Last year was the first ever virtual Annual General Meeting for all three CCGs.
Click on the CCG name below to view the AGM information.
Presentation from the event
Annual General Meeting recording
If you live in Slough, Windsor, Ascot, Maidenhead or Bracknell, and would like to know how healthcare is improving locally, as well as hear about plans for the future, then why not watch our Annual General Meeting (AGM) that was held on 20 October.
Impact our work has had on children, young people and adults in East Berkshire
Annual report and summary report documents
The coronavirus has affected every aspect of our lives and our ability to meet with local people and our stakeholders and partners is included in that. Nevertheless we went online and we were extremely grateful to the 106 people who came together on Zoom to hear our review of 2019/20, our achievements and the challenges we faced and are continuing to face.
Of course coronavirus (COVID-19) overshadows what we do now and what we have been doing for most of 2020, but it was unknown during the bulk of the year 2019/20. During that period we continued to work with our partners and local people to design and provide high-quality services, working within our budget and meeting the majority of our key performance targets.
We know there are areas where we continue to have challenges and we are committed to continuing to strive towards the best possible services and outcomes in all areas. This determination was demonstrated in our Medicines Management Team being part of a national award for patient safety, while our Finance Team jointly won an award for Finance Team of the Year. For the CCG as a whole, 2019/20 saw us being rated as Outstanding for the third year in a row by NHS England.
2019/20 also saw the creation of the Frimley Collaborative of CCGs and some significant changes at the top, with the creation of a joint Executive across our CCG, East Berkshire and Surrey Heath CCGs. We welcomed Dr Andy Brooks as our Clinical Chief Officer and since then we have also welcomed Daryl Gasson as our Executive Managing Director.
Many thanks to our Andy and Daryl and to our Clinical Lead Dr Steven Clarke and our Public and Patient Engagement Lead Kathy Atkinson for their online presenting skills and to Clinical Director Dr Martin Ballard for presenting and compering the event.
Presentations from the event
Recording of the AGM
Farnborough Centre for Health
Groundbreaking new Adult Community Services
Annual report and summary report
The Surrey Heath CCG's annual general meeting was held on Zoom on Wednesday, 23 September, 2020. There were approximately 70 attendees from the community, providers, voluntary sector and staff.
The meeting looked back on 2019-2020 and featured projects on the following themes:
- Prevention and self-care
- Working in the community
The 2019-2020 finances and Annual Report and Accounts were formally presented. Two videos were featured on the mental health integrated community service (above) and the new adults community services (a joint procurement with North East Hampshire and Farnham CCG). Time was also spent talking about our response to Covid-19 and current projects, such as last year's flu drive thorugh clinic. There was an interactive question and answer session at the end of the meeting.
Feedback received from participants include:
- Thank you for answering my question. Also thank you for a great session, it was very interactive and informative.
- Thanks all - really helpful update!
- Excellent presentations and interaction!
- It's worked very well!
- Great AGM - thank you!
- Thank you for a well run and informative meeting.
- Thanks and look forward to future engagements
- Well done. The technology was very well controlled and really facilitated an effective meeting
The feedback poll showed that 100% attendees would attend another virtual meeting.
Presentation from the AGM
Recording of the AGM
Surrey Heath Mental Health Integrated Community Service
Annual report and summary report documents
Questions and Answers from the Surrey Heath AGM
Q. Can the CCG provide assurance that COVID-19 has not adversely impacted on the integrated care resources available for local residents?
A. There has been no reduction in the financial resources available for out of hospital services in Surrey Heath as a result of Covid-19. The CCG has received additional funding from NHS England to cover additional costs incurred by GP practices and other community services in their response to the pandemic, allowing them to support our most vulnerable and maintain access to care and advice for all our residents. We have also received funding for the provision of home based care for residential placements allowing people to be discharged from hospital more quickly, which frees up beds in hospital for those needing acute care. To date, we have received £1.7m of additional funding.
