New Chairman of Wiltshire Clinical Commissioning Group

After almost three years as Chairman of Wiltshire Clinical Commissioning Group (Wiltshire CCG), Dr Peter Jenkins will step down on 30 September 2017, handing responsibility of Chairing the commissioning of Wiltshire’s health services to newly elected Dr Richard Sandford-Hill.

Dr Sandford-Hill was elected through a majority vote process by Wiltshire GPs, who make up the CCG membership of 50 practices, and will be responsible for shaping the strategic direction of the CCG together with members of its Governing Body.

Dr Jenkins said:
“I’m proud to have been part of helping to develop health services that are aligned to the needs and demands of a growing and increasingly ageing population, now and into Wiltshire’s future. 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 health care, with patients at the centre. This theme has been core to Wiltshire Clinical Commissioning Group since it was authorised in 2013. Our vision has always been to provide people in Wiltshire with the right services, at the right time, locally to them”.
Commenting on his new post, Dr Sandford-Hill, who is currently Senior Partner at Market Lavington Surgery said:
“I’m delighted to take up this new opportunity. Having spent four years as a Governing Body member of the CCG, I have a sound understanding of the organisation and of the issues we face and am committed to ensuring that the CCG is in the best possible position to enable the delivery of our objectives”.

Dr Sandford-Hill will continue working at Market Lavington Surgery and his patients will not see any difference to his current schedule.

He continued:
“Providing fair access to high quality, locally delivered health services, with people encouraged to take a personal responsibility for their health, is key. Health services in Wiltshire need to adapt to current and future demand and population trends. I’m convinced that by continuing to work closely with our partners across health and social care services, as well as voluntary organisations, we will be able to provide strong, sustainable health and care services now and for future generations”.
Linda Prosser, Interim Chief Officer at Wiltshire Clinical Commissioning Group, added:
“Peter has made significant contributions to the way we’ve been able to re-shape primary care services in Wiltshire and on behalf of the CCG Board I want to thank him for his outstanding commitment to health care services in our area, and the changes he has overseen. I know that Richard will bring a renewed energy to leading the CCG, and building on the important work already happening within the CCG, will drive it forward with our partners. We all look forward to welcoming him as Chairman at the beginning of October”.
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£2.7 million wasted on missed appointments in Wiltshire

Over the course of 12 months more than 76,400 GP Practice appointments were missed in Wiltshire, leading to £2.7 million of pressured finances being wasted and the equivalent total population of Trowbridge and Salisbury not being able to get an appointment when they needed one.

Between July 2016 and June 2017, Wiltshire’s 50 GP Practices were recording an average of 29 missed GP, Practice Nurse and Healthcare Assistant appointments every week. Known as ‘Did Not Attends’, missed appointments have a huge impact on the health economy, prevent other patients from being seen and wastes practitioners’ valuable time.

Dr Andrew Girdher from Box Surgery said:
“The scale of missed appointments across Wiltshire is extremely high and adding unnecessary pressure to already stretched NHS resources. “It’s really important that if a patient no longer needs, or cannot attend their appointment that they cancel it. We understand that people often feel better by the time their appointment comes around, or that circumstances change meaning it is no longer convenient, but cancelling your unwanted appointment allows other patients to be seen more quickly.”

Most Wiltshire Practices have multiple ways to make cancelling an appointment easy at any time of day including online systems, dedicated telephone lines with answer machine facilities and text messaging services. Speak to your Practice Receptionist to find out what’s available at your Practice to help make cancelling appointments easy for you, your family and friends.

Dr Richard Sandford-Hill, a GP from Market Lavington Surgery, explains:
“On average a GP will conduct 30 appointments per day and based on the total number of missed appointments for July 2016 – June 2017, that’s the equivalent of 2,547 days of general practitioner time that has been lost. “It’s widely known that NHS resources are under significant pressure, particularly as the needs of patients increase, which is why it’s important that people understand the impact they have if they simply do not turn up to their appointment.”

The reported number of missed appointments wasted £2.7 million of public money, which could have been spent on over 63,000 hours of nursing hours in a GP Practice, or used to pay for:

  • 324 heart bypasses,
  • 2,853 cataract operations, or
  • 711 treatments for stroke
Dr Girdher continues:
“The numbers speak for themselves and highlights the collective impact missed appointments across Wiltshire have on our local health economy. Everyone has a responsibility to look after the NHS – it is tax payers’ money after all – and we urge patients to remember to cancel their unwanted appointments and to help their friends and family to do the same.”
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New prescription ordering service for Wiltshire

A new prescription ordering service run by Wiltshire Clinical Commissioning Group means local patients can order repeat prescriptions over the phone from the comfort of their own home and then collect them from a UK pharmacy of their choice.

Prescription Ordering Direct (POD) is run by a dedicated team of trained prescription coordinators supported by experienced pharmacists who are on hand for medicines advice and complex queries. The Wiltshire-based telephone team is currently available for five of Wiltshire’s GP Practices covering a population of 78,000 – with plans to roll the service out across the county.

Alex Goddard, Deputy Head of Medicines Management at Wiltshire CCG, explains:
“We’ve had the POD up and running for 12 weeks and during that time have taken more than 7,000 calls from patients and ordered 18,000 prescription items – it’s been very busy!

“We’re introducing the POD to Wiltshire GP Practices on a town-by-town basis and our aim is to roll it out to all of the county’s practices over the next couple of years. Next to benefit from the service from 15 September will be surgeries in Royal Wootton Bassett.”

Prescription Ordering Direct is currently available for patients at:

  • Lovemead Group Practice, Trowbridge
  • Giffords Surgery, Melksham
  • Castle Practice, Ludgershall and Tidworth
  • White Horse Health Centre, Westbury
  • Avenue Surgery, Warminster

The POD is open Monday – Friday (except on Bank Holidays) from 9am – 5pm. Patients do not need to register for the service and should call when they have seven days left of their medication.

Alex continues:
“Once authorised by the Doctor, prescriptions will be sent to the patient’s usual pharmacy where any existing arrangements with regards to notifications via text message, or delivery will continue as before.  When patients call the POD they speak directly and confidentially with a prescription coordinator who confirms the prescription is due and can answer any questions the patient has about their medication. There is always the opportunity for the patient to speak to a pharmacist as well, if needed.

“This ensures we are able to order only the necessary medication that is required. By introducing this new ordering process, we are already seeing a reduction in the amount of prescriptions that are wasted in our area, which costs the NHS £2.7million each year in Wiltshire alone.”

More information about Prescription Ordering Direct can be found on Wiltshire Clinical Commissioning Group’s website – www.wiltshireccg.nhs.uk.

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Accessing healthcare in Wiltshire over the bank holiday

With some health services closing for a few days over the bank holiday, it’s vital that people who need help from NHS services get the advice they need from the right person, in the right place, at the right time.

Ask your pharmacist
Pharmacists are experts in many areas of healthcare and can offer advice on a wide range of long term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment to see a pharmacist and many have private consultation areas, so they are a good first port of call if you’re feeling unwell. Your pharmacist will tell you if you need further medical attention.
Call 111
If your GP surgery is closed and you’re not sure where to go then you should make a free phone call to NHS 111, which is available 24/7. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you to the best service for you in your area.
A&E and 999 are for life threatening emergencies
A&E departments and the ambulance service are for life threatening emergencies 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.

Your local services

Opening times for your local GP and pharmacy services are available below. Please note that these times are subject to change.

Bradford on Avon >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Bradford-on-Avon and Melksham Medical Practice 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Day Lewis Pharmacy (Silver Street) Closed
 Day Lewis Pharmacy (St Margarets Station Approach) Closed

Calne >

 GP surgeries
 Practice  01/05/2017 –  29/05/2017 – 
 Northlands Surgery 8am – 6.30pm  Out of hours  – 
 Patford House Surgery 8.45am – 6.30pm Out of hours
 Beversbrook Medical Centre 8am – 6.30pm Out of hours
 Phamacies
 Practice 28/08/2017  
 Boots Closed
 Lloyds Closed
 Well Pharmacy Closed
 Northlands Surgery Closed

Chippenham >

 GP surgeries
 Practice 01/05/2017 –  29/05/2017 –  –  – 
 Hathaway Surgery 8am – 6.30pm Out of hours Out of hours Out of hours 8am – 6.30pm
 Rowden Medical Practice 8.30am – 6.30pm Out of hours Out of hours Out of hours 8am – 6.30pm
 Jubilee Field Surgery 8.30am – 1pm Out of hours Out of hours Out of hours Out of hours 8.30am – 1pm
 Lodge Surgery 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots 10am – 4pm
 Lloyds (Hathaway Medical Centre) 10am – 4pm
 Morrisons 9am – 5pm
 Lloyds (Bath Road) 9am – 6pm
 Lloyds (St Luke’s Drive) Closed
 Well Pharmacy Closed

Corsham >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Porch Surgery 8am – 6.30pm Out of hours 8.30am – 11.45am Out of hours Out of hours 8am – 6.30pm
 Box Surgery  8am – 6.30pm  Out of hours  9am – 12.15pm  Out of hours  Out of hours  8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Shaunaks Closed
 Boots Closed

Devizes >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Lansdowne Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Southbroom Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 St James’ Surgery 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Market Lavington Surgery 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Courtyard Surgery 8.30am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8.30am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Day Lewis (Market Lavington) Closed
 Morrisons 9am – 5pm
 Boots Closed
 Rowlands Pharmacy Closed

Malmesbury >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Malmesbury Primary Care Centre 8.30am – 6.30pm Out of hours 8.30am – 12pm Out of hours Out of hours 8am – 6.30pm
 Tolsey Surgery 8.30am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8.30am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (High Street) Closed
 Boots (Priory Way) Closed
 Lloyds Closed

Marlborough and Pewsey >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Marlborough Medical Practice 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Ramsbury Surgery 8am – 6.30pm Out of hours 8.15am – 11.30am Out of hours Out of hours 8am – 6.30pm
 Old School House Surgery 8am – 12pm Out of hours 8am – 11am Out of hours Out of hours 8.30am – 6.30pm
 Burbage Surgery 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Pewsey Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (Marlborough) 10am – 4pm
 Kennet Pharmacy Closed
 Boots (Pewsey) Closed

Melksham >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Giffords Primary Care Centre 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Spa Medical Centre 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Gompels (Spa Medical Centre) Closed
 Gompels (Bank Street) Closed
 Boots Closed
 Lloyds (Bath Road) 9am  -5pm
 Asda 9am – 6pm
 Lloyds (Spa Road) Closed

Royal Wootton Bassett >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Tinkers Lane Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 New Court Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots Closed
 CML Jones and Partner Closed
 Lloyds Closed

Salisbury >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Orchard Partnership 8am – 6.30pm Out of hours 9am – 12pm Out of hours Out of hours 8am – 6.30pm
 St Ann Street Surgery 8am – 6.30pm  Out of hours   8.30am – 10.30am  Out of hours  Out of hours  8am – 6.30pm
 Salisbury Medical Practice  8am – 6.30pm   Out of hours   Out of hours   Out of hours   Out of hours  8am – 6.30pm
 Avon Valley Practice   8am – 6.30pm    Out of hours    Out of hours    Out of hours    Out of hours   8am – 6.30pm
 Endless Street Surgery    8am – 6.30pm  Out of hours  Out of hours  Out of hours  Out of hours    8am – 6.30pm
 Three Swans Surgery  8am – 6.30pm   Out of hours  8.15am – 11am   Out of hours   Out of hours  8am – 6.30pm
 Harcourt Medical Centre  8am – 6.30pm  Out of hours  Out of hours  Out of hours  Out of hours  8am – 6.30pm
 Whiteparish Surgery  8.15am – 6.30pm  Out of hours  8am – 10.30am  Out of hours  Out of hours  8.15am – 6.30pm 
 Barcroft Medical Centre 8am – 6.30pm  Out of hours  9am – 11.30am  Out of hours  Out of hours  8am – 6.30pm
 Castle Practice  8am – 6.30pm  Out of hours  Out of hours  Out of hours  Out of hours  8am – 6.30pm
 Downton Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 St Melor House Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Tisbury Surgery 8am – 6.30pm Out of hours 9am – 11am Out of hours Out of hours 8am – 6.30pm
 Silton Surgery 8.30am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8.30am – 6.30pm
 Hindon Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Cross Plain Surgery 8am – 6.30pm Out of hours 9am – 12.30pm Out of hours Out of hours 8am – 6.30pm
 Bourne Valley Practice 8am – 6.30pm Out of hours 9am – 12.30pm Out of hours Out of hours 8am – 6.30pm
 Mill Stream Medical Centre 8am – 6.30pm Out of hours 8am – 11am Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (Amesbury – Salisbury Street) 9am – 2pm
 Boots (Amesbury – Stonehenge Walk) Closed
 Rowlands Pharmacy (Pembroke Road) Closed
 Bisopsdown Pharmacy Closed
 Downton Pharmacy Closed
 Lloyds (Amesbury – Bulford Road) Closed
 PW and JA Hedge (Central Street) Closed
 Tesco (Bourne Centre) 9am – 6pm
 Rowlands Pharmacy (Cranebridge Road) Closed
 Superdrug (George Mall) Closed
 Three Swans Pharmacy Closed
 Boots (Silver Street) 8.30am  -5.30pm
 Rowlands (Castle Street) Closed
 Tamday Pharmacy Closed
 Lloyds (Minster Street) Closed
 Rowlands (St Ann Street) Closed
 Boots (Tisbury – High Street) Closed
 PW and JA Hedge (Dummer Lane) 10am – 1pm
 Mere Pharmacy Closed
 Lloyds (Wilton – North Street) Closed

