On this page, you can find information and updates on the consultations and engagement work that we have carried out. Click on the headline to find out more.
The future of the Birmingham and Solihull Clinical Commissioning Groups (CCGs): July to August 2017
During July and August of 2017, NHS Birmingham CrossCity CCG, in partnership with NHS Birmingham South Central CCG and NHS Solihull CCG, ran a consultation on the future of the NHS Birmingham and Solihull Clinical Commissioning Groups.
Overall, the majority of consultation responses were in support of a full merger of the three CCGs. A full merger was progressed with the new CCG to cover Birmingham and Solihull to begin 1 April 2018.
Mental health recovery and employment services: March to May 2017
From March to May 2017, NHS Birmingham CrossCity CCG, in partnership with NHS Birmingham South Central CCG and NHS Sandwell and West Birmingham CCG, we ran a consultation on changes to mental health day services..
We have now considered all of the feedback and would like to share how we have incorporated it into our plans:
Non-emergency patient transport (NEPT): June to August 2015
During the summer of 2015, in partnership with NHS Birmingham South Central CCG, NHS Solihull CCG and NHS Sandwell and West Birmingham CCG, we ran a consultation about creating one universal service for all patients across Birmingham, Solihull and Sandwell.
Following the consultation and the procurement process West Midlands Ambulance Service NHS Foundation Trust will be providing a new non-emergency patient transport service from 1 May 2017.
Proposed changes to adult services across Solihull, Good Hope and Heartlands Hospitals: July-August
In July 2019, University Hospitals Birmingham NHS Foundation Trust proposed to reorganise some of its adult services across Solihull, Good Hope and Heartlands hospitals to improve outcomes and reduce waiting times for patients. The specific services that the Trust changes to were trauma and orthopaedics, and gynaecology services.
It is estimated the changes will affect around 10 patients a day. To put this in perspective, the hospitals see around 1,200 A&E attendances, over 5,000 outpatients and 500 day case procedures a day.
The changes mainly apply to surgical procedures only (operations) and may mean that patients may need to attend a hospital which is not their local hospital, for their operation. However, while some people may have to travel further for certain treatments, the vast majority will continue to be treated at their local hospital.
There are no proposed changes to where pre and post-operative outpatient, x-ray and scans and therapy (e.g. physiotherapy) appointments take place – they will still take place at the patient’s local hospital. There will be no changes to children’s services.
- In line with best practice, equality analyses were carried out before and after the engagement period. Please click to view the pre-engagement and post-engagement analyses.
- Learn about the engagement outcomes in the full engagement report here.
- View the presentation and the proposal for the Joint Health and Overview Scrutiny Committee (JHOSC) from June 2019.
- View the presentation on the summary of outcomes from engagement activities for the JHOSC from September 2019.
For more information, please see our consultations, surveys and events page.
|You said||We did|
We are concerned about the additional travelling.
Patients will continue to have all their outpatient appointments, pre-operative assessments and care, diagnostics (x-rays and scans) and post-operative follow up appointments at their local hospital. Extra travel will only be applicable to the patient’s surgical procedure. Some patients are already choosing to have their procedures at a hospital that might be further to travel. It is acknowledged that this may cause some inconvenience to patients, but it is strongly felt that the benefits of making the changes outweigh this.
If you are an inpatient and need to transfer to a different hospital as part of your care journey, you will go via hospital transport (no cost). If you are eligible for non-emergency patient transport to get to an appointment, this can be arranged direct through WMAS.
If you are having a planned procedure or operation, if you are eligible, you will receive reimbursement for travel costs. ie, If you are in receipt of one of the following benefits you are entitled to claim for travel costs for appointments for NHS treatment.
Most patients who have a day case procedure are brought into hospital by a relative/carer.
|We are worried about parking at the hospital sites.||Parking capacity and charges are not going to change at the three hospital sites as a result of these changes. As the number of patients distributed across the three sites will be fairly consistent (e.g. numbers of patients/visitors will be the same), there no particular additional issues with car parking anticipated.|
We are anxious about our visitors not being able to come and see us.
|The positive impact that visitors have on patients’ recovery is acknowledged. It is fully expected that the majority of patients will have a reduced length of stay if services, and improved outcomes, are reconfigured in this way. However, a survey will be given to patients on their discharge (attached), to understand if they feel that their experience in hospital has been negatively impacted upon. Each hospital has open visiting times to ensure maximum flexibility for loved ones (e.g. not needing to travel in rush hour or making use of concessions on public transport outside of peak times).|
|Are you sure the hospitals have got enough capacity?||There are no capacity issues anticipated, on the contrary, reduced waiting times for operations and fewer cancellations are just two of the key benefits for wanting to make the changes. UHB is adding capacity and making more use of existing capacity through improved efficiencies.|
How will you ensure that hospital records are transferred securely between hospital sites?
UHB has robust and comprehensive policies in place for the movement of medical records.
The Trust adheres to strict Data Protection, Confidentiality, Information Governance and Record Management policies and procedures.
It has robust informatics and IT systems to ensure the Electronic Patient Record (EPR) is protected. The Trust has Global Digital Exemplar status in recognition of its digital expertise.
