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Transforming services in Medway

Find out more about what’s happening to improve health and social care services in Medway.

Medway’s Clinical Commissioning Group’s small grant scheme

Medway CCG has been running a small grants scheme – to encourage local people to lead action in their communities to improve health and wellbeing – a key ambition for the STP’s prevention and mental health workstreams.

 

Grants of up to £1,500 are awarded to local communities for a wide range of activities from woodwork classes to singing groups to local outings.  £44,484 has been awarded, 36 projects have been involved benefiting an estimated 2,199 local residents. The project is part of Involving Medway – a pilot, funded by Medway CCG and run through a partnership of seven community organisations to explore effective ways of engaging local community-based groups and residents, in order to promote better health and wellbeing and to help transform local services.

Watch a short film about the small grants programme here.

Helping pregnant women quit smoking – success of support in women’s homes

Helping pregnant women quit smoking – success of support in women’s homes

The early results of a pilot project to offer stop smoking support from specialist advisors to pregnant women in their own homes is proving a runaway success.

 

 

One of the big targets for the STP is to reduce the number of smokers in the population as a whole and, particularly, in expectant mothers.

The council public health departments and the NHS have jointly been trying out a new way of targeting pregnant women in Medway, South Kent Coast, Swale and Thanet, with a very personalised service.

Since December 2017, over 45 women in South Kent Coast and Thanet have stopped smoking as a result. Although early days, these are very encouraging results.

Andrew Scott-Clark , Director of Public Health for Kent and co-chair of the STP prevention workstream, said:

“These are amazing outcomes, way above the levels achieved in the past.
“These are likely to be vulnerable women who may not seek out services and are deeply addicted to nicotine. By offering a service that goes to them, we are able to help them manage their tobacco addiction – the single most important thing they can do to improve their health and that of their babies.

 

What’s more, the advisors are also picking up other issues for these women and their families, giving us the opportunity to help them give their babies a much healthier start in life.

 

BabyClear support from midwives

Meanwhile, midwives with a special interest in smoking in pregnancy working in hospitals in Kent are helping to improve the monitoring and referral to specialist stop smoking services of mothers-to-be, as part of the BabyClear project.

They are working with the other midwives in their teams to maximise the number of women whose carbon monoxide levels are checked. Women who smoke are identified and offered a referral for specialist stop smoking advice. The scheme meets good clinical practice guidance.

Smoking is a key risk factor for stillbirths and deaths of very young children.

“It is fantastic to see the impact midwives can have by talking to pregnant women about how giving up smoking will protect their babies’ health,” said Andrew.

 

I would like to thank every midwife who supports the health of mothers and babies in their care by checking carbon monoxide levels and ensuring support is offered.”

Coming soon: campaign in Medway
In Medway, where one-fifth of pregnant women smoke, public health is preparing to launch a targeted campaign to encourage mums-to-be to quit. Please look out for more information about the campaign here.

Sugar Smart Medway

Sugar Smart Medway

Medway is gearing up for the launch in June of a 12-month drive to make Medway sugar smart as part of the national campaign, launched by Jamie Oliver.

 

 

The national campaign encourages local authorities, organisations, workplaces, and individuals to reduce the amount of sugar we all eat and drink.

Currently, the Medway public health team is working with local people to find out their views on sugar and how much they consume. This kicked off at a public health event at Medway Park on Sunday 15 April which saw 546 residents attend a fun day, run by the ‘Tri for You’ programme.

There was a stand with information on how to look for products with high sugar, and ideas for recipes which are low in sugar.

In coming weeks, a survey will ask Medway people questions to provide a baseline so the success of the campaign can be measured.

Find out more here.

Consultation launches on proposed improvements to stroke services in Kent and Medway

The NHS in Kent and Medway, Bexley in south east London and the High Weald area of East Sussex, is today launching a public consultation on the future of urgent stroke services in Kent and Medway. The NHS is asking for people’s views on proposals to establish new 24/7 hyper acute stroke units in Kent and Medway. The consultation runs from today, Friday 2 February 2018 for 10 weeks until midnight on Friday 13 April 2018.

To take part, people can read the consultation document, participate in public meetings and events, and complete an online or postal questionnaire. There will also be specific engagement through focus groups and other work with people whose views are less likely to be heard, and people whose age, ethnicity or other factors puts them at higher risk of a stroke.

