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Calderdale CCG have a published Public and Patient Involvement and Experience Strategy which sets out the CCGs approach to involving local people and the legislation the CCG must work to.  The duty to involve local people is set out in sections 242 and 244 of the Health and Social Care Act 2012, The NHS Constitution and the Equality Act 2010.

During 2017/18 we have involved just over 4,250 local people in the development and design of local services.  The CCG produce a separate engagement annual report which can be downloaded here.  This report provides more information on how we involve people, who gets involved and how we use the information we gather. The report has link to reports and websites where more information can be found.

Below you can find details of our previous engagement and consultation activity, what you told us and what we’ve done with this information.

2018

August 2018 - Wheelchair Services Report on pre-consultation engagement work

People told us the areas of improvement they would expect to see from the service and identified solutions to inform the service specification.

People told us:

  • They would like the right good quality equipment first time
  • Equipment that supports independence and consideration of lifestyle and a wider range of equipment
  • 24/7 repair service for all that is responsive and includes same day repair service for complex wheelchair users
  • Well trained staff and a clear referral process and information about what to expect, when and how
  • Complex service users and children and young people who have changing needs over time getting planned reviews regularly and timely re-assessments
  • Timely honest communication, including calling people back, and updates on progress
  • Accessible communication – type talk, language interpreters (including staff who can speak different languages) and more use of technology
  • Regular clinics in other areas and settings and appointment bookings managed in a timely way
  • Fast track appointments for urgent needs
  • Holistic approach to providing information for people who use a wheelchair – multiagency approach to creating information to support people
  • Personal budgets, equipment and advice on buying equipment independently
  • Comprehensive training on the use and maintenance of equipment
  • Employ service users in the organisation, look at a the role of the voluntary and community sector in providing non clinical services with a clinical partner
  • Develop service user led service evaluation, principles and information  and robust monitoring of the service involving service users
  • Investment in the service to keep people healthy and well
  • Look at areas where people can contribute costs – rental equipment, topping up funding and personal budgets
  • Recycle and repair

What we are doing

The CCGs have worked together to understand the findings from all the engagement.  This included findings from Healthwatch and previous engagement in Autumn 2017.

Using the information provided the CCGs can now work with the current provider to support service improvements and continue to work together to develop a new service specification.

Work to develop a specification will continue in October at a workshop aimed at service users, carers and families.  The purpose of the workshop is to help develop and co-design the service specification.

Following the workshop a service specification will be developed.

Downloads

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Wheelchair Services Report on pre-consultation engagement work: August 2018 661.47 KB 19 downloads

Wheelchair Services Report on pre-consultation engagement work carried out by PCAN...

 

2017

Spring 2017 - Everyone’s NHS Engagement

Calderdale CCG has an overall budget allocation of £312million to “commission” or buy, health and care services.  The CCG wanted to talk to local communities to gather ideas on how the CCG can reduce waste and save money whilst keeping the high quality services we need and; how we can reduce our spending on pharmacy services. The engagement process was delivered to help the CCG understand local communities’ views, comments and ideas on two specific areas.  The areas were:

  • How the CCG could reduce waste and save money whilst keeping high quality services that were needed
  • How the CCG could reduce spending on pharmacy services

 

You told us

From 987 people who responded most people had ideas and suggestions on how we could reduce waste and save money. In addition people wanted to reduce pharmacy waste and the use of lower value medicines. There was a clear indication from the findings that further conversations should take place to make decisions in these areas.

 

What are we doing

The results of engagement were considered by the CCG and shared widely with all stakeholders.  The findings were used to identify areas of service change that the CCG could consult on to help reduce unnecessary spending.  People told The CCG that they wanted to see prescribing based on clinical effectiveness.

Following a process of consideration the CCG consulted on a range of products that fit the criteria identified in engagement.  The public helped the CCG determine the list of products that would be included in the consultation by providing feedback at the engagement stage.

Downloads

Everyone’s NHS: engagement report

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Everyone’s NHS: engagement report 907.56 KB 1 downloads

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Autumn 2017 - Everyone’s NHS Consultation

Following on from the Everyone’s NHS engagement the CCG's Medicines Management team identified options for consultation. The consultation was on medicines and products that the CCG may want to consider not continuing to prescribe in the future.  These products were branded medicines, lower value medicines and products such as sunscreens, baby milks, and creams for unwanted hair and Gluten free products.

You told us

From the 1,377 people who responded there was evidence to suggest that most people agreed with the decision to stop funding the majority of items on which the CCG consulted. There was a general agreement across all products that the CCG needed to prevent an impact on people who have a low income children, young people and frail elderly and measures should be in place to ensure they are protected. There was also a theme that GPs should use clinical judgement case by case.  People want to see more prevention, more information and greater communication to people to ensure impact is reduced.

What are we doing

The results of this report were used along with other clinical evidence to help to inform a decision on whether to continue to prescribe each of these items. The consultation findings were presented to internal committees.

The CCG Governing body made a decision following this process to stop prescribing all the items consulted on with the exception of gluten free products.  Following the outcome of a national consultation NHS England recommended that bread mixes remain on prescription. Calderdale CCG decided to support this recommendation and retain bread mixes on prescription.

 

Downloads

Everyone's NHS: Consultation report

November 2017 - Wheelchair Services engagement

The current provider in partnership with the CCG and Healthwatch engaged with service users.  This was as a direct result of a number of issues raised by service users, carers and families.  We wrote to all services users who had used the service in the last two years and circulated a survey to key stakeholders and publicised through Healthwatch.

 

You told us

From the 287 responses people told us that there were a number of improvements that were reported to ensure the current service meets the needs of all service users.  The main themes raised from the engagement are:

The key areas of improvement are identified as:

  • Waiting time from assessment to receiving a wheelchair – particularly for children and young people and those using powered wheelchairs
  • Waiting for an assessment – particularly for children and young people, and those with long-term health conditions
  • Getting issues resolved easily and quickly
  • Repair service
  • Communication (written and verbal) information

For children and young people, carers and families and service users who’s needs change over time, timely access, good information and communication were the most reported improvements required.  For people who had used the service less frequently the service received more positive feedback.

 

What we are doing

Calderdale CCG is using the findings from the engagement to further inform a new service specification.  This specification will be developed with clinicians and key stakeholders.  The current provider has already identified areas of improvement from the report; including improving communications and information. We will also be talking to people further about the development of a service specification in Spring 2018.

 

Downloads

Wheelchair Services engagement: report of findings

 

November 2017 - Improving access to Primary Care

NHS England committed an additional £500 million by 2020/21 to fund additional access to GP services. This includes routine appointments for evenings and weekends to meet the needs of the local patient population. We used a number of approaches to reach people including GP practices and GP patient reference groups, Engagement Champions, social media and a paper and online survey.

 

You told us

From 1,489 who responded, people told us that for a same day appointment the most convenient time for the majority of people (60.9%) would be 6:30-8pm Monday to Friday.  With 67.6% stating they would not attend an appointment from 6:30am to 8:00am. At weekends for both routine (23.2%) and same day appointments (21.5%) the time of 10am-12noon seemed to be the most popular option.  People also told us what they valued most when using the GP practice and anything else they want the CCG to consider.

 

What we are doing

The findings from the engagement will be used to inform the development of a specification which will improve access to GP services across Calderdale.  The specification will take into consideration the findings from previous and recent  engagement to ensure any development are informed by public views. Consideration will be given to the location and facilities of any extended services.  A timeline for these developments will aim to esnure that arrangements are in place for extended access in Calderdale in Spring 2018.

 

Downloads

Improving Access to GP services: engagement report

 

May 2017 - Care Closer to Home (CC2H) Care Homes

NHS Calderdale CCG and Calderdale Council arranged a number of engagement activities and events on the future provision of care homes in Calderdale. The aim of the project is to create a vision for Calderdale and understand what’s important to people of Calderdale as they get older.

 

You told us

People told us what a good care home looks like:

  • People want the right staff who are skilled, trained and supported.  Staff who are caring and compassionate and understand cultural needs and beliefs.  They also want to see good management and homes that are staffed at all times.
  • Quality of care was a significant factor to respondents.  They want to see continuity of care with good quality standards and choice and be involved in their care and planning.  Care that meet the needs of physical, social and mental health requirements.
  • People said their environment was important to them with clean, well decorated, modern and good facilities. They want to feel safe, looked after in a warm friendly and loving environment that feels like their own home.
  • Being in heart of the community was also important to people.  To be near family and friends and local amenities.

 

What are we doing

The findings from all the engagement activity has been shared with all stakeholders at two events which took place in March.  Throughout spring and summer 2017 there will be more work with providers on care home provision.  The information gathered will be used to inform this work and the conversations will continue.

 

Downloads

Care Closer to Home (CC2H) Care Homes

October 2017 - Pain Management Services

The CCG wanted to engage local people on how local pain management services are currently provided.  Services need to be in line with all the latest evidence and NHS guidance and any changes to local services as a result of this need to be understood.  A survey was sent to all patients who had use the service in the last two years.

You told us

From the 114 people who responded patients are satisfied with the services they receive from pain services. There was positive feedback included for following services:

  1. Orthopaedic service for an injection or surgery
  2. Chronic pain service for injection therapy
  3. Chronic pain management programme

People also told us:

  • GP service, Physiotherapy and other NHS Services  was rated positively
  • Most want to manage their own pain and be independent
  • The aspects that would improve the service as noted within feedback included more varied treatment and many wanted greater promotion of patient choice.
  • Many would benefit from shorter waiting times
  • Improvement in staff communication and  attitude to patients were also noted
  • Better advice and support was suggested as an aspect that would improve pain services.

 

What we are doing

The engagement will ensure commissioners are able to understand what can be done to develop new approaches to pain management. We want to look at helping people to manage their own pain and keep people independent in the future.

Downloads

Pain Management Services: engagement report of findings

Ophthalmology services provided in a hospital and community setting

This model is to work mainly within the community provision of optometry services within the community. It will enhance the community schemes and allow patient choice and right care in the right environment. Reduce clinical waiting times and referral to treatment times, shift outpatient activity from the acute trust to the community. The CCG used a survey to engage with patients on their thoughts of community optometry services.

 

You told us

Most people completing the survey had recent experience of using the service.  66% of those responding had used the service in the last year.

  • From those responding 40% of patients had a condition that required long term monitoring at the hospital and 59.5% did not.
  • From those patients responding 71% were happy to receive the monitoring with a local optician with 21.4% stating they would prefer to still be seen at hospital.
  • The GP practice was a preference for two respondents with two people stating other. The other were stated as:
    • Opticians who are more qualified
    • Depends on situation as to who I would want to see

 

What are we doing

The findings from the engagement activity will be added to any existing engagement which has already taken place in Calderdale and Greater Huddersfield.  The feedback from this and any other engagement activity will be used to inform and develop the SLENT model further and future pathways:

  • Consulted with clinicians and communications specialists and developed marketing material to further promote and inform the general public of the services available to them within the community.
  • We informed GP receptionists to sign post patients to Optoms for eye conditions.
  • A developed pathway that has factored in what patients have identified with traveling times and where they would like to get treated also to reduce consultant waiting times.

Downloads

Ophthalmology services provided in a hospital and community setting

March 2017 - Mental Health Rehabilitation and Recovery

A review of the SWYFPT trust wide Rehabilitation & Recovery Services has taken place over an 18 months period, initially focused on the future of the existing rehabilitation units. Calderdale MBC and the CCG want to consider where trust services can be most effective to support the wider rehabilitation pathway. VAC liaised with Calderdale CCG to draw up questionnaires aimed at gathering the views of service users, advocates, carers, family members and Staff.

 

You told us

All those interviewed felt that services like Lyndhurst are a necessary part of the recovery pathway. Service users are aware they have a Recovery Plan at Lyndhurst that gives their lives structure and focus and that staff play a positive role in helping and supporting them as they progress through their recovery pathway.

It is recognised in by all surveyed that having compassion, understanding, a caring, empathetic nature, patience and being a good listener are the overriding skills that a person needs to work in Mental Health. It is clear, certainly amongst the staff we spoke with, that if it is to happen, ‘Care in the Community’ in this field should include the service user having 24/7 access to Mental Health Services.

 

What are we doing

The findings from engagement were presented at a Rehabilitation and Recovery Programme Board.  It was agreed at the board that a workshop should be set up to ensure the findings were considered as part of the proposed clinical model.  A workshop took place in May 2017. In addition Lyndhurst received a full copy of the report findings to share with participants.

 

Downloads

Mental Health Rehabilitation and Recovery

 

2016

Independent report of findings Right Care, Right Time, Right Place

The Right Care, Right Time, Right Place programme is the commissioners' response to the case for change that was developed as part of a services review undertaken in 2013.  Following extensive engagement in 2015/16 a consultation on the proposals for service change took place in 2016/17.    A full consultation document, survey and accompanying summary and easy read documents were produced to explain the proposals. A consultation ran for 14 weeks from 15 March to 21 June 2016 on the future of hospital and community services in Calderdale and Greater Huddersfield.

