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Best place to have a stroke

NE Essex CCG issue news of speedier hearing aid serviceThe local NHS CCG has issued the following news update reporting on the success rate of Colchester General Hospital, which has one of the largest stroke units in the East of England, with stroke patients, admitting over 70% of patients within 4 hours compared to the national average of below 60%:

Local stroke patients get best care in country, latest figures show

The quality of stroke care coordinated locally by Colchester Hospital is again in the top two hospital trusts in England, Wales and Northern Ireland, according to the Royal College of Physicians (RCP). This makes us the best over the last six months, nowhere else having been in the top two consistently.

The RCP clinical audit of stroke patients who were admitted to hospital in the three months from October last year shows Colchester was the second best-performing out of the 175 hospital trusts that admit stroke patients directly for acute stroke care. Dr Shane Gordon, Clinical Chief Officer at NHS NE Essex CCG said:

This result is a credit to several organisations, including voluntary organisations who work together to provide not only emergency and acute care at the hospital, but also vital recovery care in the community when patients are safe to leave the hospital. Specially-trained nurses from ACE, the NHS community organisation, help patients to recover as much function as they can in the days, weeks and months after a stroke.

The figures show that whereas on average nationally 58% of people who have had a stroke were admitted to a stroke unit within four hours, in NE Essex it is over 70%.  Perhaps most remarkable is that locally over three-quarters of people are helped by the dedicated Early Discharge Team to get quick, dedicated support to go home or to rehabilitation out of the acute hospital, whereas nationally on average just one quarter of patients are helped in this way.

Dr Gordon added:

These figures are the results of a shared determination to get higher standards of care for our patients resulting in less death, disability and better quality of life. But we are very far from having a perfect service, there is much more we can do together to give stroke patients here even better treatment and recovery. Rapid and thorough treatment and recovery for patients can make all the difference to otherwise more serious outcomes for patients and families.

Recently published by the RCP, the audit was welcomed by Dr Ramachandran Sivakumar, consultant stroke physician at Colchester Hospital University NHS Foundation Trust and its clinical lead for stroke.

He said the aim of the comparative information is to improve the quality of stroke care by auditing stroke services against evidence-based standards.

Dr Sivakumar said:

Stroke care is very much teamwork and our success is down to a multidisciplinary approach that involves therapy staff, such as physiotherapists, occupational therapists, speech and language therapists and dietitians, besides doctors and nurses.

While these figures show we are performing extremely strongly, we are certain we can do even better and that is what we are focusing on.

Moira Keating, nurse consultant for stroke services, said:

In my opinion, the entire Colchester stroke team takes ownership of each and every patient and pulls out all the stops to ensure that patients receive the best possible care and achieve their goals.

Blood test service working well

NE Essex CCG issue news of speedier hearing aid serviceThe local NHS CCG has issued the following news update following changes to their phlebotomy service intended to increase capacity from 2,900 to 4,600 tests per week:

New blood tests (phlebotomy) service working well, according to patients

Comments made by patients, on feedback forms and informally to staff show universal approval of the new expanded and more convenient service in NE Essex. The new service is provided by GP Primary Choice, a new organisation set up jointly by all the GP practices in our area. Around 11,500 blood tests have been carried out in May, but in a month with the full service now operating in all areas we expect that around 17,000 tests will be carried out.

Comments on feedback forms include:

With three children would have found it difficult to go to a local hospital, as we live in a village.

One woman from Tiptree wrote:

Brilliant service, if I had to go to Colchester I would need to arrange child care and pay for car parking etc. Excellent service.

A woman from Colchester wrote:

Very positive change. Surgery is closer to home and offer an all-round excellent service.

Of feedback survey responses received so far, asked to rate their experience, 244 people said excellent; 53 good; 6 adequate, and no-one said poor or very poor. *

Patients needing a blood test advised by their GP can have their blood taken at their own GP surgery, or by arrangement at any other GP surgery throughout the area. Surgeries normally do blood test five days a week, Mondays to Fridays (please check with staff for times) but of the 40 local GP practices, 1 offers tests 4 days a week and 2 practices offer tests on 3 days per week.

Dr Andrew Lennard-Jones, the Medical Director of GP Primary Choice said:

We have only been running these new services for a few weeks, but already patients are telling us this is much better. Blood tests, taken promptly, are a key tool for diagnosing and treating peoples’ health conditions, and when you consider that there are around 240,000 tests carried out each year in just Colchester and Tendring, then these tests have a major effect on health in the area. We will keep learning from how these services are used, and what patients tell us, so that we can use that experience in designing other health service improvements in future.

Tests are now more conveniently available for GP-referred patients on the Clacton Hospital site in the Reckitts Lodge building, where blood tests are available from Monday to Friday between 8am and 2pm. This service is provided mainly for patients of East Lynne surgery, though patients from other surgeries can make an appointment or just walk in if that is more convenient. The maximum wait that patients are seeing there is about ten minutes, less for booked appointments. This compares favourably with the queueing that used to sometimes take much longer at the hospital before tests were available at all GP surgeries.

For patients at St. James surgery, there is a service provided at Old Road Surgery in Clacton, where again appointments can be made, or patients can walk in. There is a free car park there, and as everywhere this service is available for patients from any other surgery. (Old Road Surgery’s own staff do the tests for their patients).

For patients who might need to have a test early in the morning, perhaps because of work commitments, they can book an appointment or walk in at the Mayflower Centre at Harwich (Fryatt) Hospital from 7:00am on Wednesdays and 7:45am 4 days a week, or in Colchester attend the Walk-in Centre in Turner Road from 7am, 5 days a week. Walk in clinics are also being offered at the following GP Practices: Ambrose Avenue 9:30 till 1pm, Tollgate 9:30 till 1pm, Tiptree 8:00 till 10am and Winstree (formerly Stanway) 8:00 till 12pm.

Dr Hasan Chowhan, clinical lead for the CCG, said:

I am delighted that patients are so pleased, particularly with the convenience of the expanded service. I am greatly encouraged at this key example of GPs and all staff at Practices working together to make improvements for patients. It won’t be as easy as that in all our local health services, but it is a powerful example of what can be done together.

NHS invite all to a local Health Forum

NHS North East Essex - Clinical Commissioning Group - Invitation to Health ForumHelp shape NHS decisions – all welcome!

The NHS in North East Essex is inviting anyone interested to attend their local Health Forum meeting in Colchester.  The main themes for the June 9th meeting include:

  • A manager from NHS England to discuss their plans, which are open for public consultation, on transforming primary care (services by GPs, dentists, pharmacists, opticians) in Essex.  This issue will include measures planned to mitigate shortage of GPs.
  • The new community assessment service, based at Clacton and Harwich hospitals.

People attending are welcome to raise their own issues and will have a chance to directly question senior managers from the CCG on their actions and plans. Meetings will be at:

The meeting on Monday 9th June takes place between 7pm – 9pm.  Please come to the 2nd floor at the Primary Care Centre (upstairs from the Walk-in Centre) in Turner Road, Colchester CO4 5JR.

Any member of the local public can join the Health Forum. Join here to have your say as a member of NE Essex CCG public “Health Forum”: http://www.neessexccg.nhs.uk/Health%20Forum%20Joining%20Form.html.

New NHS Hearing Aid Service

NE Essex CCG issue news of speedier hearing aid serviceLocally NE Essex NHS will be introducing a new Hearing Aid service with shorter waiting times and more local access for people over 50 suffering gradual hearing loss.

From June 2nd people in Tendring and Colchester will be able to get their assessment and, if needed, hearing aids fitted in less time as a “one stop” service.  At the moment patients sometimes have to wait for several weeks for appointments due to increasing demand and have to come in to Colchester Hospital.

New hearing (audiology) patients will be referred by their GP to the new NHS Community Audiology Service where they can go to clinics at surgeries and clinics locally (see list below). Patients will be assessed for the degree and nature of any hearing loss, and they can then have state-of-the-art free hearing aids fitted there and then if they wish. Those patients already being treated through the Hospital will continue their treatment there, but only new patients who are not medically suitable for the community services will in future be referred to the Hospital.

Dr. Sonica Goel, clinical lead for the project at NE Essex CCG, said: “This new service is a significant improvement for audiology patients now and in future. It costs the NHS roughly the same as the current service, but will offer faster, more responsive and convenient services for patients. It is part of the CCG’s overall approach – getting as much treatment “closer to home” for people as possible, and so freeing up the Hospital to do more of what has to be done in a high-tech acute hospital. All the hearing aids are the best in the business, and of course because this is an NHS service, they are all free to the patient.”

The new North East Essex new NHS Community Audiology Service will be run by GP Care and Scrivens Hearing Care and is now accepting GP referrals. Patients can choose between the two providers, each of whom offers a choice of clinics at several locations:

GP Care UK

Telephone Number: 0800 088 3104
Email Address: [antibot mailto=”[email protected]”]

Locations

  • Abbey Field Medical Centre, Colchester
  • Bluebell Surgery, Colchester
  • Castle Gardens Medical Centre, Colchester
  • Creffield Medical Centre, Colchester
  • Shrub End Surgery, Colchester
  • Crusader Surgery, Clacton, Tendring
  • CVS Tendring, Clacton, Tendring
  • Great Bentley Surgery, Tendring

Scrivens Ltd

Telephone Number: 0800 085 0372
Email Address: [antibot mailto=”[email protected]”]

Locations

  • Direkt Optik, Colchester
  • Highwoods Square, Colchester
  • Mill Road Surgery, Colchester
  • Wimpole Surgery, Colchester
  • Dedham Vale Community Health Centre, Colchester
  • Rayner Opticians, Harwich

Questions about local NHS Services?

Local NHS ServicesIf you have questions about local NHS Services you may be interested in attending the North East Essex NHS Clinical Commissioning Group (CCG) open Board Meeting on Tuesday, May 27th at 2.30pm at  the Primary Care Centre (2nd floor, above the walk-in centre) Turner Road, Colchester CO4 5JR.

Everyone is welcome to attend the CCG Board Meeting, which is held in public.  There will be a question time session during the meeting when members of the public are welcome to question the Board on any relevant issue.

The Board Agendas and supporting papers are published on the CCG website at www.neessexccg.nhs.uk (click on “Library” then “Board Meeting” or click directly here:  http://tinyurl.com/9weepq7 ).

The Agenda for May includes :

  • A report on the new community rapid assessment service for people in Tendring, with Advanced Nurse Practitioners working from Clacton and Harwich hospitals to care for people either in their own homes, or in the community hospitals
  • A progress report on the imminent external quality review of maternity services in North East Essex.
  • A report from the local public, patient and carer’s organisation, the Health Forum Committee
  • The proposed new CCG Five Year Strategy for decision by the Board.

Care Strategies and more from NHS

NHS North East Essex - Clinical Commissioning Group - Embracing better health for allThe NE Essex CCG have recently published a new strategy for caring for adults, their families and carers who are facing conditions with limited life expectancy.  This is part of a whole series of initiatives designed to customise NHS Service Provision for NE Essex’s needs – more can be found on their website at www.neessexccg.nhs.uk.

Part of the introduction of this end-of-life strategy document makes clear its objectives:

This document is a 5 year strategy detailing the future commissioning of end of life services across the health and social care economy. The document identifies the importance of raising the profile of achieving ‘a good death’ and putting mechanisms in place to achieve this.

The Department of Health End of Life Care Strategy acknowledges that there are many challenges to be overcome to ensure that everyone attains ‘a ‘good death’ irrespective of their background. The focus for the North East Essex Clinical Commissioning Group End of Life Strategy is to ensure that all patients achieve ‘a good death’ and their families and carers feel supported.

The full document can be downloaded here –  NHS NE Essex CCG End of Life Strategy 2014.

Cancer Drop-In Day

We Are Macmillan Cancer SupportFree Health And Wellbeing Event For People Living With And Beyond Cancer

Colchester’s Mayor Cllr Colin Sykes, and his wife Cllr Laura Sykes, will open the event at 10.30am

For the first time in North Essex and surrounding areas cancer patients and their families who are living with and beyond cancer are being invited to a free health and wellbeing drop in cancer information day taking place on Saturday 26 April at the St John’s Community Centre, St John’s Close, Colchester, CO4 OHP between 10.30am and 3.30pm to find out about all there is available for those affected by cancer.  There will be free parking and refreshments.

Macmillan Cancer Support and Colchester Hospital University NHS Foundation Trust have joined forces to host this major cancer event to provide people, who have undergone or completed treatment for cancer, no matter how long ago or for what type of cancer, with the opportunity to find out about what support, information, advice and facilities are available, to help them adjust to life with, and beyond, cancer. This event is linked to a new Self-Managed After Care service launched on the 1st April by the Trust and Macmillan Cancer that will provide one of the most comprehensive support and information services to cancer patients and their families in the UK.

