Feedback from Group Discussions on Listening Exercise

Board/ PEC Away Day 13 May 2008

Annex 3 Agenda Item: 6.1Ref: W08-09/035

Health for All / Have Your Say: Board Meeting 10 June 2008

Q2: Improving Health

• Tailored access for seldom heard groups (eg. BME, low literacy, LD)

• Development for front-line staff re public health/ prevention/social marketing

• Childhood obesity – specific training for HVs to target under 5s

• Develop role of Health Trainers re accessing services

Q3: Services nearer to home• Maximise IT solutions to release clinical time• Improve Discharge Planning

– Include psychological assessment– Improve intermediate care as alternative to admission– Contract pathways/packages of care– Proactive work with GP/CM to “pull patients out” – GP

ward rounds? – Explore possibility of GPs acting as members of discharge

team– Contact Castlefields re update on progress

• Improved communication between primary and secondary care clinicians

• Increase number of specialists providing services in community• Establish Walk In Centre & Minor Injuries at SCH

Q4: Children & Young People (YP)

• Promote healthy lifestyles/healthy food/leisure/physical activities

– Role of schools? Incentives?

• Locate services for teenagers in more appropriate and tailored facilities

– Use of IT (texting, internet etc)

• Develop more parenting skills programmes

Q5: Older People• Increased investment in community services

– Admin support for all community services (eg. DNs, CMs, Physio etc

– Improved technology (eg. dictaphones or voice recognition software)

• Integrated nursing teams• Develop health worker for the elderly• Roll out Assistive Technology• Improve Discharge Planning

– Don’t assume residential care as only option• Improve personalised care on wards• Increased role for Voluntary Sector• Investment in LD for over 65s• Work with Older People’s Parliament re piloting services• Develop Directory of Services

Q6: Cancer & Palliative Care• Raise awareness of symptoms/promote early diagnosis• Provide choice for patients/family re end of life care

– Explicit discussions with patients re preferences/expectations– Assess impact on family– High quality information

• Support/empowerment for families and carers including after death• Integrated cancer care development – employ co-ordinator/s

– Specify palliative care beds in each locality– Review role of Macmillan nurses

• Develop standard palliative care protocol and education package for all clinicians– Specific training eg use of syringe drivers/symptom control– GPSIs for palliative care?

• Incentives for seldom heard patients to attend for screening/ tailored programmes

Q7: Mental Health• Scoping exercise on alternative forms of care to

reduce dependence on medicines and medicalisation of mental health problems

• More personalised services

• Encourage self-help

• More flexibility in the design of services

• Proactive support/needs assessment for carers

• Improve communication skills for staff dealing with LD patients

Q8: Alcohol Misuse

• Raise awareness re hazardous drinking

• Respond to public perception re self-inflicted condition and no need to invest

• More support for families and carers

• Need for greater education to prevent problems particularly for young people

Q9: General Comments• Service redesign projects to include front-line staff from an early

stage• Need to encourage integrated working between services• Design models to achieve primary care access in the light of patient

views in specific practices – local models to target local problems• How much is the PCT prepared to invest to “go the extra mile” on

GP access?• Innovative access eg. telephone advice consultations/on-line

appointment booking • Pre-bookable vs book on the day• Clarify patients’ expectations• Opportunities for dental practices within primary care centres?• Need to clarify approach to Estate development