CCG Insight The latest news from NHS CCG Issue 12: Autumn 2018

Our 2017/18 Annual Report is out now, get some of the highlights inside! Pages 2-3

Find out a little more about changes to hospital services in mid and south Page 4

Read about the importance of getting your flu vaccine before flu starts doing the rounds Page 6

You are invited to Thurrock CCG’s Time: 10 - 11am When: Wednesday 26 Annual General September 2018 Where: Hall, Prince Meeting Charles Ave, Orsett, RM16 3HS Page 2 CCG Insight Welcome

Welcome to this Autumn Our Year at edition of our CCG Insight. The CCG is required to produce a full annual This magazine report and accounts each year. This details how is designed much we spend, what we spend it on and how to give the public and our well we and our providers have performed. stakeholders an Mandy Ansell, Accountable Officer for the CCG gives a snap idea of what’s shot: happening at Thurrock CCG and how we are working with our partners to offer We serve a population of 168,428 in Thurrock. This had risen new and expanded services. from the previous year by 1.4%; 20% higher than the national population increase (0.87%). There are two reasons for We also show you a small snap shot this – “natural change” (which is the number of births minus the number of deaths) and “migration”. Our biggest rises in of our annual report (pages 2 and 3) population are in children from 5-9 years old, people in their and introduce you to the new social middle years (50-59) and those aged 70-74. prescribing navigators (page 7). In buying health and care services for our population we September is a time of new beginnings, spent a total of over £207 million, but we remained in budget as the school year starts, but it’s also and were able to achieve our surplus target (or rainy day time to think about getting your flu fund!) with an £875k in–year surplus in line with the national vaccine booked in if you are in an at risk guidance. group, it’s completely free and can be done at your GP practice, or even at a 2017/18 Thurrock Expenditure pharmacy. See page 6 for more details. £3.66m Following the review of the Consultation £2.15m £3.01m from the Mid and South Essex Sustainability and Transformation Partnership, we show you what’s £24.18m changing for the better and show you how you can get involved as a user of services at Orsett Hospital Total £14.31m via the People’s Panel, organised by expenditure £115.07m Healthwatch Thurrock (page 4) £207.25m £26.20m Mandy Ansell Accountable Officer, NHS £18.66m Thurrock CCG Insight CCG is just one of the many ways that you can keep informed about our Acute Services Prescribing work. Connect with us through Facebook,Twitter and our Mental Health Services NHS 111 Service website for regular updates. You can also share any feedback on Community Health Care Admin/Running Costs Insight by emailing: [email protected] with Continuing Health Care Other ‘CCG Insight feedback’ in the subject heading. Issue 12: Autumn 2018 Page 3

Thurrock CCG Our Year at Thurrock CCG rated as ‘Good’ Thurrock CCG’s has been rated as ‘Good’ in an annual Exceeding our targets assessment conducted by We’ve been really successful in areas such as providing health checks NHS England. for people with learning difficulties (77.4%, exceeding a target of 73%) The Improvement and and ensuring people with suspected cancer are diagnosed earlier. We’ve Assessment Framework (IAF) supported more people to access ‘Increasing Access to Psychological is conducted every year to Therapies’ (IAPT) and have been successful in achieving Wave 2 funding, assess the overall performance enabling us to offer therapy to people with long-term conditions. of CCGs, including leadership We are constantly striving to improve patient experience, and we know and financial management. that waiting times in emergency departments and for ambulances has been below what we would expect or should achieve. We are working in partnership with our providers to find ways to improve on these areas.This Green rating for includes offering more care out of hospital and finding ways of working to help keep people healthy and prevent the need from having to go to public participation hospital in an emergency. The CCG is also proud to have achieved a ‘Green’ rating for its public participation and The target for the number involvement (PPI) work. of people to be seen in Mandy Ansell, Accountable 95% A&E within 4 hours Officer at Thurrock CCG said: “We are proud of our track record on public engagement and involvement. With our Lay Member for PPI and our work with our partners in 91% 84% Healthwatch Thurrock and the voluntary sector we have been first six months during winter able to include patients in the shaping of local services.”

