June 2018

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Welcome

Next week marks the 70th anniversary of the NHS. What a milestone!

Over the last couple of months we have been counting down to the big day on social media, taking the opportunity to highlight the fantastic achievements of the service and its people over the last 70 years. A lot has changed during that time and we know that developments will continue.

Infact, we have been advised that the Government will publish a Green Paper around the same time as the NHS’ birthday and we are expecting further guidance on what this means from NHS England. It’s not known what the detail of the Green Paper will be, but it is widely expected to include a longer term funding agreement, the integration of health and social care and clarity on the future direction for NHS Commissioning. We’ll share more news as we receive it.

Since the last issue of ‘in touch’ the Care Quality Commission (CQC) has published the results of their detailed review of Wiltshire’s health and social care system, confirming that people receiving services in the county are safe. Wiltshire CCG coordinated the review with Wiltshire Council which included key partners in the local adult health and social care sectors providing information and evidence of what it’s like to receive care in Wiltshire.

We are pleased that the review considers our services to be safe and we will continue to work closely with Wiltshire Council and with all of our health and care partners to ensure people in Wiltshire experience high quality services. For more information, our press release and to read the CQC report, visit our website.

I hope you are finding time to enjoy this lovely weather!

Linda
Linda Prosser, Interim Chief Officer

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In the news!

Dad Pad app launched to support new dads

An app to support new dads and dads-to-be in Wiltshire, BaNES and Swindon has been launched containing practical information and advice on topics ranging from changing nappies, feeding and how babies like to be held. The Dad Pad aims to support new dads and help them to feel more confident about fatherhood.

Lucy Baker, Programme Director for Maternity – the B&NES, Swindon and Wiltshire Maternity Transformation Partnership explains: “We’ve had loads of conversations with dads, who have told us that they want information on how to care for their new babies, so that they can be more involved right from the start. The Dad Pad has practical advice which dads can access quickly and easily to help support them in caring for their new born.”

Jerry Wickham, Wiltshire Council Cabinet Member for Adult Social Care, Public Health and Public Protection comments, ”As a dad and granddad myself, I know from personal experience that this app will really help new dads. It’s user-friendly and full of hints and tips to help new dads truly enjoy the experience of fatherhood and to offer them reassurance and support – particularly in those early weeks and months.”

The Dad Pad was previously launched in Wiltshire as an online and printed leaflet. It is now available in an updated version as a free to download app. Visit the Dad Pad website to download the app: www.thedadpad.co.uk/app 

 

 

Northlands Surgery nominated for Surgery of the Year Award!

As part of the national General Practice Awards 2018, Northlands Surgery in Calne has been nominated for The People’s Choice Award: Surgery of the Year.

The award offers the general public the chance to give their thanks and show appreciation for their local healthcare team. Northlands Surgery is one of 81 Practices nationwide that have been nominated and public voting is now in full swing until 10 August 2018.

Alison Ingham, Practice Manager at Northlands Surgery comments, “It is an absolute thrill that Northlands has been nominated for this prestigious award. Everyone in the Practice Team works tirelessly to provide outstanding care for our patients and I think it is wonderful for our staff to have been recognised in this way.”

Voting is now open and people have until 10 August 2018 to show their support for Northlands Surgery in one of two ways:

The final three shortlisted surgeries will be announced on 3 September and will be invited to attend this year’s Awards Event, which takes place on 30 November in London.

The General Practice Awards are an annual celebration of the hard work, innovation, and dedication taking place in primary care across the UK, showcasing the very best projects, teams, and leaders and sharing in achievements.

To find out more, visit www.generalpracticeawards.com 

 

 

Improving services for the victims and survivors of sexual assault and abuse

NHS England has published the Strategic direction for sexual assault and abuse services, which sets out what is needed to improve services and consequently patient experience for those who have experienced sexual assault and abuse.

Developed with a range of partner organisations, as well as the victims and survivors of sexual assault and abuse, the Strategic direction takes into account a lifelong pathway of care for survivors. It also outlines how services need to evolve and work together to ensure that as much as possible can be done to safeguard individuals and support them at times of crisis and at the point of disclosure. 

 

 

News archive

Read more news from Wiltshire CCG in our news archive.

Be Involved!

