North Wales CommunityAneurin Health Bevan Council CHC Operational Plan 2020-2021
Annual Report 2019-2020
August 2020
www.communityhealthcouncils.org.uk1 Aneurin Bevan CHC Operational Plan 2020-2021 Community Health Councils (CHCs) are the independent voice of peoplewww.communityhealthcouncil.org.uk in Wales who use NHS services. We are made up of local volunteers who act as the eyes and ears of patients and the public. There are 7 CHCs covering different parts of Wales.
An electronic copy of this document can be found on our website: www.communityhealthcouncils.org.uk/betsicadwaladr
If you would like this publication in an alternative format and/or language, please contact us: Unit 1B and Unit 1 D Unit 11 Chestnut Court Wilkinson Business Park Parc Menai Clywedog Road South Bangor Wrexham Gwynedd LL13 9AE LL57 4FH
Tel: 01978 356178 / 01248 679284 Email: [email protected] Twitter: @NWCHC 2 Facebook: CIC Gogledd Cymru North Wales CHC
North Wales CHC Annual Report 2019-2020
Contents
4 Message from our Chair 6 About us 7 Our vision 8 Our strategic framework 9 Our equality objectives 10 Our functions 11 Our year at a glance 12 Membership 13 Our ways of working 13 Our national standards 14 How we have made a difference 28 Working with others 29 Our plans for next year 30 How can you get your voice heard or become involved 31 Appendices 1-6
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NorthNorth Wales Wales CHC CHC Annual Annual Report Report 2019 2019-2020-2020
Message from our Chair
The uncertainty facing CHCs the NWCHC afterwards to in Wales has continued give their experiences of the throughout the year. Despite service. This work typifies this, staff and members have the intense commitment that contributed their efforts the staff and members of the undiminished and delivered NWCHC have displayed over some major pieces of work. the year. An example of that work has been the “Vascular Services, Many other examples are Safe Space Engagement described in this report Events” which was showing the great value that undertaken as a result of the NWCHC has delivered to many members of the public the people of North Wales. raising serious concerns about the revised service This past year is my last as being provided by the Health Chair of the North Wales CHC Board. Fifteen events were and it has been both a conducted across all parts of pleasure and a privilege to North Wales. Over 200 serve the NWCHC and the people attended these events people of North Wales in this and a further 75 contacted capacity.
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North Wales CHC Annual Report 2019-2020
I would like to give my heartfelt extremely capable in taking the thanks to the members and staff NWCHC forward and paving the of the NWCHC, whose support has way for the new ‘citizens’ voice been essential throughout. I body’ which is to follow the would also like to thank the Vice CHCs in Wales. Chair, Garth Higginbotham, who also stands down this year, for his support over the last two years.
I now hand over to the new Chair, Peter Rendle, and Vice Chair, Andy Burgen, to take the NWCHC into what may be the final year of Mark Thornton CHCs in Wales. I am very Chair confident that they will prove
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About us
North Wales Community Health Council (NWCHC) is the independent watchdog of NHS We use services in North Wales. surveys, apps and social media to
engage with
our What we do community.
North Wales CHC seeks to work with the NHS and inspection and regulatory bodies. We provide an important link between those who plan and deliver NHS services, those who inspect and regulate it, and those who use it.
North Wales CHC hears from the public in many different ways. We visit NHS Our Advocacy services to talk to patients and carers. Service helps We talk to people at public events, and people who through community groups. want to raise a concern about As for all CHC’s, the COVID-19 pandemic NHS care or has changed our work patterns and the treatment. issues we are dealing with, but there are many longstanding and underlying issues in relation to the Betsi Cadwaladr University Health Board (BCUHB) performance that continue to concern North Wales Community Health Council.
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North Wales CHC Annual Report 2019-2020 Our vision
People in North Wales know that they can share their views of the NHS easily and recognise that doing so can have a real influence on the shape of healthcare services.
People understand and value the role played by CHCs in supporting them to be heard and in representing the collective interests of patients and the public.
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North Wales CHC Annual Report 2019-2020
Our strategic framework
To help make our vision a reality the CHC movement in Wales has agreed a strategic framework incorporating 5 key priorities. These priorities underpin our plans and activities.
Making every voice count
Improving our influence and reputation
Building and developing an effective learning and values based culture
Valuing our members and staff
Strengthening our national voice
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Our equality objectives
To help us deliver our key priorities, we have also identified these equality objectives:
▪ We will work with others to find better ways to hear from everyone, including those who are in the most vulnerable situations and those whose voice might not otherwise be heard.
. We will adapt our approaches to reach those whose care is delivered out of hospital and develop our resources and advocacy services to ensure that they are widely accessible, available and relevant.
▪ We will develop our plans with the public and with our partners so that they focus on the things that matter most and have the best chance of making a difference.
▪ We will build on our existing partnerships and forge new ones where working together increases our chances of making a difference.
. Our membership must reflect the diversity of the communities they represent and support. We will monitor our membership and develop targeted and more inclusive ways of recruiting new members so that we become more representative.
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2019-2020 Our functions
CHCs have four main functions these can be described as:
Systematically Representing the interests of patients visiting and and the public in the 1 scrutinising 2 planning and local Health agreement of NHS
Services Service Change
Enabling users of the Continuously NHS to raise engaging with the 3 concerns about the 4 communities we services they receive represent and the through an Health Service Independent providers serving Complaints those communities Advocacy Service
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North Wales CHC Annual Report 2019-2020
Our year at a glance
We undertook Our advocacy 397 visits to service gave services across North advice and Wales to hear from information to people whilst they 341 people were receiving care
nd Undertook our 2 28 service changes took peer review to place across North Wales measure our performance during 2019-2020. against the CHC National Standards Our advocacy service Closed 401 opened 365 new We supported 21 cases once the cases to support people to take their concern had been people raising formal resolved or the concerns through the concern to the process ended. NHS concerns process Ombudsman.
