Modernisation Bulletin - April 05 by yan198555

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									    CHESHIRE AND MERSEYSIDE STRATEGIC HEALTH AUTHORITY
         MODERNISATION BULLETIN : NO 30 : APRIL 2005


Welcome to the Cheshire and Merseyside Modernisation Bulletin.

The aim of the Bulletin is to share information on service improvement, development or modernisation
activity taking place within or relevant to Cheshire and Merseyside. It is not intended to replace other
communications but to enhance the sharing of information on a wide range of activities.
Your feedback is valuable to us and we hope that you will be able to contribute to future editions. We
are particularly keen to publicise local service development or improvement activity and examples of
good practice that will be of interest to the wider community in Cheshire and Merseyside.

If you have examples of good practice that you have undertaken locally and are happy to
share, or national work that you are aware of, contact mailto:alison.johnson@cmha.nhs.uk.

The Bulletin is co-ordinated by Jan Elstob who can be contacted at mailto:jan.elstob@cmha.nhs.uk or
01925 406041.

PETER LEAR
Director of Development and Improvement
Cheshire and Merseyside Strategic Health Authority



CONTENTS

       Key Updates                       Other News                         Diary Dates
       Local Developments                Publications and                   Feedback
       Latest Modernisation               Resources
        Programmes



KEY UPDATES

CREATING A PATIENT-LED NHS – DELIVERING THE NHS IMPROVEMENT PLAN

The Department of Health (DH) has published a key document Creating a Patient-Led NHS –
Delivering the NHS Improvement Plan which describes how some of the biggest changes in the NHS
Improvement Plan will be carried forward enabling the NHS to deliver services which respond to
patients’ needs and wishes. New service models will be developed which build on current experience
and innovation to:
  Give patients more choice and control wherever possible;
  Offer integrated networks for emergency, urgent and specialist care to ensure that everyone
    throughout the country has access to safe, high quality care; and
  Make sure that all services and all parts of the NHS conttribute to health promotion, protection and
    improvement.

The document outlines action for local and national leaders. A programme of work on national issues
is to be established, delivered mainly through the National Leadership Network (NLN) for Health and
Social Care and steered by the DH.

As part of this work, the NLN has been given responsibility for assisting the DH project team in
developing the concept of a core statement of values for the NHS and what that should incorporate,
building on the findings of independent research and the values already demonstrated by staff, and
how the new core statement of values should be introduced into the NHS to ensure they are borne out
through the actions of all staff working within the NHS.




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NEW NHS INSTITUTE FOR LEARNING, SKILLS AND INNOVATION

On 30 March, the Health Minister, Lord Warner, announced further details of the role of the new
NHS Institute for Learning, Skills and Innovation that will be established as a Specialist Health
Authority by July 2005, based on the campus of the University of Warwick.

The NHS Institute’s mission will be to “support the NHS and its workforce in accelerating the delivery
of world-class healthcare for patients and public by identifying and encouraging innovation and
developing the capability at the frontline”.

The National Innovation Centre will form part of the NHS Institute, although it will operate as a network
to benefit from the expertise and enthusiasm for innovation that exists around the country (See Local
Developments – 2005 North West NHS Innovation Competition Finalists).

The NHS Institute will also host responsibiilty for a new Centre for Excellence in Patient and Public
Involvement, managing it by contract.

Programmes and activitites that will transfer to the NHS Institute from the NHS Modernisation
Agency, Leadership Centre and NHS University are:
 Management of Graduate Schemes & ‘Gateway to Leadership’
 Leadership Qualities Framework
 Board Level Development Resources
 Breaking Through
 International Relationships
 Health & Social Care Awards

Programmes and activities that will transfer to Strategic Health Authorities (individually or
hosted by one on behalf of others) are:
 National Management Development Initiative
 Leadership at the Point of Care


NHS MODERNISATION AGENCY WORKSTREAMS : APRIL - JULY 2005

Whilst the NHS Institute for Learning, Skills and Innovation is being established, the NHS
Modernisation Agency (MA) continues its work programme up to 1 July 2005. The MA has five
workstreams, each focusing on a priority area, which were established following consultation with a
wide range of stakeholder, and can either be completed and delivered to the NHS before 1 July, or is
testing new ways of working that will provide valuable knowledge for the new NHS Institute. Teams
are working in the areas of:

   ACCESS : (Contact: mark.jennings@dh.gsi.gov.uk)
    o producing a guide to ‘Commissioning for Service Improvement’ to support practice-based
       commissioning (PBC) for elective care,
    o developing an elective and emergency care ‘Measurement for Performance’ package,
    o supporting elective care networks and stakeholder groups,
    o helping to develop new models of elective care to ensure delivery of the 18 week target;

