Monthly Archives: October 2017

The Refresh of East Berkshire’s CAMHS Local Transformation Plan for 2017

At the end of each October, NHS England require every CCG to publish a refresh of their CAMHS Local Transformation Plan Summary

East Berkshire CCG’s in collaboration with their partners are currently looking to refresh their Local Transformation Plan by the end of January 2018 for the following reasons:

• University of Reading are currently undertaking an independent audit on CAMHS commissioned services to help inform our commissioning intentions for 2018. This will be ready for review by the CAMHS Transformation Future in Mind Working Group by the end of November 2017.
• A survey asking young people’s views on the accessibility of services is due to finish on October 31st and the results of which will help mould the way that CAMHS services could be delivered in the future.
• So East Berkshire CCG in agreement with NHS England, have prepared a summary on the progress that has been made with our CAMHS services commissioned through the CAMHS Transformation Funds from April 2017 to October 2017.
• The summary also includes evidence from young people and parents as to the impact the services have had on them.
• Finally have identified the next steps and issues that will help influence and shape the full refresh of the CAMHS LTP by the end of January 2018.

If you have any comments or queries, please contact Emma Willing at emma.willing@nhs.net.

Bracknell Forest residents in safe hands for health and social care

Vulnerable people in Bracknell Forest receive safe, good quality health and social care when they need it, a report by the Care Quality Commission (CQC) has revealed.

The CQC carried out a review of Bracknell Forest Council’s adult social care services and health and wellbeing board in September. This is part of central government’s request to carry out local area reviews in a bid to free up hospital beds across the country.

The review looked at how effectively the local health and care system works to ensure a resident’s health and care journey into and out of hospital is provided in a timely and effective way. The review was intended to identify any gaps or problems in the system or areas of good practice in the way in which councils and the NHS work together with partners in the voluntary and private sector to reduce the number of people over 65 delayed in hospital beds.

CQC inspectors looked at the council’s joint working with health partners (Bracknell and Ascot Clinical Commissioning Group (BACCG); NHS East Berkshire Clinical Commissioning Groups; Frimley Health NHS Foundation Trust (FHFT);  Royal Berkshire NHS Foundation Trust (RBFT); Berkshire Healthcare NHS Foundation Trust; and South Central Ambulance Service), as well as care providers in the voluntary and private sector. The review focused on three areas:

  • maintaining the wellbeing of a person in their own home,
  • crisis management,
  • a person’s return home following a hospital stay.

Inspectors assessed the areas against its five criteria, considering whether services are safe, effective, caring, responsive and well led. They found:

  • The majority of older people living in Bracknell Forest received good quality health and social care services in a timely way.
  • There was a commitment to serve the people of Bracknell Forest well across all organisations.
  • Most people using services feel included in decision making about their care.
  • Leaders across all organisations worked together with a clear vision and strategy.
  • The voluntary and community sector played a prominent role in supporting health and social care in Bracknell Forest and saw themselves as service partners.
  • There was a system wide commitment to maintaining people in their home and preventing avoidable harm.

The news comes as Bracknell Forest Council’s transformation of its adult care services, which is focused on increasing joint working between health and social care and more prevention work progresses. This aligns with priorities of the Frimley Health and Care Sustainable Transformation Partnership (STP) as both strategies are focused on helping older people to maintain their independence and stay in their own home where possible, avoiding unnecessary hospital admissions.

The report demonstrated work on these plans is paying off as inspectors found there was ‘a system wide commitment to maintaining people in their usual place of residence and preventing avoidable harm.’

Cllr Dale Birch, executive member for adult social care, health and housing and chairman of the Bracknell Forest health and wellbeing board, said: “Our priority is always the health and wellbeing of our residents, so we welcomed the opportunity for the CQC to review how we work with partner organisations to ensure we’re doing all we can to help vulnerable people get the best possible care.

“I am pleased the hard work of council staff, health and voluntary sector partners has been recognised with the positive comments within this report. However, there is never room for complacency and our focus remains on continuing to transform our services, improving links between health and social care to ensure people get the right support while getting the most out of life.”

Dr William Tong, clinical chair for Bracknell and Ascot CCG, said: “The CCG welcomes the highly positive CQC report on health and care for its residents in Bracknell.

“We have imbedded strong relationships and leadership, and empowered our teams to work together which enables us as partners to further improve in the areas that have been identified and recognised by the CQC as being the right ones. I recommend anyone who has not read the full report to do so.

“Well done to Bracknell.”

Jane Hogg, Integration and Transformation Director at Frimley Health NHS Foundation Trust, said: “We are working hard with our partners across the local health system partnership to improve local services for patients and move towards a more joined up care system. One of the outcomes we are striving for is to find different ways of working to enable more services to be delivered away from the hospital setting. We are delighted that this partnership working has been recognised in the Care Quality Commission’s report.”

To read the report in full, visit: www.cqc.org.uk.

To find out more about Bracknell Forest Council’s adult social care services, visit www.bracknell-forest.gov.uk/health-and-social-care.

