FREE ANNUAL REPORTER

Summary of our achievements during 2019-20

Don’t miss BIG CHANGES TO NHS out: stay in ‘The Loop’ COMMISSIONING IN THE Loop is a virtual engagement network of patients, carers and the wider public with interests in NORTH health services funded by NHS CCG. If you live in North HREE North Yorkshire clinical Yorkshire or if you are a commissioning groups (CCGs) have patient registered at a been disestablished and a new GP practice in North entity created. NHS Hambleton, Yorkshire, you can T sign-up. It’s free to join and Whitby CCG, NHS and Rural District CCG and NHS and you get first-hand Scarborough and Ryedale CCG were information about the replaced by NHS North Yorkshire CCG on 1 work of the CCG and April 2020. We welcome NHS ’s developments to health decision and the benefits it will bring to the services across North people of North Yorkshire. As a single Yorkshire. organisation we can: We currently have  Eliminate unnecessary duplication and almost 300 Loop bureaucratic boundaries to work more members and we want to efficiently together and with our partners deliver for local people. A single leadership continue to expand our  Ensure consistency of decision making team was appointed in 2018, following network so that we can for the people of North Yorkshire decisions by each CCG’s governing body. listen to the views of  Develop a unified approach to Charles Parker, GP and Chair of NHS people from the different relationships with the new North North Yorkshire CCG said the new communities we cover. Yorkshire Primary Care Networks organisation “retains the existing As a member you will:  Provide a more agile and responsive commitment to strong clinical leadership and receive a monthly service which maintains a local focus but focus on the needs of local people, drawing stakeholder newsletter enables us to obtain better value for in best practice from learning across North (electronically) with the money by commissioning at scale Yorkshire”. He added: “North Yorkshire will latest news and events  Reduce administrative costs to enable continue to have a strong clinical voice and and have the opportunity more investment in front line health ensure patients’ views are represented.” to contribute your views services Amanda Bloor, Accountable Officer for via surveys, focus groups  Share good practice and adopt the best NHS North Yorkshire CCG, said: “A single and conversations and from each of the three existing CCGs commissioning voice makes it easier to events and meetings.  Speak as a unified commissioning voice reduce some of the health inequalities You can join the loop by for the benefit of our local population across the county and respond consistently filling out the registration  Work more strategically on a larger to the needs our population. It also enables from on the NHS North footprint with local and regional partners us to work more efficiently and at scale Yorkshire Clinical The reorganisation followed reviews freeing up resources for front line services.” Commissioning Group carried out by each of the three former website. CCGs and builds on work already started to improve the way CCGs work together and www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

1 ANNUAL REPORTER: Summary of our achievements during 2019-20 Engagement ‘in practice’ NHS North Yorkshire CCG is committed to developing our engagement with GP Practice Patient Participation Groups (PPGs). The CCG will draw together a Patient Partner Network (PPN) made up of representatives from PPGs. The network will be subdivided into three localities to facilitate the focus on local issues: Hambleton, Richmondshire and Whitby, Harrogate and District and Scarborough and Ryedale. The Patient Partner Network annual cycle will consist of two locality meetings facilitated by the CCG and chaired by the lay member (Spring and Meet NHS North Winter). An annual conference will be held in the autumn, Yorkshire CCG’s bringing together all of the patient partners from North Yorkshire and will be co-produced by members. Accountable Officer

HIS last year has of three former CCGs’ I am looking forward to been a journey of Governing Bodies agreed to continuing our work to build ‘We are listening’ significant change to implement a single strong partnerships, bring the way health management team across patient-centred healthcare LISTENING to the views of T services are commissioned the organisations. into the community, and patients, carers and families in North Yorkshire, with NHS A single Accountable empower healthy choices is essential to ensuring the Hambleton, Richmondshire Officer has been in place across North Yorkshire in health services we and Whitby CCG, NHS since December 2018 and a the year ahead. commission are fit for Harrogate and Rural District full leadership team for the Our accomplishments last purpose and meet the CCG and NHS Scarborough three local CCGs was in year have been achieved needs of local people. and Ryedale CCG place by November 2019. through wide and joint We are committed to disestablished and replaced Teams across all three collaboration across our understanding the local on 1 April by a single CCGs worked hard last year individual CCGs, our local, community and taking organisation after our plans to identify opportunities to regional and national health health inequalities into were approved by NHS align, eliminate redundancy and care partners, local consideration when England. and plan collectively for the authorities and, most planning engagement. I am excited about the future. importantly, the people we We will utilise existing potential of our new unified I am strongly encouraged serve. community, voluntary approach. by the transformative work Thank you all for being part networks and events where The creation of a single under way to deliver health of what we have achieved. possible, with the aim that CCG for North Yorkshire care collaboratively and the CCG will come to you builds on work started last consistently for North rather than expecting you to business year. In 2018 each Yorkshire. come to us. Our vision is “Working together for healthier lives in North Yorkshire” and putting patients at the heart of our decision making process is paramount.

