Proposal to transform local maternity services is approved

The joint Governing Bodies of Bath and North East Somerset, Swindon and Wiltshire Clinical Commissioning Groups (BSW CCGs) today approved a proposal to improve and modernise maternity services across the region.

The decision follows a three-year period of engagement and consultation with more than 4,000 mums, families, staff and partners in the community to develop a new vision for maternity services, proposals for change and final recommendations.

The proposal was developed to better meet the needs and choices of women and families across the whole of Bath and North East Somerset, Swindon and Wiltshire. These changes will mean more equal access to choice for women about where to have their babies, a more effective use of resources, a better supported homebirth service and enhanced antenatal and postnatal care.

Sarah Merritt, Acting Deputy Director of Nursing and Midwifery at the Royal United Hospitals Bath NHS Foundation Trust said:
“These proposals will help us provide more choices for birth to more women and will build a strong foundation on which to enhance continuity of care so that more women can see the same midwife or small team of midwives before, during and after labour.

“The addition of Alongside Midwifery Units at the Royal United Hospital in Bath and at Salisbury Hospital will give our birthing mums a new option for labour and delivery, significantly enhancing choices in Salisbury in particular. Our midwives and staff are excited to embrace this new way of working in purpose built facilities.”

The BSW CCG Governing Bodies approved the proposal to:

1. Create an Alongside Midwifery Unit at Salisbury Hospital Foundation Trust.

2. Create an Alongside Midwifery Unit at the Royal United Hospital in Bath.

3. Continue to support births in two, not four Freestanding Midwifery Units.
This would mean births ceasing in Trowbridge and Paulton with antenatal and postnatal care continuing.

4. Enhance current provision of antenatal and postnatal care.

5. Improve and better promote home birth services.

6. Replace the five community postnatal beds in Paulton and the four community postnatal beds in Chippenham with support closer to, or in women’s homes. This will be phased with four beds remaining in Chippenham for up to 12 months to support co-creation of new pathways.

Dr Ruth Grabham, Medical Director for Bath and North East Somerset Clinical Commissioning Group and Governing Body member said:
“We are very grateful to everyone who gave their time and expertise over the last three years as this proposal was developed and refined. From mums and dads who use the services to clinical experts and local organisations – everyone has helped to steer a path through the complexities of service change.

“We know that in both Paulton and Trowbridge there were strong feelings in support of women continuing to be able to give birth in the existing Free Standing Midwifery Units and some people will be disappointed by today’s decision. However this proposal was approved to help us better meet the needs and choices of women and families across the whole of Bath and North East Somerset, Swindon and Wiltshire.

“As a result of feedback we have delayed the closure of four of the community postnatal beds to allow more time to work with mums, families and staff to co-design a new community postnatal offer that will meet the needs of local people. The feedback, for example around breastfeeding and mental health support, will also be used to help shape our future maternity services.”

While services will be changing, it is important to note that approval of the proposal will not result in the closure of any buildings or reductions in budget and staffing for maternity services. Maternity services will remain available at all four FMUs antenatal and postnatal care will continue to be provided at these sites.

Chaya Tagore, Maternity Voices Partnership (MVP) Lead and one of the members of the Expert Panel that reviewed the consultation results and developed the final recommendations said:
“It’s really important that all women across Bath and North East Somerset, Swindon and Wiltshire have easy access to maternity services and this proposal means more choice to more women about where to have their baby. I encourage expectant parents and those who have used maternity services in the last five years to get involved with the MVP.

“The next steps as new community hubs are developed, where women can access integrated care from pre-conception to postnatal care are wonderful opportunities for co-creation. As MVP Volunteers we are really excited about enhanced support for home births and ongoing care.”

We will continue to share information on the Transforming Maternity Services Together website. This will include proposed timeframes for changes to services. To get involved in the next phase of co-producing services please email maternity.transformationBSW@nhs.net

All the papers from today’s Governing Bodies meeting, along with supporting reports and documents are available on the Transforming Maternity Services website.

Help our local hospitals this New Year by stopping the spread of Norovirus

People living in Bath and North East Somerset, Swindon and Wiltshire are being urged to help stop the spread of Norovirus this new year to help relieve pressure on the area’s hospitals and health services.

Norovirus – often referred to as the winter vomiting bug – is a very unpleasant and highly contagious stomach bug that causes diarrhoea and vomiting.

It has closed numerous beds over the past few days in hospitals across the region and local health leaders are appealing to the public to play their part in stopping the spread of the condition by following some simple steps.

