Duty To Report On Consultations Final

ANNUAL REPORT ON CONSULTATION 2009 2010
Published September 2010 NHS Lewisham Cantilever House Eltham Road London SE12 8RN Copyright Directorate of Engagement, NHS Lewisham
Any part of this document may be published as long as the copyright of NHS Lewisham is acknowledged. This report was compiled by Kelly Scanlon, Head of Strategic Communications. Many thanks to everyone who has contributed to this report.
The best possible health and well-being for people in Lewisham

Chairman: Michael Richardson CB Chief Executive: Gill Galliano
CONTENTS
1. 2. 3. 4. 5. INTRODUCTION .................................................................................................................................................... 3 WORKING WITH LINKS....................................................................................................................................... 4 OUR VISION FOR HEALTH IN LEWISHAM..................................................................................................... 4 THE SHAPE OF THINGS TO COME ................................................................................................................. 6 UNDERSTANDING THE NEEDS OF OUR POPULATION ............................................................................ 9 5.1 DOWNHAM AND WHITEFOOT ..................................................................................................................... 9 5.2 VIETNAMESE COMMUNITY ........................................................................................................................ 10 6. PROVIDING THE RIGHT SUPPORT ............................................................................................................... 11 6.1 THE EXPERT PATIENT PROGRAMME..................................................................................................... 11 6.2 PATIENT ADVICE AND LIAISON SERVICE ............................................................................................. 12 6.3 DOWNHAM ELDERLY HEALTH PROJECT SUPPORTING PEOPLE PROGRAMME.................. 13 6.4 BREASTFEEDING.......................................................................................................................................... 13 7. HEARING WHAT PEOPLE THINK OF SERVICES....................................................................................... 14 7.1 LEWISHAM PEOPLES DAY........................................................................................................................ 14 7.2 WORKING WITH NEW MOTHERS ............................................................................................................. 14 7.3 PATIENT EXPERIENCE TRACKERS......................................................................................................... 15 7.4 NHS CHOICES ROADSHOWS .................................................................................................................... 16 7.6 COMMUNITY HEALTH SERVICES SURVEY ........................................................................................... 17 7.7 ARTFUL DODGERS CARDIAC SUPPORT GROUP ............................................................................ 17 7.8 BOBBY DAZZLERS ....................................................................................................................................... 18 8. INCREASING ACCESS...................................................................................................................................... 18 8.1 DOWNHAM ELDERLY HEALTH PROJECT ACCESS TO LOCAL SERVICES.............................. 18 8.2 MANAGING MINOR HEALTH AILMENTS................................................................................................. 19 8.3 IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ................................................................. 20 8.4 SMILE DENTAL CAMPAIGN........................................................................................................................ 22 9. IMPROVING HEALTH AND PREVENTING ILL HEALTH............................................................................ 22 9.1 NHS HEALTH CHECK................................................................................................................................... 22 9.2 HEALTHY START FOR CHILDREN ........................................................................................................... 23 9.3 HEALTH TRAINERS ...................................................................................................................................... 23 9.4 HEALTHY COMMUNITY COLLABORATIVE CANCER SERVICES ................................................. 24 9.5 STOP SMOKING ........................................................................................................................................ 24 10. INVOLVING EVERYONE............................................................................................................................... 25 10.1 PACESETTERS.......................................................................................................................................... 25 10.2 EQUALITY, DIVERSITY AND HUMAN RIGHTS .................................................................................. 26 11. ORGANISATIONAL DEVELOPMENT ........................................................................................................ 28 11.1 INTEGRATING HOSPITAL AND COMMUNITY HEALTH SERVICES............................................. 28 11.2 STAFF ENGAGEMENT............................................................................................................................. 29 12. OTHER ENGAGEMENT ................................................................................................................................ 29 13. MORE INFORMATION................................................................................................................................... 35

1.
INTRODUCTION
We are delighted to publish our first Annual Report on the consultation work we have undertaken between April 2009 and March 2010. This report records how the views of local people have influenced the decisions we have made on planning and delivering local health services. We have also decided to use this opportunity to highlight the wide range of formal and informal engagement work we do on a daily basis. In Lewisham we pride ourselves on being a forward thinking organisation that has ambitious plans to improve the health and well being of our residents. Strong local partnerships are founded on effective engagement and we are committed to involving patients and the public in a way that genuinely and demonstrably leads to service improvements. We work with an extensive network of user groups who all play a very valuable role through their involvement in the planning and decision making processes. The publication of our 2009 2015 Commissioning Strategy Plan reinforced our commitment by ensuring that communications and engagement is an integral part of the successful delivery of our plans to improve health and well being in Lewisham. This report sets out the wide range of engagement activities we have undertaken in 2009 2010, from consultations across London to small focus group discussions on local health needs and how simple changes to the way things are run can make a huge difference to the patient. Our continued presence at Lewisham Peoples Day the Boroughs annual community event enables us to meet many local people and get their feedback about their experiences of using local health services. In addition to all these activities, we continue to support ongoing engagement with our local communities and have developed a strong and effective partnership with our Local Involvement Network (LINks). Our borough wide Patient and Public Engagement Steering Group helps us to monitor and evaluate our engagement work and the objectives set out in our Communications and Engagement Strategy. The publication of the NHS White Paper Liberating the NHS has placed an even greater emphasis on the need to involve the public and patients in all aspects of their care, service planning and delivery, in order to increase understanding, quality and improve health outcomes. We believe that in Lewisham we have set in place the foundations to enable us to continually develop the ways in which we involve local people, ensuring that every part of our diverse community can be heard and has the opportunity to contribute. Michael Richardson MB Chairman Gill Galliano Chief Executive Magda Moorey Chair Professional Executive Committee

2.
WORKING WITH LINKS
In NHS Lewisham we recognise that sometimes people who use health services dont feel they have a strong enough voice to challenge health services or to change aspects of their health or social care. We already have a very successful Patient Advice and Liaison Service (PALS) but wanted to make it easier for those people who wouldnt necessarily contact PALS to be able to give feedback on their experience of using local health services. We have therefore been working closely with Lewisham Local Involvement Network (LINk) (a network of over 1200 people, organisations and groups who represent the views and ideas of local people) to establish additional ways of meaningfully collecting feedback and using it to influence service delivery or change. In conjunction with LINks we have developed a database that captures patient feedback across all health services in the borough. This pioneering method of capturing and using patient feedback in the commissioning process has led to national interest. For more information on Lewisham LINks, visit their website at www.lewishamlink.org.uk
3.
OUR VISION FOR HEALTH IN LEWISHAM
In 2009, we reviewed our organisational vision in order to make it more meaningful to patients, the public and partners, and sharper and more delivery focused. Our review took account of the views of Lewishams patients, public, clinicians, staff and commissioning partners. This built on the previous extensive engagement work that took place in 2008 to develop the Lewisham Joint Strategic Needs Assessment and Commissioning Strategy Plan. In the autumn of 2009, we held two engagement events with the public, LINks, Lewisham Council, Hospital and voluntary sector representatives. At these events we gathered feedback on our vision. We were asked to include in our plans more about people taking responsibility for their own health, quality of services (GP services in particular) and fairness of care for all. We combined this feedback with the results of a prioritisation process to help us decide which areas we should focus on over the next five years and to develop our new vision and values. Prioritisation At our first event we explained why we would need to prioritise the delivery of our organisational goals and initiatives and asked local people how they would like to be involved in our prioritisation process, their feedback was that they wanted:
To be involved. Information to be presented in a simple and standard way. To be able to question clinicians and local health experts. In response to this, and following a board seminar agreeing our approach to prioritisation, we held our second event where our goals and initiatives were presented simply and with enough information to allow meaningful debate on priority areas. Time was spent pitching each goal to the public, followed by table discussions and keypad voting on where we should spend our money. This was followed by a challenge session asking participants to justify to each other why they had made certain choices. An expert panel of doctors and strategy planners then answered questions. This was followed by a final round of voting. The discussions and challenge served to change how the public had voted, although their top priorities of Improving Mental Health (Improving Access to Psychological Therapies IAPT), Long Term Conditions (Diabetes) and reducing premature deaths from cancer (Breast) were unchanged. The graph below shows the results of the second round of voting from the event alongside the views of our Senior Management Team, Trust Board and Professional Executive Committee.