Q. Can you say something about the provision in Surrey Heath of testing for the Covid virus, please?
A. We have access to Pillar 2 testing which is testing for the general population when they are symptomatic. We saw a huge increase in the demand for testing when children went back to school and people found it difficult to get a test.
There are three ways in which people can access testing:
- Book an appointment online - https://self-referral.test-for-coronavirus.service.gov.uk
- Call 119 to book an appointment
- Order a home test kit - https://self-referral.test-for-coronavirus.service.gov.uk
Q. I'm getting a lot of people complaining about difficulties booking appointments with an overly long process and receptionists that don't know this year’s flu rules. Elderly finding it very difficult and the length of call wait is prohibitively expensive for those on low incomes with limited call minutes. Question is what can be done to make the front end more accessible?
A. Due to the different ways in which people can access primary care now (telephone appointments, emails and video consultations) this means that it may take longer to explain and direct a patient to the most appropriate support for them. However GP surgeries have been increasing the number of phone lines and reception staff to help ease waiting times. We apologise for any lengthy waits patients may be experiencing when calling their doctor’s surgery.
To find out if you are eligible for a free flu vaccination click here. To find out how to book an appointment at your local flu clinic please visit your GP surgery website.
Q. Video appointments with GPs are transforming at pace but they can be very difficult for some patients eg people with Learning Disability. How are patients (and their carers) being engaged to co-design these changes to their consultations with GPs?
- Reference the question above. I am a trustee of a local charity raising money and awareness for deaf people. This is also an area that needs to be addressed for video appointments.
- I have heard that some GP’s offer video calls others not. When will there be a consistent approach? I have heard from some people who would prefer a video call rather than phone call but this is not an option offered to them.
- An add on to above question on use of video appointments is that GP services should be making more use of them - not just telephone.... Can we push them please as restoring some of the human contact that has been lost due to Covid-19?
A. When the pandemic hit, the way in which GP surgeries operated had to change. Greater use of technology (such as email, phone and video consultations) were already part of our long term plan, but we had to rapidly implement these in a matter of days.
We have facilities available to help support people access remote consultations (such as translation services for deaf, language or sight impaired). However we have also maintained face-to-face contact when it is clinically necessary.
We know that we may not have always gotten the balance right between the use of technology and face-to-face appointments. We are working on this and value all feedback received from patients to help us improve how we deliver GP services for the future.
Q. I also hear of problems that some people have with accessing services through 111. The common thread seems to be lack of information that actually sticks with the patient so they are sometimes unclear about what to do if their condition changes. With 111 becoming ever more important what can be done to improve communications?
A. NHS 111 can help if you have an urgent medical problem and you’re not sure what to do. NHS 111 gives information on when and where to get help depending on your presenting condition. Depending on the situation you’ll:
- find out what local service can help you
- be connected to a nurse, emergency dentist, pharmacist or GP
- get an appointment (face-to-face or virtual) if you need one
- be told how to get any medicine you need
- get self-care advice
All patients are provided with closing information and this includes advising the patient to phone 111 if the patient’s condition changes or get worse. This is the standard wording for all 111 calls and forms part of the auditing criteria for 111.
NHS 111 is available 24 hours a day, 7 days a week.
Q. In regards to your slide on children and young people where a health check will be carried out on children aged 14 with a learning disability and an individual health plan being triggered - how will this then be linked in with a young person's education health care plan (where they have one). My experience is that GP's do not currently feed into this plan, however this would be really valuable to their holistic EHCP.
A. This is in very early stages and a bid has been put in to NHS England to develop new delivery innovation and modelling with our Surrey partners, and as such it’s not clear how it will be linked to their EHCP. However, we recognise that this would be a valuable contribution and will feed it into the development of this new model going forward. GPs do not usually get involved with EHCPs as this would go to the specialist clinician involved with the child or young person, but in some instances, for example, a Looked After Child review, their opinion may be sought.
