North CCG Enc G

Report to Governing Body: 27/11/2014

Title: Communications and Engagement Report

Dan Ibeziako, Communications and Engagement Author: Lead Executive Lead: Not applicable

Previously considered by: Not applicable

Executive summary:

Purpose of the report: This report provides an overview of communications and engagement activity undertaken by NHS Arden Commissioning Support Communications and Engagement Team on behalf of NHS Warwickshire North Clinical Commissioning Group (CCG) during September and October 2014.

Key Points: The CCG co-ordinated a health awareness event in response to the needs raised by local community leaders. The north of Warwickshire has some particular areas of social deprivation, which was a key consideration when organising this health awareness event. There are also high numbers of minority ethnic communities who face barriers in accessing services in the area. The CCG worked in partnership with community leaders, GP Practices, Public Health Warwickshire, and Borough Council and Warwickshire Race Equality Partnership to plan and deliver the event. The event saw a final footfall of 306 people, which was over 50% more than was expected.

The CCG has adopted a partnership approach to its winter campaigns as in previous years which helps to ensure there is consistency of the messages being given and help ensure the campaign has maximum impact. University Hospitals and Warwickshire NHS Trust, George Eliot Hospital NHS Trust, Coventry and Warwickshire Partnership NHS Trust and South Warwickshire NHS Foundation Trust and Public Health have agreed to this approach. The campaign this year includes three strands: Feeling Under the weather; NHS 111; plus a suite of materials to be made available for key pressures that may hit.

The CCG encouraged patients and members of the public of any age, to act now as part of World Stroke awareness day. A local patient was interviewed by BBC Coventry and Warwickshire radio on World Stroke Day in a bid to raise awareness of the condition and to look out for any early warning signs or symptoms. The interview was aired on the drive time show on Wednesday 29 October. It was also mentioned that the patient was supporting GPs in the CCG area to help spread the important message of encouraging lifestyle changes to prevent a stroke.

Recommendation:

The Governing Body is requested to NOTE the report.

WNCCG Objectives: Tick () To improve health, health outcomes and reduce inequalities  To lead the way to safety and quality through commissioning To make the best use of resources To build a health system fit for our population by 2020

Risk and assurance issues AF6 and AF11 on Assurance Framework Addressed in two ways: - Through the Communications and Engagement Equality and diversity issues Strategy - Through on-going work to identify and work with hard to reach groups Legal and regulatory issues None

Patient Engagement Issues None

Communications and Engagement Report September/October 2014

This report covers communication and engagement activity for September and October 2014. 1. Patient and Public Involvement

NHS Warwickshire North CCG has undertaken a significant amount of patient and public involvement during this reporting period, engaging with an array of different audiences from its population.

Health Aware Communities Event The CCG co-ordinated a health awareness event in response to the needs raised by local community leaders. The north of Warwickshire has some particular areas of social deprivation, which was a key consideration when organising this health awareness event. There are also high numbers of minority ethnic communities who face barriers in accessing services in the area. The CCG worked in partnership with community leaders, GP Practices, Public Health Warwickshire, Nuneaton and Bedworth Borough Council and Warwickshire Race Equality Partnership to plan and deliver the event.

The idea was borne through GP and CCG engagement with community leaders at the Council House Nuneaton, January 2014. The planning group met bi-monthly from January to gauge what health issues needed to be addressed from within the community. Regular planning meetings were held to progress the event.

The vast range of services and activities were made possible by all the partners involved. These ranged from diabetes checks, Zumba classes, cancer and TB screening, fruit kebab making, Play Rangers, Go commando and goodie bags. As well as the offerings provided by the partners, third sector organisations such as Age UK, Stroke Association and Macmillan Cancer Support were invited to run a stall. Locally commissioned services such as Weight Busters and Friendship Care and Housing were also invited to hold stalls and promote their services.

The final footfall was 306 people, which was over 50% more than was expected. From a visual perspective, the health checks (diabetes, blood pressure, etc.) and chair yoga were extremely successful with people queuing to take part.

From an evaluation perspective, after the various health check services, the children’s activities were rated highest. Children’s activities included an inflatable obstacle course, fruit kebab making and play rangers games (connect 4, ball games, board games and general interactive activities).

66 people completed the ‘Your Feedback’ evaluation forms. From the data collected, 65 people rated the event 7-10. Approximately 77% of these were of Nepalese ethnicity and 35% over the age of 66. Some comments from the feedback form said: “I really enjoyed the event and it’s raised my awareness of my own health.” “Valuable to network and talk to local community about what our charity does.” “Have given out lots of directories, made links with providers and got details of individuals interested in volunteering.” “Really well attended.” “Children had fun and enjoyed the variety of activities.” “The general public tend to skim around mental health services – it was good to have a presence.”

Cllr Neil Phillips-Health & Environment Portfolio Holder, Nuneaton and Bedworth Borough Council “The Health Aware Communities Event was a good example of what can be collectively achieved when partners come together to address health issues within the Borough. We were able to raise awareness of key health topics for black & minority ethnic groups, who can experience poorer health than other sectors of our community. Success can be measured by the huge turnout of local people, which enabled us to highlight the range of health issues, and how to improve the wellbeing of the community. We will continue to work in partnership with the Clinical Commission Group and County Council Public Health across all communities in the borough to raise awareness of health issues.”

Om Gurung, Nepalese Community Leader “It is always my pleasure to work with local organisations and team members. I have spoken with quite a few our Ghurkha (Nepalese) community members after the yesterday events and all they have said, they really enjoyed it. Please pass my gratitude of thanks to all concerned.”

Yaseen Ahmedabadi, Muslim Community Leader “The event was a great success with a significant turn out. The precise planning and coordination made it a day full of fun and joy for people from various communities and social backgrounds. A day filled with continuous smiles beaming from the many faces that attended. An eye opener for many, as they began to understand what health awareness really meant to them as individuals.

“This event was a perfect stepping stone for the many to become health conscious and begin to plan how they intend on living a healthier lifestyle. No doubt, the event will highlight issues in key health areas for certain services. This must be seen as a positive move in the right direction.

“It was a pleasure for Khair in the Community and its volunteers to support this event and we hope to further strengthen our partnership work with the key health services for our clients and community.”

John Linnane, Director of Public Health Warwickshire “I was delighted that so many members of the local community came along and supported this event. It was packed with fun activities for the whole community, across age groups that supported people to raise awareness of health issues locally. Heart disease is a particular issue in Nuneaton and Bedworth but in many cases it can be prevented through changes to our lifestyle. Currently around one in three adults in Nuneaton are obese and only 1 in 10 are taking recommended levels of activity, days like this are extremely worthwhile in encouraging people to take action to improve their own health and wellbeing."

Councillor Neil Phillips, Portfolio Holder for Health and Environment from Nuneaton and Bedworth Borough Council said: “All the people who made this event a huge success should be proud. The organisers worked hard to put on fun and enjoyable activities that gave a taster of ways to lead a healthier lifestyle.” Jeff Powell, GP Practice Manager, Red Roof Surgery. Lynn Slater, GP Practice Manager, Manor Court Surgery. Tina Storer, GP Practice Manager, The Cole House Surgery. “We found the day very valuable with communities and professionals engaged in meaningful conversation under one roof to promote awareness of the diverse range of services available to all patients in our area. The event was well attended and this was largely down to the splendid efforts of the community leaders to ensure their communities attended. As a result of the event we also have a better understanding of the barriers to healthcare for these communities.

“The event could not have been delivered without the excellent partnership working that has been evident from the events inception.”

Rachel Robinson, Consultant in Public Health Warwickshire “A great turnout on the day, I was delighted to see so many members of the community wanting to do something to improve their own health and wellbeing”

Each stand recorded key measurables from the activity experienced on the day. Details are in the table below: Stand Outcome Diabetes 145 diabetes checks were done. This resulted in 22 referrals. Blood Pressure 125 blood pressures were taken. 45 were referred and 8 of these were new diagnoses. Health and Wellbeing service 75 people made contact with the stall and received information about blood pressure and tips on how to maintain a healthier lifestyle. 15 of these were referred. Alzheimer’s Society 6 people made contact with the stall and received information and leaflets. Friendship Care and Housing 75 people made contact with the stall and received Wellbeing Service information about the local hubs and its services. Play Rangers 120 children made contact and used the activities available (ball games, plate spinning, board games) Healthy Living Network 13 enquired about Weight Busters, with 5 new registrations for classes. 26 people made contact with the stall, 10 made and took away 'portion sized plates' to use with their families. Public Health Warwickshire 12 people were given a demonstration of the Dementia Portal website and 8 people were signposted to local dementia services.

