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LVSC health update April 2016

Health E bulletin update April 2016

April 2016

Dear colleague,

Thanks to everyone who came to our successful New Models of Care event which took place on 23rd March. We will be liasing with you regarding an influencing event in the Autumn. I will also continue with our social prescribing work and look forward to work with the Healthy London Partnership to take this forward.

Our London vanguard briefing (see below) has been updated again, so do take a look!

Please don't hesitate to get in touch (Mon-Wed only) if you would like to discuss any of the items in this bulletin or you would like to include information in a future newsletter.

Warm regards

Sandra

Sandra van der Feen

Policy Officer, LVSC

sandra@lvsc.org.uk

Mondays - Wednesdays only

 

LVSC /Regional Voices update

New Models of Care: Working Together for a Healthy London - post event update

On the 23rd March LVSC (though its membership of Regional Voices) and London for All held an all day conference to consider some of the challenges and opportunities for VCSE and statutory bodies to work together to design and deliver services to improve the health of Londoners.

A report will be published in the near future but in the meantime you can find the presentations on the London for All website.

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London vanguard guide

LVSC has updated the guide which now also includes a great interactive resource by the BMA which is searchable by regions. It gives an overview of what's happening in each region along with a list and links to all the national programmes including: new care models 'vanguard' sites; the success regime; devolution of health and social care, integrated pioneers and others. For more information contact Sandra van der Feen: sandra@lvsc.org.uk (Mon-Wed).

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Social Prescribing in London

Earlier this year, LVSC  published a social prescribing map for London. This is currently being updated and will include an additional 7 prescribers. The map will be updated regularly thereafter. We are also working with two Healthy London Partnership teams (Proactive Care and Personalisation & Engagement) to take forward this piece of work with a view to rolling out social prescribing across London. For more information contact Sandra van der Feen: sandra@lvsc.org.uk (Mon-Wed).

See also National News Social Prescribing section below.

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London news

London Together - a manifesto to transform services for the most excluded in the capital

A new report calls on mayoral candidates to end the 'revolving door' of crisis and crime in the Capital.

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Transforming Primary Care: Proactive Care event

LVSC attended this event which took place on 13th April and was hosted by Healthy London Partnership (HLP). HLP is a collaboration between all London CCGs and NHS England London region to support the delivery of better health in London. All of the presentations and resources can be found on their Transforming Primary Care app, or can be accessed on their website.

The Transforming Primary Care team are keen to hear about further good practice case studies or models of delivering proactive care which we will collate and share more widely.

Feedback Form

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Integrated care:

The Waltham Forest Approach to "scaling up" integrated care

Waltham Forest is part of the East London care collaborative pioneer. Their vision is underpinned by the National Voices "I" statement: I can plan my care with people who work together to understand me and my carer(s), allow me control, and bring together services to achieve the outcomes important to me.
Together with Local Authority and third sector colleagues, they are taking a systems approach to providing care for adults who may be at risk of unnecessary hospital admission.

More information can be found on the pioneer relay website

See also LVSC's London Integrated pioneer sites briefing paper

Greenwich Coordinated Care Pioneer Site presentation at LVSC's  / London for All recent New Models of Care event.

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National news

Social prescribing:

Social Prescribing Network

Some of you may be aware that a Social Prescribing Network has been launched and a new website created.

What is social prescribing?
Social prescribing involves empowering individuals to improve their health and wellbeing and social welfare by connecting them to non-medical and community support services. It is an innovative and growing movement, with the potential to reduce the financial burden on the NHS and particularly on primary care.

What is the social prescribing network?
The Social Prescribing Network  consists of health professionals, researchers, academics, social prescribing practitioners, representatives from the community and voluntary sector, commissioners and funders, patients and citizens. They are working together to share knowledge and best practice, to support social prescribing at a local and national levels and to inform good quality research and evaluation.

Following extensive discussions from the inaugural conference, here are some of the goals the Network are working towards:

  • Expanding and consolidating the Social Prescribing Network, to drive local and national discussions on embedding social prescribing in the NHS.
  • Facilitating regional events to understand your experiences as well as how to better support members.
  • Translating the core principles of social prescribing into a framework for commissioning as well as standards to support quality of social prescribing delivered nationally.
  • Understanding the range of benefits of social prescribing, and working to develop better ways of researching and evaluating social prescribing.
  • Ensuring there is a process for ensuring patient and citizen involvement in all of their discussions

NHS England has now committed to supporting the Social Prescribing Network in moving forwards.  If you have any queries related to the Social Prescribing Network, please do not hesitate to contact Dr Nick Herbert: N.Herbert@westminster.ac.uk.

