This week’s leadership message comes from Tim Ryley, Accountable Officer for NHS Leeds Clinical Commissioning Group and Place-based lead for Leeds

Posted on: 12 May 2022

Jayne Heley.jpg Hello, my name is Jayne Heley

I have been working in the NHS for over 30 years and in the last four years in the NHS England / Improvement Personalised Care Group. During this time, I have seen how we can achieve incredible things, every day, for people who need NHS care.

Human beings are complex, and whilst we all share common traits, biology, and anatomy, we also have our own unique needs and preferences. If we are serious about tackling the health inequalities that various people and communities face, we also need to think beyond a one size fits all approach to care and support.

This is where personalised care comes in – giving people choice and control over the way their care is planned and delivered – improving skills, knowledge and confidence and in doing so delivering better outcomes for people, their families and carers, and the NHS.

Personalised care helps to improve health and wellbeing, have better ‘what matters to me” conversations and reduce needs on NHS services.

The six components which make up personalised care are:

Shared decision making changing the clinical conversation from what’s wrong with you to what matters to you
Patient choice including the legal rights that patients have to express their preferences for elective care
Personalised care and support planning enabling looking holistically at people’s care and support needs alongside their strengths and individual preferences or goals
Personal health budgets giving people improved choice, within an agreed care plan, whilst reducing cost to the NHS
Self-management support creating the circumstances where people have increased skills knowledge and confidence to manage their care, through interventions such as health coaching, health literacy and activation
Social prescribing connecting people to support within their local communities and enables the NHS to address the growing number of patients who present with non-medical issues such as debt, housing, relationships, loneliness, and social isolation.

We are delivering this through the implementation of the Comprehensive Model of Personalised Care and nationally so far, 2.8 million people have benefitted against the NHS Long Term Plan target of 2.5 million people benefitting by 2024 (accurate April 2022).

Due to the dedicated work of teams across the whole country and across West Yorkshire we have been embedding personalised care interventions within clinical pathways, including in maternity, cancer, diabetes prevention and through the delivery of primary care services, elective care reform and community health. Personalised care is also being implemented alongside approaches to population health management and health inequalities to enable us to approach the complex challenges facing people.

The Secretary of State for Health and Social Care in a Road to Recovery speech cited personalisation as one of three key priorities for a future NHS, alongside performance and preventing ill health. He established an expectation that we will reach four million people by 2024, and we will be setting out how we will do this within the NHS Long Term Plan update.

We all have a role to play in ensuring personalised care can become a universal reality within the NHS. It provides the type of care that we would all want to see for ourselves, our family, and friends.

I want to take this opportunity in thanking all colleagues across West Yorkshire and to those who have supported the work so far in the long-term health conditions and personalisation team in the West Yorkshire Health and Care Partnership. You have shown great leadership and its great working with and alongside you.

Have a good weekend everyone

Jayne

Bebhinn Browne.jpg Hello, my name is Bebhinn, Senior Programme Manager for Long Term Conditions at the Partnership where I have been supporting the work of the West Yorkshire and Harrogate Integrated Stroke Delivery Network (ISDN).

The NHS Long Term Plan recognises the growing impact of stroke in England. Stroke is the largest cause of disability in the UK and the fourth biggest killer. In West Yorkshire and Harrogate, around 3000 people a year have a stroke with two thirds of stroke survivors left with some form of physical, mental, or emotional disability.

Stroke is now part of the Partnership’s Clinical and Professional Directorate. This provides greater opportunities to work together to embed personalised care approaches, strategies to support carers of those who have suffered a stroke and greater connectivity between stroke and other long term conditions such as diabetes.

The aim of the West Yorkshire and Harrogate ISDN is to bring together stroke services across the area to deliver the best possible care throughout the whole stroke pathway by improving clinical outcomes, patient experience and patient safety.

The ISDN brings together key stakeholders, using a collaborative approach, to deliver the National Stroke Service Model (2021) which focuses on helping to prevent people from suffering a stroke, improving diagnosis and access to treatment and increasing the availability of high-quality rehabilitation to rebuild patients’ lives after a stroke.

Stroke Awareness Month.jpg May is stroke awareness month and it’s a great opportunity to share some of the work that is happening across the area.

As an ISDN we still have a long way to go to improve access to Thrombolysis and Thrombectomy services, we are working with neighbouring ISDNs in Humber Coast and Vale, North East and North Cumbia and South Yorkshire and Bassetlaw to support a quality review into thrombectomy delivery. The Quality Reviews are a collaboration between Getting It Right First Time (GIRFT), the National Stroke Programme at NHSE, The Sentinel Stroke National Audit Programme (SSNAP), Specialised Commissioning and the Promoting Effective and Rapid Stroke Care (PEARS) research programme.

