Whitstable Community Network Stakeholder Group Meeting Thursday 23 rd April 2015 10.00-12.00 at Seasalter Christian Centre PRESENT: Ann Judges (AJ) Project Manager C&C CCG (Chair) Roger Ollive (RO) Age UK Whitstable Margaret Walker (MW) Whitstable Medical Practice PPG / Friends of Whitstable Hospital and Healthcare Marion Ahern (MA) Whitstable Medical Practice PPG / Friends of Whitstable Hospital and Healthcare Geoff Jones (GJ) Clinical Lead, Community Network John Ribchester (JR) GP Partner, Whitstable Medical Practice Katie Blissett (KB) SE CSU Paula Smith (PS) Project Manager C&C CCG Wendy Malkinson (WM) Practice Development C&C CCG Supreet Caur (SC) Practice Manager, Saddleton Road Surgery Apologies: Emma Fairbairns (EF) Early Help Group Manager KCC NOTES: Debbie Stewart (DS) Project Support C&C CCG Item Lead 1 Welcome and introductions Introductions were made by all AJ 2 Matters Arising Notes from last meeting held on 7 January 2015 The notes from the previous meeting were agreed as an accurate record Action Log it was agreed that the action log will be reviewed and updated before the next meeting. All agreed that the formatting of the action log could be simplified and made specific to each Community Network. The project plan for the networks now have their own tab and as meetings happen can be populated within the plan Agree Chair KB noted that Job description completed and had been passed to SL for comment. ACTION: This will be circulated to all members. KB
All agreed that AJ would continue as Chair until such time a Chair is appointed as it would be valuable to have her input around progression of the MCPs. 3 Recap of Community Network stakeholder meetings GJ reported that CCGs are working in partnership with local communities to create a sustainable health care system, integrating hospitals, GPs, social care and community services including the voluntary sector. He noted that older people have more complex needs and services need to work together to put patients at the centre and avoid A&E admissions. Priorities from the stakeholder engagement events held in September 2014 and the stakeholder meetings held between November 2014 and February 2015 will help to create focussed programmes of work. Priority areas include community hospitals/care homes, mental health, LTC, hypertension (high blood pressure), children s services and urgent care. GJ explained that where priority areas are shared across the CNs, or have been identified as priorities through other routes, for example NHS Right Care, these will be progressed by the CCG. The CNs will then focus on a small number of local priority areas. GJ outlined the current progress around the networks:- - development of information packs to share at future meetings which will highlight significant gaps - FAQs to aid wider stakeholder understanding of CN programme - A Communications and Engagement plan - Information around activity and finance in the public domain so transparent message around value for money - It was noted that only three community representatives were present at today s meeting. A brief discussion ensued on how to get more engagement and involvement from the community and voluntary sector. Emma Fairbanks, Early Help Group Manager had highlighted that perinatal mental health is a priority for the children s centres and are looking at ways to improve the offer to families locally. AJ commented that at the recent Chairs meeting it was agreed that whilst there would be a core membership for the CN, it would be beneficial to expand representation when focussing on specific topics. It was agreed by all that the agenda and papers for the meetings need to go out in good time to enable people time to read papers and also to enable meetings to be properly publicised. GJ commented that these meetings are for providers to work closely together, make decisions and not just become a talking shop. There continues to be poor communication across some organisations.
MW noted that there needs to be representation at appropriate levels from all organisations, in particular KCC. ACTION: To ensure there is representation from KCC and provider organisations as appropriate, at future meetings A brief discussion ensued around the Directory of Services (DoS) for Canterbury. KB noted that the Canterbury PRG had put together a DoS but there remained limited access. There would a huge pressure to keep this database up to date but it remains a fundamental piece of work. DS noted that a DoS for the Community and Voluntary sector had been added to DXS (an integrated clinical decision support system provided in the workflow of GP practices). ACTION: All agreed that dedicated link to CNs/dedicated page on the CCG website would be useful AJ/KB Agree scope and Next Steps for each area: - MH, in particular IAPT & psychosis - Development of new pathways for chronic heart disease and CHD - Community Hospitals/Care at Home (including EOL) A Right Care Pathway Development Workshop event will be held in May to continue whole system pathway design with secondary care providers. All agreed that there needs to be an understanding by all stakeholders on how all commissioning projects/processes interlink to avoid duplication. Commissioning for value process All agreed that there was a definite need for stakeholder groups to form the basis for engagement, consultation and co- design with a more focused agenda to ensure the relevant people attend to present at these meetings. It was agreed that in order for the CN to function effectively the CCG should ensure that it provides the CN with the relevant information upon which to base CN input into co- designing services, this must be provided in a timely fashion and it should be discussed widely across all relevant stakeholders. The Group discussed the way in which the CNs may change in shape and form as the new models of care start to come on stream. A good example being the Whitstable, Northgate and Saddleton Road Multispecialty Community Provider (MCP) vanguard, which straddles both the Whitstable CN and the Canterbury CN. 3 Updated Terms of Reference It was noted that the Terms of Reference were not available at the time of the meeting. Action: SL to ensure that these are made available for the next meeting. SL
4 Data Packs GJ explained that the CCG s analytical team was continuing to develop the Data packs that will be issued to CNs in advance of meetings, to support the CN s work. He and AJ explained that the data packs were very extensive, and require significant time to develop. They will be released on a subject specific basis as priority areas are identified. All agreed it was important to develop information packs to share at future meetings in order to highlight significant gaps and inform thinking at future meetings. It was noted by the CN that some data would be hard to provide as community contracts were blocked and unpicking finance and activity data would be complex. 5 Increasing Access to Psychological Therapies (IAPT) Specification AJ explained that it has been the intention to share with the CN the draft service specification for IAPT services, which the CCG will be seeking to recommission later in the year. It was confirmed that the current IAPT Any Qualified Provider (AQP) contracts had been extended for a period of 12 months to enable commissioners across Kent to fully develop the service specification that will go out to tender later in the year. CNs are invited to feed in to this process by reviewing the service specification to see if it seeks to commission the services that work for our population e.g. services are accessible and delivering to communities. AJ gave some examples of the sorts of things that the CN members may wish to consider when reviewing the specification to ensure that therapy services are inclusive to all members of the community. The example she used was to seek to ensure that IAPT providers will ensure that they are resourced to deliver talking therapy services to new parents experiencing low level anxiety. There were some discussions around local services e.g. pain management for local groups, PTSD services for older people and increasing access to IAPT services for older men living on their own (the incidence of suicide for men over 55 remains at a high rate in this area). Action: IAPT summary to be circulated to CNs to ensure there are no gaps in services. The CN was encouraged to consider the above points when they review this information. AJ 6 Local Projects GJ noted that it was important to include discussions with stakeholders at CN meetings around the smaller and local projects to ensure that these are not inadvertently missed. It was agreed that the MCP was likely to be a focus for the Whitstable CN, and potentially also the Canterbury CN, but it was important that local projects were not missed as a result of the possible focus on the MCP.
MW and MA gave a brief update on local projects that the Friends of Whitstable are running which included Dementia Friends and Dementia champion sessions in the Estuary View café, befriending services, the garden club at Whitstable and Tankerton Hospital, in collaboration with the matron and sisters, and the Hip Protector Project. 7 Any Other Business Update on Whitstable Multi- Speciality Community Provider (MCP) model JR reported that Whitstable, Saddleton Road and Northgate Medical Practices have come together and have received national Vanguard status to help pilot a new model of care. JR noted that he and AJ had attended a launch event on 22 nd April in London with the National Care Model Team (NCMT) and plans were moving forward at a pace. The Terms of Reference for the MCP Partnership Steering Group were tabled. This steering group involves all local stakeholders including Age UK, SECAmb, League of Friends, Pilgrims Hospice, PPGs and George Wilson. Next steps A 2 hour rehearsal would be undertaken on 23 rd April prior to the NCM Team visit on 5 th /6 th May. The structure of the visit would be the same for all 14 Vanguards including a marketplace event to ensure the NCM Team are given the confidence stakeholders are working together to provide community health and social care packages across all providers. JR noted that the Memorandum of Understanding (MoU) will be signed off by the end of May. GJ asked what might happen if things did not go to plan? JR noted there was not a great deal of clarity at this point. However, it was clear that the national expectation was for the MCP vanguards to be bold and ambitious in terms of developing new models of care to deliver integrated health and care. The vanguards will be supported by the National Team and by peers, and there will be a significant emphasis placed on measurement and evaluation of the new models of care. GJ asked how MCPs would fit with the work and evolving picture of CNs, in particular in respect of patient involvement and ensuring integration across health and social care. JR commented that KCC were very committed to the concept of the NCM Team and felt the Vanguard important. RO commented that there needs to be more support for day centres to provide day care solutions and lessen social isolation for patients.
GJ noted that we need to continue to provide the best outcome for our patients and social isolation is a big drive for physical illness. AJ reported that there would be KCC representation at the MCP Steering Group and that there would be a common understanding that engagement with CNs remains important and crucial. A brief discussion ensued around the local work around older people s services and that of children and young people in the area. AJ added that the local Joint Strategic Needs Assessment will remain the focus of informing priorities for this locality. GJ commented that MH remains a priority across all CNs and a concern in in the community. He added the role of CNs is to develop and listen to patients who use voluntary sector organisations, to improve the quality and efficiency of local services and, in particular, offer more for patients that are sent out of area for treatment. 6 Date and Time of Next Meeting It was agreed once data packs are available a date for next meeting would be circulated and all happy to continue to meet on a Thursday morning. SL/DS