Summary

Engaging with the public helps us to understand people’s needs and ensure that health and care services are better designed to meet these needs.

Read on to find out how you can get involved and help to shape our decisions and services.

Please note, this information can all be made available in a range of languages, Easy Read or audio format. To request an alternative format, please email ✉ banes.yourvoice@nhs.net or call ☎ 01225 831 800.

If you, or the person you care for, require support to take part in any of our engagement activities, please just let us know using the contact details above.    

We are committed to putting people who use services, those who care for and support them, and the wider public, at the centre of everything we do, ensuring there is a public voice that can influence key decisions and help to shape our services.

Are you interested in having your say about how local health and care services are developed? Do you have views and experiences you want to share? 

How you can get involved

1. Find out about our current projects and consultations and how you can have your say, here.

2. Join our Your Health, Your Voice group to meet with commissioners and feed back on our plans to improve local health and care services. Find out more here.

3. Discover what our Community Champions have been doing to help us develop services, and current opportunities to be a public representative, here.

Here is information about our current projects and consultations and how you can get involved.

1. BaNES, Swindon and Wiltshire CCGs Merger

Our CCG could merge with Swindon and Wiltshire CCGs by April 2020. As one CCG, we can reduce variation in care and standardise best practice so everyone can access high quality treatment and services, regardless of where they live.  Working as one organisation will also help us meet our financial challenges by, for example, offering greater buying power, eliminating the duplication of administrative support functions and streamlining governance processes. The savings made can then be invested in frontline services or transformational projects.

There are similar mergers happening across England and follows national guidance for health and care services to work more closely together and move towards becoming Integrated Care Systems, which aims to give everyone the best start in life, world-class care for major health problems and help to age well.

If our GPs vote in favour of the merger, we will submit an application to NHS England to merge.

If you have any feedback you’d like to share with us, please email bsw.mergerfeedback@nhs.net.

You can read more about our plans here and in our stakeholder briefing.

 

2. Our Health, Our Future campaign

In January 2019, the NHS published its Long Term Plan, which sets out key priorities and ambitions for the service over the next ten years. The plan aims to make sure the NHS is fit for the future:

  • giving everyone the best start in life;
  • delivering world-class care for major health problems such as cancer and mental health; and
  • helping people to age well.

Health and care organisations from across Bath and North East Somerset, Swindon and Wiltshire are now putting a plan together to make sure you and your loved ones are able to get the support you need to live well. We want to make sure that you can easily find and use local health and care services, and that these services will support you to stay healthy and happy now and in the future.

We’d like to thank everyone who shared their views, either through our survey, at a face to face event, or on social media. People’s experiences and views have been shared with local decision makers and will help to shape the priorities in a new Long Term Plan for BSW. The plan will be published on our website over the coming months.

The findings from the campaign are also being shared widely with commissioners and colleagues in local health and care organisations to inform the development of services in the future. You can read what people told us in our campaign overview, which is also available in Easy Read format and Arabic. For more detailed information, please read the engagement summary and full survey analysis.

Find out more about the Our Health, Our Future campaign here.

For more information about the NHS Long Term Plan, you can read a summary, watch this video, or read the plan in full at: www.longtermplan.nhs.uk.

 

3. Reablement Services

The Council and NHS Clinical Commissioning Group (CCG) are reviewing the way reablement services are delivered in Bath and North East Somerset (B&NES), to identify new ways of working and improvements that could be made.

Reablement services maximise independence, and support your ability to manage daily activities and practical tasks, usually for a short, fixed amount of time (based on what you need, but a maximum of 6 weeks). Reablement encourages people to develop the confidence and skills to carry out these activities themselves and to continue living at home. Reablement services help people who are coming home from hospital, those who need a bit of support to prevent an admission into hospital, and others who need some input from a therapist, or people who do not have a ‘health’ issue but need some help to regain daily living skills.

We have developed a proposal for how services might work in the future.  This builds on all the strengths of the services now, and enhances it.  The key changes we are considering are:

  • Improved information about the services and what to expect.
  • Potential additional support for people who can’t be left alone between visits.
  • A review after two weeks to decide on next steps.

How we have already engaged with local people and professionals

From December 2018 to February 2019, we held some detailed interviews with people who use/have used reablement services in B&NES, and those who care for and support them, to find out what they think about the services. You can see our report on what they told us here.

