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"
As more people live longer in Nottinghamshire, local NHS leaders are reminding older patients not to put their health at risk by opting out of bowel cancer screening.
The call comes as NHS England launched new independent taskforce to develop a five-year action plan for cancer services that will improve survival rates and save thousands of lives.
Bowel cancer is the second most common cause of cancer death in the UK. The incidence of bowel cancer in Nottinghamshire is higher than the national average* (53.2 per 100,000 compared with the national average of 46.5 per 100,000).
Dr Guy Mansford, GP and chief clinical officer for NHS Nottingham West Clinical Commissioning Group said: "Survival rates for bowel cancer are dramatically increased when detected early. People over 60 who are most at risk, so it is so important that they accept their invitation to the screening process when it arrives on their door mat. It could save their lives."
Bowel cancer occurs when the cells in the bowel multiply and attack the surrounding tissue - which can then spread to the other parts of the body. It is also called colon cancer.
The symptoms of bowel cancer can be:
· bleeding from your bottom and/or blood in your poo
· a change in bowel habit for three weeks or more especially to looser or runny poo
· unexplained weight loss
· extreme tiredness for no obvious reason
· a pain or lump in your tummy.
Patients might experience one, some, all of the above or no symptoms at all. Most symptoms will not be bowel cancer. People who are worried about any symptoms that might be caused by bowel cancer, should make an appointment with their GP.
Patients aged 60 to 74 will automatically be sent an invitation and a screening kit to do the test at home. The testing kit is a very simple way to collect small samples on a special card at home. There are clear instructions sent with the kit. People then send the card in a hygienically sealed, prepaid envelope to a laboratory for testing. They will be sent the results of the test by post within two weeks.
We are delighted to be inviting local groups to apply for a share of £50,000 to fund health and wellbeing initiatives.
It’s part of the Lifestyle Fund launched by our CGG, in which grants of up to £2,500 are available to fund projects and self-help groups that seek 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.
The CCG says is it hopes to attract a variety of health and wellbeing projects once again. Dr Guy Mansford, chief clinical officer for NHS Nottingham West Clinical Commissioning Group said: “Healthcare starts at home, so funding groups who help others like them is a very important step because it can change perception that support for good health and wellbeing is only provided in the hospital or the GP surgery and allows the community to take a role in supporting each other. I very much look forward to once again, receiving a broad range of applications.”
Lifestyle Fund applications are awarded by a panel of members made up of NHS Nottingham West CCG, Broxtowe Borough Council, Public Health and Voluntary Action Broxtowe.
The deadline for receiving applications is 5pm on Friday 8 May 2015.
We are proud to be one of the first CCGs in the country to sign the British Sign Language Charter, committing to improve the experience of deaf people who use health services.
The pledge was made at a special event organised by Nottinghamshire Deaf Society .
There are estimated to be around 1700 deaf people in Nottinghamshire but around 132,000 with some degree of deafness. Commissioners say that signing the pledge gives them a platform to eradicate health inequalities of the deaf community as lay chair for NHS Nottingham West CCG Nigel Hallam explains: “Signing the pledge is a sign of our dedication to deaf people that we are committed to making sure they have equal access to health services, information and support. It gives us a lever to make sure providers are delivering equal services to their deaf patients. It is part of our collective commitment as commissioners to remove direct and indirect discrimination against deaf people to give them the ability and independence to access services and to provide better educational options for deaf children.”
Robin Ash; empowerment and campaigns officer for BSL said: ‘This pledge is very significant for the National Deaf Community. For years, deaf people have experienced inequality through lack of awareness and lack of knowledge on the part of service providers. This will enable both parties to come together to improve the health of the deaf community.”
Gloria Pullen of the Nottinghamshire Deaf Society said: “We have problems accessing services. With the signing of the charter, those barriers have begun to be lifted. There are lots of information leaflets and reading it is all well and good but some people can’t read it because of literacy issues. Through sign language it overcomes the barriers we face so we welcome this move.”
Public Health England (PHE) and Alzheimer’s Society are calling on people to become Dementia Friends, as research reveals the risk of isolation for people with … - Support people with dementia at Christmas, urge Public Health England and Alzheimer’s Society
Three in four toddlers miss free flu vaccine
England’s chief medical officer, Professor Dame Sally Davies, has warned that too few toddlers are having the seasonal flu vaccine and health chiefs at NHS Nottingham West Clinical Commissioning Group (CCG) are urging all parents of eligible children to take advantage of the free flu vaccine as soon as possible.