All policies and procedures were sent as evidence to Joint Health Overview and Scrutiny Committee.
What about the impact on other hospitals?
|Patients can choose to have their procedure at any hospital that offers the service; this could be within Birmingham and Solihull, or further afield. These proposals will not impact on patient choice.|
Is this about saving money?
|These proposals are not about removing any services or saving money; there has been a £2.5million investment in estate and infrastructure.|
We would like all services to remain at our local hospital.
By creating centres of excellence at Solihull and Good Hope Hospitals, in dedicated and high-quality facilities, patient outcomes and experience will significantly improve. The services offered at the Queen Elizabeth Hospital will not be affected by these proposals.
|How will we know that the changes have resulted in better outcomes for patients and outweigh any potential negative impacts from increased travel problems and reduced visitors?|| |
UHB has implemented a discharge survey for patients within the three services affected.
Through our patient experience team we will ensure we fairly and accurately capture feedback and report the findings.
Our own systems will record data on length of stay; outcomes; waiting times for operations and associated cancellations caused by bed pressures, which will be reported publicly.
Dementia stakeholder engagement: July-August 2019
The Birmingham and Solihull Dementia Strategy 2014-2017, ‘Give me something to believe in’, was adopted by Birmingham City Council, Solihull Metropolitan Borough Council, Birmingham and Solihull Clinical Commissioning Group (CCG) and other partners in 2014.
Its overarching purpose was to understand the experiences of dementia patients, to identify what was already in place, and what was required to improve the outcomes for patients and their carers. The refreshed strategy will reflect progress to date and future planning requirements.
There is a commitment to prioritising engagement with people living with dementia and their families/carers in the development of a dementia strategy for Birmingham.
Six events were held across Birmingham in July and August 2019 with patients, carers and family members, as well as health and social care professionals. The events were designed to gather their views on how dementia services are provided and understand the performance of services at present.
During the events, participants had the opportunity to share their experiences and give feedback on the following areas:
- Access to services
- Ongoing support
- Respite for carers
- Advance care planning/End of life care.
Read the Dementia Strategy Review Engagement Report, outlining the findings and recommendations from these events.
Social prescribing engagement with Patient Participation Groups: May 2019
In May 2019, Bernie Faulkner, NHS Birmingham and Solihull CCG’s Senior Integration Manager, gave a presentation on social prescribing to members of GP practice Patient Participation Groups (PPG) at the Birmingham and Solihull PPG Forum.
The presentation was an opportunity to inform the group about social prescribing; what it was; how
it could support patients (as well as commissioners and GPs) to better support citizens/patients.
The presentation included information on patient activation measures which enables patients to increase their skill, confidence and knowledge to better manage their conditions; with questions and feedback being provided by the PPG members attending.
- View the social prescribing presentation
- View the Birmingham and Solihull PPG Forum Agenda 21.05.19
- View the Birmingham and Solihull PPG Forum meeting notes 21.5.19.
End of life stakeholder engagement event: April 2019
Engagement of patients, families and their carers is a high priority for the Birmingham and Solihull Sustainability and Transformation Partnership’s End of Life Oversight Group. It is keen to obtain views from patients, families and their carers on current services, any improvements required and what outcomes measures should be used.
The Birmingham and Solihull STP Ageing Well and Later Life Portfolio Board held a workshop on 11 April 2019 in Birmingham, to undertake a deep dive of end of life care. The event included patient stories, local speakers, developing compassionate communities around end of life care and information on the range of services offered by specialist palliative care services.
The key aims and actions from this workshop are outlined below:
- The long term aim of end of life care is that in five years Birmingham and Solihull is recognised as a centre of palliative excellence. In order for this to happen more collaborative working is required
- Improving trust and getting on with things
- Embedding of the compassionate community approach
- The mainstreaming of end of life into the other priorities
- Engagement of co-production.
Read the feedback from this engagement event here.
My Diabetes Health Programme: March-May 2019
In Birmingham, about 8-10% of the population have a type of diabetes. That’s over 110,000 people. This is a lot higher than other parts of the UK and means that our local community spend more time at their GPs, talking about managing their condition and symptoms.
Across the UK more people have diabetes than cancer or dementia, but it is still very misunderstood, with many myths and misconceptions about the condition. Many people aren’t aware that there is more than one type of diabetes, but that’s where My Diabetes can help.
- Type 1 diabetes is a permanent, long-term condition meaning, once you get it, you have it for life.
- Type 2 is more common; 3.9 million people live with condition in the UK and can be managed by the patient themselves.
During March-April 2019, Arden and Greater East Midlands Commissioning Support Unit was commissioned to talk to the public about the structured education programme My Diabetes, talking to them about:
“If a patient has been diagnosed with Type 2 diabetes they will be told that they will need to have some more appointments in the future, but to help patients manage their own conditions. Birmingham and Solihull CCG has developed a course to help teach you about your diabetes.
“My Diabetes has been designed to help patients understand medical terms, give practical advice about how to improve health with things like healthy, balanced meals and being more physically active.”