How vanguards are connecting people to non-medical sources of support

This article provides more evidence of the spread of social prescribing, this time from the vanguard areas.

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Other national news

Realising the value

The Realising the Value consortium has published a report called ' At the heart of health: Realising the value of people and communities'.

The report brings together evidence on what good person- and community-centred approaches for health and wellbeing look like and their potentially wide-reaching benefits. In particular, the programme focuses on five areas:

  • Peer support
  • Self-management education
  • Health coaching
  • Group activities to support health and wellbeing
  • Asset-based approaches in a health and wellbeing context.

The report includes a wide range of evidence and practical examples to support the work of commissioners and other decision-makers seeking to find ways to empower individuals and communities in their health and care.

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What is the role of VCSE organisations in care and support planning? National Voices

This paper considers how voluntary, community and social enterprise (VCSE) organisations can meaningfully contribute to the care and support planning process, and offers practical examples of the diverse ways in which this is already happening. It argues that the knowledge, skills, experience and resources of the VCSE sector are crucial factors in developing care and support planning at scale.

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The NHS Standard Contract

The NHS Standard Contract is mandated by NHS England for use by commissioners for all contracts for healthcare services other than primary care.

The Contract has now been updated from the 2015/16 to the 2016/17 version.
For the first time, NHS England is publishing a shorter-form version of the Contract, for use in defined circumstances. This will complement the full-length version of the Contract, which will continue to be used (and indeed will remain mandatory) in many situations. Guidance on when each form of Contract should be used is set out in section 9 of the NHS Standard Contract 2016/17 Technical Guidance.

The documents are all available from the NHS England webpage.

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Sustainability and Transformation Plans

National health bodies, including NHS England and Public Health England, have written to local health and care systems to set out the next steps on developing multi-year, place-based Sustainability and Transformation Plans (STPs). The letter explains more about the STP process; outlines support that will be available; and provides a timeline for local systems. STPs will show how local services will evolve and become sustainable over the next five years.

A key quote from the letter is:
"STPs will need to be developed with, and based on the needs of, local patients and communities and command the support of clinicians, staff and wider partners. We therefore anticipate robust plans for genuine engagement as part of the decision making process."


Sustainability and Transformation Plans Leaders confirmed

Senior figures from across health and care who will be leading work on Sustainability and Transformation Plans (STPs) within their 'footprint' area have been confirmed. The recently announced 44 STP footprints are geographic areas that will bring local health and care leaders, organisations and communities together, to develop local blueprints for improved health, care and finances over the next five years, delivering the NHS Five Year Forward View.

To read more, visit the NHS England website.

Read Regional Voices' new briefing on Sustainability and Transformation Plans

Deadlines for the footprint areas to get them produced are tight (July 2016) so please circulate this to your networks and contacts and get involved!

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New Report: Place-Based Collaboration that can transform Health and Care

The final report of the Commission on Place-Based Health has recently been launched. Chaired by Lord Victor Adebowale and co-hosted by Collaborate and NLGN, the 15-strong Commission was established to ask how the NHS, local government and local partners could start behaving like a system and collaborate more effectively to improve local health outcomes.

There is increasing momentum around the need for place-based transformation across health and social care. Sustainability and Transformation Plans (STPs) provide, as NHS England recently announced, the parameters of a map that could 'transform' health and care. But truly integrated (and sustainable) care and support must go beyond the boundaries of NHS funded services. This, argues the Commission, will require a step change in local collaboration.

The report argues that five enablers hold the key to place-based transformation, and outlines a range of practical functions that are already supporting more collaborative practice in four 'deep-dive' case study areas across England. These include:

  • An approach to tackling the evidence paradox that has paralysed attempts to invest in prevention and new models of out-of-hospital care - including a 15 year forward view for place and a new code of practice for investment cases in prevention.
  • A focus on the enablers for integrated local service delivery - such as the commitment devices and 'system translation' functions that have been vital in building collaborative delivery in Birmingham, Suffolk, Sunderland and Sutton.
  • A call to develop place-based regulation as a lever for whole-system accountability - supporting efforts to build collaborative accountability for health outcomes in a place across the purchaser-provider divide.

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Social Value Act: helping commissioners improve local health and reduce inequalities

The requirements of the Social Value Act are a really important opportunity for public bodies to think about how to achieve the very best for their communities across a range of outcomes - including health and health inequalities.

There is a growing body of guidance to help with applying the Social Value Act, but thinking through the implications of a social value perspective for health and health inequalities is trickier. To address this gap, Public Health England commissioned the Institute of Health Equity to produce a practice resource on social value for local public sector commissioners to help them increase the social value of local services in ways that can help to reduce health inequalities. As well as offering useful tips and suggestions, the resource shares some great examples of local organisations that are already ahead of the curve when it comes to social value.

