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  • About us

      About us

    • Our approach to working together
      • Bradford Local Plan
      • Calderdale Local Plan
      • Harrogate Local Plan
      • Kirklees Local Plan
      • Leeds Local Plan
      • Wakefield Local Plan
    • Our partners
      • Proud to be a partnership
    • Our leadership
    • Partnership Board
    • Positive about Islam
  • Our priorities

      Our priorities

      Our Partnership is made up of organisations working closely together to plan services and address the challenges facing health and care services across the area.

    • The difference our Partnership is making
    • Coronavirus (Covid-19) information and resources
      • COVID-19 vaccination programme
      • Working together to reduce health inequalities
    • Cancer
    • Capital and estates
    • Children, young people and families
    • Digital technology
      • Local health and care record exemplars
      • GP Online Consultation
    • Hospitals working together
    • Housing and Health
    • Improving planned care
      • Our West Yorkshire and Harrogate commissioning policies
    • Improving population health
      • Review into impacts of COVID-19 for BAME communities and staff
      • Diabetes Network
      • Climate Change
    • Innovation and improvement
    • Maternity care
    • Mental health, learning disability and autism
      • Learning disabilities
    • Our work with the community and voluntary sector
    • Preventing ill health
      • Healthy Hearts
      • Loneliness
    • Primary and community care
    • Personalised Care
    • Stroke
    • Supporting carers
      • Your Carers Toolkit
      • Working carers and Covid-19
    • Urgent and emergency care
      • Rotational trainee nursing associate apprenticeship course
      • Help us help you to get ‘to the right place first time'
    • Workforce
      • West Yorkshire & Harrogate Excellence Centre
      • Workforce health and wellbeing
      • System and Leadership Development Programme
  • News

      News

    • Blogs
    • Podcasts
    • Coronavirus (COVID-19)
  • Meetings

      Meetings

    • Upcoming events
    • Meetings affected by coronavirus
    • Supporting our BAME communities and staff - Review Panel meetings
      • About this review
    • West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups
      • Previous meetings
      • Future meetings
      • Contact the Joint Committee of Clinical Commissioning Groups
      • Get involved
    • Our Partnership Board
      • Partnership Board papers
      • Board membership
      • Ask the Partnership Board a question
      • Partnership Board webcast
  • Publications

      Publications

      In this section you will find links to useful information and publications about our partnership.

    • Tackling health inequalities for Black, Asian and minority ethnic communities and colleagues
    • Better health and wellbeing for everyone: Our five year plan
    • Our Next Steps
    • Our Workforce Strategy​
    • Other Publications
    • Improving Population Health Annual Report
    • An Ethical Framework for West Yorkshire and Harrogate Health and Care Partnership
    • The difference our Partnership is making
    • COVID-19 vaccination programme
  • Get involved

      Get involved

      We are committed to meaningful conversations with people, on the right issues at the right time. We believe this is an important part of the way we work.

    • Check-in: staff suicide prevention campaign
    • The NHS Long Term Plan
    • Looking out for our neighbours
    • Health and care champions
    • The work of our Health and Care Champions
  • Engagement and consultation

      Engagement and consultation

      Engagement gives people an opportunity to have their say on services. By gathering people's views, it helps us understand what matters to people.

    • Integrated Care Systems legislation
  • Any questions?

      Any questions?

      In this section you will find all Freedom of Information (FOI) requests made to our Partnership. You can also ask a question of your own.

    • You said, we did...
    • Frequently asked questions
  • Contact us

Improving planned care

Improving planned care services for West Yorkshire and Harrogate

What is planned care?

Planned care is also known as ‘elective’ care. It is treatment that people decide to have to help manage a health problem, rather than emergency treatment for an urgent medical condition, or following a serious accident for example. People are usually referred for planned care by their GP or another healthcare professional.

Planned care covers many different medical procedures including joint replacements and cataract surgery. It also includes diagnostics which are tests that are carried out to detect diseases such as cancer and other serious medical conditions. Most planned care procedures are done as day cases, where patients leave hospital on the day of the procedure. Sometimes patients have to stay in hospital overnight or a bit longer if necessary.

Improving planned care is one of the Partnership’s priorities and this is why we have an Improving Planned Care Programme that focusses just on this work.
You can read more about the work of the programme here.

The aim of this programme is to deliver the most appropriate and effective planned care services for the people of West Yorkshire and Harrogate, and achieve the best value in how we use our resources to deliver those services.
There’s more information about the programme here.

 

Who is involved?

Jo Webster, Chief Officer of Wakefield CCG and Steve Russell, Chief Executive at Harrogate and District Trust, are the Improving Planned Care Programme’s new Senior Responsible Officers.