   HEALTH AND WELLBEING : (contact steve.feast@dh.gsi.gov.uk)
    o positioning the NHS as a health promoting employer,
    o leadership of health and well being, particularly at PCT and SHA levels,
    o defining core competencies for the role of Health Trainer,
    o identifying effective obesity strategies at PCT level;

   LONG TERM CONDITIONS (LTC) : (contact chris.dowse@dh.gsi.gov.uk)
    o identifying the future workforce implications,
    o testing the LTC model and building the evidence base,
    o improving LTC population management through consistent predictive modelling and risk
       stratification:

   RELIABILITY, SAFETY AND EFFECTIVENESS : (contact hugh.rogers@npat.nhs.uk)
    o an integrated national agenda for reliability and safety,




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    o   baseline measures, interventions and evaluation systems for the national Health Care
        Acquired Infection programme;

   10 HIGH IMPACT CHANGES FOR SERVICE IMPROVEMENT AND DELIVERY :
    (contact maggie.morgan-cooke@modern.nhs.uk)
    o identifying opportunities to increase the impact of the 10 High Impact Changes,
    o supporting SHA Directors of Service Improvement to develop a single integrated framework
        for measuring benefits from performance improvement activities,
    o supporting NHS boards and clinicians to undertake patient-focused clinical engagement work
        to help speed up the pace of change,
    o taking the learning from the 10 High Impact Changes so far and developing fresh approaches
        to spread and adoption.


CLOSURE OF THE NHS MODERNISATION AGENCY (MA) AND CONTINUING PROGRAMMES

A number of MA work programmes are continuing for one or more years and planning is underway to
transfer most of these to new hosts. None of these programmes have yet transferred, and contact
details remain as before. SHA Chief Executives have set up a group chaired by Simon Robbins
(CE Surrey and Sussex SHA) to review the arrangements that need to be in place before these work
programmes transfer. The programmes concerned are:

Hosted by NHS
 Changing Workforce Programme – surgery,              Performance Support Team
   anaesthesia, medical care practitioner, career      National Clinical Governance Support Team
   framework                                           Cancer Service Collaborative – Improvement
 Modernising Endoscopy                                 Partnership (CSC-IP)
 Primary Care Contracting                             Coronary Heart Disease Collaborative – as
 Eyecare Services Programme                            NHS Heart Improvement Programme
 Modernising Dentistry

Hosted by Employers Organisation
 Consultant contract,                                 Pay modernisation and Recruitment and
 Changing Workforce Programme – Large                  Retention Initiative – Large Scale workforce
   scale workforce,                                     programmes

NIMHE (National Institute for Mental Health), Valuing People Support Team and Change for Children
Programmes became part of the Care Services Improvement Partnership from 1 April 2005.


LAUNCH OF NEW HEART IMPROVEMENT PROGRAMME

April 2005 sees the launch of the new NHS Heart Improvement Programme, which takes over the
reins from the MA’s Coronary Heart Disease (CHD) Collaborative programme. The Programme’s role
is to:
  Support cardiac network development;
  Ensure spread of service improvement within cardiac networks;
  Facilitate the introduction of new service improvement tools and recognised clinical innovations.

Building on the successful work of the Coronary Heart Disease Collaborative, the NHS Heart
Improvement Programme is a national approach to support the delivery of the National Service
Framework for CHD, through the development of cardiac networks.
The Programme will report via chief officer Adrian Pennington to the Department of Health CHD
Programme Board. Whilst temporarily hosted by the MA, previous contact details remain the same.
The team will retain npat.nhs.uk email addresses until hosting arrangements are finalised.




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LOCAL DEVELOPMENTS

INNOVATIVE DIABETES SPECIALIST NURSES WIN NATIONAL AWARD

Congratulations to Sheila Houghton and Kathryn Hampson, Diabetes Nurse Practitioners, from
Southport & Formby PCT, who have won a national award for their pioneering work in helping people
with diabetes who are housebound or in nursing homes to receive the services they need.

What marks this service out is that Kathryn and Sheila have both gained Nurse Practitioner degrees
enabling them to extend their service beyond diabetes care and assist with the management of
patients’ other healthcare needs, using a case management approach to their long term conditions.

Sheila and Kathryn piloted their work in 2002, in conjunction with GP practices and other primary care
professionals and it was chosen as the best and most innovative, from both Primary Care and Hospital
Trusts nationwide, to receive the Lilly Abracadabra Award 2005 in the clinical category. Their work
was highlighted at the national Abracadabra Diabetes Nursing Conference as a model for the
treatment of long-term conditions in the community. If you would like details on the service please
contact Sheila or Kathryn direct (Sheila.Houghton@southportandformbypct.nhs.uk;
Kathryn.hampson@southportandformbypct.nhs.uk).