www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

2 ANNUAL REPORTER: Summary of our achievements during 2019-20 Funding boost for mental health crisis services

MENTAL health services received a boost in funding across Scarborough Crisis Café, have been operating since North Yorkshire to provide local people with additional crisis October and August 2018 respectively. Both have been services and alternative places of safety. exceptionally beneficial for local people, helping more than Tees, Esk and Wear Valleys (TEWV) NHS Foundation 200 people a week to access information and support Trust received more than half a million pounds of funding around crisis prevention, as well as signposting them to and from local clinical commissioning groups (CCGs) to help facilitating access to other relevant and appropriate reduce the impact of mental health crisis on individuals in services, agencies and activities. crisis and wider services, such as the police, ambulance Liz Herring, head of adult mental health services for and accident and emergency. TEWV in North Yorkshire, said “This funding is excellent The funding allows the Trust to maintain specialist 24/7 news for local people. We will be able to further meet telephone assessment and crisis support, as well as people’s needs, particularly in the evening, which we know expand existing out of hours crisis cafes in and can be a challenging time. It not only allows us to invest in Scarborough and introduce new crisis cafes in crisis cafés, which offer valuable out of hours support and , Harrogate and a mental health first aid advice, but it also means that we can develop our 24 hour response into Selby. crisis telephone line to further improve the response we can Crisis cafes are generally open in an evening and offer provide to people.” people aged 16 and over a safe and comfortable place to go Helen Embleton, urgent care pathways lead said: to receive support when they are in distress. The cafes are “Extending the support available to people before and supported by trained nurses and support staff who have during a mental health emergency will help to make sure mental health first aid training, whilst also being linked to individuals receive the right care, from the right people, in local crisis and crisis resolution home treatment teams, so the right place at the right time.” café staff can access a specialist response if needed. The Trust’s existing crisis cafes, The Haven in York and

Dr Phil Garnett: gone but not forgotten RIENDS and colleagues from of the Royal College of Physicians across North Yorkshire paid (MRCP). tribute to the former Clinical Filey Surgery Practice Manager, F Chair of NHS Scarborough and Carolyn Liddle, said: “Dr Garnett was a Ryedale CCG, Dr Phil Garnett, who GP here in Filey for 40 years and was passed away in January 2020. a much respected and loved doctor.” Dr Garnett had led the CCG from its Simon Cox, the former Accountable formal inception in April 2013 and was Officer of NHS Scarborough and still working just a few days before his Ryedale CCG and now the Director of death. Dr Garnett had been living with Acute Commissioning for NHS North cancer. Yorkshire CCG, said: “Phil’s desire to Friend and colleague, Dr Peter see the NHS flourish shone brightly Billingsley, Governing Body member throughout our time together at the for NHS North Yorkshire CCG, said: helm of the CCG. “Phil was driven by a burning desire to “He was a strong and passionate make the NHS the best it could be and voice for local health services and his throughout his time at the helm of our commitment to the NHS in organisation – and indeed throughout Scarborough and Ryedale was his distinguished career as a GP – he unwavering, even when his own health was determined to secure the best was faltering. possible services for patients. “It was a privilege to have worked “He very much led from the front alongside Phil. and was an exceptionally gifted Dr Charles Parker, NHS North speaker, possessing a wonderful MUCH MISSED … Dr Phil Garnett Yorkshire CCG’s Clinical Chair, said Dr sense of dry humour and wit to match Garnett had been “indefatigable” in his his intellect. Phil was erudite, Primary Care Trust, Primary Care promotion of primary care over many captivating and charming; and people Group and Saint Catherine’s Hospice years and added: “It was a privilege to always listened to what he had to say. and was heavily involved in the North work with him. Phil was well liked and “From a personal perspective, he Yorkshire Local Medical Committee. respected by us all and throughout the was always on hand to offer help and Dr Garnett also worked for five local NHS. He was a gentle character advice and I will miss him greatly.” years in secondary care with a focus and I will miss him.” A keen thespian, Dr Garnett on paediatrics where he gained a qualified as a doctor in in 1973 Diploma in Child Health (DCH) from and joined Filey Surgery in 1978. He the Royal College of Obstetricians and held senior positions with the local Gynaecologists and became a Member www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

3 ANNUAL REPORTER: Summary of our achievements during 2019-20 Knowing our people

North Yorkshire is the largest county in England covering more than 3,000 square miles. The total population is currently 611,633 people and is set to increase to 620,300 by 2025.

There are more than 50 GP practices across the NHS North Yorkshire CCG region and the surrounding area serving a registered patient population of around 425,000.

Projections indicate that the population aged 85 years and over is expected to increase by approximately 23% by 2025 compared with a 20% increase in Yorkshire and the and England.

Life expectancy for males is 81 and for females is 84 in North Yorkshire which is higher than and England. In Scarborough this reduces for males to 79 and for females to 83.

There is a 15 year difference in life expectancy for males between the ward with the lowest overall life expectancy (Castle ward in Scarborough) and that of the highest overall life expectancy (Ripon Minster ward in Harrogate).

For women the ward with the lowest life expectancy (76) is Scotton ward in Richmondshire, whereas women living in Claro ward in Harrogate have a life expectancy of 91.