  • Please don’t visits to hospitals, care homes, nursing homes and GP surgeries if you are suffering from symptoms of Norovirus (diarrhoea and vomiting)  – send someone else to visit loved ones until you are better
  • Once you’ve been symptom-free for at least 48 hours, you’re safe to return to work, school or visit hospitals, GP surgeries and care homes and nursing homes
  • Regularly wash your hands with soap and warm water, especially after using the toilet, and before eating or preparing food
  • Only hand-washing will prevent spread of norovirus – alcohol hand gels DON’T kill the virus
  • Self-treating at home is the best way to help yourself and avoid putting others at risk. You don’t normally need to see your GP as usually drinking plenty of water and taking paracetamol to relieve pain will help.
  • If you’re concerned, the NHS 111 phone or online service is a helpful alternative to going to your GP in person for advice.

Health leaders are also urging the public to only visit hospitals over the new year period if it is absolutely necessary.

They are asking local people to use the NHS 111 service if they have an urgent medical problem and are not sure what to do. The service is free to call and open 24 hours a day, seven days a week. It is staffed by fully-trained adviser on the phone, who will advise which local service can offer help and get a face-to-face appointment needed.

Gill May, Director of Nursing and Quality at Bath and North East Somerset, Swindon and Wiltshire CCGs said:

“If you do have norovirus, then please don’t visit our hospitals. They are already under serious pressure. Instead, stay at home, drink plenty of water, wash your hands regularly with soap and water and wait at least 48 hours after symptoms have gone before returning to work.”

 

Accessing health and care services in Wiltshire this Christmas and New Year

With Christmas just around the corner, people living in Wiltshire are being asked to prepare by making sure they know how to access medical care during the coming holiday period.

While all GP practices in Wiltshire will be closed during the Christmas and New Year bank holidays, some pharmacists will be open and there are lots of other ways of accessing medical help and advice should it be needed.

Here’s some tips for how to look after yourself and where to go for help during what is always a very busy time for NHS health services:

Self care

If you have minor bruises, minor cuts and grazes, a sprain or a slight cough or cold, you are best to deal with it yourself in the first instance. It’s worth keeping a few handy medicines and treatments at home for when you might need them such as painkillers, cough and cold remedies, decongestants, indigestion tablets and a first aid kit but remember to keep them out of reach of children. If you’re not sure go to a pharmacist or phone NHS111.

Ask your pharmacist

If you want some expert advice quickly, try a pharmacist as your first port of call. They can provide advice and treatments for common health problems such as coughs, colds, flu and rashes. You don’t need an appointment to see a pharmacist and many have private consultation areas. Your pharmacist will be able to tell you if you need further medical attention.

Use the NHS 111 service

If you’re really not sure what to do, and your GP surgery is closed, NHS 111 is available 24 hours a day, seven days a week for help. So if you think you might need to go to the Emergency Department or need another NHS urgent care service, don’t know who to call for medical help or need information about a health issue, give them a call. You can also go online to 111.nhs.uk

A&E/999

These services are for life threatening emergencies only such as loss of consciousness, suspected heart attacks, breathing difficulties or severe bleeding that cannot be stopped. A&E is likely to be extremely busy over the holidays with long waiting times, so please call NHS 111 for advice first if you are not sure where to go.

Full Christmas and New Year opening hours for all pharmacies in Wiltshire are available below. Click here for the downloadable PDF

 
Wiltshire-Winter-Pack-2019-20-v2.0
 

 

Health Based Places of Safety (HBPoS) in Swindon and Salisbury

In September 2019, Swindon CCG and Wiltshire CCG Governing Bodies approved a permanent change to the location of the Health Based Places of Safety (HBPoS) in Swindon and Salisbury, which were temporarily closed following poor Care Quality Commission (CQC) feedback. A pilot has been running for the last 18 months to evaluate the experiences of people using a purpose built HBPoS (Bluebell Unit) at Green Lane in Devizes.

An options appraisal was developed following engagement with key stakeholders, including service users, staff and strategic partners. Excellent feedback was received in relation to the pilot service, particularly in relation to the quality of the environment and care provided.  The options were scored by both a Clinical Panel and a panel representing service users.  An Options Appraisal Report identified a preferred option of permanently closing the HBPoS sites at Swindon and Salisbury which was formally ratified by the Swindon Adult’s Health, Adult’s Care and Housing Overview and Scrutiny Committee and the Wiltshire Health Select Committee in November 2019.