Figures released show that just a quarter of eligible toddlers have had their free flu vaccine in England. The uptake, so far, is down on the same point last year, which was the first time children were routinely immunised against flu.
Public Health England said that young children are "super-spreaders" of the flu as they come into close contact with friends, don’t often wash their hands or cover their mouths when coughing. Health chiefs at NHS Nottingham West CCG are particularly concerned toddlers may spread the flu to elderly relatives who then may go on to develop bronchitis and pneumonia and subsequently end up in A&E taking up valuable beds over the winter period.
Last winter was a relatively mild flu season and health agencies have warned of complacency when it comes to getting immunised.
More than two million toddlers have been being targeted in vaccination campaigns, but so far immunisation rate data up to 23 November shows that:
- 28.5% of two-year-olds have been immunised, down from 34.1% this time last year
- 30.5% of three-year-olds have been immunised, slightly down from 30.6% this time last year
- 23.9% of four-year-olds had been immunised
Two and three-year-olds were vaccinated for the first time last winter and the programme has been extended to four-year-olds this year. But Professor Dame Sally Davies, said that parents are citing awareness as part of the problem with half of mums unaware that the vaccine existed or that children needed vaccinating every year.
Last winter in Nottinghamshire around 40% of two year olds had the flu vaccine and around 33% of three year olds. In the autumn/winter of 2014/15 the annual nasal spray flu vaccine is available for children aged two, three and four years old as part of the NHS childhood vaccination programme.
Dr Guy Mansford, clinical lead for NHS Nottingham West Clinical Commissioning Group said: “ The nasal spray is such a simple and pain free way of protecting young people from a particularly nasty illness - which will be especially important as we approach Christmas when families are due to spend more time together. By protecting our children we are also protecting people around us . ”
Professor Dame Sally Davies said: "Flu can be really nasty for toddlers, leading to time off nursery which has a big impact on mums and dads and sometimes even a stay in hospital. They also spread the virus easily and often pass flu to grandparents and other relatives who can become very ill, fast. Giving two, three and four year olds the free nasal spray really is in everyone's interests if you want to help avoid a miserable winter for all the family."
On average, every person with flu passes on the infection to two people every two days and that is why the ambition is to gradually extend vaccination to all two to 16-year-olds as children are more likely than most to spread flu. The vaccination programme is aimed at reducing flu in children and in turn cutting cases in at-risk groups.
Parents who wish to find out more about the flu vaccine are encouraged to visit www.nhs.uk/flu2014 or contact their local GP practice.
NB: . The vaccine is being offered routinely to all children aged two, three and four on 1 September 2014. That is children with a date of birth on or after 2 September 2009 and on or before 1 September 2012. Over time, as the programme rolls out, potentially all children between the ages of two and 16 will be offered vaccination against flu each year with the nasal spray.
Provisional Seasonal flu vaccine uptake in GP patients - 1 September 2014 to 31 October 2014
Health leaders say they are proud of their achievement after it misses out on a top health award
Chairman of NHS Nottingham West Clinical Commissioning group, the body that oversees health services for the people of Eastwood and Kimberley has praised the work of health partnership for being shortlisted for a major health award.
NHS Nottingham West CCG was nominated for its partnership with Broxtowe Borough Council in the Improved Partnerships between Health and Local Government category which recognises how NHS and local government bodies work together to tackle health problems such as dementia and social isolation. The award went to NHS Great Yarmouth and Waveney clinical commissioning group.
The awards attracted record 1300 entries from over 500 organisations and celebrate the projects and initiatives that deliver healthcare excellence and innovation, to improving the quality of healthcare in the UK. To see the 2014 HSJ Award winners click here. The ceremony was attended by Secretary of State for Health Jeremy Hunt, and was compared by BBC political editor, Nick Robinson.
NHS Nottingham West CCG Chairman Nigel Hallam said “ It is a great honour and achievement for Nottingham West CCG to have been shortlisted. Although we didn’t win, I am absolutely proud of our achievement which is national recognition of the work we have done to tackle some of the biggest health challenges facing our population and we will continue to work hard with our partners at Broxtowe Borough Council to identify people who need support with dementia so they can remain independent.”
