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"
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
The NHS is encouraging people in Nottinghamshire to plan their healthcare during the festive season. With advice on common illnesses and the best medicines to treat them, visiting the pharmacist can save you time in the waiting room and help you feel better fast.
Dr Ken Deacon, Medical Director at NHS England in Nottinghamshire said: "Your local pharmacy can help you with more than you might think. Pharmacists offer expert, confidential advice and treatment for many minor health problems."
Many pharmacies will remain open over the Christmas holidays, when some other services may have reduced opening hours.
"As most GP surgeries will be closed on Christmas Day, Boxing Day and New Year's Day we would also encourage patients to order any medication they need in plenty of time so they have a good supply during the festive period," added Dr Deacon.
NHS England and NICE have launched a 12-week public consultation - https://www.engage.england.nhs.uk/consultation/cdf-consultation - seeking views about proposals for the future direction of the Cancer Drugs Fund (CDF).
During the consultation period, which runs until 11 February 2016, NHS England and NICE will be hosting a number of face-to-face events, and webinars, to enable everyone to hear more about the proposals, and to ask questions. The aim of these events is to provide an opportunity to learn more, and clarify any points.
There will be two webinars before Christmas on Thursday, December 17 at 11am and 1pm. Each of the webinars will last for approximately 1.5 hours and are both open to anybody with an interest in the future direction of the CDF. Additional webinars will be organised in the New Year, some of which will be targeted at specific audiences e.g. patient groups and charities.
Each webinar is limited to 40 places. Once capacity for a webinar has been reached, you will not be able to join. In this case, please register for another event, or look out for details of further events in the New Year. To register for the webinars, please go to: http://www.events.england.nhs.uk/
There will be two face-to-face events in January. Anybody with an interest in the future of the Cancer Drugs Fund is welcome to attend. Please note that places are limited, so please do register early if you wish to attend.
The first will take place in London on Wednesday 13 January, from 10am to 12.30pm and the second in Manchester on Friday 15 January from 2pm to 4.30pm. Registration details for both events can be found at: http://www.events.england.nhs.uk/
Health leaders in Nottinghamshire advising patients not to leave it too late to order and collect repeat prescriptions this Christmas. Running out of daily medication over the festive period could have serious consequences for patients who rely on them to control heart and breathing problems.
Many GP practices will have limited opening hours during the Christmas holidays and the majority of pharmacies will also be closed on Christmas Day and New Year’s Day.
Dr Guy Mansford, GP and chief clinical officer for NHS Nottingham West Clinical Commissioning Group said: “The busy festive period can make it difficult to remember the important, everyday things such as ordering repeat prescriptions. This is especially important, as those with long term conditions rely on their prescribed medication to help them keep their condition under control. It’s important to order repeat prescriptions at least a week in advance so that the festive season can be enjoyed in good health”
“People are also being advised to double check that they are prepared with sufficient over-the-counter remedies so that minor illnesses and injuries can be managed at home. Local pharmacies can provide useful advice and deal with minor ailments without people having to see their GP about winter bugs like coughs, colds, sore throats, stomach upsets and flu.”
We're backing this year's Decembeard campaign; a national hair growing crusade in which men ditch their razors for the month of December to help raise awareness of bowel cancer.
We're using the campaign to call on everyone to be more familiar with the symptoms of bowel cancer; its causing factors and to identify the early signs of the disease and save more lives. They are also using the campaign to issue a reminder to people about the importance of screening for early detection of the disease.
Bowel cancer is the second biggest killer of men and women in the UK and is the most common cause of death in men after lung cancer. The disease is the fourth most common cancer in men and women in the UK. In 2011, there were more than 41,500 new cases of bowel cancer in the UK: 23,171 (56%) in men and 18,410 (44%) in women.
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)*. In the UK between 2009 and 2011, an average 43% of bowel cancer cases were diagnosed in people aged 75 years and over, and 95% were diagnosed in those aged 50 and over. More than 2,100 patients under the age of 50 are also diagnosed with the disease each year, with three out of five of those diagnosed under the age of 50 having stage three or four bowel cancer.
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.
Decembeard participants will grow their beards during the month of December to help raise funds and awareness for the charity. The campaign has been backed by famous personalities including comedian and actor Eddie Izzard, whose mother died from bowel cancer, and former England Rugby star, Matt Dawson who lost his grandfather to the disease.
Decembeard is hosted by national charity, Beating Bowel Cancer which has been saving lives from the disease by raising awareness of symptoms, promoting early diagnosis and encouraging open access to treatments. Decembeard has grown to become one of the most engaging health promotion campaigns since Movember.
Around 1 in 20 people in the UK will develop bowel cancer during their lifetime, and with around 40,000 new cases every year, health leaders are urging patients to seek advice from their GP if they discover the following symptoms:
- Blood in faeces
- Change in bowel habits (more frequent, looser stools)
- Abdominal pain.
