GOVERNING BODY

Agenda Item No. 07

Reference No. WSCCG 19-37 Date. 24 July 2019

Title Community Engagement Group

Lead Chief Officer Lynda Tuck, Lay Member for Patient and Public Involvement

Author(s) Isabel Cockayne, Head of Communications

Purpose To present the unconfirmed minutes from the Community Engagement Group meeting held on 27 June 2019.

Applicable CCG Priorities 1. Develop clinical leadership 2. Demonstrate excellence in patient experience & patient engagement  3. Improve the health & care of older people 4. Improve access to mental health services 5. Improve health & wellbeing through partnership working 6. Deliver financial sustainability through quality improvement

Action required by Governing Body:

The Governing Body is asked to consider and note the key items of discussion from the Community Engagement Group.

Meeting of the West CCG Community Engagement Group held in public on Thursday 27 June at Gibson Room, Newmarket Community Hospital, 56 Exning Road, Newmarket CB8 7JG

PRESENT: APOLOGIES: David Taylor (DT), Chair Peter Owen Lynda Tuck (LT), Lay Member PPI Jon Rapley Lynne Byrne (LB) Barbara Pooley Paule Wise (PW) Nicole Mann Michael Simpkin (MS) Christine Davies Graeme Norris (GN) Gill Jones (GJ) David Dawson (DD) Jane Ballard (JB) Terry Clements (TC)

IN ATTENDANCE: John Troup (JT) Communications Manager, IESCCG & WSCCG Katie Sargeant (KS) Transformation Engagement Manager, IESCCG & WSCCG Hayley Charman (HC) Communication and Engagement Officer, WSCCG Tracey Morgan (TM) Senior Transformation Lead, Planned Care - WSFT Jo Cowley (JC) Senior Alliance Development Lead, WSCCG Anita Kovacs (AK) Alliance Locality Coordinator for Bury Town (ALCo) Batsirai Shamuyarira (BS) Alliance Locality Coordinator for Newmarket (ALCo)

1. WELCOME AND APOLOGIES FOR ABSENCE

David Taylor welcomed everyone and asked what the Newmarket issues are (as we are in Newmarket for this meeting)? DT asked to hear from people working in Newmarket localities.

2. MINUTES AND ACTIONS

JT updated the group that notes of previous meeting will be available from Katie Sargeant.

3. QUESTIONS FROM THE PUBLIC As there are no members of the public present, David asks CEG member Lynne Byrne for an update on the Newmarket locality.

LB informed the group that locality meetings have highlighted four issues that are a priority for Newmarket; mental health, older people and frailty, drugs and alcohol. Lynne discussed other health issues in Newmarket such as older people, young people, dementia and racing welfare. Patient Participation Groups (PPGs) in Newmarket are virtual, blocking Lynne and Batsi from getting involved.

Action: HC to follow up with Rachel Seago re. Newmarket PPG contacts.

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There was a conversation regarding support organisations in Newmarket and how the Alliance work is beginning to link these together. It was recognised that racing welfare and issues need to be raised at the Newmarket locality meetings.

Action: LB and BS to raise racing issues at next Newmarket locality meeting.

GJ informed the group about their report ‘Access to Mainstream Health Service Provision by the Muslim Community in the Newmarket Horse Racing Industry’ – see attached.

4. CHAIR’S REPORT Verbal update from David Taylor.

5. ELECTIVE CARE Tracey Morgan presented ‘Elective Care Transformation Programme’ (attached).

Feedback from GN was that it sounds terrific, but will it work with limited resources? GN has sent feedback to TM and would like to know how specific areas/speciality elective care will be managed, instead of the same approach for all.

Action: TM to respond to GN regarding the feedback requested above.

GJ asked how patients and carers will continue to be involved in the programme, which TM answered through locality meetings, GPs, hospitals and staff communications.

JT told the group that there is work starting to review the language used in patient letters across system. JT and GJ are looking to form a small working group to look at language and approach.

Action: Please contact HC if you are interested in being part of patient letter review, by Tuesday 23 July.

MM added that Haverhill Clements PPG introduced to moving on to e-consult – members support, e-consult allows triaging and more time for doctors to see those who need most attention.

TM informed the group that a video link consultation pilot has been running in WSFT for follow up appointments and has been well received, and will be looking at ways to roll out further.

GJ from Healthwatch offered to do feedback with patients using service.

6. ALLIANCE

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Jo Cowley discussed the West Suffolk Alliance and pointed the members in the direction of the strategy, which you can read here - https://www.wsh.nhs.uk/CMS- Documents/Corporate-information/Alliance-Strategy-2018-23.pdf

Key deliverable in integrated care system (ICS) and all three Alliance’s across Suffolk and North East Essex.

MM asked JC if you are following patient journey. JC responded that the transformation work is following patient journeys and locality work is allowing patient voice to be heard e.g. through trusted assessment.

There was a discussion around how communications is shared to all staff involved in the Alliance, in order to empower staff delivering services and give them the confidence to say we can do this a better way for patients.

MM – plans need resources in place before they are rolled out i.e. with AF testing.

JC - Realising Ambitions fund for West Suffolk is open to applications until 5 August to the VCS. They are looking for panel members. Read more - https://www.suffolkcf.org.uk/grants/218239/

Action: Please contact HC if interested in being a panel member for the Realising Ambitions fund, by 31 July.

PPGs update from members

DD updated that his PPG could express view about withdrawing ear syringing service. Unfair to discuss at practice by practice level.

PW had concerns over blood testing withdrawal, overcrowded in WSFT and walk in service suspended, not fair on rural areas. 85 appointments for blood tests a week gone and now having to happen at WSFT, cancelled minibus service. Woolpit PPG think service should be provided again. PW personal opinion for doctor’s to take blood at time of requesting test at appointment and books follow up appointment.

Action: JT to follow up re blood tests at appointments.

7. CCG LEADERSHIP Dr Ed Garratt has been appointed accountable officer for NEE CCG and IES and WSCCG – all three CCGs and also as Executive Lead for the Suffolk and North East Essex Integrated Care System.

There will be a newly appointed shared management team below Ed across all three CCG and a proposed restructure of teams in CCG. Please see attached structure chart.

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8. ENGAGEMENT UPDATE

Mental health transformation has now entered the design and implementation phase following the co-production of the 10 year strategy. The East and West Suffolk Alliances continue their commitment to co-production and have recommissioned Suffolk Parent Carer Network, Suffolk Family Carers and Suffolk User Forum to support the Alliance to design future mental health services across the piece.

Cancer Transformation. KS gave an update of a programme of cancer transformation that is underway across the STP.

Jane Garnett is looking for a patient representative to be involved in work around the Stroke Early Supported Discharge (ESD) tender.

Action: Please contact HC if you would like to be a patient representative in the Stroke EDS work by 31 July.

9. HEALTHWATCH UPDATE GJ gave a verbal update, a digital copy will be circulated with minutes.

10. PATIENT AND PUBLIC INVOLVEMENT PAPER LT discussed the paper, which had been circulated with agenda and papers.

11. AOB None.

FUTURE MEETING DATES

WSCCG CEG meeting dates 2019/20:

Thursday 31 October, Forest Heath Thursday 30 January, Thursday 30 April, Haverhill

WSCCG Governing Body meeting dates:

Wednesday July 24 – West Suffolk House, Conference Room West, Western Way, Bury St Edmunds, Suffolk, IP33 3YU

Wednesday September 25 – Venue TBC

Wednesday November 27 – Venue TBC

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