NHS Nottingham West CCG was shortlisted for a prestigious national health award for their commitment with Broxtowe Borough Council to improving the health and wellbeing of local people.
The CCG used the nomination to call on the public and health professionals to continue the work to tackle dementia, end loneliness in older people and promote healthy living in Broxtowe.
The award attracted a record 1,300 entries.
The clinical commissioning group is now urging people to become a dementia friend to spot the signs of dementia and to look out for elderly relatives or neighbours who may need support as the weather turns colder.
The CCG has been working with the Alzheimer’s Society to train people to become Dementia Friends; who would act as eyes and ears to spot the signs of dementia in other people and to act on it. The scheme has been so successful that 55 members of staff from GP practices across Broxtowe have trained to be dementia friends alongside more than 80 other health care staff from across Nottinghamshire.
Around 64% of our patients living with dementia in Broxtowe and surrounding areas have a diagnosis of the condition, which ranked the CCG eighth best at recognising the disease in England.
The nomination also recognised the CCG’s investment in local health groups. This summer the CCG invested more than £50,000 into local community group to promote health and wellbeing in deprived communities in Broxtowe. The Broxtowe Health Partnership awarded grants of up to £2,500 each as part of a special Lifestyle Fund that has so far supported a range of projects such as support for victims of domestic abuse, dance sessions for older people, a travelling kitchen, breastfeeding peer support and a range of others across Broxtowe.
The CCG was also recognised for its partnership with the council to help keep older people who live alone, independent and safe in their homes. A special Older People’s Sub Group was set up by the partnership to identify people who needed help in their homes and to get them the support they need to stay on their feet, avoid falls and keep warm in the winter.
Dr Guy Mansford, chief clinical officer for NHS Nottingham West CCG said: “Loneliness, dementia and health and wellbeing are interdependent. If we recognise dementia we can put support in place. If we provide support for people to remain independent in their homes we help towards sustaining the future of NHS services by preventing unnecessary visits to hospital. Achieving national recognition of the work we are doing is a strong sign that our approach is working so I would encourage more people to look out for their neighbours, be vigilant about signs of dementia and to get involved in what your local GP practice does to help improve the health and wellbeing of people in your area.”
Councillor Jacky Williams, Chair of the Broxtowe Health Partnership said: “We have had an amazing commitment from health workers and indeed our own housing teams, training as dementia friends. We have been able to support various groups and organisations across the District in their efforts to tackle health inequalities in our communities, with signs of the life expectancy gap narrowing. Whatever the outcome of the nomination, we can be proud that we have a strong and supportive network across Broxtowe and commitment to improving the health outcomes of our population.”
The NHS Five Year Forward View and Next Steps Towards Primary Care Co‐Commissioning
NHSE has Published Two Important Policy Documents that Affect the CCG. At the end of October NHS England (NHSE) published its “Five Year Forward View” which describes how the NHS plans to develop over the next few years. A key theme here is the development of primary care provision.
Following on from the Forward View, NHSE published “Next Steps Towards Primary Care CoCommissioning” on the 10th November. The document is clearly an enabler for the vision described in the Forward View, but it has some significant implications for CCGs that require some urgent action. This paper attempts to summarise some of the key points from these publications and proposes a response from the CCG. If the Governing Body agrees the recommendations this could lead to a change
to the CCG constitution.
The two documents can be found by following these links:
Both publications are about 40 pages long (excluding Annexes), but they both have useful Executive Summaries that are only a couple of pages long. Members are recommended to read these.
Further details are available on the attachment below; however, please note that the links mentioned in the document have changed to the above website links.
Nottinghamshire Healthcare NHS Trust announces findings following public consultation
The organisation that provides mental health services across Nottinghamshire has published the findings of a consultation about proposed changes to some of its Adult Mental Health Services and Mental Health Services for Older People.
The proposals included plans to close Wards A42 and A43 at the Queen’s Medical Centre in Nottingham, and Enright Close residential rehabilitation unit in Newark. As part of the proposal, the trust will still retain hospital and rehabilitation inpatient beds across the City of Nottingham and Nottinghamshire. Nottinghamshire Healthcare NHS Trust plans to enhance its community services for adults following feedback from patients and clinical evidence that shows that people want to be cared for in their own homes, which aids their recovery. The proposals include an enhanced Crisis and Home Treatment Service, available 24 hours/seven days a week, and a Community Rehabilitation Team.