Dr Mike Gill, Independent Chair of the Joint Committee of Clinical Commissioning Groups for Kent and Medway Hyper Acute and Acute Stroke Services said, “This consultation is an opportunity to make your voice heard and help us design the best stroke services in Kent and Medway. We encourage everyone to respond, whether you have been involved in the earlier work or not; whether you work in the local NHS or are a resident; whether you have first-hand experience of stroke or not. All views are important to us.”

At the moment there are no hyper acute stroke units in Kent and Medway, and urgent stroke care is provided at six hospitals. The changes to stroke services are being proposed because currently hospitals are not able to consistently deliver the standard and quality of stroke care that people should be able to expect.

The proposals have been developed by stroke doctors and other stroke specialists. They are in line with evidence-based best practice on how urgent stroke services can be run to give patients the best possible outcomes and reduce death and disability from stroke.

The proposals recommend creating three hyper acute stroke units in Kent and Medway and give five different options for where these three new units could be located. If the proposals go ahead, urgent stroke services would not be provided in other hospitals in Kent and Medway.

Each of the proposed hyper acute sites would also have an acute stroke unit to give patients expert care after the first 72 hours until they are ready to leave hospital, and a clinic for assessing and treating transient ischaemic attacks (TIAs or mini strokes).

The shortlist of possible locations is:

  • Darent Valley Hospital, Medway Maritime Hospital, William Harvey Hospital
  • Darent Valley Hospital, Maidstone Hospital, William Harvey Hospital
  • Maidstone Hospital, Medway Maritime Hospital, William Harvey Hospital
  • Tunbridge Wells Hospital, Medway Maritime Hospital, William Harvey Hospital
  • Darent Valley Hospital, Tunbridge Wells Hospital and William Harvey Hospital

The order of the shortlist is not a ranking and no preferred option will be identified until doctors and others taking the decision about the future organisation of stroke services have fully and carefully considered all the evidence and data available, including feedback from the public consultation.

“I am delighted that we’re launching this consultation today. There is clear evidence that patients benefit most from being treated at a hyper acute stroke unit in the first 72 hours after their stroke, even if that means ambulances driving past the nearest A&E department to get to one,” said Dr David Hargroves, clinical lead for the stroke review and senior stroke consultant at East Kent Hospitals University NHS Foundation Trust.

“We know that patients might currently be able to get to an A&E fairly quickly and the thought of travelling further seems to go against the ‘Act F.A.S.T.’ advice. With stroke, what counts is the total time it takes from calling 999 to having a scan and starting the right treatment. Spending 15 minutes in an ambulance but waiting three hours in A&E is worse than an hour in an ambulance going to a specialist unit that can scan you and start treatment within 30 minutes of arrival. It is also vital for patients’ recovery that over those first three days they are seen by a stroke consultant every day, and regularly assessed by specialist therapists – something we can’t always offer at the moment.”

“Stroke is a medical emergency and the third most common cause of death for people under the age of 75 in the UK,” said Dr Diana Hamilton-Fairley, Medical Director of Medway NHS Foundation Trust. “Almost two-thirds of stroke survivors leave hospital with a disability, such as sight problems, limb weakness or communication problems. We are convinced these proposals for hyper acute stroke units in Kent and Medway will improve the quality of services and help us achieve better outcomes for the 3,000 stroke patients treated in our area each year.”

“Across Kent and Medway, stroke services are not consistently organised in a way that delivers the most efficient or effective care. Experience elsewhere has shown that consolidating stroke teams should provide better care in the future: that must be the aim of us all,” said Dr Steve Fenlon, Medical Director of Dartford and Gravesham NHS Trust. “The involvement of the public will help us shape the model of care and provide support to our committed healthcare professionals delivering this vitally important service.”

Dr Peter Maskell, Medical Director at Maidstone and Tunbridge Wells NHS Trust, said: “We welcome the opportunity to take part in this important consultation to improve stroke care for patients across Kent and Medway, and encourage as many people as possible to take part so their views are heard.”

A meeting on 31 January 2018 of the Joint Committee of Clinical Commissioning Groups for Kent and Medway Hyper Acute and Acute Stroke Services, which has delegated authority from each of the eight Kent and Medway clinical commissioning groups (CCGs), NHS Bexley CCG and NHS High Weald Lewes Havens CCG, gave the go-ahead to the public consultation which is launching today, 2 February 2018. It will run for ten weeks, until midnight 13 April 2018.