85 members supported North Wales CHC to perform its functions during 2019-2020.
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North Wales CHC Annual Report 2019-2020
Membership
Our volunteer membership
North Wales CHC membership is made up of 72 full members.
Our members are all local people who give their time for free. We also have 13 co-opted members who we recruit directly from local communities.
If you are interested in becoming a member, please contact us by using the details at the front of our report.
“I have been a
member of the NWCHC for approximately three years and have
found it to be a valuable and rewarding experience and I have learnt much about
North Wales health care. This has added to my previous considerable experience of the NHS in both Wales and England and in particular primary care services in the widest sense. The support of yourselves and the wider team has been invaluable and I would congratulate you all on your work and support us as volunteers.”
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Our ways of Our national
working standards
1. CHCs act in the interests of the public and patients in Wales The way in which we 2. CHCs work effectively with organise ourselves to others to safeguard and promote carry out our activities is the welfare of people who use set out in regulations NHS services passed by the National 3. CHC activities and services meet Assembly for Wales. the needs of and are accessible to all
The activities we carry 4. CHC activities are open, transparent and inclusive out are co-ordinated and overseen by our Conwy, 5. CHC activities are properly led, resourced and supported Denbighshire, Flintshire, Gwynedd, Wrexham and 6. CHCs plan and carry out their activities in a way that maintains Ynys Môn local their independence and commi ttees . These demonstrates their committees make up our accountability to the full council. We also communities they serve have an executive 7. CHCs strengthen the voice of committee, which is patients and the public by ultimately responsible working together and with others for what we do and how we do it. 8. CHCs reflect the views and experiences of patients and the public about NHS services 9. CHCs share the results of their activities in a balanced and timely way 10. CHCs evaluate the impact of their actions and apply the learning to future activities
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How we have made a difference: Working locally
During 2019-2020 we set local priorities. We looked at the issues that people told us were most important to them and responded to concerns raised through our activities and those of others. As with every year, our main priority has been to give patients and the public a voice.
We have increased our activity to ensure that patients are represented both in primary and secondary care, we have held various focus groups and have spent time returning to wards to ensure that action plans have been implemented.
Engaging with . Presentation to district people in our local nursing teams, local communities groups and clubs . NWCHC & BCUHB 2019-2020 has been an Patient Safety and active year in terms of Experience Joint engagement. Patients and the Workshop public have been actively engaged with during each of . Information stands at our scheduled visits so that surgeries, hospitals, we can gain an understanding local events, open and of the current experience. celebration days and We also increased the stands at higher number of engagement education settings events that we carried out . Attendance at meetings with the public, taking our across North Wales CHC stand to many events . Patient engagement at throughout the year. These clinics events included: . NWCHC Listening and 14 Norht North Wales CHC Annual Report 2019-2020
Engagement Vascular patients and the public are events across North reflected both locally and Wales nationally; providing a strong . National events like the patient voice to influence the Eisteddfod and Royal development of national Welsh policy and local delivery. . A presence at local events such as third Our national reports are sector and Welsh available on our website. Government conferences
See Appendix 6 for the full Scrutiny list of our engagement We have continued to activities during 2020-2021. monitor and scrutinise the health services that are CHCs have a responsibility to available to patients. Where represent the interests of we have seen a drop in patients and the public within performance level or we have the geographical areas they had queries about the impact serve. on patients, we have requested an explanation. Often, the priorities identified by patients and the public will There are many longstanding be local to a particular CHC and underlying issues in area or even to a specific relation to BCUHB hospital or service. There will, performance that continue to however, always be themes concern the NWCHC. and priorities that are common to CHCs across There remains a lack of Wales. progress in some areas of Special Measures placed by Welsh Government upon When this happens, CHCs BCUHB and a low level of work together to ensure that support from Welsh the views and experience of Government. Many of the
15 Norht North Wales CHC Annual Report 2019-2020 problems faced by BCUHB are Tawel Fan were released. beyond its control and there These highly contentious should be a partnership reports raised as many issues approach between the BCUHB as they had answered and and Welsh Government with failed to reassure the families both taking responsibility for of Tawel Fan patients and the service improvement. NWCHC.
Mental Health care remains The NWCHC continues to an issue and ‘on the ground’ provide support to the Tawel progress against HASCAS and Fan families – arranging for Ockenden recommendations advice and assistance remained unsatisfactory. regarding the complaints Recruitment and retention of process under Putting Things health service staff remained Right; accompanying families a major issue and we have by attending individual seen the challenge it presents meetings and attending the at every level. BCUHB Stakeholder Group. Many of the deaths in relation Some Specific Issues to Tawel Fan have been referred to the Coroner. Six Mental Health Services inquests have been opened NWCHC has had concerns and then closed to allow about Mental Health Services detailed investigation. There in North Wales for a has been slow progress made considerable time. These against the recommendations have been articulated by us following the HASCAS and publically and to the BCUHB Ockenden reviews. on many occasions. We have been concerned about The NWCHC has consistently BCUHB’s lack of progress out raised concerns about the of Special Measures and the lack of engagement by the low level of support from BCUHB with patients and the Welsh Government. public about its mental health services. Of particular In 2018, the HASCAS report concern has been the and the Ockenden report on proposed closure and
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centralisation of the GP Out of Hours Psychiatric Intensive Care The GP Out of Hours Units (PICU) across North coverage remained highly Wales. The NWCHC problematical and fragile in acknowledges some of the North Wales. This was, to a engagement work undertaken considerable extent, a by the Health Board relating product of the difficulty in to proposed changes to some recruiting GPs across the UK. of its mental health services, but have repeatedly stated The NWCHC voiced its belief that this needs to be that allowing GPs who were undertaken on a much on the English Performers List broader scale. The NWCHC to work in Wales would be does not wish to delay any particularly helpful in respect changes to improve the of the Out of Hours service. service, however there has to be a much wider engagement The NWCHC recommended exercise undertaken so as to this strongly in the Welsh gather opinion and views. Government consultation on the Performers List, but We are concerned about the despite acknowledging this lack of communication was a problem in North Wales between BCUHB and local and in border counties, the GP’s. We have learnt that the Welsh Government decided to Local Medical Committee was leave matters as they are. unaware of the well advanced plans to close the PICU at The Welsh Government Bangor and centralise all consultation response PICU activity in Wrexham. suggested watching and waiting and that the During our visits to recruitment crisis may Psychiatric Wards across resolve itself in time. The North Wales, we have also NWCHC wrote to Welsh found that even senior Government urging pro- BCUHB staff were unaware of active and realistic Workforce the proposals. Planning.
