Thames Valley and Surrey Care Records Partnership May 2020 TVS Care Records Partnership Update

Total Page:16

File Type:pdf, Size:1020Kb

Thames Valley and Surrey Care Records Partnership May 2020 TVS Care Records Partnership Update Thames Valley and Surrey Care Records Partnership www.thamesvalleysurreycarerecords.net May 2020 TVS Care Records partnership update 1 URGENCY 2 WIDER ACCESS 3 ACCELERATION By the end of June During the COVID 19 pandemic Surrey, clinicians across up‐to‐date patient information Oxfordshire and Berkshire West, becomes even more important Milton Keynes Frimley and across Thames Valley and speeding up work Buckinghamshire Surrey. to get will have access information into to patient the platform as information across soon as possible. those areas. 4 AMBULANCES 5 FURTHER ACCELERATION 6 ACROSS BOUNDARIES We are looking where the Ambulance service SCAS and We are aiming to programme can be accelerated to subsequently SECAMB will share patient data help patients (for example, those access the care record. across ICS boundaries with cancer) ASAP. We will only accelerate if we can do it safely. 5/27/2020 4 TVS Care Records partnership update Given the COVID 19 pandemic the programme will require: • A more flexible approach, as staff may be deployed to support COVID‐19 related activities. • Each local area across Thames Valley & Surrey to take greater ownership of their TVS Care Records activity and our collective opportunities. LEADERSHIP We are delighted that Jane Hogg will be joining the programme as the new SRO for the TVS Partnership. Jane is currently the Integration and Transformation Director for Frimley Integrated Care System (ICS) and will be leading the work of the partnership alongside her Frimley ICS role. 5/27/2020 5 Who?: the Thames Valley and Surrey (TVS) Care Records Partnership The TVS area covers 3.8m residents and: • 13 NHS trusts • 334 GP practices and multiple Primary Care Networks • 15 councils BERKSHIRE WEST ICP 5/27/2020 6 Partnership: Organisations in TVS 10 ACUTE 15 LOCAL AUTHORITIES TRUSTS Reading Borough Rushmoor Borough West Berkshire Council Royal Berkshire 3 C/MH Council Council NHS FT TRUSTS Buckinghamshire Wokingham Borough Hart District Council County Council Council Buckinghamshire Surrey and Borders Healthcare NHS Trust Partnership NHSFT Slough Borough Bracknell Forest Waverley Borough Council Council Council Frimley Health Berkshire Healthcare NHS FT NHSFT RB Windsor and Hampshire County BERKSHIRE WEST ICP Maidenhead Council Council Milton Keynes University Hospital Oxford Health Guildford Borough Oxfordshire County NHS FT NHS FT Council Council Surrey Heath Borough Oxford University Surrey County Council 2 AMBULANCE TVS CARE RECORDS Council Hospitals NHS FT SERVICES Ashford and St Peter’s SOUTH CENTRAL 334 GP 9 OOH 3,800,000 Hospitals NHS FT AMBULANCE SERVICE 7 CCGs PRACTICES SERVICES CITIZENS Epsom and St Helier University Hospitals S.E.COAST GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP NHST AMBULANCE SERVICE GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP Royal Surrey County 2 CHILDRENS GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP Hospital NHS FT SERVICES GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP Surrey and Sussex GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP Healthcare NHST SCW CSU CHIS GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP Frimley Health NHS FT Surrey CHIS (CSH) (Wexham) GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP GP 5/27/2020 7 Why?: around 20% of acute care for patients in the TVS area is provided outside their home area This example shows the number of patients that received care outside of their ‘home area’ in 2018. This care does not currently benefit from shared health and care records, so health and care professionals do not have a complete picture of the patients’ needs’. 