Swindon >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Purton Surgery 8am – 6.30pm Out of hours 9am – 12pm Out of hours Out of hours 8am – 6.30pm
 Cricklade Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (Cricklade – High Street) Closed
 Lloyds (Purton) Closed

Trowbridge >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Bradford Road Medical Centre 8am – 6.30pm Out of hours 8am – 10am Out of hours Out of hours 8am – 6.30pm
 Lovemead Group Practice 8am – 6.30pm Out of hours 8am – 10.30am  Out of hours  Out of hours  8am – 6.30pm
 Adcroft Surgery 8.30am – 6.30pm   Out of hours  Out of hours  Out of hours  Out of hours  8.30am – 6.30pm 
 Widbrook Medical Practice 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8.30am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 Boots (Polebarn Circus) Closed
 Boots (Prospect Place) Closed
 Boots (Bythesea Road) 8am  -12am
 Tesco 9am – 6pm
 Gougemead (Bradford Road) Closed
 Gougemead (Wingfield Road) Closed
 Lloyds Closed
 Superdrug Closed

Warminster >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 Avenue Surgery 8am – 6.30pm Out of hours Out of hours Out of hours Out of hours 8am – 6.30pm
 Mere Surgery 8.30am – 5pm Out of hours Out of hours Out of hours Out of hours 8.30am – 5pm
 Smallbrook Surgery 8.30am – 1pm Out of hours Out of hours Out of hours Out of hours 8.30am – 1pm
 Phamacies
 Practice 28/08/2017
 Boots (The Avenue) Closed
 Boots (Market Place) 10am – 4pm
 Well Pharmacy Closed

Westbury >

 GP surgeries
 Practice  13/04/2017  14/04/2017 15/04/2017  16/04/2017  17/04/2017  18/04/2017 
 White Horse Health Centre 8am – 6.30pm Out of hours 8.45am – 11.45am Out of hours Out of hours 8am – 6.30pm
 Phamacies
 Practice 28/08/2017  
 John Preddy and Co Closed
 Boots Closed
 Shaunaks Closed
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Helping the over 50s be clear on cancer

Wiltshire Clinical Commissioning Group is supporting the national Be Clear on Cancer campaign and encouraging local people, particularly the over 50s, to recognise respiratory symptoms and get the appropriate help where needed. A persistent cough or inappropriate breathlessness during everyday activities could be symptoms of a variety of conditions including cancer, chronic obstructive pulmonary disease and, in the case of breathlessness, heart disease.

Dr Andy Hall from The Orchard Partnership in Fovant said:
“People aged 50 or over are at greater risk of having undiagnosed respiratory problems and make up 97 percent of lung cancer diagnoses, so it’s particularly important if you fall within this age group to get any unusual symptoms checked out.”

Diagnosing these conditions at an early stage makes them more amenable to treatment. Those who have a persistent cough lasting more than three weeks, or are experiencing breathlessness when completing everyday tasks, are encouraged to make an appointment with their GP, as they may be exhibiting the early signs of lung disease, including cancer.

Across England, around 37,600 people are diagnosed with lung cancer each year and in Wiltshire during 2015, there were 282 people diagnosed with the condition.  

