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Health and Well-being news alert Issue 47

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Involvement - a Patient and Public Participation (PPP) programme

Central Midlands Commissioning Support Unit is implementing ‘Involvement’ as part of NHS England’s CSU Field Force programme under the Patient and Public Participation Program. ‘Involvement’ entails developing and promoting tools, resources and networks (new and existing) across the Midlands, East Midlands and East of England regions.

The purpose of setting the ‘Involvement’ Reference Group is to ensure overview and prioritisation of the ongoing development and promotion of the tools and resources part of the ‘Involvement’ programme.

The overall remit of this group is to:
• to be a critical friend for the programme supporting the project leads to deliver to CCGs, Area Teams and both patients and public to effectively engage
• to drive forward the programme and ensure products are localised, and feedback on experiences from existing tools, resources and networks which support effective patient involvement

Involvement Reference Group application deadline has been extended to 12midday, Wednesday 30 April. They are recruiting 12 members to this Group. They would welcome your application and are encouraging representation from a wide range of backgrounds and expertise across the region.

You can apply using the following methods:


Post: Communications and Engagement Team,
(Ref: Involvement/RG/EOI),
Central Midlands CSU,
438-450 High Street,
2nd Floor, Kingston House,
Birmingham, B70 9LD

Email: (Quoting ref Involvement/RG/EOI in the subject field)

European survey on telecare

This survey is to support independent living and care for people with long-term conditions

Care Quality Commission inspection of George Eliot Hospital NHS Trust

The Care Quality Commission will be inspecting George Eliot Hospital NHS Trust on Tuesday April 29th 2014, based at the George Eliot Hospital, College Street, Nuneaton.

The inspection team are keen to hear the evidence from local voluntary and community groups about the quality and safety of care at this hospital trust. You can send reports, peoples stories of care or other evidence your group holds about people’s care to or you can ring 03000 616161. Please put the name of the trust you are sending information about in the title of the email to help them pass it to the right inspection team.

You can send evidence of high-quality care as well as any concerns you have identified. They will use your information to help the inspection team plan the inspection and what to look for on the inspection. The inspection team will ask these five questions about the trust and its services:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

There will also be public listening events that you may want to attend or promote. More information can be found here

You can read more about how they carry out their inspections at

Thank you very much for helping CQC to understand people’s experiences of care. An inspection report will be available after the inspection and published on their website.

Lucy Hamer, Involvement Team Leader, Care Quality Commission


Care Quality Commission inspection of Birmingham and Solihull Mental Health NHS Foundation Trust

The Care Quality Commission will be inspecting Birmingham and Solihull Mental Health NHS Foundation Trust from Tuesday May 13th 2014. The inspection team would also be very interested in hear from anyone who has used the trust’s mental health services in the last 12 months about their experiences.

The inspection team are keen to hear the evidence from local voluntary and community groups about the quality and safety of care at this mental health trust. You can send reports, peoples stories of care or other evidence your group holds about people’s care to or you can ring 03000 616161. Please put the name of the trust you are sending information about in the title of the email to help them pass it to the right inspection team.

You can send evidence of high-quality care as well as any concerns you have identified. They will use your information to help the inspection team plan the inspection and what to look for on the inspection. The inspection team will ask these five questions about the trust and its services:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

There will also be public listening events that you may want to attend or promote. More information can be found here

You can read more about how the CQC carries out their inspections at

Thank you very much for helping CQC to understand people’s experiences of care. An inspection report will be available after the inspection and published on our website.

Lucy Hamer, Involvement Team Leader, Care Quality Commission


New drive to end deliberate face-down restraint

New controls to stop the deliberate use of face-down restraint for people receiving care launched by Care and Support Minister Norman Lamb.

Restraint can cause both physical and psychological harm to patients and staff. As a result the government has published new guidance to reduce the use of this outdated practice in all health and adult care settings and is investing £1.2 million in staff training so they can avoid using restrictive interventions.

To find out more, see here

Launching Think Autism on World Autism Awareness Day

Norman Lamb, Care and Support Minister, talks about the main priorities of Think Autism and progress made since the 2010 autism strategy.

It was World Autism Awareness Day on the 2nd April 2014, which provided an excellent opportunity to publish ‘Think Autism’’. This is the Government’s update to ‘Fulfilling and Rewarding Lives’, their 2010 adult autism strategy.

To find out more, go here

Put patients first: government response

Please see the link below to the Department of Health’s response to the Royal College of General Practitioners’ Put patients first: back general practice campaign.

As the responsibility for commissioning GP services belongs to NHS England, it will determine the level of funding required to deliver GP services in order to meet the needs of patients.

For the response, go here

The time has come for mental health emergency services

The Care and Support Minister Norman Lamb endorses the Mental Health Crisis Care Concordat’s aim to reduce unnecessary police detentions.

He said “If I fall down the stairs and fracture my skull, if I’m the innocent victim of gun crime or I collapse at work with chest pains, I can be reasonably confident I won’t find myself in a police cell shortly afterwards. Physical traumas are rightly considered emergencies and our accident and emergency services respond accordingly – in most cases with great speed, care and professionalism. Ambulances are called, paramedics deployed and, if necessary, further treatment given in hospital.

So why is this not the norm for mental health crises?”

To read more, go here



NHS England publishes refreshed business plan

Putting Patients First: the NHS England business plan for 2014/15 – 2016/17 describes NHS England's role in delivering high quality care for all, now and for future generations including its role as a direct commissioner and as a leader, partner and enabler of the NHS commissioning system.

Right to ‘ask’ for personal health budgets begins

From 1 April 2014 people with complex health care needs have had the right to ask for a personal health budget. The budgets give people more independence over how their healthcare money is spent, be that on carers to provide intensive help at home, equipment to improve quality of life or therapies like counselling.

Read more here


Dr Steve Lloyd, GP and Chair of Hardwick Clinical Commissioning Group, reflects on creating clarity for clinicians and ensuring patient empowerment

Barry Cockcroft CBE, NHS England’s Chief Dental Officer, gives an update on Dental Care and Oral Health – A Call to Action

Colin Royle talks about his experiences of looking after his dad, Malcolm, who has dementia

Mike Bewick comments on the response to NHS England’s ‘Call to Action for General Practice’

Chris Mair, a retired newspaper editor and NHS volunteer, discusses the use and abuse of A&E departments

Dr Geraldine Strathdee, NHS England’s national clinical director for mental health, calls for a drive to improve care for psychosis patients across the country

Dr Peter Melton, co-chair of the NHS Commissioning Assembly, shares his aspirations for the group of leaders tasked with improving outcomes for patients. 

Nicola King, NHS England’s Head of Commissioning Skills for the Commissioning Development Directorate, uses a parable to highlight the work being done to help CCGs. 

Barry Cockcroft CBE, Chief Dental Officer for England, reports on the enthusiastic response to the Call To Action

Kirstie Stott, an NHS Graduate Management Trainee, explains how listening to the views of others can unlock the secret to a better National Health Service

New resource for the public on how to get tested for HIV

One in four people living with HIV in England is currently unaware of their infection. As part of an ongoing commitment from PHE to tackle this issue, a new ‘HIV testing & self-testing: answers to frequently asked questions’ publication has been released

The resource provides information on why, when and how to get tested, to help individuals make these important decisions.

See the full PHE Press Release here

PHE launches new sexual and reproductive health tool

PHE has launched a new online data resource, the Sexual and Reproductive Health Profiles designed to support local authorities, public health leads and other parties with an interest in this area to monitor the sexual and reproductive health (SRH) of their population and the contribution of local public health related systems.

The tool is available as open access here

See the full PHE Press Release here

Latest bowel cancer screening technique reaps benefits

New figures released from PHE show that nearly 37% (36.6%) of bowel scope screening centres in England are operational, clearly exceeding the 30% roll out target.

Bowel scope screening is a one-off test offered to men and women at the age of 55. It prevents cancer as it examines the lower part of the bowel – the part where most bowel cancers are found - to find any small growths called polyps which may develop into bowel cancer if left untreated.

