Strategic Outline Case for Wiltshire

26 July 2017 – Wiltshire Clinical Commissioning Group’s Governing Body yesterday approved a Strategic Outline Case (SOC) which identifies a preferred model and way forward for the future provision of community and primary care estate in Wiltshire.  

The SOC, which was presented and approved at Wiltshire CCG’s Governing Body meeting held in public in Devizes on Tuesday 25 July, is the cumulation of a strategic overview of health care in one area of Wiltshire – Chippenham, Melksham and Trowbridge – which began in autumn 2016. 

This initial stage of planning means the CCG is in the best position to secure capital investment for much needed updating of health buildings in Chippenham, Melksham and Trowbridge.  However, there are also priority areas for the rest of Wiltshire and the CCG will now set out a timetable for developing a more detailed clinical strategy and a Wiltshire-wide programme of capital and estates funding requirements. 

Steve Perkins, Wiltshire CCG’s Chief Finance Officer said:
“Wiltshire CCG has a strategy founded on commissioning health services which are based in our communities rather than in acute hospitals. Keeping people well, supported and able to be live as independently at home is at the heart of all of our work. We know that flexible solutions will be the key to being able to support the health and wellbeing of our local population, in a way which is financially sustainable into the future. 

“This means that we anticipate, and seek, an increase in the use of our community buildings – such as GP practices and larger primary care centres – so that we rely less on hospital facilities. Our approach aligns with the Bath and North East Somerset, Swindon and Wiltshire Sustainability and Transformation Partnership (STP) which has five priority areas, one of which is ‘Making best use of technology and our public estates’.

“To help us to understand the future estate and infrastructure requirements, in autumn 2016 we began a strategic overview of health care in one area of our county. This work has now been developed into a Strategic Outline Case (SOC) which identifies a preferred way forward for the future provision of community and primary care estate in Chippenham, Melksham and Trowbridge to support the sustainable delivery of community, secondary and primary care services.  The cost implications of not making the much-required improvements to facilities in north west Wiltshire are significant, and national funding has been made available for primary care facilities in Trowbridge.  The strategic planning helps to align clinical priorities with estates and infrastructure requirements”.

The SOC, which can be found here considers the healthcare needs of the Wiltshire population into the long term, based on what our GPs and clinicians require to support people to live well at home, and in consideration of the expected population growth in Wiltshire between now and 2026.  By working with our partners and stakeholders to review and understand the current and future local service requirements, Wiltshire CCG has considered options for the way we deliver locally based healthcare services in the future.

The recommendation approved by the CCG Governing Body yesterday is for one community hospital (hub), one community ‘spoke’ and three urgent treatment centres, alongside development of primary care estate to increase much needed capacity for GP practices. Details and definitions for each of these facilities can be found in the SOC.

Linda Prosser, Interim Chief Officer of Wiltshire CCG said:
“The preferred way forward takes account of key national, regional and local drivers for change and was arrived at following detailed meetings with clinicians, GPs and other key stakeholders.  The SOC is the first stage in the business planning process and therefore the size of accommodation and cost is only indicative at this stage. The SOC does not make an assumption about the location of the facilities, but we expect that for the north west patch of Wiltshire they will be located in the Chippenham, Melksham and Trowbridge area”.

The next stage will be for further development work to Outline and Full Business Cases and it is expected that locations will be identified through options appraisals at the Outline Business Case stage of the planning process, before proceeding to a full public engagement programme.

Chairman of Wiltshire Clinical Commissioning Group to step down

25 July 2017 – Dr Peter Jenkins, the Clinical Chairman at Wiltshire Clinical Commissioning Group, is to step down from his role at the end of September following a two year term.

