NHS Nottingham West Clinical Commissioning Group is clinically led by local doctors from 12 GP Practices in Broxtowe, ranging from Eastwood and Kimberley to Beeston and Chilwell. Since 1 April 2013, we are responsible for the planning and paying of NHS services for almost 100,000 local patients.
"We are committed to ensuring high-quality,
patient-focused services, fit for the future"
People living across Broxtowe are invited to find out more about their local health services at the Annual General Meeting (AGM) of NHS Nottingham West Clinical Commissioning Group (CCG). It is taking place on Thursday 29 September, 6-8pm, at The Haven Centre, Wadsworth Road, Stapleford, NG9 8BD.
The CCG is the clinically-led organisation responsible for planning and funding health services for 94,000 people living across the area.
A health marketplace will begin at 6pm when guests will be able to talk to experts from partner organisations such as the Carers Federation, Healthwatch Nottinghamshire and British Red Cross.
This will be followed by the AGM which will start at 6.30pm when the CCG's Annual Report and Accounts for 2015/16 will be presented. The public will also have the opportunity to ask questions to members of the Governing Body, which includes local GPs.
Dr Guy Mansford, Chief Clinical Officer at the CCG said: "We greatly value our close working relationships with patients, carers and partners who help us to develop the health services that people in our area rely on. Our AGM will give people an opportunity to hear about our achievements over the last year and how we've used our funding to improve the health and wellbeing of people living in Nottingham West. Examples include improved access to GP Practices and our focus on the early diagnosis of dementia."
The organisations that plan and fund NHS services in the Nottingham area say that a new approach is needed to meet the increasing challenges of funding health services.
CCG leaders estimate that currently there is a collective gap of £31 million this year between the money that is available and the cost of providing NHS services for the 750,000 people who live in Nottingham and in the surrounding areas that are covered by Nottingham City, Nottingham West, Nottingham North and East and Rushcliffe Clinical Commissioning Groups (CCGs).
Dr James Hopkinson, Clinical Lead for Nottingham North and East CCG explains: "We need a new partnership, including one with our patients and citizens, to try to meet the growing financial gap. As clinicians and as managers of our local NHS resources we are determined to ensure that the people in greatest need can rely on high quality services and appropriate support.
"There are also things that we can all do as individuals to make the best use of NHS services, improve our health and support our communities to be healthier. It will take a concerted effort from everyone to try to put our local NHS budget on a firm footing, to ensure that we spend our money wisely and that we live within our means. It's now time for that concerted effort."
Doctors are already working with managers on plans that will improve health services, making them more efficient and better value for money. These include:
- Redesigning services, such as those for patients with stomach/digestive (gastro-intestinal) conditions, to ensure patients are seen at the right time, by the right health professional to reduce of unnecessary tests and appointments. This more streamlined service from GP surgery to hospital consultant will be better for patients and also cost less
- Organising services nearer to home for patients by using new information technology
- GPs able to access diagnostic tests for their patients directly rather than following a hospital visit
The CCG leaders hope that initiatives such as this will go towards meeting the current financial deficit. But increasing demand for some services this year means that already resources are being stretched to their limit and the existing savings may not be enough.
Dr Guy Mansford, Nottingham West CCG Clinical Lead said: "There is a perception that the NHS is free, that it's not real money. It is very real and it's being paid for by you and me and we all want to see the NHS continue to provide appropriate care when we need it. To ensure this happens locally we've got to spend every pound wisely".
High demand for a range of services including Accident and Emergency, routine surgery, hospital care, pain management and escalating costs for funding care packages for patients in their own home, with complex needs or who need nursing care (NHS Continuing Healthcare and NHS-funded nursing care) are adding to the total NHS costs. There are no additional resources to meet these increasing costs.
As a result the CCGs are asking patients to support the savings by using the right NHS service at the right time. For example:
- Use your local pharmacy first for advice and commonly available medicines, which can now be bought over the counter e.g. Antihistamines for allergies such as Hay Fever cost £1.80 for a two week supply at supermarket pharmacies.
