We are currently working on the following areas:
- Care Navigation
- Integrated Children’s Therapies
- Increasing Access to Psychological Therapies (IAPT)
- Primary Care Services
This is approached through developing the wealth of knowledge and experience that exists within the wider Primary Care Staff teams, to help ensure patients are able to receive the right care, from the right person at the right time.
A task and finish group was established that brought in representatives from our member practices across County Durham alongside patient representatives to help lead and steer this project. These members helped to drive the development of the programme forward as well as identify the training providers who would deliver the practical as well as ‘soft’ skills needed.
Conversations were undertaken with administrative staff through Collaborative Time Out Events to ensure their queries and concerns could be recorded and addressed throughout the development. Regular updates were also taken to the Council of Members for both CCGs in County Durham. Presentations about Care Navigation were provided to all of the CCG Patient Reference Groups (PRG) and the Area Action Partnerships that exist across the County.
The information and comments received through these conversations helped to inform and shape the production of a Frequently Asked Question (FAQ) and briefing document to go alongside the wider public roll out of the programme. Our Patient Representatives have also met with us separately to strengthen this FAQ document and to also discuss what the name ‘Care Navigator’ means to them.
Bringing together staff from primary care staff (clinical and non-clinical), wider stakeholders and partners (CAB, Pharmacy, Public Health and many others) and our PRG’s we held two workshops. These enabled all partners to help identify and develop the priority pathways to be included in year one of the programme and how they can effectively be implemented locally. Further engagement work will be undertaken with stakeholders to develop future years of the project.
More information on Care Navigation
Integrated Children’s Therapies
Engagement will begin in late April with children, young people and their parents/ carers to find out about their experiences of accessing Children’s Therapy services (0-19 years) and the way they are delivered. It will also involve speaking to the schools involved.
The engagement will be predominantly aimed at families with children / young people with complex needs such as special educational needs and disabilities (SEND) and Education Health Care Plans (EHCPs) and will also involve those without complex needs.
The conversations will help us to understand what would work best for children’s complex needs and when they need input from therapy services and what is important to them. What do parent and carers think their children’s needs are? What is required to keep them safe and be able to achieve in the school day? From a health perspective what do they want from each service?
We will be reaching children, young people and their parents/ carers through the therapy services and attending groups such as the Investing in Children eXtreme group. Links with established groups such as health networks and Patient Reference Groups will also be engaged to enable us to reach as many patients / carers as possible.
Increasing Access to Psychological Therapies (IAPT)
During March and April 2018 we engaged with local people regarding a proposed new model for Increasing Access to Psychological Therapies (IAPT) services has been developed, which is looking to be in place from March 2019. This piece of engagement work took place jointly across five CCGs, with County Durham holding two open public sessions at the end of March. These sessions built on previous engagement activity from the County Durham review of these services in 2017. Through the proposed new model the CCGs are looking at how they can achieve the national access target of 25% as well as providing new elements of support (a well-being offer and specific support for people with a Long Term Condition).
The public sessions (Spennymoor and Central Durham) allowed patients, public and stakeholders to hear from the County Durham project lead about the background of the model development and the intentions for the new model to enable increased access. A series of targeted sessions were also held with a range of groups such as chronic pain patients, individuals with Learning Disabilities, substance misuse groups and individuals with hearing loss and deafness. Working in partnership with Investing in Children we looked to ensure young people had the chance to contribute directly too. Throughout the conversations, people’s views regarding access, the range of support to be included and any potential barriers to enabling someone to participate fully in their course of treatment were explored. The opportunity to contribute through an online survey was also been offered across the five CCG’s to provide people with an alternative method.
The engagement work across the five CCG areas concluded at end of April 2018 with all of the information being collated centrally and fed into the project team to help inform and shape the future service specification.
Primary Care Services
Since the implementation of the Primary Care Services (PCS) in DDES, data shows that these services are not being utilised in the expected way. Therefore engagement has started with patients, hard to reach groups and wider stakeholders to ensure everyone is aware of the current utilisation of services and stakeholders are given the opportunity to aid in the development of and decisions about new options for service delivery.
An Engagement plan has been designed to ensure that all the key groups are reached.
Key staff from the CCG met with rural Dales councillors in December 2017 where they were updated on the current utilisation of the service. They were asked to share groups with the engagement team that they felt were a priority to work with. These groups have been added into the engagement plan.
Investing in Children (IiC) held three agenda days in the DDES area to engage with young people to gather feedback on how they would respond to different health problems, where they would go and what services they would access.
The engagement also focused heavily with patients and carers and a two pronged approach was used. A survey was developed with the support of members of Patient Reference Groups to ensure the questions were clear and in plain English. We had conversations with patients who had used the PCS about their experience in using the service, if they thought we could provide the service in a better way and if there was only one site in their locality and how far were they prepared to drive to get there.
We also visited sites out of the DDES area such as Houghton and Hartlepool Primary Care Centre, Darlington Memorial Hospital and University Hospital of North Durham. When at these sites we targeted patients who were using these services. We had conversations asking if there were aware of the local services near to them where they could call NHS 111 to get an appointment, on the same day if there was an urgent same day requirement.
All of this intelligence was gathered through Survey Monkey and a report was written for the Health and Wellbeing Overview and Scrutiny Committee informing them of the views of patients and to discuss options to take the service forward.