advice your local pharmacist can help

Pharmacists are experts in the use of medicines and are able to diagnose and offer treatment for a range of minor illnesses and ailments immediately, without the need to make an appointment. They are open long hours, at weekends and evenings and there are many pharmacies on the local high street and in supermarkets.

They can give advice, or where appropriate, medicines that can help to clear up the problem and offer a range of branded or non-branded medicines. If you have any questions about the differences between these products they would be happy to talk to you.

Instead of booking an appointment with your GP, you can see your local pharmacist any time by just walking in.

Make sure you have repeat prescriptions

If you or someone you care for requires medicines regularly, make sure you order and collect repeat prescriptions in good time to ensure you or your family have enough medicine to last over the festive period. Many of the calls to out of hours health services are for emergency repeat prescriptions when people have run out of their medication – a situation that could be avoided with some forethought and planning. By thinking ahead for your regular medication you are helping our busy out of hours doctors and nurses.

Know when your GP surgery will be open

Your local GP practice will be closed over the festive period and may also offer limited appointments around Christmas and New Year.  If you need to see a GP when the practice is closed, contact the NHS 111 service.

NHS Walk-in Centres or NHS Minor Injuries Units

For treatment of minor illnesses or injuries without an appointment you can use a NHS Walk-in Centre or Minor Injuries Unit:

Walk In Centres – 8am-8pm 7 days a week
• North Ormesby Health Village, 11 Trinity Mews, Middlesbrough TS3 6AL
• Low Grange Health Village, Normanby Rd, South Bank, Middlesbrough TS6 6TD
Minor injury unit – 24/7 365 days of the year
• Redcar Primary Care Hospital, West Dyke Road, Redcar, TS10 4NW
STAR scheme
The GP hubs extend evening and weekend opening times for patients
from 6.30pm to 9.30pm Monday to Friday and 8am to 8pm on weekends
and bank holidays to ensure patients get the right care, first time through
a single point of access.
You simply need to call NHS 111 to access the service at Bentley Medical Practice in Redcar Primary Care Hospital or Linthorpe Surgery.

NHS child health

It’s a real worry when children become ill.  Understandably, we don’t want to take any risks.

Parents and carers can now find NHS advice at their fingertips to help you look after their children’s health.  ‘Looking after your child’s health.’ is an important NHS guide for parents and carers of children aged 0-5 years.

Download the free NHS app today!  Just search for ‘NHS child health’ on Google Play or Apple’s App Store.

Find out more at www.urgentoremergency.co.uk


Pharmacy opening times over the Festive period

If you become unwell over Christmas and New Year while your GP practice is closed, you can visit your Pharmacy or call NHS 111. Whether you are suffering from a persistent cough, cold or a tummy bug, find opening times for a pharmacy near you.

Pharmacy opening times in the Middlesbrough area
Pharmacy opening times in the Redcar & Cleveland area


Major redevelopment of Guisborough Hospital site announced

The CCG is pleased to confirm the £4 million redevelopment of a new primary care centre on the Guisborough Hospital site.

The former Priory ward building will be completely redeveloped as part of the plans, with the current building stripped to its shell and completely rebuilt to provide a modern, health care environment for local people.

Existing community and outpatient clinics will continue to be provided in the new-look centre, while additional space will be created for more services to be provided from the site in the future.

As part of a formal public consultation in 2014, NHS South Tees Clinical Commissioning Group (CCG), the organisation responsible for planning and purchasing the majority of health services on behalf of local people, pledged that the hospital site would be redeveloped.

The CCG originally proposed the development of the Chaloner building, but following feedback from patients and stakeholders about access to the building via a steep hill, car parking, and its layout other options were considered. These included a complete new build on the site, and development of the Priory block. The Priory block redevelopment was chosen as the preferred option as it is much easier for patients to access, and would save over £1 million compared to a new build option.

The CCG has worked closely with NHS Property Services and provider trusts such as South Tees Hospitals NHS Foundation Trust and Tees, Esk and Wear Valleys NHS Foundation Trust to develop plans for the site in the last two years.

