Issue - meetings

NHS BaNES Clinical Commissioning Group and the Council are working together to review community health and social care services and identify what’s needed in the future.

Presentation, Q&A session and round table discussions

5.1  An introduction to the Your Care, Your Way was given.  The involvement of communities in helping to shape the commissioning of future health services was extremely important.  The current position for commissioned service is that there are around 400 different services that are provided by 80 different providers.  New services need to be in place by April 2017.

5.2   The Group split into several groups and a summary of issues highlighted in these workshops included:-

• Consideration to the geographical area – particular for villages on the boarder like Whitchurch where some of the provision is provided for by Bristol CCG.
• A better understanding of the future housing development in the area in order to think about what primary care provision is needed for B&NES residents.
• Future provision needs to take account of demographic changes as well as where residents live.
• One single point of contact.
• Common approaches to GP practices eg appointments and opening times.
• Lack of Pharmaceutical provision on a Sunday.
• Gap in the local mental health provision.
• Need to address social isolation and loneliness.  Patients are going to see the GP because they have no other support network.
• Need more local focus – bigger National organisation such as Red Cross have lost local focus.
• Good support for children and families.  Some gaps for children with Autism.
• Wide range of church groups, lunch clubs and community organisations in the area.
• Dial a Ride staff have Dementia training – how can we extend this to other organisations.
• All facilities should be in Keynsham.
• More choice should be offered.
• Recognise the importance of Day Centres – the community choir should be seen as a social support.
• Signposting – One Stop Shop is good.
• Better promotion of Well Aware.
• Keynsham local centre for breastfeeding good although need more support.
• Work more closely with community organisations.
• Join up social activity with other support services.
• Really good experience – enablement pathway.
• Capacity – specifically around education and complex needs.  Provide children’s services closer to home to help reduce travel and cost.
• Housing requirements – suitability of housing for complex needs.
• Better access for parking – Keynsham not great at the moment.
• Segregation of services – Care homes should open up their restaurants to the Public.  Examples in Europe of this working well.
• Better signposting, better navigation and information about funding available
• Enablement pathway – one person commented on a really good experience.
• Discharge – one person commented on a really bad experience.
• Need to offer continuity of care.
• Proactive support for shopping and cleaning.
• Care should be personalised.
• Care at the point of need not weeks after.
• Dial a Ride is good.
• Community links are good – active community and lots of volunteering.
• Accessible directory of services and assets in the community.
• Village Agents are good.
• Link Agents in GP to help identify what is available – social prescribing.
• Providers work really hard, offer good quality of service.
• Good discharge arrangements with county teams.
• Need more preventative care – illness should reach  ...  view the full minutes text for item 5

NHS BaNES Clinical Commissioning Group and the Council are working together to review community health and social care services and identify what’s needed in the future.

Presentation, Q&A session and round table discussions

5.1 Jane Shayler provided an introduction that explained that the reason for the attendance at this meeting was to collect the issues from the communities to help shape the commissioning of future (outside of hospitals) health provision. New services need to be in place by April 2017, as the planning moves along an update will be provided to this forum at a later date.

5.2 The present position for commissioned service is that there are between 350 and 400 different services that are provided by 80 different providers. With the help of communities input there is an aim of promoting wellbeing and building both capacity and capability locally. 

5.3 Summary of issues highlighted in the workshop groups

• How effective are our defibrillators – do they need upgrading and more training given on new equipment
• Impact of Fuel poverty
• Access to Transport
• Access to information – broadband issues effecting tele-care and tele-health
• Clear signposting and information
• Directory of services/community facilities available
• Seamless care
• Streamline services by having less providers to make it easy for referrals
• Integration of services across different areas
• Groups of GP Surgeries working together potentially bringing in consultants for minor ops
• Protect and ensure continuity of care 
• Better understanding of rural issues
• Tapping into the local workforce and local solutions
• Issues of social isolation for children and young people
• Carers – when carers are not family members they are not kept informed of any changes need to recognise that carers are not always a relative.

• Access to prevention and early intervention locally
• Access to minor operations.
• Supporting people to be more active – link between schools and public health
• Utilise volunteer networks – not to stretch them, help brokerage opportunity