To find out more about how to respond to the consultation, please visit www.kentandmedway.nhs.uk/stroke

To find out more about the signs of stroke and what to do if you suspect a stroke please visit www.nhs.uk/actfast

Papers for the Kent and Medway Acute Stroke Services Joint Committee – 31 January 2018

Below are the papers that will be discussed at the Kent and Medway Acute Stroke Services Joint Committee on 31st January 2018.

The  Joint Committee is made up of the eight clinical commissioning groups in Kent and Medway along with Bexley Clinical Commissioning Group and High Weald Lewes Havens Clinical Commissioning Group. The meeting will discuss the proposed changes to urgent stroke services in Kent and Medway and the proposed shortlist for the location of hyper acute stroke units.

The joint committee meeting is held in public and will take place from 13:00-16:00, in the Council Chamber at County Hall, Sessions House, Maidstone ME14 1XQ.  It is a meeting in public, but places are limited by the venue so if you would like to attend this meeting, please book your place and register in advance at https://strokejcccg.eventbrite.co.uk.  For those without access to the internet, places can be booked by calling the Joint Committee admin office on 01892 638331.

Improvement proposed for stroke services in Kent and Medway

Further details about a proposal to establish three new ‘hyper acute’ stroke units in Kent and Medway have been announced today (Thursday 18 January 2018).  The proposed shortlist of potential options for the location of these units, which is still subject to final assurances and approval, is*:

  1. Darent Valley Hospital, Medway Maritime Hospital, William Harvey Hospital
  2. Darent Valley Hospital, Maidstone Hospital, William Harvey Hospital
  3. Maidstone Hospital, Medway Maritime Hospital, William Harvey Hospital
  4. Tunbridge Wells Hospital, Medway Maritime Hospital, William Harvey Hospital
  5. Darent Valley Hospital, Tunbridge Wells Hospital and William Harvey Hospital

Unlike current services, these hyper acute stroke units would operate with a multi-disciplinary team of stroke specialists, providing expert care round the clock with consultants on the wards seven days a week. The new units will allow people to get the best possible care in the vital first few hours and days immediately after their stroke – saving lives and reducing disability. The units would care for all stroke patients across Kent and Medway and from some neighbouring communities, in the critical first 72 hours after a stroke. We don’t currently have any hyper acute stroke units working in this way in Kent and Medway, patients are currently cared for in general stroke units.  Each site would also have an acute stroke unit where people may go after the initial 72 hours for further care until they are ready to be discharged, and a transient ischaemic attack (TIA or ‘mini stroke’) clinic.

These proposal would mean significant changes to the urgent stroke care currently provided in six hospitals across Kent and Medway. The proposed changes would affect every hospital in our area, residents in every part of Kent and Medway, e and some beyond our boundaries. The proposed three new hyper acute stroke units would ensure all residents get consistently high-quality hospital-based stroke care regardless of where they live or what time of day or night a stroke occurs. However, under these proposals urgent stroke services would not be available at the other three hospitals in Kent and Medway.

The proposed changes are focused on ensuring the best care and outcomes for people who have a stroke, meaning faster diagnosis and treatment, fewer deaths, and less disability. To make these proposed changes we would need to invest up to £40million in hospitals and recruiting more staff across the county, but we expect a reduction in costs over time, mainly due to better recovery for patients who wouldn’t then need as much long-term care, and shorter hospital stays.

A Joint Committee of the ten clinical commissioning groups in Kent, Medway, Bexley and High Weald Lewes Havens is meeting to discuss the shortlist on 31 January 2018.  The joint committee meeting is held in public and will take place from 13.00-16.00, in the Council Chamber at County Hall, Sessions House, Maidstone ME14 1XQ.  It is a meeting in public, but places are limited by the venue so if you would like to attend this meeting, please book your place and register in advance at https://strokejcccg.eventbrite.co.uk.  For those without access to the internet, places can be booked by calling the Joint Committee admin office on 01892 638331.

If the shortlist above is approved, we will begin a wide public consultation in February on the future shape of urgent stroke services in Kent and Medway. The consultation will provide further opportunity to help us design the best stroke services and to continue to engage staff, stakeholders, patients and local communities in the issues important to them about stroke services.