Dr Hall added:
“Before you visit your GP it may help to write down your symptoms and how you feel so you don’t forget anything during your consultation. This will help answer some of the questions your doctor may ask you, such as how long have you had your symptoms and whether they have changed over time.”

Signs to watch out for:

  • A cough that has got worse or changes
  • Frequent chest infections
  • Coughing up blood
  • Chest or shoulder pain
  • Getting out of breath doing everyday activities such as light housework
  • Feeling more tired than usual for some time
  • Losing weight for no obvious reason, or loss of appetite

Learn more about the Be Clear on Cancer campaign.

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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.

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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.

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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.

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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

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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.”

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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.

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Preferred provider selected for Urgent Care Services across B&NES, Swindon and Wiltshire

Medvivo has been selected to the preferred provider stage of a procurement process to run integrated urgent care services across Bath and North East Somerset (B&NES), Swindon and Wiltshire.  The healthcare provider, which has very recently been rated as ‘Outstanding’ by CQC, will be the lead provider, working in collaboration with Vocare and Banes Enhanced Medical Services (BEMS+). 

The preferred provider status is not an award of contract and does not confer a contractual commitment from the commissioners at this stage.  The award of the contract to Medvivo and its partners will only be made if they are successful through following further robust assessment, intensive testing and planning stage.  Once completed the award will need to be approved by the Boards of B&NES, Swindon and Wiltshire Clinical Commissioning Groups and Wiltshire Council later in the summer.  There will then be a transition and mobilisation period before the new services commence on 1 May 2018. 

The new provider will be responsible for running the NHS111 service across B&NES, Swindon and Wiltshire, developing the service model so callers can be put through to a ‘clinical hub’ of experienced health professionals who can make assessments, advise and arrange urgent care if required.  The provider will also be responsible for a number of other urgent care services, including the GP out-of-hours service in B&NES and Wiltshire and telecare monitoring and urgent care and response at home for Wiltshire Council.

The CCGs and Wiltshire Council are following a detailed and robust procurement process, with sharp focus on the requirement for innovation and continued development of services.  

Currently the NHS111 service is provided by Care UK in B&NES, Swindon and Wiltshire. The GP out of hours service in Wiltshire is currently provided by Medvivo, with Vocare the current provider in B&NES.  Great Western Hospitals Foundation Trust will continue to provide GP Out of Hours service in Swindon (that particular service has not been part of this procurement). 

Joining up a number of urgent care services across the region will help ensure everyone has access to the same high quality, personalised and responsive service.

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Are you feeling the burn this summer?

It’s natural to want to get out in the sun during warm summer days and Wiltshire Clinical Commissioning Group is reminding people to take steps to protect their skin from the sun when they go outside and avoid being burnt this summer.

Dr Peter Jenkins, Chair of Wiltshire Clinical Commissioning Group said:
“Sunburn pain can be at its most intense around 12 hours after exposure, but may continue to develop for a further 24 hours. Sunburn is usually mild and short-lived but it’s important to try and avoid it. Keeping a high factor sun cream in your medicine cabinet and applying it before you go out in the sun is advisable”

The length of time it takes for skin to go red or burn varies from person to person, as everyone who is exposed to the sun is at risk of getting sunburnt. You can help safeguard your skin from the harmful effects of the sun by following these simple steps.

  • Cover up when you are out in the sun – wear 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 sunscreen with an SPF of 30 or higher and at least 4-start UVA protection and reapply every 2 hours and after swimming
  • Seek shade and limit your direct exposure to the sun, especially between 11am and 3pm when UV rays are strongest
  • Avoid tanning beds and sunlamps – both cause serious long-term damage and contribute to skin cancer
Dr Peter Jenkins, Chair of Wiltshire Clinical Commissioning Group continued:
“It can be easy to underestimate the strength of the sun when you’re outside and you may not realise you’re getting burnt. If you or your child has sunburn, you should get out of the sun as soon as possible by heading indoors or into a shady area.”

How to treat sunburn

If you do get burnt, you can treat mild sunburn at home, which may help to relieve your symptoms until your skin heals.