The quality review will support the ISDN in achieving the Long Term Plan commitment of expanding mechanical thrombectomy, from 1% to 10% of stroke patients, ensuring that patients receive high quality care and treatment. The review will support ISDNs to share data and evidence about current delivery and learn more about key challenges faced by services.

We have also been working with services to review data from SSNAP to understand what is working well, what areas we can improve on and how we can work together and learn from each other to realise our ambition to reach a SSNAP level Score A (the highest score measuring quality) in all key domains across our area.

Working with people who have had a stroke and carers really helps the ISDN to focus on what needs to be done to improve outcomes and patient experience. We have been working with our patient and carer representative group, our clinical rehabilitation lead, the North East and Yorkshire Leadership Academy and New Citizenship Project to co-design a stroke pathway. Two workshops were held in March and April with a range of stakeholders including stroke survivors, carers, clinicians and the voluntary community and social enterprise (VCSE) organisations. With support from the communications and engagement team at the Partnership, we have developed a booklet to be shared in the community to encourage and support people to apply to join the patient and carers representative group.

This stroke awareness month I have had the chance to reflect on the excellent work that has taken place in stroke services so far, the passion and dedication our stakeholders have demonstrated to improving the lives of people in West Yorkshire and Harrogate and the opportunities ahead as an ISDN and to evolve and lead, drive transformational change at scale that is supported and informed by priorities at place and national good practice.

Have a lovely weekend

Bebhinn

What else has been happening this week?

All hands in for a better future - campaign launch

All Hands In.jpg This week we launched our new climate change campaign urging over 100,000 staff and volunteers to be ‘All hands in for a better future.’ We know climate change poses a major threat to everyone’s future. That’s why we’re committing to making fundamental changes to the way we work, through increased investment, mitigation, and culture change throughout our health and care system. The campaign encourages us all to be aware of how individual actions can impact on the climate and how decreasing carbon emissions is good for health. In the video below, our healthcare leaders ask colleagues to promise to do one simple thing of their choosing to reduce the impact on the environment and make a pledge on the campaign’s website: allhandsin.co.uk

The campaign builds on staff insight about the changes we want to see and be part of. By sharing real life examples we aim to show how small changes to everyday behaviours can collectively make a positive difference to the world and people’s health, for example cycling to work, energy saving, recycling clothes, and eating less meat. Place Lead, Mel Pickup, explains in the following short video, how the Bradford District and Craven Health and Care Partnership is starting the conversation about what changes we can make to take climate change into our own hands.

Andrew Gold, Chair of the Trust and of the Board’s Sustainability Committee, said:
"I am pleased to confirm that Airedale is behind the West Yorkshire Health and Care Partnership’s All Hands In campaign. We welcome your views and pledges in support of addressing climate change. No matter how small it may seem, now is the time to act! You can see some of our colleagues’ pledges on the short film below."

Leaving Service film launched

The Partnership’s Suicide Prevention Programme has announced the launch of 'Leaving Service', a new 30 minute documentary film exploring mental health and suicide prevention with ex-military personnel. The documentary aims to create awareness of the struggles faced by ex-military personnel - and the importance of inclusive community and mental health support.

We encourage all partners, teams and colleagues across West Yorkshire to watch the film (see below), and pass it on to others, and use it to promote inclusion and understanding.

Lenny Szrama, a veteran who served for 12 years in the British Army and features in the film, said:
“I hope that Leaving Service is viewed thousands of times and that it shines a light on trauma and isolation that can have a lifelong impact. I have survived suicide attempts, and with the right support, there is always hope and life after service.”

Innovation and Improvement Programme Board

Innovation and Improvement Programme Board met last week. The meeting was welcomed by the new chair Dr James Thomas. The West Yorkshire Innovation Hub Director, Amy Overend, gave an update on the hubs work, the connection between digital programme boards and the programme board as well as the links between research, digital and innovation, and what this relationship will involve.

The Partnership’s memorandum of understanding was discussed to set out how it will work with the Association of the British Pharmaceutical Industry and The Association of British HealthTech Industries and others for the benefits of the wider area within our agreed framework.

It was good to hear from Paul Carder and Sally Bridges who introduced Salma’s story. This highlighted a family involved in Born in Bradford studies from the Bradford Research Studies to help improve and understand localised healthcare.

Other programme updates included the medtech strategy, inclusive co-design principles, research and innovation. Leeds Academic Health Partnership colleagues gave an overview on their work and MIC invitro-diagnostic covered real world evaluation. Leeds Teaching Hospitals NHS Trust updated colleagues on innovation pop up and how this works.