Six events were held:
- 23 March – Swan Shopping Centre
- 29 Chelmsley Wood Shopping Centre
- Morrisons, Hagley Road
- Guru Nanak Gurdwara
- St Andrew’s Shopping Centre
- Mell Square Shopping Centre, Solihull
GP practices across Birmingham and Solihull were provided with a My Diabetes Health Programme toolkit in May 2019 to engage with patients and encourage them to join a free course to help manage their diabetes.
The underlying message was “There are lots of things that you can do to help look after yourself and by following some simple steps, you may reduce the need for medication!”
The aim of the course is:
- Help you to understand what diabetes is and what it means for your health now and in the future
- Support you to eat more healthily
- Give you hints and tips on physical activity and how to keep fit in your daily life.
Information shared included:
Work has continued promoting the My Diabetes programme and greater patient awareness of Type 2 Diabetes, with the CCG using World Diabetes Day (14 November 2019) as a platform to share:
- Social media messages
- A blog written by a Birmingham Diabetes Community Champion
- News release Take small stpes to manage diabetes.
CCG operational plan: February 2019
During February 2019, our strategic patient partners met with staff from the CCG to discuss the draft operational plan. The operational plan sets out the high level work programmes for how, over the next two years, we will work with partners across the system to deliver our healthcare priorities.
There was a lively debate about many parts of the draft, and a number of key questions were raised by patients for consideration. These will now be worked through and our operational plan will be published shortly.
Patient feedback on Hodge Hill Family Practice and Poplar Practice Kings Heath: January 2019
During January we held a patient engagement survey and drop in sessions at Hodge Hill Family Practice and Poplar Practice Kings Heath to hear patients' views on what was working well and what could be improved at the practices.
This engagement period has now closed and the results of patients feedback will be fed into the upcoming planning work for the practices. Further information will be published on our website later in the year.
GP practice mergers: Ridgacre and Dovecote, and Northfield and St Heliers: December 2018-January 2019
Ridgacre House Surgery and Dovecote Surgery merger
During December 2018 and January 2019, the CCG held a period of engagement with patients to hear their views on their practices potentially merging with another. The results of patients feedback is currently being used in consideration of the wider proposals.
St. Helier’s Medical Practice and Dr Ali and Partners merger
The two practices have invited patient views on proposals to merge the two practices. In addition to a patient survey, patients were encouraged to share their views via their Patient Participation Groups (PPGs). Two dedicated drop-in sessions were also held to invite views at the practice. A total of 120 responses were received and will be used in the consideration of the practices intention to merge, along with wider patient feedback.
Special Educational Needs and Disabilities (SEND) engagement with parents, carers and the voluntary sector: October-November 2018
Birmingham Voluntary Service Council (BVSC) was asked to host an online survey and consultation event on behalf of Birmingham City Council, Birmingham Children's Trust, NHS Birmingham and Solihull CCG and Birmingham Community Health Trust between October-November 2018, with a consultation event on 5 November, to discuss SEND services in Birmingham. The outputs of the engagement can be found below. In addition, there is further information about SEND, including a co-produced report following the Birmingham Children's Improvement Forum, on 26 November 2016.
Find out more:
- SEND parents survey results
- Birmingham Children's Improvement Forum report
- Joint local area SEND written statement of action published (11 January 2019)
- Response to Ofsted and CQC joint local area SEND inspection (10 September 2018)
- Joint local area SEND inspection in Birmingham (3 September 2018)
- SEND services in Birmingham and Solihull
MH:2K - A youth-led approach to mental health: May-October 2018
MH:2K is a new youth-led approach to exploring mental health and emotional wellbeing in Birmingham, to identify the issues they see as important.
The model empowers young people to work with local decision-makers to create a picture of the mental health challenges faced by children and young people, and what the solutions could look like.
To help do this, the CCG commissioned Involve, a national charity, and Leaders Unlocked, a social enterprise. In partnership, they trained 26 young people as Citizens Researchers, who then reached out to their peers to start a conversation about mental health.
To read the recommendations for change which were identified, please see below:
Cheddar Road Surgery closure engagement: 12-30 November 2018
Patients of Summerfield Family Practice and other stakeholders were asked for their views on a proposal to close the Cheddar Road Surgery branch site, which sees around four patients per week. A three-week engagement period was held from 12 November until 30 November 2018.
GPs and practice staff travel daily between the main practice which is based at Summerfield Primary Care Centre, Winson Green Road, Winson Green, Birmingham, B18 7AL, and Cheddar Road Surgery, 55 Cheddar Road, Balsall Heath, Birmingham, B12 9LJ – a distance of around 3.8 miles.
With the majority of its 1,700 patients choosing to book their appointments at the main Summerfield Family Practice, along with the significant investment needed to improve facilities for patients at the branch site which is based inside a terraced house, the practice held a three-week engagement period to discuss proposals for the future. This included a survey (available online and in paper format) as well as two drop-in sessions at the practice.
There are seven alternative practices within one mile of Cheddar Road Surgery, with capacity for a small dispersal of patients.
You can read the engagement report here.
NHS Birmingham and Solihull CCG's Primary Care Commissioning Committee approved the request for the closure of Cheddar Road Surgery. You can read more here.