20% of all patients 21% of all patients 18 % of all patients visiting an A&E having out‐patient care having in‐patient care 140,333 people 336,317 people 125,413 people 1,814,981 people 18 % of all episodes of acute care 5/27/2020 8 Aim: sharing patient information to support health & care across TVS 1 SHARING 2 BETTER DECISIONS To enable sharing of patient information ‐ such By sharing this information safely, quickly and as diagnosis, hospital admissions and treatments securely using the TVS Care Records, health and with health and care staff involved in the care of care workers will be able to access the most patients wherever they are seen in current details about a patient to make the best Buckinghamshire, Berkshire West, Frimley, choices about their care. Milton Keynes, Oxfordshire and Surrey. 5/27/2020 9 Local Care Records: What’s happening in my area? Buckinghamshire • Patient data from Buckinghamshire is already in the TVS Care Records. • Sharing of patient data in the TVS Care Records for clinical use is planned by the end of June. • Patient data will then be available for supporting the health and care of patients. BERKSHIRE WEST ICP * 5/27/2020 11 Berkshire West & Frimley • Patient data from Berkshire West and Frimley is already in the TVS Care Records. • Sharing of patient data in the TVS Care Records for clinical use is planned for the end of June. • Patient data will then be available for supporting the actual health and care of patients across Buckinghamshire, Berkshire West and Frimley. BERKSHIRE WEST ICP 5/27/2020 12 Surrey • In June the Surrey Care Record will go live for clinical use. • Proposals will be developed for patient data from Surrey to connect into TVS Care Records. • Intent is to enable patient data to be available for supporting the health and care of patients across Surrey, Buckinghamshire, Berkshire West and Frimley. BERKSHIRE WEST ICP 5/27/2020 13 Milton Keynes BERKSHIRE WEST ICP • Plans are being made for local care records in Milton Keynes to connect with the TVS Care Records. 5/27/2020 14 Oxfordshire • The local care records in Oxfordshire ‐ Health Information Exchange (HIE) ‐ went live on 8 April 2020. • Plans are being made for patient data in Oxfordshire to connect with the TVS Care Records. BERKSHIRE WEST ICP 5/27/2020 15 Planned Population Coverage Percentage of TVS population covered by the platform as areas go live with data use Buckinghamshire Surrey Milton Keynes Oxfordshire Berkshire West & Frimley May June July TBA TBA 5/27/2020 16 Ambulance services across the TVS partnership • During the COVID‐19 emergency it is critical for ambulance staff to be able to access the care records of patients in their care South Central Ambulance • Service (SCAS) Plans are being made for SCAS and subsequently SECAMB to be able to access the TVS care record • We are working with ambulance services to enable paramedics and call staff to have access to the information South East Coast Ambulance Service (SECAMB) 5/27/2020 17 Case study scenario: Emily Parsons THE PATIENT THE HISTORY Emily Parsons is an 86‐year‐old lady living in Padbury, Buckinghamshire Emily has a familial history of hypertension (high blood pressure) and is taking amlodipine. She has paroxysmal Atrial Fibrillation and suffered a Transient Ischaemic Attack 5 years ago. She is taking a low dose of apixaban. ALLERGIES THE EPISODE Emily is allergic to aspirin. Emily is an independent lady but recently had a fall and was admitted to A&E at MKUH. She is now receiving physiotherapy from Buckinghamshire Healthcare Trust (BHT). 5/27/2020 18 What happened in A&E : clinician’s perspective 1 On arrival at A&E Mrs Parsons is able to tell the team about the trip that caused the fall 2 and that she is on “two yellow tablets” but Mrs Parsons has low blood she is “not sure what they are”. She takes pressure, has extensive them because her “GP thinks it is best after bruising and is in she had a funny turn”. considerable pain on movement but X rays do not show any fracture. 3 4 The A&E team are able to consult Mrs Parsons Careful judgement has to be made about her medication. Both Shared Care Record and find out about her her drugs are temporarily stopped, and she is given a short iv previous TIA and her current medication. On saline infusion and encouraged to drink. She is given paracetamol, further thought she does seem to be rather dry avoiding non‐steroidal anti‐inflammatories, and stays overnight and blood tests are taken which do show a degree but is rapidly mobilised with the help of in‐patient physiotherapy of renal failure.