Hambleton, Richmondshire Scarborough and Ryedale Harrogate and Rural District and Whitby locality locality locality

www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

4 ANNUAL REPORTER: Summary of our achievements during 2019-20 Clinical commissioning groups’ spending in 2019-20

NHS Harrogate and Rural District CCG

The CCG received a funding allocation of £236.9m in 2019/20 (£227.7m in 2018/19). In addition the CCG received a further non-recurrent £8m allocation called Commissioner Sustainability Funding (CSF) and a further non-recurrent support allocation of £7.4m. The CCG was able to access this additional funding because it achieved its 2019/20 financial plan.

NHS Scarborough and Ryedale CCG

The CCG received a funding allocation of £195.4m in 2019/20 (£186.1m in 2018/19). In addition the CCG received a further non-recurrent £4.8m allocation called Commissioner Sustainability Funding (CSF) and a further non-recurrent support allocation of £4.5m. The CCG was able to access this additional funding because it achieved its 2019/20 financial plan.

NHS Hambleton, Richmondshire and Whitby CCG

The CCG received a funding allocation of £228.2m in 2019/20; this included a non-recurrent allocation of £6.6m called Commissioner Sustainability Funding (CSF) (2018/19 £213.4m including CSF £3.0m).

www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

5 ANNUAL REPORTER: Summary of our achievements during 2019 - 20 Preventing 24/7 Urgent Treatment abusive head trauma Centre at The Friarage to babies HE Governing Body of NHS North ON 8 November, the Yorkshire Clinical Designated Nurses team in T Commissioning North Yorkshire and York Group has made a decision launched a new innovative on the future of urgent and programme to prevent emergency care at the abusive head trauma Friarage Hospital in injuries to babies caused Northallerton. by shaking. ‘ICON – Babies Following a temporary Cry, You can Cope’ (ICON) closure of the Accident and minor injuries and minor sustainable way forward for is an evidenced-based Emergency Department in illnesses, open seven days a urgent care at the Friarage. programme designed to March 2019 due to week from 8am to midnight. Evidence shows that, under help parents and carers insufficient staffing to deliver Both options also included a this model, nine out of 10 understand the normal a safe service to patients, consultant delivered acute patients will continue to crying pattern of young the CCG opened a formal medical service seven days receive their care at the infants and to help them consultation with local a week, repatriation of Friarage; we know that the develop successful coping people in September 2019. patients to the Friarage for hospital is highly regarded mechanisms. The aim was to look at care close to home and by those who use it.” The ICON programme options to deliver a elective (planned) surgery CCG Accountable Officer, has been initially funded by sustainable service for the for day case and short stay Amanda Bloor, said: “We the North Yorkshire and locality while ensuring safe inpatients. want to ensure a vibrant York CCGs and delivers staffing levels and access to Although there was some future for the Friarage four simple messages high quality specialist care support for Option 2 when Hospital as we know local before the birth and in the for those who need it. the statistics were shared people feel very passionate first few months of a baby’s Over the 18 weeks of the which demonstrated very about it. We feel that by life, communicated by consultation more than low levels of Urgent offering a 24/7 Urgent Midwifery and Health 2,060 people gave their Treatment Centre Treatment Centre at the Visitor services. views at public meetings, attendance overnight, the Friarage site this offers These ICON messages through online and face to overwhelming view of those patients a balance between have been demonstrated to face surveys and at consulted was that the safe and effective local care help parents and carers meetings with local Friarage should offer a 24/7 and access to specialist manage the stresses which community groups. Urgent Treatment Centre – services when appropriate. can be caused by normal The public were asked to the model that had been This option will secure the infant crying. Midwives, consider two options: operating successfully since sustainability of the Friarage Health Visitors and other Option 1: A 24-hour, March 2019. Hospital and will keep it at professionals across the seven-day-a-week Urgent Dr Charles Parker, Clinical the heart of the local region have developed Treatment Centre for adults Chair of NHS North community where it ICON expertise to help give and children with minor Yorkshire CCG said: “The belongs.” parents and carers the injuries and minor illnesses CCG reviewed the tools they need to help Option 2: A 16-hour responses and feedback keep their babies safe. Urgent Treatment Centre for from the consultation and adults and children with agreed that Option 1 is the

New online mental health support for young people in North Yorkshire YOUNG people aged 11-18 across provider Tees, Esk and Wear Valleys North Yorkshire can now access Kooth, NHS Foundation Trust (TEWV) as part a website offering free online of its commitment to provide early counselling and emotional wellbeing mental health guidance and support support. through digital provision. Kooth (www.kooth.com), from digital and online tools such as a mood The service provides a safe mental health provider XenZone, gives tracker, as well as professional online environment where young people can young people instant access to therapy and moderated peer-to-peer chat anonymously and in confidence emotional and wellbeing advice and forums. with qualified counsellors, who are support whenever and whenever they The Kooth service has been online from noon until 10pm on need it. It incorporates self-help articles commissioned by local mental health weekdays and from 6pm until 10pm,

www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

6 ANNUAL REPORTER: Summary of our achievements during 2019-20 North Yorkshire Clinical Commissioning Groups back World Antibiotics Awareness Week campaign

