Latest News

Patients in local CCG trial see reduction in A&E attendances by a third

NHS Vale of York Clinical Commissioning Group (CCG) working with York Teaching Hospital NHS Foundation Trust is improving patient health and quality of life with Proactive Health Coaching, a telephone-based health management service.

The innovative AI-based nursing service from health technology company, Health Navigator, has been introduced across Vale of York to identify patients at risk of unplanned care attendances and admissions and coach them back to better health.

Evidence from a randomised controlled trial (RCT) in Vale of York undertaken by Health Navigator, has shown a 36% reduction in A&E attendances for those patients supported by health coaching compared to patients that had not received the intervention. On the strength of these local results the CCG, the first in the country to trial the approach, has already expanded the service to 1,800 patients.  Now more than 10 CCG’s across the country are following suit.

Delivered by registered nurses and healthcare professionals through weekly telephone coaching calls, the service is designed to support patients with complex conditions and empower them to take control of their health.

Dr Andrew Lee, the CCG’s Executive Director of Primary Care and Population Health said: “We know that nationally there is increasing demand for urgent and emergency care services. Some of this comes from patients with multiple and complex health conditions. Through Proactive Health Coaching, we have a tried and tested preventative strategy that simultaneously provides better care for these patients and reduces stress on A&E departments and wider health services.

 “Most importantly, we will help to support patients who receive this service to understand and manage their long-term conditions better which we’ve already seen can have a very positive impact on their quality of life.”

From the local RCT, it was found that 55% of patients recruited into the programme from York Hospital felt much more engaged with their care, whilst 84% of people reported an improved quality of life and having more confidence in managing their conditions.

Melanie Liley, Deputy Chief Operating Officer, York Teaching Hospital NHS Foundation Trust said: “The Trust is very supportive of this service and for those patients being supported it is a positive intervention to empower them to better manage their health conditions.”

The next phase will see Vale of York become the first CCG to extend this type of service into primary care to alleviate the increasing demand for GP appointments.

Joachim Werr, Health Navigator CEO, said: “Vale of York has invested in a service that, most importantly, supports patients to live healthier lives, but also has the potential for major system transformation and improvement.”

The project has been widely recognised in national digital press such as Practice Business, Digital Health and Clinical Services Journal.

For more information visit the CCG’s website: http://bit.ly/proactivehealthcoaching

Health Commissioners support York Mind with 65k funding

NHS Vale of York Clinical Commissioning Group has joined Public Health England and City of York Council to award funding to a local mental health charity.

York Mind is an independent charity which provides high quality mental health services in York and surrounding areas. Each year, York Mind support around 4000 individuals through a variety of group based and 1-1 interventions, including counselling, advocacy, young people’s support, employability support, training and an activities programme. 

The charity applied for funding from Public Health England and together with matched funding from the CCG and local authority, a total of £150k over the next three years will be spent on patient services.

The funding received will enable York Mind to expand their young people’s provision to provide group based Arts Award activities to young people aged 9-21, supporting young people to increase confidence and resilience and reduce their isolation.

Denise Nightingale, the CCG’s Executive Director of Transformation, Complex Care and Mental Health said: “Art therapy sessions can be significantly beneficial for some individuals suffering with mental ill health. The funding awarded together with Public Health England will help provide therapeutic environments for young people to resolve ease or express complicated feelings."

Vicky Blakey-Archer, Head of Client Services for York Mind said: “We’re delighted to have received this funding, and to have the work that we are delivering in York recognised by the government. Demand for our young people’s services continues to increase, and thanks to the funding from Public Health England, York CCG and City of York Council we are able to expand our service to provide support to more young people who need it.”  

Councillor Ian Cuthbertson, Executive Member for Children and Young People said: “York Mind offer invaluable help to residents and we are proud to have been able to work with our partners to help fund and support this initiative.

“People of all ages are becoming increasingly aware of and talking about mental health. This important project will focus on building resilience and confidence amongst our young people, adding to the support already available through the school wellbeing service.”

York Mind is located in Highcliffe House and can be contacted by calling 01904 643356 or online at: www.yorkmind.org.uk

Primary care - creating opportunities for professional learning and development

Local GPs and primary care staff are continuing with their programme of peer-led development this October thanks to some important investment into primary care services by local healthcare commissioners.

