Aneurin Bevan Health Board Executive Team Report
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Aneurin Bevan Health Board Wednesday 28 November 2012 Agenda Item: 4.4 Aneurin Bevan Health Board Executive Team Report 1 Introduction The purpose of this paper is to provide the Board with an overview of current key issues locally and in NHS Wales through a report from members of the Executive Team of Aneurin Bevan Health Board. Not all members of the Team have provided content for the report as updates are also provided through other reports on the Board agenda. It also provides the opportunity to bring forward items to the Health Board to demonstrate in public, areas that are being progressed and achievements that are being made, which might not come through prior consideration by Health Board Committees or go directly to the Board as key discussion papers. This report is intended to ensure the Board remains up-to-date and also provides an opportunity to highlight areas that can be brought back for future agenda. 2 Executive Team Report 2.1 Notable Achievements and Acknowledgement of Successes 2.1.1 Maternity Buddy Scheme The maternity buddy scheme gained excellent national coverage prior to a presentation by Senior Midwife, Suzanne Hardacre, at the Annual Conference of the Royal College of Midwives in November. The scheme has around 30 signed up volunteers who support mums and babies in a range of non-clinical duties. The scheme is extremely popular with younger volunteers wishing to begin a career in midwifery and older women who simply want to volunteer to give something back. News items appeared in the Sunday Times, South Wales Argus and the scheme was also covered on Sky News and BBC Breakfast 1 Aneurin Bevan Health Board Wednesday 28 November 2012 Agenda Item: 4.4 2.1.2 Annual Nursing Conference - "Extraordinary People: Making the Shift” Nursing delegates from across the Health Board area attended this packed conference on the 13th September at the Christchurch Centre in Newport. Presentations included minor injuries services, empowering young people, enhanced recovery after surgery, babies and bathwater and care at the end of life. Nursing issues from every area were discussed and debated and the conference closed with a specially adapted version of ‘Dragon’s Den’. 2.1.3 Public Health Sex Matters Project Young volunteers from the Sex Matters Project were in Cwmbran town centre in October to talk directly to members of the public about contraception. The volunteers aged between 18-25 teamed up with the Aneurin Bevan Public Health Team to spread the word about a range of contraceptives called LARCs (Long Acting Reversible Contraceptives) which are highly effective and available in clinics or from GP surgeries. 2.1.4 Passport to Better Care A project aimed at supporting the families of children with autism by providing them with a passport of personal health information was launched in October. The Autism Passport (About Me) has been designed to give parents, children and young people a personal record that they can update and share with professionals during transition between the different services they come into contact with. The passport has been developed by professionals with input from parents and young people who expressed frustration at the diagnostic process for autism and having to continually repeat developmental histories and concerns. 2 Aneurin Bevan Health Board Wednesday 28 November 2012 Agenda Item: 4.4 2.1.5 Stop Pressure Ulcer Day Health Board staff participated in Stop Pressure Ulcer Day in November. This is an international event to raise awareness of the problem for health professionals and the general public. Posters were displayed in the Royal Gwent Hospital, Nevill Hall Hospital, Ysbyty Aneurin Bevan, Ysbyty Ystrad Fawr and Chepstow Community Hospital, together with information leaflets. The Tissue Viability Team were out raising awareness in local supermarkets as well as attending a rugby match to raise public awareness. 2.1.6 Healthcare Support Workers Conference This second conference was held at the Christchurch Centre in Newport. The conference had an Olympic theme this year and featured Health Care Support Workers from across the Health Board who ‘carried the torch’ for patients and the public. A key-note address was given by Executive Nurse Director, Denise Llewellyn and Jan Smith, Director of Therapies and Health Science. The conference featured fascinating presentations from a huge range of Health Care Support Workers 2.1.7 Champions for Health Aneurin Bevan Health Board staff are taking part in the new Champions for Health campaign, launched locally on 1st October 2012. As the 2012 summer of sport drew to a close, staff from across Wales were invited to take up the baton and sign up for a six month challenge to improve their health. The campaign is encouraging NHS Wales’ staff to become healthier and more effective role models of public health messages. 2.1.8 Awareness Campaigns The Health Board is proactively engaged with a number of national health related awareness campaigns. These include Alcohol Awareness Week and European Antibiotics Awareness Day which aims to keep antibiotics effective amid fears that many types of antibiotics are losing their effectiveness. 3 Aneurin Bevan Health Board Wednesday 28 November 2012 Agenda Item: 4.4 2.1.9 Flu Kills – Get the Jab To protect staff and patients, Aneurin Bevan Health Board has asked all staff, particularly those with patient contact, to have their free seasonal flu vaccination this year. Whilst frontline health workers are a priority group, the Health Board is encouraging all staff to receive the flu vaccination. Professional bodies, such as the General Medical Council, the British Medical Association, Royal College of Nursing and Royal College of Midwives endorse flu vaccination for staff, as an effective intervention to protect both staff and their patients from serious complications of flu. 2.2 Gelligaer and Gilfach Surgeries Transferred to General Medical Services Status from 1 November 2012 Gelligaer Surgery has been a managed practice since 2003. In June 2009 the practice was advertised through the LHB Vacant practice process and Doctors Gravell, Holland & Swain were appointed as the preferred partnership to take the practice back to GMS status subject to the completion and commissioning of new surgery premises in Gelligaer and stabilisation of practice income. The new premises were opened in July 2012 and the new partnership has taken over the management of Gelligaer and Gilfach Surgeries from 1 November 2012. All staff have transferred under TUPE regulations. 2.3 Abertillery General Medical Services Practice Changes Following Dr Roy’s retirement at the end of September, his practice has been taken over by Abernant Surgery, under a new partnership. The two practices are based in the same building The Bridge Centre in Abertillery. Dr Rudling is now in partnership with Dr Southan, who also manages a branch practice in Trinant. 2.4 Emergency Dental Services The Board agreed in September to invest in additional dental services to address the problems patients were experiencing in accessing NHS dental care. This included the following: • Additional investment in emergency dental activity until 31 March 2013. • Additional 10,000 Units of Dental Activity. 4 Aneurin Bevan Health Board Wednesday 28 November 2012 Agenda Item: 4.4 Following this agreement staff from the Primary Care and Networks Division and Public Health Team met representatives from Aneurin Bevan Community Health Council and the Local Dental Committee to agree the priority areas for investment, reflecting the dental health needs, agree the commissioning process and service specification. Following this meeting it was agreed that additional activity was required in Blaenau Gwent, Caerphilly, Newport and Torfaen. The selection process included the Local Dental Committee and Aneurin Bevan Community Health Council. This resulted in there being an additional 84 appointments being commissioned across the Health Board areas listed above. This commenced on 12 November 2012. The commissioning for the additional 10,000 Units of Dental Activity is progressing. This is also involving the Local Dental Committee and Aneurin Bevan Community Health Council, with advice from the Public Health Dental Advisor. 2.5 Enhanced Services The new commissioning arrangements for the Health Board’s General Medical Services Enhanced Services Plan took effect from Monday 1 October 2012. The table below details the number of practices that are commissioned to provide the new services: Enhanced Service Number of Practices • Extended Hours 19 (2 pending) • Diabetes 79 • Care Homes 56 • Minor Surgery 83 • Near Patient Testing 89 • Gonadorelins 89 • IUCD Service for Patients not 29 Registered with a GP Provider 5 Aneurin Bevan Health Board Wednesday 28 November 2012 Agenda Item: 4.4 2.6 GMS Services: A is For Access The Health Board has continued to work with practices to improve access to General Practitioners and there are now 44 practices who achieve the maximum 5 As for Access. This compares with 28 in January 2012. 2.7 Staff Canteen at Llanfrechfa Grange Hospital A kitchen has historically operated on the LGH site. Whilst this has in the past produced food for patients on the site, as patient levels dropped, so has demand for the service. Following the opening of the Assessment and Treatment unit and the successful housing of long term clients in residential accommodation, the patient activity in the Assessment and Treatment unit has been served by food produced at County Hospital. At this time the kitchen reverted to producing food for the staff canteen only. This non-patient element had for many years struggled to be financially viable and with the loss of patient function posed a greater financial liability, although operational changes were made to reduce that pressure. Following approval of the Business Case to rationalise the LGH site in support of the Specialist and Critical Care Centre (SCCC) development, a programme of works will conclude with the decanting of 178 staff to other sites, notably St Cadoc’s Hospital (SCH).