This week’s leadership message comes from Kersten England, CEO of Bradford Council. Kersten is also Chair of Bradford, Airedale, Wharfedale and Craven Health and Care System Leaders Board.

• You can read previous blogs here• You can visit our website at www.wyhpartnership.co.uk• You can also check our latest news on our website here• Our twitter address is: @wyhpartnership

Many thanks and hope you have a lovely weekend

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ContentThis week’s leadership message‘Looking out for our neighbours’ campaignWhat else has been happening this week?What’s happening next week?What’s coming up?RecruitmentAwardsFundingCampaignsWebinarsEventsSurveysFor informationWhat’s in the news?

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Hello my name is Kersten…

Preparing for all outcomes of the current Brexit negotiation process has become an increasingly demanding task for public sector partners. Essential work is going on across West Yorkshire and Harrogate to ensure, as far we are able, that our organisations and places are resilient - socially, economically and environmentally; and can function effectively whatever does or doesn't happen on March 29, 2019.

Part of this is supporting valued colleagues who are nationals of EU countries. Last Friday afternoon I met with a group of Bradford Council employees. They were from a range of European nationalities - Polish, Latvian, French, Italian and Spanish - working across many council services. There were school catering and cleaning staff, architects, clerks to school governors, social workers and enforcement officers. All of them concerned for themselves and their families, but also for the wider EU community resident in our district as they, and we, live and work through this period of uncertainty.

So many questions arose - can I access healthcare after Brexit? Will I need an international driving licence? What's the status of my children who were born here? How long can I leave the UK for and still be able to return? They had many more questions too. It was a sobering conversation.

From talking to our partners I know that there are many people in similar situations. I am proud that as West Yorkshire and Harrogate Health and Care Partnership partners we have committed to supporting our valued EU staff and residents.

Here in Bradford District and Craven we are working on shared communications that emphasise this while offering practical support and advice, particularly on settled status and its requirements.

Aside from Brexit there are few more important priorities for local government chief executives right now: ensuring we play our part in the development and delivery of the NHS Long Term Plan locally; preparing to make submissions to the government's comprehensive spending review and looking at what the impact of the long awaited social care green paper might be. It's a critical piece of policy making on one of the most challenging issues facing our society - how do we individually and collectively fund a system of long term care and support for our elders and adults with physical or learning disability?

The most recent Sunday papers carry stories of people who are lonely, isolated, with unmet care needs and of a system working hard but struggling to meet demand with insufficient resources and shortages. In Bradford, as I know across the Partnership, we are playing our part in building new models of care which prioritise choice and independence, build support around an individual and family and deploy assistive technologies appropriately. But the structural fragilities remain and we continue to lobby and hope that the green paper may bring some welcome thinking on system viability and quality.

Whatever is within the green paper the final financial envelope for social care is unlikely to be resolved until the comprehensive spending review. It's still anticipated that we will have a review of spending and investment across all government departments this autumn. In recent weeks many of us have had meetings and discussions with civil servants from across Whitehall in which it seems that there is an increased acknowledgment of the significance of place (in West Yorkshire and Harrogate this equates to: Bradford District and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield) and the potential for greater impact of joined up working and investment on key challenges on a place basis. This is combined with a shared sense that the profile of investment, between upstream and preventing ill health and the downstream work on chronic long term health problems is out of kilter and willingness to consider how investment might be rebalanced. This is music to our ears and we hope signals willingness for government departments to work more collaboratively and align/co-invest/share rather than competing for scarce resource and at times duplicating effort or embarking on contradictory policy approaches.

Here in Bradford some of the most significant progress we are making - whether on educational attainment, cultural renewal, health and wellbeing or economic growth - is being achieved through purpose led cross sector partnerships.

It's easy to say the only way is partnership; it's sometimes harder to evidence the case for or the impact of this work. Our Born in Bradford (BiB) data sets and analysis are beginning to bring a much needed rigour to the table. For example through correlating consented health and education data BiB identified a significant issue for our children with eyesight difficulties who may have had an eye test at school but did not go on to get their prescription glasses. More recently the doubly negative impact for premature babies born in summer who are the youngest group in their age group was also highlighted. Both these insights have led to changes in policy and practice which we believe will significantly improve some of our young people's education outcomes. All areas I personally welcome.

Our comprehensive spending review submission will make the case for an understanding of the importance of place, place leadership and what can be achieved through effective leverage of all assets of a place but also a re-profiling of investment to enable effective work on wellbeing.

Meantime work on our system contribution to the NHS long term plan is gathering pace. We are lucky to work in Partnership which has always welcomed the collaboration between the NHS, local government, and communities. We acknowledge the importance of local accountability. Our Health and Wellbeing Board has grappled with the year one planning and financial parameters and is debating how far we can shift investment through joint commissioning for wellbeing outcomes as well as securing the viability of our providers.