Connected on inclusion

The Partnership’s Connected on Inclusion Week took place last October. With the unforeseen delays due to the COVID-19 protection measures in place, Fatima Khan-Shah and Sayma Mirza (associate directors for the Partnership) made their way across West Yorkshire on Thursday to give colleagues their much-deserved award. Congratulations again to all the winners on their award, and a thank you to those and everyone else for their unwavering commitment to this work.

Partnership appoints non-executive independent members for new way of working

Our Partnership, an integrated care system, has confirmed the appointments of non-executive independent members and local place committee chairs for the NHS West Yorkshire Integrated Care Board (ICB).

Following the passing of the Government's Health and Care Bill on the 28 April, 42 integrated care boards across England will become statutory organisations on 1 July 2022, also replacing clinical commissioning groups. The appointments are part of bringing together a new board for a new statutory body for the Partnership.

The three successful candidates for the Independent Non-executive Members for NHS West Yorkshire ICB are:

Jane Madeley: Independent Non-executive Member - Audit, Finance, and Innovation
Becky Malby: Independent Non-executive Member - Citizens and Future Generations
Bill McCarthy: Independent Non-executive Member - Quality and Workforce

Alongside the independent non-executive members, we are supporting Haris Sultan, in a development role through the NHS national NExT director programme, with a placement focusing on young people and future generations.

The process for the fourth non-executive integrated care board will complete in the coming weeks.

Central to the way we work is the local place partnerships covering Bradford District and Craven, Calderdale, Kirklees, Leeds, and Wakefield District, with most decisions made locally, in support of local Health and Wellbeing Board priorities and multi-agency partnerships working in communities.

Each place will have a local integrated care committee which will agree an annual plan to deliver the health and wellbeing strategy across their area. The committees, made up of local health and care leaders, include independent people who do not work for health and care organisations. The committees will align priorities to the NHS West Yorkshire Integrated Care Board and the existing West Yorkshire Health and Care Partnership Board.

Recent local appointments include:

Calderdale Cares Partnership Place-based Committee Independent Chair – John Mallalieu
Kirklees Health and Care Partnership Place-based Committee Independent Chair – Dr Liz Mear
Wakefield District Health and Care Partnership Place-based Committee Independent Chair – Dr Ann Carroll.

Recruitment to Bradford District and Craven Health and Care Partnership and Leeds Health and Care Partnership Place-based Committee Independent Chairs continues, with appointments expected soon. You can find out more here.

Nursing leaders officially open new national nursing test centre at Leeds General Infirmary

Nursing Leaders.jpg A new national nursing and midwifery examination centre has officially opened at Leeds Teaching Hospitals NHS Trust. The new NMC Competence Test Centre, based at Leeds General Infirmary, will host up to 7,000 nurses, midwives and nursing associates each year for their ‘OSCE’ Observed Structured Clinical Examination.

The exam is the practical part of the Test of Competence that all overseas-trained nurses or those returning after a career break are required to take before they can be registered to practice.

Until recently there were only three test centres in the UK, but with rising demand to bring people with the right skills and knowledge onto the UK’s nursing register as quickly as possible, the Nursing and Midwifery Council needed to increase national testing capacity. As such, two new centres were announced in Leeds and Newcastle.

Andrea Sutcliffe CBE, Chief Executive and Registrar of the Nursing and Midwifery Council visited Leeds General Infirmary to officially open the new centre, together with Duncan Burton, Deputy Chief Nursing Officer for England.

Following a private tour to see the new facilities first-hand, Andrea and Duncan met with key colleagues from Leeds Teaching Hospitals.

The OSCE is part of the Test of Competence for nurses, midwives and nursing associate and involves a face-to-face examination using actors or simulation models to play patients presenting with a variety of medical conditions or ailments. Nurses, midwives and nursing associates are assessed on how they care for and communicate with the patient to ensure they meet the required standards.

Anyone wanting to find out more information can visit Leeds Teaching Hospital’s OSCE centre website.

NHS Low Calorie Diet Programme training – extra day added

LC Diet Training Event.jpg We are holding an additional one-hour training event on Wednesday, 1 June from 11.30am to 12.30am to enable healthcare professionals to make referrals to the NHS Low Calorie Diet Programme being piloted in West Yorkshire.

The NHS Low Calorie Diet Programme is an innovative and free one-year programme which aims to support healthier lifestyles, weight loss, and remission of type 2 diabetes. The event is aimed at GPs, nurses, practice diabetes leads and medicine management colleagues across West Yorkshire. We also encourage dieticians and anyone who does medication reviews to join.

See the eventbrite pages to register and for more information.

Creative approaches

As part of its Mental Health Awareness Week 2022 celebrations, South West Yorkshire Partnership NHS Foundation Trust are pleased to launch the new ‘creative approaches’ film below. You can find out more about the creative approaches to supporting people with their health and wellbeing on the South West Yorkshire Partnership website.