The Wiltshire Vision

Local system leaders in health and social care invite anyone living in Wiltshire to take part in the development of our vision for the way we provide health and care services in the county. Your views will help us to build and develop our health and wellbeing strategy, which sets the direction for services supporting people to live as well as possible.

We’d like you to help us to understand what Wiltshire people consider to be the most important factors in their health and care. The feedback you give us will also help us work out how to prioritise the money we have to help people manage their own health and wellbeing, and what support people need to live independently in their own communities for as long as possible.

Everyone – no matter what age – is welcome to contribute. This is your county, so please share your thoughts with us.

Visit our website for more information and to access a printable version of the survey.
 

 

 

Gluten-free foods on prescription

In February 2018 the Department of Health and Social Care (DHSC) announced its decision to nationally restrict the prescribing of gluten-free foods. This is in response to the public consultation in 2017 on the ‘Availability of gluten-free foods on NHS prescription’.

Wiltshire CCG’s current policy permits the prescribing of gluten-free staple foods for patients with a diagnosis of coeliac disease and/or dermatitis herpetiformis, with the following guidance:

  • Gluten-free prescribing should focus on enabling people with coeliac disease to access gluten-free staple foods, (bread, bread mix, flour, flour mix and pasta) free of charge on NHS prescription, as part of a healthy balanced diet.
  • Sweet biscuits and cakes should not be prescribed based on the grounds of supporting healthy lifestyles and the fact that gluten-free products are available at competitive prices in supermarkets.
  • Any gluten-free foods prescribed for patients without a confirmed diagnosis should not be prescribed.

Between 1 April 2017 and 31 March 2018, gluten-free foods on prescription cost NHS Wiltshire £241,487.

Wiltshire CCG is asking the public, patients and clinicians to have their say by completing a survey on two proposed options that will change the prescribing approach to gluten-free foods in Wiltshire, in line with National Institute of Care and Excellence (NICE) guidelines.

Visit our website to find out more and to complete the survey.

Campaign 

Stay well this Summer

To help you, your friends and family stay well this summer, we’ve teamed up with Wiltshire Council to produce this handy booklet. With lots of tips on how to enjoy the sun safely, advice on what to keep in your medicine cabinet and information on healthy living it’s this summer’s latest must-read!

For more information and top tips for a safe summer, visit www.wiltshireccg.nhs.uk/our-campaigns/safe-summer

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Follow us

You can find Wiltshire CCG on social media – follow us and keep up to date with our latest news.

www.facebook.com/NHSWiltshireCCG www.twitter.com/NHSWiltshireCCG www.pinterest.com/NHSWiltshireCCG
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Improving services for the victims and survivors of sexual assault and abuse

Sexual assault and abuse are serious crimes which continue to have a significant impact on our society. The devastating consequences for any victim can often be misunderstood and neglected.  Despite this, the vast number of victims remain hidden due to a fear of coming forward or a lack of faith in organisations.

To help address this issue and develop improved services for the victims of sexual assault and abuse, work is progressing between a range of partners, which include the Department of Health and Social Care, NHS England, Department for Communities and Local Government, Department for Education, Home Office, Ministry of Justice, Association of Police and Crime Commissioners, Police and Crime Commissioners, National Police Chiefs Council, the Care Quality Commission, Local Government Association, NHS providers and commissioners, Public Health England, Directors of Adult Social Services, victims and survivors of sexual assault and abuse and third and charitable sector survivor organisations.

In support of this, the Strategic direction for sexual assault and abuse services has been produced, which sets out what is needed by 2023 to improve service provision and consequently patient experience for those who have experienced sexual assault or abuse.

A key focus of the Strategic direction is considering how pathways of care need to change to ensure those who have experienced sexual assault and abuse have appropriate and timely access to services throughout their lifetime.  It also outlines how services need to evolve to ensure that as much as possible can be done to safeguard individuals and to support them at times of crisis and in particular, at the point of disclosure.  Underpinning this are six core priorities, which are:

  • Strengthening the approach to prevention
  • Promoting safeguarding and the safety, protection and welfare of victims and survivors
  • Involving victims and survivors in the development and improvement of services
  • Introducing consistent quality standards
  • Driving collaboration and reducing fragmentation
  • Ensuring an appropriately trained workforce.