Our community partnerships are bedding in, our one workforce collaboration on the current and future viability of our health and care workforce is gathering pace and a strategic partnership agreement is working its way through the decision making bodies of our constituent parts. The Care Quality Commission was very complimentary about our system and the common purpose displayed at every level across every part of it. But it's not easy or straightforward. There are misunderstandings, anxieties and differences of opinion at times; particularly when money is tight, regulators are at the door and targets are missed. But we keep at it!

Finally it's International Women's Day today. I hope you will be celebrating all the amazing ways in which women contribute to the world! Here in Bradford we are seeing the emergence of a new generation of younger women leaders. They are energetic, optimistic and ambitious. They want change and don't want to be on the side-lines, they want to be making the change. Our job is to put wind in their sails and follow their lead. I think it will be an exciting journey.

Have a good weekend Kersten

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‘Looking out for our neighbours’ campaign We're very excited to share the campaign support pack which has more information and links to all campaign resources to help your organisation spread the word. This includes: Campaign logos and assets Posters (digital and print) Flyers (digital and print) Social media tweets and posts Social media images Plasma screen content Editable posters, plasmas and social media images (including a space to personalise with your

place/community name)All resources are free to use. Organisations can still sign up and pledge their support at Ourneighbours.org.uk Please help us raise awareness of key campaign messages from launch day on the 15 March onwards.

What else has been happening this week?

Workforce developmentWest Yorkshire Local Workforce Action Board (LWAB) met last week with a focus on new roles including physicians’ associates, nurse associates and advanced clinical practitioners and how these

can help improve the care offered to people. There was also a conversation on the changing role of technology and how this would influence the education and training needed for future trainees.

Career campaigns are being developed to increase the number of people applying to be a mental health and learning disability nurse and the LWAB are looking to commission a careers hub which will focus on promoting additional specialties where recruitment is an issue.

The LWAB is also working with the Local Maternity System Board to look at joint recruitment of midwives across West Yorkshire and Harrogate and how we can improve the consistency of training for the maternity workforce.

Funding has also been agreed to appoint a programme manager to focus on mental health and cancer, particularly around the diagnostic workforce.

The LWAB is also exploring how to fully utilise the apprenticeship levy across West Yorkshire and Harrogate. An agreement has been given to appoint a project manager to take forward this piece of work.

Dr Tolcher, CEO for Harrogate and District NHS Foundation Trust (hospital) and the CEO lead for workforce is retiring in April 2019. Special thanks to Ros for her leadership role on the workforce agenda. The LWAB looks forward to welcoming Brendan Brown, CEO of Airedale NHS Foundation Trust (hospital), who will be taking over this role and LWAB co-chair from April 2019.

Clinical Strategy Steering GroupThe Clinical Strategy Steering Group met on Tuesday. The group, which includes people from all sectors and places in our Partnership, heard feedback from the frailty workshop held on Monday which was attended by almost 50 staff. The workshop discussed the findings from over 150 interviews with staff and people who use services. This highlighted best practice and common themes for people with frailty across all places. A second workshop will be held on 28 March on children and young people. The steering group also heard from Robin Jeffrey, Clinical Lead for WYAAT, about the 24 “Service Profiles on a Page” which have been developed for acute specialties with clinical teams. The profiles describe the current services from prevention to tertiary care, and identify potential future models. The themes and findings from this work will be fed back to the System Leadership Executive, our programmes and incorporated into our Five Year Plan.

Future work will include a frailty workshop with people who access services and the public, plus further development of the ‘Service Profiles on a Page’ and work to understand the future models for elective care and urgent and emergency care.

WYAAT Programme Executive (hospitals working together)The West Yorkshire and Harrogate Association of Acute Trusts (WYAAT) Chief Executives, chaired by Clive Kay (Chief Executive of BTHFT) met on Tuesday. Dr Robin Jeffrey (Clinical Lead for WYAAT) presented a paper proposing a collaborative WY&H programme for dermatology, involving WYAAT, the Improving Planned Care Programme and the Cancer Alliance. The aim of the programme would be to develop a new model for dermatology services in WY&H which addresses the challenges of increasing demand and workforce shortages. The chief executives supported the proposal.

The meeting also received an update from the Pharmacy Regional Supply Chain Collaborative Programme. Professor Liz Kay, Chief Pharmacist LTHT, and Andy Alldred, Clinical Director and Chief Pharmacist, HDFT presented the current position on the programme. The chief executives

commended the programme for completing a very robust and objective assessment and asked that the full business case is developed for the WYAAT Committee in Common at the end of April.

The meeting concluded with thanks to Dr Ros Tolcher, Chief Executive of HDFT, and Clive Kay, Chief Executive of BTHFT, who are both leaving their roles at the end of March.