21 people were given leaflets on issues ranging from cervical screening to bowel screening. Links were also made to promote flu jabs and TB jabs to Terrence Higgins Trust, and the Ghurkha community. Healthwatch Warwickshire Information was given to a wide variety of people from attendees and stall holders. The Recovery Partnership 50 people made contact with the stall and a large number of those received the stress relief balls which help with exercise. Stroke Association 12 people made contact with the stall and received information relevant to Stroke support locally. Guideposts 57 people made contact with the stall and received services ranging from advice to information packs.

Stand Outcome Ambulance 45 people made contact with the stall and received Service NHS Foundation information on first aid awareness and becoming part of the Trust membership scheme. NHS Warwickshire North 21 people signed up to be Health Champions. CCG British Heart Foundation Over 100 people made contact with the stall and took away information and leaflets. 11 people had a carbon monoxide test.

A positive relationship has been fostered with BME community leaders through the event and this will be taken forward by the CCG through regular quarterly meetings and the prospect of other partnership projects.

A community leaders meeting took place in October as a follow up to the Health Aware Communities event the previous month. The feedback was extremely positive and the group were again keen to have more events in the future. This is being considered but will be dependent on resources.

Patient Group Forum The Patient Group Forum met in September. At this meeting the Patient Group Forum received a presentation on the CCG’s Annual Report 2013/14 and provided input to the ‘care closer to home’ research.

A number of key issues were raised by the group all of which are being researched and addressed by the CCG through the Patient Group Forum’s issues log. The issues raised are as follows: • Waiting time for prescription service at George Eliot Hospital • Concern about stretched capacity of Hospice at Home service • Delays GP practices are experiencing receiving x-ray results from George Eliot Hospital • Technical issues with Choose and Book system • Ongoing concerns about Ambulance Service response times

Attendance at the Patient Group Forum continues to be good with all practices now represented. Future topics for discussion include dementia and ambulance services.

2. Media

Media activity focused on encouraging attendance and reporting of the success of the Health Aware Communities event in September this included a double page feature post event within the Nuneaton News.

In addition, media coverage was obtained for the work the CCG did in raising the profile of World Mental Health Day. A group of keen cyclists from the CCG visited mental health services as they cycled around Nuneaton and to raise awareness about World Mental Health Day on Friday 10 October.

The CCG has been successful in securing a spot within the Nuneaton News to further highlight with the public the work of the CCG.

The CCG encouraged patients and members of the public of any age, to act now as part of World Stroke awareness day. A local patient was interviewed by BBC Coventry and Warwickshire radio on World Stroke Day. This was arranged in a bid to raise awareness of the condition and to look out for any early warning signs or symptoms. The interview was aired on the drive time show on Wednesday 29 October. It was also mentioned that the patient was supporting GPs in the CCG area to help spread the important message of encouraging lifestyle changes to prevent a stroke.

The CCG secured coverage in local press after asking residents across north Warwickshire, Nuneaton and Bedworth to help ease the pressure on emergency services by highlighting the appropriate use of Accident and Emergency (A&E) and emergency services.

Media relations support was provided in response to a national enquiry on IVF. A statement was drafted and agreed with the Trust, to give the CCG’s viewpoint on the situation. Further relations included a response to an enquiry on the flu nasal spray.

3. Winter Campaign

NHS England has expressed a preference for CCGs to use the Feeling Under the Weather campaign materials and are asking CCGs not to run local Choose Well campaigns.

As in previous years we are adopting a partnership approach which helps to ensure there is consistency of the messages being given and help ensure the campaign has maximum impact. University Hospitals Coventry and Warwickshire NHS Trust, George Eliot Hospital NHS Trust, Coventry and Warwickshire Partnership NHS Trust and South Warwickshire NHS Foundation Trust and Public Health have agreed to this approach.