NHS Vale of York Clinical Commissioning Group (CCG) is working with the Hull and York Medical School’s Academy of Primary Care to provide professional learning and development opportunities for primary care based staff.

Dr Nigel Wells, Clinical Chair at the CCG said: “The Vale of York area is fortunate to have high quality primary care services, but we are now experiencing challenges in the recruitment of new staff, the retention of experienced colleagues and an ever-increasing work load.

“We want to see primary care at the centre of service delivery, ensuring that hospital based care focuses on the elements that can only be done in a hospital setting.

“The protected learning time we have developed for our member practices will help towards providing a firm foundation for us to deliver care that meets the population’s changing needs and allow for a renewed focus on improving health over treating disease.”

The next event takes place on 15 October 2019 and to ensure that local patients continue to receive the care they need from their local practice, the local Out of Hours GP provider, Vocare will be supplying clinical cover from 12noon to 6pm to those practices that choose to take up this learning and development.

There will be a number of workshops at the event focusing on important topics such as travel vaccinations, antibiotic prescribing, menopause, breast cancer, adverse childhood experiences and safeguarding.

‘PCN of the Year’ award in sight for North Yorkshire Primary Care Network

South Hambleton and Ryedale Primary Care Network within NHS Vale of York Clinical Commissioning Group has been shortlisted for a National Association of Primary Care award for improving elderly provision.

The National Association of Primary Care (NAPC) is a membership organisation representing and supporting the interests of all healthcare professionals working across the breadth of primary care. This year they launched their annual awards with a new category – Primary Care Network of the year, to reflect a new landscape and recognise work already achieved by emerging PCNs.

Winning the PCN of the Year award would highlight the significant commitment to South Hambleton and Ryedale’s elderly population and the support which has been established across seven GP practices. This includes:

  • A Dementia co-ordinator post the first post of this type in the Vale of York
  • Increased prescribing reviews
  • Development of an anticipatory model of care, including support from a Consultant Geriatrician
  • Co-ordination of services through a new Care Co-ordinator role*
  • Piloting a rapid cancer diagnosis pathway**
  • Support from the Parkinson’s’ Society to establish a new community nurse working collaboratively with the acute specialist nurse to improve support for patients in this rural locality
  • Partnership working with York Teaching Hospital resulting in more patient reviews out of hospital and support for patients at home.

Dr Andrew Lee, the CCG’s Executive Director of Primary Care and Population Health said: “It’s wonderful for South Hambleton and Ryedale to be shortlisted as it recognises the efforts that have taken them this far. They are a wonderful example of how by investing in trust and engaging with local stakeholders this creates productive relationships that are a win-win for both the providers and patients they serve.”

The PCN award for which South Hambleton and Ryedale PCN has been shortlisted for intends to recognise an ‘emerging primary care network that has made outstanding progress and plans in line with the vision for PCNs in the NHS Long Term Plan and GP contract.’

Dr Paula Evans, Clinical Director of South Hambleton and Ryedale PCN said: “Given that we have not been part of any of NAPC's Primary Care Home programmes, our PCN's work, we believe, is very much true to that concept. We're therefore delighted to have the NAPC's recognition. This shortlisting will also give our locality partnership work a welcome boost & confidence as well as promoting even wider engagement.”

*The Care Coordinator project was made possible by York Hospital Charity Fund who provided the Care Coordinator funding for the first 18 months as the role was piloted and developed. This collaborative project is what kick started the care coordinator role and the PCN would not be as far ahead with the project without this support.

The winners of the National Association of Primary Care awards will be announced at an awards dinner on 9 October 2019. For the full NAPC Awards 2019 shortlist visit: https://napc.co.uk/awards-nominees-2019/

For more information on the six Primary care networks within the NHS Vale of York Clinical Commissioning Group, visit the CCG’s website: https://www.valeofyorkccg.nhs.uk/about-us/primary-care-networks/

*The Care Coordinator project was made possible by York Hospital Charity Fund who provided the Care Coordinator funding for the first 18 months as the role was piloted and developed. This collaborative project is what kick started the Care Coordinator role and the PCN would not be as far ahead with the project without this support.

**The Macmillan project and funding came out of the early promise of the Care Coordinator role in frailty - another fantastic demonstration of working together as a PCN.

New funding for mental health crisis services in North Yorkshire

Mental health services have received a boost in funding across North Yorkshire to provide local people with additional crisis services and alternative places of safety.