Q. I am aware that some people are suffering long term effects from Covid-19 eg fatigue. What services are being resourced and/or set up to support these patients to manage and recover from this condition?
A. We are anticipating that there will be an increase in demand for physical and mental health support for people recovering from Covid in the community. We have built this into our planning process to ensure that we have enough capacity to address these specific needs and to ensure there is good communication as part of any hospital discharge.
The IRIS discharge hub at Frimley Park Hospital ensures the timely sharing of information between the hospital and our multiple community services, and electronic discharge summaries are sent to GPs.
Shared learning from across the country in the last six months has shaped how we are responding to this need using online and virtual tools, telephone advice and guidance to increase our capacity in addition to our face to face specialist, rehab and community nursing services.
Q. We really appreciate the work you have been doing with the schools on The Old Dean and it is great to see this link up. My concern is that before Covid-19 CAMHS and Children’s services was stretched. As we all know from the stats there will be even more mental health for families and children moving forward. What are we doing to improve the system and make sure the most severe of these cases will be dealt with as priority.
A. The CAMHS service is Surrey-wide, and as such we are working with Surrey County Council and Surrey Heartlands CCG to ensure that those with the highest need are able to access the service. There are a number of interventions currently in place to help those with severe mental health issues such as:
- a 24hr, seven days a week, helpline
- online support via Kooth
- digital options for direct support
We are also looking to how improve early support for children and young people so that issues do not escalate, and that those children with highest needs are supported quickly. We are working with our Surrey partners for the new children’s and young people’s Emotional Wellbeing and Mental Health Service for April 2021 where we are investing in early intervention and support to help meet the needs of our communities in a more timely way. We were also successful in our bid for a Mental Health Support Team that will work with children and young people with lower level needs in a cluster of our schools, and it is anticipated services like these will free up the CAMHS service for those who need it most.
There are several options for crisis support that can be found on the Surrey and Borders Partnership website: https://www.sabp.nhs.uk/aboutus/coronavirus/coronavirus-mental-health-crisis-support
Q. Surrey Coalition of Disabled People have a Tech to Community Connect project running in East Surrey and Surrey Downs. The project provides devices and training for people so they can join virtual meetings, social activities, keep in touch with families etc. Is the CCG going to expand investment in technology projects such as these?
A. The NHS Long Term Plan was published on 7 January 2019. The plan underpins the importance of technology in the future NHS; setting out the critical priorities that will support digital transformation and provide a step change in the way the NHS cares for citizens. Due to the pandemic, our plans to use technology in primary care was rapidly rolled out. We will continue to look at investing in technology to support the needs of our local communities.
As part of the Frimley Health and Care Integrated Care System (ICS) strategy we are also working towards providing a digital ecosystem which enables residents and staff to make best use of technology, share information to inform clinical and professional decision making, and underpin our analytics function to provide evidence for best practice. The ICS is keen to work with community partners, community groups and residents within our programmes and to gain insight around barriers to digital adoption. Click here for more information.
Q. Can you tell us a bit more about how you are linking with housing and local employers as both seem to have an impact on health.
A. We know that there is a direct relationship to the health and wellbeing of our local communities with the surrounding environment (such as housing, employment and education).
Across Surrey, the CCG and other clinical commissioning groups work in partnership with the local councils on the joint Mental Health and Housing Protocol. This protocol establishes common procedures for better outcomes for our local communities, including accommodation for people with mental health needs.
We also work with the Richmond Fellowship who, through the use of the individual placement and support model, get people into competitive employment first with training and support on the job: place and train.
Here at Surrey Heath CCG we have also identified in our priorities for the next six months where we will strengthen our relationship with other statutory agencies and community partners, actively engaging with our population, making sure that we leave non-one behind. This means closer working with the borough and county council to help shape plans for the future of Surrey Heath.
Other comments received: