We are currently working on the following areas:
- Improving 7-Day Access to Primary Care Services
- Review of Stroke Rehabilitation Services
- Care Navigation
- Primary Care Services
Changing 7-Day Access to Primary Care (GP) Services – formal Public Consultation (Wednesday 7th November 2018 – Wednesday 19th December 2018)
Have your say – Consultation between Wednesday 7th November to Wednesday 19th December 2018
In Spring 2016, we undertook a public consultation about urgent care services. During that consultation, we also asked the public and clinicians to tell us where we should locate primary care services that provide additional evening and weekend appointments. Nine hubs (practices working together) across the DDES area were chosen as the preferred option by the public.
It was agreed to implement and then review these changes after six and then 12 months of operation. This was to ensure the service covered the full winter period to truly understand the impact. In this review, we looked at who used primary care services, when and why.
The need to change was established after we reviewed public and clinician feedback, including patient views, activity, capacity, impact on other services, practice requirements, value for money, transport and pharmacy provision.
The review highlighted that the hubs were valued but some were significantly underused. This consultation is about our proposals to address these issues and to improve 7-day access to primary care services in the DDES area.
How you can get involved
Come along to one of our public engagement events
The times and dates of our public consultation events are shown in the table below. If you wish to attend one of the public events, please register via the Eventbrite links under Booking Details or by telephoning 0191 371 3222. Please let us know at the time of registering if you have any special requirements.
Complete the survey
Review of Stroke Rehabilitation Services
The review will look at the current pathway which includes the specialist stroke rehabilitation provision at Bishop Auckland Hospital, as well as rehabilitation provision outside the hospital in the community.
The engagement activity will run from Thursday 4 October 2018 until Friday 9 November 2018.
The CCGs would like to hear from patients who have experienced a stroke and / or their families/carers and would like to give us their views of their experience of the rehabilitation services.
More information on Review of Stroke Rehabilitation Services
Using the wealth of knowledge and experience that exists within the wider Primary Care Staff teams and reception teams, we are ensuring patients receive the right care from the right person at the right time.
To help lead and steer this project, a DDES project team was set up with representatives from GP practices across County Durham. 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 held with administrative staff through Collaborative group sessions to ensure their queries and concerns could be recorded and addressed throughout their 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.
The information and comments received through this process helped to inform and shape the production of a Frequently Asked Questions (FAQs) and briefing document to go complement 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 ‘Care Navigation’ means to them.
Bringing together staff from primary care (clinical and non-clinical), associated organisations and partners (Citizens Advice Bureau (CAB), Pharmacy, Public Health and many others) and our PRGs we held two workshops. These partners helped identify and develop the priority areas to be included in the first year and how they could be effectively be implemented locally. Further engagement work will now be undertaken for future developments.
More information on Care Navigation
Since the implementation of the Primary Care Services (PCS) in DDES, data shows that these services were not being utilised in the expected way. So we then asked the public if they were aware of the current services, how they used them and involved them in the future development of these services. An Engagement plan was designed to ensure that all groups were reached.
Lead staff from the CCG met with rural Dales councillors in December 2017 where they were updated on the current use of the service. They were asked to share groups with the engagement team that they felt were a priority. These groups were added to 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 common health problems, where they would go and what services they would use.
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.
- Patients who had used the PCS told us about their experience
- They suggested how to improve the service, and
- If there was only one site in their area, how far they were prepared to drive to get there.
- We visited sites out of the DDES area such as Houghton and Hartlepool Primary Care Centre, Darlington Memorial Hospital and University Hospital of North Durham.
- At each of these sites we spoke to patients who were using these services.
- We asked them if they were aware of their local services
- We explained they could call NHS 111 to get an appointment on the same day if it was urgent
All of this intelligence was gathered through Surveymonkey and a report was written for the Health and Wellbeing Overview and Scrutiny Committee informing them of patients’ views and how to further develop this service.
Additional consultation will begin later this year.
Rheumatology services improvement project
Clinicians and Commissioners across County Durham, Darlington and Tees are working together to help improve Rheumatology services for patients.
The aim of the improvement project is to offer a more consistent service to patients no matter where they live across the County Durham, Darlington, Tees and North Yorkshire areas, and ensure patients are seen in the right place, by the right clinician, first time. To help us achieve this, clinicians from across the area will be working together to look at how the current model for accessing services can be improved.
Patient feedback will also be key, and those currently accessing services will have the chance to have their say on their experiences, positive aspects and areas where they think the services could be improved. The work will also focus on improving the time from first referral to treatment, and ensure patients are able to access services as close to their home as possible.
What does Rheumatology services include?
Rheumatology deals with the investigation, diagnosis and management of patients with arthritis and other musculoskeletal conditions. This a range of disorders affecting joints, bones, muscles and soft tissues (this includes inflammatory arthritis, autoimmune disorders, vasculitis, soft tissue conditions and metabolic bone diseases).
How patients can contribute
To help inform the clinical workshops we are asking Rheumatology patients for their comments and suggestions. We are working with the providers of local Rheumatology services to help reach those individuals attending appointments.
Patients can also contribute through our online survey which will help the Clinical Commissioning Groups to understand the experience of living with these conditions and the services that currently support patients. The feedback will also provide insights into gaps patients might see or improvements we could make to future services that might be more responsive to patients needs and provide consistency across the Durham, Darlington, Tees and North Yorkshire areas.
The closing date for completed surveys is Friday 14 September 2018.
If you have any questions, queries or would like help completing the survey, please contact the Engagement team on 0191 389 8617 or at email@example.com