Health and care news from the Greater Manchester and Eastern Cheshire Strategic Clinical Networks

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Newsletter

September 2019

 

The diabetes team dressed in Diabetes My Way t-shirts.

Leading by example to make a difference 

It’s an exciting time for us this autumn as we prepare to launch our Diabetes My Way digital toolkit.

The website and apps have the potential to help thousands of people manage their conditions conveniently on their phone, tablet or computer.

Elsewhere, the importance of strong clinical leadership is a key component in this newsletter.

Our maternity and midwife clinical leads have a played a major role in improving maternity safety for families, working with partners in the Local Maternity System to drive forward improvements on our maternity wards.

And our respiratory clinical lead introduced a pilot scheme last year to offer flu jabs to people attending respiratory clinics at the hospital where she works. The trial was a success and it is now being introduced across Greater Manchester.

Please read about these and other positive news stories below, including articles on dementia, children and young people, palliative and end of life care and mental health.

Many thanks for your continued interest in the work of our networks.

Pictured above: The diabetes team preparing for the launch of Diabetes My Way.

Julie Cheetham and Peter Elton

Best wishes 

Julie Cheetham, Associate Director

Dr Peter Elton, Clinical Director

Diabetes network


Christine and Denise from the team model the Diabetes My Way t-shirts

Digital diabetes help on the way

The diabetes team is busy preparing for the launch this autumn of its new digital toolkit to help people manage their diabetes.

Called 'Diabetes My Way', the website and app has the potential to be a real game-changer, helping people easily make big improvements to their lives. 

From their smart phone, tablet, Mac or PC, the 150,000 people in the city region who live with type 2 diabetes will be able to receive 1-1 specialist dietician support, personal lifestyle coaching, have access to their NHS diabetes care record, as well as upload their glucose monitoring results and share them with clinicians.

The team wants to sign-up as many people as possible to the free service and will be sending out promotional packs and further information shortly to GP practices. 

​We'll bring you an update in the next newsletter about Diabetes My Way. If you would like any information in the meantime, please contact Hannah Bishop.

Pictured above: Denise and Christine from the team model the Diabetes My Way t-shirts. 

 


Maternity network 

Expo hears about LMS achievements in improving safety

The work the maternity team carries out as part of the Greater Manchester and Eastern Cheshire Local Maternity System (LMS) was highlighted at the NHS Health & Care Innovation Expo this month.
 
The session underlined the opportunities and challenges of system-level planning and the panel included clinical leads and service user representatives.
 
The GMEC LMS is a multidisciplinary group of clinicians and non-clinicians involved with either providing, receiving or commissioning maternity care with the aim of ensuring person-centred, safe and high quality care to mothers, babies and families through pregnancy, birth and the postnatal period.
 
The discussion was around the journey towards the LMS, how service users have been involved, partnership working and the achievements that have resulted, with the panel featuring Cathy Brewster and Natalie Qureshi from Maternity Voices Partnership in Greater Manchester, Dr Richard Preece, Executive Lead for Quality and Medical Director of the Greater Manchester Health and Social Care Partnership (GMHSC Partnership), Ms Karen Bancroft, the network’s maternity clinical lead and Eileen Stringer, the network’s midwife clinical lead. 
 
There was great audience engagement, lots of questions and some inspirational words from Baroness Julia Cumberlege about how Better Births, the Government’s programme to improve maternity safety which her 2015 review of maternity services set in motion, is here to stay.
 
Dr Preece said about being on the panel: “It was great to share the work of teams across GMEC. When you pause and present the work you realise how much everyone’s done to improve support for mums, dads and babies.
 
“The audience were listening closely, taking photos and notes, and writing tweets - it was really well received. Hopefully what everyone has done here will encourage others and give them ideas. It was a pleasure for me to share the stage with colleagues, but we were all very conscious that we were speaking on behalf of many others."

 

A mother and baby at North Manchester General Hospital

Progress in bid to reduce babies born with cerebral palsy

Great progress is being made in Greater Manchester and Eastern Cheshire (GMEC) to prevent babies developing cerebral palsy. 

The roll out of the national PReCePT programme and recruitment of clinical champions has resulted in a sharp increase in the uptake of mothers being given magnesium sulphate (MgSO4) during preterm labour to 85%, which exceeds the national standard. 

Approximately 140 out of the 150 babies who were eligible across GMEC from the start of the PReCePT programme received magnesium sulphate and evidence indicates four babies would be prevented from developing cerebral palsy and a lifetime of disability for families, as well as a reduction in expensive and extensive healthcare provision.

The success of the programme has been achieved by the dedication of the PReCePT champions, who have been nominated for the Chief Nursing Officer Silver Team Award.

 


Children and Young People Network

Clinical lead writes about GM improvements for journal

Clinical adviser Carol Ewing

Our network’s clinical adviser, Dr Carol Ewing, has written an article for the Welsh Paediatric Journal about Greater Manchester’s devolution journey.

Called ‘Integrated Care for Children – The Greater Manchester Approach’, the paper explains the challenging scenario which GM faced as devolution kicked off and how different agencies have come together to make the city region a better place for young people to grow-up in.

Dr Ewing writes in the paper: “When a once in a life time opportunity comes along, it must be seized and that is exactly what happened when the GM Devolution deal was agreed.”

Dr Ewing explains how leaders from health, education, and other public and voluntary sectors took their chance to work with children, young people, parents and carers to create a collective vision – something which culminated in the implementation of the GM Child Health and Wellbeing Framework.

Carol writes: “The journey has begun but there is no room for complacency and everyone involved in the journey has a part to play.”

The paper will appear in the Welsh Paediatric Journal this November. You can subscribe here.

Pictured right: Dr Carol Ewing 


Network hosts children's forum

Dr Carol Ewing delivers speech

Our Children and Young People’s Network hosted an event which focused on how to develop a modern, effective, safe and sustainable workforce for delivering services. 

The biannual Children’s Health and Wellbeing Stakeholder forum brought together key people from across the region to take a deep dive into the subject.

The theme of workforce is ‘Objective 8’ of the GMHSC Partnership’s Child Health and Wellbeing Framework, which is supported by the SCNs. Objective 8 aims to develop a modern, effective, safe and sustainable workforce that delivers children and young people’s services, ensuring there are the right people with the right skills and values in the right places. 

Attendees at the event in June included children and young people, engagement and parent/carer leads and professional representatives from CCGs, primary care, community, acute and mental health services, GMHSC Partnership, public and third sector organisations. The aim was to identify the opportunities and challenges facing the workforce and to develop a future integrated workforce plan. 

Presentations were delivered by Julie Cheetham, Assistant Director at the SCNs, Yvonne Rogers, Deputy Director of Workforce, GMHSC Partnership, Dr Ewing, Coll Bell, Children and Young People Mental Health Workforce lead and Tracey Hart, Quality Lead for School Nursing, both at the GMHSC Partnership. 

Attendees discussed the wider issues for the children’s workforce and areas for future work. A number of recommendations were shared with the GMHSC Partnership’s Children and Young People’s Executive Board.

Download presentations 

In response, the board has agreed to focus on three key areas for action, which are the development of an Early Years Workforce Academy, school nursing and strengthening key workforce group relationships between professionals, carers and volunteers. Plans will be developed over the coming months. 

Our network’s clinical adviser Dr Carol Ewing, said: “There was very strong engagement from the attendees, who recommended where our focus should lie next, and we look forward to the board developing these further.

“We’re making encouraging progress with children and young people’s services in Greater Manchester. Developing the right workforce is an essential step towards improving their health and wellbeing.”

Pictured above: Dr Ewing speaks at the event. 

 

Palliative and end of life care network

The Palliative and End of Life Care team is supporting this year’s SICK! Festival – a series of performances, films, exhibitions and public conversations which ask ‘What is the value of a human life?’

You can find out more about the festival, which runs across Greater Manchester until October 5, here.  
 
Earlier in the summer, the team decided to tackle one of life’s great taboos when it gave a presentation about the team at a SCNs’ away day.
 
Shelley Cunliffe, the team’s project support officer, introduced an activity aimed at starting conversations about death, dying and bereavement, asking for five volunteers to suck on a lemon - a great way of demonstrating the challenge the team has when it introduces itself. 
 
Denise Woolrich, the team’s business support officer, demonstrated some of the important functions with a short poem to describe her work within the Palliative and End of Life team:
 
Denise's poem

Respiratory network 

Flu vaccination value pyramid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Flu vaccine boost for respiratory patients 

People attending respiratory clinics at hospitals across Greater Manchester this winter will be offered the flu vaccine, following a successful trial led by our respiratory network.