The programme is working with the West Yorkshire Association of Acute Trusts (WYAAT) Elective Surgery Programme to transform planned care services across West Yorkshire and Harrogate by bringing together and aligning existing and future work, avoiding duplication, working collaboratively and making the best use of the resources, facilities and capacity we have across the system.

A new Planned Care Alliance Board has been formed to bring together the two programmes. Along with Jo and Steve, the board has around 40 other members who represent primary care, secondary care, commissioning, public health, patient groups and other stakeholders.

Programme updates

Clothing guidance when attending for scans or examinations - 03.02.21

We know that many people have privacy or dignity issues with hospital gowns and prefer not to wear them. Sometimes, having to wear a hospital gown for a scan or examination is necessary but in most cases, you can wear your own clothes. We have developed a series of clothing guidance information leaflets that explain what to wear, and what not to wear, when attending hospital for a particular scan or examination.

Working together during Covid-19 - 25.01.21

Covid-19 continues to have a severe impact on capacity for hospitals to carry out routine operations and planned (elective) care procedures. 

Hospitals are working hard to maintain Priority 1 surgery (urgent within 72 hours) and Priority 2 surgery (urgent within 4 weeks) during the pandemic but many routine hospital services have been suspended.

Plans are being developed for how local health services will work together to address the significant waiting list for planned care, once we see a sustained reduction in the rate of new Covid-19 cases across the region.

Although 2020 was an incredibly difficult year, we did see many healthcare improvements, innovations and advancements. There has been a significant increase in the use of online communications, services and processes to help deliver health care services safely, and to support people’s health and wellbeing.

More people than ever before have used technology, including telephone and video consultations to talk to healthcare professionals. A lot of people have made healthier lifestyle choices since the start of the pandemic and many have found effective ways to help manage a health condition whilst healthcare services have been restricted.

We have produced the following ‘Working together’ case studies to give you a brief outline of some of the work that has been going on during the pandemic to offer safe and effective options for healthcare at this challenging time.

  • Virtual Consultations
  • First Contact Practitioner Physiotherapists in Primary Care
  • Improving Outpatient Appointments

Flash glucose monitoring for people with diabetes and a learning disability - 21.01.21

Flash-glucose-monitor.jpgFlash glucose monitoring, or Flash for short, uses a sensor that is placed on the back of the upper arm and worn externally by the user, allowing glucose information to be monitored using a mobile app. This information helps the user and their clinical team to identify what changes are needed to insulin administration to achieve optimal glucose control, and therefore reducing the risk of adverse outcomes.

The original roll out of Flash only applied to select patients with type 1 diabetes. The vast majority of people who have diabetes and a learning disability have type 2 diabetes so would have not met the original criteria for Flash. All patients with a learning disability and type 1 or type 2 diabetes, who use insulin to manage their condition, will now be offered a flash glucose monitor at their next review.

Our commissioning policy for flash glucose monitoring has now been updated to reflect this change. You can view the policy, along with further information about Flash, in our Medicines and prescribing commissioning policies section.

The impact of Covid-19 on planned care services - 27.10.20

Covid-19 has had a major impact on planned care services across West Yorkshire and Harrogate.

During the first peak of the pandemic, health services had to take the difficult decision to temporarily stop carrying out most planned care procedures. This was done to keep both patients and staff safe whilst services focussed on treating patients who had contracted the virus.

Things are far from being how they were before Covid-19 but planned care services that were temporarily stopped have restarted gradually and in the safest possible way for patients and staff.

This section ‘planned care services in changing times’ gives an update on the current situation with planned care in West Yorkshire and Harrogate.

It also looks at how patients are being prioritised, what patients need to know before they go into hospital for a planned care procedure and how patients are being supported whilst they wait for a planned care procedure.

Placing physiotherapists at the heart of primary care - 18.03.20

The First Contact Physiotherapy Practitioner Programme places physiotherapists in GP practices as a first point of contact for people with MSK conditions. Having direct access to an experienced physiotherapist means there are no unnecessary delays for MSK patients in receiving the care they need.

Consistent approaches for hip surgery and cataract surgery across the region – 15.01.20

The West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups met in public on Tuesday 14 January 2020 where it agreed the adoption of single commissioning policies for hip replacement surgery and arthroscopic hip surgery, to be implemented across the region within the next 12 months. The policies align with the wider musculoskeletal (MSK) pathway that was introduced back in May 2019.

The Committee also agreed a single clinical pathway and policy for cataract surgery, with a timescale of up to three years for implementation. Under the new pathway, better use will be made of the many community optometrists we have in West Yorkshire and Harrogate and this will have a number of benefits for eye care services and the people who use them.

