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Newsletter

January 2021

 

Candle

Ray of hope through the sorrow

 

It’s been a difficult start to 2021 for all our clinical friends.
 
Despite the ray of hope which has arrived in the shape of the vaccine, which is being delivered in great numbers across our patch, many of them are being tested to the limit.
 
Some of them have also lost close friends and colleagues.
 
We were deeply saddened to hear of the death of Professor Donal O’Donoghue from Covid-19 at the very start of the year.
 
He had been senate chair for Greater Manchester, Lancashire and South Cumbria since 2013, reinforcing for many years the need for service change to be led by clinicians.
 
We will do all we can to support our clinicians over the next few months, supporting operational change where it is needed to deliver a better service for our people.
 
The newsletter below also includes a reminder of where health and social care professionals can get wellbeing support.
 

Best wishes

Julie Cheetham - Director 

Dr Peter Elton - Clinical Director 

Julie Cheetham and Peter Elton

Covid advice

Tribute to Professor Donal O'Donoghue


Donal O'Donoghue

The SCNs were very saddened to hear about the death from Covid-19 of Professor Donal O’Donoghue.

Professor O’Donoghue, registrar for the Royal College of Physicians, died earlier this month on the critical care unit of Stepping Hill Hospital, Stockport, where he had been cared for after becoming unwell in mid-December 2020.

Julie Cheetham, the SCNs' director, said Professor O’Donoghue had been the senate chair for Greater Manchester, Lancashire and South Cumbria since 2013.

She added: “We have lost one of our most honourable clinicians, who with his work with the Senate has played an important role in ensuring that service change is clinically-led, bringing an array of clinical professionals together to check and challenge service proposals.

“The Senate has lost one of the most kind, thoughtful and profound clinical leaders. We will all miss him deeply. Sincere condolences go to his family and fellow clinicians and colleagues.”

The SCNs' clinical director, Dr Peter Elton, said: "Donal was a remarkable man. He combined a detailed understanding of the technical aspects of renal medicine with a wide horizon of the wider determinants of health and the impacts of inequality.

"These skills, together with his warm personality enabled him to straddle the clinical and wider policy worlds. I will miss his welcoming presence and stimulating thoughts."

The Renal Association has created a memorial website for Donal, where fellows, members, colleagues, family and friends can share their memories.

For anyone wanting to donate to continue his efforts to support kidney patients and their families, Donal’s family has chosen the charity Kidney Care UK.

 


Cardiovascular Network

cardio

The Cardiovascular Network is helping to save lives and serious illness by promoting the use of blood pressure monitors at home by patients.  

During the Covid-19 pandemic, it is possible that patients with cardiovascular risk factors may not be receiving their usual review and treatment adjustment in primary care for their hypertension.   

There is evidence that the use of self-monitoring and telemonitoring of blood pressure at home can reduce the risk of death, heart attack and stroke, as well as save GPs time by moving care to other members of multi-disciplinary teams.  

The Cardiovascular Network is leading on work alongside key stakeholders such as Public Health England, Health Innovation Manchester and the British Heart Foundation to promote the use of the monitors across general practice; the Greater Manchester Integrated Stroke Delivery Network is also supporting this work by mobilising the distribution of the devices directly to stroke patients. 

Catherine Cain, the Cardiovascular Network’s programme lead, said: “This is a great opportunity for Greater Manchester to mobilise the use of blood pressure monitors at home to patients with uncontrolled blood pressure, enabling them to self-monitor, record and upload their readings onto a remote platform for primary care teams to review.  

“It is a really important programme, which could save lives and reduce pressure on our GPs during the Covid-19 pandemic.” 

In England, more than eight million people were diagnosed with hypertension in 2019-2020.  


Children and Young People Network

Digibete

While the Covid-19 crisis continues, the children and young people team is focusing on its work to improve services while supporting clinicians in their response to the pandemic.  
 
Two existing projects, Digibete and the GM Asthma app are progressing well.  
 