  • Cool the skin by having a cold bath or shower, sponging it with cold water, or holding a cold flannel to it
  • Use lotions containing aloe vera to soothe and moisturise your skin
  • Applying over the counter hydrocortisone cream for a few days may help reduce the inflammation – you can get this from your local pharmacy
  • Drink plenty of fluids to cool you down and prevent dehydration.
  • Take painkillers, such as ibuprofen or paracetamol to relieve any pain

If you are feeling unwell, or you are concerned about your sunburn, particularly if you are burnt over a large area call NHS 111 or visit you nearest Minor Injuries Unit.

You should see your GP if a young child or baby has sunburn, or you have signs of sever sunburn which include:

  • Blistering or swelling of the skin
  • Chills
  • A high temperature of 38C (100.4F) or above
  • Dizziness, headaches and feeling sick – signs of heat exhaustion
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Are you hay fever ready?

With the arrival of warmer days, many of us will be looking forward to spending more time outdoors, either in our gardens or local parks. But this time of year also sees the arrival of hay fever – with symptoms including runny eyes and nose; sneezing and itchiness.

Dr Richard Sandford-Hill, GP at Market Lavington Surgery advises what to do if you are experiencing symptoms:
“The symptoms of hay fever can be really unpleasant and the best way to control it is with antihistamines, which are inexpensive and can be bought from many shops and pharmacies on the high street.

You do not need a prescription from your GP for antihistamines and by taking them now so they get into your system will be really beneficial in reducing the effects of hay fever.”

Other ways to help reduce the effects of hay fever include:

  • Wearing wraparound sun glasses when outdoors to protect the eyes
  • Showering and changing your clothes after being outdoors will help stop the spread of pollen through your home
  • Putting a small amount of petroleum jelly in your nose helps to trap pollen grains
  • Keeping an eye on the weather forecasts and staying indoors to avoid going out when the pollen count is high
Dr Sandford-Hill continues:
“If you have any questions about hay fever medication, remember that your local pharmacist can help you understand which is best for you – particularly if you are already on medication. If the pharmacist feels that you need to see a GP, they will recommend this.”

Hay fever affects one in five people at some point in their lives, often developing in childhood and more so in those with a family history of asthma or eczema. Most people report their symptoms improving as they get older with up to 20 percent saying their symptoms have gone away completely over the years.

As well as your pharmacist, you can also get health advice through NHS 111 and the NHS choices website.

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Be tick aware this Easter!

With the arrival of Spring Wiltshire Clinical Commissioning Group is advising people to brush up on their knowledge of ticks, tiny spider-like creatures found in woodland and long grass, to minimise their risk of infection, especially over the Easter break where many people will have outdoor activities planned, like camping or hiking.

Ticks are present in most parts of the country and can be found in forests, woodland, heaths, moorland areas and urban parks.  Whilst irritating, most tick bites are harmless however, some ticks are infected with bacteria which can cause Lyme disease.

Dr Lindsay Kinlin, said:
“Ticks that can transmits Lyme disease are very small – about the size of a poppy seed – and can easily be overlooked, so it is important to check regularly for attached ticks on the skin.   Ticks prefer warm, moist places on your body, especially the groin area, waist, arm pits, behind the knee and along the hair line, so look out for anything as tiny as a freckle or a speck of dirt.”

Most ticks do not carry the infection, but if one is found it should be removed promptly.  Infected ticks are unlikely to transmit Lyme disease if they are removed in the early stages of attachment and they can be removed with tweezers or special tick hooks, by pulling them gently upwards away from the skin.

To minimise the risk of being bitten by a tick, you should:

  • Keep to paths and away from long grass or overgrown vegetation if possible, as ticks crawl up long grass in their search for a feed
  • Wear appropriate clothing in tick infested areas (long sleeved shirt and long trousers tucked into socks). Light coloured fabrics are useful, as it is easier to see ticks against a light background
  • Consider using insect repellents, e.g. DEET
  • Inspect skin frequently and remove any attached ticks
  • At the end of the day, check again thoroughly for ticks, especially in skin folds
  • Make sure that children’s head and neck areas, including scalps, are properly checked
  • Check that ticks are not brought home on clothes
  • Check that pets do not bring ticks into the home on their fur

If you have been bitten by a tick, symptoms of Lyme disease are similar to those of influenza,  If you are having flu-like symptoms, head-aches, muscle pain or joint pain, accompanied by a bulls-eye rash pattern on your skin you should make a GP appointment as soon as possible and remember to tell them you were bitten by a tick.

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