The Shadow System Leadership Executive GroupThe Shadow System Leadership Executive Group met on Monday chaired by Dr Matt Walsh, Chief Officer for Calderdale Clinical Commissioning Group and CEO Lead for Improving Planned Care. Comprising twenty senior clinicians and managers from across the Partnership, it meets every month ahead of the System Executive Group. This was the final meeting of the group. Everyone agreed it has been a great and useful experience. Their role has been valued by the Partnership’s executive group. Special thanks to Dr Matt Walsh who chaired the meetings and also to Thea Stein deputy chair. We are planning cohort 2 for 2019/20.

West Yorkshire and Harrogate Clinical Forum The Forum met on Tuesday. The meeting is chaired by Dr Andy Withers and includes medical directors, GPs, pharmacists, allied health professionals, and lead nurses. Members received an update on embedding personalised care in West Yorkshire and Harrogate. For many years the NHS has talked about the need to shift towards a more personalised approach to health and care. A one-size-fits-all health and care system simply cannot meet the increasing complexity of people’s needs and expectations. Chapter one of the NHS Long Term Plan, published in January 2019 makes personalised care business as usual across the health and care system. West Yorkshire and Harrogate Health and Care Partnership is working with NHS England as one of 11 national ‘Level 1 Personalised Care Demonstrator Sites in 2018/19’. This means that the six places across our area (Bradford District and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield) are working together to build person and community centred approaches to health care. Forum members were asked to consider how we best engage clinicians in implementing personalised care consistently across the area. Clinical forum members emphasised the importance of health colleagues working together to further enhance person choice. This area of work clearly links to community based support, the role of voluntary and community organisations and public health colleagues. There was a clear appetite to move forward. Dr Withers will work with the programme leads to identify themes for further forum discussion.

Members also received an update on developing the West Yorkshire and Harrogate Five Year Strategy and the approach we are taking to refresh our programmes, including key performance and transformation metrics. Forum members welcomed the approach – highlighting that it is important we demonstrate what improvement looks like and that each part of the system knows what their contribution is with clear targets for the West Yorkshire and Harrogate programmes. With this in view Anthony Kealy (WY&H Locality Director, NHS England) discussed our organising framework and the check and confirm sessions which will take place from the end of May.

West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups (CCGs) The Committee met in public on Tuesday – chaired by Marie Burnham, independent lay chair. Members considered spinal policies and pathways; a liothyronine commissioning policy; a commissioning policy for surgery for severe and complex obesity and simplified treatment guidance to support the Healthy Hearts work.

Dr James Thomas presented the spinal policy and pathway, as part of the improving planned care programme. Waiting time pressures in the specialist spinal pathway are significant with high numbers of people waiting over 52 weeks for treatment. The pathway and policy has been

developed to ensure that only people who will benefit from a consultation with a spinal surgeon will enter that pathway and other patients access more appropriate treatments locally. This will also help to reduce any differences that exist across the area. The Committee agreed to adopt the spinal pathway and policy across West Yorkshire and Harrogate. We don’t anticipate any savings – this is about improving the process and reducing waiting times for people.

A commissioning policy for liothyronine was published in 2017 by NHS England as part of their low value medicines programme. This was identified by West Yorkshire and Harrogate Pharmacy Leadership Group as one of the prescribing projects for 2018-19. The drug is used for people with under active thyroid. Clinicians and medicine management colleagues have been involved in the work. The liothyronine policy was agreed for use across West Yorkshire and Harrogate. This would be implemented over a 12 month period with monitoring and guidance in place to ensure we are clinically assured and that people are well supported. The Programme will be communicating with stakeholders about the changes.

Amanda Bloor and Steve Ollerton presented simplified treatment guidance to support the West Yorkshire and Harrogate Healthy Hearts project, pioneered successfully in Bradford. This project will contribute to the Partnership ambition to reduce CVD incidents by over 1,100 (10%) by 2021.

A key part of the project is improving the identification and treatment of adults with hypertension. The new ‘do once and share’ quality and equality impact assessment process had been applied to the guidance. You can find out more about the work here. This work is all about reducing people’s blood pressure to prevent ill health and give people the best chance of a long and healthy life. The Committee agreed to adopt the guidance across West Yorkshire and Harrogate.

Michelle Turner presented a standardised commissioning policy and service specification for surgery for complex and severe obesity. All individual clinical commissioning groups have aspired to commission at the rate of 4% of the eligible population.

The aim of the new commissioning policy is to establish a common approach, which reduces variation across the area. This is an evidence based policy with clear benefits in terms of saving people’s lives.

The Committee agreed the Obesity Surgery Commissioning Policy and service specification to take effect from 1st April 2019. It was recognised that close working would be needed with WYAAT (hospitals working together) to ensure that there was sufficient capacity. It was also recognised that this was an ambitious approach that would take time to implement. An update from our six local places (Bradford District and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield) will come to a future Committee meeting.