Non-emergency patient transport (NEPT): October-November 2018
During October and November 2018, representatives from the CCG worked with West Midlands Ambulance Service to visit the renal units across Birmingham and Solihull. We talked to patients about their experiences of non-emergency patient transport and their understanding of the collection times. We are using this feedback to inform future developments, and are planning to do a wider piece of engagement, visiting further hospital sites where non-emergency patient transport is used.
You can read what people told us, and what we've done in response, here.
Urgent Treatment Centres: September-October 2018
We have now completed our first wave of stakeholder briefings to update local people about the improvements we are planning to Birmingham and Solihull Urgent Treatment Centres (previously known as walk-in centres).
If you did not manage to attend one of the five stakeholder meetings held during September and October 2018, you can view the presentation which was given here.
Further updates will be given as this project progresses.
Commissioning intentions: 26 September 2018
Every year the CCG sets out its commissioning intentions. This is in the form of a letter that goes to our partners who provide healthcare services, to inform business plans and contracts. Our commissioning intentions drive improved outcomes for patients, and transform the design and delivery of care, within the resources available.
During the development of our commissioning intentions, we held a workshop on 26 September 2018 with our Strategic Patient Partners to test whether our intentions were fit for purpose, as well as understandable and accessible to members of the public.
On the whole, our Strategic Patient Partners were happy with our drafted proposals. The main questions were around any patchwork provision, which in simple terms refers to any gaps where a service may be available in one part of our area but not currently in another. We assured our Strategic Patient Partners that this is a high priority for us and there is currently a review to understand which services may be affected by such a situation.
Granton Medical Centre, and Griffins Brook Medical Centre and Bunbury Road Surgery (BG Health) relocation: August-September 2018
Granton Medical Centre, and Griffins Brook Medical Centre and Bunbury Road Surgery (BG Health), in considering their options to move from three separate surgeries into one single building on the Bournville Village Trust estate by 2020, held a period of engagement with patients and stakeholders which was supported by the CCG from mid-August to 28 September 2018.
The current sites are either not fit for purpose or do not meet the current standards expected for a GP surgery. Moving to a larger site, would allow the practices to offer patients the best possible healthcare, with additional space available for current and future services, in a purpose-built health and wellbeing centre.
The approximate walking distances from the existing surgeries to the new site just off the Bristol Road are:
- Granton Medical Centre – 1.4 miles
- Griffins Brook Medical Centre – 0.3 miles
- Bunbury Road Surgery – 0.9 miles.
Patients and stakeholders were given the opportunity to have their say and ask questions at six drop-in sessions held during September 2018 (two at each practice), as well as through an online survey; which was also available from practice receptions as a paper version.
Find out more:
National Diabetes Prevention Programme equalities review: July-August 2018
The CCG undertook an equalities review into the accessibility and inclusivity of the National Diabetes Prevention Programme (NDPP). This work was undertaken as there is higher prevalence of diabetes in disabled people, including people with learning disabilities and mental illness, and some black and minority ethnic groups (BAME), most notable are people from South Asian and African-Caribbean backgrounds.
We wanted to assess and understand how equitable participation in the NDPP programme was for BAME patients, and disabled patients, within Birmingham, Solihull and Sandwell. The review also looked at the experience of patients, in relation to access and inclusion.
We completed five patient experience site visits during July and August 2018, undertaken by the following people: the CCG’s senior manager for equality, diversity and inclusion; the NDPP programme lead; a consultant nutritionist; communications and engagement manager; a Diabetes UK patient advocate; and members of the NDPP programme board.
We spoke to a range of patients from diverse backgrounds, programme facilitators, and reception staff to understand what patients thought of the programme and how improvements could be made around access and inclusion.
The report went to the NDPP programme board in October 2018 and a number of changes have been made. Please see the ‘you said, we did’ information below.
"You did not have enough information prior to starting the programme."
We reviewed the information that is being sent out to patients by GPs, ensuring GPs have the correct links to leaflets and the provider web pages. We will send e-links to GP practices to more easily send patients pre-course information and raise awareness of GPs through the Practice News bulletin.
The provider is renewing all of its webpages and will be incorporating more accurate disability access information making it easier for disabled patients to make a choice about the suitability of venues when attending the programme.
“There wasn’t access to the programme in all parts of Solihull.”
We reviewed our locations and have introduced a new programme in Solihull to improve access for Solihull patients.
“It would be helpful to have leaflets on healthy recipes for Asian diets.”
The provider ran a best practice workshop with its facilitators so learning around meeting diverse cultural needs can be shared and delivered more consistently across the service. We are working with the provider to introduce handouts of recipes catering for a variety of cultural cuisines within the city.
“The course booklet was not accessible for all patients, particularly those with disability or literacy needs.”
The provider is reviewing all course materials and making them available in alternative formats, including easy read and large print. The provider has also flagged any disability needs earlier on so additional needs can be identified and met by the programme facilitators ahead of disabled patients starting the programme.
NHS Birmingham and Solihull CCG launch event and NHS 70th birthday celebrations: July 2018
On Thursday 12 July 2018 NHS Birmingham and Solihull Clinical Commissioning Group engaged with over 250 members of the public, GPs and local organisations at a special launch event which also celebrated the NHS’s 70th birthday.
The CCG, which was formed by the merger of Birmingham CrossCity, Birmingham South Central and Solihull CCGs on 1 April 2018, is the largest clinical commissioning group in England.
As part of the event at The Vox Conference Centre, an afternoon of speakers was arranged for local Patient Participation Groups (PPGs) and GPs, followed by a health fair, with stalls provided by Birmingham City Council; Birmingham Voluntary Service Council; Gateway Family Services; Health Exchange UK; Living Well Taking Control; Solihull Together; Healthwatch Birmingham and Healthwatch Solihull; as well as the CCG.
The formal launch of the CCG was carried out by Chair Dr Peter Ingham and Chief Executive Paul Jennings, who also paid tribute to some of the many supporters of the local NHS for their personal contribution:
- Howard Tyers, former Senior Staff Nurse at Heartlands Hospital, for support in raising awareness of local NHS issues on social media;
- Mark Sanders, and his guide dog Lily, for his continuing support and involvement in a range of CCG meetings and for his instrumental role in the development of a minor eye conditions service;
- Tony Green, for his work with the Solihull PPG network and involvement with Healthwatch Solihull;
- Bernie Aucott, a Strategic Patient Partner for the CCG who is heavily involved in CCG meetings, boards, committees, events and workshops;
- Garry Morris, a local photographer, worked in partnership with the CCG to produce a range of images of Birmingham and Solihull to celebrate NHS70.
Read more about the event in our news release.
Latent Tuberculosis infection campaign: May 2018-March 2019
When people talk about Tuberculosis (TB) they usually mean active TB. A person with active TB can become very ill and can spread the bacteria to others. However almost a third of the world population has the Latent Tuberculosis infection (LTBI) which lies undetected, asleep in their bodies and can develop in to active TB. It is estimated that 10 million people (about one in ten people with Latent TB) develop the active disease annually despite the existence of effective treatment.
In the UK, treatment of a typical case of tuberculosis is estimated to cost £5,000, however, a case of Multi-Drug Resistance (MDR) tuberculosis can cost upward of £50,000 (or £100,000 in the case of more broadly resistant variants such as extensively drug-resistant tuberculosis).
In Birmingham and Solihull there is a growing migrant population some of whom were born in or spent more than six months in countries with a high TB incidence. To address the issue of a potential increase in the prevalence of TB, NHS Birmingham and Solihull Clinical Commissioning Group (CCG) embarked upon a campaign centred around Latent TB with the aim to raise awareness of Latent TB and encourage people to undertake a blood test, where they met the eligibility criteria for screening.
This was achieved through:
- A screening programme delivered in GP practices
- Social marketing campaign concentrated on awareness raising and screening events in communities most affected.
- 89 GP practices in Birmingham and Solihull signed up to deliver the screening programme, offering a free blood test to individuals who fit the criteria
- TB could be sleeping inside you! poster distributed to local community and neighbourhood centres and pharmacies
- Screening event posters displayed in health centres, barbers, newsagents, gyms, library, opticians, walk-in centres, GP surgeries and mobile phone shops
- Bookmarks and tote bags advertising TB could be sleeping inside you! given out at educational and community venues
- Videos and animations created along with a short survey to check eligibility for testing
- PR and social media content shared
- Various outreach and screen events held at Aston University, Ashiana Project, Lozells Methodist Church, Birmingham City University, Sparkhill Leisure Centre, Asda Small Heath, Birmingham Central Mosque, Guru Nanak Gurdwara.
Further efforts to engage migrant communities – with the Refugee and Migrant Centre
The Refugee and Migrant Centre (RMC) is a charity committed to changing the lives of some of the most vulnerable members of our community. The RMC assists all members of new and emerging communities regardless of country of origin, ethnicity, legal status, religion, gender, sexual orientation, age or disability.
The CCG partnered with the Refugee and Migrant Centre in Birmingham as the centre is frequented by a high footfall of migrant communities and offers latent TB testing onsite. A bespoke latent TB poster was designed for the Refugee and Migrant Centre in Amharic, Arabic, Tigrinya and Urdu to encourage non English speakers to get tested.
Find out more
Treatment Policies: May-June 2018
Following on from the treatment policies published in 2016/17, in July 2017 the Birmingham and Solihull CCGs began working with clinicians and key stakeholders to discuss and assess the evidence and current guidance relating to 22 further treatments and procedures:
- Assisted conception
- Breast implant revision surgery
- Carpal Tunnel Syndrome
- Chronic Fatigue Syndrome
- Complementary and alternative therapies
- Cough assist machines
- Dupuytren's Contracture
- Gamete retrieval
- Hip arthoroscopy
- Kidney stones
- Knee arthoroscopy
- MRI scanning (upright)
- Port wine stains
- Rectal bleeding
- Reversal of female sterilisation
- Reversal of male sterilisation
We completed an engagement exercise to listen and understand the thoughts and views on the proposed new harmonised treatment policies with members of the public, patients and key stakeholder groups. This was completed by carrying out an online survey and we held a number of engagement events across the local area between 14 May and 22 June 2018.
- Read about the decision on the treatment policies made at Birmingham and Solihull CCG's Governing Body October 2018
- You said, we did cough assist report
- Phase 2 patient, public, stakeholder and clinical engagement report June 2018
- Phase 2 You said we did summary report - October 2018
- Equality analysis Treatment Policies Phase 2
Co-production of health passports for children in care: May 2018
Children in care across Birmingham and Solihull are entitled to have their own NHS health passport to provide a record of a child or young person’s health history and contribute to their emotional and social wellbeing. It is made available for children on school entry and up to the age of 17 years. The passport will stay with them through their care journey and beyond, providing them with very useful information into adulthood.
This document is a hard backed A5 folder containing sections within it for the young person to complete (with support), it covers areas of health including birth history, immunisations, health appointments, wellbeing and health information such as sexual health advice and substance misuse.
Earlier this year the co-production of health passports in Birmingham was featured in the British Association for Community Child Health (BACCH) as an example of good practice.
Why were new health passports required?
The process was undertaken following a care leavers' forum where young people discuss general experiences of health and their satisfaction of their leaving care summaries - a statutory document which should be issued to young people who have been in care at the last health assessment before their 18th birthday.
After much debate and discussion, it was noted that whilst the leaving care summary was helpful, it was too late for young people to be receiving information about their own bodies and health history. A solution was required to allow a recorded history to be made, which met young people’s needs to have ownership over information about themselves, and access to basic health information.
The young people at the care leavers' forum suggested a “red-book type document” which would be held by the young person in care, and could be transferred to various placements. We discovered that various similar passport style documents were being used across the UK, and were generally paper bound. To develop a robust health passport, we applied and received funding from NHS England to support the development. Our communications team supported the design, branding, physical production and young people’s engagement sessions.
Who was involved in co-producing health passports?
Over the last 18 months, our designated nurse for children in care, the Rights and Participation team from Birmingham local authority, The Care Leavers forum/Children in Care Council and CCG communications colleagues worked together to create the NHS health passport.
How were young people involved?
As part of this engagement process, a debate was led by young people within the council chambers of the city council. 50 young people discussed various topics related to being in care, particularly their thoughts on mental health services, health assessments, stigma of being in care and confidentiality. The thought provoking and enlightening discussions were filmed and video footage is available to view here.
Further development was undertaken to ensure simple and appropriate information was held within the passport e.g. a section was included within the passport for young people to make their own notes at meetings or appointments.
Over a number of sessions young people told us what they liked about these documents and wanted; we concluded what need to be included within the passport to meet their needs and informed the design, contents and inserts of the passport.
In May 2018 – the health passport was launched, a full 18 months after the first care leaver’s forum where it was suggested. The process was not rushed, it was thorough, fit for the future and co-designed with young people to meet their needs.
At the launch, some young representatives said that the process left them feeling listened too, and their opinions valued, they felt proud to be making a difference for other young people who would be going through the care system. This reciprocal benefit for service and service user, is the fundamental value of co-production. The process, although challenging and time consuming was empowering and positive for all involved.
Further steps to embed learning for healthcare professionals
Parents, carers, social workers and health professionals have a very important part to play in ensuring that the health passport is explained and offered to the children, taking into account a child/young person’s wishes ability to consent to having it, and that it is taken along to health appointments and to encourage safe storage of the information.
Training videos were developed for professionals to help them understand the rights and needs of young people and their responsibilities around meeting the specific needs of Children in care.
More debate footage is available to view below:
Understanding patient experience of dementia services: 9 May 2018
A dedicated focus group was held with dementia service users and their carers on 9 May 2018 at the Alzheimer’s Society office in Solihull.
Why was it important to engage with dementia patients and carers?
We are committed to understanding the experience of patients, so that services are designed and improved based on what is working well.
The engagement exercise was aimed at gaining an understanding of beliefs and attitudes related to dementia and dementia support services; the group shared experiences of the current provision and suggested improvements for future dementia healthcare across Birmingham and Solihull. Patients commented particularly on equity of access; some people had experiences a very responsive service offering early diagnosis, support and care for those affected, while others had difficulty in accessing the appropriate level of care in a timely manner.
Our findings and recommendations for future services:
The findings concluded that there were many areas of good practice which should be built on, and recommendations to the commissioning manager for future services included but were not limited to:
- Commissioning better service provision
- Building on what worked well
- Eliminating any postcode lottery
- Providing equity of access, being more inclusive and co-designing services to meet patient needs, which would lead to improved outcomes.
The service should also help those diagnosed with dementia to live more independently, by knowing how to access appropriate services in a timely manner. It should also help patients and carers to become more informed so that they are more in control of their dementia support.
Conditions for which over the counter items should not routinely be prescribed in primary care: March 2018
In March 2018 NHS England and NHS clinical commissioners ran a national consultation about a number of health conditions, that have medicines that are available to buy over the counter.
To support this national consultation we did our own outreach work to understand how the proposals could impact on local people.
Birmingham is rated as one of the most deprived cities in the UK, and certain wards within Birmingham such as Ladywood are rated as some of the worst for child poverty. Child poverty – means those in a family living on less than 60% of median household income.
Due to the proposals of this consultation being that individuals would have to purchase rather than be prescribed some medicines, the communications and engagement team, with the medicines management team took a targeted approach to engaging with people within our area: vulnerable, low-income families.
In order to target our most vulnerable individuals we decided to link with local food banks. They were extremely helpful and facilitated us visiting the venues when the food banks were open - and when clients were at the food banks to collect food parcels.
We collated all of what we heard and submitted this into the national consultation run by NHS England.
In conclusion the key points we heard were:
- It is acceptable for people to pay for very low cost items – probably less than £2/3
- It shouldn’t be implemented for the most vulnerable e.g. homeless, parents with little-to-no money/income etc
- There should be information (supported by a campaign) developed to advise people of changes and advise of symptoms and where to buy medicines and rough costs
- GPs need to be supported to say ‘no’, and also have the discretion to say ‘yes’ to those who really need.
You can read the policy and find out more here.
Respiratory RightCare workshop: January 2018
The NHS RightCare programme is a national programme that aims to improve population-based healthcare by focusing on value and reducing unwarranted variation.
Through comparing the Birmingham and Solihull Sustainability and Transformation Partnership (STP) footprint with similar areas nationally, respiratory was identified as a key area in which attempts at system wide improvements would yield significant results.
A Respiratory RightCare optimal design workshop was held on 25 January 2018, attended by around 40 representatives from organisations and professionals spanning the health system. The aim was to better integrate treatment for conditions including Chronic Obstructive Pulmonary Disease, asthma and pneumonia.
The results of the Optimal Design Workshop will be used to inform a Case for Change that will go before the STP’s Strategic Programme Board and the System Delivery Team.
Find out more
Modern slavery: 2018
There are an estimated 13,000 people living in the UK as slaves. Birmingham alone has seen a 100% increase in recorded instances of modern slavery in the past year.
Modern slavery is occurring every day in our high streets, homes, factories and fields. Our research discovered the general public are not very aware of modern slavery or how to report it.
There is no typical victim of modern slavery; they can be any age, gender, class, nationality or ethnicity. Anyone can be affected and, more often than not, they are hidden in plain sight – working in nail bars, food outlets, car washes, factories or our fields.
In response to the rising incidences in Birmingham, we designed a hard hitting campaign with our partners in Liberate – this involved key agencies and organisations in the West Midlands, including the West Midlands Police, Birmingham City Council, West Midlands Fire Service and the West Midlands Anti-Slavery Network.
Robin Brierley, Chair of the West Midlands Anti-Slavery Network, said: “Human trafficking and modern slavery should not be happening in 2018 in Birmingham, West Midlands or Nationally but the fact is, that it is. Victims must be at the centre of all our work and that it’s the duty of us all, statutory sector, businesses and the public to report suspicions immediately. I don’t believe this is a hidden crime now, we just need to know what to look out for and the signs of trafficking and what to do if we do suspect a person may be a victim. The public should call the modern slavery helpline on 08000 121 700 to get help, report a suspicion or seek advice.”
To achieve maximum impact, the campaign was launched in Birmingham city centre, followed by a programme of smaller events across Birmingham and Solihull.
The campaign needed to grab the public’s attention, therefore we decided to use mock job adverts to highlighting the incredibly poor conditions that modern slaves could experience, whilst they are forced to work in common trades such as nail salons and car washes.
To raise awareness and help to #stopmodernslavery a live theatre performance was staged outside the Bullring and Grand Central East Entrance (opposite the TK Maxx). A van was branded with our ‘job adverts’ and pull up banners worked incredibly well to attract passers-by.
The performance was a powerful immersive experience held inside a transit van, depicting the harsh realities of how many victims are transported and forced into modern slavery.
Detective Superintendent Nick Walton, West Midlands Police said: “It’s really important that we work together with the public to awareness of the signs of modern slavery and urge them to report anything suspicious so we can take action. The Modern Slavery Helpline on 08000 121 700 is there to help but if you feel someone is in immediate danger please call 999.”
By designing a campaign that grabbed the public’s attention and a live performance in Birmingham City Centre, the campaign received extensive media coverage and reached more than three million people, thereby raising awareness of modern slavery.
The campaign was featured on ITV News Central, BBC Midlands Today and BBC Radio West Midlands. Media coverage included interviews with a trafficking victim and spokespeople from Liberate and the CCG. Pictured is CCG safeguarding team member Melody Bridges being interviewed by ITV reporters.
Our thunderclap on social media reached over 800,000 people
Informed by the successes of this campaign- West Midlands Police has undertaken a West Midlands wide roll out of the campaign, including an additional 20 community outreach events which are currently being held across the region.
Equality Delivery System 2 - assessment and grading event: October 2017
As part of our Assessment and Grading for EDS2 we held an event to give our partners, patients, and third sector community organisations the opportunity to shape our work on equality, highlighting our strengths and areas where we needed to improve. The engagement event was attended by over 25 delegates and included round table discussion, assessment of evidence, and grading .
The feedback has been used to develop our Equality Objectives and Health Inequalities Strategy 2018-2021 .
- Read the Equality Delivery System 2 - assessment and grading event presentation
- Read more about our Equality Delivery System.