When the consultation begins we will publish our consultation document. The consultation document will set out the reasons why we believe Kent and Medway needs three hyper acute stroke units and a range of potential options for where they could be located. It will also summarise the issues we have considered to select the shortlist – from travel times through to staffing issues and how long it would take to establish hyper acute stroke units at different hospitals across the area.

We recognise that people have concerns when hospital services change, but we strongly believe change is needed to improve care. These proposals represent a major investment in stroke services and a commitment to making consistently high-quality care available for all stroke patients, regardless of where you live or when a stroke happens.

We will update this information with further details of our formal public consultation once it starts, and how to get involved and share your views, if the required assurance processes are met, in early February.

* The order is not a ranking and we are not identifying a preferred option until we have fully and carefully considered all the evidence and data available

Read our frequently asked questions about the stroke review and the media release issued on 18 January 2018.

Background to the stroke review

We started reviewing our stroke services in 2015. We did this because whilst staff in our stroke services are working extremely hard to provide the best care that they can, we know that things would be better, for both patients and staff, if we developed our stroke services further. We want our stroke services to meet the latest national best practice standards so that patients get have the best chance of the best outcome after a stroke. These new ways of working have been introduced in other parts of the country and are bringing significant benefits to patients. In London, hyper acute stroke units have reduced deaths from stroke by nearly 100 a year.

There has been a detailed process to consider potential options for the future shape of hospital-based urgent stroke services. Over the course of the review we looked at:

  • a long list that considered different numbers of hyper acute stroke units
  • a medium list of possible three-site options
  • the shortlist of deliverable three-site potential options which is being announced today.

Our proposed shortlist has been through a rigorous process and takes account of other work, particularly in east Kent, around changes to acute hospital services.

Find out more about the stroke review here

 

Making Medway Better: Medway CCG announces new public event dates

Have your say on a new Medway Model for joined up NHS health and social care services.

The Medway Clinical Commissioning Group is looking for your views on the future of health and care in Medway and they now have new listening event dates across Medway.

The Medway Model is a new way of joining up local health and care services so that, where appropriate and possible, they can be delivered closer to people’s homes. We know that most people, when given a choice, want to stay out of hospital and receive care either in their own home or in their neighbourhood.

When someone is ill, there are so many more people involved in their care than just the patient and their GP, so we are bringing services together in six locations across Medway. This will enable health and care staff to work more closely together and develop services that focus on patients.

The approach also recognises that patients have better outcomes if they are involved in decisions around the care they receive and are supported to make healthy choices about their lifestyle. The Medway Model is designed to ensure patients and their families have a strong voice in decisions about their health, care and wellbeing.

You can view a presentation that explains more about the Medway Model here.

Watch our film about plans to improve health and care services

This film explains more about plans to improve health and care services in Kent and Medway. You can hear from local people and their families, from doctors and other health and social care professionals about how new ways of working are already changing things for the better. The film explains why we want to offer more care in our local communities to help people stay well, be able to better manage existing conditions and free up valuable time and resources in hospital to care for the most seriously ill patients.

Glenn Douglas appointed as Chief Executive of Kent and Medway Sustainability and Transformation Partnership

We are pleased to announce that, following an open recruitment process, Glenn Douglas has been appointed as the Chief Executive of the Kent and Medway Sustainability and Transformation Partnership. Glenn has been the Senior Responsible Officer for the Partnership since it was established in 2016, but on a part-time basis in conjunction with his chief executive role at Maidstone and Tunbridge Wells NHS Trust.

Speaking about his appointment, Glenn said, “I am delighted to be taking on this role on a full-time basis. Our plans to work together across health and social care to improve health and social care services in Kent and Medway are starting to take shape.  Doctors, nurses and other health professionals, alongside social care practitioners and health and local authority leaders in Kent and Medway have a clear and exciting ambition. We want to improve health and wellbeing, reduce health inequalities between different areas in our region, improve the quality of services with better clinical outcomes and patient experience, and create a sustainable system that works within the available funding.  My role is to ensure we develop detailed plans and deliver this ambition successfully, in partnership with our staff and local people.

He continued, “It is with some sadness that I leave my current role.  My time at Maidstone and Tunbridge Wells NHS Trust has been extremely rewarding.  However, I know the trust will continue to go from strength to strength, as well as remaining a key partner in the wider Kent and Medway health and care plans for the future.”