A statement from the CCG – in response to the decision – can be seen below:

“While the CCG acknowledges the community’s strong support for retaining a place of safety in Swindon, the evidence put forward to the Governing Bodies – much of which was obtained through meaningful conversations with people who have real experience of using the service in both its current and former state – clearly shows that local people requiring future mental health support will be best served by maintaining a single facility in Devizes.  

“This move will not only ensure the necessary safety requirements called for by the Care Quality Commission can be achieved, but also that people being detained will have quicker access to professional mental health support in a location that is safe, secure and conducive to their wellbeing and overall recovery.”

New Independent Chair appointed to lead Bath and North East Somerset, Swindon and Wiltshire health and care system

Health and care leaders from Bath and North East Somerset, Swindon and Wiltshire (BSW) have appointed a new Independent Chair.

Stephanie Elsy, a Non-Executive Director at Solent Community and Mental Health Trust and former Leader of Southwark Council in London, joins the BaNES, Swindon and Wiltshire Sustainability and Transformation Partnership (STP) from 9 December 2019.

She will provide independent leadership and work to oversee the ongoing improvement and integration of health and care services across the region.

She will also help to deliver the ambitions set out in BaNES, Swindon and Wiltshire’s Five Year Plan  – which will be published early next year – and provide support to the partnership as it develops into an Integrated Care System (ICS) by April 2021.

Integrated Care Systems are NHS organisations working in partnership with local councils and others to take collective responsibility for managing resources, delivering NHS standards and improving the health of the population they serve.

Stephanie Elsy said:
“I am delighted to be given the opportunity to work with health and care leaders across BSW during such an exciting time.

“Our local health and care system is under considerable pressure and it is now more important than ever before that we work in a seamlessly integrated manner to improve service quality, improve the health and wellbeing of our local population and deliver financial stability.”

Tracey Cox, Chief Executive Officer of Bath and North East Somerset, Swindon and Wiltshire CCGs and STP Senior Responsible Officer said:

“Appointing Stephanie as an Independent Chair is a significant step forwards for BSW.

“She will play a central role in holding the system to account for delivering positive change, promoting joint working, securing the support of the boards and staff of all of our partners and ensuring the public are engaged and well informed.”

Stephanie has worked in the delivery of public services for over 30 years. She was a CEO in the charity sector for 15 years managing community and residential services for people recovering from substance misuse, people with disabilities and people living with HIV and AIDS.

She has also worked in local politics as a Councillor in the London Borough of Southwark in 1995, becoming Chair of Education in 1998 and then Leader of the Council in 1999.

After retiring from local government in 2002 Stephanie served on the Board of Southwark Primary Care Trust. She then worked for eight years as a Director of External Affairs for Serco Group. Since 2012 she has run a consultancy providing support to businesses delivering services to government. In 2017 she became a Non-Executive Director on the Board of Solent NHS Trust where she now Chairs the Finance and the Community Engagement Committee.

Stephanie lives in Emsworth, Hampshire, is married to her partner of 20 years, Christine, and has three grown up step-daughters and six grandchildren.

Bath and North East Somerset, Swindon and Wiltshire CCGs –
Joining together as one organisation

On the 1 April 2020, Bath and North East Somerset, Swindon and Wiltshire Clinical Commissioning Group will officially take the place of the three individual CCGs that currently exist.

The new, single CCG will serve a population of 934,000 people with 94 member (GPs) practices. It will be responsible for £1.3bn of core NHS funding each year.

The three current CCGs have a shared history of working together effectively to deliver high quality care. They have already established a single executive management structure to provide more consistent leadership and direction to staff working across the three organisations.

NHS England approved the CCGs’ application to merge in October 2019 following an extensive stakeholder engagement programme in July and August. Tracey Cox was appointed as Chief Executive Officer of the new CCG in February 2019 and is leading the transition.

The merger will ensure that local people continue to have access to the services they need, where they need them but it will reduce variation in care and standardise best practice, so that everyone in the region receives high quality treatment, regardless of where they live. Working as one organisation will also help the CCG meet financial challenges through offering greater buying power, eliminating the duplication of administrative support functions and streamlining governance processes, which means we can invest more of our budget into frontline services or transformational projects.