Read the full blog by Kevin Fenton, PHE's National Director for Health and Wellbeing.

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CCG Improvement and Assessment Framework 2016/17 Published

NHS England has published a new CCG Improvement and Assessment Framework for 2016/17 to align with the government's mandate and planning guidance. This replaces the existing assurance framework and CCG dashboard, and aims to reach beyond CCGs, enabling local health systems and communities to assess their own progress. It will also require NHS England to work differently, both internally and with CCGs, to provide support to unlock improvement.

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NHS England Business Plan 2016/17 Published

NHS England has published the Business Plan for 2016/17, which reflects the main themes of the government's mandate and embodies the agenda of the Five Year Forward View. As with the previous plan, there remains strong continuity in the 10 business plan priorities for the year ahead. The priorities are grouped under the following themes: improving health, transforming care and controlling costs.

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New Care Models mark their first year

New care model vanguards across England have marked one year since the launch of the programme. The 50 vanguards, which are spread across different parts of the country, are redesigning and transforming care for patients, communities and staff. Vanguards are part of the national new care models programme which is playing a key role in the delivery of the Five Year Forward View - the vision for the future of the NHS. Samantha Jones, Director of the New Care Models Programme, r eflects on the progress they have made over the last year.

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Community Approaches to Health and Wellbeing - New Guidance

Kevin Fenton, PHE's National Director for Health and Wellbeing, reflects on NICE's new guidance on community engagement in his latest blog for Public Health Matters, and shares some recent highlights from PHE's work on community-centred approaches for health and wellbeing.

The new guidelines, which support the NHS, local authorities and other service providers to better engage local communities in decisions that affect their lives, has been informed by PHE's own guide to support local areas to develop community-centred approaches to health and wellbeing.

In the past year community-centred approaches have become more embedded in public health services and in health and social care. The new NICE guidelines will help to build on this progress, providing a clear mandate for collaboration with communities to plan, design, develop, deliver and evaluate public health, using the PHE guide as a framework for developing options in practice.

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Involving the public in primary care commissioning

Primary care services (GPs, pharmacy, dental and eye health) are, for most people, the 'front door' to the NHS and the first point of contact with the health care system. New guidance for commissioners has been developed, on how to involve patients and the public in the development of primary care services. Information, including an easy read version, is also available for patients and the public on how to get involved in primary care commissioning.

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Requests

Could you be a patient champion?

Healthy London Partnership (HLP) is collaboration between London's 32 Clinical Commissioning Groups (CCGs) and NHS England (London region) to support the delivery of better health and care in London.

HLP is seeking to recruit a Patient and Public Voice (PPV) Champion to support the development of their Digital, and Personalisation and Self-care programmes.

As a PPV Champion, you will be working alongside other programme board members from across the partnership, sharing responsibility for driving the programme forward. You will bring independent judgement and experience from a patient and citizen perspective, constructively challenge, influence and help the programmes to develop and meet patients' need.

The ideal candidate will have senior level corporate experience, a passion for health care improvements, be technically savvy and have excellent communication skills.

More information about the role and responsibilities
(A day rate of £150 will be paid.)

To apply please send your CV and covering letter detailing why you meet the criteria in the role description to ENGLAND.London-PandI@nhs.net

Closing date: 25 April 2016
For more information please contact Shaun Crowe at shaun.crowe@nhs.net

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Do you have an idea for a health and wellbeing project that would benefit from the expertise a team of healthcare professionals?

Team Up is a London-wide volunteering programme, which partners doctors and dentists in postgraduate training, healthcare students and public health professionals with community organisations to deliver sustainable health and wellbeing projects for disadvantaged communities.

The aim of Team Up is to create legacies for community organisations through sustainable projects, promote closer working between the NHS and the third sector, broaden educational experiences for healthcare professionals and, ultimately, help to improve the health and wellbeing of disadvantaged Londoners.

Projects can be anything to do with health and wellbeing, but generally involve:

  • The design of educational materials/courses/workshops
  • Teaching/training of staff or clients
  • Writing case studies of clients' experiences
  • Evaluating an existing project or work-stream
  • Preparing a needs assessment for a possible new service or funding application
  • Helping clients access better statutory services or promoting/marketing the organisation

Team Up is aimed at projects that go beyond the normal everyday business of an organisation, and can extend through this partnership the reach, depth, breadth and evaluation of work to reduce health inequalities.

To see examples of projects previously completed or currently ongoing as part of Team Up, or for further information about being involved in the programme, please see their website

Projects will be starting in autumn 2016 and will last for a period of 3-6 months.
If you have an idea for a project, please submit your idea here, or else please email teamup@southlondon.hee.nhs.uk if you have any questions.