THE three former clinical “Taking antibiotics infections such as sepsis, Without the effectiveness commissioning groups in inappropriately encourages pneumonia, urinary tract of antibiotics, routine North Yorkshire backed a harmful bacteria that live infections, meningococcal operations like hip national campaign which inside you to become meningitis and sexually replacements, organ aims to increase awareness resistant. That means that transmitted diseases. transplants and caesarean of antibiotic resistance. antibiotics may not work “If you are worried you sections or chemotherapy ‘World Antibiotics when you really need them. may have something more treatments will become Awareness Week’ ran from This puts you and your serious than a cold or flu, increasingly dangerous or 18 to 22 November, family at risk of a more speak to your doctor who impossible. targeting the general public, severe or longer illness. will be able to advise you on Patients can support the health workers and policy “If you or a family the best treatment option.” campaign by becoming an makers to improve member has a cold or flu, With no new antibiotics ‘Antibiotic Guardian’ awareness and antibiotics probably aren’t developed in the last 30 More information on the understanding of antibiotic the answer, ask your years patients are campaign can be found on resistance through effective pharmacist to recommend encouraged only to take the World Health communications, education medicines to help with the them if they need to. Organisation website. and training. symptoms or pain, they are Taking them Dr Tim Rider, NHS North experts in minor illnesses. unnecessarily could make Yorkshire CCG’s GP “Antibiotics are needed them less effective when Prescribing Lead, said: for serious bacterial fighting serious infections. International GP recruitment in Scarborough and Ryedale

CROSS Humber Coast and Vale Health and Care Partnership a pilot A recruitment scheme is in the third year of a three year project to recruit 65 international GPs to practices across five CCGs (Hull, East Riding, Scarborough and Ryedale, North East Lincolnshire and North Lincolnshire). The former NHS Scarborough and Ryedale CCG led on the HCV STP International GP Recruitment (IGPR) programme with the aim to allocate 12 to CCG practices over this three year period. Four GPs from Spain arrived in Scarborough practices in summer 2019, and are all progressing with international GPs and further “taster individual support plans over a six weekends” are being planned. month period, ahead of being The scheme has developed close assessed so as to ensure they meet links with medical schools in Spain and the NHSE standards. One more two practices have hosted externship international GP arrived in Quarter 3. In placements where a student in family total 14 international GPs may have medicine undertakes a placement for a relocated by January 2020 although month in a local practice with a view more than 50 international GPs remain that once qualified would complete the engaged in the process of studying for recruitment process and relocate to the Occupational English Test. one of our local practices. One A recent recruitment event in Gijon, Scarborough and Ryedale CCG Spain in October 2019 has seen keen practice is now licenced as a Tier 2 interest from more than 80 employer and has retained a non-EU GP trainee.

www.northyorkshireccg.nhs.uk /NorrthYorksCCG @northyorks_ccg

7 ANNUAL REPORTER: Summary of our achievements during 2019-20

GPs no longer Mental health review ‘routinely’ prescribe over the counter community-focused medicines

ROM June to HEALTH commissioners in September 2019, North Yorkshire have been NHS Harrogate and advising patients that GPs F Rural District CCG will no longer give out a and Tees, Esk and Wear prescription for certain Valley NHS Foundation medicines that are available Trust engaged with local to buy in a pharmacy or people to help develop supermarket, for a range of community mental health short-term minor health services for adults and older complaints. people in Harrogate, its Instead, NHS North surrounding areas and Yorkshire CCG (and its Wetherby, which also three local predecessors), receives mental health say patients can get the services from the trust. advice and medicines they Proposals for the future need from their local development of mental is to reduce the number of wanted to put people at the pharmacy without needing health services for adults inpatient admissions as well centre of services and do an appointment. and older people were as the length of time more to ensure that services Pharmacy teams can offer approved by NHS Harrogate individuals need to spend in are joined-up. We wanted to help and clinical advice to and Rural District CCG. hospital (this is what people make sure that the right manage minor health These proposals enable us told us they wanted). The types of services are concerns. If symptoms to maximise patient safety approved approach releases available in, or near, suggest it’s more serious and provide the best £500,000 per year to invest people’s homes, and we they’ll ensure patients get possible patient experience, in community services. heard from many local the care that’s needed. whilst remaining true to our TEWV has already begun people that this is what they Keeping a few useful commitment to provide care looking at how it can want too. We would like to medicines at home means as close to home as improve the way it works to do more to focus on patients can treat common possible. give people the support they prevention and sustained conditions immediately In the future, when people need. recovery, with admission to without needing to see a need to spend time in We now want to work with hospital only when it is truly healthcare professional. hospital these services will local people to develop the best option to meet a These could include: be provided in a specialist community mental health person’s needs. painkillers, indigestion facility in York where TEWV services that will support You can read more about medicines, cold and hay is already building a new more people to remain in the proposals here. fever products, sunblock mental health hospital their home environment. and after sun as well as (expected to be completed The review was an basic first aid items. this year). By investing in opportunity to do things community services, the aim differently. In particular, we

