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Autumn 2015
News
In Conversation with... Dr Steven Cleasby, Calderdale
Clinical Commissioning Group
VAC’s new quality mark, Quality For Health
Calderdale Vanguard - What’s it about?
New Engagement Champions
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Choice Volunteering is a
supported volunteering
programme that helps
people who want to
volunteer but may need a
bit of extra support. Choice
can offer people one to one
support to complete forms,
accompany to interviews
arrange placements and in
some cases provide a
mentor until the person
is confident to go it alone.
Choice offers volunteering
opportunities on a number
of d i f ferent projects
including an allotment plot
at Stretchgate Lane.
A t t h e a l l o t m e n t ,
green fingered volunteers
work hard to grow healthy
food and share it with any
interested local voluntary
and community groups.
The team meet every
Thursday morning from
10am - 12pm and
maintain the allotment by
helping out with weeding,
planting and general
upkeep of the site.
If you would like to help out
on the allotment, or find out
about the other volunteering
positions available through
Choice, please contact the
Choice Worker, Audrey
Smith on 01422 438727 or
email choice@cvac.org.uk.
Choice Volunteer Wayne Simpson
Choice Project in Bloom
Welcome
1
Welcome to our magazine.
Seem familiar? We thought it
was time to reintroduce this
publication to let you know in
more depth what the team at
VAC have been up to over the
past few months. We will be
sending this out every 3 months
and welcome your feedback.
If there is someone in particular
you would like us to be ‘In
Conversation With...’ (see page
3) let us know and we will
endeavour to get their story into
the magazine.
Happy reading!!
Soo
CEO, VAC
VAC News is available in both
electronic and hard copy.
To request more copies,
please call 01422 348777 or
email info@cvac.org.uk
3
A brand new programme for
p e o p l e w i t h l e a r n i n g
disabilities has just completed
its initial pilot.
The Engagement Champions
programme at Volun tary
Act ion Calderdale t ra ins
r e p r e s e n t a t i v e s f r o m
Vo lun ta r y & Commun i t y
Sector groups to enable them
to carry out engagement
activities and help people
have a say abou t l oca l
healthcare developments.
C a l d e r d a l e C l i n i c a l
Commissioning Group wants
t o h e a r f r o m l o c a l
communities when they are
considering changes to local
health services. They want to
know what local people think
and about their ideas for
be t te r hea l thcare in the
future. This new training
package gives people with
learning disabilities the skills
they need to talk to their
communities and make sure
people’s voices are heard.
A l l e i gh t pa r t i c i pan t s –
representing Pennine Magpie
and Cloverleaf Advocacy -
completed the course and
were presented with their
certificates by Tim Shields,
Strategy and Performance
Manager a t Ca lderda le
C l i n i ca l C ommis s i on i n g
Group.
Tim said:-
“The Engagement Champions
Programme is a fantastic
initiative for Calderdale. It’s
r e a l l y i m p o r t a n t f o r
commissioners to hear about
the real experience of people
who use health services from
right across the community.
The Engagement Champions
Programme provides a great
platform to do this and is a
great vehicle for everyone to
share their ideas about the
future shape of services.”
Megan Vickery, Engagement
Worker at Voluntary Action
Calderdale said: -
“ T h e r e a r e a l r e a d y
Engagement Champions
representing local community
groups but we wanted to
ensure tha t peop le wi th
learning disabilities could be
involved too. It’s important
that everyone can have a say
when changes to local health
care is being considered.”
For more information about
the Engagement Champions,
p l e a s e c o n t a c t M e g a n
Vickery: call 01422 431094
Pictures
Rochelle and Tim Shields
L-R Tim, Yvonne, Lisa, Rochelle,
Malcolm, Terry, Stephen
Stephen and Tim Shields
New learning disability Engagement Champions
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What is the Calderdale Clinical Commissioning Group (CCG)?
NHS Calderdale Clinical Commissioning Group is responsible for planning local health
services in Calderdale which covers 26 GP practices and a registered population of more than
213,000 patients. We do this by ‘commissioning’ or buying health and care services including:
Planned hospital care
Urgent and emergency care
Rehabilitation care
Community health services
Mental health and learning disability services
GP services (a recent addition to the CCG’s role )
Clinical Commissioning Groups (CCG’s) work with patients and health and social care
partners (e.g. local hospitals, ambulance services, local authorities, local community groups
etc) to ensure services meet local needs. The CCG board is made up of GPs from the local
area and one registered nurse and one secondary care specialist doctor, who are working
together to secure the best possible healthcare for local communities within budgets set
nationally.
What is your role within the organisation?
As a working GP in Calderdale, I bring clinical insight and the experience I have gained from
working with patients everyday to support the CCG with its commissioning responsibilities. I
am currently vice-chair for both the CCG and the Health and Wellbeing Board for Calderdale.
The ‘In Conversation with...’ section of the
magazine is all about the organisations that
Voluntary Action Calderdale and its projects work
closely with. For this edition, we spoke with Dr
Steven Cleasby who is the Assistant Clinical
Chair of the Calderdale Clinical Commissioning
Group (CCG).
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The CCG have been very supportive to the Voluntary and Community sector in
Calderdale. How important has this relationship been for the CCG’s work and
how do you see this relationship developing in the future?
The CCG has to make sure that every pound it invests in services produces the maximum
benefit for patients as well as providing good value for the taxpayer. We have been really
impressed by the range and quality of services that are provided by the voluntary and
community sector in Calderdale. The sector is a huge asset for Calderdale and we want to
see this recognised and developed further. This has been reflected by investment we have
made, with support from Voluntary Action Calderdale (VAC), to develop the capability of the
sector so it can respond to the needs of the local population and the grants the CCG has
allocated to organisations to enable them to develop their services further.
There have been a lot of exciting developments in Calderdale recently,
particularly around the new Care Closer to Home model and also Vanguard.
What will these new initiatives mean for people in Calderdale?
In response to the engagement work we have undertaken with the local population, the CCG
is developing new models of care – particularly focused on Care Closer to Home. We see
the voluntary and community sector playing a huge part in its delivery and success. We see
their particular contribution in helping people maintain their health and wellbeing as well as
being able to access the services that support them when they need them. We believe that
the third sector have a valuable and unique role to play as providers in our future models, and
we will continue to engage them in developing ‘Care Closer to Home’.
The CCG have recently funded a piece of work through our Patient Reference
Group (PRG) Support Project around Patient Experience in GP surgeries. As a
GP yourself, how do you think engaging with your patients improves the service
that the practice offers?
To ensure that the services offered by GP surgeries are meeting the needs of the local
population, it is important that those services listen to their patients. The PRG team is
supporting practices to actively use the information gathered to improve the services and care
they receive. I view it as a helpful and positive initiative.
A big thank you to Dr Cleasby.
If you would like to know more about the Calderdale CCG, please visit their website
www.calderdaleccg.nhs.uk 4
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In today’s market place of complex
needs, health and social care services
are delivered by a large variety of
o rgan i sa t i ons . Vo lun ta r y and
community groups are vital to the
delivery of these services in the heart
of our communities. The statutory
sector has a duty to ensure that
services commissioned are of the right
quality.
Quality For Health is the brand new,
innovative, unique, quality assurance
system for the VCSE, developed by
Voluntary Action Calderdale and
endorsed by Calderdale CCG. It is the
only quality assurance in the country
that supports the VCSE to measure,
t h r o u g h a n o u t c o m e s - b a s e d
framework, the quality of the health
services delivered across nine quality
areas. These quality areas map across
the current strategic thinking and
operational requirements of the NHS
and the CQC.
The System
VAC have designed the system not just
to measure the quality of the health
services but also to act as framework
for the growth and development of
VCSE organisations. This has been
done by setting the framework across
three levels:
Level one forms the core of the
system, measuring all nine areas to
form a baseline. Smaller groups and
organisations may wish to remain at
level one.
Level two requires demonstration of
evidence across all nine quality areas
in a manner that demonstrates that the
organisation is growing and developing
in terms of its governance and its ability
to develop and deliver innovative and
creative health services.
Level three is expected to show
evidence that demonstrates that the
organisation is a leader and innovator
in the delivery of health services in the
VCSE. Because the system is
developmental, the levels ‘stack-up’.
This means that if you undertake level
three, you must also include the
evidence for levels one and two within
your evidence gathering.
Does your group measure up?
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Resources
Quality For Health has a full set of
resources to support organisations
undertaking the award. The resources
include a full set of guidance notes and
a workbook for each level. These will
be supplied on a branded data stick.
The workbooks are available in two
formats, an interactive PDF or
Microsoft Word format.
VAC w i l l supp l y suppo r t to
organisations undertaking the award
from our organisational development
team. Also offered will be a range of
training and workshop opportunities,
linked to nine quality areas to support
organisations to make full use of the
developmental aspects of the
programme.
Assessment
A quality mark would not be worth the
paper it is written on if it were not
challenging. Quality For Health
involves an organisation gathering
evidence and then self assessing
against the indicators for level(s) it has
registered for. This will be followed up
by an independent, external audit by
one of the assessing team from VAC. If
successful, the organisation will hold
the award for two years. If the
organisation is not successful at the
first audit, an improvement plan will be
drawn, and on completion of this and
submission of any required evidence,
the award will be made.
Pilot Scheme
For organisations who successfully
complete the pilot, the full award, at the
appropriate level will be granted. VAC
is also piloting the system outside of
Calderdale due to high level of interest
from other CCG’s and support
agencies around the country. In order
to validate the pilot scheme and to
strengthen Quality for Health when it
g o e s l i v e i n 2 0 1 6 w e a r e
commissioning an academic evaluation
of the pilot.
For organisations and groups working
in Calderdale who want to sign up for
the pilot scheme, please contact the
Quality and Development Officer, Terry
Perkins, 01422 348777 ext. 221 or
email terry.perkins@cvac.org.uk
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The Patient Reference Group
(PRG) Support Project was
set up in 2013 at VAC to sup-
port local GP surgeries across
Calderdale.
The project works with
Calderdale patients and
Practice Managers to support
and develop both new and
existing patient groups within
surgeries. The support offered
by the project includes help
with recruitment, Terms of
Reference, awareness events
and more.
After a very successful first
year, the project was refunded
by the Calderdale Clinical
Commissioning Group to
carry on the work for 2015 –
16. One of the key areas
highlighted for this year was
to look at Patient Experience
and to get some quality
feedback about the services
for the practices to work
around.
To obtain this information, the
PRG Support Project began
to collate feedback from other
3rd party sources such as
NHS Choices and the local
Healthwatch.
The project also began to
collect its own data on Patient
Experience in Calderdale by
completing the NHS Friends &
Family Test with patients in
surgery waiting rooms.
Throughout June and July,
the PRG Project Worker,
Moya Kirkman, began visiting
local GP surgeries to talk to
patients and so far has
completed 7 successful
sessions, with another 14
booked throughout the year.
At the sessions, patients were
forthcoming with ideas and
gave their thoughts about
their patient experience.
As a result of the findings and
picking up trends, practices
have already taken the
comments on board and are
starting to develop new ideas
and ways they provide
services, such as improving
the appointment systems.
The NHS Friends & Family
test was introduced into
hospitals in 2013 and later
came into GP Surgeries in
December 2014, with Dentists
and Mental Health services
following. It allows patients to
feedback as to whether they
would recommend that
particular surgery for similar
care or treatment to their
friends and family.
For more information about
the PRG Support Project and
Patient Experience, call
01422 348777.
Its all about the Patient Experience
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In January of this year, the
NHS invited organisations
and partnerships to become
“vanguard” sites for a new
programme a imed a t
supporting improvement and
integration of local health
care services. There was a lot
of interest, and on March 29th
the first wave of 29 vanguard
sites were chosen following a
rigorous selection process.
NHS Calderdale Clinical
Commiss i on in g G roup
(CCG), as part of the
Calderdale Health and Care
system, was one of those
selected and this now means
the partnership will pilot new
and innovative approaches to
care for local people.
The vanguard programme is
being supported by a £200m
‘pot’ of funding from NHS
England and the CCG will
have to bid for tranches of
that money in order to
progress the innovative
schemes.
As a Vanguard site, NHS
C a l d e r d a l e i s
currently establishing one of
the three new models of care
set out in the NHS Five Year
Forward View. It’s called a
‘Multispecialty Community
Provider.’
Put more simply, this means
that GPs and managers
within the CCG will be
working in partnership with
organisations such as
Voluntary Action Calderdale
to improve the health of our
community and to integrate
community services. The
intention is develop new ways
of providing care to three
groups of patients – those
with long term conditions,
those who are frail (and
usually elderly) and children
with complex needs.
