Issue 4 August 2019 Purbeck Community Hub Public consultations are being held in Wareham on 07/8/19 10pm-1pm Town Hall 14/8/19 4pm-7pm Town Hall 19/8/19 10am-1pm Westport House 21/8/19 2pm-5pm Town Hall This will include the new practice premises for Wareham and space for health and social care services. Please come and see Purbeck Progress the options, ask questions and Purbeck ICPCS is on TRACK to Achieve 2021 outcomes. give your opinions. Purbeck is only one of four localities that have shown a decrease in the three measured Dragons Den areas in regards to ICPCS Funding. The Healthcare Dragons' At the end of the nine month period reported; Purbeck showed improvement in all three Den staff innovation competition indicators (Occupied bed days (OBDs); Admissions; Stranded patients (both 7 and 21 days). is similar to the hit BBC television programme, although their At the end of 2018/19 (Full Year Effect): Purbeck again showed improvement in all ‘dragons’ are not as mean! It is three of the above indicators. the opportunity for staff to put This is great news– thank you and keep up the good work! forward a great idea and – if shortlisted – pitch for project Track progress at https://intranet.dorsetccg.nhs.uk/commissioning/localities/ics-dashboard.htm funding and management Primary Care networks Start-up support to make their proposal a reality. Congratulations to Hattie Primary Care networks (PCNs) were launched across on 1st July 2019. PCNs should Taylor and our District Nursing help to integrate primary care with secondary and community services, and bridge a gap teams who successfully bid for between general practice and our Integrated Care System (ICS). In Purbeck our locality has funds to extend the use electric always included Dorset Healthcare, Dorset Adult Social Services, Public Health a wide bikes. range of third sector and voluntary organisations. We anticipate this will be strengthened through the formalisation of our relationships and more sustainable funding. RSPB Bev Langdon, Hyde’s Heath Dr Jamie Jackson Project Officer, has loads of opportunities for people to get I would like to introduce myself to those who I haven’t met yet and outline my role as out into nature with guided walks Clinical Director for the Purbeck Network. such as ‘Discover Arne,’ ‘Hyde’s I have been a GP Partner at Bere Regis for six years and the Senior Partner for the past four Heath’ and Forest Bathing. years and have taken an active role in the Purbeck Locality for most of that time. I took on Nature Tots meet on the last the role of Deputy Locality Lead to Dr David Haines approximately 12 months ago to Tuesday of the month. For those support his position and to better understand the Locality and its interactions with Dorset that cant get out they are live CCG. streaming on Facebook pictures As the new Clinical Director for the Purbeck Network of Practices (Bere Regis, , and sounds of wild landscapes Sandford, , Wareham and Wool) my role is to coordinate a number of shared from RSPB Arne Nature Reserve services and new staff across the 6 practices. I see my position as very much that of a team on. There is also the RSPB leader and hope to bring together staff with a wide range of skills from within and outside birdsong radio app. They are the network to help develop services for all of our patients. looking at shuttle buses to help Having visited all of the practices and spoken with a number of staff in the past few weeks I those that rely on public am getting a feel for the challenges that each practice is facing and where the Network can transport to get to Arne. think of new ways of working together to the benefit of all. My key aims are to ensure patients are seen in a timely fashion by the most appropriate Dates of Interest person, which may not always be a GP. I hope to develop shared working in both clinical 03/9/19 3:30-6:30pm Core PLT. and administration across the network to free up GP time to focus on providing the best 1/10/19 3:30-6:30 pm possible care for our patients. Transformational PLT. The Purbeck practices have a long tradition of working well together and I hope to build on 6/11/19 3:30-6:30 pm Core PLT. these strong relationships to get the best out of the Network. I will also be representing the 20/11/19 Membership Meeting practices in wider discussion with other Networks and the CCG around the provision of followed by locality meeting health care services across Dorset. Lindsay Leg Club Saturdays in Wareham The Leg Club working group are making great progress. We have There is a GP clinic each Saturday morning in Wareham hospital that provides a dual secured a location for the first club purpose - GP appointments for any patient registered at a Purbeck practice and a clinical at the Parish room on Wareham assessment service (CAS). Unfortunately because of the difficulties with staffing the sessions Quay. Equipment is being ordered at Wareham haven’t been consistent and when available not always used by the 111/Clinical and volunteer support is being Assessment Service. The number of sessions on a Saturday morning covered by GP were recruited. We have been able to April – 3/4, May - 2/4, June – 1/5,July – 2/3 as at 20 July 2019 secure some funding from Assura to This new service has also been using Adastra and S1 since the launch on 1st April which has support initial hire costs and the th social elements. The first meeting been a challenge . The whole Service will be on S1 by 5 August and all treatment centres nd will be on view for all triage clinicians which should improve utilisation. will be on Monday 2 September The CAS slot utilisation has improved over the last couple of months because 111/UTC staff Health Talks are now aware that the Service exists on a Saturday in Wareham so actively look for it in the 15/08/19 The Prevention and system. We are actively looking for GP’s to take up the session on a regular basis. Treatment of Heart Disease by Dr. Dementia Review Andrew Jordan. 31/10/19 Menopause Related The Dementia services review is now out for public consultation. This review aims to Problems by Dr. Tim Hilliard improve speed of diagnosis, improved support for patients and carers and equity of access across the county. Purbeck is lucky to have the services of an Admiral Nurse, initially funded 5/12/19 Looking After your Liver by through a Dementia UK pilot, but now jointly funded by Purbeck and Swanage Dementia Professor Howard Thomas Friendly Communities and Dorset Healthcare. If you have found this service useful to your Held at Corfe Village Club, 70 East patients please leave feed back via the consultation at www.dorsetsvision.nhs.uk/dementia/ Street, BH205EQ, at 7pm. by 11th August. The speakers are experts in their field and every one is welcome. Improvements for this year Point of Care Testing We have been able to fund some Planned improvements for this year that the network will focus on: Point of Care (POC) testing devices Diabetes Prevention-we aim to have a clear understanding of the numbers of pre-diabetic to support the reduction of people in our population, will be increasing active screening for prediabetes and increasing prescribing broad spectrum anti- referrals to Diabetes Prevention Programme (DPP). We will work with DPP to increase biotics for potential respiratory provision in Purbeck as distance to travel has been a limiting factor for our patient’s infection and the DVT pathway in engagement. We aim to increase active signposting of referred patients to physical activities Swanage . We are also working with within Purbeck and will be working with our wider network and partners (such as RSPB, Poole Hospital to provide diagnostic National Trust) to provide focused opportunities for this cohort sonography appointments for DVT in Swanage Hospital. COPD-The network mostly performs well in terms of COPD reviews, however there is some unwarranted variation. COPD was the highest cause of non-elective admissions for chronic Social Prescribing conditions in the Purbeck area. We will focus on the second level patients (identified by the We have some funding to create a practices, cross checked with community teams) and will work together to ensure they have website to provide a directory of relevant vaccinations (Flu and Pneumococcal), are actively encouraged to stop smoking by Services for Social Prescribing in referring them to Smoke stop, conduct a review of inhalers (a resource releasing Purbeck and are in the initial stages opportunity) and encourage them to attend Pulmonary rehab courses. These are evidence of configuration watch this space. based interventions to prevent a large cohort of patients moving from chronic to acute condition. Community Transport Information can be found at Access– We aim to improve access to primary care services by providing lunch time clinics/ www.dorsetcouncil.gov.uk/travel/ surgeries 11am-3pm, these will rotate around the network and be open to all patients within public-transport/community- the network. In the future the resource will also support the eConsult triage process for the transport/community- network. transport.aspx

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