Working together to strengthen the voice of local people in health and

social care across Wessex

What is this all about?

• NHS England knows it needs to engage more when it designs and buys services

• The active involvement of patients improves commissioning outcomes

• Healthwa – - Dorset; Hampshire; Southampton; Portsmouth & Isle of Wight providing the link to local communities

Where do they fit in?

The good practice toolkit

• models of collaborative working and a practical toolkit including templates, training, guides and checklists.

• establish both a route to best practice as well as a set of tools for practical use

• Build on examples of good practice locally and elsewhere

• Based on a set of principles out to consultation

Commissioning

Plan

Design

Buy

Check

Pilot area 1 - Maternity

• Focus on Pre-gestational diabetes• Growing proportion of pregnancies in women with

type 2 diabetes – 44.9% compared with 27.3% 10 years ago

• only 5% of those with type 1 & 19 % of those with type 2 achieved the target blood glucose readings for early pregnancy set out in national guidelines

• Stillbirth rates remain unchanged• Only 24.7% of women with type 2 taking

recommended dose of folic acidAll data from National Pregnancy in Diabetes Audit

http://www.hscic.gov.uk/article/5109/New-national-pregnancy-in-diabetes-audit-reveals-deficiencies-in-basic-preparation-and-care#SkipNavigation

Maternity – pre gestational diabetes

• Changing demographic of women with diabetes causes huge preparation problem

- older- have had diabetes for short time- socially deprived- BME groups

• Therefore unlikely to be seen in specialist services

What is our focus?

1. Testing an assumption (backed up by research) that women with diabetes are not aware of the risks when they are pregnant2. Finding out what would help women better manage potential risks and change their behaviours3. Where and when women would want that advice to be delivered?

Pilot area 2 –CAMHS

• Young Minds (Young Minds, 2011/12) reported on the basis of Freedom of Information requests that there has been disinvestment in CAMHS, particularly in Local Authority expenditure

• 1 in 10 children have a mental disorder• 2013 research found an increased average

waiting time of 15 weeks for tier 3 services

National CAMHS report http://www.england.nhs.uk/wp-content/uploads/2014/07/camhs-tier-4-rep.pdf

What’s our focus

• Working with Young Minds to engage young people (and their families) who have been inpatients in CRGs – Clinical Reference Groups

• Engage service users in shaping a service being commissioned across Hampshire to be trialled in North Hants - intensive home treatment model for young people with eating disorders who would be at risk of hospital admission

Inpatient unit locations

Getting involved

Young Minds workshop • Thursday 5 February- 12-3.30pm- lunch is

provided- Newbury (closest rail station is Newbury)

• Contact zoe.large@youngminds.org.uk or 02070 895050

Getting involved - Workshops• Sessi

Gretel InghamProject Officer

Wessex Community Voice

07843055873gretelingham@hotmail.com

Thank you