See the full PHE Press Release here

Closing the gap: priorities for essential change in mental health

This NCB briefing summarises the Department of Health’s January 2014 document on mental health priorities, with a particular focus on details most relevant to children and young people, and provides commentary on the implications for efforts to improve children and young people’s mental health.

For the briefing, go here or here




Positive and safe: reducing the need for restrictive interventions

Care and Support Minister Norman Lamb talks about his ambitions for the new 2 year Positive and Safe programme.

To read more, go here

NHS funded nursing care rates increased from 1 April 2014

The funding for people assessed as requiring the help of a registered nurse is being increased by 1% for 2014 to 2015. From 1 April 2014, for eligible care home residents the rates will be as follows:

• standard rate will be increased to £110.89 per week
• higher rate will be increased to £152.61per week
• The 1% increase is in line with general increases in NHS pay announced on 13 March 2014.

When NHS funded nursing care was introduced in October 2001, the Department of Health made a commitment to regularly reassess the payment attached to the bandings.

For the story, see here

Consultation: Review of the operation of Sections 135 and 136 of the Mental Health Act

Please see the link below to a consultation on the review of the operation of Sections 135 and 136 of the Mental Health Act 1983 in England and Wales.

This consultation closes at 3 June 2014 11:45pm

For the consultation, go here

Report on public expenditure on health and social care: response

The government has responded to the House of Commons Health Select Committee report into public expenditure on health and social care.

Read the response here

Creating the environment to deliver better outcomes for patients – NHS England business plan refresh published

NHS England has published a refresh of their business plan. Putting Patients First: the NHS England business plan for 2014/15 – 2016/17 describes everything they do as a direct commissioner, leader, partner and enabler of the NHS commissioning system set out in thirty-one business areas.

The plan reaffirms their commitment to improving the quality of care, equality and reducing health inequalities and ensuring that patients and the public continue to be involved in decisions about their care and the future of the NHS. They would like to extend thanks for the contribution of our partners who have helped the business plan development. They are committed to ensuring that as they go forward they work with key partners on co-production, harnessing your expertise and experience to deliver improved outcomes for patients.

Mental health director leads drive for improved psychosis care

NHS England’s national clinical director for mental health, Dr Geraldine Strathdee will call on 150 delegates at the National Psychosis Summit to share best practice and help put together an action plan for making improvements to care across the country. Dr Strathdee is leading a drive aimed at improving care for psychosis patients across the country.

For more information, go here

Mental health teams in police stations and courts scheme goes live

A trial scheme testing a new model of Liaison and Diversion (L&D) is launched this week in ten locations across England. The scheme will fund mental health professionals in police stations and courts, to ensure people with mental health conditions and learning disabilities are recognised and get the right treatment promptly.

For further information, go here

Have your say on police powers on mental health

The government is reviewing legislation on how police support people experiencing mental health crises. This is designed to improve crisis care for people detained under Sections 135 and 136 of the Mental Health Act (1983). If you wish to give your views, please complete the online survey by 3 June 2014, please share so we can hear from everyone who could be affected.

For the survey, go here


Care Quality Commission (CQC) inpatient survey results discussed


Hilary Garratt, Director of Nursing at NHS England, discusses the results of the CQC inpatient survey 2013.

For the survey results, go here

PHE TB strategy consultation

PHE welcomes stakeholder comments on its collaborative TB strategy.

The strategy is available here

It includes PHE’s five-year ambition to see a sustained annual decrease in TB and a reduction in health inequalities associated with the disease, by ensuring action in all local areas with high rates of TB, to tackle the infection.

Any comments and responses should use the consultation feedback form provided on the website. The form should be emailed to:

The consultation deadline is 5pm on 24 June 2014.

Race equality and health inequalities: Towards more integrated policy and practice

This paper argues that within the English health system the ‘Equality and Diversity’ (E&D) and ‘Health Inequalities’ (HI) agendas remain poorly integrated at both national and local level. In particular, the HI agenda has largely failed to pay explicit attention to axes of inequality other than the socioeconomic gradient.