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Primary Care care coordinators and North Wales CHC continues to those that are in post, receive notice of service don’t seem to be changes to GP practices We retained for long. play an active part in this . Lack of continuity of process and the time care (some of it commitment is probably due to the considerable. BCUHB above) directly managed practices . Care plans not followed are struggling to recruit GPs or not in place at all and skilled nurses. A knock . Appears to be no on effect of the fragility of the permanent psychiatrist large directly managed at Ysbyty Gwynedd practices is that they are . Appears to be mainly making heavy demands on locums in Hergest the locum pool and this . Cancelled appointments means that Out of Hours . Community Mental Services and small practices Health units seem to be are struggling to find locums a law unto themselves – when they need them. don’t feel that anyone takes over arching During the period we have responsibility. reviewed all information we Management structure hold in respect of GP should be more visible, practices – collating practice clearer and accountable. profiles based on data . There have been claims received through previous that the poor visits to the practice, performance in relation to concerns or complaints, concerns/complaints has patient feedback and any been resolved. We do other information regarding not recognise any service changes. substantial improvement since 2016 in relation to Trends highlighted: complex . Problems with support in concerns/complaint the community- there . The performance appears to be a lack of improvement in relation
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to 30 day targets seems . Long waiting times in to have been achieved on ophthalmology and a technical basis by orthopaedics sending “holding” letters. . Shielding Letters Response time to . Difficulty in obtaining concerns are variable but medication we now get most back . Pharmacy closures within 6 months . Audiology appointments . Issues with use of . Maternity Services locums in all specialities . Outpatients – usually in relation to appointments continuity of care . Loss of mental health . Long waiting times in support Emergency Departments . Problems getting in . Problems in self-referral touch with GP for mental health . Concern about delays to patients are still cancer treatment apparent
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Changes in local Intensive Care Unit (PICU) and Rehabilitation NHS services . BCUHB Rheumatology Throughout 2019-2020 the Review, including Countess Health Board have made, or of Chester Foundation Trust planned to make, some cardiology, dermatology and significant changes to services. rheumatology pressures North Wales CHC was . BCUHB Urology Services appraised of and consulted on . BCUHB Vascular Services various NHS service changes . BCUHB Orthopaedic Services from local to regional . Roseneath Medical Practice proposals. . Bromfield GP Practice Mold . North Wales Dental Strategy Our involvement in these . Dedicated Menopause Clinic proposals was to ensure that for Women in North Wales the public and patients’ views . Alyn Family Doctors; were at the heart of the . Bryn Darland GP Practice, changes and that the impact Coedpoeth on the service user would be . BCUHB Oncology Services as positive as possible. . BCUHB Dementia Strategy We were involved in the . Ruthin Hospital proposals and plans of: . The provision of MP- MRI . Ysbyty Alltwen pilot to scans for North Wales extend the opening hours patients at the MIU . BCUHB Breast Services, . Bryn Beryl hospital Llandudno Hospital redevelopment programme . BCUHB Visiting Times Policy . Bed closures at Beuno . Longford Road GP Surgery, Ward, Llandudno Hospital Holyhead . Bed closures at Colwyn Bay . BCUHB Brexit Preparedness Hospital . BCUHB Ophthalmology . Bed closures at Denbigh Services Infirmary due to fire . The Laurels GP Practice, regulation assessments Flint . BCUHB Nuclear Medicines . Llys Meddyg, GP Practice, Services Penygroes . BCUHB Mental Health
Services, Paediatric
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Complaints they want and expected to Advocacy and happen as a result of raising their concern. enquiries We provided practical support North Wales CHC provided to those who wanted it, independent complaints including helping people write advocacy support and advice letters, going with them to for anyone living in their area meetings, helping people who wants help to raise a understand the information concern about NHS services and response provided by wherever they were NHS organisations. delivered. Advocacy is an integral part During 2019-2020 we of the CHC’s core functions. assisted 341 people to Our case work provided resolve concerns by offering important information about initial advice, signposting or NHS services and issues and supporting people to resolve we used this to inform our issues informally. other activities.
We also offered support and As a result of concerns raised advice throughout the NHS by clients, changes are often Concerns Procedure known as made which have a wider Putting Things Right (PTR). benefit. We opened and carried over 266 cases offering this support.
Every concern is different and people wanted and needed different levels of support to take their concern forward.
We helped by explaining the concerns process and helping people to think about what
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Visiting Over the past year our members have conducted 397 visits to a range of acute and community hospital wards, emergency departments, health centres and GP surgeries. In total 306 wards/ departments/GP surgeries have been visited and 91 of the visits were follow up visits which are in place to monitor the progress of action plans that are provided by the Health Board.