- Only order medicines that you are actually going to use (it is estimated that over £2 million per year is wasted in unused medicines locally)
- Attend any appointments and contact the service if you cannot attend so that the appointment can be offered to someone else. Not asking for hospital transport if you can use other ways (e.g. a taxi)
- Get your Flu jab, especially if you are contacted by your GP, as being in a higher risk group
Speaking on behalf of Rushcliffe CCG, Dr Stephen Shortt said: "No one should be unaware of the profound challenges that exist in our local NHS and care system, and in particular meeting everyone's needs within the available resource. I'm not falsely upbeat, but there is real reason to be optimistic. All the organisations involved understand that these challenges cannot be solved by individuals or organisations on their own, but that we need to work together. That work is urgent and has already started.
"We have been working hard over recent months and have identified many, many opportunities to make better use of our collective skills and knowledge and improve the quality and value of care within the amount of money we have been allocated. There will inevitably be some tough decisions to be made as we progress these savings opportunities."
Those considered to be at greatest risk of developing Type 2 diabetes across Nottinghamshire are set to benefit from increased help to avoid the disease.
Type 2 diabetes is one of the UK's biggest health challenges – there are currently 2.8 million adults with the disease in England, and around 200,000 new diagnoses are made every year.
A new partnership between a leading diabetes research centre and Ingeus UK has been formed to deliver the recently announced Healthier You: NHS Diabetes Prevention Programme across the East Midlands Clinical Network, on behalf of NHS England.
The Leicester Diabetes Centre (LDC) is an internationally recognised centre of excellence in diabetes research, education and innovation and Ingeus is a leading provider of health, employment, training and skills services.
The partnership is working jointly with 11 Clinical Commissioning Groups (CCGs) and Local Authorities in Leicester, Leicestershire and Rutland, Nottinghamshire and Northamptonshire to provide comprehensive support and prevention services to more than 2,100 people in 2016-17 and 3,200 people in 2017-18 as a first wave site of the Healthier You: NHS Diabetes Prevention Programme. Nationally, the landmark prevention programme will, over the next five years, help up to 190,000 people across England who are at high risk of developing Type 2 diabetes.
Referrals into the service start in Nottingham City CCG from 22 July and in Nottinghamshire County from 22 August.
Dr Yassir Javaid, GP clinical lead for diabetes for the East Midlands Clinical Network said: "Type 2 diabetes is a big priority area for CCGs in the East Midlands. Like most areas of the country we are seeing an increase in new diagnoses driven by sedentary lifestyle and obesity. The complications of Type 2 diabetes results in huge human, social and financial costs within our locality.
"CCGs in the East Midlands see the enormous value in preventing diabetes and are therefore rolling out a programme which will increase the identification of patients at high risk of diabetes who can then be signposted to the Healthier You: NHS Diabetes Prevention Programme."
Those at risk will participate in a programme aimed at supporting and encouraging healthier lifestyles, with a focus on diet and physical activity. Evidence shows that the programme is effective in achieving sustained behaviour change and reducing the incidence of the disease.
Professor Melanie Davies CBE, Professor of Diabetes Medicine at the University of Leicester and based at the Leicester Diabetes Centre, said: "Type 2 diabetes is one of the most prevalent and costly conditions in the East Midlands, but the most efficient way to address the problem of diabetes and its complications is to prevent it from developing, taking a proactive rather than reactive approach.
"We are delighted that our research has been used to inform the Healthier You: NHS Diabetes Prevention Programme and that research done in our region will be put into practice for the benefit of patients."
Barry Fletcher, Ingeus's Chief Operating Officer added: "Ingeus is delighted to be working alongside the Leicester Diabetes Centre and other health professionals throughout the region to encourage a positive change in public health.
"Our experience of delivering large-scale programmes in a number of sectors, including health, means we are well placed to make a real difference, and we look forward to supporting those considered to be at greatest risk of Type 2 diabetes."
Local patients with dementia and their carers are set to benefit from the latest digital technology at Beeston Memory Café thanks to funding from NHS Nottingham West Clinical Commissioning Group (CCG). The announcement comes during national Dementia Awareness Week which is running from 15-21 May 2016.
The CCG has awarded £1,000 to the memory café to fund a digital arts and crafts project which will see patients using touchscreen tablets to enable stimulation, creativity, entertainment and social interaction.