Looking forward We will continue to work with our partners across the health and care system to improve and transform the health and care you receive. Working together with our colleagues across mid and south Essex, we will set about putting in to place the recommendations from the recent ‘Your Care in the Best Place’ Consultation. This includes bringing services out of hospitals and in to the community, making it easier for you to access care closer to home. Our other areas of focus are: • Continuing to work with the Mid and South Essex Sustainability and Transformation Partnership (STP) • Leading Mental Health across the STP • Primary Care Strategy • Maintaining Financial Balance • Transformation of health and care in Thurrock through our new models of care • Discharge of Statutory Functions • Removal of legal directions To read more on the Annual Report, visit bit.ly/thurrock-ccg-report-2018 Page 4 CCG Insight

How Hospital Services are Changing Find out how hospital services are changing and what it will mean for people in Thurrock. As a result of the recent consultation “Your Who are the STP? Care in the Best Place”, 19 recommendations The Mid and South Essex Sustainability and were agreed in July 2018 by the Joint Transformation Partnership is made up of healthcare Committee of the five CCGs in mid and organisations across the area. The members of this south Essex, including Thurrock CCG. Here partnership include: we explain what this means for people in Thurrock. • The five CCGs (Basildon & Brentwood, Castle Point & Rochford, Mid Essex, Southend and Thurrock CCGs); There will be changes to services provided • Organisations that provide services planned by CCGs: at the three main hospitals in mid and -- Basildon and Thurrock University Hospitals NHS south Essex and to community hospitals, Foundation Trust, which provides services from including Orsett (see right). All three of the Basildon and Orsett Hospitals; acute hospitals in Basildon, Chelmsford and -- Mid Essex Hospital Services NHS Trust; Southend will continue to provide the services -- Southend University Hospital NHS Foundation you use the most. These include outpatients, Trust; children’s services and planned day surgery -- Community and mental health service providers, as well as A&E. We are making A&E bigger including Essex University Partnership Trust and better in all three of the main hospitals. (EPUT) and North East London Foundation Trust We are also changing some of the specialist (NELFT), which provide services in Thurrock; services. These are services you may only -- East of England Ambulance Service NHS Trust; use once or twice in your life, like vascular • Also included are other health care partner, including problems or complex bone surgery. Bringing Healthwatch Thurrock and all three local authorities our expert doctors and nurses into one or (Thurrock, Southend and Essex). two larger teams we will be able to provide better care. For example with strokes, you will still receive emergency treatment in all three hospitals, but if you need an extra level Orsett Hospital closure care, you will be transferred to a specialist Over the next two to three years, services will transfer stroke unit at Basildon Hospital. We are from Orsett Hospital to four new Integrated Medical also separating planned operations from Centres (IMCs) in Thurrock for Thurrock patients. Services emergency surgery. This should ensure fewer provided from Orsett Hospital that are used by patients in cancellations of routine operations. the Basildon and Brentwood area will also move to centres in Basildon and Brentwood. There are planned improvements to A&E, dedicated units will look after children and Orsett Hospital will then close, but only after services older people when they arrive. Other units are operational in the four IMCs in , Corringham, will be ready for people who need emergency and Grays. These centres will bring health, social medical treatment or surgery. care, mental health and community care together in one place and closer to where people live. For more information about all of the planned changes, visit the Mid and South Essex All services currently provided at Orsett will continue to be Sustainability and Transformation Partnership provided and there are no job losses expected. website: www.nhsmidandsouthessex.co.uk Get involved - join the People’s Panel A People’s Panel of local residents are helping to plan how these changes will happen. This panel is completely independent and is being organised by Healthwatch. If you would like to register your interest in the People’s Panel, email: [email protected] Issue 12: Autumn 2018 Page 5

Support for Carers in Thurrock Meet Jo Drury from Grays and hear her story of looking after her husband, Steve Drury who was diagnosed with Multiple System Atrophy (MSA).

Jo lives in Grays and has been looking after her Lita Walpole Carers’ co-ordinator at St Luke’s husband Steve since his diagnosis of MSA back Hospice is passionate about her role and the vital in 2014. Since the diagnosis, she has been taking support that the Hospice gives to all carers in the advantage of the different carer support groups and local community – Lita explains: “Family members, therapies available at St Luke’s Hospice. neighbours or friends often do not recognise themselves as being a ‘Carer’ - a role which can, Jo said “All the support I have received as a no matter how much you love the person you are carer has been excellent, from counselling and looking after, be very demanding both physically complementary therapy through to the monthly and emotionally. St. Luke’s Hospice recognises the carers support meetings where you have the valuable work carried out by these often forgotten opportunity to meet other carers and also various people and the importance of looking after them so members of staff and volunteers; everyone is so that they, in turn, can provide the best possible care kind. It’s nice to know that you are not alone and and support for their loved one.’’ that they will do everything they can to help you, irrespective of what the problem is.” Lita met with Jo in January 2016, carrying out a home visit and completed a Carers Support Needs It is a common misconception that Hospices only Assessment Tool. It was identified from that meeting provide end of life care – in reality they provide a that there were some services that St. Luke’s could whole range of services and support that not only provide which would be of benefit to Jo in her caring benefit their patients but also their Carer, their family role. and friends. Jo started to attend the Hospice’s monthly Carers’ Support Group and referrals were made to the Hospice’s Counselling and Complementary Therapy teams to help support Jo’s emotional and physical well-being. A year later Jo attended the Carers’ HOPE Course, also provided by the Hospice as well as regular Carers’ group relaxation evenings. Further information about St. Luke’s Hospice Carers’ Support can be found on their website www.stlukeshospice.com or contact Lita Walpole on 01268 524973 or e-mail [email protected]

Lita (centre) with Jo and Steve Drury Supporting People with Heart Failure A new ‘Heart Partnership Project’ has been launched Referrals can be made by St. Luke’s Hospice supporting people with Heart through the Cardiology team Failure. at Basildon and Thurrock University Hospitals Virginia Campbell, Assistant Director of Care & NHS Foundation Trust, Quality, at the Hospice explained “The Hospice Heart and North East London Partnership project offers early, timely access for local NHS Foundation Trust’s people who have Heart Failure, and their families, to Community Heart Failure a range of Hospice clinical and therapeutic services team and is funded by St aimed at supporting their well-being.’’ James Place Charitable Dr Henry Savage - Lead for Heart Failure Basildon Foundation Trust. University Hospital, said ‘We believe this project For information contact provides an important opportunity to provide critical Claire Coyne, Clinical supportive and therapeutic care for patients in the Nurse Practitioner, St Lukes community and may help avoid re-admission to Hospice 01268 524973 hospital for heart failure.’ Page 6 CCG Insight At Risk Groups Urged to Get Their Free Flu Jab Flu season is just round the corner. If you’re in one of the at risk groups make sure you protect yourself this year by getting your flu jab.

Flu is annoying for everyone, but for some people it can have serious risks. In at risk groups, flu can lead to more serious complications like middle ear infections in children, and pneumonia or bronchitis for those with underlying health conditions, and in some cases can even be fatal. Dr Anand Deshpande, GP and Chair of NHS Thurrock CCG, explains: “The best way to prevent flu is the flu vaccine. We know that for at risk groups flu can be very serious, that is why it is so important that anyone who falls within these groups books an appointment for their free flu jab at their GP or local pharmacy. Even if you had the vaccine last year, you should get it again this year because the strains of virus that circulate vary from year to year.” Vaccines are available from October 2018 and are available throughout autumn and winter but it’s best to have the vaccine early before viruses begin to circulate widely. Contact your local GP or pharmacy now – it’s free because you need it. For more information visit nhs.uk/staywell

The following at risk groups are eligible for the free flu vaccine: • Over 65s • Children aged 6 • Those with long-term months to 7 years health conditions • Carers such as diabetes, • Front-line health and COPD or asthma social care workers • Pregnant women Cheril Sowell, Nurse Hub luebells Surgery Darenth ane South Ockendon See a GP or Nurse RM15 5P Join us at our Annual General Meeting Weekday Evenings and Weekend Mornings Want to know more about healthcare in Thurrock and what it is NHS Thurrock CCG actually GP or nurse appointments are does? Come along to our Annual General Meeting (AGM) and find out. Corringham Hub available on weekday evenings from Neera Medical Centre 7pm to 9pm and on Saturdays and We are holding our AGM on Wednesday 26 “It remains vital that patients and the public are fully 2 Wharf Road September 2018 at Orsett Hall. Meet with local involved in our commissioning decisions. Our AGM is StanfordeHope Sundays from 9am - 12pm for routine clinicians, commissioners and staff that ensure that an excellent opportunity to find out more about local SS17 0Y care at the Thurrock Health Hubs. healthcare decisions in Thurrock are made with health care and commissioning. We look forward to patients at the heart. seeing you there!” The Grays Hub is also open from Purfleet Hub Tilbury Hub Mandy Ansell, Accountable Officer at Thurrock CCG, Refreshments will be provided. If you plan to attend, Purfleet Care Centre Sai Medical Centre 1pm to 4pm on Saturdays. Grays Hub Tank Hill Road 105 Calcutta Road said: “As we begin to act on the decisions made in please let us know by emailing us at Purfleet Thurrock Tilbury July by the Joint Committee of the five CCGs in mid [email protected] or calling 01375 365 810. Community Hospital Call your regular GP practice to book RM1 1S RM18 7A and south Essex, you will see even more change, ong ane an appointment. and for the better. Grays RM16 2P Issue 12: Autumn 2018 Page 7 Helping Patients’ Overall Wellbeing Find out how Social Prescribers are making a difference to primary care in Thurrock.