Felicity Cox, NHS England Director for the South East said, “Across the country sustainability and transformation partnerships have started to shape more collaborative ways of working between health and social care, working across organisational boundaries to improve services and ways of working for the benefit of local people. Bringing together partners from different NHS organisations as well as local authorities, voluntary and third sector colleagues, and local communities requires significant focus, commitment and dedicated leadership. Glenn’s appointment to a full-time role will strengthen what can be achieved in this way for the people of Kent and Medway.”

Voluntary sector organisation leaders invited to meeting on joint working

The Kent and Medway Sustainability and Transformation Partnership is inviting leaders from voluntary and community organisations in Kent and Medway to join a meeting to discuss opportunities for greater partnership and joint working.

 

Meeting dates and venues

  • Tuesday 17 October: 9.00am to 1.00pm at Canterbury Cricket Ground
  • Wednesday 18 October: 12.30pm to 4.15pm at Great Danes Hotel, Maidstone

A light lunch and refreshments will be provided at both meetings. In Canterbury, lunch will be served at 12:15. In Maidstone lunch will be available from 12:30 and the meeting will begin promptly at 13:30.

About the meeting

The meeting will be designed as a two-way information sharing session, covering the following key areas:

  • an update on the work of the Kent and Medway Sustainability and Transformation partnership
  • discussion about how the voluntary sector plays a key role and how we can ensure it is a key part of the delivery of transformation plans for Kent and Medway in all four priority areas – prevention, local care, mental health and hospital care
  • what opportunities for partnership working the STP presents for voluntary sector organisations working in Kent and Medway
  • discussion about how the STP can better work with the voluntary sector to deliver transformation plans in partnership – what do local organisations need from the STP and what does the STP need from them

Objectives

The key objectives of the meeting are to:

  • support members of local voluntary sector organisations to understand the work of the STP to date, current priorities and next steps
  • begin conversations about the opportunities for partnership working the STP presents to voluntary sector organisations in Kent and Medway and what the voluntary sector could offer to support the delivery of the STP
  • begin conversations between STP delivery teams and voluntary sector organisations to gain a better understanding of each other’s needs and the challenges that may need to be overcome to achieve our shared and individual ambitions
  • agree key next steps and actions that will facilitate ongoing constructive and practical working relationships between STP delivery teams and voluntary sector organisations.
TimingsAgendaSpeaker/ Facilitator
9:00 – 9:30Arrival, registration and networking. Tea and coffee available.
9:30 – 9:35Chair's welcome.Glenn Douglas, Chief Executive, Kent and Medway Sustainability and Transformation Partnership
9:35 – 10:00An update on the Kent and Medway STP: Work and achievements so far, key priorities and direction of travel.Michael Ridgewell, Programme Director, Kent and Medway STP
What partnership working opportunities does the STP offer voluntary sector organisations organisations? Simon Perks, Accountable Officer, Canterbury and Coastal CGG
Q&As.Facilitated by Glenn Douglas
10:00 – 10:20Why the voluntary sector is key to the delivery of the STP.Speaker to be confirmed
10:20 – 10:30Agree key themes and topics for group discussions.Led by meeting chair
10:30 – 10:45Break, tea & coffee, networking.
10:45 – 12:00Facilitated group discussions and feedback.Each table will have a facilitator
12:00 – 12:15Agree priorities, actions and next steps based on group feedback.Facilitated by Glenn Douglas
12:15 – 13:00Lunch and networking

TimingsAgendaSpeaker/ Facilitator
12:30 - 13:30Arrival, registration and networking. Lunch available until 13:15
13:30 - 13:35Chair's welcome.Glenn Douglas, Chief Executive, Kent and Medway Sustainability and Transformation Partnership
13:35 - 14:00An update on the Kent and Medway STP: Work and achievements so far, key priorities and direction of travel.Michael Ridgewell, Programme Director, Kent and Medway STP
What partnership working opportunities does the STP offer voluntary sector organisations organisations? Ian Ayers, Accountable Officer for West Kent CCG
Q&As.Facilitated by Glenn Douglas
14:00 - 14:20Why the voluntary sector is key to the delivery of the STP.Jane Roberts, Chair, KentCAN
14:20 - 14:30Agree key themes and topics for group discussions.Led by meeting chair
14:30 - 14:45Break, tea & coffee, networking.
14:45 - 16:00Facilitated group discussions and feedback.Each table will have a facilitator
16:00 - 16:15Agree priorities, actions and next steps based on group feedback.Facilitated by Glenn Douglas
16:15Close.

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