Cllr Janet Patrick, Chair of Beeston Dementia Friends, said: "We are absolutely delighted to have been granted this funding by the local NHS. Many of us don't realise how simple and effective touchscreen technology can be when used by people with dementia and their loved ones.
"We recently borrowed some tablets for a taster session at Beeston Memory Café which proved extremely successful. We're looking forward to making the touchscreen tablets a regular feature at the café which continues to go from strength to strength, with more than 50 people regularly in attendance."
There are a variety of dementia friendly technology apps which are accessible and adaptable to a wide range of ability. They include sensory experiences through colour, light and sound; crafts such as cross-stitch and pottery; film-making and musical composition.
Dr Guy Mansford, Clinical Lead for NHS Nottingham West CCG said: "Beeston Memory Café is doing some wonderful work in the local community and we are pleased to support such an important cause. We strongly believe that with the right support people can live well with dementia and continue to lead fulfilling lives. If anyone has noticed symptoms of dementia in a family member or friend, or are concerned about their memory, they should seek support from their GP."
Don't miss the Carers Roadshow which is coming to Stapleford Care Centre on Tuesday 17 May, 10am - 2pm.
There will be lots of stalls offering support and advice for carers with their important caring role.
The Roadshow was created by local carer, Trevor Clower, who has offered support to hundreds of carers on a voluntary basis.
Are you interested in helping to transform the care for people with learning disabilities and/or autism who display behaviour that challenges, then we encourage you to let us know your views?
Together we can transform and deliver the right services for the future. Nottinghamshire is one of five areas nationally which has been selected by NHS England to lead the way in helping to change how we provide care.
- Reducing the number of people that are admitted to hospital unnecessarily
- Improving access to interventions to prevent a health crisis
- Putting in place the right support for those who need help in a crisis.
We are consulting on plans that will support people to stay in their community near family and friends rather than living in hospitals for long periods of time. Our aim is to transform care and support for individuals with a learning disability and/or autism who display behaviour that challenges including those with a mental health condition so that their care is focused on keeping them healthy, well and supported in the community.
To do this, services in local communities will be strengthened meaning there will be more community beds and fewer longer term admissions.
How you can get involved:
The consultation runs until 20 May (midnight) 2016.
We want to hear your views. To find out more please visit: Nottinghamshire Transforming Care Programme 2016
Where you can read the consultation document also available here:
Consultation Document - Nottinghamshire Transforming Care Programme 2016
and then complete the short online questionnaire.
There is an ‘easy read’ version of the information and questionnaire is also available:
The consultation runs until 20 May (midnight) 2016.
This consultation is being managed by the ‘Nottinghamshire Transforming Care Programme’ made up of local health and social care organisations responsible for providing care to people with learning disabilities.
If you keep a good stock of medical supplies on hand, many minor accidents and injuries such as a sore throat, cough, grazed knee or hangover can be treated at home. But remember to check use-by dates on all medicines, and make sure they are properly stored and out of reach of children.
A basic first-aid kit should contain:
plasters in a variety of different sizes and shapes
small, medium and large sterile gauze dressings
at least two sterile eye dressings
crêpe rolled bandage
disposable sterile gloves
tweezers and scissors
alcohol-free cleansing wipes
thermometer (preferably digital)
skin rash cream, such as hydrocortisone or calendula
cream or spray to relieve insect bites and stings
painkillers such as paracetamol (or infant paracetamol for children), aspirin (not to be given to children under 16), or ibuprofen
distilled water for cleaning wounds
eye wash and eye bath
Common ailments such as colds, sore throats and coughs can often be effectively treated at home. Pharmacists have a wealth of knowledge in how to treat these types of illness and a local pharmacy may help. It is also important to make sure your medicine cabinet at home is well stocked and contains sufficient over-the-counter medicines to treat minor ailments.
Urgent Care Centre
Nottingham NHS Urgent Care Centre
Seaton House, London Road, Nottingham, NG2 4LA
This Urgent Care centre is open every day of the year from 7am to 9pm. Just walk in, no appointment is needed. The centre is near the BBC centre on the London Road Island
If you need medical advice quickly, call NHS 111. Available 24 hours a day, 7 days a week, when you call NHS 111 you will be assessed, given advice and directed to the local service that can best meet your needs. An out-of-hours GP service is available for illnesses and injuries that cannot wait until we reopen after Easter.