The outcomes of this work was included in the review of our Commissioning Strategy Plan and helped us decide which health goals NHS Lewisham would focus on improving over the next five years. The prioritisation criteria used to select goals was: Reach Cost Effectiveness Deliverability Equity
When making the decisions on prioritisation the following was agreed: Cannot be done by numbers has to be a judgement. Differing views from stakeholder groups, but some areas of agreement. Senior Management Team should decide what recommendation to make to the Board as part of the Strategy Plan. Decisions should be explained and will be fed back to the public.
Following this process, the goals were prioritised as follows: 1. 2. 3. 4. 5. 6. 7. Circulatory Diseases Mental Health Long Term Conditions (incorporating delayed transfers of care) Children and Young People End of Life Cancer screening Teenage pregnancy
For a full copy of the report on the outcomes of these events, please call 020 7206 3209.
4.
THE SHAPE OF THINGS TO COME
The Healthcare for London consultation The shape of things to come on plans to improve stoke and major trauma services across London ran from 31 January until 8 May 2009. The proposals were for the creation of specialist stroke and trauma centres in London in which expert clinical care and the latest technology would be concentrated in a few super centres which would treat the most serious and life-threatening cases. These would be linked to a network of A&E and stroke units across London dealing with less serious cases, rehabilitation and continued treatment.

The consultation document outlined 3 options for the location of trauma services and proposals for the location of stroke services across London.
We also held two health fairs in Lewisham. One was held at Lewisham Hospital and the other in Lewisham Town Centre. The overall response was favourable and people understood the reasoning behind the creation of the major trauma centres and hyper-acute stroke centres
The consultation document was produced in paper form and also provided electronically. It was distributed widely to staff, GP practices, pharmacies, health centres, Lewisham Hospital, South London and Maudsley NHS Foundation Trust, Lewisham LINk, the Stroke Association, voluntary and community sector, local people and the media. There were also a wide range of presentations at various meetings across the borough, including staff meetings, clinical committees, Health Scrutiny and the Lewisham Strategic Partnership. A joint committee of primary care trusts (JCPCT) met in public on 20 July 2009 to consider clinical evidence and the responses to the Shape of things to come. It was agreed to introduce new, specialist service for stroke and major trauma patients as follows: Four major trauma centres would be based at: The Royal London Hospital, Whitechapel Kings College Hospital, Denmark Hill St Georges Hospital, Tooting St Marys Hospital Paddington.
It was also decided that eight hyper-acute stroke centres would provide specialist care to patients following a stroke, after which they would be transferred to one of 24 local stroke units to continue their recovery. The new centres would be based at:
Charing Cross Hospital, Hammersmith Kings College Hospital, Denmark Hill Northwick Park Hospital, Harrow St Georges Hospital Tooting The Princess Royal University Hospital, Orpington The Royal London Hospital, Whitechapel University College Hospital, Euston
For more information, please click here to go to the Healthcare for London Stroke and Major Trauma Consultation website. Lewisham residents who have a stroke are now taken to Kings College Hospital for the specialist stroke unit. Once the emergency care is completed they are transferred to Lewisham Hospital for ongoing treatment and rehabilitation. In response to these plans, NHS Lewisham is redesigning local stroke services in order to provide more integrated care for patients who have had a stroke. This has included a review of the way in which stroke services are delivered from the initial stroke which is treated in hospital through to rehabilitation in the community and at home. The Stroke Association, Carers Lewisham and other patient reps have been involved in the review of the stroke pathway and events have been held to gather their views and input. A questionnaire was also circulated to the families of patients on the stroke unit at Lewisham Hospital for their views on their relatives ongoing care and rehabilitation. An event in November 2009 was held to enable patients and relatives to highlight the gaps in the current stroke service. These were: There is no community rehabilitation team for patients who have had a stroke. There is no early supported discharge available for people who have had a stroke which means that they may stay in hospital longer than they need to. There are intermediate care services available, but these are not available for the length of time that may be required. Waiting times for adult therapy services are around 12 weeks. The range of different people and services involved in co-ordinating rehabilitation care for stoke patients brings many challenges.
As a result, plans for the new pathway were developed in order to improve care and support for stroke patients and their carers. Feedback was provided to those involved through a patient/carer newsletter which was distributed and put on the PCT website. The new pathway will: Improve the quality of services received. Enable stroke patients to receive community rehabilitation services when they are required. Improve the links between the hospital and community service.
Please visit www.lewishampct.nhs.uk for more information.
5.
5.1
UNDERSTANDING THE NEEDS OF OUR POPULATION

DOWNHAM AND WHITEFOOT
In April 2009, members of the local community in Downham and Whitefoot were invited to take part in an event to explore their views on health needs in Downham and Whitefoot and their experiences of using local health services, particularly those in the Downham Health and Leisure Centre. The PCT worked with Lewisham Council on the event which was part of a Lewisham-wide assessment of health needs as part of the Joint Strategic Needs Assessment. The outcomes would be used to help prioritise which services should be commissioned to meet the health needs of residents in that part of Lewisham. Participants were recruited by local community contacts. There was also representation from the Citizens Advice Bureau and local councillors. To ensure there was a good discussion, a short briefing was sent out to all those taking part explaining the purpose of the day. At the event people were seated in small groups with a facilitator. A number of presentations were provided on the local health picture in those two wards and participants were asked for their views on a range of questions including: What are your views on local services? What action should the NHS or other public services take to address the health needs of the area? How well does the Downham Health and Leisure Centre meet the health needs of local people? What could be improved at the Centre? What action should be taken to improve access to other local health services? How should the NHS involve people in the future when looking to improve local services?
Some of the views expressed at the event follow: : Many said they were happy with local GP services. We are well looked after in Lewisham, if I have ever been ill, they have come out to see me. There were mixed views about the ease of making appointments with GPs and the difficulty of getting an emergency appointment. GP appointments a problem to access but you can get a nurse appointment. Longer opening hours for GP practices would be helpful, including Saturday mornings. Local public transport was mentioned as a problem by quite a few people and the difficulty this caused in getting to different health services. Transport has been cut downa few are getting depressed as a result of this.
Quality of care varied between different services at Lewisham Hospital. Some participants were shocked at the levels of deprivation in the area. We are unhappy that our children may not live to their full potential and age. Use of drugs and alcohol was a concern in the area, Young people drunk in the streetand you never thought of your kids going out with knives. People were positive about the Downham Health and Leisure Centre. The Centre is better than we thought it was going to be but it needs more publicity for local people. The cost of the gym made it expensive for some people to use this facility.
Outcomes of the event were fed back into the health needs assessment work undertaken as part of the development of the Joint Strategic Needs Assessment (JSNA). A copy of the JSNA, Health, Wellbeing and Care is available at www.lewishampct.nhs.uk. For a copy of the full report of the Downham and Whitefoot Deliberative Event, please contact 020 7206 3209. 5.2 VIETNAMESE COMMUNITY
From May 2009 an assessment of the health needs of the Vietnamese Community in Lewisham has been undertaken. This included men, women, the elderly population, Indochinese, second generation Vietnamese (16 to 25 years old) and professionals working with the community. This work was undertaken as part of the actions set out in the North Lewisham Health Improvement Plan and the borough wide Health Inequalities Strategy. The Vietnamese community have been identified as one of those experiencing health inequalities. Through the use of focus groups, they were asked about the other factors that impact on their health, such as income, social status, education, their physical environment, social support networks and the local health services. Other related issues that emerged included the difficulty in learning and communicating in English, finding work, housing, family relationships safety, addictions, mental health, the influence of culture and background and access to services. As a result of this work a multi-stakeholder working group has been established to take forward some of the recommendations. We are using a community development approach and working in collaboration with other organisations to address the wide range of issues that impact on this communitys health. This collaborative approach will enable us to address some of the issues facing the Vietnamese Community and share information and lessons learnt.