We have also been talking to a wide range of stakeholders, including the teams that provide reablement, about what works well about reablement services at the moment, and what could be better in future. We heard that reablement should:

  • Support people to be as independent as possible.
  • Focus on the needs of the person, whatever the reason for them needing reablement.
  • Make sure people understand from the start what they can expect from reablement and their commitment to it.

Have we got things right?
We want you to tell us what you think of these proposed changes. To share your views, please complete our survey. You can also email us at asc_commissioning@bathnes.gov.uk, or call us on 01225 395907. The deadline for feedback is Wednesday 13th November 2019.

 

4. How can we support more people to access cardiac rehab?

Cardiac rehab sessions are currently provided at the Royal United Hospital (RUH) in Bath.

We want to expand this service, so that more people can get cardiac rehab closer to/at home, including exercise, information, and support with their diet and mental health.

Thank you to everyone who filled in our recent survey or chatted to us. Here is a summary of what everyone told us. 

The RUH and Virgin Care are working together to develop a new community cardiac rehab service in B&NES, which will be introduced in the Autumn 2019. The new service is being developed to make sure that people who have had a cardiac event or a diagnosis of heart failure can access good quality rehab so that they stay healthy and regain any lost confidence.

In line with feedback we’ve had from local people:

  • the venues and time of the rehab classes will be more accessible;
  • there will be an option for home-based rehab for people who prefer not to join a class;
  • and partners/family members/loved ones will be able to attend the education sessions (that are part of the programme) too.

The service will focus on proactively tackling health inequalities amongst different communities, to make sure that anyone who needs heart failure or cardiac rehab is supported to do it.

 

5. Community mental health services review

We are working with Bath and North East Somerset Council to review how we can improve community mental health services locally.

Thank you to everyone who shared their views in our recent public consultation. We will be sharing a summary report in Summer 2019.

Find out what people have told us so far and what we are planning to do about it, here.

 

6. Transforming Maternity Services Together review

Thank you to everyone who took part in our consultation and shared their views with us. There were many suggestions for how we can improve services and these will help inform our future plans.

Since we started this process in 2017, more than 4500 mums, families, staff and partners in the community have shared their views and ideas about how to deliver a safe and positive birth and maternity experience for families in B&NES, Swindon and Wiltshire, as well as prepare them to approach parenting with confidence.

Our proposals have been rigorously examined by the South West Clinical Senate and an independent expert panel which included a GP, an obstetrician, representatives of mums and dads, a midwife and a quality improvement lead. We have also consulted with a joint B&NES, Swindon and Wiltshire Health and Overview Scrutiny Committee and worked through the NHS England assurance process.

A final set of recommendations will be submitted to a joint meeting of the BaNES, Swindon and Wiltshire Clinical Commissioning Groups Governing Body on Thursday 16 January 2020 where a decision will be made. This meeting will be in public and will take place at the Lackham Campus, Wiltshire College from 10am – 12 noon.  More information will be available on the CCG websites shortly and papers will be published on the sites in advance of the meeting on 9 January. If you have any queries, please email us at maternity.transformationBSW@nhs.net

 

7. Community equipment services review

The Council and CCG are carrying out a review to see how we can improve community equipment and minor adaptation services in B&NES.

Community equipment includes things like special mattresses, beds and cushions, hoists and slings, and walking frames. Minor adaptations include things like rails either inside or outside your home, and ramps.

From November 2018 – January 2019, we engaged with people who use community equipment and minor adaptation services, those who care for and support them, and people who prescribe or work with community equipment. We shared a survey widely across B&NES to ask people to tell us what their experiences of using this services has been, what is working well, and what could be improved.

Thank you to everyone who shared their experiences and views with us. Here is a summary of what people told us and we will share next steps shortly. 

 

8. Reablement services review

The Council and CCG are reviewing the way reablement services* are delivered in B&NES, working with those who provide services to identify new ways of working and improvements that could be made.

*Reablement services provide personal care, help with daily living activities and other practical tasks, usually for a short, fixed amount of weeks. Reablement encourages people who use services to develop the confidence and skills to carry out these activities themselves and continue to live at home.

From December 2018 – February 2019, we held some detailed interviews with people who use/have used reablement services in B&NES, and those who care for and support them, to find out what they think about the services.

Here is a summary of what people told us in these interviews. We will let you know what next steps are and how you can get involved, soon.