2005 NORTH WEST NHS INNOVATION COMPETITION FINALISTS

Congratulations to the following Cheshire and Merseyside NHS staff whose projects have been
shortlisted for the 2005 North West NHS Regional Innovation Competition (in parallel with the NHS
Excellence Awards). The Awards will be held on 13 April at the Maritime Museum in Liverpool:

   Joe Allan, Infection Control Nurse, Wirral Hospital NHS Trust for
    ‘Not Missing the Point’, a care pathway for needle stick injury. The care pathway was devised
    to manage healthcare workers who sustained a needle stick injury or exposure to blood or bodily
    fluids. The pathway commences with the exposed healthcare worker being seen by a Triage
    Nurse in A&E, who undertakes a donor risk assessment using a devised donor risk assessment
    tool to determine if the exposure is high or low risk. This step allows for assessment for Post-
    Exposure Prophylaxis (PEP) for HIV. If a high risk exposure occurs then the recipient can be
    offered PEP and a copy of the care pathway is faxed confidentially to the Genital Urinary Medicine
    Service who will then arrange for HIV testing. The care pathway also describes mechanisms to
    support the healthcare worker following the test result. For further details contact Joe Allan
    (joe.allan@whnt.nhs.uk).

   The Acquired Brain Injury Service, South Cheshire PCTs for
    ‘Progress in the palm of your hand’ – The Acquired Brain Injury (ABI) Service is a community-
    based team covering the 4 PCTs in South Cheshire. The client group is predominantly young
    male adults from every type of social background. Significant brain injury affects every aspect of
    the sufferer's lifestyle, communication, behaviour, social skills, and employment.

    'Progress in the palm of your hand' is an exciting new proposal to use everyday electronic
    devices like mobile phones, personal organisers and satellite navigation systems in rehabilitation.
    These appliances have the potential to help clients overcome memory and organisational
    difficulties by storing information, making notes from conversations, prompting to take medication
    and assisting route finding. Importantly these aides are more socially acceptable to clients within
    their own peer group than the more traditional strategies used in rehabilitation such as paper
    diaries, notepads and calendars. Although these devices are easily available they are costly for
    clients to purchase and run. The award would enable the ABI Service to purchase a range of
    equipment to use within clients' rehabilitation programmes. For details contact Beth Fisher,
    Service Manager (01244 389254; beth.fisher@cwpct.nhs.uk).

   Orthopaedic Secretariat, St Helens & Knowsley Hospitals NHS Trust for
    ‘Typing Clinics in Real Time’ - Typing patient notes in ‘real time’ at nine Fracture Clinics in
    Whiston Hospital has redesigned ways of working for medical secretaries. On a daily basis, the
    medical secretary types the patient notes from each Fracture Clinic (which can see as many as




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    90 patients) "in clinic" as it occurs. This has saved on clinical time and ultimately improved quality
    of access for patients and addressed the recruitment and retention problems of Medical
    Secretaries within the Orthopaedic Department. The redesign project team consisted of:
    Diana Lewis (Human Resources Manager); Anne Stott (Associate Directorate Manager);
    Peter Mobbs (Consultant Orthopaedic Surgeon); Eileen Kinsella (Orthopaedic Supervisor); and
    Victoria Begley (Medical Secretary). For further details contact Eileen Kinsella (0151 430 2167;
    Eileen.kinsella@sthkhealth.nhs.uk).

   Dr James Rippey, Emergency Physician, Royal Liverpool & Broadgreen University
    Hospitals NHS Trust for developing a Compact Pre-filled Syringe. (NB: Details not available
    at time of going to press)

TrusTECH is the North West NHS Innovation Hub. The hub is a partnership project set up to help
NHS Trusts to manage the outputs of publicly funded research to improve healthcare. TrusTECH
works with Trusts throughout the counties of: Cheshire, Merseyside, Cumbria, Lancashire and Greater
Manchester.


SUPPORTING PEOPLE WITH LONG TERM CONDITIONS IN CHESHIRE AND MERSEYSIDE

Chief Executives from across Cheshire and Merseyside came together on 10 March 2005 to consider
next steps in the progression of policy around Long Term Conditions (LTC) and specifically case
management. The day was held against a background of the completion of Ovations’ visits to
14 Primary Care Trusts (PCTs) in the patch and production of their overview report for the SHA.

Summary of discussions

There was widespread agreement on the need for joint work across the SHA, directed by the Long
Term Conditions Programme Board on the four areas identified by the Ovations’ report and separate
discussions with colleagues from across the patch engaged in the agenda:

   Data – The need for a common understanding of how to identify patients with long term
    conditions, their appropriateness for case management and knowledge management systems to
    support their care was agreed. Additionally, there was agreement that work across the SHA (and
    nationally) on a predictive risk stratification tool would also be of benefit to all health communities.