CCGs support International Year of the Nurse campaign NHS Hambleton Richmondshire and Throughout the year, the CCGs— number of years, I appreciate how hard Whitby, NHS Harrogate and Rural and now the single NHS North York- they work and know they do everything District and NHS Scarborough and shire CCG—will be encouraging they can to get the best possible Ryedale Clinical Commissioning nurses and midwives across the outcomes for patients. Groups (CCGs) backed a national county to share their stories “Being a nurse is a very rewarding initiative, hosted by NHS England and highlighting how they have made a and fulfilling career and I encourage all NHS Improvement, which aims to difference to people’s lives and of our local nurses to share their showcase and celebrate nursing and celebrate their achievements. experiences to showcase the brilliant midwifery. The ‘International Year of The CCG’s Chief Nurse, Sue work that they do for patients and the the Nurse and Midwife’ will run Peckitt, said: “We have an amazing public.” throughout 2020 and is a chance to and diverse nursing and midwifery For information on the campaign recognise the incredible work nurses workforce in North Yorkshire and and how to share a story, visit the NHS and midwives do across health and having had the pleasure of working England and NHS Improvement social care. alongside nursing colleagues for a website.

www.northyorkshireccg.nhs.uj /NorthYorksCCG @northyorks_ccg

8 ANNUAL REPORTER: Summary of our achievements during 2019-20

North Yorkshire Perinatal Mental Meet the CCG’s Health service THE North Yorkshire and York Perinatal Mental Health Specialist Team Leadership Team commenced service delivery in January 2019. The service model was HE composition of NHS North developed within Tees, Esk Yorkshire CCG’s Senior Leadership and Wear Valleys NHS Team was finalised over the last 12 Trust, and covers North T months, with appointments made Yorkshire and York locality. initially to a shared leadership team for the The Service runs on a three local CCGs. multi-hub model, with some Wendy Balmain joined the team as staff working across the Director of Strategy and Integration. Wendy county or into clusters of previously served as Director of hubs. Care co-ordinators Transformation and Delivery for NHS work into one hub, based Harrogate and Rural District CCG where locally, and sharing office she was responsible for delivering health space with local teams, care commissioning for the CCG and led which fosters good local work to integrate community and adult social relationships and ensures care services. As Director of Strategy and Clockwise from top left: Wendy Balmain, practitioners are available Integration she is responsible for primary Simon Cox, Jane Hawkard, Amanda Bloor, and accessible in each care transformation and commissioning, Julie Warren and Sue Peckitt area. This has also including implementation of primary care strengthened working networks, and will work closely with inequalities and improve quality of care. relationships with Improving partners across North Yorkshire to expand Julie Warren was appointed Director of Access to Psychological integrated service models. Corporate Services, Governance and Therapies especially. Simon Cox was appointed Director of Performance. Qualified in health promotion, Outpatient clinics and Acute Commissioning. Simon previously Julie strongly promotes being proactive in group work is available in served as Chief Officer of NHS Scarborough raising awareness and self-care. She is each locality. Patients are and Ryedale CCG. As Director of Acute committed to ensuring local priorities are seen in the community, Commissioning he will oversee the delivered learning from best practice across antenatal clinics, relationship with acute providers and is the country. Community Mental Health supporting transformation and service Amanda Bloor, Accountable Officer for Teams and GP practices. redesign initiatives ensuring that acute care the North Yorkshire CCGs, said: “I am best serves the needs of North Yorkshire. delighted that we have secured such Jane Hawkard was appointed Chief talented senior leaders to work alongside Finance Officer after six years as Chief me as we transform the way we deliver for Officer of East Riding CCG. In her new role, the people of North Yorkshire.” Advice for patients Jane is committed to ensuring a sustainable Amanda herself was appointed as the financial future for the local health economy Accountable Officer for the three North from overseas working with trusts, local authorities and Yorkshire CCGs in December 2018. Prior to SOME useful information is CCG partners. this she served as Accountable Officer for available for patients from Sue Peckitt became the CCG’s Chief NHS Harrogate and Rural District CCG. overseas on the North Nurse, having worked as Deputy Chief Amanda is a strong advocate of prevention, Yorkshire Partnerships Nurse with NHS Scarborough and Ryedale self-care and supporting our population to website in their welcome CCG for six years. Sue is responsible for lead healthy lives. She is passionate about pack which provides clinical quality and safety, safeguarding of mental health services and working in information on living in adults and children, and patient experience. partnership to help achieve the best health North Yorkshire, what you She is committed to working closely with outcomes for people who live in our area. need to do, and where you colleagues across the health and social care need to go to get help. system in North Yorkshire to reduce health The information is available in a range of different languages including: Arabic, New community equipment ‘amnesty bin’ Hungarian, Latvian, Lithuanian, Polish, Nepali A NEW ‘amnesty bin’ was walking frames and crutch- behalf of North Yorkshire and Romanian. Please also installed at Harrogate’s es. It followed talks between County Council and clinical see useful advice for Penny Pot Lane Recycling Medequip Assistive commissioning groups – and patients in different Centre to make it easier for Technology Ltd – which Yorwaste which manages languages on the North people to return loaned issues community the area’s household waste Yorkshire CCG website. community equipment like equipment to patients on recycling centres.

