Redesigning Podiatry Services in West Cheshire

Consultation and gathering views:8th December 2014 – 1st March 2015

Why do we need to make changes?• Population and its needs are changing• Latest advice can’t be met (NICE

guidance)• Increased risk of foot

ulcer/amputation• Waiting times long• Demand exceeds commissioned

service• No cut to existing funding

What do we want to achieve?

For high need improve:• access/frequency appointments• outcomes

Provide:• clear eligibility criteria• self-help information• appropriate signposting

Patient stories

Samiya active 68 year-old who has type-2 diabetes and some neuropathy

Bill 82 year-old widower, finds it difficult to bend, to cut his thickened toenails

Jason 24 year-old young man who enjoys sport, has infected in-growing toenail

Options and what would this mean for Samiya, Bill and Jason

Option 1:Continue with the current NHS service/eligibility criteria.

Option 2:Improve the current NHS service for people with high level medical and/or podiatric needs

Discharge people with low level needs and signpost to support.

Option 3:Option 3 is the same as Option 2 plus

For current service users, if they have podiatric needs they would continue to receive appointments.

Under Option 1: • waiting times continue to increase (all)• to avoid prolonged antibiotic therapy and waiting times for

surgery (Jason)• adversely impact quality of life (Samiya and Jason)

Under Option 2: • improve access/ frequency appointments (Jason & Samiya)• improve outcomes (Jason & Samiya)• clear eligibility criteria (all)• self-help information (all)• appropriate signposting (Bill)

Under Option 3: • in 5-10 years’ time some positive impacts

Continued…

How the changes would be supported:Help to self-manage:• self-help information• volunteers• basic nail cutting service• Health and Care Professions Council

Help to fund:• Social care needs assessment/benefits advice

Help with training:• basic training for all carers• course for patients

Consulting with you

• 6 public meetings

• Engaging with HealthWatch/key groups

• Consultation document (& e-survey)

• Posters in patient areas

• Media/online coverage

• Information sent to CWP’s members

Public meetings

Chester Town Hall – 15th January at 3-4pmCivic Way, Ellesmere Port – 26th January at 2-3pm

Princeway Health Centre, Frodsham – 9th February at 2-3pmTarporley Community Centre – 16th February at 5-6pm

Malpas Village Hall – 23rd February at 5-6pmNeston Town Hall – 26th February at 2-3pm

Next stepsApril-May 2015 - Liverpool University report CCG May-June 2015 - Governing Body/ CWP Trust BoardMay-June 2015 - CWP’s Council of Governors May-June 2015 - CWAC Scrutiny Committee

More information, help and supportwww.cwpnhs.uk/podiatry

www.westcheshireccg.nhs.ukPALS CWP: 0800 195 4462PALS CCG: 0800 218 2333

Any questions?

Thank you for your time