Recommended publications
  • BERKSHIRE PROSPECTUS AMBITION, COLLABORATION and GROWTH Thames Valley Berkshire LEP Berkshire Prospectus Local Authorities As Well As Other Key Stakeholders
    BERKSHIRE PROSPECTUS AMBITION, COLLABORATION AND GROWTH 02 THE BERKSHIRE Berkshire Prospectus Berkshire PROSPECTUS THE OPPORTUNITIES IN THIS PROSPECTUS It is no coincidence that this prospectus for Berkshire has been released in tandem with the Thames Valley Berkshire Local Enterprise Partnership (LEP) Recovery and REPRESENT A CHANCE Renewal Plan. The two documents sit alongside each other, evidencing the formidable collaborative nature of how TO RESET POST COVID the LEP is working in partnership with the six Berkshire Local Authorities as well as other key stakeholders. AND MAKE BERKSHIRE This prospectus clearly identifies several key schemes and projects which, when delivered, will greatly enhance Berkshire’s appeal as a place to live and EVEN BETTER work in the years ahead. The projects highlighted in this prospectus represent unique opportunities for new investment that will appeal to a wide range of partners, locally, regionally and nationally. The LEP and Local Authorities will work alongside private and public sector colleagues to facilitate the development and successful delivery of these great opportunities. COLLABORATIVE WORKING We should highlight the constructive partnership between the Local Authorities and the LEP, who together have forged a great working relationship with One Public Estate (OPE). Established in 2013, OPE now works nationally with more than 300 councils.These projects are transforming local communities and public services right across the country. They provide technical support and funding to councils to deliver ambitious property and place-focused programmes in collaboration with central government and other public sector partners. Thames Valley Berkshire LEP Berkshire Thames Valley 03 As highlighted in the Recovery and Renewal Plan, Thames Valley Berkshire is more than the sum of its parts.
    [Show full text]
  • VISION Barnstable Berkshire Bristol Dukes Essex Franklin
    Massachusetts Division of Insurance Annual Report Membership in VISION Insured Preferred Provider Plans by County as of December 31, 2006 VISION Barnstable Berkshire Bristol Dukes Essex Franklin Hampden Hampshire Middlesex Nantucket Norfolk Plymouth Suffolk Worcester MA 1 Insured Preferred Provider Plan Members Members at Members at Members at Members at Members at Members at Members at Members at Members at Members at Members at Members at Members at Members at Total 2006 By County End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 End of 2006 Members 2 1 AIG Life Insurance Company 000000000000000 2 (The) Chesapeake Life Insurance Company 000000000010001 3 Columbian Life Insurance Company 0 0 0 13 106 0 0 0 216 0 90 16 41 76 558 4 Combined Insurance Company of America 48 20 422 0 1,288 351 290 246 2,964 0 1,498 422 800 1,417 9,766 5 Connecticut General Life Insurance Company 000000000000000 6 Fidelity Security Insurance Company 169 16 907 6 725 405 665 2,234 2,093 0 2,791 1,503 1,332 1,793 14,639 7 (The) Guardian Life Insurance Company of America 117 0 0 0 160 11 0 9 2,221 0 1,026 0 639 353 4,536 8 Massachusetts Vision Service Plan, Inc. 0 2,860 2,240 83 11,308 0 1,109 279 101,555 0 16,472 3,428 45,968 1,931 187,233 9 (The) MEGA Life and Health Insurance Company 298 96 385 30 563 71 223 107 992 45 472 354 329 371 4,336 10 Mid-West Life Insurance Company of Tennessee 618 47 290 27 656 44 131 71 968 30 408 426 188 470 4,374 11 National Union Fire Insurance Co.
    [Show full text]
  • Chanukah Cooking with Chef Michael Solomonov of the World
    Non-Profit Org. U.S. POSTAGE PAID Pittsfield, MA Berkshire Permit No. 19 JEWISHA publication of the Jewish Federation of the Berkshires, serving V the Berkshires and surrounding ICE NY, CT and VT Vol. 28, No. 9 Kislev/Tevet 5781 November 23 to December 31, 2020 jewishberkshires.org Chanukah Cooking with Chef The Gifts of Chanukah Michael Solomonov of the May being more in each other’s presence be among World-Famous Restaurant Zahav our holiday presents On Wednesday, December 2 at 8 p.m., join Michael Solomonov, execu- tive chef and co-owner of Zahav – 2019 James Beard Foundation award winner for Outstanding Restaurant – to learn to make Apple Shrub, Abe Fisher’s Potato Latkes, Roman Artichokes with Arugula and Olive Oil, Poached Salmon, and Sfenj with Cinnamon and Sugar. Register for this live virtual event at www.tinyurl.com/FedCooks. The event link, password, recipes, and ingredient list will be sent before the event. Chef Michael Solomonov was born in G’nai Yehuda, Israel, and raised in Pittsburgh. At the age of 18, he returned to Israel with no Hebrew language skills, taking the only job he could get – working in a bakery – and his culinary career was born. Chef Solomonov is a beloved cham- pion of Israel’s extraordinarily diverse and vibrant culinary landscape. Chef Michael Solomonov Along with Zahav in Philadelphia, Solomonov’s village of restaurants include Federal Donuts, Dizengoff, Abe Inside Fisher, and Goldie. In July of 2019, Solomonov brought BJV Voluntary Subscriptions at an another significant slice of Israeli food All-Time High! .............................................2 culture to Philadelphia with K’Far, an Distanced Holidays? Been There, Israeli bakery and café.
