North Somerset CCG Developing a Vision for Community Health

Services

www.northsomersetccg.nhs.uk

What are Community Health Services ?

• Seven multi-disciplinary community teams, such as Community Nurses

• Children’s services which work closely with North Somerset Council and families, such as Health Visitors

• A joint learning disabilities team

• A community hospital in Clevedon

• Specialist services focusing on patients with specific needs such as: diabetes, dementia, chronic lung disease and those who have suffered a stroke.

These are 26 services, delivered free of charge to the people of North Somerset:

Why do we need to talk about this?

• The contract for community health services in North Somerset expires on 31st March 2016.

• North Somerset Community Partnership currently provides these essential services.

• We are in the first stage of deciding what future services we want to buy, known as the pre-procurement stage.

• We are talking to the public until 31st May to learn their views so the CCG can incorporate these opinions into the vision for future community services and the outcomes expected from them.

Services we need

Services focussed on Adults

• Wellness: Enabling self management, preventative services, universal services e.g. primary care

• Early intervention: Community based support e.g. MDTs for EoLor LTCs

• Help at home: Short term community bed base including intermediate care and step up/ step down

• Specialist: Acute, residential and nursing care

Services focussed on Children

• Wellness: Universal services and stronger family support.

• Early intervention: Early help and multi agency support, children’s centres, short breaks.

• Help at home: Child protection, case work, short term respite care, direct payments,

• Specialist: Acute services and looked after children.

Wellness

Universal or preventative services to enable stronger families and self

management for adults

Early intervention

Targeted services for individuals who may be at risk

in the future

Help at home Support for adults in the community and

children on the edge of care

Specialist Adults and children

who cannot be supported in

the community, children in care

Low dependency levels

High dependency levels

What we think North Somerset

community health services should look like

A system focussed

around the needs of our

residents, and treat patients as

individualsAs much

attention to people’s mental health as their physical health

Rehabilitation services

provided as close to home

as possible

Good advice about staying healthy, and where to get the best help

when it is needed

Knowing who needs most help in our

community so we can focus resources on

them

Hospital stays for our patients kept as brief as

possible

Good on-going care plans for our patients if they need care

after their hospital

treatment

Commissioning Cycle

The pre-procurement timetable • January to end of May 2014: We are evaluating

the current contract and finding out what we, other local health and social care commissioners and the public want. We are also working out what the CCG can afford to pay a contractor to do.

• During May: Whilst we gather everyone’s views , the CCG will plan the details of the tendering process for those interested in bidding for the contract. The CCG will also decide what potential bidders will be expected to provide under the new contract

• End of May: The CCG Governing Body will allow the procurement process to begin from 2 June 2014. The first step will be to advertise the opportunity to provide our community health services. Most of what happens during procurement will be commercially confidential, but we’ll share what we can.

How YOU can improve Community Health Services

• Tell us what’s great about these services at the moment, especially about your experiences

• What could be different?

• How would you like to access your services most conveniently?

• What outcomes are most important to you? For example: improved experience improved health better knowledge of how to look after

yourself avoiding ill-health

Q x ) How would you like community services to work with other services i.e. GP, Voluntary Sector? (select in choice order)

1. Shared care plan (the plan to meet patient and carer needs)

2. Single assessment3. Shared information4. Offering personalised services5. Offering 7 day working

Qx) What do you see as the key ambitions of a community service ? (select in choice order)

1. Ensuring a joint health and social care system for adults and children,

2. Improving quality and innovation3. Delivering cost effective, high quality care 4. Reducing health inequalities; working in partnership5. Giving people confidence and skills self care and stay as

healthy as possible 6. Improving care by ensuring easy access to shared

information, which is up to date, meaningful and accurate7. Creating an environment which promotes good patient

experience and evidence based practice

Qx) If you were a carer, or you needed services how would you like to be signposted to a service in the community? (select in choice order)

1. By my GP2. By a self-referral3. Through another professional e.g. a social

worker, a therapist 4. On-line

Qx) What do you value most ? (select in order)

1. Timeliness of receiving care2. The organisation of services3. The quality of care provided4. The quality of information5. The experience of family, friends and carers

Mental Health Session

Angela KellChris MillsLee Colwill

Qx) In developed nations, what medical condition is diagnosed most?(Select one)

1. Cancer2. Mental Illness3. Heart Disease4. Arthritis5. Don’t know

Answer

Mental illness

Q x) Among what group of people are mood disorders found more often? (Select one)

1. Single people without a 'significant other‘2. The poor3. The wealthy4. Immigrants5. Don’t know

Answer

Mood disorders can be found across all races and social classes, but are more common among single people without a 'significant other.'

Qx) Who is most likely to get a mental illness? (Select one)

1. People with stressful jobs2. People who have a low income3. Anyone, regardless of intelligence, social

situation or job 4. Teenagers5. Don’t know

Answer

Anyone, regardless of intelligence, social situation or job. Mental illness doesn’t discriminate, it can affect anyone, at any time of their lives.

Q x) How many people with dementia do you know? (Select one)

1. None2. 13. 24. 3 or more5. Don’t know

Q x) What proportion of people over the age of 65 will die with dementia? (Select one)

1. 1 in 32. 1 in 43. 1 in 54. Don’t know

Answer

1 in 3

Qx) After the age of 30 the risk of dementia doubles every… (Select one)

1. 2 years2. 5 years3. 10 years4. 15 years5. Don’t know

Answer

5 years

An overview of dementia services in North Somerset

Play - Dementia Friend Linkhttps://www.youtube.com/watch?v=9KBlXb3j2Q8