Innovative hydration project in East Berkshire scoops three national awards

A project aimed at reducing Urinary Tract Infections (UTIs) and UTI hospital admissions in care homes across Windsor, Ascot and Maidenhead has scooped three national awards.

On Tuesday 17th October, representatives from the project team attended the fifth PrescQIPP Annual Event and Innovation Awards ceremony in Leicester, where they were awarded two PrescQIPP awards for Patient Safety and Best Interface project. They were also successful in winning overall Best Innovation GOLD award.

The annual awards are an opportunity for commissioners to celebrate innovation, learning and good practice whilst promoting medicines optimisation.

Working with the Patient Safety collaborative – Acute Kidney Injury (AKI) work stream at Oxford Academic Health Science Network (AHSN) – the medicines optimisation team from East Berkshire CCGs launched the pilot Hydration project in May 2016 in four care homes* which had higher hospital admissions. The aim was to reduce these UTI admissions to hospitals by 5%.

Over the year, the project saw a 33% reduction in UTI hospital admissions, exceeding its set target. Furthermore, since the pilot ended in May 2017, there have been no UTI hospital admissions to date from the four care homes. The project also saw a reduction in the number of UTIs being treated with antibiotics within all four care homes.

Sajida Khatri, Director of Medicines Optimisation at PrescQIPP, said: “We are delighted to say this is the first time that any project has won more than one category award.

“Most importantly, the project also won the overall Best Innovation GOLD award which was voted for by the community at the PrescQIPP annual event 2017”.

Sundus Jawad, Care Homes and Prescribing Support Pharmacist for East Berkshire CCGs, said: “Following the success of this pilot, we have rolled out the project to six other care homes in East Berkshire with plans to roll out to all care homes in the area by the end of the year.

“As part of the pilot, the project team has worked closely with all care home staff (including carers, chefs, nurses and activity co-ordinators), GPs and dietitians to improve the general health and wellbeing of residents by promoting hydration.

“This was achieved by introducing seven structured drinks rounds to each care home, encouraging people to drink more fluids in an aim to prevent UTIs and other complications associated with dehydration.

She added: “The project also included educating carers and nurses of the benefits of good hydration; raising awareness of UTIs and dehydration, the risks associated with dehydration; raise awareness of AKI and which medicines are linked to increased risk of AKI and to optimise UTI management and avoid antibiotic prescribing”.

Mr Abbas Abdeali, Manager at the Eton house residential home in Datchet, said: “The biggest benefit of the structured drinks rounds was the way it made staff aware of the importance to keep residents hydrated.

“Sometimes a simple method (i.e. structured drinks rounds) can achieve great things”.

Note to editor:

To request a media interview, contact Nisha Duggal on 01753 636836.

*Care homes in the pilot were:

  1. Eton house residential home in Datchet. Manager Mr Abbas Abdeali
  2. Herewards House residential home, Maidenhead. Manager Mr Jeet Rukunny
  3. Meadowbank Care home, Maidenhead.  Manager Mrs Supinderjeet Kaur Brar
  4. Larchfield Nursing home, Maidenhead. Manager Mr Tony Thiru

Details of photo:

  • Left is Katie Lean, Patient Safety Manager at Oxford AHSN (project lead for Oxford AHSN)
  • Centre is Carol Roberts, CEO of PrescQIPP
  • Right is Sundus Jawad, Prescribing and Care homes support Pharmacist and NICE Medicines and Prescribing Associate (project lead for CCGs)

Mothers-to-be urged to protect themselves and their babies this winter

Mothers-to-be across East Berkshire are being urged to have their flu jab to help protect themselves and their unborn child this winter.

 

 

Whether you have recently conceived, are midway through your pregnancy or nearing your due date, you are being encouraged to have the flu vaccination which is available from your GP, maternity service provider or pharmacy, free of charge. Now is the ideal time for you to have it, before the flu virus starts circulating.

Pregnancy naturally weakens the body’s immune system and as a result, increases the risk of a mother and unborn baby becoming seriously ill from flu.

Flu is a highly infectious disease. It is caused by viruses that are spread from person to person. The viruses are constantly changing and this is one of the main reasons why pregnant women should be vaccinated annually. The symptoms, that come on very quickly, include fever, chills, headaches, aches and pains in the joints and muscles, and extreme tiredness.

Flu can make otherwise healthy people feel very poorly for up to a fortnight. There is also strong evidence that pregnant women have an increased risk of developing complications if they get flu which can harm them and their unborn baby. These risks include bronchitis, pneumonia and an increased risk of having a miscarriage or the baby being born prematurely or with a low birth weight.

The best way to avoid getting the flu is by having the vaccination. Doing so reduces the risk of developing the illness significantly.

Jo Greengrass, Associate Director of Nursing, Quality and Safety for Slough, Bracknell and Ascot and Windsor, Ascot and Maidenhead Clinical Commissioning Groups (CCGs) said: “No matter how pregnant you are, whether you are in the early stages, mid or towards the end, it is important that all pregnant women protect themselves and their unborn baby by having the vaccination.

“Flu is a serious risk to both the mother and unborn baby.

