You said, we did

Wednesday, 30th May, 2018

Throughout 2017 a series of events have been held to engage with stakeholders across BLMK. This kicked off in January with Workforce in Focus, an event to look at what workforce opportunities could be as a result of new models of care and service redesign.

At this event and others held across the year we took feedback from those who attended and below is a summary of the feedback and what has happened in response:

Workforce in Focus – 25 January 2017 – Luton

During the event we heard from Dr Patricia Oakley, a national workforce development expert, on the national picture for staff in health and social care, alongside local speakers who looked at the Primary Care Home model and how the wider workforce can be used effectively when re-designing services in primary care.

You said: Attendees had the opportunity to hear updates from each of BLMK five priorities and feedback on what they thought of the plan for the region and whether we were moving in the right direction. The large majority told us that they liked the plans and wanted more opportunities to be involved in its development.

We did: The STP team explored ways of better involving staff in the development of plans and the role of GP Lead was created to ensure we strengthen links with colleagues in primary care.

The ideas captured from our speakers were taken forward by the Workforce Lead for BLMK STP and played a part in the development of the plans for the workforce.

The Local Workforce Advisory Board which has broad representation is leading on the development of a workforce strategy that is informed by the workforce needs for all the priorities.

Best practice in primary, community, mental health and social care – 3 May 2017 – Milton Keynes

We heard from the senior clinical advisor for Primary Care Home at the National Association of Primary Care and local leaders about the opportunities to share best practice in out-of-hospital care.

Following presentations, attendees had the chance to sit on three different tables of a choice of 16 different working groups. Each group discussed a different element of care and was chaired by an expert in that field.

You said: Attendees fed back on the discussions from each table and had the opportunity to request support in certain areas so they could affect positive change and implement best practice in their own areas.

We did:

  • Following the event a number of localities have, with STP and CCG support, applied for the NAPC Primary Care Home community of practice. NAPC have also indicated the potential to work with us to develop this model further locally.
  • We issued an ‘offer’ to practices and localities/clusters setting out the support available in implementing Primary Care Home / Enhanced Primary Care. This included support for:
  • organisational development;
  • leadership and learning;
  • recruitment initiatives;
  • targeted investment opportunities.
  • Mental Health in primary care and multi-disciplinary team working were others areas attendees highlighted featured in our ‘offer’.
  • We are beginning to coordinate our recruitment efforts across the STP and in the next few months we will be looking at bids for international GP recruitment and clinical pharmacists.
  • The General Practice Five Year Forward view workforce submission was made to NHSE at the end of October 2017 following information gathered on the requirements for Primary Care home across BLMK.
  • The transformational nature of creating Primary Care Home’s is to network GP practices, including the sharing of workforce and infrastructure, supported by the wider multi-disciplinary team, to support populations of approximately 30-50k. £1 per head of population has been allocated to provide incentives for GPs to create the clusters, to enable a new model of working and enhance primary care services.

A further £200K has been allocated for primary care initiatives proposed in Milton Keynes which include respiratory outreach, community heart failure nurse and the management of medicines in care homes.

Mental Health in BLMK – 3 August 2017 – Central Bedfordshire

Keynote speaker Sir Sam Everington, Chair of Tower Hamlets CCG and King’s Fund trustee, discussed some ground breaking innovations in mental health care in one of the most economically depraved areas of London. His talk was followed by a live interview and Q&A with Dr Navina Evans, Chief Executive of East London Foundation Trust, and one of her trust’s patients about how BLMK can deliver effective and compassionate mental health care.

Attendees then had the chance to sit on one of seven different working group discussing different forms of mental health in various different care settings.

You said: Feedback told us that attendees wanted to see mental health feature more heavily in the plans for BLMK.

  • Use of digital solutions to assist people in crisis and self-care e.g. Twitter, telehealth.
  • There is an opportunity for dual diagnosis commissioning – wrapping services around GP surgeries to enable the public to access mental health services in the community.
  • Strengthening the link with the Police both in respect of people with mental health issues accessing appropriate services and support for victims of crime.
  • The development of social prescribing and support for carers.

We were also told that the input from a patient speaker was invaluable and that should feature more in all of our discussions about the development of plans.

We did: There has been a renewed focus on mental health in our plans and the STP team are developing a series of patient stories and asking patient speakers to attend key meetings to offer advice and guidance to the leaders to ensure:

  • External funding has been secured to programme manage the mental health work programme and implement projects to deliver the Five Year forward view for Mental Health.
  • Innovative projects which have been piloted by Vanguards are being evaluated and considered for BLMK e.g. Crisis Café.
  • Mental Health services are being considered as part of the services which will be wrapped around GP clusters.
  • Social prescribing is a workstream in the prevention priority and has received transformation funding in 2017/18 to deliver locally driven service for the community.
  • The digitisation priority has undertaken an options appraisal for shared care records which will be accessible by health and care professionals. Part of the solution being considered is telehealth and signposting to appropriate services.