The Strategic direction has been informed by an extensive period of engagement with providers, commissioners, victims, survivors, and in some cases their families and carers, as well as the extensive evidence base.

These findings, along with support from partner organisations and the victims and survivors of sexual assault and abuse, have informed the co-development of the Strategic direction, which provides a framework of guidance to deliver improved services now and in years to come.

Northlands Surgery nominated for Surgery of the Year award!

Northlands Surgery in Calne is one of 81 practices nationwide that has been nominated for The People’s Choice Award: Surgery of the Year, as part of the national General Practice Awards for 2018.

‘Surgery of the Year’ has been added as a new award for 2018 and offers the general public the chance to give their thanks and show appreciation for their local healthcare team.

Alison Ingham, Practice Manager at Northlands Surgery comments, “It is an absolute thrill that Northlands has been nominated for this prestigious award. Everyone in the Practice Team works tirelessly to provide outstanding care for our patients and I think it is wonderful for our staff to have been recognised in this way.”

Voting is now open and people have until 10 August 2018 to show their support for Northlands Surgery in one of two ways:

The final three shortlisted surgeries will be announced on 3 September and will be invited to attend this year’s Awards Event, which takes place on 30 November in London.

The General Practice Awards are an annual celebration of the hard work, innovation, and dedication taking place in primary care across the UK, showcasing the very best projects, teams, and leaders and sharing in achievements.

A full list of the awards and nominees can be found at www.generalpracticeawards.com

The Wiltshire Vision

Local system leaders in health and social care invite anyone living in Wiltshire to take part in the development of our vision for the way we provide health and care services in the county.  Your views will help us to build and develop our health and wellbeing strategy, which sets the direction for services supporting people to live as well as possible.

We’d like you to help us to understand what Wiltshire people consider to be the most important factors in their health and care.  The feedback you give us will also help us work out how to prioritise the money we have to help people manage their own health and wellbeing, and what support people need to live independently in their own communities for as long as possible.

Everyone – no matter what age – is welcome to contribute.  This is your county, so please share your thoughts with us.

The survey is open from until noon on Tuesday 3 July 2018 and can be accessed here: Your Wiltshire Vision 2018

Alternatively click here to access the printed version of the survey which can be completed and returned via email or post.

 

New dads in Wiltshire, B&NES and Swindon get support in the early weeks of fatherhood with the launch of mobile app

A new app, aimed at new dads in the Wiltshire, BANES and Swindon area, is to be launched this week. The “DadPad” app is a new easy-to-use resource to support dads in the early days and weeks following the birth of their child. DadPad contains practical information on topics including advice on how to change nappies, what to know about breastfeeding, support with bottle feeding and how babies like to be held. The aim of the app is to support dads across B&NES, Swindon and Wiltshire to enjoy their new babies and feel more confident about fatherhood.

Lucy Baker, Programme Director for Maternity the B&NES, Swindon and Wiltshire Maternity Transformation Partnership said:
“We’ve had loads of conversations with dads, who have told us that they want information on how to care for their new babies, so that they can be more involved right from the start. The DadPad has practical advice which dads can access quickly and easily to help support them in caring for their newborn.”

The DadPad app is also designed to help prepare dads-to-be before the birth of their baby, and can be used as a quick reference tool after their baby is born.

Jerry Wickham, Wiltshire Council Cabinet Member for Adult Social Care, Public Health and Public Protection, said:”As a dad and granddad myself, I know from personal experience that this app will really help new dads. It’s user-friendly and full of hints and tips to help new dads truly enjoy the experience of fatherhood and to offer them reassurance and support – particularly in those early weeks and months.”

The DadPad was previously launched in Wiltshire as an online and printed leaflet. It is now available in an updated version as a free to download app. Visit the DadPad website to download the app: www.thedadpad.co.uk/app

CQC states that people receiving health and social care services in Wiltshire are safe

A recent and detailed review of Wiltshire’s health and social care system has found that people receiving services in the county are safe.

The Care Quality Commission is carrying out targeted reviews of health and social care in local authority areas and Wiltshire was visited on 20/21 February and 12-16 March 2018.

The review, which was coordinated by Wiltshire Council and NHS Wiltshire Clinical Commissioning Group (CCG), also included extensive data and evidence gathering from key partners in the local adult health and social care sectors. All partners involved provided information and evidence of what it’s like to receive care in Wiltshire.

The CQC focused on five main questions in relation to service provision and the impact on users:

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well led?

The final review published today (14 June) recognises the hard work and effort already being done by all partners to improve the care and support for Wiltshire residents, and provides useful insight into the areas where we acknowledge we must do more to improve for people in Wiltshire. Positive aspects outlined by the CQC include:

  • Those who needed care and support were judged to be safe.
  • The review found that there was a positive and proactive programme for the transformation of adult social care particularly around prevention, reablement and safeguarding.
  • Integrated discharge teams in the hospitals worked effectively to define the pathway of care out of hospital and to begin that process.
  • There was effective inter-agency working between the Voluntary, Community and Social Enterprise (VCSE) sector and hospital services in emergency departments to help people to avoid admission and return home safely.
  • People were supported to stay safely at home for as long as possible through the work of GPs and care coordinators.
  • There were systems in place to identify people who were frail or who were at risk of deterioration in their health or social situation.
  • GPs were key in supporting people to stay safe.
  • People were able to access a number of services in the community to prevent social isolation and when they came into contact with services through their GPs there was good support from them to access other services and sign-posting. They were helped to stay well at home for as long as possible.
  • Avoidable admissions to hospital from care homes in Wiltshire were low compared to similar areas and the England average, and significantly lower with regard to admissions resulting from pneumonia.
  • Frontline staff who provide care were recognised by reviewers for their commitment to achieving the best outcomes for people and being genuinely caring in their approach.
  • Staff who supported people living in Wiltshire were caring in their approach. There was a clear will to put the person at the heart of services.
  • There were systems and processes in place to ensure that people in crisis were supported through the health service.
  • People using hospital services and their loved ones were treated with dignity and respect.
  • People who were in crisis could access support from a variety of settings, and this was provided in a timely way. Wiltshire performed better than the England average in preventing admissions to hospital for common clinical conditions.
  • There were systems and processes in place to ensure that the transition between health and social care prevented any avoidable harm.
  • Acute hospitals were focused on promoting early discharges.
  • There was effective partnership working to ensure that people were discharged from hospitals safely.
  • People’s needs and choices were considered at all stages when planning their return home.
  • All services were focused on improving flow through hospitals and care, with systems being designed and redesigned according to activity and performance.
  • All services had the right skills to support the effective transition of people between health and social care.

With regard to the areas for improvement or where things need to be done differently, we have already produced a detailed action plan, and a single overarching strategy will be produced to address the following areas:

  • Continuing the programme of work to transform adult social care services
  • Adopting national best practice and reviewing the Better Care Plan and will be adding some new initiatives that have been successful across the country
  • A commitment to introduce additional Local Area Coordinators in Wiltshire by early Autumn, to support communities
  • We continue to see the number of people who are medically fit to leave hospital, and the numbers of those people who are experiencing delays in getting home, is reducing
  • Changes are being made which mean that the professionals who are the first point of contact to services are working together better to look at how people return home
  • Creating a provider led Integrated Programme Board to review and improve the post hospital discharge pathways to include Homefirst and Reablement
  • Simplifying our current complex governance structures
Jerry Wickham, Wiltshire Council cabinet member for adult social care, public health and public protection, said:
“We welcome the findings of the review and we are extremely pleased that the services we provide in Wiltshire were found to be safe.

“Given the challenge for the care and health sector this is something that is good to hear and their overall feedback and fresh perspective has been welcome and has already helped to guide improvement in our partnership working and the services we provide for residents.

“The CQC’s findings are very much in line with our own assessment of the local system and how it works, and, most importantly where further improvement can be made.

“Much of this work is already underway as we continue to work towards our long-held vision and priority to integrate health and social care. Our shared focus is to continue to develop services so that people in Wiltshire receive the best care available.”

Dr Richard Sandford-Hill, Chairman at Wiltshire CCG said:
“This is a comprehensive and realistic report and we are grateful to our staff and colleagues for their input to it. We are of course pleased that our services are considered to be safe, but we also acknowledge we still have much to do to improve our joint services on behalf of Wiltshire people. The report shines a light on those things that we need to do better or differently and has prompted us to re-energise our efforts. We are fully committed to working closely with all of our health and care partners across Wiltshire, with renewed vigour, to provide safe, high quality and seamless services for our residents.”

