Families and Children’s Transformation Programme survey

The Families and Children’s Transformation Programme (FACT) is a programme of work being undertaken by a wide range of organisations looking to make lives better for children, young people and families.

The organisations involved range from the council, police, NHS and schools to family support services, early years’ providers such as children’s centres, childminders and nurseries and also includes a wide variety of community and voluntary sector partners.

The intention of the programme is to align working priorities and practices as much as possible, to make it easier for people to access consistent information, advice and support from services at a time when they need them. The programme can only do that by working with children, young people and families to find out what is most important to them.

In order to reach as many families as possible, an online survey has been created to gather views on some of the key stages of childhood and parenting. The survey can be answered by parents/carers or by children and young people looking at the questions relevant to them.

Access the survey here to share your views.
The survey closes on 7 September 2018.

Please have your say and if you have any further feedback contact FACT@wiltshire.gov.uk.

The Wiltshire Health and Wellbeing Vision

During 2018, the current Health and Wellbeing Board strategy and the vision statement are being refreshed.

Local system leaders in health and social care invited you to share your views between 11 June – 3 July 2018 on what Wiltshire people consider to be the most important factors in their health and care. This will also be used to help Wiltshire Council and NHS Wiltshire CCG to build and develop Wiltshire’s health and wellbeing strategy.

The feedback you gave us has helped us to create a new draft vision statement and we now welcome your views on our proposed version.

The vision statement will 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.

We would like you to read the statement below about the proposed Health and Wellbeing strategy vision and share your response to some questions about it. This survey is now closed.

Our vision for Wiltshire
People in Wiltshire live in thriving communities that empower and enable them to live longer, fulfilling healthier lives.

The final vision will be supported by strategic priorities identified from your feedback and the joint strategic needs assessment completed by Public Health Wiltshire.

Thank you for taking part – your views are very important to us!

 

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.

 

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/

The Chair and Vice Chair of the Wiltshire Health and Wellbeing Board

Mrs Jane Scott OBE and Dr Stephen Rowlands

Invite you to attend a presentation to hear the principles, objectives and proposed outcomes of the procurement being undertaken on behalf of the members of the adult health community who receive Wiltshire’s Adult Community Services

The event is being held on Monday 23 February 2015, 6pm to 7pm
(arrival 5.30pm for a 6pm start)

At The Atrium, County Hall, Trowbridge, BA14 8JN

To reserve a place, please email tracy.torr@nhs.net by 3pm on Friday 20 February 2015

Visitor parking at County Hall is available free of charge outside the main building on Bythesea Road.  Further spaces are available on the other side of Bythesea Road.

Wiltshire Joint Mental Health and Wellbeing Strategy
Draft for consultation

Mental health is ‘everybody’’s business’ and poor mental health can have a devastating impact on the quality of life for everyone involved as well as have a significant impact on the national economy.

The draft Wiltshire Mental Health and Wellbeing Strategy provides the strategic direction for Wiltshire Council and NHS Wiltshire Clinical Commissioning Group (CCG) in promoting mental health and wellbeing and supporting people with mental health problems and their carers over the next seven years.

The aim of the Strategy is to create environments and communities that will keep people well across their lifetime, achieving and sustaining good mental health and wellbeing for all. It focuses around six outcomes:
  • More people will have good mental health
  • More people with mental health problems will recover
  • More people with mental health problems will have good physical health
  • More people will have a positive experience of care and support
  • Fewer people will suffer avoidable harm
  • Fewer people will experience stigma and discrimination
Wiltshire CCG and Wiltshire Council would like your views on the consultation document and encourage you to complete a questionnaire as part of the consultation process. Should you wish to feedback in a different way, we would welcome your suggestions about how you would like to do this either by email PublicHealth@wiltshire.gov.uk or by telephone to Karen Spence 01225 713094.

What are we consulting on?

Wiltshire Clinical Commissioning Group (CCG) and Wiltshire Council are consulting on the future permanent location of specialist dementia hospital care in Wiltshire.

As the providers, Avon and Wiltshire Mental Health Partnership (AWP) are supporting the consultation.

At times of crises, a small number of people with severe dementia (usually no more than 120 people over a year in Wiltshire) require admission to a specialist dementia hospital during a severe phase of their illness. Specialist dementia hospital care forms part of the advanced dementia care pathway.  It refers to those specialist services that may be needed by a small number of people who have severe dementia and require high levels of specialist care.

This period of assessment, treatment and stabilisation, for up to 84 days (on average), is provided by healthcare professionals with specialist knowledge of dementia and the impact it can have on people’s lives.

Where is specialist dementia hospital care being provided?

Since February 2013, all specialist dementia hospital care (20 specialist dementia beds) in Wiltshire has been provided on a temporary basis at Amblescroft South, Fountain Way, Salisbury. Before that there were 24 specialist dementia beds in Charterhouse, Trowbridge and 10 in Amblescroft, Salisbury.

The options

Wiltshire CCG, Wiltshire Council and AWP have identified three potential locations in Wiltshire for the specialist dementia hospital services to be located:

1. Charter House in Trowbridge
2. Avebury Ward, Green Lane Hospital in Devizes
3. Amblescroft South, Fountain Way in Salisbury

To download a PDF of these pages, click here
For an easy-read version, click here

Air Quality Website

A new website is available for Wiltshire residents to check the quality of the air outside.  Hosted by Wiltshire Council, it draws on information from air quality monitoring sites across the county.

Wiltshire residents can also sign-up for Know & Respond SMS or email alerts, which is a service that sends information directly to you and provides you with all you need to know about the current air pollution levels.

Health advice is also available and is based on a simple rating system:

  • 1-3 low
  • 4-6 moderate
  • 7-9 high
  • 10 very high

The system is designed to help you take the right action if pollution levels become higher than normal.

Wiltshire Air Quality website

Representatives from the CCG will be at the Devizes Area Board meeting on 24 November, which is being held at the Town Hall, St John’s Street, Devizes SN10 1BN.

As well as a Health Fair, which starts at 4.30pm, the CCG will be on hand to talk to you about the Better Care Plan and update you on our work.

Wiltshire Council Area Board – Devizes

Representatives from Wiltshire CCG will be at the Corsham Area Board on 20 November, which takes place at the Springfield Campus, Beechfield Road, Corsham SN13 9DN.

As well as a Health Fair, which opens at 2.30pm, the CCG will be on hand to talk to you about the Better Care Plan and give you an update on our work.

Wiltshire Council Area Board – Corsham

Representatives from the CCG will be at the Trowbridge Area Board meeting, which is being held in County Hall Trowbridge on Thursday 16 October, between 2pm and 5pm.

Come along and meet with CCG representatives and hear all about the Better Care Plan.  For more information about this Area Board meeting, click here.

Representatives from the CCG will be at the next Area Board meeting, which is being held in Melksham Assembly Hall on Wednesday 15 October, between 4.30pm and 8.30pm.

Come along and hear about the Better Care Plan and talk to health experts, learn about leading a healthier lifestyle and about how your CCG is working to provide the right healthcare for you, with you and near your.

Representatives from the CCG will be at the next Area Board meeting, which is being held in Downton, Salisbury, on Monday 13 October, between 6pm and 8.30pm.

Come along and hear about the Better Care Plan and talk to health experts, learn about leading a healthier lifestyle and about how your CCG is working to provide the right healthcare for you, with you and near your.