10
6.
6.1
PROVIDING THE RIGHT SUPPORT

THE EXPERT PATIENT PROGRAMME
The Expert Patient Programme (EPP) is a six week course designed to help patients be more confident in managing their long term health needs and provide the support and tools to enable them to change their lives and become more positive about their condition. 17.5 million Adults in the UK and 15 million in England have a long term health condition and it is estimated that two thirds of NHS activity and 80% of NHS costs relate to the treatment and care of long term conditions. NHS Lewisham has been running Expert Patient Courses since 2002. We relaunched the programme in early 2009 and our aim is to run eight generic courses a year. We also provide assistance for the EPP support group. After completing the course a six month evaluation is sent to each participant to allow NHS Lewisham to look at the long term benefits of the programme for the person. Part of the evaluation includes a review of the number of visits to A&E in order to get some measure on the effect on services. In May to December 2009 100% of course participants had not needed to attend A&E with their condition or otherwise. In addition, evaluation shows that for the first two courses of 2009, 100% of participants felt it had benefited them and many found the changes easy to implement. Analysis also showed that there had been a significant increase in confidence levels in managing their conditions and becoming more positive in dealing with their health needs. We have also undertaken substantial outreach in order to raise awareness of the course to patient groups and healthcare professionals. As a result of this widespread promotion a waiting list currently exists. In response to requests from former course participants who wanted more ongoing support after taking part in the programme, a new support group was established in February 2010. The support group meets on a monthly basis and in time the group will be handed over to the participants themselves to run. Feedback has been positive. This level of support is great and is exactly what we need I really look forward to coming We were left feeling alone again after the EPP course had finished, NHS Lewisham listened and this group will help us support each other again I have felt really down recently, attending this group has given me something to look forward to
11
The problem solving will help me cope with bad days I gain motivation from others in the group A newsletter has also been developed for the group allowing members to stay in touch with each other. To get more information about the EPP and register for a course, please call 020 7206 3209.
6.2
PATIENT ADVICE AND LIAISON SERVICE
The Patient Advice and Liaison Service (PALS) provides advice, support and help for patients, their families and carers. PALS also gather feedback on local services so that improvements can be made. During 2009/10, 6,000 people contacted the PALS helpline with 3,222 of these referred to the PCT PALS team for further help. In addition to this casework, the team also visits local community groups to promote the service and sets up PALS surgeries at local events. A PALS surgery was held with 30 members of the Elder Peoples Support Project at the Ackroyd Community Centre in Brockley. Following a presentation on the role of PALS and how it can help people, a number of questions were raised about local services, including about GP appointments and knowing who to contact and what to do when you have a problem. In response it was agreed to hold monthly PALS surgeries at the centre for its members. Some of the casework covered during that visit included: Contacting social services on behalf of a member to resolve an issue relating to repairs at their home. Arranging for a couple to receive their disability badge by post rather than having to collect it from the Town Hall as the husband had Alzheimers which made it difficult for them to commute by bus. A member explained they were being treated for an eye condition and after doing some research wanted to receive different injections to the one currently provided under NICE guidance. Referral made to Exceptional Treatments Panel and patient advised to discuss outcome with GP. Providing information on NHS foot health services to someone who had been paying privately for chiropody treatment. Provided contact details for Kings College Hospital PALS for a member who was unhappy with co-ordination of her orthapaedic appointments.
Other examples of helping people through PALS surgeries include: Lee Senior Citizens Social Club helped with GP registration. Lewisham Refugee Network helped with an appointment problem.
12
6.3
Lewisham Carers Week helped with GP registration, medication, appointment and accessing an interpretator. Communities Health and Wellbeing helped with issue regarding GP practice. DOWNHAM ELDERLY HEALTH PROJECT SUPPORTING PEOPLE PROGRAMME
Between September 2009 and March 2010, clients accessing the Supporting People element of the Downham Elderly Health project were contacted to find out what impact the service was having on them, especially in terms of their independence and ability to manage within the home and wider community and any improvements that could be made to the service. This included contacting the 121 users (aged 65 to 92) through the use of a survey. Outcomes of the survey showed high levels of satisfaction and reported improvements in overall health and wellbeing. As a result of suggestions, a new handbook for those using the project was developed which provided additional information about other local services. User involvement in reviewing the service had a very significant influence on the type and presentation of the information available to existing and new clients. Work is continuing to refine the information available to those using the Project and making sure it is available in accessible formats and that the one to one support service continues. In December 2010, there will be an overall evaluation of the Support People service. 6.4 BREASTFEEDING
Representatives from the National Childbirth Trust and the Breastfeeding Network (which represents local groups of breastfeeding mothers) together with a service user representative from the Material Services Liaison Committee are members of the Breastfeeding Working Group, a subgroup of the MSLC. As part of the work of a needs assessment for breastfeeding care completed in 2009, mothers were asked for their views on current breastfeeding support services and what else could be put in place to help them. They were also asked for their views on how to respond to the marketing and use of breast milk substitutes. The outcomes will help implement hospital and community best practice standards in order to achieve UNICEF Baby Friendly Accreditation. Another outcome of the work of this group was a pilot peer support programme which involved recruiting enthusiastic volunteers who were trained to help new mothers successfully breastfeed their babies. The emphasis was placed on encouraging exclusive breastfeeding as opposed to mixed feeding. Also identified was the need to have enough appropriately trained health workers in addition to the peer support volunteers and to further encourage GPs to promote breastfeeding rather than prescribe breast milk substitutes. More work would also be done to reach out to partners as family members to encourage them to support new mums to breastfeed.
13
The Breastfeeding Working Group continues to meet on a bi-monthly basis to review progress of the Baby Friendly programme in Lewisham.
7.
7.1
HEARING WHAT PEOPLE THINK OF SERVICES

LEWISHAM PEOPLES DAY
Lewisham Peoples Day is an annual event organised by Lewisham Council. It is the longest running community festival in London that offers free admission and is very well attended by local residents. It provides an ideal opportunity to talk to local people about health services in Lewisham. NHS Lewisham has been part of the event since 2002. 2009 was the 25th anniversary of Lewisham Peoples Day and in light of its silver jubilee, the corporate team running the PCTs marquee dressed appropriately in 1980s exercise and fitness clothes and gave hula hoop displays to encourage people to visit the marquee and get involved. There was lots of information and advice available on local services, healthy eating programmes, PALS, Expert Patients, dental, foot health, sickle cell and thalassaemia, sexual health, stop smoking, stroke and community nursing. To promote the five a day programme, free fruit was handed out together with the opportunity to enter a competition to win a fruit hamper. There was also a smoothie bike which encouraged young children to use pedal power to make a delicious fruit smoothie. A Health Improvement stand offered advice on health promotion and staying healthy and provided checks for blood pressure, weight and BMI. Every year an evaluation of the event is undertaken with all those who take part. This enables any feedback on the content, organisation and purpose to be incorporated into the following years event. Lewisham Peoples Day remains one of the most effective opportunities to hear what people think of local health services. 7.2 WORKING WITH NEW MOTHERS
Since June 2008, work has been ongoing to continually engage with pregnant women and those who have had a baby within the last 3 years who live in Lewisham. This work has been done through the Maternity Service Liaison Committee (MSLC) which is a multidisciplinary service-user led forum which advises and informs maternity strategy, quality monitoring and all matters relating to the commissioning and provision of maternity services. The current priority of the group is to ensure that information to women is clear and accessible and that feedback is collected from a wide range of women and used to inform service improvement. The MSLC also seeks to influence the commissioning process and
14
support the work of Lewisham Hospital, the PCT and Lewisham Council in achieving Baby Friendly Status. Examples of the outcomes of this work include: Feedback on NHS Lewisham Maternity Investment Plans. Service users wanted postnatal care to receive a higher priority in investment plans so funding was reordered to ensure additional staffing was allocated to the postnatal ward areas. Input into the design of the new midwifery led birthing centre at Lewisham Hospital which opened in May 2010. One disabled member wanted to ensure that women with disabilities could use the birthing pools and as a result a hoist was ordered. Members leading on walking the patch sessions in the postnatal wards and antenatal waiting areas to get instant feedback on user experience. These are regular events that are fed back into the hospital action plans on maternity services. There has been training for the MSLC to maximise their effectiveness and ensure a diversity of service user views are represented.
A consultation day and events for local women are planned for November 2010 which will be led by the MSLC. Views are also being collected to send to NHS London and the Department of Health on where and how MSLCs should be positioned if the NHS White Paper becomes statue. 7.3 PATIENT EXPERIENCE TRACKERS
The Patient Experience Tracker (PET) is a fast and simple electronic system developed by Dr Foster for capturing and analysing feedback from patients and acting upon the information without the need for paper questionnaires and analytical resources. The PET was introduced into Lewisham Community Health Services in 2008 and was initially piloted in a small number of services before being rolled out further during 2009. The PET provides real time feedback on services which is used to further improve services and the patient experience. A key outcome from the PETs is that patients feel satisfied that they are treated with dignity and respect by community health services. Another outcome highlighted the assumption that people feel they have enough privacy when being treated in their own home. Feedback has shown that this is not always the case and staff have been asked to be more aware of this.

15
7.4
NHS CHOICES ROADSHOWS
From 24 March to 23 May 2009, a national programme to raise awareness of Patient Choices was undertaken. Lewisham was one of 24 PCTs across the country that set up trailer units in public areas to inform local people about Free Choice in the NHS. The events were very successful and provided an excellent opportunity to talk to local people about their experiences of health services. Below is a summary of the activity undertaken during the promotion campaign.
TRAILER UNIT No of Interactions: Total - 3194 Min achieved per day - 700 Max achieved per day - 850 Average - 639 No of Leaflets Distributed: Total - 2800 Min. per day - 500 Max. per day - 800 Average - 560 No of Website Demos: Total - 135 Min. per day - 10 Max. per day - 40 Average - 27
SMALL UNITS No of Interactions: Total - 1770 Min achieved per day - 45 Max achieved per day - 420 Average - 354 No of Leaflets Distributed: Total 2228* Min. per day - 92 Max. per day - 400 Average - 445 No of Website Demos: Total - 86 Min. per day - 0 Max. per day - 25 Average - 9
*higher as leaflets were also handed to those who wouldnt stop and engage with the teams
Below is some of the feedback received from people who visited one of the units. How realistic are choice opportunities? New Cross is very hard to access on public transport when in a wheelchair. What is the scope of the right to choose place of treatment? What forms of treatment does this cover and why? This is great! My doctor keeps sending me to the local hospital, but I want to go elsewhere. Are there more accessible drop in services available? I knew about choosing your hospital but I didnt know pharmacies offered more services.

16
All feedback was incorporated into the national design and promotion of NHS Choices and fed back into local services where appropriate. 7.6 COMMUNITY HEALTH SERVICES SURVEY
A survey on Lewisham Community Health Services (CHS) was distributed to 6,000 patients to gather views on their care and treatment. 25% of surveys were completed and returned. The outcomes of the survey were developed into action plans for improvement in all service areas. Some of the key findings were: Information about services. There is little information about CHS on the NHS Lewisham Internet site. The Quality Team have undertaken an audit of service leaflets and found that they are small in number and not always in an accessible format. Information about their health. Service managers feed back that clients do not always recognise the difference between staff roles in the NHS. This perception is borne out by some of the comments made by clients in the survey responses. For example, a patient of the District Nursing Service may receive a visit from a Healthcare Assistant to undertake key tasks related to their care or a qualified District Nurse who may undertake an assessment of their needs. The patient may expect both staff members to have the same level of knowledge and skill. Sometimes a member of staff can not deal directly with a patients needs or answer their questions and may have to refer on. Work was put in place to ensure that the new Lewisham Healthcare website would have information about all the CHS services, including contact details to find out more. More information on services was also being developed for GPs. Services reviewed their information leaflets to ensure they were clear and accessible. 7.7 ARTFUL DODGERS CARDIAC SUPPORT GROUP
The Artful Dodgers was set up as part of the Cardiac rehabilitation programme at Lewisham Hospital. There are currently 41 members five of which hold committee places. The committee are responsible for running the group with their roles retrospectively, agreeing and deciding on the day to day organisation of the group. A constitution is in place to help them set their objectives in delivering what the members have agreed as outcomes. A PCT representative is at present co-ordinating the group by providing refreshments, managing the overall running and ad hoc problem solving, the set agenda is facilitated by the PCT representative; however there is joint responsibility between the PCT and the chair person for organisation of the speakers.

17
In May 2010 an evaluation of the recent activity of the group was undertaken and a questionnaire was sent out to members. The outcomes included: Members expressed a benefit in attending the group, but the results showed that there could be more support to help them manage their condition. Positive feedback was received from medical speakers at the group, especially the Cardiac Consultant. Members would like to see group discussions, problem solving and sharing information as regular items on the agenda. The social aspect of meeting, sharing experiences and days out was positive. On how to improve the group, members asked for more structure, a secure venue and a better understanding of the management roles in the committee. The PCTs involvement was raised and the value of the role they played in supporting the group. 85.7% of members would recommend the group with the remainder responding maybe.
As an outcome of the survey, the following recommendations for action were put in place: 7.8 More medical speakers. Availability of publications and literature in relation to heart disease management. Links in to self management programmes. Better publicity. Independent status. BOBBY DAZZLERS
The Bobby Dazzlers is a group for men and women aged over 55 years that meets every week in the south of Lewisham. The PCT works closely with this group to gather their views on a range of issues. Activities and outings are planned around members interests and guest speakers talk about health, safety and life skills.
8.
8.1
INCREASING ACCESS
DOWNHAM ELDERLY HEALTH PROJECT ACCESS TO LOCAL SERVICES
During the year, user groups in Downham and Bellingham were consulted on the availability and access to health, social and leisure services run by the Downham Elderly Health Project. There were approximately 150 people involved aged 60 to 95 with 80% female and 20% male. They were asked how the project could effectively continue on reduced levels of external funding, what the service priorities should be, how volunteers could be used and what other support services were available to them through other
18
organisations. An explanation of the budget available and how much it cost per user of the service was also provided. A priority list was developed and agreement reached on where services could join up to save costs. Additional resources were also identified by the group through other voluntary and community services and it was decided that funding applications to the Mayors Fund for additional support would be developed. A small group of users would work together to help develop funding applications and in November 2009 5,000 funding was awarded to fund additional specialist transport services in order to enable frailer older people to access social, community and health service sin Bellingham. As a result of the consultation, all users of the project still receive some level of service weekly. More fund raising initiatives will be developed with users for funding in 2011/12. An evaluation of the current changes and the development plan for April 2011 onwards will also be undertaken. 8.2 MANAGING MINOR HEALTH AILMENTS
From August 2009 to October 2009 patients and people attending their GP practice or visiting a community pharmacy were asked for their views via a questionnaire on how they manage their minor ailments and health conditions. The purpose was to find out how many are using their local pharmacist for health advice. The survey included questions such as: What health condition are you seeking advice on? What self management have you tried? What was the quality of advice and treatment you received from the pharmacist compared to going to your GP? What do you think of the skills of the pharmacists in treating minor ailments? Are you deterred from approach a pharmacist rather than a GP because you may have to pay for a pharmacy medicine?
217 questionnaires were returned, 140 from women and 77 from men. Around 40% were in the 40 to 59 age group and 60% of respondents did not pay prescription charges. 71% either strongly agreed or agreed that advice and treatment from pharmacists was as good as that from a GP. 38% thought it was more convenient to approach a pharmacist for minor ailments with 36% agreeing that the need to pay for medication was the reason they went to their GP instead. The outcomes of the consultation have contributed to the redesign of the pharmacy minor ailments referral service. The scheme enables patients from participating GP practices to get a voucher from their GP so that they can use their pharmacist for advice on a defined list of minor ailments. Medication is then dispensed free of charge to those patients exempt from prescription charges. Patients can also be referred back to their GP if
19
needed. The scheme benefits patients as they receive quick expert advice in the pharmacy without having to make an appointment with their GP. An information chart was designed specifically for patients to enable them to use the service appropriately. In order to raise awareness of the scheme, a patient information leaflet is being designed which will be tested with members of the public and more publicity on the national Choose Well campaign is set to be distributed across Lewisham in October. More GP practices are being engaged in order to join the scheme so that this can be extended to more patients. 8.3 IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES
In October 2009 a new service was set up to help people with symptoms of mild-moderate depression and anxiety. The Improving Access to Psychological Therapies (IAPT) Lewisham offers a range of support including guided self-help; cognitive behavioural therapy; employment advice and counselling for adults who 18 years or over, who are registered with a Lewisham GP or live in the borough. Treatment is provided in a range of community settings. Since July 2010, patients have been able to self refer themselves to the service rather than visit their GP first. As part of the development of the new service, an extensive range of involvement has taken place with local groups, organisations and patients. 8.3.1 Lewisham Mental Health and Wellbeing Event This is an annual event which involves local people, service users, the voluntary sector, Lewisham Council, GPs, Practice Nurses, Practice Managers, Counsellors, Commissioners, mental health workers and other primary and secondary care staff. A presentation of the IAPT service was given and views sought on how the service could be effectively implemented to meet the needs of service users. These views were an important influence on how the service was developed and included: The need for good transport links. Disabled access. A community environment which would not stigmatise users. Feedback on the type of psychological support provided with users being able to choose the type of therapy they would prefer.
Following the event a Board and Operational Group was created to develop the service and the views gathered from the event helped to inform the process. In response to requests from the Voluntary Sector, funding for mental health training was agreed to help deliver the programme in 2010/2011. A new Community Development Worker would be
20
commissioned to support the voluntary sector and local people, in particular BME groups, to access quality mental health services appropriate to cultural needs. 8.3.2 Traditionally under-represented groups and communities During 2009 engagement was undertaken with those representing traditionally underrepresented groups and communities including the Metro Centre (for Lesbian, Gay, Bisexual and Transgender), Local Asian and BME communities. Views were sought on how the service could be made accessible and how relationships could be built to reduce stigma or fear. Feedback included the need for a therapist to be placed within those groups to build trust with members, see people in their own environment, work with any existing counsellors collaboratively and educate people on the benefits of self-help, Cognitive Behavioural Therapy and other talking therapies. As a result, a psychological wellbeing practitioner has worked on site with these groups and has built relationships with counsellors and members. 8.3.3 Community Champions A wide range of work has also been undertaken with Community Champions including: Job centre Plus Manager and Area Managers London Borough of Lewisham Children's Services Area Managers and Service Lead Aging well staff and Manager Director of Lewisham Carers Forum and volunteers.
Views were sought on the needs of the clients these community champions represent, barriers to accessing mental health services, supporting clients to access the service via self-referral and the content of the self-referral form. As an outcome of their feedback, the following actions were undertaken. The specific needs of the different client groups have gone to the IAPT operational group and are informing planning, protocols and development of training. Mental health training workshops are being designed with different needs accommodated and will be delivered in September 2010. A community network of support for people with symptoms of depression and anxiety to access help and feed into the planning of the service will be developed. The term mental health will be avoided due to stigma. Clients will be able to opt out of sharing information on using the service with their GP. Flexibility on how the therapy is provided will be accommodated, especially for those people with a disability.