Repeat prescription: March 2016
On the 25 February 2016, a survey was launched via Birmingham CrossCity Clinical Commissioning Group’s Survey Monkey account (an online, cloud-based, survey development website) to ascertain how people within our catchment area accessed repeat prescription ordering services.
In order to gather a wide range of opinions, the survey was sent to members of Birmingham CrossCity CCG’s Peoples’ Health Panel. The Peoples’ Health Panel is demographically representative of our population. Members were recruited to ensure that individuals from various protected characteristic groups are able to take part in the CCG’s public engagement activities. In addition, equalities data was requested from respondents as part of the survey.
Following this engagement in March 2016, we created information leaflets to advise patients of the way in which repeat prescriptions would work in the future.
Transforming care for people with a learning disability and autism: March 2016-onwards
Since the Transforming care programme began we have undertaken a number of engagement activities with patients, carers, families and stakeholders. Our first large scale engagement event looked at what was working well and what could be improved for the future. View the event report from March 2016.
Another piece of engagement has been about informing the new service model development. In partnership with The Weaver and Young Foundation we engaged with parents with lived experience of current services. View the engagement report.
Starting in late 2018, the CCG will be working in a partnership with Midland Mencap to undertake a range of engagement activities with patients and families who have experience of accessing services for people with learning disabilities and autism.
We will provide further updates once they are available.
Minor eye conditions service: 2016-2018
In June 2016, it was recognised there was a need for a service which offered patients, presenting with non-urgent eye conditions, a diagnosis outside of a hospital setting. Such a service would see greater management and access of minor eye conditions within the primary care (GP) setting by encouraging self-referral by patients via sign-posting and from GPs.
The CCG was extremely fortunate to have an expert-by-experience, Mark Sanders, who also works for Birmingham Sight Loss Council, join the project group. Mark was instrumental in the development of the service specification, as well as the evaluation of the tender bids from potential providers of the service.
Mark’s representation of his, and other members of the visually impaired community's experiences, was integral in commissioning a service that aims to meet the needs of patients. The service went live in October 2018.
NHS Diabetes Prevention Programme: 2016-onwards
The NHS Diabetes Prevention Programme was launched in 2016 to tackle the growing problem of diabetes in the UK – it seeks to identify patients at high risk of developing Type 2 diabetes and refers them through their General Practice on to a free diabetes prevention programme.
Those referred get help to reduce their risk of Type 2 diabetes including advice on healthy eating and lifestyle, help with weight loss (for overweight participants), and physical exercise programmes, all of which together have been proven to reduce the risk of developing the disease. Adopting a pro-active approach enables patients to take control of their lifestyle factors.
Prevalence of the condition is known to be high amongst Black, Asian, and minority ethnic (BAME) communities, hence the CCG is making specific efforts to encourage people to sign up for and complete the programme.
How are we engaging with Black, Asian, and minority ethnic (BAME) communities?
NHS Birmingham and Solihull Clinical Commissioning Group work collaboratively with organisations such as Diabetes UK to engage with local communities; one of our initiatives is reaching out to various communities through our patient representatives - known as Diabetes Community Champions.
The role of a Diabetes Community Champion?
Community Champions educate and raise awareness of diabetes by organising stalls, talks, presentations and healthy living days at community centres, health fairs and local festivals.
They reach and engage people from ethnic minority groups and other socioeconomically deprived communities.
They explain what Type 2 diabetes is, who is at risk, signs and symptoms, myths and misconceptions, complications, and the NHS services that are available – in a way that is culturally appropriate.
Our Diabetes Community Champion – Tony Kelly
Tony Kelly (pictured right) is a diagnosed Type 2 Diabetic and has been raising awareness of the condition with communities through outreach events across Birmingham, Sandwell and Solihull.
Our NHS DPP board is informed by Tony’s patient experience of living with Type 2 Diabetic. As our Community Champion, Tony hosts dedicated sessions at GP practices with high BAME populations, at faith and community events, as well as regional and national conferences.
Tony is regularly invited to speak on local community radio stations and has received several awards for his dedicated efforts.
Tony’s passion to raise diabetes awareness goes beyond our borders – earlier this year, he was invited abroad (to Dominican Republic, St Lucia, Belize and Jamaica) to share his experience of living with Type 2 Diabetes. Find out more about his visit in the full page spread (page 40) in the Phoenix newspaper.
Is the NHS DPP really making a difference?
A wide range of people with a high risk of developing Type 2 diabetes are currently attending or have completed the NHSDPP programme, delivered by Living Well taking Control.
- Birmingham case studies http://www.lwtcsupport.co.uk/birmingham
- Solihull case studies http://www.lwtcsupport.co.uk/solihull
Our flu campaign - this winter
In partnership with Birmingham Updates, we released a video of local people - including our Community Champion Tony Kelly, explaining why he got the flu jab, in a bid to encourage other diabetics to get theirs too. The video has been shared via our Youtube channel and available on our website. Help us share the video on Facebook and Twitter.
Becoming a community champion
Keeping up with the latest news
- Find out more about the NHS Diabetes Prevention Programme
- Follow the NHS Diabetes Programme on twitter @NHSDiabetesProg #PreventingType2