The campaign will encompass the following strands:

• Feeling Under the Weather – running from 1st November for 6 weeks to coincide with the national campaign. It will include a range of self-care and warm/well messaging in addition to the national messages. A workstream within this will include work with care homes (an area not being covered by the national campaign).

• NHS 111 – to run a local NHS 111 campaign from early December 2014 through to February 2015. The campaign will heavily use social media as well as more traditional communications methods.

• A suite of materials to be made available for key pressures that may hit so that the CCG can deploy them quickly as required e.g. in relation to a norovirus outbreak, flu outbreak (with Public Health), warm and well for snow etc.

4. Cardiovascular Disease Lifestyle Campaign

Initial work has started on a campaign within the area in partnership with Nuneaton and Bedworth Borough Council, Public Health Warwickshire and our health partners on the patch to reduce levels of cardiovascular disease (CVD) in women between 16 and 50 within the region. This group has been targeted as the CVD mortality in women is rising and many women still do not identify CVD as their greatest health risk.

The #onething campaign will feature local voices telling their stories about what they have done to improve their lives or will reflect on changes they would have made with hindsight to increase their health. The campaign is currently being scoped with a planned launch in January 2015.

5. Publications

The GPs eBulletin was drafted following the Governing Body meeting. The Health Champions newsletter content has been drafted and approved with the next steps that it will be designed ready for final approval. Following the Health Aware Communities event a detailed post event analysis has been created and sent to all participants for comments.

6. Membership Communications

As part of the Health Aware Communities event highlighted earlier in the report much material has been sent to the membership highlighting the event was taking place and encouraging participation.

7. Stakeholder Communications

The reporting period has seen dissemination of the monthly prescribing newsletters, the CAMHS and Emotional Wellbeing services message as well as the GP dementia survey. Work has started on the stakeholder newsletter.

8. E-communications

Website The graph below looks at the daily views to the NHS North Warwickshire CCG website in September/October 2014.

Weekdays are the most popular days for people accessing the website and the site receives between about 200-800 views per day with a total of 26,000 an increase of over 4,000 from the previous report. In September there were a total of 13,265 page views on the website and 13,337 in October.

Month Total views Rank

January 2014 10774 February 2014 10564 March 2014 10590 April 2014 9395 May 2014 11133 June 2014 9823 July 2014 10736 August 2014 11440 September 2014 13267 October 2014 13337

The table below looks at the most popular pages on the CCG website in September/October 2014

Page Name # Views Governing Body Members and CCG Team 1553 Walk in and Urgent Care Centres 1308 How to contact the CCG 969 About Warwickshire North CCG 692 Governing Body Meetings 626 Key documents 570 NHS Arden Commissioning Support 529 Family Health Event 443 Patient Group Forum 394

The ‘Governing Body Members and CCG Team’ has jumped to become the most popular part of the site in the reporting period. It’s possible that this jump has been made following the increased coverage the Governing Body received ahead of the Annual General Meeting. Another positive change is the first time we are seeing the Family Health Event which is a new page introduced to coincide with the Health Aware Communities Event in September.

Four of the six ‘most popular’ pages continue to be How to contact the CCG, Walk in and Urgent Care Centres and CCG staff, About the CCG, and Our Governing Body Meetings which demonstrates that the public are using the site to primarily access corporate information on the CCG.

Development of the website The majority of updates centre around the addition of papers, updating the content of pages and ensuring press releases are added to the news section.

Twitter Social media - in particular Twitter – continues to be used to promote the activity of the CCG. Recent tweets include the details of World Mental Health Day bike ride and the Health Aware Communities event. There has also been many public health messages sent out including encouragement to take up the flu vaccine.

During September/October there were 112 new followers to the CCG Twitter account. In total there are now 1000 followers.

The tweets sent from the account had a potential total reach of 53,500 during September and October, a decrease of 4,400 on the previous report and contributed to 165 extra clicks through to the website.

The graph below shows the number of positive and negative CCG mentions by other users on Twitter in September/October: