Penwith Practitioners

Notes of the meeting held Wednesday 22nd July, Ludgvan Community Centre

Present:

Gwen Williams, Cornwall Council; Jane Royle, Cornwall Carers; Jane Ansell, RCHT; Rachel Pascoe, Age UK; Lucy Goldring, British Red Cross; Sandra Kavanagh, PCH; Sharon Mitchell, Pengarth Day Centre; Bridget Nankivell, RCHT; Dan Rainbow, Stennack Surgery; Cath Francis, PCH; Alex Gorree-Wery, PCH; Sarah Spence, PCH; Jayne Allen, PCH; Carolyn Trevithick, Age UK; Dawne Jenkins, RCHT; Tina Elliott, RCHT; Ally Thornton, RCHT; Lucy Clement, PCH/NHS England; Janet Dunn-Wilson, PCH/NHS England; Neil Walden, Marazion Surgery; Rachel Murray, NHS Kernow; Juliette Ferris, NHS Kernow; Matthew Boulter, Alverton Practice; Brunny Archman, Cornwall Council.

1. Generic referral form

 Scott Bennett is sorting out the drop down options for the form

 Lucy and Ally seeking authorisation from the Professional Practice Forum on the 10th September

 Form will be sent by email, not by fax

 Has gone through the PCH information governance route

 Will need some communication around this before it is used – for those who aren’t aware of this group

 Current processes will still work – e.g. when a GP telephones a DN for an urgent visit

 Going to the Penwith Locality Group on the 29th July

 Aware that it might lead to delays in responses being identified

 Agreed that service would respond to referrer if response time can’t be met, but will pass on the form to the appropriate service directly, without it having to go back to the referrer

 Agreed to trial the form and keep it on the agenda

 Add ‘please reply to…’ box

 Add guidance notes to the back of the form, e.g. define ‘urgent’

 Add Living Well logo

 Any further comments or reflections to Lucy ([email protected]) or Juliet ([email protected])

2. East locality practitioner workshops

 Workshops were held across the East locality recently in each of the cluster areas  Issues/barriers and solutions were shared with the Penwith Practitioners for information

 This was particularly useful for RCHT staff who are looking to develop a similar process internally

 The aim is to apply the core principles of Living Well in the wider roll-out, facilitating a local approach, rather than being prescriptive about the model.

3. Community Line

 A concept developed by this group, originally intended as a single contact point for the Living Well voluntary sector team and local community activities

 Running since January 2015, staffed by an administrator funded by Age UK, staffed 9-1, Monday to Friday

 30 calls received to date, mostly from community therapy teams

 Number has been changed since January

 Not widely promoted initially – only to GP practices

 Chimney sweep example: a person rings for a chimney sweep because she can’t get down to sweep out her fireplace any more. Guided conversation approach would be to find out why she can’t get down and why she doesn’t have anyone to ask for help

 Group discussion on how it’s going and next steps:

o Should have a guided conversation approach – training?

o Helpful to link to other voluntary sector services

o MDT meetings are also helping to share information

o For people and practitioners

o Co-ordination gap

o Need for central repository

o Make every contact count – e.g. chimney sweep

o GP practices were sent details but no real awareness or sense of how it is being used

o Be clear it is connecting people and/or practitioners to their local community

o St John’s Hall One Stop Shop opportunity https://www.cornwall.gov.uk/council- and-democracy/contacting-the-council/one-stop-shops/penzance-one-stop- shop/ - need to keep this on the table – embed Community Line here

o Adult health and social care directory: http://www.cornwall.gov.uk/health-and- social-care/ o In the meantime, agreed to re-launch and see how it goes

o New number = 01736 571121

o New flyer to be produced

o Consider advertising the number in The Cornishman

o Community map live on The Cornishman website –needs to be updated with telephone numbers

o Include the updated community map on the Knowledge Bucket www.knowledgebucket.org with a link to The Cornishman site: http://www.cornishman.co.uk/CONNECTING-COMMUNITIES-Interactive- map/story-26145309-detail/story.html

o Link with PHIL https://www.healthpromcornwall.org/ask-phil/

o Raise with the System Resilience Group

o Part of the Welcome Home support package – add to WCH discharge form

o Trial on the Grenville Ward, RCHT, as part of discharge support

o Add number to the generic referral form?

o Set up sub group to re-launch: Juliette, Carolyn, Rachel P, Rachel M, Helen Snashal

4. Update from practitioners

 Jane Royle is now the West team leader for the Cornwall Carers Service – there are 7 support workers in the West and can help with carers assessments, carers grant applications, respite care and social support - http://www.cornwallcarers.org.uk/

 Alex runs a falls clinic that has moved to Penzance leisure centre – she is looking for a base one day a month in Penwith and offered to talk to practitioner groups/MDT meetings about what the service offers. She can be contacted on [email protected]

 Carolyn read out two case studies, the first about a person’s experience of joining an art group; the second about a gentleman who had repeated falls – to be forwarded to the group and put on the Knowledge Bucket

 Tina gave an update on the Welcome Home project at West Cornwall Hospital, which continues to go from strength to strength, demonstrating significant reductions in length of stay and repeated admissions. The Welcome Home/Living Well team are involved on a daily basis. Staff morale is excellent on the wards – there is even a waiting list for bank staff shifts

 Jane Ansell reported that there have been nearly 400 referrals to Welcome Home from RCHT and WCH so far and a groundswell of interest in Living Well from ward staff  Matthew reported that there is a project underway to put care plans online so that they can be updated by the person and practitioners and kept as a live document. Matthew also reported that a local anonymous benefactor has funded an additional Living Well Co- ordinator post to be based mainly at WCH.

5. Date of next meeting

 Proposed date is Wednesday 23rd September, 1pm, Ludgvan Community Centre.