A single approach to knee surgery for West Yorkshire and Harrogate - 06.11.19

The West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups met in public on 5 November 2019 where it agreed the adoption of single commissioning policies for knee surgery. These standardised policies cover knee replacement surgery (arthroplasty) and keyhole surgery on the knee (arthroscopy) and will be implemented across West Yorkshire and Harrogate within the next 12 months.

The policies can be found in Our West Yorkshire and Harrogate commissioning policies section, on the orthopaedic and musculoskeletal (MSK) page. You'll also find 'mapping and gapping' documents that show how the single policies compare to the existing policies of our local Clinical Commissioning Groups (CCGs).

Monitoring people who take hydroxychloroquine or chloroquine to help prevent avoidable sight loss - 06.11.19

The West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups met in public on 5 November 2019 where it agreed the adoption of a single clinical pathway and commissioning policy for hydroxychloroquine and chloroquine retinopathy monitoring.

These drugs are used to treat various conditions, particularly autoimmune diseases like rheumatoid arthritis, but they can cause side effects. Some people who take them for more than five years, or in high doses, are at increased risk of damage to their retina, a condition known as hydroxychloroquine retinopathy.

The introduction of this pathway and policy will ensure that local patients who are prescribed hydroxychloroquine or chloroquine are effectively monitored, preventing avoidable sight loss and avoiding unnecessary interventions.

Programme updates archive

View all our previous programme updates here.

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  • About us
    • About us

    • Our approach to working together
      • Our approach to working together

      • Bradford Local Plan
      • Calderdale Local Plan
      • Harrogate Local Plan
      • Kirklees Local Plan
      • Leeds Local Plan
      • Wakefield Local Plan
    • Our partners
      • Our partners

      • Proud to be a partnership
    • Our leadership
    • Partnership Board
    • Positive about Islam
  • Our priorities
    • Our priorities

    • The difference our Partnership is making
    • Coronavirus (Covid-19) information and resources
      • Coronavirus (Covid-19) information and resources

      • COVID-19 vaccination programme
      • Working together to reduce health inequalities
    • Cancer
    • Capital and estates
    • Children, young people and families
    • Digital technology
      • Digital technology

      • Local health and care record exemplars
      • GP Online Consultation
    • Hospitals working together
    • Housing and Health
    • Improving planned care
      • Improving planned care

      • Our West Yorkshire and Harrogate commissioning policies
    • Improving population health
      • Improving population health

      • Review into impacts of COVID-19 for BAME communities and staff
      • Diabetes Network
      • Climate Change
    • Innovation and improvement
    • Maternity care
    • Mental health, learning disability and autism
      • Mental health, learning disability and autism

      • Learning disabilities
    • Our work with the community and voluntary sector
    • Preventing ill health
      • Preventing ill health

      • Healthy Hearts
      • Loneliness
    • Primary and community care
    • Personalised Care
    • Stroke
    • Supporting carers
      • Supporting carers

      • Your Carers Toolkit
      • Working carers and Covid-19
    • Urgent and emergency care
      • Urgent and emergency care

      • Rotational trainee nursing associate apprenticeship course
      • Help us help you to get ‘to the right place first time'
    • Workforce
      • Workforce

      • West Yorkshire & Harrogate Excellence Centre
      • Workforce health and wellbeing
      • System and Leadership Development Programme
  • News
    • News

    • Blogs
    • Podcasts
    • Coronavirus (COVID-19)
  • Meetings
    • Meetings

    • Upcoming events
    • Meetings affected by coronavirus
    • Supporting our BAME communities and staff - Review Panel meetings
      • Supporting our BAME communities and staff - Review Panel meetings

      • About this review
    • West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups
      • West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups

      • Previous meetings
      • Future meetings
      • Contact the Joint Committee of Clinical Commissioning Groups
      • Get involved
    • Our Partnership Board
      • Our Partnership Board

      • Partnership Board papers
      • Board membership
      • Ask the Partnership Board a question
      • Partnership Board webcast
  • Publications
    • Publications

    • Tackling health inequalities for Black, Asian and minority ethnic communities and colleagues
    • Better health and wellbeing for everyone: Our five year plan
    • Our Next Steps
    • Our Workforce Strategy​
    • Other Publications
    • Improving Population Health Annual Report
    • An Ethical Framework for West Yorkshire and Harrogate Health and Care Partnership
    • The difference our Partnership is making
    • COVID-19 vaccination programme
  • Get involved
    • Get involved

    • Check-in: staff suicide prevention campaign
    • The NHS Long Term Plan
    • Looking out for our neighbours
    • Health and care champions
    • The work of our Health and Care Champions
  • Engagement and consultation
    • Engagement and consultation

    • Integrated Care Systems legislation
  • Any questions?
    • Any questions?

    • You said, we did...
    • Frequently asked questions
  • Contact us