July 2019

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Our year in Bromley 2018/19

Our year in Bromley 2018/19 has been published and will be available at our annual general meeting on Thursday 4 July 2019.    It describes our work over the last year to deliver safe, effective and sustainable health services for our residents.  It includes examples of the improvements we are making as well as the challenges we continue to face.

Our full annual report and accounts for 2018/19  will be presented at our annual general meeting.  All are welcome.

 


An ICS for south east London

South east London is the first area in London to join NHS England and Improvement’s third wave of Integrated Care Systems

Our Healthier South East London (SEL) Sustainability and Transformation Partnership (STP) has been announced as the first area of London to join the third wave of the national Integrated Care System (ICS) programme.  ICSs bring together local health and care organisations and local councils to re-design care and improve population health, through shared leadership and action.

Becoming an ICS will be supported by the merger of south east London CCGs.  The intention is to have a South East London CCG from 1 April 2020.    

By working across organisational barriers, health, care and voluntary and community sector staff can put patients’ needs first. For example in Bromley, health and social care organisations are working together through our One Bromley integrated care partnership. GPs, community matrons, geriatricians, mental health services, social care and the voluntary and community sector are working together to improve the quality of care of patients.

On 19 June, we held a patient workshop to share the plans for a single south east London CCG and what integrated working will look like both at south east London and locally within Bromley.   For a copy of the presentation slides, please email broccg.patientquery@nhs.net

 


  

One Bromley Patient Network

Would you like to have your say on joined up health and social care programmes in Bromley?  If so, please join our One Bromley Patient Network.   

What is the One Bromley Patient Network?   The One Bromley Integrated Care Partnership is working together on a number of integrated care programmes that will enable us to deliver the ambitions set out in the NHS Long Term Plan and most importantly enable our residents to live well.   There will be opportunities for patients to influence many of the programmes we are working on and share their views.   We will arrange this engagement through the One Bromley Patient Network.  Please note this does not replace the patient groups that each of the organisations involved in One Bromley already have in place, such as our Patient Advisory Group, Bromley Healthcare’s Patient Reference Group and the membership of the foundation trusts.  This additional network has been set up to make sure we deliver any public engagement on integrated care programmes in a co-ordinated way across all partners and give everyone an opportunity to get involved in these shared programmes of work.    Please contact us at BROCCG.patientquery@nhs.net to request a registration form. 

What is One Bromley?   Bromley Health and social care services are working together with the voluntary sector to provide more joined up and improved care for people who live in Bromley.    The name of this integrated care partnership is One Bromley.    The organisations involved in One Bromley are:

  • NHS Bromley Clinical Commissioning Group
  • Bromley Healthcare
  • King’s Hospital NHS Foundation Trust
  • Oxleas NHS Foundation Trust
  • Bromley GP Alliance
  • Bromley Third Sector Enterprise
  • St Christopher’s
  • Bromley Council

 


Help us to shape the future of the NHS in South East London

The NHS has to continually move forward so that in 10 years’ time we have a service fit for the future. The NHS Long Term Plan has been drawn up by front line staff, patients groups, and national experts to create an ambitious but realistic plan.

Our Healthier South East London (OHSEL), a partnership of local NHS organisations, councils and other key stakeholders, is inviting members of the public to help make some big decisions on what this means for our area.   Below are details of upcoming events.  Please do come along and help us spread the word about the events.     

There are two events in each of the south east London boroughs during July. 

  1. Borough event – this will provide an opportunity to share your views to help shape the future of the NHS in that borough and across south east London.    The Bromley borough event is from 5pm to 7.30pm on 25 July.
  2. Topic event -  this will focus on an area relevant for the whole of south east London.  

The Bromley events take place on Thursday 25 July – 2 to 4pm and 5 to 7pm at Community House, Bromley, South Street, BR1 1RH

For ticket/s for the topic session improving daytime hospital appointments (2pm to 4pm) apply at Eventbrite.

For tickets for the session to shape the future of the NHS in Bromley and across south east London (5pm to 7.30pm) apply at Eventbrite.

You can also help by taking part in a short OHSEL survey which will help in making decisions about the future of the NHS in south east London. You can find the survey here

You can read more information about all of the events and where they are taking place on the OHSEL website 

 


How are we doing?

In May 2019, we published our annual engagement report for 2018/19.  The report provides lots of examples of how local people have directly influenced our decision making over the last year.  Patients and the public are at the core of our developments and planning. Reaching patients early, listening to what they have to say and acting on what we have heard is a critical component of high quality commissioning which brings about transformational change and wider improvements to many more people.  Our work has been recognised by NHS England, who in July 2018 gave Bromley a Green Star (outstanding) status for the second year in a row for our public engagement work, one of only ten CCGs in the country.

    We want a children and young people's emotional well being service that includes those over 18 as the transition to adult services is poor.

  The improved service will be for young people up to the age of 25.

    We need easy access to community health services in reasonable time, which is especially important for those with ongoing or long term conditions.