In January 2019, The NHS Long Term Plan was published. The plan sets out the need for people to take more responsibility for their own health and wellbeing and CCGs play a strategic role in supporting everyone to do this. As ‘transformers of the system’, CCGs need to lead the way to transform local health and care services. They must work as high level decision makers and purchasers of local services, holding the providers of these services to account. As a single organisation, BSW CCG will be better placed to do this

There is still work to be done before 1 April; not least the recruitment of some key roles to the governing board. At the end of January all posts should be filled and the organisational structure will be published.

The teams at all three CCGs are working together to safely transition colleagues and contracts to the new organisation and create new ways of working.

A new website is being developed in readiness for 1 April but in the meantime you can keep up to date with progress by following us on social media.

Recruitment for BSW lay members underway

In preparation for 1 April 2020 when we merge to become Bath and North East Somerset, Swindon and Wiltshire (BSW) CCG, we are searching for dynamic and passionate people to join our governing body as lay members.

Lay members will have a key role in ensuring the newly merged CCG exercises its functions effectively, efficiently, economically and with good governance. We are looking for local individuals with strong links to public and patient engagement to help us improve health, reduce inequalities and provide the best services for a diverse population.

We have a number of roles to fill, each with a specific focus. If you know of anyone who has the skills and experience to help us drive change and improvements to health services across the local area, please share the links below:

Help stop the spread of Norovirus in Bath and North East Somerset, Swindon and Wiltshire this winter

People living in Bath and North East Somerset, Swindon and Wiltshire are being asked to help stop the spread of Norovirus this winter by following some simple steps.

Norovirus – often referred to as the winter vomiting bug – is a very unpleasant and highly contagious stomach bug that causes diarrhoea and vomiting.

Although most people will recover within a few days, if it is introduced unintentionally into schools, nurseries, hospitals or care homes, it can spread incredibly quickly and affect vulnerable people.

Norovirus is already causing problems in hospitals across the area and has led to ward closures and had an impact on waiting times.

To help reduce norovirus-related problems this winter, health and care leaders in BaNES, Swindon and Wiltshire are asking people to play their part in stopping the spread of the condition by just thinking NORO:

N     No visits to hospitals, care homes and GP surgeries if you are suffering from symptoms of Norovirus – send someone else to visit loved ones
       until you are better.
O     Once you’ve been symptom-free for at least 48 hours, you’re safe to return to work, school or visit hospitals, GP surgeries and care homes
R     Regularly wash your hands with soap and warm water, especially after using the toilet, and before eating or preparing food
O     Only hand-washing will prevent spread of norovirus – alcohol hand gels DON’T kill the virus

Dr Richard Sandford-Hill, a GP in Market Lavington and Clinical Chair of the Wiltshire Clinical Commissioning Group said:
“There have already been a number of clinical settings across BaNES, Swindon and Wiltshire affected by norovirus and we’re keen to keep these to a minimum as our health and care services begin to experience increased demand on services this winter.

Self-treating at home is the best way to help yourself and avoid putting others at risk. You don’t normally need to see your GP as usually drinking plenty of water and taking paracetamol to relieve pain will help.

If you’re concerned, the NHS 111 phone or online service is a helpful alternative to going to your GP in person for advice.”

Gill May, Director of Nursing and Quality at Bath and North East Somerset, Swindon and Wiltshire CCGs said:
“At this time of the year we all need to be extra vigilant about the dangers of catching and spreading norovirus.

No one wants to suffer the effects of this unpleasant disease and we need to do all we can to minimise the disruption it can have on our hospitals, GP surgeries, care homes, schools and nurseries.

Taking a few very simple steps can really help to address this problem. I’d urge everyone in our local area to makes sure they are washing their hands regularly with soap and water, keeping away from hospitals and GP surgeries if they have the condition and waiting at least 48 hours after symptoms have gone before returning to work or school.”

Wiltshire Pharmacy Opening Times for the August Bank Holiday

Opening times for your local pharmacy services on Bank Holiday Monday (26 August) are available below.
The pharmacies listed should be open on the dates as shown, the details are correct at the time published but are subject to change. You are advised to contact the pharmacy before attending to ensure they are open and have the medication you require.
 
Click here to view the downloadable PDF
 20190819-Wilts-August-BH-Pharmacy-Poster-2019-v1.0

Families encouraged to #wearitwell over the summer holidays

Wiltshire Clinical Commissioning Group is encouraging families in Wiltshire to #wearitwell and share photos of their summer holiday fun in the sun as a way of reminding others about the importance of sun protection.

The campaign aims to get people in Wiltshire to share the important health guidance from NHS England and NHS Improvement’s Cover Up Mate campaign amongst their friends and families by putting the guidance into practice and uploading their photographic evidence to Twitter using the hashtags #wearitwell and #coverupmate.