Partnership Board development sessionThe first development session of the Partnership Board took place on Tuesday. This includes members of our executive group; Health and Wellbeing Chairs; council elected members; chairs of NHS Trusts and other providers, and Chairs of Clinical Commissioning Groups. We are also recruiting four members of the public onto the Board. The Board is chaired by Cllr Tim Swift, Leader of Calderdale Council and Chair of Calderdale Health and Wellbeing Board. The Board will meet for the first time in public from June. The Partnership Board is an important next step in our evolution. It brings greater democratic accountability and transparency to our work at West Yorkshire and Harrogate level. The arrangements also reflect our model of distributed leadership and equal partnership between health and care.

The purpose of the session was to spend some time thinking about the role of the Partnership Board, and how we can work together to improve health and care for the people of West Yorkshire and Harrogate. Sir Chris Ham and Nicola Walsh from The Kings Fund facilitated the session.

Cllr Swift welcomed everyone to the meeting. He outlined how pleased he was that the Partnership is working inclusively together and that the principles of working at a local place level, with a shared understanding on areas of West Yorkshire and Harrogate where there are clear benefits to the 2.6million people who live across the area is key.

Board members watched a short film to provide further background to our Partnership’s work.

Key points included the importance of working with communities; preventing ill health, tackling loneliness and links to other partners such as West Yorkshire Combined Authority – to ensure an inclusive approach, whilst ensuring residents are aware of the positive difference we make.

It was clear we have come a long way already and the Board is built on solid foundations and strong leadership. It was clear from the round table discussions that there are real benefits for working together to solve and work through the big issues for West Yorkshire and Harrogate, for example funding and workforce. It was also clear that relationships and trust are as important as structure. We are one of the largest health and care partnerships in England and if we work together we can be influential at all levels and importantly improve people’s experience of care.

There was a panel discussion with Soo Nevison (CEO for Community Action Bradford and District and CEO Lead for Harnessing the Power of Communities). Soo gave an update on working with communities to prevent ill health, whilst recognising the importance of VCS funding to support work. Dr Andy Withers, Chair of the Clinical Forum spoke about how evidence influences the work we do together at a WY&H level, for example Healthy Hearts. Andy’s ask of the Partnership Board is to ensure we look at the wider determinant of health and the impact this has on people’s wellbeing, for example housing, employment and poverty.

Dr Matt Walsh explained the role of the Improving Planned Care and Standardisation of Commissioning Policies and how the investment in the work we do across West Yorkshire and Harrogate has been built from good relationships and trust. As Chair of the Shadow Executive Leadership Group he spoke about how our leaders need to be ‘brokers of hope’ and the critical role the Board will have in creating hope for the staff and public we serve.

Martin Barkley, CEO for Mid Yorkshire Hospitals NHS Trust gave board members an overview on the work of WYAAT (hospitals working together) programmes of work, including estates, buildings and workforce; Robin Tuddenham, CEO for Calderdale Council spoke about the importance of the Partnership in terms of tackling health inequalities, the importance of children and young people work and the emotional wellbeing of communities.

Health inequalities are a key driver for us all and this was clear in Sara Munro’s explanation of the WY&H Mental Health and Learning Disability Collaborative work, including prenatal work with women, eating disorders; and supporting adults, the fact that people with learning disabilities often have shorter lives and the importance of supporting adults, children and young people closer to home.

Nichola Esmond, CEO for Wakefield Healthwatch talked about the ongoing challenge to make sure messages reach people and the need to thoughtfully engage with communities to ensure people’s voices are in the room.

Having elected members in the room alongside other leaders and colleagues was the start of something meaningful – a Partnership Board we can all be proud of and make a real positive difference to all those we collectively serve. Having a Board that people across our areas can both observe and feed into was deemed as essential and a key part of our principles to be honest, open and transparent.

Mental health Leeds Community Healthcare NHS Trust has been awarded a four-year contract by the Office of the Police and Crime Commissioner (PCC) West Yorkshire, acting on behalf of regional PPC’s across Yorkshire and the Humber, to deliver regional healthcare and forensic services in Police Custody settings across Yorkshire and Humberside. Following a competitive tender process, the Trust has been awarded a contract to provide a newly integrated and transformed service that supports and cares for people within Police custody settings. The Trust’s Police Custody Healthcare Team provides; physical assessment and treatment, substance misuse assessment and treatment, mental health assessments and assess fitness for people to be interviewed and/or detained. The team also take forensic samples and undertake blood screening for alcohol and drug levels. You can find out more here.