21
8.3.4 Service Information Service information on IAPT was tested with the mental health service user forum, GPs, Clinicians, voluntary workers and commissioners to ensure that it was clear and accessible. Changes were made to the service leaflet to accommodate the views provided. Different groups will be consulted on tailoring communication tools and materials to their needs as part of the Equality Impact Assessment of the service. 8.4 SMILE DENTAL CAMPAIGN
The Smile Dental Campaign has been running since its launch in 2008. The aim is to increase the numbers of people visiting their dentist and to change attitudes by addressing the deep rooted issues why people dont have regular checks. Views on why people dont go to the dentist and what would change this were gathered through street surveys and local events. These were incorporated into the campaign, which was so successful that the dental access targets were achieved a year early. In July 2009, a successful Dental Awareness Week was held at Haseltine Primary School in Sydenham. All 320 pupils took part which included a puppet show, free toothbrushes and stickers and the chance to meet dentists in an informal and familiar environment.
9.
9.1
IMPROVING HEALTH AND PREVENTING ILL HEALTH

NHS HEALTH CHECK The NHS Health Check programme aims to assess all 40 to 74 year olds with no pre-existing cardiovascular disease (CVD) on a five yearly basis to identify those at high risk of developing CVD and other health conditions.
Evidence shows that in Lewisham the people at highest risk of these conditions are people from the Black African, Black Caribbean and white people from lower income groups. In order to encourage people from those communities to come forward for their health check, research was done to find out what information would be needed to make this happen. A questionnaire was developed asking for views on the right messages and images to use in an information campaign. Over a four week period, people were reached through street surveys and drop in centres/day centres. 77 responses were gathered. The outcomes were: 88% would go for the health check if asked to by their GP. Local GPs would front the campaign as people trusted them.
22
Messages in the campaign would focus on enjoying life through maintaining health and staying healthy for the family.
The campaign headed up by four local GPs is due to launch at the end of October 2010 when the health check is rolled out across Lewisham. The health check is also being carried out by some pharmacists and by trained staff in community settings. To enable the check to be done in this way, a consent form must be completed to enable the information to be passed to the persons GP. To ensure the consent form was clear and easy to understand, it was tested with residents in North Lewisham who had their health check undertaken in the community. They were asked if the form was clear and whether they could be contacted afterwards to give their feedback on how their health check had gone. They were also asked to be used as case studies for how the outcomes of their check had helped them make improvements to their diet and lifestyle. People were very positive and this will enable the PCT to get feedback on the impact of the health check and use the consent form as a valuable tool in measuring the success of the programme. 9.2 HEALTHY START FOR CHILDREN
Between June and October 2009, parents and carers with children under 5 who attend the Childrens Centres were asked about their knowledge of healthy eating and dietary needs of their children. Through the use of a questionnaire, 149 people responded and the results showed that a significant number had a lack of awareness of the Healthy Start vitamins scheme and a lack of cooking skills. The outcomes of the survey were presented to the Children Centre Managers with recommendations to distribute vitamins at the Centres and to develop borough wide initiatives to run cookery courses for parents and carers of children under 5. Since this engagement work, vitamins are now distributed in Children Centres and further promotion, including a stand in Lewisham Shopping Centre, has helped to publicise the availability of free vitamins for specific groups. A cookery course has also started in the south of Lewisham with targeted families enrolled on the course. 9.3 HEALTH TRAINERS
From April 2009 to September 2010, people using the drop in services and range of health promotional events provided by Health Trainers were asked about their goals for improving their lifestyle and health and their experiences of using NHS services. Through one to one support, clients were helped to develop a personal Health Plan to help achieve their goals. Based on the feedback gathered, the Health Trainer Scheme changed the format of the service assessment forms to make them more responsive and useful to the needs of clients. Another outcome was a recommendation that the Health Trainer Scheme to be expanded across the borough which is presently
23
under discussion. The service will also take part in the annual national evaluation of the Health Trainer Scheme. 9.4 HEALTHY COMMUNITY COLLABORATIVE CANCER SERVICES
From September 2009, a wide range of community groups and local people have been working together on a pilot scheme based in New Cross, Deptford and Bellingham wards to help promote the early detection of cancer symptoms in breast, lung and bowel by primary care so that these conditions have a better chance of being treated more effectively. Those involved have included voluntary organisations, community groups, GP practices, BME and Refugee groups, community workers, people affected by cancer, churches and other faith groups and Lewisham Council. Posters and leaflets were produced and workshops, presentations and information stalls were set up to help promote the early detection of these cancers. Volunteers were recruited to help promote early detection to local groups and residents. An outcome of their involvement was to extend the scheme so that it also covered other types of cancer such as prostate, and a recommendation to do the work across the whole of Lewisham. Good relationships have been developed with the 12 GP practices involved in the pilot scheme. Local people are now more aware about spotting early symptoms of cancer and evidence shows that more advice is being sought from GP. GP practices are more aware of using two week referrals for cancer symptoms and collecting and sending monthly cancer data to measure progress. 9.5 STOP SMOKING
A social marketing project has been running in Evelyn Ward in the north of Lewisham targeting residents who smoke, have stopped smoking or have used stop smoking services to help them stop. The purpose of the work was to find out what motivated people to stop smoking and the barriers that prevented it. The work has influenced planning of community outreach and provision of drop in services in the most deprived wards in Lewisham. People who took part were asked for the positives and negatives of continuing to smoke, if anything would influence them to stop, their experience of any help to stop and what help people would need to stop if they wanted to do so. The responses were: Those who smoked said the main reason to continue was to cope with stress. Those who wanted help said it had to be readily available, easy to access, provided by friendly staff, offer them enough time in each session and provide support for as long as they needed it.
24
In response, the Stop Smoking service did the following: Sessions provided in GP surgeries where none existed. Drop-ins at Leisure Centres and at Millwall Community Scheme. The drop in at Waldron Health Centre was extended. Further promotion of the pharmacy stop smoking service. Trial relaxation sessions. Relaxation techniques to be integrated into training and group sessions. Referrals to physical activity.
As part of this work, participants were asked to share their personal experiences of stopping smoking to encourage more people to stop smoking. Photos and stories were collected and posted on the Stop Smoking website and newspaper advertising. It was very important that people who have used the service were involved in helping to promote it. Their experience would encourage more people to try to stop smoking.
10.
10.1
INVOLVING EVERYONE
PACESETTERS
Since October 2008, NHS Lewisham has been delivering the Department of Health Pacesetters programme. The programme aims to deliver equality and diversity improvements and innovations to reduce health inequalities and ensure working environments are fair and free of discrimination. During 2009/10, the areas of focus were improving stroke rehabilitation for Black and Minority Ethnic (BME) people in Lewisham (focussed on aphasia / dysphasia), breast screening for BME women and supporting BME NHS staff into management. Evaluation and project planning support is provided by NHS London Strategic Health Authority and Liverpool John Moores University. The projects have been co-designed by health professionals and members of the community. We received an award from the Department of Health and NHS London for our work on delivering Pacesetters and we are due to complete the programme by October 2010. 10.1.1 Workforce Project BME staff in NHS Lewisham and Lewisham Healthcare NHS Trust have been involved in looking at solutions to increase the numbers of BME staff in posts Band 7 and above. Workforce data for the last three years together with information on recruitment, selection and ways of removing barriers to recruitment and progression for BME staff have been reviewed and considered. Staff, regardless of their position in the organisation worked together to try and solve the problem of the disproportionate representation of BME staff at band 7 and above. New interventions were developed to help build the capacity of BME
25