Dr Richard Sandford-Hill, GP at Market Lavington Surgery and Chair of Wiltshire CCG, explains:
“Each year we remind people about the importance of covering up in sun, but this year we thought we’d get the people of Wiltshire involved in helping to spread the health advice too!
“Getting sunburnt just once every two years can triple your risk of melanoma skin cancer, so it’s important that we make sure we take the necessary steps to be able to enjoy the sun safely and to prevent ourselves from sunburn. “Many people are unaware that you can still burn if it’s cloudy or overcast and while sunburn is usually short-lived and mild, it’s important to take precautions to avoid it because it can increase your chances of developing skin cancer later in life.”

How to protect yourself from sunburn

  • Cover up when you are out in the sun – wear loose clothing and a wide-brimmed hat to protect as much skin as possible and protect your eyes with sunglasses that block at least 99% of UV light.
  • Use a sun cream with an SPF of 30 or higher and at least 4-star UVA protection and reapply every two hours and after swimming.
  • Seek shade and limit your direct exposure to the sun, especially between 11am and 3pm when UV rays are at their strongest.
  • Avoid tanning beds and sunlamps – both cause serious long-term damage and contribute to skin cancer.

What to do if you have sunburn

  • Treat minor sunburn at home by cooling the skin down by having a cool bath or shower. Then apply soothing aftersun or calamine lotion
  • Drink plenty of fluids to help cool you down and prevent you from getting dehydrated. Painkillers such as ibuprofen or paracetamol will help relieve any pain.
  • Visit your pharmacist for advice on treatment to reduce your symptoms and reduce any inflammation.

If you start to feel unwell or have any concerns about your sunburn, particularly if you are burnt over a large area, have blistering or swelling of the skin, chills, dizziness, sickness or a high temperature of 38c or above, call NHS 111 – they are available 24 hours a day, seven days a week.

If you notice any changes to your skin after being out in the sun, including a new mole, growth or lump or you have any moles or freckles that have changed in size, shape or colour, you should go and get them seen by your GP. Skin cancer is much easier to treat if it’s found early.

In the UK 86% of cases of melanoma, the most serious type of skin cancer, could be prevented through enjoying the sun safely.

Find out more: http://www.wiltshireccg.nhs.uk/our-campaigns/wear-it-well-wiltshire

Red bags to help care home residents leave hospital sooner

A new innovative ‘red bag’ scheme launches on 1 August 2019 by Wiltshire Clinical Commissioning Group (CCG) which is designed to help care home residents in Salisbury who are admitted to hospital, to receive improved care and reduce their length of stay in hospital.

Gill May, Executive Director of Nursing and Quality for Banes, Swindon and Wiltshire Clinical Commissioning Groups said:
“The red bag is a simple initiative that enables a smooth handover from the care home to the ambulance and then to the hospital staff because all of the patient’s information and personal belongings are together in the red bag.

“It helps those who provide care at all stages of the patient’s journey to have immediate access to the information they need, and it will help patients to get home more quickly because the risk of misplacing their belongings is reduced.”

Lisa Wood, Paramedic from South Western Ambulance Service NHS Foundation Trust said:
“Because the patient has all of their medical information easily accessible there in the bag, it will help our paramedics to triage the patients and make the right decisions for them more quickly before handing them over to the care of the hospital staff.”

Included in the red bag is a ‘this is me’ document, which provides information about the patient’s needs, interests, likes and dislikes, which helps those caring for them to do so on a more personal level.

While in hospital a patient will see different clinicians in different parts of the hospital. Their red bag stays with them throughout this journey meaning that those caring for them have immediate access to their up to date medical information and medication and the patient keeps their personal items with them.

The red bag stays with the patient until they are ready to go back to their care home and includes a copy of their discharge summary to help the care home staff to provide continuity of care for their resident.

Wiltshire CCG intends to provide red bags to care homes in the rest of the county by the end of this year.

Red bags were first introduced in Sutton CCG, London in November 2015 and so far the initiative has reduced hospital stays by 4.4 days per resident, saving £354,994 in 2017/18; stopped patients losing personal items such as dentures, glasses and hearing aids; and improved communication between care home and hospital staff saving time, resources and duplication.

Wiltshire CCG has taken elements from the Sutton CCG model and worked it into a project that is aimed at improving the experience, quality and safety of patient care, reducing pressure on A&E and supporting effective working relationships between care homes and health and social care organisations.