The authors suggest that the disconnection between E&D and HI work hampers progress towards better understanding of the processes that perpetuate poor health outcomes. It also limits coordinated intervention to address need across the health system, including action on the wider determinants of health.

In this paper they are particularly concerned with the slow progress towards tackling ethnic inequalities in health and healthcare, but similar concerns have been voiced in relation to other key axes of difference and disadvantage, not least disability and age (CPA, 2009; Emerson and Baines, 2009).

Progress on improving nursing for people with learning disabilities

Please see below a link to a paper on how learning disability nursing is improving to give high quality, compassionate care for people with learning disabilities.

For more information, go here

Transforming primary care: joint plan published by DH and NHS England

DH and NHS England have published a joint plan to provide personalised, proactive care for people who need it most.

‘Transforming Primary Care’ sets out plans for more proactive, personalised and joined up care, including the Proactive Care Programme, providing the 800,000 patients with the most complex health and care needs with:

• a personal care and support plan
• a named accountable GP
• a professional to coordinate their care
• same-day telephone consultations

The plan builds on the role of primary care in keeping patients well and independent. It explains how professionals across the healthcare system can work together to transform care to become more proactive and tailored to patients’ individual need.

To read the plan, go here

Millions to benefit from improved GP care

Extended opening hours and enhanced care for the elderly will soon be available at doctors’ surgeries across many parts of the country.

Millions of people will now be able to see their family doctor outside of working hours, including late night and weekend appointments, while the elderly and those with more serious health complaints will get tailored care, coordinated by just one local GP.

Read the press release here

Medical innovation: doctors and patients encouraged to give views

An opportunity to give your views on a consultation that aims to give doctors the confidence to try out innovative treatments.

The Department of Health is asking for views on whether doctors are being held back from using pioneering treatments because of the fear of being sued if something goes wrong. They want to know if a proposed Medical Innovation Bill will both encourage doctors to innovate in medical practice and bolster patient safeguards.

The consultation will run to 25 April.

For more information, go here

Think autism: updating the 2010 adult autism strategy

You may be interested to know that ‘Think Autism’, an update to the 2010 adult autism strategy, was launched on World Autism Awareness Day on 2 April. This cross-government strategy is an essential step towards realising the government’s long-term vision for transforming the lives of adults with autism.

Think Autism reaffirms the importance of the five areas for action aimed at improving the lives of adults with autism identified in the 2010 strategy, but with a new focus on building supportive communities, promoting innovative local ideas and services and improving advice and information for people with autism. Think Autism is also backed by a package of new funding of £4.5 million to help promote innovation, create better autism aware communities, and to support better joined up information and the use of technology.

Quality Premium: development of additional mental health indicators

NHS England is welcoming suggestions for future mental health measures in the Quality Premium. The Premium rewards clinical commissioning groups for improvements in the quality of the services that they commission and for associated improvements in health outcomes and reducing inequalities. Ideas for measures can be directly about mental health outcomes or cover wider issues where it is known that people with mental health needs have poorer outcomes, such as physical health needs or employment.

To find out more, go here

NHS England agrees funding for life-saving hepatitis C drug

NHS England has approved an £18.7 million investment in a new drug for the treatment of hepatitis C.

To read more, go here

Invitation: Making patient and carer involvement a reality

Contact a family would like to invite you or a representative to join them in the launch of two reports regarding the impact of working collaboratively with parents in improving services.

Venue: Royal Society, 6-9 Carlton House Terrace, London SW1Y 5AG
Date: Monday 19th May 2014
Time: 12 noon to 2pm. (Registration 11.30am)

Buffet Lunch provided

Contact a Family, the leading UK charity for families with disabled children has, together with local parent carer forums, pioneered parent carer involvement in health services over the last 3 years. This will provide an opportunity to celebrate and learn how together we can achieve better outcomes for children and young people through parent carer participation in health services.

The event will showcase:

• How parent carers have worked in a range of health settings to improve services for disabled children and young people
• How local parent carer forums across England can help improve the way children’s services are designed, planned and commissioned.
• Contact a Family will be launching two new publications at this event.