Dr Jenkins, who has been in post for the last two years, said:
“Much has changed since I began my clinical career a number of years ago, but what remains unwavering, regardless of what job people do within the NHS, is the commitment to delivering the best possible service, where the patient is at the centre. This theme has been core to Wiltshire CCG and it’s been an absolute privilege to work with a fantastic team and supportive colleagues. I will leave knowing that the CCG’s vision of delivering health care closer to home remains in safe hands with a dedicated, committed group of people and I’m proud to have been part of helping to develop health services in Wiltshire that are aligned to the needs and demands of a growing and increasingly ageing population, now and into the future”
Linda Prosser, Interim Chief Officer at Wiltshire CCG added:
“On behalf of the Governing Body and all the staff at Wiltshire CCG I’d like to thank Peter for his commitment to health care services in our area, and the changes he has overseen. As with the NHS nationally, the last two years have been extremely challenging but Peter will leave us having successfully laid strong foundations for the future integration of health and care services”.

In line with the CCG’s constitution, an election for a new Chairman will be held amongst the CCG’s GP membership practices.

Cover Up Mate and reduce your risk of skin cancer

19 July 2017 – As part of the national Cover Up Mate campaign Wiltshire Clinical Commissioning Group (CCG) is urging men who spend long periods of time outdoors cover up and to protect themselves from the sun. 

The number of people being diagnosed with skin cancer is increasing and men are being targeted as they are less likely to slap on the sun cream and don’t realise the harm they are doing to their skin.  

Dr Richard Sandford-Hill from Market Lavington Practice said:
“Being outdoors is essential for farmers, builders, groundsmen and sportsmen, but it’s important they understand the risks associated with the sun and take steps to keep themselves safe from skin cancer. Getting burnt, even if it is just slightly, does increase your risk in the long term.”

Skin cancer rates in the South West are higher than average and figures released by Public Health England show that between 2005 and 2014, deaths related to skin cancer increased by 22 percent in men, but there was no increase in deaths among women.

Dean Smart, a construction worker in Marlborough is supporting the cover up mate campaign and said:
“I would urge anyone who works outside to cover up and make sure they wear suncream.  It’s great working outside when the sun is shining and I didn’t really think about the risks of skin cancer that come with it – I will definitely be slapping on the sun cream and covering up from now on.”
Dr Sandford-Hill continues:
“The good news is that’s it’s easy and simple to keep yourself sun-safe when working outside.  By taking just a few minutes to apply sun cream and ensure you’ve got your hat and sunglasses can help protect you from skin cancer.”

Top sun safe tips include:

  • Use at least factor 15 sunscreen with 4 stars and use plenty of it
  • Apply sunscreen to all exposed skin – don’t forget your neck and ears and your head if you have thinning or no hair
  • Wear sunglasses and a hat
  • Get to know your skin and check on a monthly basis to detect any change in the colour or size of moles. If you are concerned that a mole is changing you should see your GP in the first instance.  The sooner a cancerous mole is discovered the better the chance of successful treatment.

Don’t let finding the right healthcare advice cloud your summer

12 July 2017 – Wiltshire Clinical Commissioning Group is helping people to make the right decision about where to go for healthcare treatment over the summer months in Wiltshire, with the help of an easy to use healthcare clock – a signposting tool to help people choose the right healthcare service for their illness or injury.

Dr Peter Jenkins, Chair of Wiltshire CCG said:
“We recognise that knowing which services to access for healthcare advice and treatment can be difficult.  With the many services available, it can be confusing to know where you should go for treatment. The healthcare clock is a really useful tool to help you make the right decision about where to go for healthcare advice and treatment this summer.

The warmer weather and longer days tend to mean we see an increase in sports injuries, food poisoning from barbecues, sun burn and alcohol-related accidents.  Keeping a copy of our healthcare care on your fridge or in your bag will help you to make the right decision quickly about which healthcare service to use.”  

Around the clock healthcare in Wiltshire

NHS 111

Free non-emergency number where trained callers will listen to your symptoms and direct you to the best medical care for you and is available 24 hours a day, 365 days a year.

NHS Choices

UK’s biggest health website for information and advice.

GP out of hours

Available from 6.30pm until 8am on weekdays and all day at weekends and bank holidays. Call your GP practice to access the service

Minor Injury Unit 

Treats minor injuries that are not life-threatening e.g. cuts, bites, stings and simple fractures

Pharmacy 

Experts in medicine and can give you advice on common ailments and are a potential alternative to a GP visit

GP

If you have a condition that can’t be treated with over the counter medication or advice from a pharmacist, make an appointment to see your GP

A&E 

For genuine life-threatening emergencies only and is available 24 hours a day, 365 days a year

Patients in the Bath and North East Somerset, Swindon and Wiltshire Sustainability and Transformation Partnership (STP) area are set to benefit from expansion of diabetes prevention programme as NHS England drives forward changes to support people to live healthier lives.