staff in NHS Lewisham and for enhancing the practice of those leading on interview panels for management level posts. 10.1.2 Stroke Project BME survivors of stroke under the age of 70 together with their carers were asked about their experience of using community based stroke rehabilitation services in Lewisham. This information was then presented to commissioners in a personal story format. Twelve of these stories were created through working on an individual basis with each service user. An audit on the needs of the BME community was also integrated into the stroke service review. Patient stories were used so that commissioners had a clear understanding of the needs and experiences of those individuals. Work was also done to explore how patient reviews can be used in a way that promotes mental health and wellbeing and to look at how services can be made more relevant and appropriate for younger people who have experienced stroke. 10.1.3 Improving uptake of female cancer screening BME staff and residents were asked to help identify solutions to increase uptake of cancer screening by BME women. A group of women met on a regular basis over three months and information about breast awareness and breast cancer screening services were provided and explained. Through using an innovative story telling approach, women were able to share their experiences and thoughts on screening. The stories that were developed will help to inform not only the Department of Health in terms of national screening campaigns, but also local healthcare professionals on how to treat and communicate with women who attend screening. Other important outcomes included the need for more interaction; support and regular dialogue which would help encourage women to attend screening appointments with more confidence. 10.2 EQUALITY, DIVERSITY AND HUMAN RIGHTS
In November 2009, an event was help to engage stakeholders and local people on Equality, Diversity and Human Rights. This was part of the work to develop a Single Equalities Scheme with Lewisham Hospital and the PCT. Participants were asked for their views on what quality in healthcare and human rights meant to them. They were also asked about how we could engage and consult better with communities. Views included: Find ways of engaging with people who work long hours Carry out outreach work Let the deaf community know what we are planning
26
Be explicit about translation services in publications Posters in GP surgeries Explain to participants of benefits of answering the consultation Use client groups Use libraries Use the voluntary and Community Sector Share the internal and external communications and engagement strategy Use websites and social networking Get rid of the jargon and use plain English Provide easy read documents Use examples to demonstrate how past consultations have been beneficial Dont be limited by geographical borough borders Use Peoples Day Advertise at railway stations and bus stops Pay incentives
Participants were also asked how data can be better used to plan services in Lewisham. Views included: Use existing data to see where the gaps are that need to be targeted. Get permission from individuals, especially for sensitive or confidential data Use advocacy to enable informed decisions to be made by service users in sharing their information Share data and data monitoring with GPs and health providers. Know your service users Efficient progress to ensure no knock-on effects to other services Collaboration and partnership Sharing data and good practice. Collect information on uptake, trends, benchmarking, comparisons, standardisation of care Improve service management and business process change Share info with social services to allow service design Look at individual cases Spend time looking beyond the obvious, eg include the family, carer or friend. Be proactive Have electronic patient records Cant have a one-size fits all solution Deaf awareness training Use screens rather than audio mechanisms to call patients, especially in audiology and speech therapy departments Put the onus on the organisation to collect the information to make changes. Organisations are behind the times need to bring everything up-to-date Use voluntary organisations to access more of the community
27
Advertise on local public transport Use the internet and social networking
All the feedback gathered at the event was used to inform the ongoing development of the organisational Single Equality Scheme and ensure the schemes are stronger and robust enough to protect the standard of services in the local NHS. The Single Equality Scheme at www.lewishampct.nhs.uk provides more information on what the NHS in Lewisham is doing to protect equality, value diversity and promote human rights.
11.
11.1
ORGANISATIONAL DEVELOPMENT
INTEGRATING HOSPITAL AND COMMUNITY HEALTH SERVICES
In August 2010, hospital and community health services were integrated into a new organisation, Lewisham Healthcare NHS Trust which focuses on offering care across hospital and community based settings and providing a seamless service for patients. This integration came about as part of the Governments Commissioning a Patient led NHS published in July 2005 and the requirement to separate NHS provider and commissioner functions. Evidence shows that staff that feel engaged with the organisation and involved in the process will respond better to these changes and adapt quickly to working differently. Although there was no requirement for a public consultation on the integration as there were no changes to service provision, the management team undertook an extensive programme of communication and engagement with staff to ensure that their views were incorporated into the proposals put forward for the future end state of community health services. Their involvement was an essential part of the process and it was against criteria that staff identified as important such as remaining part of the NHS, retaining a Lewisham identity, promoting training and development and understanding the value of community based services that the proposal to integrate with Lewisham Hospital was made. To review how effective the communication and engagement work was, an extensive communications survey was undertaken in July/August 2009. The purpose of the survey was to assess how well informed staff felt about the developments, how they felt their views had been taken on board and the best way to continue successful communication and engagement with them. A survey was distributed to all staff and a random selection from all staff groups were then contacted by telephone to go through the survey. The outcomes were reported to the Management Team and an action plan put in place. These outcomes included: The production of a newsletter aimed at updating staff on the integration.
28
Modifications to the staff briefing road shows which would enable more staff to attend such as more notice of dates and timings. Visits by senior managers to team meetings to provide updates. Ensure regular team meetings are taking place so that staff can be briefed face to face. Set up a confidential email address for any questions that need a response. Back to the floor sessions organised for senior managers. Assess training needs for staff whose role may be modified through the integration. Establish communication contacts in all service areas.
The survey was a successful exercise in getting a better understanding of the best way to communicate and engage with staff through organisational change and was used to help inform the detailed communications work on the integration of the new organisation. 11.2 STAFF ENGAGEMENT
In January 2009, the PCT set up a number of staff focus groups in order to gather views on how we should be organised and work together as a local commissioning organisation. 140 staff were invited to attend 16 focus groups. In total 60 attended 15 groups and were asked: What is NHS Lewisham trying to achieve? What do we do well and what can be built on? What dont we do well and what should we leave behind? Is there anything that we should start doing? What could we share with other organizations or bodies? How could we organize ourselves differently? How could we work better between directorates and teams?
A range of opinions were collected through the structured focus groups. This was then fed back to staff at special briefing meetings, led by Gill Galliano, Chief Executive. The changes that were put in place in response to the outcomes were: Monthly Trust Brief delivered verbally by a Director each month. Monthly open-house lunch time sessions. Hold staff conference in May 2010. Establish a managers forum. The induction programme would be revised.
12.
OTHER ENGAGEMENT
Below is a record of other engagement and involvement work that has taken place between 2009/10 together with any relevant action. For more information on any of this work please contact 020 7206 3209.
29
Event/ Group Bellingha m Festival
Purpose Large community festival, with general activities and stalls available. (Health Improvement team had stands to pass on information, recruit volunteers, do health checks) Lewisham Healthy Walk information stand To empower and support the local people, volunteers and community groups towards raising awareness of the early signs and symptoms of the lung, breast and bowel cancer to their community through delivering different formats of activities
Attendees Large community event attended by members of public and local organisations
Feedback received Feedback taken from members of public about setting up a new walk in Bellingham
Action generated New walk started taking into account the preferred times of the respondents
Team Meeting
17 attendees from local people, volunteers and professionals who cover New Cross, Evelyn and Bellingham wards
Positive feedback and comments, by involving new local volunteers and professionals with request to deliver more project activities in different formats
Amend the event evaluation form and the volunteer role assessment form Provide lung cancer training to the team members and local people Engage volunteers in providing and delivering awareness sessions
Barnes Wallis Drop in
Lewisham Homes
60 over 2 days
Stall with health information EPP and PALS leaflets, speaking to local people and giving health information Presentation given on EPP and PALS, 4 signed up for the
Cardiac group
Raise awareness of EPP and PALS
45 over 2 visits