    [Show full text]
  • Berkshire Passenger Rail Station Location and Design Analysis, Draft for Public Comment—August 2014
    BERKSHIRE PASSENGER RAIL STATION LOCATION AND DESIGN ANALYSIS, DRAFT FOR PUBLIC COMMENT—AUGUST 2014 BERKSHIRE PASSENGER RAIL STATION LOCATION AND DESIGN ANALYSIS, DRAFT FOR PUBLIC COMMENT—AUGUST 2014 ACKNOWLEDGEMENTS Staff, Elected Officials, and Residents of the Berkshire Line Communities Karen Christensen and the Bring Back the Trains Campaign Bill Palmer, MassDOT Dustin Rhue, MassDOT Gary Sheppard, Berkshire Regional Transit Authority Bob Malnati, Berkshire Regional Transit Authority John R. Hanlon Jr., Housatonic Railroad Company Colin Pease, Housatonic Railroad Company Deborah Menette,Housatonic Railroad Company Berkshire Regional Planning Commission Nathaniel Karns, AICP, Executive Director Thomas Matuszko, AICP, Assistant Director Clete Kus, AICP, Transportation Manager Mark Maloy, GIS, Data and IT Manager Brian Domina, Senior Planner Patricia Mullins, Senior Planner Gwen Miller, Planner Jaclyn Pacejo, Planner BERKSHIRE PASSENGER RAIL STATION LOCATION AND DESIGN ANALYSIS Page 1 ACKNOWLEDGEMENTS This page intentionally left blank. BERKSHIRE PASSENGER RAIL STATION LOCATION AND DESIGN ANALYSIS Page 2 EXECUTIVE SUMMARY Executive Summary rail service. In some instances, the nearly significant challenge in locating a passen- Map 1: Locus Map The Housatonic Railroad Company (HRRC) century old historic passenger rail stations ger rail station in a downtown area was has proposed re-establishing passenger rail may meet these needs and in other instances, finding sites with sufficient room for park- service between Danbury, Connecticut and new locations may better serve them. ing. Thus, for the recommended down- Pittsfield, Massachusetts on the former town passenger rail stations a smaller To address this issue, the Berkshire Regional Berkshire Line. The passenger rail service amount of parking, compared to a regional Planning Commission (BRPC) partnered between these two locations last operated passenger rail station, will likely be availa- with HRRC to conduct this passenger rail in 1971 shortly after the Penn Central ble.
    [Show full text]
  • RIVER KENNET Status: Site of Special Scientific Interest (SSSI)
    COUNTY: BERKSHIRE/WILTSHIRE SITE NAME: RIVER KENNET Status: Site of Special Scientific Interest (SSSI) notified under Section 28 of the Wildlife and Countryside Act 1981 Local Planning Authorities: Berkshire County Council, Wiltshire County Council, Newbury District Council, Kennet District COuncil National Grid Reference: SU203692 to SU572667 Ordnance Survey Sheet 1:50,000: 174 1:10,000: SU26 NW, SU27 SW, SU27 SE, SU37 SW, SU36 NW, SU36 NE, SU47 NW, SU46 NE, SU56 NW, SU56 NE Date Notified (Under 1981 Act): 1 November 1995 Date of Last Revision: Area: 112.72 ha Other information: The River Lambourn, which is a tributary of the River Kennet, is also an SSSI. There are two existing SSSIs along the River Kennet: Freemans Marsh and Chilton Foliat Meadows. The site boundary is the bank top or, where this is indistinct, the first break of slope. Description and Reasons for Notification The River Kennet has a catchment dominated by chalk with the majority of the river bed being lined by gravels. The Kennet below Newbury traverses Tertiary sands and gravels, London Clay and silt, thus showing a downstream transition from the chalk to a lowland clay river. As well as having a long history of being managed as a chalk stream predominantly for trout, the Kennet has been further modified by the construction of the Kennet and Avon Canal. In some places the canal joins with the river to form a single channel. There are also many carriers and channels formerly associated with water meadow systems. The river flows through substantial undisturbed areas of marshy grassland, wet woodland and reed beds.