In an emergency – call 999
If you or someone else has: loss of consciousness/ severe breathing difficulties/ heavy bleeding/ severe chest pains/ possible broken bones/ deep wounds/ stroke/ swallowed something harmful or poisonous/ taken a drug overdose then go to the Emergency Department at the QMC or call 999.
We are inviting local groups to apply for a grant of up to £2,500 to fund health and wellbeing initiatives. It's part of the Lifestyle Fund that seeks to improve the health and wellbeing of local communities. It aims to tackle local health priorities such as smoking, poor diet and lack of exercise.
In 2014, the fund successfully supported 26 local community projects and groups across Broxtowe including support groups for people with dementia to an exercise group for people living with Parkinson's disease.
The grants also helped to fund an Eastwood based respiratory support group called Breathe Easy, a project to support victims of domestic violence and an allotment society who support people with learning disabilities.
This year, applications are being sought to tackle priority areas such as smoking cessation, healthy eating, reducing substance misuse and alcohol related harm; support for older people; improving mental health, supporting physical activity, tackling domestic violence, supporting people with the poorest health, sexual health and reduction of teenage pregnancy and supporting people with learning disabilities.
We hope to attract a variety of health and wellbeing projects once again.
From 1 October 2014 people who are eligible for NHS continuing health care, including children and young people have had the right to be considered for a personal health budget. For more information about NHS continuing healthcare including who is eligible please click here.
In addition, the right to be considered for a personal health budget is part of the Special Educational Needs and Disability Code of Practice published by the Department of Education. Under the Code of Practice, children and young people with additional needs have the right to have a single plan across education, health and social care with the possibility of taking some of their support as an integrated personal budget which can include NHS resources. For more information about the Special Educational Needs and Disability Code of Practice please click here.
For more information on personal health budgets including responses to frequently asked questions please click here.
Five-year plan for developing and expanding access to personal health budgets
The NHS wants more people with complex long term needs to benefit from the option of a personal health budget. Locally the Nottinghamshire Clinical Commissioning Groups (Mansfield & Ashfield, Newark and Sherwood, Nottingham North & East, Nottingham West and Rushcliffe) are committed to increasing the proportion of people eligible for NHS continuing health care who hold personal health budgets, as well as the number of children and young people eligible for an education, health and care plan benefiting from an integrated care budget offering flexibility and choice and incorporating funding for health care from the NHS.
The teams involved in assessing people eligible for NHC continuing health care and children and young people eligible for an education, health and care plan have now been trained in personal health budgets and will now routinely discuss this option as part of the assessment process.
As well as expanding the number of personal health budgets for those eligible for NHS continuing care the Nottinghamshire Clinical Commissioning Groups will be working closely with Nottinghamshire County Council to improve and expand access to personal health budgets for other groups of individuals with suitable high level needs but who are not eligible for NHS continuing care.
It is important to understand that developing personal health budgets is not about finding new money for additional services but about spending some of the money currently being spent on existing services in a different way. This approach represents a major shift in the way the NHS works and will require comprehensive engagement, careful planning and testing, so as not to compromise the financial sustainability of the NHS or destabilise existing services for other people.
Across Nottinghamshire work will begin with a detailed analysis to understand the scale, scope and challenges of the potential expansion involving significant engagement with potential PHB beneficiaries, carers, clinicians and service providers. This is planned to take place in the early part of 2016 with a view to developing a clear vision and strategy to expand the use of personal health budgets by December 2016 for implementation in 2017.
It is likely that early implementation will initially be prioritised for a relatively small group of individuals with suitable high level needs for whom current service offers do not always work well but who are not eligible for NHS continuing care e.g.
- People with learning disabilities or autism in high cost residential placements, or those with high support needs who are frequently using inpatient services, or are at high risk of using inpatient services
In order to facilitate robust engagement opportunities to take this work forward, and following national exemplars in this emerging developmental policy area, Nottinghamshire CCGs plan to establish a local peer network for potential PHB beneficiaries or people with experience of personal budgets.