A schedule of NWCHC visits 1 April 2019 to 31 March 2020 is set out below. Visiting activity ceased in mid-March due to lockdown and is consequently much lower than normal;
Type of visit 1 April 2019 – 31 March 2020 SiteWatch 30 These visits were Internal undertaken at: SiteWatch 24 District General External Hospitals CareWatch 96 Community Hospitals BugWatch 93 MHLD units
FoodWatch 26 Review/Follow 9 NB: The CHC focused efforts on Up Visits engaging with GP practices across North Wales in the last ED Watch 28 quarter of 2019 and up to Mid- March 2020. GP Practices 90 Health Centres 1 We had on-going concerns about the inconsistencies in the Total 397 presence of ICAN at ED units and carried many follow up visits over the Winter period.
We are currently exploring alternative methodologies to maintain visiting and the unique knowledge and insight it gives CHCs.
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Achievements times that if, as we all
expect, NICE MpMRI & Prostate Cancer recommends pre- The NWCHC Chief Officer – biopsy mpMRI, then I Geoff Ryall-Harvey and men expect all health involved in the mpMRI boards to amend their campaign, attended the pathways Welsh Government Petitions accordingly…. I am Committee to speak in happy to underline the support of the petition for equality in prostate cancer commitments I have care. already given to update Members in due course on The petition had more than 6500 signatures and the progress and on the Petitions Committee targets we have and approved a Senedd debate timescales to make that took place on the 6th sure that service and March 2019. This coincided the test that we with the National Institute for expect to be Health and Care Excellence (NICE) advice that mpMRI recommended is should be the diagnostic tool available across the for prostate cancer of first country.’ resort. The finalised NICE Guidance was published on 9th May 2019. The Cabinet The NWCHC received an Secretary stated that he assurance from BCUHB that required all Welsh Health by the end of September Boards to comply with NICE 2019, pre-biopsy mpMRI Guidance; would be available to all men with suspected prostate cancer in North Wales. The ‘I have always been NWCHC was also assured that clear and stated on this would be the high record a number of definition mpMRI
23 Norht North Wales CHC Annual Report 2019-2020 recommended by NICE and that the 2012 ‘Healthcare in that it would be the North Wales is Changing’ diagnostic tool of first resort. consultation (which laid down proposed changes to move elements of the vascular Vascular Services service from Ysbyty Gwynedd to Ysbyty Glan Clwyd) was North Wales CHC’s major still relevant. activity in this period, following close scrutiny of the In the following weeks the Vascular Services in North North Wales CHC heard more Wales, has been a public concerns about the service engagement intended to feed and the Chief Officer wrote to into BCUHB’s internal review the BCUHB Chair and Chief of the unsuccessful Vascular Executive outlining the key Service changes – a matter of issues. The matter was also great public concern in North raised as an urgent item at Wales. the Autumn 2019 Board to Board meeting between North At the March 2019 Services Wales CHC and BCUHB. Planning Committee North Wales CHC strongly advised North Wales CHC continued the Betsi Cadwaladr to try to influence the BCUHB University Health Board that on the progress of the service further consultation and/or changes through our engagement with the public representation on the would be prudent as there Vascular Implementation were genuine and widespread Task and Finish Group and concerns that a highly valued vascular surgery has been a local service was being standing item on the North removed from Ysbyty Wales CHC/BCUHB Services Gwynedd. However, we were Planning Committee since informed that the changes 2018. had already taken place in advance of the service change protocol being At this time it had become completed on the grounds clear that the entire vascular
24 Norht North Wales CHC Annual Report 2019-2020 service being delivered by . The number of complaints BCUHB was fundamentally about vascular services different in many key had increased respects, not least pathways . We believed that over and patient flows, to that 1000 cases had been which was originally proposed transferred from Ysbyty by BCUHB firstly in 2012 and Gwynedd (YG) to Ysbyty subsequently in March 2019; Glan Clwyd (YGC) – not the 300 originally . Lower limb salvage predicted by BCUHB at activity, which was to the Services Planning have been undertaken on Committee on 19 March all sites, had been 2019 curtailed and this . YGC is designated a compromised the diabetic Centre of Excellence but foot service allocation of surgical . Key consultant staff had, trainees has been as predicted by the North withdrawn by the Wales CHC and others, Deanery left and it proved . YGC lacked a functioning extremely difficult to vascular surgery ward attract medical staff with trained vascular . It had been difficult to nurses. recruit and retain specialist nursing staff As a result of intense local . The hoped for concerns, North Wales CHC improvement in outcomes raised the issue of Vascular does not appear to have Services as urgent business been achieved at a meeting with the BCUHB . The number of SUIs Board on 10th October 2019. (Serious Untoward Board members Incidents) had increased acknowledged that concerns and results in relation to about vascular care in North aneurisms were Wales had not been allayed particularly concerning by the changes and North Wales CHC members were
25 Norht North Wales CHC Annual Report 2019-2020 pleased to hear that BCUHB overarching steering group intended to carry out a including, at the request of thorough review of the the NWCHC, representative of performance of the service patients, the NWCHC and and the impact of the local GPs changes made to the service to date. Primary Care
We have had greater contact In the absence of any with local GP practices due to proposal by the Health Board the relationships we have to engage with the built with GP Practice stakeholders, North Wales Managers over the past year. CHC decided to offer patients, We meet regularly with the staff and other stakeholders a Local Medical Committee ‘safe space’ to speak about their experiences and concerns. ‘I refer to your visit from your members. We These bilingual events took had that visit today and got place in fifteen locations across North Wales and to meet your team. conversations were centred I would like to say that we around the “7 Cs”; found the entire meeting well informed and a positive . Compliments, Comments, Concerns & Complaints; experience. It’s not often you get to say you enjoyed a . Care planning & Care meeting and found it purposeful delivery; but this one we did.’ . Communication & engagement North Wales Practice Manager
The review was discussed at the BCUHB Board meeting on 21st May 2020 and the Board decided to implement the findings of the review with an
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How we have made a difference: Working nationally
Working together, the Board and CHCs highlight issues that do or will impact on people’s experiences across Wales. We draw on our local knowledge to shape the national agenda and challenge policy makers and those who deliver our services to do better.