   Workforce – It was agreed that a common job description and person specification for Case
    Managers was desirable and should be constructed from the work that had already progressed in
    several health communities. There was a wide-ranging discussion on the appropriateness of a
    Cheshire and Merseyside approach to the next stages of recruitment. It was agreed that elements
    of recruitment, training and mentoring for case managers could be delivered centrally, but further
    work was needed to develop this. The employment of case managers was to be left to local
    arrangements. It was agreed that a strategic approach to wider workforce redesign was also
    needed in conjunction with existing professional networks.

   Capacity Planning and redesign – It was agreed that a Cheshire and Merseyside view of the
    implications on current capacity on the development of long term conditions management models
    would add understanding to current planning assumptions around Payment by Results (PbR) and
    elective activity. It was also agreed that central assistance in the redesign of local capacity to
    assist in the delivery of case management should be pursued.

   Communication and engagement – General agreement that a Programme Board sponsored
    approach to communication and engagement would add value to the work being undertaken
    locally, in particular, local government overview and scrutiny arenas as well as with elected
    members generally. Specific reference was made to the need to ensure robust clinical
    engagement across all disciplines and the need to tailor this locally, with support from the
    Programme Board.

General consensus was agreed on the need to learn from those who have progressed further than
others to date, the need for local flexibility in implementation plans and phasing and a willingness to
accept external support and advice in the early stages of development.




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Next steps

   The production of a project plan, reflecting the four common themes for long term conditions and
    for case management was agreed and would proceed rapidly, including the constitution of project
    groups.
   On the back of the Chief Executives’ discussions, it was agreed that 10% of the SHA wide funding
    for pump priming of case management would be held back by the Programme Board to support
    common work themes in the four areas identified. An expenditure plan for this funding would be
    presented to the next Programme Board.
   The remainder of the £2 million would be allocated to PCTs on a per capita basis, but with a
    strong reminder to PCTs of the need to ensure this money was allocated to support the
    development and roll out of case management. PCTs would be expected to account for the
    impact of this cash through the SHAs’ performance management mechanism.
   A performance management framework would be developed for long-term conditions reflecting the
    above and other elements of the programme.
   Regular updates would be provided to Chief Executives on the progress of the programme via the
    Programme Board.

National Service Framework (NSF) for Long Term Conditions

As reported in March, the DH has launched the ‘National Service Framework (NSF) for Long Term
Conditions’. The NSF is centred around neurological conditions, although the principles for taking
forward work in this area equally apply to all Long Term Conditions. Beverley Humphrey, Chief
Executive of the Walton Centre, has been asked to join the LTC Programme Board and will be
presenting to the next meeting to ensure a co-ordinated approach to this work stream.


LONG TERM CONDITIONS AND SELF-CARE

   ‘Working in Partnership’ Programme for Self-Care

    The DH recently invited applications to it’s ‘Working in Partnership’ Programme for self-care.
    Three health communities applied and Central Cheshire PCT has been successful in its bid.
    Central Cheshire’s project will focus on improving training and education for healthcare
    professionals around self-care. The SHA fully supports the application and will be working with
    Central Cheshire PCT to spread learning from the pilot scheme across Cheshire and Merseyside.

   Alaskan Healthcare Representatives to visit Cheshire and Merseyside

    Members of the Alaskan healthcare system will visit the North West (hosted by Cheshire and
    Merseyside) on 27 May at an event to be held at Haydock Racecourse. Alaska has pioneered
    the development of self-care and complimentary medicine strategies for it’s dispersed population
    and has agreed to come to the UK to share experiences. Further details to follow.


CONSULTATION ON LONG TERM CONDITIONS CASE MANAGEMENT

Skills for Health, working with the new Modernisation Agency, is conducting a consultation on a
competence framework for case management of long term conditions. The consultation ends on
22 April, and looks particularly, but not exclusively, at the role of the community matron in case
management. The Cheshire and Merseyside Nursing Network is co-ordinating a response on behalf
of the SHA – deadline 15 April. If you wish to contribute please contact Kim Barrow, Nursing Network
Co-ordinator (kim.barrow@cmha.nhs.uk).


NEW WORKFORCE DESIGN MANUAL FOR LONG TERM CONDITIONS

The Workforce Change in Long Term Conditions Team has produced a Long Term Conditions
Workforce Design Manual. The aim of the manual is to help those implementing new roles as they
introduce new models for working with long term conditions.




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NATIONAL RENAL TRANSPORT LEARNING SET : STAKEHOLDER LISTENING EVENT

The Cheshire and Merseyside Rental Strategy Group was successful in becoming a National Action
Learning Set reviewing renal patient transport as part of the Renal National Service Framework (NSF)
Implementation. It is only one of two national initiatives focussing on transport issues.

The Learning Set members have been asked to lead on this 12 months’ scheme, taking into account
both rural and urban renal patient transport issues, including those patients who receive their care
from non-Cheshire and Merseyside renal service providers. To inform key stakeholders at the
beginning of this important piece of work, and to seek a variety of views on the issues to be addressed
in the next 12 months, a ‘Stakeholder Listening Event’ is being held on Sunday 22 May at The LACE
Conference Centre, Croxteth Drive, Liverpool. The event is open to NHS staff, patients and their
carers who have a direct interest in this piece of work. For more information contact Hannah Pulley,
Assistant Specialised Commissioning Manager (01244 650307; Hannah.pulley@cwpct.nhs.uk).