www.northyrkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

9 ANNUAL REPORTER: Summary of our achievements during 2019-20 Patient advice campaigns

HE three former North Yorkshire clinical commissioning groups ran a T patient advice campaign by including the artwork you can see above and to the right inside council tax bills delivered to every household in North Yorkshire. The first piece of artwork is based on a campaign started by Humber, Coast and Vale Health and Care Partnership around ensuring patients are not reduce medicine waste. Wasted Yorkshire Clinical Commissioning getting prescriptions for medicines that medicines cost the NHS more than Group hopes to continue to work with can be bought over the counter and £300 million each year so patients in local councils in North Yorkshire to run instead visit their local pharmacy. North Yorkshire are encouraged not to similar campaigns in the future. The second piece of artwork was order prescriptions unless they need developed by the three North Yorkshire them. CCGs as part of a campaign to help Now one organisation, NHS North

Partnership nominated for leadership award

THE Humber, Coast and Vale Health services across our region to put in Trust, said: “We are overjoyed to have and Care Partnership was shortlisted place care that is seamless and built been shortlisted for another HSJ for a national award in recognition of around the needs of individuals award. Being nominated for this award the strength of its joint working to regardless of which organisation is highlights the fantastic work that our improve mental health outcomes for its responsible for each element of that staff members carry out to transform population. person’s care. and improve mental health services, in The Humber, Coast and Vale Mental The Partnership’s many successes an area stretching across Northern Health Partnership was shortlisted for include the development of specialist Lincolnshire, Hull, East Riding of the Health Services Journal (HSJ) mental health services for new and Yorkshire, York and Scarborough. Award for “System Leadership Initiative expectant mothers across the region “As a partnership we have achieved a of the Year”. The HSJ judging panel, and the launch of the Every Mum number of notable successes through made up of a diverse range of Matters campaign; ensuring more collaborative working between partners influential figures within the healthcare people are treated closer to home by and this is something that we are all community, shortlisted the Partnership significantly reducing the number of proud of. despite the tough competition from patients in “out of area” placements; “To be nominated is an amazing hundreds of excellent applicants. developing and securing funding for a achievement in itself and, as always, The Award recognises the progress Partnership-wide suicide prevention we would like to thank all of our made since the Partnership was strategy and securing over £1 million patients, stakeholders, our staff, and established to improve mental health additional funding to support people those working in close partnership services by working together. The with enduring mental health problems across Humber, Coast and Vale. This is Mental Health Partnership has into employment. about working together to make a achieved many successes by bringing Michele Moran, Chair of the Humber, difference for our communities.” together all the organisations that are Coast and Vale Mental Health responsible for commissioning Partnership Board and Chief Executive, (“buying”) and providing mental health Humber Teaching NHS Foundation

www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

10 ANNUAL REPORTER: Summary of our achievements during 2019-20 Drive to beat heart disease

NEW website was launched healthy lifestyle. to help improve heart health Dr Greg Black, Governing Body among people living in Member for the former NHS A Scarborough and Ryedale. Scarborough and Ryedale CCG and The Healthy Hearts website is Lead for Cardiovascular Disease, said: designed to help reduce the risk of “Heart disease and stroke are two of stroke and heart attack among people the biggest ‘killers’ in Scarborough and considered to be most at risk, and Ryedale. Often linked to smoking and reduce the number of people dying obesity, it’s imperative these issues are prematurely from cardiovascular tackled.” disease – a general term for conditions Alex Seale, Senior Responsible affecting the heart or blood vessels. Officer for Planned Care at the The website has been created to help exercise. It also features interactive Humber, Coast and Vale Health and people living in Humber, Coast and tools, with users able to use the Care Partnership, said: “The Humber, Vale – a region which covers Hull and website to determine their high blood Coast and Vale Healthy Hearts website East Yorkshire, North Lincolnshire and pressure risk. will become a key asset for healthcare North East Lincolnshire, Vale of York, The website forms part of professionals and patients to help Scarborough and Ryedale, and now collaborative efforts by healthcare reduce instances of cardiovascular Harrogate and District, and Hambleton, organisations in the Humber, Coast disease in our communities. Richmondshire and Whitby. and Vale area to reduce the number of “Heart disease remains a significant More than 220,000 people in the people suffering from cardiovascular challenge for health organisations Humber, Coast and Vale area are disease. They are committed to within the Humber, Coast and Vale affected by high blood pressure, while improving the health of people who area but one we are determined to around three in 10 people (more than have cardiovascular disease, or are at overcome. 72,000) have undiagnosed high blood risk of developing it, as it remains one “Heart health should be everybody’s pressure. More than 32,000 people of the most significant health concern so visit the website for living in the area have an irregular challenges in the area. information on how you can improve heartbeat (atrial fibrillation) and almost More than a quarter (26%) of all your heart health and take steps to 30,000 people have experienced a deaths in England in 2017 were protect against cardiovascular stroke or mini-stroke. caused by cardiovascular diseases, disease.” The Humber, Coast and Vale Healthy with coronary heart disease and stroke Hearts website contains a wealth of accounting for the majority of those information about how people can deaths. Cardiovascular disease is one reduce their risk of developing of the main causes of death and cardiovascular disease, including disability in the UK, but it can often advice about healthy eating and largely be prevented by leading a