We do more than offer responses on issues raised by others; we set out the case for change on those issues that matter most for patients and the public; describing where improvements are needed and holding the NHS in Wales to account on its performance.
Working through the Board of . Orthodontics Community Health Councils in . Time to go home? Wales, in 2019-2020 the 7 CHCs also kept a close eye on CHCs in Wales worked on 4 the progress being made in national projects. response to the projects
carried out in the previous We wanted to hear what year. people had to say across Wales about the NHS in some key areas: . GP Out of Hours . Eye care services in Wales
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Working with others
During the year we undertook some of our activities with others.
We worked alongside neighbouring CHCs on various projects. We met with Healthcare Inspectorate Wales on a regular basis to share information and inform our work programme. We referred clinical concerns to Healthcare Inspectorate Wales.
We had regular discussions with Ombudsman staff to discuss how concerns were being handled by the NHS and offered suggestions on how improvements could be made. We worked with third sector colleagues and community groups from:- . Ageing Well in Denbighshire . Association of Voluntary Organisations Wrexham (AVOW) . Bangor Lymphoma Action Group . Carers Outreach . Conwy Connect . Conwy Voluntary Services Council . Denbighshire Local Voluntary Council (DVSC) . FDF Centre for Independent Living . Flint Older People’s Forum 50+ . Flintshire Local Voluntary Council (FLVC) . Hafan Cefni . Macmillan . Mantell Gwynedd . Medrwn Môn . North Wales Society for the Blind . Porthmadog Probus Club . Tywyn Older People’s Forum
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Our plans for next year
During 2020-2021 we will be working with people across Wales to look at the issues impacting on the North Wales population.
We will be responding to local priorities identified by patients and the public and drawn from our own activities. This will include:
. The NHS response to Coronavirus . A new Citizen’s Voice Body . Mental Health services (with particular focus on Older Persons Mental Health services) . Vascular Services . Primary Care (with particular focus on GP services) . Care and Services delivered in Emergency Departments . Ophthalmology Services . Pharmaceutical Services . Equality, Diversity and Human Rights considerations . Urology and Catheter Care . Supply of Specialist Wheelchairs
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How can you get your voice heard or become involved
We are always keen to hear from anyone who wants to share their views and experiences of NHS services. You can contact us using any of the details included at the end of this report. You can also tell us if you would like us to include you on our distribution list for surveys and updates.
If you are part of a group or activities. If you would like to organisation and would like come and see us to discuss our to work with us on any of our activities or to share your views activities we would love to and experiences please let us hear from you. We are also know. You can share your views happy to come and hear from and experiences with us in any any groups who have a story of the following ways: to share about any aspect of . By telephoning our office NHS services. We publish a . By writing to us calendar of meetings on our . By e-mail website so that you can see . By visiting our website . Via twitter when and where we will be . Via Facebook discussing key issues . Via Instagram. affecting NHS services. And…we are always looking
Our committee meetings are for new members! held in public so you are The vast majority of our work is welcome to attend. Please let undertaken by local volunteers us know if you would like to who have an interest in helping receive a set of committee their communities to have a say papers in advance. in how their NHS is designed
and delivered. If you could Our website also contains spare some time over 3-5 days a more information about our month please get in touch.
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Appendix 1 Financial statement
The financial statement recording the budget and expenditure for the period 1 April 2019 to 31 March 2020 is set out below.
The information below relates to the core funding provided by Welsh Government, through the Board of Community Health Councils for the performance of the Council’s functions including the provision of the Complaints Advocacy Service.
North Wales CHC are able to report an underspend of £66.10 at the end of the financial year 2019-2020.
Fixed costs Annual Expenditure Variation Budget to 31 March Staff salaries £307,815.00 £301,82.12 £5,991.88 Office expenses £5,136.00 £5,263.52 £-127.52 Accommodation £53,294.00 £52,913.42 £380.58 costs Total (Fixed) £366,245.00 £360,000.06 £6,244.94
Variable costs Annual Expenditure Variation Budget to 31 March Travel and £43,300.00 £38,242.23 £5,057.77 associated expenses Office expenses £19,747.00 £27,970.97 £-8,223.97 Accommodation £4,590.00 £4,579.17 £10.83 costs Total (Variable) £67,637.00 £70,792.37 £-3,155.37
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Complaints Advocacy costs Annual Expenditure Variation Budget to 31 March Staff salaries £301,944.00 £300,505.21 £1,438.79 Office expenses £4,600.00 £6,182.26 £-1,582.26 Accommodation Noted in fixed Noted in fixed Noted in costs costs above costs above fixed costs above Total £306,544.00 £306,687.47 £-143.47
Overview Annual Expenditure Variation Budget to 31 March Total £740,426.00 £737,479.84 £2946.10 (fixed, variable and advocacy) Budget £-2,880.00 £2,880.00 £-2,880.00 adjustment agreed by the CHC Board Total £737,546.00 £737,479.90 £66.10
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Appendix 2 Declarations of interest
Executive Committee members’ directorships of companies or positions in other organisations likely, or possibly, seeking to do business with the NHS are published in the Council’s Annual Report to Welsh Ministers required under Regulation 25 of the CHC Regulations 2015.
Name Position Directorship Other positions held in CHC of authority Mr Mark Chair None None declared Thornton Dr Garth Vice Chair None Governor, Coleg Higginbotham Cambria
Trustee, Trefnu Cymynedol Cymru Cllr Philip Chair, Conwy None County Councillor Capper local committee (LC) Ms Joy Baker Vice Chair, None None declared Conwy LC Miss Morfudd Chair, None Chair, League of Jones Denbighshire Friends, Ruthin LC Hospital Mrs Eva Vice Chair, None None declared Edwards Denbighshire LC Mr Russell Chair, None Governor, Jackson Flintshire LC Countess of Chester Mrs Rita Jones Vice Chair, None Vice Chair, Flintshire LC Homestart Cymru, Denbighshire
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Cllr Dewi Wyn Chair, None County Councillor Roberts Gwynedd LC Vice Chair, Care Scrutiny Committee
Care Support Dementia, Dwyfor Mrs Margaret Vice Chair, None None declared Buttigieg Gwynedd LC Mrs Jackie Chair, Director None declared Allen Wrexham LC Severn Dee Travel Mrs Celia Vice Chair, None Watkin Property Hayward Wrexham LC Ventures Limited
South Denbighshire Community Partnership Mr Peter Chair, Ynys None None declared Rendle Môn LC Mr Aaron Vice Chair, Aaron2k Ltd, Lampton Facilities Osborne-Taylor Ynys Môn LC Director Maintenance 360 Liberty Ltd, Director Cambria Cyf, (Non-Executive) Director Clwyd Alyn Housing Association, Independent Board Member (Non-Executive)
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North Wales CHC Annual Report 2019-2020
Appendix 3 Members of North Wales CHC 2019-2020
Name Position held in CHC Locality Mrs Myfanwy Baines Public Appointment Conwy Ms Joy Baker Public Appointment Conwy Cllr Frank Bradfield LA Appointment Conwy Cllr Philip Capper LA Appointment Conwy Mrs Nerys Cossey Third Sector Appointment Conwy (End of term of office) Mrs Nerys Cossey Co-opted (Resigned in Conwy year) Mr Phil Edwards Co-opted (End of term of Conwy office) Dr Garth Public Appointment Conwy Higginbotham Mr Mark Holmes* Third Sector * deceased Conwy Mrs Lorraine Co-opted (Resigned in Conwy Johnson year) Cllr Emma Leighton- LA Appointment (Resigned Conwy Jones in year) Ms Liz Liddall Third Sector Appointment Conwy Mrs Sian Ramessur Third Sector Appointment Conwy Mrs Hilary Randall Public Appointment Conwy Cllr John Roberts LA Appointment Conwy Mrs Jo Reeve Public Appointment Conwy Ms Karen Bellis LA Appointment Denbighshire Mrs Kelly Benton Third Sector Appointment Denbighshire Mr Rhys Davies Public Appointment Denbighshire Mrs Eva Edwards Public Appointment Denbighshire Mr Gordon Hughes Co-opted Denbighshire Miss Morfudd Jones Third Sector Appointment Denbighshire Mrs Angela Marshall Public Appointment Denbighshire Cllr Pete LA Appointment (Resigned Denbighshire Prendergast in year) Mr Mike Theaker Public Appointment Denbighshire Ms Cheryl Williams Public Appointment Denbighshire
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North Wales CHC Annual Report 2019-2020
Ms Gill Williams Public Appointment Denbighshire Mrs Sue Wright Third Sector Appointment Denbighshire (Resigned in year) Cllr Emrys Wynne LA Appointment Denbighshire Mr Michael Boyle Public Appointment Flintshire Mrs Dianne Gill Public Appointment Flintshire Mrs Jenny Harley Public Appointment Flintshire (Resigned in year) Ms Linda Harper Public Appointment Flintshire Mrs Stella Howard Third Sector Appointment Flintshire Cllr Gladys Healey LA Appointment Flintshire Mr Russell Jackson Public Appointment Flintshire Mrs Rita Jones Public Appointment Flintshire Cllr David Mackie LA Appointment Flintshire Cllr Dave Wisinger LA Appointment Flintshire Mrs Margaret Third Sector Appointment Gwynedd Buttigieg Dr Adrian Drake-Lee Third Sector Appointment Gwynedd Mrs Vicki Harvey Public Appointment Gwynedd Mrs Gwawr Jones Public Appointment Gwynedd (Resigned in year) Mr John Jones Co-opted Gwynedd Mrs Mair Jones Public Appointment Gwynedd Cllr Siôn Jones LA Appointment (Resigned Gwynedd in year) Cllr Dewi Wyn Jones LA Appointment Gwynedd Mrs Linda Kinani Public Appointment Gwynedd Mrs Michael Lloyd Public Appointment Gwynedd Jones Cllr Paul Rowlinson LA Appointment Gwynedd Mr Mark Thornton Public Appointment Gwynedd Mrs Menna Williams Third Sector Appointment Gwynedd Mrs Vera Wilson Co-opted Gwynedd Mrs Jackie Allen Public Appointment Wrexham Cllr Brian Apsley LA Appointment (Resigned Wrexham in Year) Mrs Sandra Third Sector Appointment Wrexham Baughan
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North Wales CHC Annual Report 2019-2020
Ms Eleanor Third Sector Appointment Wrexham Burnham (End of term of office) Mrs Susie Goodall Co-opted (Resigned in year) Mrs Carol Griffiths Third Sector Appointment Wrexham (Resigned in year) Mrs Dorothy Griffith Co-opted Wrexham Mrs Celia Hayward Public Appointment Wrexham Cllr Frank LA Appointment Wrexham Hemmings Mr Damian Heron Public Appointment Wrexham Mrs Janet Hilton Co-opted (End of term of Wrexham office) Mr Adrian Leslie Third Sector Appointment Wrexham Mrs Niki Tabern- Public Appointment Wrexham Price Mrs Jayne Thomas Public Appointment Wrexham Mr Richard Bladon Co-opted Ynys Môn Mr Andy Burgen Public Appointment Ynys Môn Mrs Deborah Chafer Co-opted Ynys Môn Mr Jon Chorlton Public Appointment Ynys Môn Mr Alan Dixon Third Sector Appointment Ynys Môn (Resigned in Year) Dr Sadie Francis Third Sector Appointment Ynys Môn Mr Brace Griffiths Public Appointment Ynys Môn Cllr Richard Griffiths LA Appointment (Resigned Ynys Môn in year) Cllr Glyn Haynes LA Appointment Ynys Môn Cllr Trefor Lloyd – LA Appointment Ynys Môn Hughes Miss Val Monaghan Public Appointment Ynys Môn Mr Aaron Osborne- Public Appointment Ynys Môn Taylor Mr Christopher Co-opted Ynys Môn Phillips Cllr Dylan Rees LA Appointment Ynys Môn Mr Peter Rendle Public Appointment Ynys Môn Ms Anne West Third Sector Appointment Ynys Môn
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North Wales CHC Annual Report 2019-2020
Appendix 4
External representation 2019-2020
Committee/group CHC representative
All Wales Social Prescribing Mr Andy Burgen, YMLC Network BCUHB Anti-Microbial Steering Dr Adrian Drake-Lee, Group (West) GLC BCUHB Board Meeting Mr Mark Thornton, GLC and/ or Dr Garth Higginbotham, CLC BCUHB Chair to Chair Meeting Mr Mark Thornton, GLC BCUHB EDHR Stakeholder Group Ms Linda Harper, FLC BCUHB Infection Prevention Sub Mrs Jackie Allen, WLC Group BCUHB Listening, Learning and Mrs Jackie Allen, WLC Experience Group BCUHB Neurosciences Board Mr Andy Burgen, YMLC BCUHB North East Wales Cancer Mr Michael Boyle, FLC Patient Forum BCUHB Redevelopment of YGC Mrs Jackie Allen, WLC BCUHB Rheumatology Review Mr Mark Holmes, CLC BCUHB Stakeholder Reference Dr Garth Higginbotham, Group CLC and/or Mr Mark Thornton BCUHB EDHR Strategic Forum Ms Linda Harper, FLC BCUHB Llandudno Hospital Mrs Hilary Randall, CLC Stakeholder Group BCUHB Living Healthier Staying Mr Mark Thornton, GLC Well Programme Executive Group BCUHB North West Wales Mrs Vera Wilson, GLC Cancer Patient Forum
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North Wales CHC Annual Report 2019-2020
BCUHB Quality Safety and Mr Mark Thornton, GLC Experience Committee and/or Dr Garth Higginbotham, CLC BCUHB Strategic Cleanliness Mrs Stella Howard, FLC Group BCUHB Strategic Improving Mrs Carol Williams, Nutrition Catering and Deputy Chief Officer Hydration Standards Group (INCHS) BCUHB Strategic Infection Mrs Jackie Allen, WLC Prevention BCUHB Strategic Partnerships Mr Andy Burgen, YMLC and Population Health Committee BCUHB Strategy and Planning Ms Linda Harper, FLC Equality Scrutiny Group BCUHB Stroke Services Mr Andy Burgen, YMLC Stakeholder Group or Mrs Sian Ramessur, CLC BCUHB Vascular Dr Adrian Drake Lee, Implementation Task and Finish GLC Group Conwy Voluntary Services Mrs Liz Liddall, CLC Council Liaison Group Denbighshire Voluntary Services Mrs Sue Wright, DLC Council Liaison Mid-Wales Joint Committee for Miss Joy Baker, CLC Health and Social Services South Denbighshire GP Cluster Mrs Eva Edwards, DLC The Walton Centre Infection Mrs Stella Howard, FLC Prevention Committee The Walton Centre Stakeholder Mrs Stella Howard, FLC Governors WAST/CHC Liaison Ms Eleanor Burnham, WLC WAST/CHC Liaison Mr Michael Boyle, FLC WAST/CHC Liaison Mr Russell Jackson, FLC WAST/CHC Liaison Mrs Gwawr Jones, GLC WAST/CHC Liaison Ms Val Monaghan, YMLC
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North Wales CHC Annual Report 2019-2020
WAST/CHC Liaison Mr Neil Taylor, DLC WAST/CHC Liaison Mr Roger Williams, CLC WAST/CHC Liaison (Deputy) Mrs Jackie Allen, WLC WAST/CHC Liaison (Deputy) Mrs Lorraine Johnson, CLC WAST/CHC Liaison (Deputy) Mr Michael Lloyd Jones, GLC WAST/CHC Liaison (Deputy) Mr Aaron Osborne- Taylor, YMLC WAST/CHC Liaison (Deputy) Mr Mike Theaker, DLC WAST Pace Setter Group Mrs Margaret Buttigieg
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North Wales CHC Annual Report 2019-2020
Appendix 5
CHC staff
CHC members are supported in their work by a team of local CHC staff, who are based at the CHC offices in Bangor and Wrexham.