Dr Guy Mansford, chief clinical officer for NHS Nottingham West Clinical Commissioning Group: "It is so important that people are more familiar with the symptoms and that sent them, complete their home testing kits after they have landed on their doormat. Bowel cancer is one of the most treatable cancers if it can be detected early yet is still remains one of the biggest killers. Family history is a factor but other factors are lack of exercise, obesity, high alcohol intake and smoking. The home testing kit is simple, straightforward and could save your life"
Almost 9 in 10 cases of bowel cancer are in patients over the age of sixty. Sign up and show your support for this year's Decembeard challenge, visit www.decembeard.org to register.
The Care Quality Commission (CQC) has found the quality of care provided by Church Walk Surgery in Eastwood to be 'Outstanding' following an inspection carried out in August 2015.
Inspectors found patients were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. The surgery provides services to approximately 11,500 patients. The full report of the inspection can be read here.
Nigel Hallam, Chairman of NHS Nottingham West Clinical Commissioning Group (CCG) said: "It's a fantastic achievement for Church Walk Surgery to be rated outstanding by the CQC. I'd like to congratulate both the practice staff and patient participation group for putting patients at the centre of everything they do and delivering a first class service."
Under CQC's new programme of inspections, all GP practices are being given a rating according to whether they are safe, effective, caring, responsive and well led. The report highlights a number of areas of outstanding practice including:
- There was a strong focus on continuous learning and improvement at all levels within the practice. The practice team was forward thinking and took part in local pilot schemes to improve outcomes for patients in the area. For example, the partners had taken a lead role in the design of care pathways for a range of long term conditions and the development of the local GP provider company (Primary Integrated Community Services Ltd). As a result, community services were developed to treat and manage conditions such as respiratory conditions, heart failure and cardiology, pain and non-malignant palliative care. Outcomes achieved for patients included services being delivered closer to home, reduction in secondary care referrals and hospital admissions.
- The patient participation group (PPG) had strong links with the local community through facilitating health promotion events and local support groups for lung related health needs and carers. Additionally, the PPG worked in collaboration with two other PPGs to ensure the wider community benefited from the activities they held. Patient feedback showed patients had enjoyed the informative events and received useful information on healthy lifestyle advice.
Janet Williamson, Deputy Chief Inspector of General Practice and Dentistry in CQC's Central region said: "The practice had a clear vision which had quality and safety as its top priority. A business plan was in place, which was monitored, regularly reviewed and discussed with all staff. High standards were promoted and owned by all the practice staff and there was evidence of good team working across all staff roles. Feedback from patients was excellent and staff went above and beyond their level of duty to care for patients. The practice also had a positive working atmosphere and was committed to continuing to improve services for its patients.
"The practice had a highly motivated and committed staff team to enable them to deliver well-led services. All staff we spoke with said they were proud of the organisation as a place to work. There was a very open, positive and supportive culture. This was evident by the response to incidents, significant events and complaints. 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."
Dr Kelvin Lim, GP at Church Walk Surgery said: "We have a dedicated team that are committed to delivering excellent and innovative healthcare to our community. We are pleased this has been recognised by the CQC and it will serve as a further motivating factor for us to ensure we deliver a service for the needs of our patients."
With autumn well underway and coughs, colds and flu already starting to circulate, senior health officials and GPs in Nottinghamshire are urging parents of children between the ages of two and seven to make sure their child has their flu nasal vaccination.
Children in Nottinghamshire aged 2-7 are being vaccinated as part of NHS England's annual flu vaccination programme.
The nasal spray vaccination is available free on the NHS. It's quick, effective and painless, say health commissioners, and is and available to children aged 2-4 years, as well as those in school years one and two.
The vaccination is given by squirting a single dose of nasal spray up each nostril. Not only is it needle-free, it works even better than the injected flu vaccine, with fewer side effects.
The call to action is part of NHS England's Stay Well this Winter campaign which includes protecting the public from flu. Now the organisations responsible for planning and buying health services across parts of the county have thrown their weight behind a national campaign to get children vaccinated.
Dr Guy Mansford, GP and Chief Clinical Officer of NHS Nottingham West Clinical Commissioning Group said: "Children with the flu virus experience the same symptoms as adults, including fever, chills and aching muscles. Some children may develop complications such as bronchitis, pneumonia and painful middle ear infection which may need hospital treatment. In rare serious cases, it can even be fatal.
"We know that children can easily spread germs through bad hygiene, such as sneezing and not washing their hands properly. Vaccinating your child will not only protect them but also help to reduce the chance of flu spreading to others, especially amongst the vulnerable, such as babies, older people, pregnant women and people with serious long-term illnesses, even one that is well managed. Primary school pilots using the vaccine have proved very effective in preventing the spread of flu in the wider community".
Children in school years one and two will be offered flu vaccination as part of the NHS childhood vaccination programme. Parents of children aged 2, 3 and 4 year olds should have already been contacted by their GP about getting their child vaccinated before the winter. Those who have not, are asked to contact their GP practice or practice nurse.