    [Show full text]
  • Town & County Coverage Sheet
    Town & County Coverage Sheet Massachusetts Counties Brian Forsythe, CWIC | Office Phone: (508) 856-2513 | Email: [email protected] Middlesex County: Acton; Ashby; Ayer; Bedford; Billerica; Boxborough; Burlington; Carlisle; Chelmsford; Concord; Dracut; Dunstable; Groton; Littleton; Lowell; Pepperell; Shirley; Tewksbury; Townsend; Tyngsborough; Westford; Wilmington Worcester County: Ashburnham; Athol; Barre; Berlin; Bolton; Clinton; Fitchburg; Gardner; Hardwick; Harvard; Hubbardston; Lancaster; Leominster; Lunenburg; New Braintree; Oakham; Petersham; Phillipston; Princeton; Royalston; Rutland; Sterling; Templeton; Westminster; Winchendon New York Counties: Albany, Columbia, Greene, Rensselaer, Schenectady, Schoharie, Washington Marjorie Longo, CWIC | Office Phone: (508) 856-8585 | Email: [email protected] Middlesex County: Arlington; Ashland; Belmont; Cambridge; Everett; Framingham; Holliston; Hopkinton; Hudson; Lexington; Lincoln; Malden; Marlborough; Maynard; Medford; Melrose; Natick; Newton; North Reading; Reading; Sherborn; Somerville; Stoneham; Stow; Sudbury; Wakefield; Waltham; Watertown; Wayland; Weston; Winchester; Woburn Worcester County: Auburn; Blackstone; Boylston; Brookfield; Charlton; Douglas; Dudley; East Brookfield; Grafton; Holden; Hopedale; Leicester; Mendon; Milford; Millbury; Millville; North Brookfield; Northborough; Northbridge; Oxford; Paxton; Shrewsbury; Spencer; Southborough; Southbridge; Sturbridge; Sutton; Upton; Uxbridge; Wales; Warren; Webster; West Boylston; West Brookfield; Westborough;
    [Show full text]
  • Name County State Popula on Es Mate 2019 Bourne Town Barnstable
    Name County State Popula/on es/mate 2019 Bourne town Barnstable County Massachuse3s 19762 Brewster town Barnstable County Massachuse3s 9775 Chatham town Barnstable County Massachuse3s 5982 Dennis town Barnstable County Massachuse3s 13871 Eastham town Barnstable County Massachuse3s 4906 Falmouth town Barnstable County Massachuse3s 30993 Harwich town Barnstable County Massachuse3s 12142 Mashpee town Barnstable County Massachuse3s 14229 Orleans town Barnstable County Massachuse3s 5788 Provincetown town Barnstable County Massachuse3s 2961 Sandwich town Barnstable County Massachuse3s 20169 Truro town Barnstable County Massachuse3s 2008 Wellfleet town Barnstable County Massachuse3s 2724 Adams town Berkshire County Massachuse3s 8010 Alford town Berkshire County Massachuse3s 488 Becket town Berkshire County Massachuse3s 1716 Cheshire town Berkshire County Massachuse3s 3129 Clarksburg town Berkshire County Massachuse3s 1638 Dalton town Berkshire County Massachuse3s 6525 Egremont town Berkshire County Massachuse3s 1205 Florida town Berkshire County Massachuse3s 715 Great Barrington town Berkshire County Massachuse3s 6945 Hancock town Berkshire County Massachuse3s 696 Hinsdale town Berkshire County Massachuse3s 1911 Lanesborough town Berkshire County Massachuse3s 2940 Lee town Berkshire County Massachuse3s 5664 Lenox town Berkshire County Massachuse3s 4944 Monterey town Berkshire County Massachuse3s 924 Mount Washington town Berkshire County Massachuse3s 157 New Ashford town Berkshire County Massachuse3s 223 New Marlborough town Berkshire County Massachuse3s
    [Show full text]
  • West Berkshire