THE NORTH WEST CLINICAL PSYCHOLOGY CONTINUING PROFESSIONAL DEVELOPMENT
(CPD) SCHEME

The North West Clinical Psychology Continuing Professional Development (CPD) Scheme began on
1 October 2003. Greater Manchester SHA (GMSHA) funds the scheme and also takes the lead in
North West England for commissioning postgraduate clinical psychology training. The scheme is
hosted by Bolton, Salford & Trafford Mental Health Trust and replaces the Clinical Psychology CPD
project which ran from July 2001-September 2003. The scheme provides CPD support for all of the
clinical psychologists working in the North West. Building directly on the work of the Clinical
Psychology CPD project, it also has links with other healthcare professional groups around CPD and
is involved in a number of multiprofessional initiatives. For example it has been in close collaboration
with the North West Mulitprofessional Mentoring scheme.

The scheme aims to prepare Clinical Psychologists in the North West, a total of approximately 600
staff, for the forthcoming statutory regulation of the profession through the Health Professions Council.
This is likely to occur in 2006. In particular, the scheme is taking a lead in developing a model for an
infrastructure to support the mandatory CPD requirements that will accompany statutory regulation.
For further information, please contact Polly Kaiser (0161 7772 3612; polly.Kaiser@bstmht.nhs.uk) or
visit www.gmsha.nhs.uk/core/psychology.

The scheme’s team consists of Laura Golding, Lead Tutor (Greater Manchester) (0.5 WTE),
Gundi Kiemle, CPD Tutor (Cumbria and Lancashire) (0.4 WTE), Polly Kaiser CPD Tutor (Cheshire and
Merseyside) (0.4 WTE), Carol Collins, Administrative Coordinator (1.0 WTE), and Luisa Sadler,
Psychology Assistant (0.5) Each of the three tutors works within one of the three geographical areas
covered by the three North West Strategic Health Authorities (SHAs). They liaise closely with relevant
SHA employees, the Clinical Psychologists and other healthcare professionals in their patch and the
University Doctoral Clinical Psychology programmes. This helps to ensure that the scheme’s work is
compatible with wider NHS developments and priorities (for example, a successful half day workshop
took place on 19 January to assist in this process. It bought together the CMSHA and lead clinical
psychology managers in the area.)

LATEST MODERNISATION PROGRAMMES

PRACTITIONERS WITH SPECIAL INTERESTS

   PRACTICE MANAGERS

    Implementing a Scheme for Practice Managers with Specialists Interests is a new NatPaCT
    guide that has been published to help Practices develop Practice Managers with a Special
    Interest and see how they can contribute to the development of services across primary care
    communities The guide includes sections on:
    o commissioning                        o evaluation and monitoring
    o developing schemes                   o local examples
    o education, training and support




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   EXTENDING THE ROLE OF PRACTITIONERS WITH A SPECIAL INTEREST TO
    UNDERTAKE OUT-PATIENT APPOINTMENTS

    The DH Wider Range of Services in Primary Care (WRS) programme is focused on developing
    the role of Practitioners with Special Interests in primary care to undertake outpatient
    appointments, and developing primary care facilities to accommodate these additional services.
    So far the emphasis has been on developing GPs and Nurses with special interests (GPwSI and
    NwSI), but the DH is now working with stakeholders to explore the potential for other staff in
    primary care, such as Allied Health Professionals, to undertake outpatient appointments.


ACTION ON UPDATE : GOOD PRACTICE

The Action On Programme has been wound up, but publications will continue to be available on the
MA’s WISE web portal that will continue to exist beyond April 2005 at
http://www.content.modern.nhs.uk. The following Good Practice Guides have been published:

   PHASE III - UROLOGY

    o   Good Practice Guide : Outcomes from 32 Action On Urology Projects which will help
        managers and clinicians redesign and get the best from whole urology systems. Examples
        from the Urology projects’ good practice include:
    o   Improving Diagnostic Services Together which draws together the latest guidance on getting
        the best of diagnostic services. It focuses on ultrasound but also draws on other modalities.
        (This is a joint report by a National Urology/Radiology service improvement Forum, whose
        members included representatives from the Modernisation Agency, British Association of
        Urological Surgeons, Royal College of Radiologists, British Medical Ultrasound Society and
        the College of Radiographers.)