The aim for all of these
groups is to support them to
self-manage their care,
increase their awareness of
where they can make
improvements to their lifestyle
choices and provide better
access to health and social
care; to have a single point of
access so patients and carers
don’t have to tell their story to
many people many times.
The new ways of working will
be piloted or tested in the
Upper Calder Valley and then
assessed before those which
are successful are rolled out
to the rest of Calderdale.
It may be that a scheme
which is successful in the
Upper Calder Valley can also
work in say central Halifax but
with some adaptation. That is
one of the enduring benefits
of the Vanguard programme
– it encourages innovation in
providing local healthcare
services – an ability to try
new things in conjunction with
patient engagement and
feedback and then, where
possible, refining the service
to suit the needs of a local
community.
P a t i e n t a n d p u b l i c
engagement in the schemes
is extremely important and
whilst there has already been
a great deal of local
engagement, you can expect
a lot more as the schemes
get underway in the coming
months.
Calderdale Vanguard - What’s it all about?
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Care Closer to Home event proves a success
What is Care Closer
to Home?
Care Closer to Home is the
future of Health and Social
Care Services in Calderdale.
The Care Closer to Home
model for Calderdale was
developed by the Calderdale
CCG after engaging with
local people about how they
would like to see health
services working.
The feedback from this
engagement was that people
wanted their care as close to
home as possible and to
avoid being admitted to
hospital. An improvement to
community services was also
highlighted as a way to help
improve local healthcare by
s t rengthening exis t ing
facilities.
On the 1st April 2015, VAC
facilitated a collaborative event
with Calderdale Clinical
Commissioning Group (CCG),
the Local Authority, and North
Bank Forum (NBF) at The
Shay Stadium in Halifax.
The overall purpose of the
event, entitled ‘Care Closer to
Home – What is it and what
does it mean for the Voluntary/
Community sector’, was to
inform the Voluntary and
Community sector about the
Care Closer to Home model
and to engage the sector as a
partner in the delivery of this
model.
There was an attendance of
121 delegates representing a
range of stakeholders,
predominantly the Voluntary
and Community Sector.
Other stakeholder groups
included:
Healthwatch Calderdale
Local authority officers
The Commiss ion ing
Support Unit (CSU)
Community Foundation
for Calderdale
The event was made up of a
combination of presentations,
table top discussions and a
question and answer panel.
Key speakers on the day
included:
Rhona Radley, Senior
Service Improvement
Manager, Calderdale
CCG
Debbie Graham, Head of
Service Improvement,
Calderdale CCG
Caron Walker, Public
Hea l t h C ons u l t an t ,
Calderdale LA
Dean Wallace, Public
H e a l t h C o n s u l t a n t
Calderdale LA
Presentation topics on the day
focused on Care Closer to
Home, how the Local Authority
and Calderdale CCG will be
working together around the
model and how the Voluntary
and Community sector can
support it.
A Care Closer to Home
animation is available on
Youtube. Please search
Calderdale Care Closer
to Home
9
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An important part of the day
was the table top discussions
for all 121 delegates. With
support from a facilitator on
each table, the groups
discussed the following two
questions:
What can the Third
Sector bring to Care
Closer to Home?
What would you need
f r om the C l i n i ca l
Commissioning group to
help maximize this?
The key themes that emerged
from the table discussions are
detailed in the green box.
Investment in the Third
Sector
The CCG approach to
investment in the Third Sector
was presented at the event.
The area of focus for
investment was refined in
response to feedback at the
event to include the following:
Pr imary prevent ion
through addressing
wider determinants of
health (physical and
mental)
Initiatives that deliver
supported self care and
early intervention for
physical and mental
health
Initiatives that deliver
supported discharge
from hospital
A total of £500k was allocated
to the sector to be used over
a maximum three year period.
What can the Third Sector
bring to Care Closer To
Home?
Relationships, trust,
knowledge of localities,
communities and
networks
Communication avenue
Local communities
Identify harder to reach
groups and involve those
not engaged
Flexibility and
responsiveness to needs
Ability to identify gaps
Innovation and creativity
Value for money
Focus on prevention and
early intervention
Buildings, facilities and
community spaces
Offer services via GP
surgeries and Health
Centres
Facilitation of
partnership working and
signposting
What would you need from
the Clinical Commissioning
group to help maximize
this?
The following themes
emerged:
Funding and sustainability
Communication and
understanding
Equality and value
Work with GPs and health
professionals
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