The event is funded by Macmillan Cancer and supported by more than 20 local organisations such as Macmillan Welfare Benefits, CHAPS – Men’s Health, Age UK, Breast Care, St Helena Hospice, Health Professionals, Equipment Suppliers, Cancer Support Groups, Marie Curie, St John’s Church Community Centre, Essex Carer Support and many more. The day will include four 45 minute presentations and question times on Benefits Advice, Counselling, Men’s Health, Physiotherapy & Exercise.

Peter Carrington, Lead Volunteer at the Macmillan Cancer Support, Drop-In & Information Centre, based at Essex County Hospital, said:

 We are encouraging people and their families affected by cancer to come along to the event, so they are better informed about how they can make a positive difference to their every-day life. No one with cancer should have to face it alone; they should have easy access to high quality care, treatment, information and support, to meet their medical, practical, emotional and financial needs. Research has shown how important health and wellbeing is to the recovery and long-term health of cancer patients. For more information please phone 01206 744401.

Debbie Farthing, Macmillan Information & Support Manager said:

The cancer journey can be a particularly difficult time for many patients and their families and they need to know there is a robust safety net of support throughout diagnosis, treatment, survivorship, rehabilitation and beyond enabling them to return to everyday life and activities. This event will empower people to live more independently knowing our support and help is always available no matter when on how they need our help. We meet or talk to approximately 5,000 people, families and health professional per year and give out 18,000 plus information booklets with 309 patients and their families receiving on-going daily support from our volunteers with fast track access to health professionals where needed.

Pot Holes

Pot Holes - report a problemPot holes are the leading item of this months Village News.  After all the wet weather we have experienced this winter some of our village roads and surrounding area have been badly affected. It is really easy to report a road problem to Essex County Council on their web site – http://www.essexhighways.org/report-a-highways-problem.aspx.

You can phone to report a problem on 0845 67 430 430.  If we do not report problems they will not know what needs doing.

Other items addressed in the latest news update are:

  • Emergency Planning in West Bergholt;
  • Details of Annual Meeting on 21st May;
  • Change of  management at the White Hart.

Personal Health Budgets

NE Essex CCG issue news of personal health budgetsNHS North East EssexCCG introduces personal health budgets for local people

People in Colchester and Tendring who get funding from the NHS for their continuing healthcare will now have a greater say in how that money is spent.

From 1 April 2014 everyone eligible for on-going treatment and support for a complex medical condition has the right to ask for a personal health budget. That includes the option of asking for direct payments to be made to them, or to someone who looks after them.  Then, with the help of local NHS professionals in putting together an individual care plan, each person can choose how to use their allocated budget for a tailored package of health services.

Each patient will be able to get a range of help that is appropriate to them and their condition – such as clinical treatments, therapies, personal care and equipment – from NHS, private and voluntary sector providers.  Or the personal healthcare budget can carry on funding the healthcare and support that is already working well for them, if they don’t want to make changes.

Personal budgets are not entirely new. Some people already have the benefit of direct payments for social care, and continuing healthcare is the right place to start with personal health budgets. It is one of the few areas where the NHS commissions healthcare person-by-person,” said Lisa Llewellyn, Director of Nursing and Clinical Quality at NE Essex CCG. “We have learned from pilots across theUK that personal health budgets give patients greater involvement in planning their care, and greater choice, flexibility and control. So they can then buy services they know will best improve their health and wellbeing, and that are right for them and their families.

NHS organisations in Essex are working in partnership with ecdp, an organisation run by and for disabled people, to help introduce the new approach. edcp has a pioneering track record in supporting disabled people at local, regional and national levels and has worked with a number of local authorities to help people to manage direct payments.

Mike Adams, chief executive of ecdp, said:

Along with the NHS, we recognise that the individual is the expert in how a health condition affects his or her life. Personal health budgets offer the opportunity for people to work in partnership with the NHS on how their health needs can best be met. Many people have said that being fully involved in discussions and decisions with their healthcare professionals is the right thing and will make them more positive about the care and support they receive, and better in control of their quality of life. The benefits seemed to be felt more strongly by people with the highest health needs.

Mike added:

You can manage the care and support you choose in different ways, ranging from doing this yourself through to getting help from another person, or from an organisation like ecdp to implement what’s in your care plan on your behalf.  You can review and update your choices with your local NHS team when you need to, for example if your health changes or something in your plan isn’t working for you. You can also continue to receive the support in the same way as now if that is your preference.