 

You told us

We received 7,582 survey responses from local people which provided 40,000 comments to 11 questions.  We also had in excess of 500 phone calls, letters, documents, texts and emails to read and 195 pages of transcripts from 3 public meetings and 8 petitions. In order to ensure the responses were fully considered, the CCG secured the services of an   independent organisation Midland and Lancashire CSU (MLCSU) to analyse all the responses and produce a report of findings. From all the feedback received MLCSU told us there were six key areas that we needed to consider.  The key areas for further work were:

 

  1. Travel and transport: Impact of increased travel times, in particular for access to emergency treatment at Halifax. Travel between Huddersfield and Halifax on the Elland bypass. People also mentioned public transport, travel costs and lack of car parking at CRH and ambulance responses.
  2. Clinical safety and capacity: People were concerned that lives could be put at risk from the need to travel further, the quality of care and the availability of treatment. How Urgent Care Centres would work with the Emergency Centre and the impact on GPs and the Ambulance Service.
  3. The rationale for change: People stated that the proposals are to save money, instead of to improve results. They were worried that the Private Finance Initiative (PFI) agreement at CRH had influenced the proposals. People wanted to know if staff at the hospital and other services, such as the Ambulance Service, supported the proposals.
  4. The consultation process: People were worried how the consultation was done and how decisions would be made.
  5. Understanding the proposed model: Some people did not understand the detail of the clinical model. People said there was not enough information on what it was and how it would work. People did not seem to understand the terms ‘emergency care’ and ‘urgent care’.
  6. The need for change: Some people agreed that change is needed, even though there are concerns. Suggestions were made about alternative sites, different ways of arranging services and improvements to services.

 

What are we doing

The Governing Bodies of NHS Calderdale Clinical Commissioning Group (CCG) and NHS Greater Huddersfield CCG met in parallel in public on Thursday, 20 October 2016 to reach a decision on the outcome of the consultation and next steps on proposed changes to hospital and community health services in Calderdale and Greater Huddersfield.  The findings from the consultation were deliberated by the CCGs and considered by the Governing Bodies at this meeting.

Downloads

Independent report of findings Right Care, Right Time, Right Place

Right Care, Right Time, Right Place Stakeholder event

The Right Care, Right Time, Right Place programme is the commissioners' response to the case for change that was developed as part of a services review undertaken in 2013.  Following extensive engagement in 2015/16 a consultation on the proposals for service change took place in 2016/17.    Following the consultation a stakeholder event was arranged to support the CCG in deliberation of the consultation findings.  A number of stakeholders had continued to work with us throughout the programme and we wanted to use the opportunity to engage them in the findings from consultation.

 

You told us

The findings from the stakeholder event are captured below. The findings include the key themes received from the table discussions. Key messages from each table were written on a ‘green flag’ and presented to the facilitator to read out at the end of the stakeholder event. The messages were;

  • A&E versus urgent and emergency care – there needs to be a clear understanding of the differences. Communication and trust are needed and case studies and stories would help.
  • Travel concerns – there needs to be some explanation of what A&E is and isn’t to help people understand.
  • Need to communicate clearly and widely the model – the consultation suggests people still do not understand the urgent and emergency care model.
  • Communicate how things will work in practice (the language we use is important) – help people to understand patient pathways, explain terminology, clarify things practically.
  • Communication and culture shift– describe the bigger NHS picture and provide clear messages that hospitals are not always the answer.  Make sure information is collaborative (everyone working together for both communities) and honest (including finance) to improve outcomes.
  • Communicate the benefits and facts of the proposal - emphasise care closer to home.
  • Need for change – clear understanding required, need to communicate.
  • The rational for change needs a better explanation.
  • Clinical case for change needs more describing - to help people understand how it affects ‘me’, this could include case studies.
  • Clinical safety – emphasise the opportunity for new ways of working between hospital and GP practices and the use of new technology and better use of staff.
  • The impact on GP services, including access – we need to start from the services closest to the individual and ensure community services are in place in order to design a secondary care system. This should be phased in and tested at each stage.
  • Workforce planning – the system needs the right numbers of staff with the right breadth of competencies across a health and social care system. There needs to be the right balance between generalist and specialists and services need to be joined up.
  • Recognition of the need for change and that all issues can be resolved – CCGs need to be sure that any issues identified can be achieved.  The next stage is to win hearts and minds in order to progress further.
  • 64% do not agree with the proposal – how will the CCG now flex the proposal and improve communication of any plans.
  • We need to thank people for responding to the consultation – patients and public deserve a response.

 

 

What are we doing

The Governing Bodies of NHS Calderdale Clinical Commissioning Group (CCG) and NHS Greater Huddersfield CCG met in parallel in public on Thursday, 20 October 2016 to reach a decision on the outcome of the consultation and next steps on proposed changes to hospital and community health services in Calderdale and Greater Huddersfield.  The findings from the stakeholder event and CCGs’ deliberation were considered by the Governing Bodies at this meeting.

 

Downloads

Right Care, Right Time, Right Place Stakeholder event

 

2015

Composite report Right Care, Right Time, Right Place

Downloads

Composite report Right Care, Right Time, Right Place

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