“As a mother-to-be, you have an increased risk of developing complications from flu. The vaccine can be given at any stage of pregnancy and is safe for you both.

“Please speak with your GP/ maternity service provider / local pharmacy as soon as possible.

She added: “Strains of the flu virus change every year, and for that reason it is important to have the vaccine every year. Even if someone thinks they have had the flu already, they should still have the vaccine. There is more than one type of flu virus and it is important to reduce the risk as much as possible.”

Notes to editor:

All pregnant women should have the flu vaccine to protect themselves and their babies. The flu vaccine can be given safely at any stage of pregnancy, from conception onwards.

Pregnant women benefit from the flu vaccine because it will: Reduce their risk of serious complications such as pneumonia, particularly in the later stages of pregnancy; reduce the risk of miscarriage or having a baby born too soon or with a low birth weight; help protect their baby who will continue to have some immunity to flu during the first few months of its life; reduce the chance of the mother passing infection to her new baby.

The vaccine is free for pregnant women and is available from their maternity service provider; their GP or local pharmacy.

Many GP practices hold flu vaccination clinics. It is best to find out dates and times by checking on their websites or by calling them directly.

Participating community pharmacies also offer a service for patients who are eligible for a free flu vaccine. If you have the vaccination in a pharmacy they will take your details and let your GP practice know that you have had the vaccination.

To arrange a media interview, please contact Anamika Bansal, CCGs Communications and Engagement Manager, on 01753 636 836.

Ends                     

Anamika Bansal

Clinical Waste Collections

If you have patients who are treating themselves at home and their waste has been identified as clinical waste, please ensure they follow the correct clinical waste collection process.

Clinical waste should not be placed in household wheeled bins, but should always be stored in the appropriate container provided.

Click here for more details and please ensure patients are aware

Getting it right – calling all young people – we need your views!

Getting it right – calling all young people – we need your views!
World Mental Health Day is celebrated annually on the 10 October and this year to celebrate East Berkshire Clinical Commissioning Group, Local Authorities in Bracknell & Ascot, Slough and Windsor and Maidenhead together with Berkshire Health Care Foundation NHS Trust are launching a survey to understand if health and community services for young people being offered are easy for them to use.
This survey is aimed at young people aged 11-18 across East Berkshire. We are committed to improving access to services, particularly those related to young people’s emotional and physical wellbeing, this survey will help us in making sure we are getting it right first time and where we need to make improvements.

The information collected from this survey will be used to help inform your local NHS and councils to help shape future services for young people.
The survey can be accessed via the following link https://www.surveymonkey.co.uk/r/QRTW35C and will be live until Tuesday 31 October 2017.
For further information please contact Susannah Jordan on susannah.jordan@nhs.net

Carers entitled to free flu vaccine to help Stay Well This Winter

Carers across Slough, Bracknell, Windsor, Maidenhead and Ascot are being encouraged to have their free flu vaccine to help Stay Well This Winter.

Many carers are unaware they are entitled to the free flu vaccine which can prevent them contracting the debilitating virus and avoid the serious consequences – not only for themselves – but also for those who depend on the care they provide.

Patients who need a full time carer are likely to be at greater risk of becoming more seriously ill from the flu than the general population, so it is important that their carers are protected against the virus. The free vaccination offers the best form of protection to Stay Well This Winter.

People over the age of 65, pregnant women, those with long term health conditions, school children from reception to year four as well as two and three year olds are being targeted this year.

NHS England’s Regional Medical Director (South), Dr Nigel Acheson said: “Many people think of flu as just a bad cold, but it is much more serious than that.  In particular, those with caring responsibilities need to be extra careful which is why it’s important that they know that they are entitled to have the free flu vaccination and avoid becoming unwell.”

Paula Jackson, Public Health Screening and Immunisation lead for Berkshire, Oxfordshire and Buckinghamshire said:  “Getting flu could make your partner, relative or friend seriously ill. Speak to your GP or pharmacist about the flu vaccination. Better still you could accompany the person you care for and receive the vaccination at the same time.

“The free flu vaccination is easily obtainable from GP surgeries or participating pharmacies. This should be done as soon as possible ensuring that carers and the people they care for are protected at the earliest opportunity.”

Flu is a highly infectious and caused by viruses that spread from person to person. The symptoms, that come on very quickly, include fever, chills, headaches, aches and pains in the joints and muscles, and extreme tiredness.

Paula Jackson said: “It is important that over 65’s, pregnant women, and those in at risk groups get vaccinated as soon as possible.  While children in reception to year four will be offered immunisation in schools, children aged two to three who have not started school should see their GP”

Notes to Editors:

1.    You are entitled to a free flu jab if you receive a carer’s allowance or you are the main carer for an elderly or disabled person whose welfare may be at risk if you fall ill

2.    Many GP Practices hold large flu vaccination clinics. It is best to find out dates and times by checking on their websites or by calling them directly

3.    Participating community pharmacies also offer a service for patients and carers who are eligible for the free flu vaccine

4.    For further information or to arrange interviews, please contact Anamika Bansal, Communications and Engagement Manager, on 01753 636 836  or email: anamika.bansal@nhs.net