    West Berkshire Census 2001 and Access to Services Focus on Rural Areas West Berkshire is in the South East Government Office Region 1 Map of the Government Office Region showing Authority boundaries and shaded by Output Area according to the urban / rural definition. - 2 - Population In West Berkshire 42.8% of people live in rural areas, compared with 22.4% in the Government Office Region. Within the rural areas all people live in less sparse areas West Berkshire South East Male Female Total Male Female Total Urban 40,992 41,598 82,590 3,025,510 3,180,658 6,206,168 Rural 30,711 31,182 61,893 879,645 914,832 1,794,477 Less Sparse 30,711 31,182 61,893 878,911 914,059 1,792,970 Town 11,629 12,022 23,651 373,428 398,650 772,078 Village 12,858 12,914 25,772 338,028 346,602 684,630 Dispersed 6,224 6,246 12,470 167,455 168,807 336,262 Sparse - - - 734 773 1,507 Town - - - 137 146 283 Village - - - 597 627 1,224 Dispersed - - - - - - Total 71,703 72,780 144,483 3,905,155 4,095,490 8,000,645 Percentage rural 42.8 42.8 42.8 22.5 22.3 22.4 Source table from the Census: UV03 Gender Proportion of the population of the Authority living in rural towns, villages and dispersed areas compared with the Government Office Region and England. West Berkshire South East England Dispersed Village Rural type Town 0 1020304050 Percentage Source table from the Census: UV03 Gender 3 Age In West Berkshire 5.1% of the population live in rural areas and are under 10 years old.
    [Show full text]
  • Berkshire | Buckinghamshire | Hampshire | Isle of Wight | London | Oxfordshire
    News and events for autumn/winter 2019 Berkshire | Buckinghamshire | Hampshire | Isle of Wight | London | Oxfordshire Christmas at Chastleton OXFORDSHIRE Sat 23 – Sun 24, Sat 30 Nov, Sun 1 & Sat 7 – Sun 8 Dec 11am-3pm The Buscot and Coleshill Come and see the house magically Estates transformed for a Victorian Christmas. Near Faringdon. SN6 7PT Tel: 01793 762209 Greys Court Near Henley-on-Thames. RG9 4PG Coleshill Underground WWII event Tel: 01491 628529 Sun 22 Sep 10am-4pm Discover Coleshill’s hidden Second World War Heritage Open Days: Harvest at Greys Court history. Talks, trails, re-enactors, access to Wed 18 & Thu 19 Sep our replica bunker at the home of Churchill’s Ten-minute talks by expert gardeners, fruit British Resistance. tasting and more, with free entry for all for Adults £5 Child £2.50 Heritage Open Days. B 0344 249 1895 or online October half-term: Loads of leaves Coleshill open afternoons Sat 26 Oct - Sun 3 Nov Sun 13 Oct 2-5pm Pick up a trail leaflet and wander the estate in See our restored water mill to find out how search of clues celebrating the autumn colour. flour is produced and explore a Second World £2 War replica bunker. Christmas at Basildon Park Christmas: Gift of giving Introduction to coppicing workshop Sat 23 Nov – Mon 6 Jan Sat 26 Oct & Sat 16 Nov 9am-4pm Celebrate the anniversary of the gift of Greys Court to the nation. It’s set to be really festive. Victorian Decadence: Practical day with our expert ranger in our BERKSHIRE Christmas at Basildon Park woods to learn about the history of coppicing, tool selection and safe use, cutting stools and Christmas dinners in the cowshed Sat 23 Nov – Mon Jan 7 Weekdays in Dec 12noon & 1.30pm Basildon Park Witness Basildon Park dripping in opulent basic processing of wood for products and wildlife benefits.