OTHER NEWS

PRIMARY CARE NEUROLOGY SOCIETY (P-CNS) FORMED

The Primary Care Neurology Society (P-CNS) is a new network organisation supporting primary care
professionals with an interest in neurology, which will hold its first national meeting on 14 April at
Church House in London. The P-CNS will be offering regular up to date information on new
developments in clinical management and patient care across a range of neurological conditions.
It has also been established to provide a forum to stimulate general interest in neurology amongst
primary care professionals.

The P-CNS will be working in partnership with key professional and patient organisations to support
the development of Primary Care Professionals (PCPs) and Practitioners with Special Interest
(PwSIs), especially GPs, wishing to focus on particular neurological conditions and positive primary
care practice in neurology care. It plans to focus initially on the following core neurological conditions:
 Alzheimer’s Disease                         Multiple Sclerosis
 Epilepsy                                    Pain
 Head injury and rehabilitation              Parkinson’s Disease
 Migraine/Headache                           Stroke
 Motorneurone Disease


THE HEALTH FOUNDATION LEADERS FOR CHANGE AWARD SCHEME INVITES
APPLICATIONS
Deadline: 6 May 2005

The Health Foundation’s Leaders for Change Award Scheme aims to equip experienced health
professionals with the necessary skills and knowledge to lead change and achieve lasting
improvements in the quality of patient care. The award is work-based and develops learning based on
the award holder’s own experiences. The modular programme is specially designed to provide space




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and structure to reflect and develop a new understanding of the change process and to apply this
learning to the work situation.

The award is a competitive scheme open to professionals from a wide range of backgrounds such as
clinicians or managers involved in the leadership of local service improvement. Applicants must have
a discrete area of work or a project in which they have a lead role that will form the context for
development during the period of the award and which will have a direct impact on service
improvement for patients.

To find out if you are eligible to submit an application, work through the eligibility tree on the Health
Foundation’s website www.health.org.uk.


PATIENT INFORMATION BANK - DUE EARLY 2005
NHS Direct Online is leading on a ‘Patient Information Bank’ project to nationally coordinate and
collate the numerous, overlapping and, at times, contradictory information on conditions and treatment
available around the country. The resulting national electronic resource will provide a one-stop shop of
high quality, evidence-based knowledge that can be accessed locally and tailored to individual needs.
Print-ready format will allow information sheets to be handed directly to patients during consultations.
It will also eliminate duplication of effort and, most importantly, ensure a gold standard of national
quality control.


CONNECTING FOR HEALTH – DELIVERING THE NATIONAL PROGRAMME FOR IT IN THE NHS

On 1 April 2005, the National Programme for IT (NPfIT) joined with parts of the NHS Information
Authority (NHS IA) to become a new DH agency named NHS Connecting for Health. It will be
responsible for implementing the NPfIT, which will bring modern computer systems into the NHS to
improve patient care and services. Over the next ten years it will connect over 30,000 GPs in England
to almost 300 hospitals and give patients access to their personal health and care information,
transforming the way the NHS works.



PUBLICATIONS AND RESOURCES

DEPARTMENT OF HEALTH BULLETINS

Visit http://www.dh.gov.uk/PublicationsAndStatistics/Bulletins/fs/en to view the latest copies of the
following Bulletins:
      Chief Executive                                   Chief Dental Officer’s
      Human Resources                                   Medical Directors’
      Chief Nursing Officer’s                           Emergency Care
      GPs                                               Shared Services
      Allied Health Professional


MODERNISATION AGENCY BULLETINS

   Chief Executives’ Bulletin - www.modern.nhs.uk/bulletin.
   Changing Workforce Programme, New Ways of Working Update -
    www.modern.nhs.uk/newwaysofworking/
   Action On General Surgery Newsletter is available from Tracy Moir (0207 061 6798;
    www.modern.nhs.uk/action-on/generalsurgery).
   Endoscopy News is available from www.modern.nhs.uk/endoscopy - click on ‘Newsletter’ on the
    left hand menu.
   TheAgenda, a new NHS Modernisation Agency newsletter aimed at assisting Agenda for Change
    service Leads available from www.modern.nhs.uk/agendaforchange.




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10 HIGH IMPACT CHANGES : AMBASSADOR NEWSLETTER LAUNCHED

A 10 High Impact Changes ‘Ambassador Newsletter’ was launched in March. The newsletter
provides tips and progress reports from people who are implementing the 10 High Impact Changes
at local level. To receive this newsletter direct to your email account, please contact
emilie.vavasour@npat.nhs.uk.


THE NATIONAL ORTHOPAEDIC PROJECT: FASTER ACCESS FOR NHS PATIENTS

The DH have published a report The National Orthopaedic Project: Faster Access for NHS Patients
which outlines progress made in patient access to orthopaedic surgery. It focuses on the impact of
the National Orthopaedic Project, provides case studies and offers best practice guidance based on
the learning from the work to-date.