As this was a review, and not an inspection, the system isn’t subject to any overall grading or mark, but a detailed assessment on how it works has been provided.

The full report will be published  at www.cqc.org.uk.

Joint corporate director post – health and social care – update

The 70th anniversary of the NHS is being widely publicised and will include the publication of a Government green paper in July to coincide with this anniversary. Whilst the contents of the paper are currently unknown, it is likely that the focus on collaborative working to integrate health and social care services will continue. 

It is also anticipated that the green paper will provide clarity on the future direction for NHS commissioning; particularly commissioning by CCGs of health services. On the basis of the anticipated change, Wiltshire Council and CCG have discussed and agreed that it would be sensible to reconsider the appointment of a joint accountable officer. 

Jerry Wickham, Wiltshire Council cabinet member for adult social care said:
“Our aim to integrate health and care services remains a priority for the council. It is extremely disappointing that the council and CCG cannot proceed, as planned, with a senior joint accountable officer post. We had viewed this role as vanguard in driving integration to improve health and care services. We will, however, continue to look at an alternative joint post with Wiltshire CCG so that we can build on what we have already achieved in integrating services for the benefit of Wiltshire residents.

“With the growing pressures on these services and the rise in the number of older people, partnership working and the delivery of joint services will be vital if we are to manage the increasing demand. Whilst we have a strategy and plan for this, the joint post was viewed as key to its delivery. We are working with our health partners to deliver changes that will help to manage the pressures and this work must and will continue.”

Dr Richard Sandford-Hill, Chairman of Wiltshire CCG said:
“Although we do not know the contents of the paper, we are confident that our proposals for closer, collaborative working with Wiltshire Council will not be compromised. We have made great strides towards a single, overarching Health and Social care strategy, and are looking forward to a third workshop this month to continue developing our combined ambitions for integrated, seamless services for Wiltshire people”.

Strategy launched to support carers

Wiltshire Council and NHS Wiltshire Clinical Commissioning Group (CCG) are working with partners in health, social care and the voluntary sector to support the thousands of Wiltshire carers who look after vulnerable loved ones.

In the last census more than 47,000 people in Wiltshire said they provided unpaid care – that’s about 10% of the population. One in five of those devote more than 50 hours every week to caring. Research suggests that there are many more who do not identify themselves as carers formally, particularly young carers and those who care for people with needs relating to mental health or substance misuse. 

This week is Carers Week (11-17 June) with individuals and groups across the country organising events to raise awareness of the vital role that carers play.

Wiltshire Carers’ Action Group (WCAG) has recently launched a five-year strategy to make sure that carers get the support they need when they need it. The joint Wiltshire Council and Wiltshire CCG strategy was co-produced with WCAG members including the Alzheimer’s Society, Alzheimer’s Support, Healthwatch Wiltshire, Wiltshire Parent Carer Council, Spurgeons Young Carers, Wiltshire Citizen Advice and Wiltshire Centre for Independent Living, Wiltshire People 1st and Wiltshire carers.

The strategy aims to ensure that: ‘Carers are identified and accepted as expert partners in care; are well informed; and maintain a good quality of life and healthy lifestyle outside of their caring responsibility.’

There is a detailed implementation plan to deliver the following outcomes:

  • Carers have improved physical health, mental health and wellbeing
  • Carers are empowered to make choices about their caring role and to access appropriate support and services for themselves and the people they care for
  • Carers have the best financial situation possible, and are less worried about money
  • Carers’ needs, and the value of carers, are better understood in Wiltshire
  • Carers influence services

If you are a carer and would like to be involved in how the strategy is implemented you can contact the Carer Engagement Manager at Carer Support Wiltshire on 0800 181 4118 or email admin@carersinwiltshire.co.uk

Carer Support Wiltshire chairs the Wiltshire Carer Involvement Group and coordinates carer involvement in the development of a range of services which support carers and those they care for. Carer Support Wiltshire also runs groups across the county facilitated by Community Connectors who will help to implement the strategy at a local level.

Jerry Wickham, Wiltshire Council cabinet member for adult social care, public health and public protection, said:
“One of the most important duties we have is to protect vulnerable people in the community. Without the devotion of carers in the county that task would be incredibly difficult and costly, and place enormous strain on the resources of the council and the health service.