    [Show full text]
  • Improving Health and Care in Buckinghamshire, Oxfordshire and Berkshire West
    Improving health and care in Buckinghamshire, Oxfordshire and Berkshire West Who we are, how we work together and our developing priorities and plans for the next five years Contents 0 Introduction 1 Introduction Our vision About us Welcome to the first of a number of public updates about the development of a five year strategy for the Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (BOB ICS). Our aim in this update is to provide you with information on: Page 1 Page 5 Page 6 How we work together as a Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (BOB ICS) Positives Challenges How we work together Our vision and aims Our thoughts about priorities Page 8 Page 9 Page 11 Our work to develop a five year plan by the end of November 2019 How services are Healthy places to live, Our priorities planned for and great places to work - delivered our people strategy The BOB ICS five year, one system plan will set out how all ICS partners will work together locally and together at scale to meet the current and future health and care needs of the communities we serve. It will describe how the BOB ICS will deliver the requirements of NHS Long Term Plan (www.longtermplan.nhs.uk) and address BOB ICS’s specific priorities. We are fully committed to being open and transparent about how the plan is developing over the Page 13 Page 14 Page 15 coming months - this document is the first step in that process. It will be followed by the publication of our draft “technical” submission to NHS England / NHS Improvement in early October and a final version of this technical document, once reviewed and signed off later in the year.
    [Show full text]
  • Website List Dec 11
    Change 4 Life Volleyball Clubs - December 2011 School County School Address Postcode Challney Boys Bedfordshire County Area Stoneygate Road, Luton LU4 9TJ King Houghton Middle School Bedfordshire County Area Parkside Drive, Dunstable LU5 5PX Lincroft Middle School Bedfordshire County Area Station Road, Oakley, Bedford MK43 7RE Luton Sixth Form College Bedfordshire County Area Bradgers Hill Road, Luton, Beds LU2 7EW Cedars Upper School Bedfordshire County Area Mentmore Road, Leighton Buzzard LU7 2AE Vandyke Upper School Bedfordshire County Area Vandyke Road, Leighton Buzzard, Beds LU7 3DY Bracknell and Wokingham College Berkshire County Area Chruch Road, Bracknell, Berkshire RG12 1DJ Edgbarrow School Berkshire County Area Grant Road, Crowthorne, Surrey RG45 7HZ Newlands Girls School Berkshire County Area Farm Road, Maidenhead, Berkshire SL6 5JB Reading College Berkshire County Area Kings Road, Reading, Berkshire RG1 4HJ Kennet School Berkshire County Area Stoney Lane, Thatcham, Berks RG19 4LL St Josephs School Berkshire County Area Newport Road, Newbury, Berkshire RG14 2AW Hodge Hill SEC Birmingham County Area Hodge Hill Court, Bromford Road, Birmingham B36 8HB Turves Green Boys Birmingham County Area Northfield, Birmingham, West Midlands B31 4BS bordesley green girls school Birmingham County Area Bordesley Green Road, Birmingham B9 4TR Holte Birmingham County Area Wheeler Street, Lozells, Birmingham, West Midlands B19 2EP Kingsbury School & Sports College Birmingham County Area Kingsbury Road, Birmingham B24 8RE Birmingham Metropolitan
    [Show full text]
  • The Spread of the Threshing Machine in Central Southern England I I by N
    l!r i!il !i: ?' i. The Spread of the Threshing Machine in Central Southern England i i By N. E. FOX 7 'NTIL recently there has been a consider- "a considerable number" having been erected able measure of agreement as to the in the cotmty "within the last two or three i/ U progress of the threshing machine years" prior to I8o9 suggests that the total during, and in the decade or so following, the number was well in excess of thirty.4 As early Napoleonic Wars. The consensus was that the as the spring ofISo8 a certain "William Baker, threshing madiine spread rapidly, if unevenly, near the Corn Market, Newbury" was adver- during the war period, and dlat in some areas at tising "Threshing and Winnowing Machines" least the expansion continued right up to the in the Reading Meralr), (30 May I8o8), and by Swing Riots of ~83o. I8I 4 it was possible for a Reading diarist to In arecent article, ~however, Dr MacDonald declare that "the Threshing Machine has now argued dlat the "massive suspicion" with which almost superseded the use of the flail. ''5 the threshing machine was approached had led W. Stevenson also referred to "a consider- to its "virtual rejection--by most ofEngl~ld. ''2 able number of threshing machines" having That this applied to central southern England is been erected in Dorset, "nearly all of them in shown by a map accompanying file article the present century". He gave details, or at where, olx file basis of the Board of Agricul- least the names of the owners, of as many as ttu'e's Reports, it is asserted that in or around twenty-eight machines and referred in passing i8o8 there were only "several" machines in to "sel,eral" others2 C.
    [Show full text]