In the longer term (i.e. over the next 3-5 years) Nottinghamshire Clinical Commissioning Groups will consult on and further develop processes to enable more people with suitable high level long term needs to benefit from the flexibility, choice and control offered by the personal health budget process, such as:
- Those with complex long term conditions (including neurological conditions) for whom current services do not work well resulting in frequent relapse or crises and access to acute services
- People receiving mental health services who frequently use A&E services
- Young people receiving mental health services transitioning to adult services
There are less than two weeks' left for armed forces veterans to share their experience of mental health services and help improve future care across the country. The launch of a national survey will help improve the care available for veterans as they move from military to civilian life.
The survey is a chance for veterans to share their experiences and views of existing mental health services and to understand the reasons why some people have not sought or received support and treatment. In addition to seeking views from veterans, family members and carers, as well as staff and organisations that are providing treatment and support in this area are all able to take part.
The NHS currently provides 12 mental health services across England specifically for veterans. They enable specialist staff to care for ex-forces personnel with mental health needs, direct them to the most appropriate service and give them effective treatment. With new contracts due in the next year, this is an opportunity to develop future services that take account of current experiences.
Dr Jonathan Leach, Chair of NHS England’s Armed Forces and their Families Clinical Reference Group, said: “On leaving the armed forces, most people successfully transition back into civilian life. But some individuals can experience very traumatic situations whilst serving in the military before facing the additional challenges of moving back into civilian life, all of which can take a severe toll.
“While mental health awareness is improving, we can do more to identify issues not just with Post-Traumatic Stress Disorder but with wider problems linked to anxiety and depression. We are asking for feedback from veterans, their families and NHS specialists so that the right care and support is available early and easily for those who need it.”
It is hoped that thinking about their experiences will help to start breaking down some of the stigma when it comes to talking about mental health issues.
One veteran to benefit from the care delivered by NHS staff at the Veterans First Service is Spencer Orchard. Spencer served in the British Army and saw action in the first Gulf War but his experiences lead to him showing the classic signs of Post-Traumatic Stress Disorder (PTSD). After struggling with anger management problems and adjusting to civilian society, he came to the service run by the North Essex Partnership University NHS Foundation Trust.
After extensive treatment, Spencer is doing well. He is pursuing a new career as a psychologist and is looking to help others who have gone through similar experiences. He is doing voluntary work at the local university and helping staff with a research project into PTSD.
Meanwhile Tony Stubbs, who served three years in the Army, was also struggling after his time in the military ended. He was referred to the Pennine Care NHS Foundation Trust’s Military Veterans’ Service. Tony said: “I’d be dead by now if the Military Veterans’ Service hadn’t helped me stop drinking and then helped me deal with my mental health problems. Now I’m well, back on speaking terms with most of my family, helping other veterans as a peer mentor, studying at college and looking to get a paid job.”
Tony is one of four veterans who recently trained as a Community Reporter as part of a pilot, commissioned by NHS England, to explore the barriers that Veterans experience in accessing mental health support.
The survey is open until 31 March 2016 - https://www.engage.england.nhs.uk/survey/veterans-mental-health-services
The Care Quality Commission (CQC) has found the quality of care provided by The Valley Surgery in Chilwell, Nottingham, to be Outstanding following an inspection in October.
Inspectors found the practice was providing a safe, effective, caring, responsive and well-led service that meets the needs of the population it serves. A full report of the inspection has now been published and is available on CQC's website.
Under CQC's new programme of inspections, all England's GP practices are being given a rating according to whether they are safe, effective, caring, responsive and well led. The report on The Valley Surgery highlights a number of areas of outstanding practice, including:
- The practice staff were open and transparent and fully committed to reporting incidents and near misses.
- The practice had an embedded culture and proactive approach to anticipating and managing risks to patients which was recognised as the responsibility of the staff we spoke to.
- The practice provided a level of care over and above what was demanded by their contractual obligations or expected by their patients. The high level of compassion and respect given to patients in need, whether at end of life or during a deterioration of their condition was reflected in comment cards and by talking to patients throughout the inspection.