CCGs support ‘Wake Up North Yorkshire’ campaign

NORTH Yorkshire’s Clinical admission to hospital. Commissioning Groups “The good news is that (CCGs) backed a North most of the North Yorkshire Yorkshire campaign aimed residents who said they at changing drinking culture drank more than the safer and the harm caused by guidelines are already alcohol. reducing their drinking, or Launched by North thinking about doing so in Yorkshire County Council, the future.” the Wake Up North For patients in North Yorkshire campaign was Yorkshire who want to developed after research reduce the amount of with residents found that more than six glasses of Clinical Chair of NHS North alcohol they consume, more than 40 per cent of wine or pints of beer a week, Yorkshire CCG, said: there’s lots of help available 1,000 people who and/or regularly more than “Drinking excessive amounts – search ‘alcohol support’ on responded to a survey said three glasses of wine/pints of alcohol can lead to a the NHS website or go to the they drank more than the (for women) or four glasses number of medical Wake Up North Yorkshire chief medical officer’s of wine/pints (for men) on conditions which require website. guideline amount for ‘safer’ any single occasion. ongoing care and treatment drinking. That’s regularly Dr Charles Parker, and in some cases result in

www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

11 ANNUAL REPORTER: Summary of our achievements during 2019-20 Website gives mums a voice

EST Yorkshire and better.” Harrogate Health and Care The website also has personal stories Partnership (WY&H HCP) from women and their families about W launched a new website their experiences of maternity services platform for teams of women and their in and Harrogate. families, commissioners and maternity WY&H HCP senior midwife Sarah staff who are working Maternity System Programme Lead Bennett said: “Throughout the together to develop local maternity and Chief Officer for NHS Greater development of our LMS action plan care. Huddersfield Clinical Commissioning we have worked with our Maternity Part of the NHS national Better Births Group and NHS North Kirklees Clinical Voices Partnerships groups to ensure strategy and the Local Maternity Commissioning Group said: “Our vision we are responding to the needs and System (LMS) action plan, Maternity for West Yorkshire and Harrogate Local wishes of the women and families we Voices Partnerships (MVPs) are Maternity System is to provide the care for. The LMS has supported the working groups that operate in the six highest quality care, information and development of new MVPs and is places that make up the WY&H HCP advice for women, and their loved delighted to have co-produced this (Bradford district and Craven; ones, throughout a pregnancy and website with them to share the Calderdale, Harrogate, Kirklees, Leeds whilst planning for a baby. wonderful work they are doing and to and Wakefield). People are invited to “Enabling people to tell us what they encourage more interaction from the get involved by becoming volunteers to want and need from the service where women and families of West Yorkshire help with work such as asking for they live is important to us and we want and Harrogate.” feedback at meetings, which they to create as many opportunities as The Maternity Voices Partnerships attend on behalf of their local MVP. All possible for them to do that. We are website can be found via this link. volunteers are fully supported and committed to using the real-life expenses are paid. experiences of people who use our Carol McKenna WY&H HCP Local services to make what we do even

Combating loneliness and social isolation over winter

WEST Yorkshire and Harrogate Health lonely at Christmas time with 230,000 pulling together to do our bit. It can be and Care Partnership’s community older people who spend at least one as easy as saying hello.” campaign ‘Looking out for our day alone over the Christmas period Since the launch of the campaign neighbours’ returned last December to saying that they have no choice (Age earlier in 2019, ‘Looking out for our help prevent loneliness and social UK, December 2018). neighbours’ received support from over isolation over the winter. The launch of the winter phase of the 350 of high-profile supporters including This phase built on the success of the campaign aimed to once again inspire organisations such as Jo Cox campaign earlier in 2019 when local people to reach out to those who live Loneliness Foundation, the Yorkshire people carried out over 46,000 acts of alone and encourage them to do Ambulance Service, West Yorkshire kindness in their local neighbourhoods simple things that will make a real Police, West Yorkshire Fire and across Bradford district and Craven; difference to their neighbours’ Rescue Services and high profile Calderdale, Harrogate, Kirklees, Leeds wellbeing. This could be anything from sports clubs and celebrities. and Wakefield. 72% of people believed offering to pick up something from the Jo’s sister Kim Leadbeater, that the campaign has made a positive shops when the weather is bad, to Ambassador for The Jo Cox difference to their neighbours’ gritting their paths and drives, to Foundation, said: “Many of us can feel wellbeing and now the Partnership inviting people who live alone to lonely during the winter months; that’s wants to encourage even more people celebrate the festive season together. why The Jo Cox Foundation is pleased to get involved. Rob Webster, CEO Lead for West to support the 'Looking out for our This is particularly vital during the Yorkshire and Harrogate Health and neighbours' campaign at this time of winter months as people, especially Care Partnership and CEO for South year. Along with our own Great Winter those who are older or vulnerable, can West Yorkshire Partnership NHS Get Together (#mincepiemoments), easily become isolated or lonely as a Foundation Trust said: “The motivation these important initiatives which result of bad weather or the added of all those involved in the campaign encourage people to make social pressure that comes with the was overwhelming. It’s heartening to connections and look out for each festive season. hear what can be achieved when we other remind us all that we can make a According to research from Age UK, all come together to offer simple acts difference in our communities.” more than one million older people say of kindness. Many people feel more they go more than a month without alone in winter with the long dark speaking to a friend, neighbour or nights, especially older neighbours family member. In addition to this, in who can go days without seeing or 2018 half a million older people across talking to anyone. It’s a very sad fact the UK said they expected to feel that can easily be sorted by us all