Social Prescribing is now in its second year and has me to a free local, project. Since completing the supported over 700 Thurrock residents. programme I feel more confident and am looking forward to the future.” The original team has grown and there are now five Navigators based across the borough in 19 Social Prescribers meet patients with a range surgeries, meeting patients referred by their GP. of issues and concerns, including - benefits, bereavement, carer support, counselling, dementia, Dr Bhat, GP at Sai Medical Practice, said: “The domestic and sexual violence, finance, housing, service that Thurrock’s Social Prescribers are long-term conditions, social isolation, weight providing is both valuable and tangible. At a time management and smoking cessation. when our health services are increasingly stretched this innovative scheme is delivering real and If you would like to access a Social Prescriber, sustainable help and I look forward to seeing the ask the receptionist at your GP surgery for more offer expanded so all our surgeries are able to take information. advantage of this excellent service.” Dr Blessing of the Tilbury Health Centre said: “Social Prescribing is proving to be a valued additional front line service. My patients are benefiting from an extended offer that covers a wide range of services and activities. Social prescribers are becoming an integral part of Primary Care.” Social Prescribers spend up to an hour with each patient discussing their needs and linking them up with appropriate services. Patients recognise the benefit this project has had on their health and wellbeing: - “A Social Prescriber referred me to a free weight management programme and I have begun to lose weight and feel healthier.” Back Row (L > R): Lorraine Fugl, Barbara Rice, Jill “I suffer with anxiety and depression and it was good Bacon. Front Row (L > R): Gareth Davies, Elsie to be able to talk to a Social Prescriber who referred Okorafor

South Ockendon Hub luebells Surgery Darenth ane South Ockendon See a GP or Nurse RM15 5P Weekday Evenings and Weekend Mornings GP or nurse appointments are Corringham Hub available on weekday evenings from Neera Medical Centre 7pm to 9pm and on Saturdays and 2 Wharf Road StanfordeHope Sundays from 9am - 12pm for routine SS17 0Y care at the Thurrock Health Hubs. The Grays Hub is also open from Purfleet Hub Tilbury Hub Purfleet Care Centre Sai Medical Centre 1pm to 4pm on Saturdays. Grays Hub Tank Hill Road 105 Calcutta Road

Purfleet Thurrock Tilbury Community Hospital Call your regular GP practice to book RM1 1S RM18 7A ong ane an appointment. Grays RM16 2P Page 8 CCG Insight

COPD App for Patients in Thurrock An app for helping people manage their COPD (Chronic Obstructive Pulmonary Disease) is now available for free in Thurrock.

An app for helping people manage their COPD One patient who has been using the app since June (Chronic Obstructive Pulmonary Disease) is now said: “I have found having access to this app very available for free in Thurrock. helpful, I can see it being a great tool for people who like me work full-time” The app provides the most up to date advice on COPD and how to manage it well. Patients will be Kehinde Adeniji, Senior Commissioning Manager able to learn to perfect their inhale technique using at NHS Thurrock CCG said: ”Anything that offers inhaler videos, get expert education on their condition patients free advice and guidance on managing their and complete online pulmonary rehabilitation in their health is to be welcomed. Healthcare is becoming own home. more focused on digital solutions to meet the needs of the population. This is one of many resources to Thurrock CCG is working in partnership with Basildon support people to live well and and Brentwood CCG, NELFT and mhealth to take charge of their conditions.” provide this app free of charge to patients in Thurrock and south west Essex. If you are interested in finding out more about the App please go to The app has been developed with clinicians mymhealth.com/mycopd and is offered to patients via their NELFT or email [email protected] Respiratory team. Diabetes Education Course for Thurrock The CCG has teamed up with the Community Diabetes Team at NELFT to offer a training programme for people with Type 2 Diabetes. The SWEET self-management means better long term health, with (South West Essex fewer complications. Being with a group of people who Education and have the same condition can also be very liberating. Training) course is a 3 hour, one off “Remember, good education and self-management is session to help you just as important as taking your medication.” manage and cope Sessions are held at various locations in Thurrock with your diabetes including Corringham Fire Station, South Ockendon and improve long- Centre, Clays Medical Centre and St John’s term outcomes. Church in Grays. Group education is an essential part of your care. Find These sessions are relaxed, enjoyable and informative out how your medications work, what diet is best for and the Diabetes Team encourages attendance. Call you, and what actually is happening in the body with 0300 300 1509 or email [email protected] to refer diabetes. yourself today! Dr Anjan Bose, a GP, Tutor and Diabetes Lead for Thurrock CCG is also encouraging people with Thurrock said: “We know from evidence that when diabetes to join a new Thurrock Diabetes Support people attend these group sessions, they feel more Group. Those interested in joining should contact empowered to be able to manage their diabetes. Good [email protected] or call 01375 365 810.

Contact us: NHS Thurrock CCG, Civic Offices. 2nd floor, New Road, Grays, RM17 6SL Email: [email protected]; Tel: 01375 365810 Website: thurrockccg.nhs.uk; Follow us: @ThurrockCCG Like us: facebook.com/ThurrockCCG