 

9. Home care services review

B&NES Council and CCG are looking at how we provide home care services and how we can make them better. During the summer 2018, we asked people to help us come up with a proposal for what services should look like in future. We recently consulted on this proposal with the public to check we have got things right.

To find out what people have told us so far and what our plans are, please read our consultation document. Please note that the survey closed on 1 February 2019.

We will share the results from our recent consultation, shortly.

 

10. New community eye service

In June 2018, we asked people to tell us about their experiences of using eye services in B&NES, and what they thought of our plans to provide a community-based eye service, meaning that:

  • People could access appointments, treatment and support with their eye condition quickly and closer to home.
  • People with minor eye conditions could be seen and treated by Optometrists at a local optician.
  • People with conditions such as glaucoma and cataracts could be tested, referred for treatment/surgery and supported to manage their condition.

Find out what people told us in our engagement report.

People’s views informed the development of the service model and a public representative helped us to choose the provider of this new service in October 2018.

What is ‘Your Health, Your Voice’?

Our Your Health, Your Voice group meets every two months and provides an opportunity for the public to feedback on our plans to improve local health and care services.

The group is chaired by our Lay Member for Patient and Public Involvement and acts as a critical friend to the CCG, discussing proposed service changes with commissioners from planning through to delivery.

Members are also encouraged to inform and support the CCG’s engagement with the wider public, by advising us on different approaches and groups who we should consult with, and sharing information and surveys with any other local/community groups they are involved with.

Recent topics of discussion

Over the last year, members have been asked to share their views on:

  • How access to primary care can be improved and how we can raise awareness about the different professionals people can see.
  • How the public feel about vaccines and how we can reassure them about any concerns they may have.
  • The key priorities being addressed by the B&NES, Swindon and Wiltshire Sustainability and Transformation Partnership (STP).
  • How we can best explain Council and CCG integration to the public.
  • Changes to Advance Care Planning and how we can best support people earlier on to make plans for what they would want at the end of their life.
  • The proposal to transform maternity services across B&NES, Swindon and Wiltshire.
  • Planned changes to improve how community mental health services are delivered in B&NES.
  • The NHS Long Term Plan and what topics/areas of focus we should be engaging with the public on.

Read summaries of these discussions, here

Members are also invited to lead sessions themselves. Recent presentations have focused on:

  • ‘People Powered Health’: ways people are helping and empowering each other to do more for their health and wellbeing.
  • The CCG’s Annual General Meeting: a member shared their thoughts and reflections.

The findings of this group are formally reported to the CCG’s public Board for review and discussion. Minutes from the meetings are available on the CCG’s website here.

Get involved

If you would be interested in joining the Your Health, Your Voice group, or would like to find out more information, please email banes.yourvoice@nhs.net or call 01225 831861.

What is a Community Champion?

Community Champions are volunteers who represent the public, people who use services and those who care for and support them. They are the voice of the community and share their experiences and ideas for developing new services.

Projects they have been part of

1. Community services review

Community Champions played a key role in our community services review in B&NES, which resulted in the appointment of Virgin Care as the primary provider from April 2017.

Find out more about the Your Care, Your Way review

Listen to the Community Champions talk about why they got involved.

2. Transformation of community services

Community Champions who were involved in the Your Care, Your Way review continue to be closely involved in the transformation of community health and care services in B&NES, attending meetings with commissioners and Virgin Care across a number of different projects.

Community Champions:

  • Are active members of working groups. For example, as part of the community mental health services review, they have helped us to identify changes that need to be made and advise us on how we can engage effectively with a range of groups.
  • Advise commissioners on the development of services. For example, they have been helping to shape a new model for delivering home care services in B&NES.
  • Receive a newsletter every three months, with updates on what is happening across transformation projects, and opportunities to get involved. Read the December 2018 issue here.
  • Attend training days as a group, when they are given opportunities to feedback on their role and develop skills, such as how to consult with others and capture their views. The Champions helped us develop some top tips for consulting with the public.

3. Creation of a new community eye service

In September-October 2018, a public representative who has a visual impairment and experience of using eye services helped us to decide who should deliver a new community eye service in B&NES.

Their role involved evaluating and scoring bids from different services, and discussing these with colleagues from across the CCG as part of a moderation panel.

Opportunities to get involved

We are not currently recruiting any Community Champions, but will share any future roles and opportunities here.