Awards Given to GP Practices Going Above and Beyond for Unpaid Carers

GP practices in Wiltshire going above and beyond for unpaid carers were recognised at the Carer Support Wiltshire Investors in Carers GP Accreditation Scheme Awards, which took place on Wednesday, 17th July at Devizes Town Hall.

The awards recognise and celebrate those Wiltshire GP practices who have met a number of requirements, including maintaining an
up-to-date carer’s register, having a carer’s lead, providing flexible appointments for carers and holding a minimum of one carer’s clinic per year. The clinics are run in partnership with the CSW Community Connector team.

This year saw 28 practices receiving the highest possible platinum award – up from 17 last year. The new platinum level was introduced in response to the outstanding support to carers provided by many GP Practices in Wiltshire.

The scheme aims to raise awareness of carers’ issues in GP practices and provide a system of awards to recognise their support to carers.

Gabby Wright, Practice Nurse at Trowbridge Health Centre said:
“The Carers GP Accreditation Scheme Awards are a great indication of how well supported Carers are through GP practices who are working alongside Carer Support, Wiltshire.

“It allows GP practices to all be held to the same high standards of support, which also means Carers throughout Wiltshire are able to find the information and help they require and it is readily available and easy to find.

“Here at Trowbridge Health Centre we are delighted that our hard work has been recognised with a platinum award for the second year running.”

According to a recent State of Caring Survey 2019, conducted by Carers UK of over 7,500 carers, 72% of carers responding said they had suffered mental ill health as a result of caring and 61% reported physical ill health as a result of caring. Almost two-thirds of carers (64%) say they have focused on the care needs of the person they care for and not on their own needs.

GP Practices continue to be the main source of referrals to CSW and are often the first point for a carer to acknowledge their caring role and access support. Holding carer clinics at GP surgeries in rural areas also means carers in isolated locations can access face to face support and information. From April 2018-March 2019 78 carer clinics were run at GP surgeries across Wiltshire, which assessed and supported the needs of 381 carers.

The awards were presented by Tim Burns, Commissioning Manager and Dr Richard Sandford-Hill, Chair, both of Wiltshire Clinical Commissioning Group. Carer Support Wiltshire’s service is jointly funded by Wiltshire Council and the NHS Wiltshire Clinical Commissioning Group.

Three local NHS Clinical Commissioning Groups take steps to become one organisation

Three groups responsible for the planning, buying and monitoring of health services in Bath and North East Somerset, Swindon and Wiltshire could become one single organisation as soon as April 2020.

As one CCG, health leaders can reduce variation in care and standardise best practice so everyone can access high quality treatment and services, regardless of where they live. Working as one organisation will also help the CCG meet financial challenges by, for example, offering greater buying power, eliminating the duplication of administrative support functions and streamlining governance processes. The savings made can then be invested in frontline services or transformational projects.

The move is in line with similar mergers across the NHS and follows national guidance for health and care services to work more closely together and move towards becoming Integrated Care Systems to give everyone the best start in life, world-class care for major health problems and help to age well.

Dr Ian Orpen, Chair of the BaNES, Swindon and Wiltshire Clinical Board, said:
“CCGs up and down the country have either already merged or are beginning plans to merge to help better meet the needs of their local populations. We believe that now is the right time for our three CCGs to come together to form a leaner, more strategic, single organisation to serve local people.

“The three CCGs have a history of working together to deliver high quality care, and in the past year, we have increased our partnership working. For example, we have a single Chief Executive and executive management structure, which has led to more consistent leadership and a clearer direction to staff.

“I believe that as a single CCG, we will be in a stronger position to improve outcomes for patients, whilst still retaining our local voice.”

At their recent public meetings, the Governing Bodies of BaNES, Swindon and Wiltshire Clinical Commissioning Groups (CCGs) approved plans to apply to NHS England to create one single organisation. Prior to submitting the application, the CCGs will engage with the public, staff, providers and other key stakeholders, and the GP membership of each CCG will then vote on a final decision to apply for a merger.

The three CCGs will then submit an application to NHS England and, if approved, the three groups will become a single CCG on 1 April 2020.

People living in Bath and North East Somerset (BaNES), Swindon and Wiltshire who want to share their views can do so by visiting:
www.bathandnortheastsomersetccg.nhs.uk
http://www.swindonccg.nhs.uk/
http://www.wiltshireccg.nhs.uk/