People who want to consider whether a personal health budget might be right for them should speak to their healthcare professionals – GP or practice nurse, district nurse or a member of their Continuing Care Team. There is also more information about personal health budgets on the NHS Choices website at www.nhs.uk/personalhealthbudgets.

Self-management scheme for cancer survivors

NE Essex CCG issue cancer survivors self-management
We Are Macmillan Cancer Support

New, improved self-management scheme

For those who have survived breast or colorectal cancers

The NHS in North East Essex, in partnership with Macmillan cancer charity, is launching a pioneering new service on the 1st April to better support survivors of cancer. It has been designed with the active involvement of patients from the cancer service user-groups.

This new scheme is designed to take some of the national ideas and build a new local service to better support people to manage their own medical and wider recovery process.

The scheme is specifically for those who have survived breast or colorectal cancers and who are now judged as at lower-risk of relapse, with the intention to learn from this to potentially expand the service to survivors of certain other cancers. Higher-risk patients, such as those who have suffered from aggressive forms of the disease, will continue to need and get a different, more medically intensive follow-up programme.

Dr Linda Mahon-Daly, a GP at Shrub End in Colchester, leading the collaboration with Macmillan, said:

We will be providing an improved service for patients ensuring that every patient has real, continuing practical and moral support. National research and planning is all pointing towards similar services, but we are making it work practically for these patients, who often face very challenging circumstances. There is also the benefit of freeing up hospital doctors’ time, allowing them to deliver more services.

Many people, once their treatment is successfully concluded for these cancers, can find themselves without effective follow-up support. There are about 200 new lower-risk patients each year in NE Essex for each of these cancers. Under the new scheme, they and their families will be invited to attend a workshop specific to their type of cancer, which will help them understand and prepare for problems they may face, for instance certain physical side-effects that may follow. Patients will then be discharged from routine outpatient appointments; they will be assigned a Macmillan “buddy”, a trained volunteer with experience and interest in this type of cancer.

There will be a clear, rapid procedure to get the patient back under consultant care if needed and patients will still be able to contact their clinical nurse specialist (CNS) for advice on medical problems.

Michelle Bath, Macmillan Development Manager for Essex, said:

Following active treatment many patients tell us they feel alone and try to ‘get back to normal’ but their cancer experience has had such a big impact that they’re no longer sure what their ‘normal’ is. By training volunteer buddies we are aiming to give patients a support network and somebody to speak to about their concerns. This will give patients a listening ear that isn’t a member of their medical team but they will know how to access medical support if they suspect a change or recurrence of their cancer.

Clinically proven effective follow-up medical investigations, such as regular colonoscopy and mammography will still be carried out, as at present, to ensure that any problems are found and dealt with quickly.

Donna Booton, Matron for Cancer Services at Colchester Hospital University NHS Foundation Trust, said:

This is an exceptional scheme for the patients of North East Essex. It will reduce their fears and give them the support and knowledge they have not received before in order to be able to move on with their lives. This is also an example of excellent collaborative involving Colchester Hospital Trust, North East Essex Clinical Commissioning and Macmillan Cancer Support.

The volunteer buddies are initially funded and trained by Macmillan offering patients their wide experience, good information and non-medical advice. Perhaps crucially they will offer support for the patient, if needed, with re-building life routines, such as finding a job and other services. Patients will know they have continuing support and quick, easy access to further help as needed. Each patient will get the support they need as an individual, rather than the current system of routine out-patient appointments at hospital for everyone.

Dr Shane Gordon, Clinical Chief Officer at NE Essex CCG (Clinical Commissioning Group) said:

This is a brilliant scheme; it will directly support many cancer survivors to rebuild their lives successfully. It is an excellent collaboration between Macmillan and the NHS which meets the support needs of patients at any time and links effectively with professional clinical services.

A lot of work has been done in the NHS nationally to understand why so many people who have been successfully treated for cancer, don’t feel they get effective follow-up support. There is good evidence too that the current routine follow-up appointments are not the most effective way of picking up any symptoms of recurrence of the disease, but patients do need help with any side-effects of treatment and sometimes with re-building their lives after treatment.

There will be an ongoing series of general cancer workshops, run and funded by Macmillan, on topics such as finance, diet and exercise and sexual health, which will be available to all cancer patients. Pilot workshops will be held and then evaluated, with the patient groups defining the feedback questionnaire which will be used.