Janet Williamson, Deputy Chief Inspector of General Practice and Dentistry in CQC's Central region said:
"It is clear The Valley Surgery is providing an effective, responsive and well led service which is a real asset to the people living in this part of Nottinghamshire. Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
"Our inspectors saw 29 thank you cards the practice had accumulated over the last year from patients and relatives praising the staff for the high level of care and compassion they received. The patient survey showed that patients rated the practice higher than others for almost all aspects of care and this was evident in our findings.
"Staff also understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed. All of this hard work pays off in making a real difference to patients – which is why we have found this practice to be Outstanding."
Patients registered with Linden Medical Group are encouraged to have their say on the proposed closure of their branch surgery, Doctors’ Corner, in Wollaton.
Currently patients are seen at both Stapleford and Wollaton sites. The proposed change would see patients benefitting from additional appointments and greater continuity of care in the modern and purpose built premises in Stapleford Care Centre.
What would this mean for patients?
- All registered patients, including patients who are usually seen at the Wollaton branch, would be offered appointments at Stapleford if they need to see a GP or a Nurse.
- Home visits would continue for all frail and housebound patients.
- Patients who choose not to remain registered with the practice would be supported and offered advice on how to re-register with a different practice.
Linden Medical Group is working closely with its Patient Participation Group, the CCG and NHS England to ensure all patients and stakeholders have their say between now and 28 March 2016.
A patient information letter, feedback questionnaire and details of two public events can be found on Linden's website - click here to view.
Click here to complete a survey about how best we can support adults with mild, moderate and severe common mental health problems such as depression, anxiety and eating disorders. We want to provide services that are effective in helping people recover, stay well and live as independently as possible.
Primary care psychological therapies (PCPT) – sometimes called talking therapies – are already available and can meet the needs of many people with common mental health problems. However, for people who have not recovered through PCPT or where PCPT is not deemed suitable, we need to assess whether any alternative options can be provided.
We are carrying out this survey to gather feedback from local people who may use these services. This will help us determine whether we need to make any changes to current services and, if so, what kind of services people might be likely to use. Please help us by taking the survey: www.surveymonkey.co.uk/r/services-for-mental-health
Information from Nottingham University Hospitals:
National junior doctors' strikes have been confirmed for today (Tuesday 12 January). We recognise and value the crucial contributions of our junior doctors and acknowledge their right to strike over their concerns about the proposed new contract.
Our consultants, nurses and wider teams across NUH have been working together to ensure patient safety over the days we will be managing with fewer junior doctors.
Unless you have been notified, please attend our hospitals for your appointment or surgery as normal today.
Patients whose appointment or operation has been cancelled due to the strike have been notified and we ask that those patients do not attend our hospitals today. We will contact you with a new date as soon as possible.
If you have any questions about your outpatient appointment or operations please call:
Outpatient appointment: Call the appropriate department directly (the phone number on your appointment letter). If you don't know the number, please call 0115 924 9924 (QMC) or 0115 969 1169 (City) Operation: Contact the relevant department or your consultant's secretary directly via 0115 924 9924 (QMC) or 0115 969 1169 (City)
We are planning for the subsequent strikes planned for 26 January and 10 February. We will be in contact with patients in due course if their operations or clinic appointments are affected.
Don't go straight for the antibiotics if you are feeling ill - is the warning from GPs across Broxtowe. Many patients ask for antibiotics when visiting their GP as they assume a course of antibiotics is a cure-all solution. However the overuse of antibiotics can result in infections becoming resistant to the drug so they do not work.
Dr Mansford, Chief Clinical Officer of NHS Nottingham West CCG said: "Fighting infections is a growing problem due to antibiotic resistance. It is driven by overusing antibiotics, prescribing them inappropriately and patient's not finishing the course. To slow down the development of antibiotic resistance, it is important to use antibiotics in the right way – to use the right drug, at the right dose, at the right time, for the right duration. Antibiotics should be taken as prescribed and never saved for later or shared with others."
What patients should do:
· take only the antibiotics as prescribed
· not skip doses of antibiotics
· ensure antibiotics are taken at regular intervals
· never save some for later
· don't stop taking them even if you feel better
· not share antibiotics with others.
Speak to your GP if you are given antibiotics and are concerned or visit the following page on NHS Choices for more information. For more information on staying well this winter visit www.nhs.uk/staywell