The development is in line with the CCG’s Integrated Management and Proactive Care for the Vulnerable and Elderly (IMProVE) programme, which has enhanced the level of care being provided for patients in or as close to their own homes as possible.

As part of the IMProVE programme, the CCG developed proposals to:

  • Improve stroke services;
  • Make better use of community buildings;
  • Deliver more care in community venues and patients’ homes, (rapid response teams, improved therapy support and more out-patient and day treatments delivered in community hospitals);
  • Change the way that minor injury services are delivered by consolidating existing services at Redcar Primary Care Hospital;
  • Redevelop Guisborough Primary Care Hospital site.

The £4 million redevelopment will be funded in the most part by NHS Property Services, who will also own the building. The Chaloner Building, also owned by NHS Property Services, currently provides a base for administrative staff. This building will be sold as part of the redevelopment of the site as it has been declared surplus to local NHS requirements.

Administrative staff will move from the Chaloner and Ashwood buildings to Langbaurgh House in the town and Coatham Road in Redcar. Patients will also have the choice to access some services at Coatham Road as part of the redevelopment, utilising a building that has stood empty for two years.

The Guisborough project is also in line with the recently published national Sustainability Transformation Plan (STP), which focuses on providing more care in local communities or in patients’ homes, supported by GPs, NHS community services, and with the NHS working together with social care and the voluntary sector. The draft STP is available to view on the CCG website – www.southteesccg.nhs.uk.

Work is expected to begin on the site in October 2017 and be completed by October 2018. Some services will temporarily move to the day hospital building while work is carried out.

The CCG will work closely with provider organisations such as South Tees Hospitals NHS Foundation Trust, Tees, Esk and Wear Valleys NHS Foundation Trust and North Tees and Hartlepool NHS Foundation Trust to ensure that disruption for patients will be kept to a minimum.

The following services will continue to be provided from the health centre following the major redevelopment:

  • Community dental
  • Dietetics
  • Physiotherapy
  • Occupational therapy
  • X-ray
  • Sexual health
  • Mental health services for older people
  • Podiatry
  • Musculoskeletal services
  • Arrhythmia
  • General surgery
  • Elderly care
  • Outpatient services (including Colorectal, Orthopaedic, Diabetes, Dietetic, Plastics, Surgery, Rheumatology, Audiology and Retinal screening.)

Dr Janet Walker, Chair of the CCG said: “This is fantastic news for Guisborough and the local area and reaffirms our commitment to provide health services as close to home as possible, in keeping with our IMProVE programme from 2014.

“We are looking forward to working with NHS Property Services, our partner trusts and the construction companies to provide a first class health facility for Guisborough.”

Kevin Oxley, Director of Estates, Facilities and Capital Planning at South Tees Hospitals NHS Foundation Trust, added: “This major new development will provide a fantastic modern, purpose-built facility for patients and staff, housing existing community and outpatient services while also giving us the opportunity to provide additional services in Guisborough in the future.”

Peter Todd, Principal Construction Manager at NHS Property Services, said: “We are delighted to be working in partnership with South Tees CCG to continue the implementation of the CCG’s IMPRoVE Programme  and provide the local community with more choice and care closer to home.

“The modifications to Guisborough Hospital will improve the quality of the patient environment and their experience; ensure modern, fit for purpose premises. and deliver real efficiency savings for the local health economy.

“It’s an exciting time and we look forward to sharing more information with the local community, as the programme of work continues.”

Q&As

Q:      What services will the health centre provide?

A:       The following services will continue to be provided: Community dental, Dietetics (clinical), Physiotherapy, Occupational therapy, X-ray, Sexual health, Mental health services for older people, Podiatry, Musculoskeletal, Arrhythmia, General surgery, Elderly care, Outpatient services (including Colorectal, Orthopaedic, Diabetes, Dietetic, Plastics, Surgery, Rheumatology, Audiology and Retinal screening.) Additional services may also be offered in the future.

Q:      Is Guisborough losing any services?

A:       No. All services that are currently provided will continue to be provided.

Q:      Why not refurbish the Chaloner building?

A:       This was one of the initial options considered, but due to Chaloner’s limited car parking, fundamental issues with its layout and configuration and its access path being on such a