Agenda item

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 critical stage.
• Prevention is key – need to better utilise 111 system, currently not providing the right level of support for people with mental health issues.
• Technology - need to have more local places that have up to date technology to do simple tasks such as resetting hearing aid equipment.  This reducing the need for travel and cost to patient.
• Use more befriending services.
• Peer groups to support others particularly for those people who do not ask for help.
• Need to organise regular check-ups – preventative care.
• Use technology to help raise funds.
• Community empowerment – use community facilities and organisations to help reduce isolation and loneliness.
• First Contact scheme in South Glos is really effective.
• Some of the residents living in the villages surrounding Keynsham wouldn’t travel to Keynsham.  Need to think about isolation and outlining villages.
• Consideration needs to be given to those people who don’t have the money to use public transport.

5.4  The Chair thanked Dawn, Sue, Mike, Barry and Avril for an interesting presentation and workshop discussions. 

5.5  Below is the link to the detailed notes of the workshop sessions produced by the CCG. 

http://www.yourcareyourway.org/sites/default/files/150218%20Keynsham%20Area%20Forum.pdf