The Trust presented its findings to the Joint Health and Scrutiny Committee on 7 October which confirmed that the Trust can proceed with its proposals.
A summary report including public feedback, and details of the next steps are now being shared with the public.
To find out more please visit: http://www.nottinghamshirehealthcare.nhs.uk/our-services/local-services/have-your-say/
Members of patient participation groups from across Nottingham West give their views about the importance of being involved in your local NHS.
NHS Nottingham City Clinical Commissioning Group (CCG) is pleased to announce that Nottingham Emergency Medical Service (NEMS) Community Benefit Services Ltd have won the contract to deliver Out-of-Hours GP Services to the populations of Nottingham West, Nottingham City, Rushcliffe, and Nottingham North and East CCGs.
The new contract will commence on 1 October 2014 and will run for a period of three years; with a possible extension for a further two years.
NEMS CBS have been delivering these services in Nottingham since 2004 and are a trusted provider in the local health community, with a workforce of local GPs who know the area and the needs of local patients. NEMS CBS submitted an innovative bid as part of a robust procurement process ahead of a number of other competing bidders. The new service will provide a number of additional benefits to the people of Nottingham:
- The service will be re-located to modern premises adjacent to Nottingham railway station; improving both the environment that the service is delivered from and providing car parking facilities and good access via public transport.
- A new IT system will be adopted that will allow clinicians to see GP practice records (with appropriate consent from the patient) to help them to provide the most appropriate care when the patient’s GP practice is closed.
- Walk-in access will be provided for selected groups of patients who find it difficult to access the current service via a telephone assessment from NHS 111.
Dawn Smith, Chief Officer for NHS Nottingham City Clinical Commissioning Group, said:
“Good access to Out-of-Hours GP services is something that we know is very important to patients and is an area that Nottingham has performed strongly in for many years. We have commissioned NEMS CBS to provide this service for the next three to five years and look forward to working with them to ensure that this service is delivered effectively and efficiently with a continued emphasis on improving quality.”
We are delighted to have beaten off competition from across England to be awarded the ‘Excellence in Public Participation - Commissioner Award’ at NHS England’s Innovation Expo held in Manchester on 3 March.
Keynote speakers at the event included outgoing NHS chief executive Sir David Nicholson and medical director, Sir Bruce Keogh.
The award recognised the impact of our Patient Reference Group, set up and operated by patients to represent the views of the 94,000 patients to help feedback about their experiences of local health and social care services. The awards were presented by TV presenter June Sarpong.
Chief Operating Officer of NHS Nottingham West Clinical Commissioning Group, Oliver Newbould said: “I am thrilled, especially as we were nominated by patients and volunteers . It really recognises the work we have done to engage with the people who use our health services which is so vital. I would encourage people who are interested in their local health services to be part of a PPG so they can be involved in the services we commission for the future.”
The Patient Participation Groups are made up of patients who volunteer some time to help their practices improve their services. They meet regularly at the practice, usually each month, for a couple of hours.
They help undertake patient surveys and provide important feedback to ensure patients get the best possible experience. They also act as a point of contact for patient views.
Pictured L-R: John Crouch, Chair of Patient Reference Group, Racheal Millband, Patient & Public Inolvement Officer, Pui-Shan Tang, Senior Data Analyst and Mark Russell, Patient Representative on Governing Body.
Click here to see our Governing Body meeting dates for 2014.
Our Governing Body meetings are held in public and you are warmly invited to attend. The meeting papers and agenda will be available on our website seven days before the meeting.
People living in Nottingham West are more likely to have their condition recognised than in other parts of England.
Almost 64% of people who live with dementia in the Broxtowe area were diagnosed with the condition, ranking the area number eight in the Health Secretary's dementia map of England.
Six hundred patients with Type II Diabetes are now benefiting from treatment closer to home thanks to an innovative scheme that provides a vital service from their local doctor’s surgery.
Patients no longer have to attend hospital for on-going monitoring; and health care professionals within the CCG practices now have regular education sessions to ensure that patients receive high quality care.