Supporting people with learning disabilities The National Transforming Care Programme (TCP), the Government and health and social care organisations are working on transforming care for people with learning disabilities and/or autism, and in particularly those who also have a mental health illness. Transforming care is all about improving health and care services so that more people can live in the community, with the right support, and close to home.

There are three TCP partnerships in West Yorkshire including Barnsley. These TCPs, underpinned by the Winterbourne Review, have a common objective to improve the community response to prevent people going into hospital wherever possible. This includes reducing admissions to hospital unless needed and the length of time people stay there. It is also about making sure people don’t spend time in hospital hundreds of miles from their home – which can be distressing and difficult for family, carers and friends to visit.

A proposal has been agreed in principle to establish one TCP board for West Yorkshire and Harrogate from April 2019. This will be chaired by Helen Hirst, Chief Officer for Bradford District and Craven Clinical Commissioning Groups, who is also the WY&H HCP commissioning lead for mental health, learning disabilities and autism. The TCP Board will report into the Mental Health, Learning Disability and Autism Collaborative Programme Board. Our ambition is for anyone with a learning disability and/or autism living in West Yorkshire and Harrogate to have the right to the same opportunities as everyone else so they can live a long and healthy life and be treated with dignity and respect. It is also important that people can develop and maintain relationships and to have a place they call home within their community. Over the coming months we will be looking at the way in which care is provided across the three assessment and treatment units (ATUs) and how as a region we make the best collective use of our services. There are currently 22 specialist hospital beds in West Yorkshire. We need to look at reducing this number of beds, so that we can support people with learning disabilities and acute complex needs/challenging behaviour in their local community.

Engagement activity for this work will be delivered over a 4 week period (started 18 February 2019). The engagement is an essential part of our process and is part of a planned approach to seek the views of people who access services, carers, families, staff and key stakeholders who have experiences of ATUs across West Yorkshire to further to inform the next stage of our work which will be how to reconfigure ATU provision in the region to ensure maximum benefit for both people who use these services and the system.

National meeting for Partnership leadsOn Wednesday, Rob Webster, our Partnership CEO and Robin Tuddenham, CEO for Calderdale Council, attended the national Partnership lead meeting on Wednesday (also known as Sustainable Transformation Partnerships and Integrated Care Systems). Rob and Robin presented on the importance of what makes collaboration between NHS and local government so essential.

What’s happening next week? Local place based planners meet on Tuesday. West Yorkshire and Harrogate programme leads meet on Thursday. ‘We are Calderdale’ event on Thursday 14 March at Calderdale College, Halifax. Launch of the ‘Looking out for our neighbours’ campaign on Friday 15 March.

What’s coming up? A carers event will take place on the 4 April to discuss the NHS Long Term Plan. Invites will be

sent out this week. Perinatal Mental Health Event: 15 May 2019. As one of the priorities within West Yorkshire and

Harrogate Health and Care Partnership we want to ensure that women and their families can access an integrated system wide perinatal mental health (PMH) pathway. As such, the Local Maternity System and Mental Health, Learning Disability and Autism Programme Boards are hosting this system wide event to examine the current position in relation to PMH services across the whole pathway/system and to then identify priorities for PMH for the ICS going forward. Supported by the Yorkshire & Humber Clinical Network this event welcomes colleagues from across West Yorkshire and Harrogate providing or commissioning perinatal mental health services.

Postnatal event: 11 June 2019. As one of the priorities within West Yorkshire & Harrogate Integrated Care System (ICS) we want to ensure that women and their families can access an integrated system wide postnatal pathway. As such, the Local Maternity System are hosting this event in order to map the current situation and determine what services are needed in the future. The event will also look at what communication and interface is needed between the providers of postnatal care. This event welcomes colleagues from across West Yorkshire and Harrogate providing or commissioning postnatal services.

Recruitment The Office for Disability Issues is seeking people to join the new Regional Stakeholder Network in

nine regional groups across England. You can find out more here. Do you have what it takes to lead the development and delivery of integrated community health

and social care services in the #arrogate area? If you think you do, find out more and apply now here.

Co-opted Members of the West Yorkshire and Harrogate Partnership Board - 4 posts. You can find out more here.

People are being given the chance to have their say in the running of Airedale NHS Foundation Trust. A number of public governor seats are up for grabs across the district. Nominations will open on Tuesday, March 19, and anyone aged 16 and over can stand. You can find out more here.

Awards HSJ award short list nominees (event 23 May).

Funding Community Led Local Development in Leeds. Leeds has three Community Led Local

Development (CLLD) programmes to support sustainable economic development in selected areas of East, South and West Leeds. Round 3 calls for funding are now live here.

Campaigns April is Bowel Cancer Awareness Month, a great opportunity for us to raise awareness of the

disease. Every 15 minutes in the UK someone is diagnosed with bowel cancer. It’s more common in the over 50s but can affect people of all ages. It’s also the UK’s second biggest cancer killer.