Sharing good practice: parent participation in health settings – how the involvement of parents helped improve services for disabled children in different settings e.g. hospital, community, GP practice, school.

Parent carer forum involvement in shaping health services – how forums across England are working with local clinical commissioning groups, Healthwatch and health and wellbeing boards to improve services for disabled children.

Hearing about this will be of interest to anyone wanting to involve patients and their carers to improve how health services are provided.

Please see that attached booking form and formal invitation.

Kidney cancer survival improves over 2 decades

Incidence of kidney cancer, the eighth most common cancer in England, has risen over 2 decades although survival rates have improved, a new report by PHE’s National Cancer Intelligence Network (NCIN) shows.

The report examines trends in survival of kidney cancer in England over 20 years (1990 to 2010) and found that people diagnosed with the main type of kidney cancer, Renal Cell Carcinoma, have seen an overall improvement in survival.

See the report here

See the full PHE Press Release here

The Inactivity Time Bomb: a StreetGames / Cebr report

‘The Inactivity Time Bomb’ is a new report published by national sports charity, StreetGames and the Centre for Economics and Business Research (Cebr). It is the first study to quantify the economic and social costs associated with physical inactivity specifically among young people in the UK.

Find out more here

The maternal mental health of migrant women

From the Race Equality Foundation

The maternal mental health and wellbeing of migrant women is an area which requires a much stronger public focus. In the UK, over the past thirty years, female migrants have originated from a far more diverse range of countries. Higher fertility rates among migrant women (see ONS, 2012) indicate that they will become one of the main users of maternity services.

This paper has three main objectives. Firstly, it explores female migration to the UK, in order to develop an understanding of the level and types of diversity. Secondly, it uses existing evidence to investigate why there is low take-up of maternal mental related services by migrant women. Thirdly, it considers how maternal mental health care providers can develop services which meet the needs of migrant women.

Read more here

Consultation on how CQC regulates, inspects and rates services

CQC is now consulting on its new approach to inspections and ratings of health and care services. The consultation includes information about what good care looks like for comments and feedback. It includes details of what CQC will look for to assess the quality and safety of care in each of the main sectors we work in. Comments, views and feedback are very welcome from the voluntary sector and from people who use services, their families and carers.

The consultation runs from 9 April to 4 June 2014

The link to the consultation is here

Digital Inclusion Strategy and Charter Launch

The government, Go ON UK and signatories of the UK Digital Inclusion Charter are jointly leading a cross-sector partnership focused on delivering a set of actions that mean, by 2016 the number of people who are offline will have reduced by 25%. This will continue every 2 years so that, if successful, by 2020 everyone who can be digitally capable, will be.

The UK digital inclusion strategy and charter is live on GOV.UK 

If you use twitter and could help publicise this or wish to comment, relevant twitter handles and hashtags are: @gdsteam @cabinetofficeuk using #digitalinclusion

You can also find the press release here

New UK Points of Light award names flood heroes as first winners

On the 7th April the Prime Minister launched a new ‘Points of Light’ award to recognise outstanding individual volunteers who are making a change in their community and inspiring others.

To read more, go here

Event: Rethinking and Realising Mental Health, May 16-17 

'Statistics and Stories, Proof and Truth?' - alternative approaches to 'mental illness' and 'addictions' models for the 21st Century.
A conference in Birmingham UK Friday 16th and Saturday 17th May 2014 Featuring Dr William Pettit Jr, Linda Ramus and others

Speakers will include academics, professionals, practitioners and service users from Mental Health and Addictions services.

The focus of the conference will be to explore the evidence emerging from alternative Health Realisation approaches to traditional services in traditional Psychiatry and 'Disease based' addictions services and to consider how such innovative approaches may assist the transformation of services as demanded by recent Government policy changes such as No health without mental health 2011 and Closing the gap: priorities for essential change in mental health. Department of Health January 2014

The cost for a ticket for 2 days is £150.00 or £80.00 for each single day for professionals/salaried individuals. A discount of 10% will be made for group bookings of 10 or more. Organisers do not want cost to be a barrier to attend this conference, particularly for people who use services, have a mental health diagnosis or addictive behaviours. Therefore concessions may be given on application to Claire Frodsham.