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12 ANNUAL REPORTER: Summary of our achievements during 2019-20

Investing in healthcare in Redevelopment of Catterick Whitby Hospital gets DURING 2019/20 the CCG continued to work in partnership with colleagues from NHS England and the under way Ministry of Defence (MOD) to develop a sustainable, long term solution for health HE redevelopment of Whitby and care services on the Hospital is finally under way. The re- Catterick Garrison site. development will result in a new and The aspiration for the site fit for purpose hospital in has been named the T Whitby. ‘Catterick Integrated Care The hospital will have inpatient beds, Campus’. This project aims outpatient facilities, diagnostic services such to promote modern health as X-ray, physiotherapy and occupational services across the whole therapy services and other services to planning for the decant of beds from the of the Catterick area support patients. The facility will also act as tower block into the old maternity ward. including the Garrison and a base for community services staff. Other existing services will continue in in support of the wider The next step in the process will be the front part of the hospital. This will allow Richmondshire area. This means creating an active partnership between primary, secondary, Medequip rolls out its mobile unit – and calls on community and mental health provision through people to help recycle community equipment both the NHS and MOD so that the whole population, THE provider of community armed forces and civilian, equipment in York and North experience equal access to Yorkshire rolled out its high quality services in the mobile exhibition unit – and most efficient way. appealed for people to You can read more about return any unwanted the care campus, here. crutches, walking frames or chair raisers. Medequip, which provides equipment on behalf of North Yorkshire County North Yorkshire Council (NYCC) and clinical commissioning groups in the smoking service county, wants to take equipment that’s become circulation. Most items only your bit for the NHS and NORTH Yorkshire County surplus to requirements and need a clean and a check local council.” Council’s Living Well introduce it back into over to be reissued to There are Medequip Smokefree has a team of circulation. someone else in need of drop-off points at Dunslow advisors who have plenty of Medequip’s North East support.” Court, Eastfield near experience in helping Region General Manager, Dr Charles Parker, Scarborough and Manse people to stop smoking for Steve Smith, said: “The Clinical Chair of NHS North Lane in Knaresborough and good. They will see anyone NHS loses hundreds of Yorkshire CCG, said: “It’s a amnesty bins at The from the age of 12, have thousands of pounds every fact that most people don’t Archways in York and York community based locations year in the shape of intend to keep hold of this District Hospital, the OT across North Yorkshire and crutches, walking sticks, equipment. In many cases, department at the Friarage can arrange home visits for bathroom aids – in short, all they’re simply not aware of Hospital in Northallerton and people who have mobility sorts of equipment provided how to return it. Maybe Yorwaste’s household waste issues. free to help people after they’ve mislaid the details, recycling centre at Pennypot Contact the Living Well accidents or to keep older or maybe they have all good Lane in Harrogate. Smokefree team for advice people independent for intentions to do so and the Medequip will also pick about giving up smoking for longer. We are working with time has just slipped by. up some items for free – call good. You can call them on county council and CCG “If you’ve got items 01423 226240 or email 01609 797272 or email on colleagues to try to bring languishing in your garage, north.yorks@medequip- stop.smoking@northyorks. more of this much needed cupboard, shed or attic, uk.com gov.uk equipment back into here’s your chance to do

www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

13 ANNUAL REPORTER: Summary of our achievements during 2019-20

You said…We did

You said: "improve access to ADHD services for young people in the Scarborough, Whitby and Ryedale area”

We did: In order to provide the best possible care in future we will contin- ue to develop the ADHD service with the involvement of patients and their families. We are in the process of recruiting additional positions in the team. Regular clinics in Whitby and Malton, as well as Scarborough are to be scheduled to support patients in these areas by seeing them closer to home. As well as planning parent and service user groups in order to collaborate with and gain feedback from patients and their families, parents/carers were invited to get involved in information sessions to help develop the ADHD service.

You said: “Ensure sustainability of Urgent and Emergency Care at the Fri- arage Hospital, Northallerton.”

We did: Carry out a full public consultation on the future of urgent care at the Friarage Hospital and implemented a 24/7 Urgent Treatment Centre model - the model most preferred by respondents to the consultation.

You said: “We want greater access to mental health services.”

We did: Released £500,000 a year to invest in community based mental health services close to home

Free help and support available from Dementia Forward

IN 2019/20 people whose lives have independent, healthy lives for as long family, friends or carers to feel been affected by dementia, their as possible. Dementia Forward has empowered and informed so that they families and carers were able to get been working with the County Council have choices following their diagnosis. free help and support from a new in the Harrogate and Vale of York CCG Information, advice and support is service across North Yorkshire. areas and they will now also cover provided through a wide range of local The service is provided by Dementia Scarborough and Ryedale, Hambleton, services, including a North Yorkshire Forward and is funded by North Richmondshire and Whitby and Helpline; home visits from a trained Yorkshire County Council and the Craven CCG areas, previously dementia support advisor; signposting Clinical Commissioning Groups delivered by Making Space. to other sources of help; education (CCGs) covering the county, as part of The aim of the service is to help programmes and a range of wellbeing their work to help people live people living with dementia and their and social activities.

www.northyorkshireccg.nhs.uk /NorthYorksCCG @northyorks_ccg

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