30
Event/ Group PBC cluster 3
Purpose
Attendees
Feedback received course Presentation given to the cluster on EPP with a Q&A at the end, leaflets given to take away for patients Presentation given to group on EPP with Q&A at end.
Action generated
EPP presentation to the cluster
28 over two meetings
Lewisham EPP presentation diabetes group Vale Medical Centre Diabetes Raise awareness UK of EPP support group
20
4 patients signed up to the course
20
EPP presentation with a Q&A. 4 people signed up for course. Through discussion that followed many were concerned about the poor communication from GP and the inconsistency of information from hospital to GP. PALS and EPP presentation given with a Q&A EPP presentation given to the group with a Q&A Presentation given to cross sector staff members, 2 people wanting to come on to the programme, links made to different voluntary and local groups, diabetes group, time banking, and
Individuals will contact PALS direct
Elders People project Endometri osis group
To raise awareness of the EPP and PALS To raise awareness of the EPP
30
15
Health and EPP presentation social care forum
15

31
Event/ Group Healthy living roadshow, Downham Health Centre Lewisham collaborati ve event
Purpose
Attendees
Feedback received Lewisham links Full day stall delivering information on PALS EPP and engagement to the people using the Downham centre Whole day stall on Milton Court to engage with residents about local services multi sector available to them. Information given on PALS PPI and EPP as well as local health services Attended the meeting, presentation slot with Q&A after, leaflets given to all attendees, carers Lewisham very interested in programme TRA meeting, presentation given on EPP and touched on PALS, leaflets given to each resident and enough to community leaders to distribute The team were interested and keen to send their patients along to the programme
Action generated
Stall to promote PALS and EPP
50 +
Raise awareness of EPP and PALS
40 (over 2 days)
New Cross Assembly
To raise awareness with the local population about the Expert patient Programme
110 over two meetings
Communit y Centre, Milton Court
To raise awareness with the local population about the EPP
150
Southbroo k Road mental health team presentati on Lewisham
Raise awareness 17 of EPP programme
Raise awareness
40
Stall at new resident

32
Event/ Group home new resident welcome day, Powerleag ue North Lewisham Event
Purpose of EPP and PALS
Attendees
Feedback received event for Lewisham homes spoke to residents and gave information on PALS and EPP
Action generated
Bellingha m Older residents meeting
The purpose of the event was firstly to feedback progress which made to date against the objectives including reports on the Health Needs Assessment and the Healthy Communities Collaborative for cardiovascular disease, and information stalls on other activities. Secondly the event was to provide an opportunity for discussions on the action plans for the next few years. Following the event, the North Lewisham stakeholder group will develop and agree an action plan for April 2010March 2013. To discuss a funding bid for the Bellingham Mayors Fund to increase the amount of
Public Health, Directors, Board Members
Actions are in the process of being generated to develop a project plan for the next 3 years. Linkages suggested at the meeting are being followed up.
27 Older Bellingham residents (aged 60-89) 2 x Ageing
Residents discussed their need to engage within their communities to remain well and
A bid was developed, with a small working group of those who attended

33
Event/ Group
Purpose social & physical activity sessions available to frailer older people in Bellingham
Attendees Well Support Staff 2x volunteers
Feedback received healthy. They expressed their needs in order to make this happen which were largely focused on physical limitations e.g. transport and also need for information and support to access services.
Action generated the original meeting as a result a bid was submitted to the Bellingham Mayors fund for additional specialist transport services in order to enable frailer older people to access social, community and health services in Bellingham. 5,000 Funding was awarded on 14th Nov 09.
Knight Court residents meeting
To discuss the potential development of an intergenerational food co-op based in north Downham involving residents and local schools
22 Knights Court Residents (aged 60-89) Ruth Weber (Downham Nutrition Partnership) Regional Manager (Anchor Housing)
Residents were keen to set up a food coop at Knights Court, Reigate Road and to work with local school (Merlin) to develop a small piece of their land to be used as a vegetable growing area for local school children
Buywell Food co-op set up at Knights Court (commenced 13th Nov 09) Funding bid submitted to arts council to develop installations (art based) to develop raised beds for growing.
Building healthier communiti es drop in
Raise awareness of PALS, EPP, engagement, and key health messages in Lewisham
20
People were interested in PALS details and the help the service can offer them.

34
Event/ Group Building healthier communiti es relaunch
Purpose
Attendees
Feedback received
Action generated
Raise awareness of PALS, EPP, engagement, and key health messages in Lewisham
100 Approx
New Cross assembly
Raise awareness of Engagement in Lewisham. PALS EPP and getting involved.
60
Stall was well received people asked a lot of questions, signposting and information given. Networking amongst other stalls Many questioned generated regarding Lewisham NHS services, who pays and entitlement.
All questions responded to at the event.
Speaking out womans health event All saints Church
Raise awareness of PALS Engagement and EPP health checks and sexual health with learning difficulties group. Material designed to deliver the messages for learning difficulties group Raise awareness of PALS Engagement and EPP as well as local health services
100
Extremely positive feedback from carers and speaking out, clear messages group enjoyed the presentation
Vietnames e New year event, Deptford Green
80
Language barrier prevented effective engagement
meeting with heath improvement team to look at form for event attendance
13.
MORE INFORMATION
For more information about any of the engagement activities outlined in this report, or if you are interested in joining the NHS Lewisham engagement database, please call 020 7206 3209.
35

36

Duty To Report On Consultations Final

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Duty To Report On Consultations Final

Uploaded by

Copyright:

Available Formats

ANNUAL REPORT ON CONSULTATION 2009 2010

The best possible health and well-being for people in Lewisham

The best possible health and well-being for people in Lewisham

The best possible health and well-being for people in Lewisham

WORKING WITH LINKS

OUR VISION FOR HEALTH IN LEWISHAM

The best possible health and well-being for people in Lewisham

THE SHAPE OF THINGS TO COME

The best possible health and well-being for people in Lewisham

Please visit www.lewishampct.nhs.uk for more information.

UNDERSTANDING THE NEEDS OF OUR POPULATION

The best possible health and well-being for people in Lewisham

PROVIDING THE RIGHT SUPPORT

PATIENT ADVICE AND LIAISON SERVICE

HEARING WHAT PEOPLE THINK OF SERVICES

The best possible health and well-being for people in Lewisham

NHS CHOICES ROADSHOWS

The best possible health and well-being for people in Lewisham

The best possible health and well-being for people in Lewisham

The best possible health and well-being for people in Lewisham

IMPROVING HEALTH AND PREVENTING ILL HEALTH

Event/ Group Bellingha m Festival

Barnes Wallis Drop in

Raise awareness of EPP and PALS

The best possible health and well-being for people in Lewisham

Event/ Group PBC cluster 3

EPP presentation to the cluster

28 over two meetings

4 patients signed up to the course

Individuals will contact PALS direct

Elders People project Endometri osis group

Health and EPP presentation social care forum

The best possible health and well-being for people in Lewisham

Stall to promote PALS and EPP

Raise awareness of EPP and PALS

New Cross Assembly

110 over two meetings

Communit y Centre, Milton Court

To raise awareness with the local population about the EPP

Southbroo k Road mental health team presentati on Lewisham

Raise awareness 17 of EPP programme

Stall at new resident

The best possible health and well-being for people in Lewisham

Purpose of EPP and PALS

Bellingha m Older residents meeting

Public Health, Directors, Board Members

27 Older Bellingham residents (aged 60-89) 2 x Ageing

The best possible health and well-being for people in Lewisham

Attendees Well Support Staff 2x volunteers

Knight Court residents meeting

Building healthier communiti es drop in

The best possible health and well-being for people in Lewisham

Event/ Group Building healthier communiti es relaunch

New Cross assembly

Raise awareness of Engagement in Lewisham. PALS EPP and getting involved.

All questions responded to at the event.

Speaking out womans health event All saints Church

Vietnames e New year event, Deptford Green

Language barrier prevented effective engagement

The best possible health and well-being for people in Lewisham

You might also like