IMPROVING ENDOSCOPY SERVICES :
MEETING THE CHALLENGES - THE NEXT STEPS

2005 is going to be a year of change for the structure of Endoscopy modernisation. Improving
Endoscopy Services : Meeting the Challenges - The Next Steps was launched at a British Society of
Gastroenterology (BSG) conference in March. It gives all the latest information on the development of
endoscopy services, including information on the quality assurance strategy and a detailed
improvement resources section.


NATIONAL SERVICE FRAMEWORK FOR CHILDREN, YOUNG PEOPLE AND MATERNITY
SERVICES: MATERNITY SERVICES EXEMPLAR

Using a patient journey exemplar in Maternity Services, this document illustrates some of the key
themes in the National Service Framework (NSF) for Children, Young People and Maternity Services.


RECOMMENDED SEXUAL HEALTH SERVICE STANDARDS PUBLISHED

Developed by the Medical Foundation for AIDS & Sexual Health (MedFASH) and endorsed by the
DH, Recommended Standards for Sexual Health Services is aimed at providers and commissioners
of all NHS-funded sexual health services. The Recommended Standards will support healthcare
organisations to implement The national strategy for sexual health and HIV and to deliver the Public
Service Agreement (PSA) 2005/06-2007/08 target for sexual health, which includes specific
commitments arising from the government’s White Paper Choosing Health. The recommended
standards are not setting-specific and can be applied wherever sexual health services are provided
or sexual health need may be identified.

The recommended standards have been developed with the aim of enabling people to have prompt
and convenient access to consistent, equitable and high quality sexual healthcare. They describe
what people should be able to expect from a sexual health service and will serve as a tool for
planning, developing and evaluating local services, as well as for local performance management.

The document builds upon previous work by MedFASH to develop Recommended Standards for
NHS HIV Services. Please note that this publication is copyright but may be freely reproduced for
the purpose of ensuring quality of care.

The Medical Foundation for Aids & Sexual Health is a charity supported by the British Medical
Association – for further information on the Charity and its work visit http://www.medfash.org.uk/.




3ff1eec8-0967-4649-a07e-6be3e4f1a9aa.rtf                                                               10
PHARMACEUTICAL SERVICES

   NEW NHS PHARMACEUTICAL SERVICES REGULATIONS FROM 1 APRIL

    The NHS (Pharmaceutical Services) Regulations 2005 - Information for Primary Care Trusts
    (control of entry) has been produced to assist PCTs in the assessment and determination of
    applications to provide NHS Pharmaceutical Services. It incorporates reforms effective from
    1 April 2005 to the regulatory system and also provides information on the appeals process.

   CHOOSING HEALTH THROUGH PHARMACY :
    A PROGRAMME FOR PHARMACEUTICAL PUBLIC HEALTH 2005–2015

    Published by the DH, Choosing Health Through Pharmacy is a resource for pharmacists, PCTs,
    NHS Trusts and public health organisations to help maximise the contribution of pharmacists, their
    staff and the premises in which they work to improve health and reduce inequalities. It provides
    examples of innovative practice.

   MEDICINES MATTERS: A GUIDE TO CURRENT MECHANISMS FOR THE PRESCRIBING,
    SUPPLY AND ADMINISTRATION OF MEDICINES

    Medicines Matters describes the current mechanisms available for the prescribing, supply and
    administration of medicines to support the development of new roles or service redesign. It also
    outlines the continuing work on the non-medical prescribing programme and what it hopes to
    achieve. As the booklet is not intended to be a detailed guide, it refers the reader to additional
    sources of information and reference.


PCT DENTISTRY COMPETENCIES REVISED MARCH 2005

NatPaCT have updated the Dentistry Competencies, which provide information for PCTs and
examples of evidence describe good practice, structures and processes needing to be in place before
April 2006. They can be used as an objective evaluation tool for PCTs to assist highlight areas that
need capacity building and development. They reflect the increase in responsibilities that PCTs will
have for dentistry and can be read in conjunction with other key documents and web sites signposted.
This is designed to be a useful information source and will be updated regularly to keep pace with the
developing change agenda for NHS Dentistry in the lead up to the implementation of the new contract
in April 2006.


IMPROVING DIABETES SERVICES - THE NATIONAL SERVICE FRAMEWORK TWO YEARS ON

The Diabetes National Service Framework (NSF) set out the first ever set of national standards for the
treatment of diabetes to raise the quality of NHS services and reduce unacceptable variations
between them. Improving Diabetes Services - The NSF Two Years On highlights progress made over
the two years following the publication of the NSF Delivery Strategy.


HEALTH SERVICE PLANNER

Health Direction Ltd provides comprehensive health planning and service development information
from Health Authorities/Boards, Primary Care Organisations and Trusts throughout the UK free of
charge to the NHS. Visit www.healthdirection.co.uk for further information and to apply for a
username/password to access the Health Direction database.