A new coalition led by PHE and NHS England has announced the first ever national ambitions to improve the detection and treatment of atrial fibrillation, high blood pressure and high cholesterol (A-B-C) – the major causes of cardiovascular disease (CVD). Detecting and treating these conditions can prevent or delay the onset of CVD, but they often carry no symptoms meaning millions are unaware they are at risk and in need of treatment. The A-B-C conditions can be detected through routine checks across community and healthcare settings. The ambitions include recommendations for decision makers and frontline professionals on getting more people checked and best practice for identifying and treating those already at risk. People aged between 40 and 74 are also being urged to get their free NHS Health Check, which helps detect the early warning signs of CVD. The ambitions seek to build on the vital work being carried out by local authorities to deliver the check, which has reached millions of people. The latest edition of Health Matters, published late last week, focuses on the CVD ambitions.

New digital resources for No Smoking Day are now available to download from the PHE Campaign Resource Centre. This year, No Smoking Day is on Wednesday 13 March. You can use the resources both in the lead up to 13 March and on the day itself.

Every day is different : The Department of Health and Social Care has started a campaign to tackle the social care staffing shortage, with the aim of recruiting over 100,000 workers. Currently 1.45 million people work in social care, but an extra 650,000 workers are needed by 2035.

Cancer Research UK’s upcoming pilot campaign that launches across Yorkshire and the Humber on 11th March. The campaign aims to raise awareness of the effectiveness of using support tools to quit smoking. To hear an example of the radio ad please click here For an example social post, please click here

Webinars NHS England: You can access the latest Participation and System Transformation webinar

schedule for March 2019, which includes details of forthcoming webinars along with registration links here: Webinar Schedule update Revision for Mar 19 Final (002).docx

Please find below a link to a series of lunchtime webinars, which are aimed at NHS commissioners, planners, engagement leads and others interested in working collaboratively with people and communities. The five one-off sessions are led by people who are developing thinking and working in new and exciting ways. They aim to share learning, spark ideas, and inspire others to try new approaches themselves. These webinars are hosted by the NHS England Public Participation Team, as part of the NHS commitment to transforming relationships with people and communities. Places are limited so please register soon. Working collaboratively with people and communities March webinars-Final JL060319.docx

Events 28th March North Region event: The Long Term Plan & Reducing Health Inequalities – evidence &

action (Leeds). Dr Mike Prentice, Regional Medical Director (NHS England, North), invites colleagues to join him for an essential day for the North Region. Target audience: directors, senior clinical and policy leads and planning and commissioning leads of: CCGs, ICS, STPs, local authorities, providers, primary care networks, Healthwatch, voluntary and community sector, Public Health England and NHS England North regional teams. The event will focus on: - strategic planners for the LTP, service transformation and health inequalities - primary care and urgent/emergency care- mental health, CVD, diabetes- public health, population health and analytical leadsYou can register here

The NHS and the Centre for Public Scrutiny (CfPS) have come together to deliver a ½ day workshop to support you to improve your understanding of the NHS and local government in the context of the NHS Long Term Plan. The workshop is designed as a ‘go to’ event for those working on the day-to-day delivery of STPs and ICSs in both the NHS and local government. You can find out more here.

Population Health: Prevention is Better than Cure: Manchester on Tuesday 30 April. Registration is now open for this year's Health and Care Innovation Expo on the 4 & 5 September

2019 at Manchester Central. NHS North Kirklees Clinical Commissioning Group (CCG) is holding the event to give the public an

opportunity to hear updates about the work that the CCG has been doing. As well as hearing the presentations, you will be able to take part in discussions and share your views about the NHS Long Term Plan and Primary Care Networks. It will take place on Wednesday, 20 March 2019, from 2.00-4.00pm at Batley Town Hall, Market Place, Batley WF17 5DA. To attend the event, please register here. Please book your place as seating will be limited.

Surveys The latest report based on the annual survey of tobacco control leads in England, written by ASH

and commissioned by Cancer Research UK, will be published soon. Previous reports can be viewed here.

ASH has recently conducted a pilot survey of mental health trusts funded by Cancer Research UK, focusing on their implementation of NICE guidance PH48. The results can be viewed here. ASH is now conducting a second wave of this survey, funded by PHE. This will result in a second national report, alongside service user insights, and individually tailored reports for each Trust setting out their personal ‘smokefree scores’. The results are expected to be published in April 2019.