Tees, Esk and Wear Valleys (TEWV) NHS Foundation Trust has received over half a million pounds worth of funding from local clinical commissioning groups (CCGs) to help reduce the impact of mental health crisis on both individuals in crisis and wider services, such as the police, ambulance and accident and emergency.

The funding will allow the Trust to maintain specialist 24/7 telephone assessment and crisis support, as well as expanding existing out of hours crisis cafes in York and Scarborough and introducing new crisis cafes in Northallerton, Harrogate and a mental health first aid response into Selby.

Crisis cafes are generally open on an evening and offer people aged 16 and over a safe and comfortable place to go to receive support when they are in distress. The cafes are supported by trained nurses and support staff who have mental health first aid training, whilst also being linked to local crisis and crisis resolution home treatment teams, so café staff can access a specialist response if needed.

The Trust’s existing crisis cafes, The Haven in York and Scarborough Crisis Café, have been operating since October and August 2018 respectively. Both have been exceptionally beneficial for local people, helping over 200 people a week to access information and support around crisis prevention, as well as signposting them to and facilitating access to other relevant and appropriate services, agencies and activities.

Commenting on the boost Liz Herring, head of adult mental health services for TEWV in North Yorkshire, said “This funding is excellent news for local people. We will be able to further meet people’s needs, particularly on an evening, which we know can be a challenging time. It not only allows us to invest in crisis café’s, which offer valuable out of hours support and advice, but it also means that we can develop our 24 hour crisis telephone line to further improve the response that we can provide to people.”

Helen Embleton, urgent care pathways lead said: “We’re delighted to have received NHS transformation funding. This will help us to deliver a responsive crisis service that meets key requirements set out in the NHS Long Term Plan.

“Extending the support available to people before and during a mental health emergency will help to make sure individuals receive the right care, from the right people, in the right place at the right time.

“Over the last couple of years, crisis services across TEWV have been focussing on delivering quality improvements that enhance collaborative and patient centred care. This has involved increasing multiagency working, improving access and pathways into services and increasing patient, carer and family involvement. Extensive work has also been undertaken to reduce police sections and unnecessary attendance at accident and emergency departments.

“We have worked closely with local partners including clinical commissioning groups, NHS England, the police, voluntary sector and ambulance services to secure this funding and are excited at the new and innovative plans in place to develop a ‘fit for the future’ crisis service that meets the diverse needs of the people we support.”

Media release by Tees, Esk and Wear Valleys NHS Foundation Trust

 

Primary Care Network demonstrates significant commitment to elderly population in award nomination

A Primary Care Network (PCN) within NHS Vale of York Clinical Commissioning Group is working collaboratively to generate improved health outcomes for patients in line with the NHS Long Term Plan. This work has resulted in the PCN being nominated for a National Association of Primary Care award.

South Hambleton and Ryedale PCN covers seven GP practices, serving a combined total of 35,000 people. Their locality spans a large rural area to deliver a wide range of services to a predominantly elderly population. 

Evidence of improving patient services since becoming a PCN include:

  • Establishment of a new dementia co-ordinator post the first post of this type in the Vale of York.
  • Support from the Parkinson’s’ Society to establish a new community nurse working collaboratively  with the acute specialist nurse to improve support for patients in this rural locality
  • Increased prescribing reviews amongst elderly population
  • Partnership working with York Teaching Hospital resulting in more patient reviews out of hospital and support for patients at home.
  • Development of an anticipatory model of care for frail elderly patients in the community, including support from a Consultant Geriatrician
  • Co-ordination of services for the PCN’s frail elderly population through a new Care Co-ordinator role
  • Piloting a rapid cancer diagnosis pathway

Dr Paula Evans, Clinical Director of South Hambleton and Ryedale PCN said: “In one of many examples the care co-ordinator supported a lady with advanced cancer; linking care plans from the specialist community palliative care nurse with the GP, facilitating contact with the local support centre when they struggled to get in touch with the family, visiting the lady at home and helping the individual to register for other local support such as community transport for hospital visits.

“The care coordination work in particular releases more time for GPs to focus on their patients often complex clinical needs, with the reassurance that their holistic needs are also being addressed.

 “Within four months of implementing the care co-ordinator role, 774 patients had a risk assessment status coded (red, amber, green) to help prioritise complex care support across the practices and received multidisciplinary team input.”

The PCN award for which South Hambleton and Ryedale PCN has been nominated for intends to recognise an ‘emerging primary care network that has made outstanding progress and plans in line with the vision for PCNs in the NHS Long Term Plan and GP contract.’

Dr Andrew Lee, the CCG’s Executive Director of Primary Care and Population Health said: “The nomination for a National Association of Primary Care award is well deserved and true credit to South Hambleton and Ryedale PCN for their innovation and efforts. It is fantastic to see how these health professionals collaborate with other health partners locally to serve their patients better. Their progress as a clinical network this year has been truly remarkable, particularly given the challenges of rurality and the small size of the locality. They are an exemplar and have much to share with other PCNs about their approach and their journey to date.”

The winners of the National Association of Primary Care awards will be announced at an awards dinner on 9 October 2019.

For more information on the six Primary Care Networks within the NHS Vale of York Clinical Commissioning Group, visit the CCG’s website: https://www.valeofyorkccg.nhs.uk/about-us/primary-care-networks/

CCG announce patient safety project on International awareness day

NHS Vale of York Clinical Commissioning Group announce its local ‘falls prevention’ project on World Patient Safety Day 2019 which aims to protect elderly care home residents from serious injury resulting from a fall.

‘React to Falls’ prevention is an NHS campaign which educates people on prevention of falls, the risks associated with falling. By adapting this national approach, the CCG is currently working with 27 care homes in the Vale of York with over 200 carers trained since June 2019.

The CCG provide a training programme which includes a series of educational videos, group activities, resources and on-going support to the care homes signed up.

Lee Stephenson, Deputy Care Home Manager at Birchlands said: “The training and support provided by the CCG has been very helpful and provided our staff with new knowledge and an adapted approach to protecting people in our care. We are always looking for ways to improve and ‘React to Falls’ Prevention has ultimately contributed to making our premises as safe as possible for residents.

Early success of the project is providing outcomes such as raised awareness, a proactive approach to care and reducing risk of falls.

Michelle Carrington, the CCG’s Executive Director of Quality and Nursing said: “Residents in care homes often have complex care needs and are increasingly frail, with evidence suggesting they are three times more likely to fall than elderly frail people living in their own homes. The training provided by the CCG considers each resident individually addressing their physical, behavioural and environmental needs.

“Importantly we could not complete this without the unwavering determination of the care home staff to keep their residents safe from harm.”

The ‘React to Falls’ prevention project follows on from the successful ‘React to Red’ pressure ulcer prevention work, which reduced pressure ulcers in Vale of York care homes by 75%. This project is currently shortlisted for a Nursing Times and HSJ award and winners will be announced at award ceremonies later this year.

Commenting on the International Awareness Day Michelle said: “Patient safety is incredibly important to the CCG and our dedicated team of nurses work on a number of projects which put patients at the heart of everything they do. This includes work in care homes, research, children’s services and quality assurance.”

For more information on the patient safety work led by the CCG visit: https://www.valeofyorkccg.nhs.uk/our-work/

Project Nurse Helen delivering React to Falls Prevention Training at Fulford Care Home

Local community invited to CCG’s sixth Annual General Meeting

Members of the public are invited to NHS Vale of York Clinical Commissioning Group’s sixth Annual General Meeting (AGM) on Thursday 19 September.

The AGM will provide members of the local community with an overview of the local health and care system’s operational and financial performance during 2018-19.

The meeting will commence at 2-3pm on Thursday 19 September at the Priory Street Centre, Priory Street, York, YO1 6ET.

Dr Nigel Wells, Clinical Chair of Vale of York CCG, said: “The AGM is an opportunity to reflect on the previous year’s performance of both our local health and care system and the CCG’s work as lead commissioner for the area.

“I hope members of the public are able to attend the AGM to hear about important work that has taken place and to ask questions.”

If you wish to ask a question or raise a matter at the 19 September AGM, you must submit your enquiry by no later than 12pm on Monday 16 September.

Please send your enquiry by email to valeofyork.contactus@nhs.net 

Alternatively, you can send your enquiry by post to NHS Vale of York CCG, West Offices, Station Rise, York, YO1 6GA.

The CCG’s AGM is one of several ways that patients and members of the public can get involved and have their say. For other events visit the CCG’s website: https://www.valeofyorkccg.nhs.uk/get-involved/