   Bromley Healthcare has set up the new Care Co-ordination Centre which provides a single point of contact for all services.  It operates 24 hours a day, 365 days a year.

   Tell us the name of the midwife helping deliver my baby.

   Introductory letters from midwives have been amended.  Signage has been put up in the antenatal clinics providing the name of the midwife running the clinic.


Improving outpatient services in Bromley

One Bromley partners are working together to improve the experience of patients using outpatient services.  The NHS Long Term Plan sets out the need to reduce face to face hospital outpatient appointments by a third by harnessing the use of improved technology and community based care.  

What are we aiming to do?

  • Improve patient experience when using outpatient services.
  • Provide other options such as telephone appointments or being see in in a community clinic.
  • Provide GPs with the right level of expertise and support so they can provide more outpatient care in their practices.
  • Enable patients to get the results of any tests quicker over the phone or by email rather than having to come in for another appointment.

Patients will have a key role in helping us to design and deliver these improvements.    In May, we tested some of our initial thoughts with members of our Patient Advisory Group.  The outcomes of that testing is available on our website.

The Our Healthier South East London event on 25 July will provide us with another opportunity to get your views on this important topic and in the autumn we will be talking to people who use outpatient services in the following specialities for their views.

  • General Paediatrics
  • Cardiology
  • Haematology
  • Rheumatology

 


Join our patient conference in September

Our next patient conference will be held on 2 September 2019 from 5.30pm at Community House, South Street, Bromley.  We are planning to seek views on primary care networks and outpatient improvements.  If you would like to attend, please email broccg.patientquery@nhs.net

You can read the report on the outcomes of our last Patient Conference held in January on our website.

 


Supporting people with cardiology conditions

The CCG commissions a cardiac rehabilitation and exercise on referral programme which is an exercise programme for people who have a cardiology condition.  The contract was up for renewal so users of the service were asked for their views on the programme and any improvements that needed to be made.  Their feedback has been used to inform the new service provision.  You can read the Heartsmart report and the Freshstart reports on our website.  

 

  I would have liked to be directed to other exercise opportunities once my programme finished.

  This was made an explicit requirement in the new providers' contract.

  Can we have exercise classes in the morning, afternoon and evening?

  Yes - these will be arranged. 

The new service starts on 2 September 2019.


NHS App

Have you downloaded the new NHS app on your phone yet?   The app is for people aged 13 and over who are registered with a GP surgery.  Most GP surgeries will be connected now.

With the NHS App you can:

  •  check your symptoms – find reliable NHS information on hundreds of conditions and treatments, and get immediate advice
  •  book appointments – search for, book and cancel appointments at your GP surgery 
  • order repeat prescriptions – see your available medications and request a new repeat prescription 
  • view your medical record – get secure access to your GP medical record
  • register to be an organ donor – easily manage your preferences on the NHS Organ Donor Register
  • choose how the NHS uses your data – register your decision on whether it can be used for research and planning

The app is free to download from Google Play or the App store.

 

 


Primary care networks in Bromley

Primary care and community care are at the heart of the NHS Long term plan. The plan sets out an ambition for all GP practices to come together with neighbouring and associated practices in “Primary Care Networks” (PCN) to meet the needs of local populations. 

You can find out more about PCNs by watching this short video.   PCNs are much more than clusters of general practice. It is about groups of practices coming together locally in partnership with community services, social care and other providers of health and care services around the needs of  local patients.

There will be eight networks in Bromley.  Each will cover a population of around 30,000 to 50,000 patients.  Practices in each PCN will be working together with  community, mental health, social care, pharmacy, hospital and voluntary services.   Practice Participation Groups will be critical in working with their practices to engage with the wider community to influence what is provided.  

As part of a PCN, practices will be able to recruit multi-disciplinary teams, including pharmacists, physiotherapists, paramedics, physician associates and social prescribing support workers, freeing up family doctors to focus on the sickest patients. In the first year of the PCN contract, the focus will be on optimising current services across the network, such as the provision of extended opening hours for local practices, and the employment of clinical pharmacists and social prescribing link workers. It is expected that the capability and capacity of PCNs will build over the next 5 years of the contract to deliver fully integrated community-based care that meets the needs of our local populations.

If you are member of your Practice Participation Group, speak to your practice about developments in their PCN. Our patient conference on 2 September will also look at PCNs and how patients can influence future services.  


 

New mums benefit from extra support

Over 600 new mums in Bromley have received help from the ‘Mindful Mums’ programme, which is helping mothers stay mentally well when having a baby.

‘Mindful mums’ is commissioned by the CCG and provided by Bromley, Lewisham and Greenwich Mind, a mental health charity.

The CCG has agreed a further two years funding for the programme which works with mothers, regardless of their mental health history, to stay well during their pregnancy and after birth. As well as mothers directly supporting other mothers, it also offers wellbeing groups, befriending services and targeted support for mothers with multiple births.

 


 

 

 

 

 

 

 

 

 

 

 

 

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