Reports Carers UK: The State of Caring Survey 2019. Carnegie UK: Kindness, emotions and human relationships: The blind spot in public policy. Carers UK: Guidance - Looking after someone - information and support for carers . Born in Bradford have published a paper sharing strategies to integrate research and system

wide practice in public health. You can read it here. All Parliamentary Group on Smoking and Health report - Delivering the vision of a ‘Smokefree

Generation’. You can read it here. NHS England and Pathways Associates have published a document called Beyond The High Fence

which was co-produced with people with a learning disability and autistic people who are, or have been, in hospital. This piece of work was led by Gavin Harding MBE, a learning disability adviser for NHS England, who has personal experience of being in hospital himself. It is written for specialist commissioners, clinical commissioning groups, local authorities and anyone

working in the criminal justice system. People share their lived experience and offer their views on what more needs to happen to improve quality of care and support, for people to make a successful return to their communities.

The Kings Fund: Making sense of integrated care systems, integrated care partnerships and accountable care organisations in the NHS in England.

New Local Government Network: Six reasons our public services need a paradigm shift away from institutions and towards communities.

International comparisons of health and wellbeing in adolescence and early adulthood A new report from the Nuffield Trust and Association for Young People’s Health has found that

the UK has the highest rates of obesity for 15 – 19-year-olds in 14 European countries. There is also a strong association between childhood obesity and poverty. England also has the highest proportion of young people with a longstanding health condition and more young people not in education, employment or training.

Science Direct: Poverty and its impact on parenting in the UK: Re-defining the critical nature of the relationship through examining lived experiences in times of austerity.

The Children’s Commissioner for England has published Keeping kids safe: Improving safeguarding responses to gang violence and criminal exploitation (PDF document) (February 2019) which looks at children in England who are members of gangs.

For information Speech therapy can change a life or give back someone's hope. Watch this powerful film

featuring Stephanie Burgess from Airedale NHS Foundation Trust, Michael Palin and Nina Conti. Lost Voice Guy give voice to poem about Speech and Language Therapy.

NHS Confederation: Bottom up working for effective place-based leadership. Blog by Kate Ardern, Wigan Council.

You can view a new short film about the difference the Partnership is making here. Bradford VCS Assembly: Shaping the Future - a conference bringing together VCS with local

authority and NHS colleagues to plan for the future. Tues 19 Mar, 9.00am-4pm, Valley Parade. Book your place here.

Just for information: ‘We are Calderdale’ event at Calderdale College on Thursday 14 March 2019.

It's Ovarian Cancer Awareness Month. Early diagnosis saves lives, so make sure your friends and family know the symptoms to look out for. You can find out more here.

Smokefree Pregnancy Information Network. This network is intended to ensure those working locally and regionally to reduce rates of smoking in pregnancy have relevant, up-to-date information and to share best practice from around the country. To sign up please e-mail admin@smokefreeaction.org.uk.

ASH will be publishing an update to the existing analysis of the cost of smoking to social care. The analysis will focus on the level of smoking-related unmet social care need and will be published in late March.

PReCePT helps prevent cerebral palsy in preterm babies. For every 37 mothers who receive magnesium sulphate, we can prevent 1 case of cerebralpalsy. Watch this short video to hear one mum's perspective.

The Kings Fund: The NHS crisis of caring for staff: what do we need to do? Academic Health Science Network (AHSN): There are not 15 sites helping patients manage their

osteoarthritis. Just one example of how the AHSN is supporting the NHS Long Term Plan. Find out more here

Cally Palmer, NHS England’s National Cancer Director shares her thoughts on the NHS Long Term Plan and what it means for cancer in this video blog . Cally also provides an overview of the Targeted Lung Health Checks programme , one of the first programmes to roll out of the Long Term Plan.

Advocate Physician Partners is a 27-hospital health system based in Wisconsin and Illinois, which collaborates on population health management across a 6,500 physician platform. It serves nearly 3 million patients a year across 500 sites. Learn about their experience in deploying analytical models and a big data strategy, as well as their process improvement strategies, at this one-hour webinar from 2-3pm on 22 March. Watch the session live.

The Airedale Wharfedale and Craven Provider Alliance have launched their Twitter feed to share the great work the Alliance is doing. One of the first tweets was a blog from Brendan Brown, CEO at Airedale NHS Foundation Trust. Brendan is the chair of the Alliance. Please give @AllianceAWC a follow or search for AWC Provider Alliance.

NICE guidelines on the following topics are being developed: - Vaccine uptake in the population- Safe prescribing and withdrawal management of prescribed drugs associated with

dependence and withdrawal- Reducing sexually transmitted infections (update).

What’s in the news?West Yorkshire and Harrogate Healthcare Leader ‘Ian Dalton quits NHS Improvement: the sector reacts’. Includes a quote from

Rob Webster, our Partnership CEO Lead. Yorkshire Post: Kirklees Council leader Cllr Shabir Pandor has described the adoption of Kirklees’

Local Plan as a “monumental milestone”. Record numbers living with diabetes in UK appeared online with The Independent and the T&A

on Tuesday 26 February 2019. Telegraph and Argus: New scheme at BRI offers apprenticeships in the operating theatre.