The head of NHS England, Simon Stevens, has announced 13 new areas, including Bath and North East Somerset, Swindon and Wiltshire partnership, are now live and ready to offer a leading NHS prevention programme to patients identified at risk of developing Type 2 diabetes. 

Wave 2 of the Healthier You: NHS Diabetes Prevention Programme  is part of a wider package of measures to support people at risk of type 2 diabetes to get healthier, keep well and reduce their risk of developing the disease.

Local people from the Bath and North East Somerset, Swindon and Wiltshire (BSW) area who are referred on to the programme will get tailored, personalised help to reduce their risk of developing the disease.  Their support will include education on healthy eating and lifestyle choices, reducing weight through bespoke physical exercise programmes and portion control, which together have been proven to reduce the risk of developing the disease.

The programme, which is run collaboratively by NHS England, Public Health England and Diabetes UK, was officially launched last year, with the first wave made up of 27 areas and covering 26 million people – almost half of the country. The latest national figures reveal the programme is making good progress, with just under 50,000 people referred in Wave 1 and more than 18,000 on the programme in at the end of April. This exceeds the original target set in the NHS Mandate of 10,000 referrals during 2017/18.

Wave 2 areas will cover another 25% of the population, with an estimated 130,000 referrals and up to 50,000 additional places made available thanks to the expansion.

The ambition is for the programme to eventually cover the whole of the country and these figures could rise to as many as 200,000 referrals and more than 80,000 people on programmes by 2018/19.

Early evidence is positive and suggests that just under half of those taking up the programme are men – a much higher proportion that traditional weight loss programmes, while roughly a quarter of people are from black and ethnic minority communities.

Dr Andrew Girdher, Clinical Lead NHS Diabetes Prevention Programme, BSW said:
“Type 2 Diabetes is a growing problem and potentially a preventable disease through diet, lifestyle and exercise. 

“I am delighted that our area has been chosen to be part of the second wave of the evidence-based NHS Diabetes Prevention Programme. This is a free locally delivered 9 month rolling programme to target people who are at risk of developing diabetes.

“Those at risk of developing diabetes now have access to this robust programme to improve their health and reduce their risk of developing diabetes. I would strongly encourage anyone who has been invited to attend as this is an important step in helping to prevent diabetes and associated ill health.”

Jerry Wickham, Wiltshire Council cabinet member for public health said:

“Prevention of type 2 diabetes is very important as it gives people the opportunity to lead longer, healthier lives.

“We’re pleased this prevention programme has been introduced and I hope people respond well to it and take positive strides towards a healthier future.”

New Interim Chief Officer joins Wiltshire Clinical Commissioning Group

Linda Prosser has joined Wiltshire Clinical Commissioning Group (CCG) as Interim Chief Officer.

Chair of Wiltshire CCG, Dr Peter Jenkins said:
“We look forward to working with Linda and are confident she is well-placed to lead us through the challenges we know are ahead of us”.
Ms Prosser, who joins the CCG from NHS England South West where she was Director of Assurance and Delivery, said:
“I’m delighted to join Wiltshire Clinical Commissioning Group. This is a very strong CCG with a good track record that is well placed to rise to the challenges facing the health and care system in the next few years. I am very pleased to be a part of that.

We will be working very closely with our colleagues in Wiltshire Council to this end, including the appointment of a shared leadership role across the CCG and Adult Social care. I intend to provide the leadership and support to the CCG during this period up until this new post is taken up. Meanwhile we will continue to put local people at the heart of what we do to commission healthcare services that get the best possible outcomes for them.”

Ms Prosser replaces Tracey Cox, who took on the interim role in October 2016 alongside her Accountable Officer duties for Bath and North East Somerset CCG, and has now returned to that role.