People with serious respiratory conditions, such as those with chronic obstructive pulmonary disease, are among the many ‘high risk’ groups thought to benefit from the jab. They are currently offered the vaccine in primary care, but only around half take it up.

A proportion of these also attend outpatient clinics, allowing secondary care the opportunity to offer the jab again and make sure every contact counts.

Our respiratory network’s pilot at North Manchester General Hospital last winter helped boost the uptake in those more susceptible to developing flu and further complications and from next month those attending scheduled outpatient clinic appointments will be offered the vaccine if they haven’t already had it.

The respiratory network’s clinical lead, Dr Jennifer Hoyle, Consultant in Respiratory Medicine at North Manchester General Hospital, who led the introduction of the trial at her hospital last winter, said: “Over 60% of people offered the flu vaccination at our respiratory outpatient clinics, who had not already had the vaccination, took up the invite, thus protecting them from the flu. A result we were really pleased with.

“It’s great news our trial is now being extended across Greater Manchester, improving services for patients and reducing the risk of influenza seriously affecting the health of hundreds of people.”

Pictured above: The value pyramid above underlines the importance of the flu vaccination work, comparing the costs of treatment. 

Mental health network 

Children's forum gets underway

Young people make voice heard at event

More than 100 young people attended our Children’s Engagement Day, called ‘To Hear, to be Heard’.

The guests were asked to shape the children and young people agenda in Greater Manchester and shared their thoughts and ideas on a range of topics, including mental health, school nursing and primary care, commissioning and engagement.

The event, hosted by Youth Focus North West, a St Helens-based organisation which aims to improve the lives of young people in the North West, started with an update from Dr Alison McGovern, our programme lead, who gave an update on what actions had taken place since the last meeting.

The day closed with a panel discussion and questions from the floor to our clinical leads, Sandeep Ranote and Jim Bruce.

Many of the questions focused on mental health in schools and they both compared the confidence most teachers have in dealing with the needs of young people if they have a physical injury. Teachers know when they need a school nurse or ambulance or if a plaster will do. They need to be supported to feel as confident supporting mental health needs.

Dr McGovern said: “It was a great day with some excellent discussions from the attendees. We can now deliver work with young people at the heart of it.”

Pictured above: attendees at the event discuss key areas for action. 


Dementia network

Make sure your voice is heard 

It’s all go on the Dementia United programme and there are lots of opportunities for you to have your say and to get involved!

End of Life Care
We want to help health and social care staff working in the dementia setting to feel more confident in initiating advance care plan conversations, which are discussions between people, their families, carers and people looking after them about their future wishes and priorities for care.

This video explains a one-day advance care planning course that is available until the end of December 2019 to all health and social care staff free of charge. If you are interested, please contact lyndsey.bailey@nhs.net7730 381 965 who will refer you to your local trainer to book on.

Post Diagnostic Support
The draft co-produced Greater Manchester Dementia Care Plan is out for review. It is intended to standardise and improve the quality of care planning reviews for people affected by dementia across Greater Manchester. We would like to know your thoughts on the care plan and the leaflet, which will be sent before a review, to help you prepare. Please contact emma.smith96@nhs.net for more information.

Young Onset Dementia
Dementia United is supporting Young Dementia UK to review a dementia adviser checklist that helps facilitate age-appropriate conversations. You can access the draft version here. Please send your comments to network@youngdementiauk.org.
 
There are some great young onset dementia services (for people under-65) available but one of the challenges can be connecting people with them. If you run one of these services and have not done so already, please could you consider advertising this on the Young Dementia UK website by emailing  katefallows@youngdementiauk.org?
 
Alzheimer’s Awareness Month

Alzheimer’s disease is the most common cause of dementia but there are several different types. There are currently no cures for any type of dementia which is why research is so important to help scientists develop future treatments.

This month is Alzheimer’s Awareness Month and people are being asked to follow and show their support for @GMMH_NHS on Twitter to hear from people living with dementia, carers and professionals about why they think dementia research is important.

People will be speaking about their own experience, including Dementia United Senior Responsible Officer, Warren Heppolette. The more people who know about research and take part, the more likely a cure will be found. To find out more and to sign up to research alerts visit Join Dementia Research.  


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