YOUNG people now have the opportunity to take up apprenticeship roles in the operating theatre. Bradford Teaching Hospitals NHS Foundation Trust is one of the first trusts in the country to employ apprentice operating department practitioners (ODPs) as part of the new scheme.

Yorkshire Post: £6.5m ‘pioneering’ cancer trials to put region at ‘cutting-edge’. Eight “pioneering” cancer research projects in Yorkshire are to receive £6.5m in funding.The projects, funded by Harrogate-based Yorkshire Cancer Research, have been specifically chosen to focus on improving early diagnosis, treatment and quality of life for cancer patients living in the region. Almost half the funding, £3.4m, will go to projects in Leeds, including £193,000 for researchers at Leeds Teaching Hospitals NHS Trust to investigate whether an education and lifestyle programme, including exercise, dietary advice and stop smoking support, can improve the wellbeing and survival of patients undergoing radiotherapy treatment to cure their lung cancer.

Yorkshire Post: Public satisfaction survey NHS.National Public Health England: Podcast: We’re (often) asked: Is Healthcare Public Health Dead? Guardian: The MMR jab does not cause autism, according to a Danish study carried out to try to

reassure the growing numbers of vaccine doubters, whose hesitancy has led to alarming measles outbreaks around the world. Doubts about the measles, mumps and rubella vaccine were sown by the former gastroenterologist Andrew Wakefield, who hypothesised in 1998 that it was linked to autism.

BBC: Cervical cancer screening campaign. The Times: Council tax to rise by 4.5% across England. Analysis by the Chartered Institute of

Public Finance and Accountancy (CIPFA) has found that 96% of local authorities across England are putting up council tax for 2019/20, with an average increase of 4.5% coming in April, equivalent to £75.60 for an average Band D property.

HSJ: NHS Improvement chief executive Ian Dalton has quit and Matthew Swindells’ post as NHS England deputy chief executive is to be made redundant, HSJ can reveal. NHS England chief executive Simon Stevens will assume leadership of both organisations, supported by a chief operating officer. You can read more here.

Evening Standard: The four-hour A&E target in hospitals is reportedly set to be scrapped within a year. The Times reported NHS England is backing the plans, which could mean people with less serious illnesses having to wait longer. Meanwhile, new targets may be brought in for conditions such as heart attacks and strokes. You can read more here.

Healthcare Leader: NHS bosses call for views on legislative changes to implement long-term plan.

Guardian: NHS England legislation change. Sunday Times: Health leaders warn social care is ‘on the brink of collapse’

The heads of health bodies including the Royal College of Physicians, the Academy of Medical Royal Colleges and the Royal College of General Practitioners have written to Theresa May to warn that social care is “on the brink of collapse,”.

BBC News : The Local Government Association has highlighted the efforts made by councils to improve public health since they took over responsibility for delivering services in 2013, with improvements delivered on smoking, teenage pregnancies and suicide rates despite cuts in funding from central government. However, the LGA warned that further funding cuts will risk that progress, which has seen 80% of public health outcomes either maintained or improved.

Guardian: MPs call for legal smoking age to be raised to 21. BBC News : The PM outlined plans for a £1.6bn investment fund to boost Britain’s “left behind”

areas on Monday. The Stronger Towns Fund will be used to create jobs, train local people and boost investment, ministers said, with 90% of the funding expected to be allocated to areas in the North and Midlands.

The Independent: The all-party parliamentary group on smoking and health has called for tightening of tobacco regulation “further and faster” to “achieve the government’s vision for prevention, to increase healthy life expectancy by five years by 2035 while reducing inequalities between the richest and poorest in society.

NHS England news story: Proposals to help the NHS deliver its long term plan. Guardian: Sport England's fitness campaigns to target disadvantaged groups. Guardian: The NHS apprenticeships offering a new route to health and social care Digital Health : Charities call for quicker access to technology in NHS screening review. Daily Telegraph: £1bn shortfall hits care home standards. The Local Government Association has

warned that the rising cost of adult social care will force councils to divert funding from other local services – including libraries, road maintenance, bus services, and leisure centres.

BBC: How fast is the ambulance service where you live? The most critically-injured patients in rural areas are at risk due to the time it takes the ambulance service to reach them, a BBC investigation has found.

NHS England: Personalised care plans are helping to provide effective support for residents with a range of issues and/or conditions across West Yorkshire and Harrogate Health and Care Partnership. The plans help to ensure that people are engaging with the services that work best for them. Staff working for Live Well Wakefield, who organise the plans, are seeing real progress in those using the service and highly recommend the use of social prescribing. Watch this video to find out more.

HSJ: Responsibility for NHS workforce to be devolved locally.

ENDS