Preventing ill health
We want to improve the way that services are provided with a greater focus on helping people earlier rather than later and keeping people well. Examples of this include:
- Supporting people to stop smoking - nearly 20% of people smoke in West Yorkshire and Harrogate. This is higher than the national average
- Reducing the number of people admitted to hospital due to alcohol consumption by 500 every year and reducing the number of ambulance call-outs for related incidents. In West Yorkshire and Harrogate alcohol consumption is a major concern - there are around 455,000 heavy drinkers across the area
- People with long term health conditions spend most of their time looking after themselves. We want to support them to do this with a focus on preventing illness, so they can stay well
- In West Yorkshire and Harrogate there are higher than average childhood obesity levels and 50% of people are overweight. We want to provide more people with support to help them to lead healthier lives
- Over 200,000 people are at risk of diabetes in the area. Our aspiration is that 50% of these people are offered diabetes prevention support.
You can read this presentation to find out more about our plans for a preventative approach to health and social care for our local population.
We want to make sure that mental health services are integrated orcombined with physical health servces - this will ensure we care and treat the ‘whole’ person. For example, we will support people with long-term physical health conditions to cope with anxiety or depression.
We are developing services across the area to reduce the difference in the quality of mental health care that people receive in order to improve their wellbeing and make services better.
It is important to us to develop services to improve the experience of care for people in mental health crisis, and we want to reduce the number of people taking their own lives, so we are creating a region-wide multi-agency suicide prevention strategy.
Organisations from across West Yorkshire and Harrogate are joining forces to adopt a ‘zero’ suicide approach, where every death by suicide is viewed as preventable.
Mental health providers, ambulance, police and fire services, local councils, prison services and voluntary community organisations are coming together to make a real difference through what is an ambitious but practical strategy to tacking suicide. You can read the plan here. An info graphic is also available here. The plan sets out how they will reduce suicide by 10% across the West Yorkshire and Harrogate area, and by 75% in targeted areas.
Every week 250 people in West Yorkshire and Harrogate are diagnosed with cancer and sadly 115 people will lose their fight each week. By working together in our partnership, our ambitions are to:
- Prevent cancer where possible and significantly reduce the 40% of cancers which are caused by behavioural, environmental and lifestyle factors, with a particular focus on tobacco control
- Make more cancer curable by improving the speed at which patients receive their diagnosis. We also want to support people to understand and act upon the early signs and symptoms of cancer
- Promote access to screening programmes for cancers
- Ensure that the experience of individual patients is taken as seriously as the seriousness of their clinical care and treatment
- Support people to live as full and active a life as possible with and beyond their cancer diagnosis
- Invest in modern and high quality services
- Transform the way that organisations work together to make sure that cancer treatment, care and support is wrapped around the patient and not purely based on a single condition or organisational boundaries.
Here in West Yorkshire and Harrogate, our Cancer Alliance works within the context and framework of the health and care partnership, taking forward the recommendations of the national cancer taskforce strategy to achieve world class outcomes for patients in the area. This includes agreeing, coordinating and assuring the delivery plans that are developed in the six local places of the partnership.
Our work on stroke will focus on the whole experience, aiming to preventing it happening in the first place. We want to provide better urgent care and community support in the first 72 hours to help people to make the best recovery possible.
Please read our strategic case for change and a shorter public summary of the strategic case for change to find out about our proposals to adapt stroke services in West Yorkshire and Harrogate. There's also an easy-read version. You can also view the NHS Yorkshire and the Humber Clinical Senate's independent feedback on the strategic case for change.
You can also find out more about our engagement with patients with experience of stroke to find out what they think about our proposals.
We know that a stroke can have a devastating impact on a person's life, as well as their family members.
This information has been produced to give you an update on West Yorkshire and Harrogate stroke care work so far.
Keeping everyone updated is an important part of our work. We want to keep you regularly updated so that you have the opportunity to discuss developments as they progress. You can also view the stroke report presented to West Yorkshire and Harrogate Joint Committee of the 11 Clinical Commissioning Groups on the 7 November 2017 here.
The Yorkshire & Humber Academic Health Science Network working with our partnership to prevent stroke
AF causes a fast and erratic heartbeat which is a major factor of stroke. The work is about detecting and treating people who are at risk of stroke so that around 9 in 10 people with AF are managed by GPs with the best local treatments, saving lives and delivering efficiencies too.
AHSN are also working closely with Right Care and the British Heart Foundation
to ensure the support they give is evidence based and delivers the best health care outcomes possible.
The work also highlights the importance of further improving awareness of the signs and symptoms of stroke.
The West Yorkshire and Harrogate programme involves the 11 clinical commissioning groups across the area. The AHSN will support 80 general practices to improve the care people receive across the area, saving a minimum of 190 strokes, over the next 3 years.
The intractable problem of irregular heart rhythm causes real problems. Every year, one in 20 people with AF will have a stroke. For every five people with AF that have a stroke, two will die, two will have to go into a care home and only one will return to their own home.
The AHSN has previously worked with West Yorkshire and Harrogate through the Heathy Futures Collaborative. In 2015, the collaborative created a commissioning strategy to improve care for people known to have AF. This successful strategy has benefitted 8,094 patients and is calculated to be preventing around 200 strokes a year.
Keeping everyone updated is an important part of our work. We want to keep you regularly updated so that you have the opportunity to discuss developments as they progress. Please see attached the draft timelines for the coming months work. Please note these are subject to change.
West Yorkshire and Harrogate stroke care event 2 February 2018
Over 50 health and social care professionals, community organisations, councillors, people who have experienced stroke and carers attended an event organised by West Yorkshire and Harrogate Health and Care Partnership (WY&H HCP) in Bradford on Friday 2 February. The event builds on the public engagement work from February and March 2017, and a clinical summit in May 2017, where consultants, doctors and other health care professionals came together to consider how they could further improve stroke care across the area. You can view the slides here and a report from the event will be published here soon.
Primary and community care
Primary care includes a wide range of services including your local GP, pharmacies and mental health and social care services.
We would like to see more care delivered in local community and primary care settings for example, a GP practice, rather than people needing trips to hospital. We think many of the tests and treatments for minor injuries and minor surgery that are usually provided in hospital could be provided closer to home.
We would also like to:
- Consider what other services could be provided under one roof, including physiotherapy and citizens advice services, bring everything together into 'community hubs'
- See more GPs in training, work together more closely with community and mental health services. By working in teams, health and social care professionals can provide advice and treatment for you together, instead of you needing lots of appointments in different departments
- See more GPs delivering 'social prescribing'. This is connecting up GPs with community based solutions to help people to manage their health conditions as effectively as possible. To find out more about what social prescribing is, and the work that the Patient Empowerment Project has been doing in Leeds, watch the video below
- Work with our GP practices to make sure that you can easily book an appointment, view your medical records, and request a repeat prescription online. Advice and support should be as convenient as possible for you, including making the best possible use of smart phones and digital technology.
To find out more about how we want to use digital technology to engage more people in health and social care services, watch the video below.
Please also find out more about how we want to support carers in the community.
Read this report to find out more about work commissioned by West Yorkshire and Harrogate Health and Care Partnership about primary and community care. The report talks about the benefits of the ‘left shift’. The left shift is about moving clinical care, as appropriate, for patients from hospitals into the community; with the intent that this will lead to better health and wellbeing, better quality of care as well as making sure services meet people’s needs now and in the future
In support of NHS England’s National Maternity Review, we have created the West Yorkshire and Harrogate Local Maternity System Board. The Board’s vision for maternity services is to improve safety for mum and baby, for services to be tailored for individual people, to improve choice and for care to be family friendly. We believe every woman and her partner should have information to help them to make decisions about care, and every woman and baby should be able to receive support that is focused on their needs and circumstances.
We also believe that all staff working in maternity care should be supported to deliver care which is women centred. They should work in high performing teams and in organisations which are well led. They should work in teams that promote innovation, continuous learning, and break down organisational and professional boundaries.
Through a network of support coordinated by the Maternity Transformation Programme, there are some 'early adopters' taking forward the implementation of the vision in Better Births. The experiences of the Early Adopters will pave the way for national roll-out of initiatives that deliver safer, more personalised care for all women and every baby, improve outcomes, and reduce inequalities. Click here to view some examples from across England.
West Yorkshire and Harrogate Local Maternity Services (LMS) will provide the highest quality care, information and advice for women, and their loved ones, throughout a pregnancy and whilst planning for a baby.
LMS will strive to be the first choice when it comes to receiving maternity care and giving birth by offering women options and treating them as individuals. We will be supportive and reassuring – never judgemental.
We will listen to, and work closely with, women and their families to make sure they experience care that is safe, responsive and respectful to their needs and wishes throughout the pregnancy and birth.
Our nationally recognised maternity services will attract and retain a highly effective workforce that will be well led, innovative and will continuously learn.
To achieve this we will be:
- Developing a local vision for improved maternity services in order to ensure that there is access to services for women and their babies, regardless of where they live
- Ensuring women and their babies can access seamlessly the right care, in the right place at the right time
- Making sure that providers such as NHS hospitals and other health services in West Yorkshire and Harrogate work together so that the needs of women and families are prioritised
- Putting in place necessary processes to make sure services work together effectively
- Making sure that women, partners and families are involved in designing maternity services
- Supporting a learning culture between NHS staff, partners and fostering workforce co-ordination and training.
A lot of work on improving maternity services has already taken place in Leeds, you can read more about this on NHS Leeds South and East Clinical Commissioning Group's website.
Leanne has type 1 diabetes. She already had a two year-old son, when she was pregnant with her daughter Charlotte. She feels the care she received was much better second time around, thanks to efforts to provide more personalised care.
In her first pregnancy, whilst she had a named midwife but rarely had contact with her. By contrast during her second pregnancy, her named midwife Cathy regularly visited her at her home and took time to understand her story and her history of diabetes. Leanne says managing her condition during pregnancy was difficult but having her midwife’s support helped her feel less isolated.
At 34 weeks, Leanne had been experiencing frequent episodes of hypoglycaemia and was concerned. She texted Cathy, who replied quickly, advising her to go to the Maternity Assessment unit. It was established Leanne was at risk of placenta failure and she was delivered by caesarean section. Leanne feels this quick response helped save her daughter’s life.
Cathy, Diabetes Midwife, Leeds Teaching Hospitals NHS Trust
As part of Leeds Maternity Strategy, information has been produced to help support women, including those with learning disabilities, through their pregnancy
For Cathy, these have been invaluable in helping her support women often with very complex needs. The resources include information on what to expect from maternity care, birth plans and screening the unborn baby for medical conditions, all in easy read formats.
The team use these as part of a streamlined approach which involves as much preparation as possible in advance of each woman’s first appointment, for example through team huddles to share information. Cathy says a strong team approach is crucial to make sure they can meet the woman’s individual needs and provide safe care.
Read the summary of our maternity plan here:
Urgent and emergency care
Many people believe that A&E is a convenient place to go if you have a problem with your health, as it is seen to offer the highest level of expertise, with access to diagnostic equipment such as x-rays. However medicine has changed – GPs, ambulance staff and people working in a wider range of services can and do provide urgent and emergency care.
We wanted to find out why people use A&E as a first port-of-call. As a member of our partnership, Healthwatch Kirklees carried out an exercise to find out why people use A&E and you can find out what they discovered by reading the engagement report.
Our vision for urgent and emergency care is that we should provide a highly responsive service that delivers care as close to home as possible, minimising disruption and inconvenience for patients, carers and families.
You can read lots of examples of how we are already taking new approaches to urgent and emergency care close to home.
The West Yorkshire Acceleration Zone (WYAZ) has already been set up to deliver improvements in urgent and emergency care delivery across our area. WYAZ is the only urgent and emergency acceleration zone in the country.
This milestone tracker template was submitted to NHS England to set out our draft targets in achieving progress in key areas of work to deliver better urgent and emergency care across our area. Please note that the figures in red have been set by NHS England.
The dashboard will be produced and updated monthly.
Hospitals working together
We would like to see local hospitals working in partnership with one another to give you access to the very best facilities and staff. This could mean care will be provided by a team of expert medical staff who work together across a number of hospital sites within a single, high quality service.
Please read this document to find out more about the West Yorkshire Association of Acute Trusts and how it is bringing hospitals together.
Professor Liz Kay from Leeds Teaching Hospitals NHS Foundation Trust talks about improving the medical prescription supply system and the benefits to patients by working together.
Making commissioning policies the same
There is a big opportunity to make all our commissioning policies (the policies we have about buying health and social care services) the same and reduce the difference in the treatment that people across West Yorkshire and Harrogate can access. People often call the difference in treatment that they receive based on where they live a ‘postcode lottery’. We want to make sure that what care people receive is fair and consistent no matter where you live.
Our 11 Clinical Commissioning Groups have joined together to form a Joint Committee, which will help us to make all commissioning policy the same.
You can read more about making our commissioning policies the same and best practice about getting rid of the postcode lottery.
We have updated the engagement and consultation mapping document for West Yorkshire and Harrogate. You can read about the public engagement and consultation work carried out across the area on standardisation of policies here.