3ff1eec8-0967-4649-a07e-6be3e4f1a9aa.rtf                                                                 11
DIARY DATES
             ST
14 APRIL : 1 PRIMARY CARE NEUROLOGY CONFERENCE
‘Bringing together leading experts in primary care neurology’
Church House Conference Centre, Dean’ Yard, Westminster, London
See ‘Other News’ for information on the Primary Care Neurology Society. For event details visit
http://www.p-cns.org.uk/events.asp. Please note there is a delegate fee of £159.


21 APRIL: POSITIVE TRANSITIONS IN PATIENT AND PUBLIC INVOLVEMENT
The LACE Conference Centre, Sefton Park, Liverpool

The event at the Conference Centre, Lace, is a one-day conference for those concerned with
achieving positive transitions in health care through patient and public involvement.
For more information visit www.eventsnorthern.co.uk


25 APRIL: CHESHIRE AND MERSEYSIDE ORTHOPAEDIC SHARING EVENT
Hanover Hotel, Stretton, Warrington
Sponsored by Cheshire and Merseyside SHA, this event is open to all local Orthopaedic communities
in both primary and secondary care. Its aim is to create a forum for sharing, best practice and
innovation in the field of Orthopaedics. For further information contact Stephen Boyle, SHA Service
Improvement Manger (01925 406120; Stephen.boyle@cmha.nhs.uk).


27 APRIL 2005 : DELIVERING RESEARCH FOR BETTER HEALTH SERVICES
The Fourth National SDO Conference
Church House, Westminster
A one-day conference by the NHS Service Delivery and Organisation R&D Programme for those
concerned with the delivery and management of effective, evidence-based healthcare. The
conference will promote discussion, highlight current thinking and raise awareness of ongoing
research into the organisation and delivery of health care services. It will examine:
 patient and carer-centred care,
 studying health care organisations,
 innovations in funding and applying health services research,
 e-health,
 knowledge transfer: partnership working in research and
 Improving health services.
For further information and to register, visit www.healthcare-events.co.uk.
Please note there is a charge for this event.


29 APRIL : HEALTH & SOCIAL CARE AWARDS APPLICATIONS DEADLINE
REMINDER! Visit http://www.healthandsocialcareawards.org/Page_Show.aspx?Id=54


22 MAY : STAKEHOLDER LISTENING EVENT - NATIONAL RENAL TRANSPORT LEARNING SET
The Conference Centre at LACE, Croxteth Drive, Liverpool
See ‘Local Developments’ for details. To register contact Hannah.pulley@cwpct.nhs.uk.


27 JUNE – 1 JULY : BRITISH ASSOCIATION OF UROLOGICAL SURGEONS CONFERENCE
Scottish Exhibition and Conference Centre
The Action On Urology team will be participating in this conference and will be staging a plenary
session on 28 June. A number of the Action On Urology pilot sites will be presenting abstracts.
For registration details visit http://www.baus.org.uk.




3ff1eec8-0967-4649-a07e-6be3e4f1a9aa.rtf                                                            12
29 JUNE : COMMISSIONING MODERN SURGICAL SERVICES
(Making Day surgery the norm for elective activity )
Village Hotel, Warrington
This event is sponsored by Cheshire and Merseyside SHA and is aimed at all staff involved in the
commissioning or provision of Day Surgery Services in Cheshire and Merseyside. Places will be
limited initially to 4 per organisation. Confirmed speakers are:
 Jill Solly, President of British Association for Day Surgery
 Liz Mathews, Associate Director for Capital and Planning, South Manchester PCT
 Tim Richardson -
 Dr Mark Skues, Clinical Director for Day Surgery, Countess of Chester Hospital NHS Trust
 Dr Bill Horton, Clinical Champion for Day Surgery, Cheshire and Merseyside.
An agenda will be available shortly. In the meantime, contact Shirley Walsh, SHA Service
Improvement Manager for further details (01925 406053; Shirley.walsh@cmha.nhs.uk). Registration
forms available from Hazel Kelly, Acting Team Secretary – Development & Improvement
(01925 406077; email hazel.kelly@cmha.nhs.uk).


29 JUNE : NORTH WEST PAEDIATRIC CRITICAL CARE SEMINAR
The Dunkenhalgh Hotel, Clayton Le Moors, Accrington, Lancs : 9.00 am – 4.00 pm
Advance notice of a seminar arranged by the North West and North Wales Paediatric Critical
Care/DGH Interface Group. For further information contact Hannah Pulley, Specialised Services
Commissioning Team (01244 650307; Hannah.pulley@cwpct.nhs.uk).


FEEDBACK

PLEASE LET US KNOW IF WE NEED TO AMEND DETAILS OR ADD CONTACTS.

Feedback and comments are very welcome! We hope that you will contribute to future
bulletins. All comments should be sent to jan.elstob@cmha.nhs.uk.




3ff1eec8-0967-4649-a07e-6be3e4f1a9aa.rtf                                                        13

								
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