Team Whole time posts Chief Officer 1.0 WTE Deputy Chief Officer 1.0 WTE Complaints Advocates 3.9 WTE Business Manager 1.0 WTE Advocacy Support Officers 3.4 WTE Administrative team 1.8 WTE Patient and Public Engagement Officers 2.0 WTE Total 14.1 WTE
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North Wales CHC Annual Report 2019-2020
Appendix 6
Full list of engagement activities
Date Event 02.04.19 Medrwn Môn Wellbeing Network Meeting, Oriel Môn, Llangefni 02.04.19 FDF Network Event, Parkfields Community Centre, Mold 03.04.19 Autism Awareness Celebration Event, DVSC Offices, Ruthin 11.04.19 Open Day Event Hafan Cefni, Llangefni 24.04.19 Older People's Forum – Talk Neuadd Pendre, Tywyn 30.04.19 Advocacy presentation - Llandrillo Trainee medical secretaries, Coleg Llandrillo 01.05.19 Macmillan / BCUHB Health and Wellbeing Event, Beaches Hotel, Prestatyn 21.05.19 Older People's Information and Advice Event, Trinity Community Centre, Trinity Avenue, Llandudno 22.05.19 Radio Interview, Radio Merseyside - Paul Salt Drive Time 4.00pm 23.05.19 Motiv8, The Barn, Eirias Park, Colwyn Bay 24.05.19 North Wales Society for the Blind Community One stop Open Day, The Valley Hotel, Valley 03.06.19 Stand at Ysbyty Gwynedd, Outside canteen area 05.06.19 Macmillan / BCUHB Health and Wellbeing Event, Ramada Hotel, Wrexham 06.06.19 Bangor Lymphoma Action Group – Talk, St David's Outpatients, Ysbyty Gwynedd, Bangor 13.06.19 Ageing Well in Denbighshire Group meeting 26.06.19 Macmillan / BCUHB Health and Wellbeing Event, The Royal Hotel, Caernarfon
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North Wales CHC Annual Report 2019-2020
26.06.19 DVSC BCUHB Working with the Third Sector, Naylor Leyland Centre, Well Street, Ruthin 27.06.19 Porthmadog Probus Club - Talk 02.07.19 Ysbyty Alltwen Open Day / Birthday Celebration, Ysbyty Alltwen, Tremadog 03.07.19 Stand at Ysbyty Glan Clwyd, Main Outpatients, 04.07.19 Older People's Fun and Information Day, Hafod Y Parc, Kinmel Avenue, Abergele 30.07.19 Rheumatology Clinics (East, Central and West locations) – 30.08.19 22.07.19 Royal Welsh Show, Builth Wells – 25.07.19 03.08.19 Eisteddfod Genedlaethol Llanrwst – 10.08.19 13.08.19 Sioe Môn, Mona Showground, Gwalchmai – 14.08.19 15.08.19 Sioe Sir Dinbych, The Green, Denbigh 28.08.19 Sioe Sir Meirion, Ty Cerrig, Ynys, Harlech 18.09.19 Stand at Freshers' Fair Bangor University, Canolfan Brailsford, Bangor 25.09.19 Medrwn Môn Wellbeing Network Meeting, Oriel Mon, Llangefni 26.09.19 Stand at Freshers' Fair Wrexham Glyndwr University, Plas Coch Sports Hall, Wrexham Glyndwr University 11.10.19 Stand at Good Health Event, Glan Wnion Leisure Centre, Dolgellau 15.10.19 Flintshire Older People's Forum 50+ Group talk, CAB Offices, Flint 23.10.19 DVSC Networking Meeting, DVSC Offices, Ruthin 07.11.19 Carer's Outreach AGM - CHC Talk
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North Wales CHC Annual Report 2019-2020
08.11.19 District Nursing Team - CHC Talk 12.11.19 Conwy Connect for Learning Disabilities AGM 21.11.19 North Wales Dementia Strategy Event 22.11.19 North Wales Society for the Blind Community One stop Open Day 28.11.19 It Makes Sense Conference 29.11.19 NWCHC Listening and Engagement Vascular event, Plas Heli, Pwllheli, Gwynedd 30.11.19 Llandudno General Hospital Open Day 03.12.19 NWCHC presence at Third Sector Well-being and Volunteering Network Event, Porthmadog Football Club, Gwynedd 06.12.19 NWCHC Listening and Engagement Vascular event, Quaker Meeting House, Bangor, Gwynedd 18.12.19 NWCHC Christmas Tree and Stand, Beaumaris – Christmas Tree Festival, St Mary and St Nicholas 22.12.19 Church, Beaumaris, Ynys Môn 17.12.19 NWCHC presence at Welsh Government - A Healthier Wales Conference, The Management Centre, Bangor, Gwynedd 14.01.20 NWCHC Listening and Engagement Vascular event, Neuadd Pendre, Tywyn, Gwynedd 16.01.20 NWCHC Listening and Engagement Vascular event, Holywell Leisure Centre, Holywell, Flintshire 24.01.20 NWCHC Listening and Engagement Vascular event, Aberconwy MIND, Llandudno, Conwy 28.01.20 NWCHC Listening and Engagement Vascular event, Colwyn Bay Cricket Club, Rhos-on-Sea, Conwy 29.01.19 NWCHC & BCUHB Joint Workshop Patient Safety and Experience, Bryn Y Neuadd, North Wales 03.02.20 NWCHC Listening and Engagement Vascular event, Morfa Hall, Rhyl, Denbighshire
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North Wales CHC Annual Report 2019-2020
03.02.20 NWCHC Stand Bodowen Surgery, Holywell, Flintshire – 07.02.20 08.02.20 NWCHC Stand, Holywell Hospital, Holywell, Flintshire – 15.02.20 12.02.20 NWCHC Listening and Engagement Vascular event, Town Hall, Llangefni, Ynys Môn 13.02.20 NWCHC Listening and Engagement Vascular event, Ty Pawb, Wrexham 20.02.20 NWCHC Stand Holyhead Health and Wellbeing Event, Ucheldre Centre, Holyhead, Ynys Môn 26.02.20 NWCHC Listening and Engagement Vascular event, Y Ganolfan, Porthmadog, Gwynedd 26.02.20 NWCHC Listening and Engagement Vascular event, Caernarfon Library, Caernarfon, Gwynedd 27.02.20 NWCHC Listening and Engagement Vascular event, HWB Dinbych, Denbigh, Denbighshire 06.03.20 NWCHC Listening and Engagement Vascular event, Amlwch War Memorial Hall, Amlwch, Ynys Môn 06.03.20 NWCHC Listening and Engagement Vascular event, Gwelfor Community Centre, Holyhead, Ynys Môn
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North Wales Community Health Council
Unit 1B and Unit 1D Wilkinson Business Park Clywedog Road South Wrexham LL13 9AE
Unit 11 Chestnut Court Parc Menai Bangor Gwynedd LL57 4FH
www.communityhealthcouncils.org.uk/betsicadwaladr