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Universal Periodic Review - British Institute of Human Rights

The British Institute of Human Rights (BIHR) has recently launched a new project to support organisations across Great Britain in having a voice during the UK's next human rights examination by the United Nations as part of the Universal Periodic Review process. Lots of information can be found at Human Rights Check UK,

BIHR are extremely keen to involve the Human Rights Alliance as much as possible in this work given the Alliance members' expertise and connections with other civil society organisations across Great Britain.

The project itself includes:

  1. Hosting eight capacity-building and consultation events across England, Scotland and Wales during April and May open to local civil society organisations. The London event will take place on Wednesday 11 May 2016 in London
  2. Drafting a joint civil society shadow report which will be submitted to the United Nations in September 2016 and launched at the same time.
  3. Publishing a formal call for evidence to enable organisations to submit their evidence which will then feed into the joint civil society shadow report. Details of how to submit evidence can be found here
  4. Creating an online hub of information for civil society groups on the UK's UPR review available on the BIHR website.

BIHR is also please to announce that they have a small budget to help meet participation costs for those organisations that may face challenges in attending the events.

Please get involved either by attending one of the events, submitting evidence, signing up to the shadow report, or promoting the project through your existing networks.

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Information & resources

Equality Delivery System for the NHS: Guide to Engagement with the Local Voluntary & Community Sector

Race Equality Foundation, in partnership with the LGBT Foundation, Disability Rights UK, and Men's Health Forum have launched the Equality Delivery System for the NHS (EDS2): Guide to Engagement with the Local Voluntary Sector, commissioned by NHS England.

The guide was developed in collaboration with service users, voluntary and community organisations, and key stakeholders from Foundation Trusts, Healthwatch England, NHS Employers, CCG and CQC.

It explores how the local voluntary and community sector (VCS) can help NHS organisations to engage communities and, by extension, implement EDS2 better. The VCS are often well-placed to help NHS organisations. They have links and expertise with specific communities that health services may have difficulties in engaging with.

The Guide will be launched on April 29th. More information and how to register are available here.

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Events & training

Team Up Celebration event - advance notice

Tuesday 17th May

Over 100 medical trainees and non-medical healthcare students joined together this year to work on sustainable health and wellbeing projects for disadvantaged communities, with Health Education England's London-wide volunteering programme, Team Up!

The Team Up celebration event will mark the end of a year for the programme and recognise the achievements of all the Team Up partnerships in completing their projects. It is an opportunity for teams and community organisations to present the results of their work to fellow trainees/students, voluntary & community sector organisations, Health Education England staff and other interested parties attending the event.

The event will be taking place on the evening of Tuesday 17th May. Details of timings, location and how to register will be confirmed soon. You can express an interest here

To recognise the wide variety of projects, there will be awards under a series of categories:

  • Best legacy for community organisation
  • Best health impact on target population
  • Best project write-up and evaluation
  • Overall winner for best project design and outcomes
  • Certificates will be presented at the event to mark the completion of Team Up.

For further information about Team Up, visit their website.
Please do not hesitate to contact the project team if you have any questions or queries at all.
teamup@southlondon.hee.nhs.uk
Health Education England, working across London

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Improving Healthcare through Clinical Research

Find out how medical treatments are discovered, tested and evaluated, to improve healthcare for all, on this free online course.
It's delivered by the University of Leeds from June the 6th (lasting 4 weeks - 4 hours per week).

The online course is all about this process of discovery and how it is used to improve healthcare. Together, you will look in detail at why research is done and how. it will be brought to life through cases studies covering topics such as how research is helping to find new ways of treating and providing care for some of the major diseases including cancer and dementia. Through the course there will be al focus on the important ethical questions raised by clinical research and take a look into the future.

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Population-based health and care - devolution as a model for London

Date: Wednesday 18 May, 12noon-5.30pm.

With health and social care systems embracing the need for transformation at pace, this FREE event offers an opportunity to hear from senior respected leaders in health, local government and academia about new collaborative approaches to address the unprecedented challenges facing the NHS.

With a focus on devolution as a model for London, insights will be offered by both regional and national leaders on how population-based systems of care, including Accountable Care Organisations, can improve both outcomes and value.

UCLPartners will deliver this half-day learning event at City Hall with their partners NHS England, the Mayor of London and the London Health and Care Integration Collaborative.

Please register now for a chance to attend. Simply click on this link to provide your details and guarantee your place.

The sessions on the day will provide an opportunity to share ideas and challenges and to generate lively discussion about the support London's health and care providers need to transform services and sustain the local NHS.  Sessions are focused on:

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