“Our carers do so much for the community, and it is right that the community helps them in return.”

Ted Wilson, Director of Community Services and Joint Commissioning for NHS Wiltshire Clinical Commissioning Group said:
“Everybody who works in health and social care understands the vital contribution that unpaid carers make. Looking after a person that you care about is something that many of us want to do, however, we need access to timely advice and support. Our new strategy builds on the great support that is available across Wiltshire, so that carers have the help they need when they want it.”

The strategy can be found at https://www.yourcareyoursupportwiltshire.org.uk/wiltshire-home-page/content/health-and-social-care-in-wiltshire/carers-information-advice-and-services/what-is-a-carer

For more information about Carers Week please visit www.carersweek.org and https://carersupportwiltshire.co.uk/2018/05/11/celebrate-carers-week-with-csw/

Have your say on a new approach to gluten-free prescribing

Wiltshire Clinical Commissioning Group (CCG) is reviewing its policy on prescribing gluten-free foods in line with national guidance and is encouraging Wiltshire patients, the public and clinicians to have their say on two proposed options.

The review follows a national public consultation in 2017 by the Department of Health and Social Care (DHSC) on the ‘Availability of gluten-free foods on NHS Prescription’ and the resulting guidance announced in February 2018 to restrict gluten-free foods to bread and mixes only – although this does not affect a CCG’s statutory authority to determine its approach at a local level.

Gluten-free prescribing began in the 1960s when no gluten-free foods or products were readily available. Today gluten-free foods are found in most supermarkets, shops and many cafes – including in Wiltshire – and competition has driven pricing down meaning they are affordable dietary alternatives.

Wiltshire CCG has a duty to ensure that the funds it has available for prescribing are spent in a way that benefits most patients. Between 1 April 2017 and 31 March 2018 it spent £241,487 on products such as gluten-free bread, pasta and pizza bases, items which are now readily available and competitively priced. Wiltshire is also the highest prescribing CCG in England of Juvela gluten-free bread and bread mix.

Dr Richard Sandford-Hill, Chair of Wiltshire CCG explains,
“The two options proposed are to stop prescribing all gluten-free foods in primary care, or to restrict prescribing to bread and mixes only for those patients with a diagnosis of coeliac disease and/or dermatitis herpetiformis up to the age of 18 years.

“While these proposals will reduce the amount of staple gluten-free foods available on prescription in Wiltshire, it will not affect the vital help and support available to patients diagnosed with coeliac disease and/or dermatitis herpetiformis via their GP or dietician.

“There is also no strong clinical evidence that patients who receive gluten-free food on prescription are more likely to comply with a gluten-free diet, or have better health outcomes than those who do not.”

Patients, the public and clinicians in Wiltshire are encouraged to have their say on the proposed options via a short survey available at www.wiltshireccg.nhs.uk. The survey is open until 22 July 2018.

Findings from the survey will inform the future prescribing of gluten-free foods in Wiltshire.

Help shape Perinatal Mental Health Services

NHS Wiltshire, Swindon and BaNES Clinical Commissioning Groups and  Avon & Wiltshire Mental Health Partnership NHS Trust invite you to attend an event to provide you with an overview of current service provision and to hear your views on the proposal to introduce a specialist community perinatal mental health service in Wiltshire, Swindon and Bath.

Events are being held on the following days:

Wednesday 13 June 2018
Time: 2.00 – 4.00 pm
Location: Wyvern Theatre, Theatre Square, Swindon, SN1 1QN

Thursday 14 June 2018
Time: 2.00 – 4.00 pm
Location: Rose and Crown Hotel, Harnham Road, Salibsury, SP2 8JQ

Friday 15 June 2018
Time: 2.00 – 4.00 pm
Location: Hilton Hotel, Walcot Street, Bath, BA1 5BJ

Refreshments will be provided on arrival. 

If you would like to attend any of these events to help us shape and improve the future of perinatal mental health services, please book a place by sending an email to:  wiltshire.pimhevent@nhs.net

Crèche facilities are available; please let us know if you want to use this service when confirming your attendance as there are limited places which will be applied on a first come first served basis.   

Download poster here