To apply please contact Claire Frodsham Tel: 00 44 (0) 121 443 4479 mob.00 44 (0)7813 043445  or see

CQC consultation – needs your help!

Tell them what you think about how they’re planning to change the way they regulate, inspect and rate health and social care services – help them to get this right!

On 9 April the CQC launched an eight week consultation to find out what people think about how they’re planning to change the way they will regulate, inspect and rate care services including the things they look at on an inspection, how they judge what ‘good’ care looks like, and how they can use information better to help us decide when and where they inspect.

Plans cover a range of services – NHS acute hospitals, mental health services, community health services, GP practices, out-of-hours services, care homes, domiciliary care services and hospice services– and they’re set out in several consultation documents. They will also publish their approach to human rights at the same time.

A lot of work has already taken place to develop these plans together with providers of services, people who use services and others but it is still really important to have as many views as possible during the consultation so they can make sure they have got them right.

Over the next 8 weeks they plan to hold several events across the country with providers and commissioners of services and with representatives from the voluntary and community sector and we would be delighted if you could join us. Please note, places are limited so please register as soon as possible if you are interested in attending.

There are four events specifically designed for community, patient and public representatives groups:

• 25 April in Manchester - 1pm lunch / 1:30pm registration
• 8 May in London – 1pm lunch / 1:30pm registration
• 22 May in Birmingham – 1pm lunch / 1:30pm registration
• 29 May in Southampton – 1pm lunch / 1:30pm registration
To register for one of these events, please complete this registration form

They are also holding a number of meetings focusing on specific sectors to which they are also inviting providers and commissioners from those sectors. The first of these meetings are listed below, please refer to the registration site for other dates and locations.
• 25 April, Adult social care - Renaissance Manchester City Centre Hotel, Manchester, 9:30am-1:30pm
• 2 May, NHS GP and Out-of-hours services - The Assembly Rooms, Newcastle, 1:00pm-4:30pm

You can register to attend one of these provider meeting by completing this registration form here

If you have any queries please call 0208 4813 302 or email and someone will be able to help you.

The consultation will run until 4 June and the CQC would be very grateful if you could take the time to share your views with them. If you are not able to attend one of their events you can find all the consultation documents and submit your views through the feedback form on their website at from 9 April.

You can also follow them on Twitter @CareQualityComm for regular consultation updates.

Calling all patients and carers of patients with long term conditions

Your views matter - what help do you need to manage and make decisions about your health and wellbeing? What helps you feel in control of your own care and what gets in the way?

An exciting project funded by NHS England is taking place across the West Midlands and South of England, working with patients and carers to understand, from their own perspective, what is important to them in managing their health and care better. In the West Midlands one of the ways RAWM is supporting this work is by disseminating this survey through local partners to capture patients and carers views and by enabling face to face meetings in conjunction with funders.

The aim of the project is to gain feedback from as many patients and carers as possible whose views will help NHS England and the Commissioning Support Unit to understand and act on what really matters. You, as local partners and organisations, will be helping to ensure that the voices of patients and carers are at the centre of decision making about future commissioning priorities by circulating this information and ensuring the widest reach.

To start the discussion, we would be grateful if you could please (i) disseminate widely through your network and/or (ii) if you are a patient or carer take a few minutes to complete this short survey

Thank you!

The Patient in Control team at Kent and Medway Commissioning Support Unit

Appreciation of how the VCS can support the NHS and improve outcomes

Simon Stevens- the new Chief Executive of NHS England, replacing David Nicholson, in his first speech (on Tyneside), tells of "the critical role of the Third Sector, and the innovation value of new providers”

More details here

Crucial role of the VCS in maternity services

Jenny Hicken, a Network Delivery Facilitator for NHS England’s Northern Clinical Networks and Senate on Tyneside, looks at why the NHS needs the voluntary sector