Digibete is being progressed by the GMEC SCNs’ Diabetes Network and is an online platform for children and young people, giving them information and support to help them manage their type 1 diabetes. This includes remote consultations to help service users while Covid-19 restrictions are in place. The SCNs are also working with the North West Coast Clinical Networks to develop this across the whole region.
 
There has been an excellent uptake of the resource by clinics across Greater Manchester.  
 
The GM Asthma app is under development and will support children and young people with the condition, initially in Manchester. The project board is continuing to meet with its partner, Tiny Medical, with a launch of the pilot within the next few months, but this is very much dependent upon Covid-19 pressures upon our clinical services.
 
The network, the clinical community and wider partners are also continuing to work together to identify and respond to issues that have arisen either directly or indirectly because of Covid-19.  
 
The digital bed bureau which was launched at the beginning of the pandemic has been developed further in response to the data needs of the clinical community. It is a source of rich data that provides a real-time view of bed and workforce pressures in paediatric general wards.  
 


Diabetes Network

People in Greater Manchester are being reminded of the importance of checking what their risk is of developing Type 2 diabetes (T2D).

During lockdown, some people may not have been able to get out and exercise as much as usual and have put on weight.  

And their health may be affected more than they think - especially when it comes to developing T2D. 

Anyone can develop T2D, but you could be more likely to if you: 

  • are over 40, or over 25 if you're black or south Asian
  • have a close relative with T2D 
  • are overweight
  • have had polycystic ovarian syndrome, gestational diabetes, or given birth to a baby over 10 pounds

Healthier You is a free NHS programme supporting people to make small lifestyle changes. Participants are taking control of their health - losing weight, sleeping better and feeling less stressed - while at the same time reducing their risk of developing T2D.

People can go online and check their likelihood of developing T2D here. If they are at risk, they will be directed to join the Healthier You NHS Diabetes Prevention Programme, which is led by the SCNs’ diabetes team in GM.

You can help us raise awareness of Healthier You, by downloading one of the social media graphics below and pasting the picture onto your social media with the accompanying message. 

Image 1

Almost 2 million people in the UK have taken this test to discover whether they are likely to develop Type 2 diabetes.

If you are at risk you can join the Healthier You National Diabetes Prevention Programme for free support.

Find out your risk at https://riskscore.diabetes.org.uk/start

Image 2:

People of South Asian descent and Black Caribbean or Black African descent are up to 4 times more likely to develop Type 2 diabetes.

That’s why it’s really important that you find out if you are at risk.

Find out your risk at https://riskscore.diabetes.org.uk/start

 


Dementia Network

The Dementia Network was involved with a successful Christmas event which was streamed through Greater Moments, the newly-launched app for people living with dementia and their carers.  

The Greater Moments Christmas Special reached almost 1,000 people and featured international opera artist Roy Locke and songs such as Have Yourself a Merry Little Christmas.  

The event was streamed through the Greater Moments app, which is commissioned by Dementia United, Greater Manchester’s programme for dementia. It aims to help people living with dementia share their experiences of the condition while also directing them to local support and activities.  

The event was also streamed to care homes, so it could be enjoyed by all during these challenging times. 

 


Greater Manchester Integrated Stroke Delivery Network

Stroke Association

Stroke care is very much business as usual during this wave of the pandemic.

The stroke inpatient pathway continues to be maintained with suspected stroke patients treated initially at our Hyper Acute Stroke Units based at Salford Royal, Stepping Hill and Fairfield General Hospitals.

Following their hospital treatment, patients continue to receive support when they get home from a specialist community team, albeit with a “virtual first” approach.

Worryingly though, fewer patients than before the pandemic are presenting within 4 and 6 hours of the onset of their stroke symptoms. This is important as these are the time critical windows for being able to receive interventions to remove the clots that can cause a stroke.

Work is underway to try and ensure that the public better recognise the symptoms of a stroke through ‘F.A.S.T.’ i.e. Face Arms Speech and ‘Time to dial 999’. The network’s analysis shows that people appear to be delaying calling an ambulance, possibly because they do not recognise stroke as a medical emergency.


Palliative and End of Life Care Network

Resilience hub

The Palliative and End of Life Care team is continuing to work to support health and care professionals with the most up to date guidance and clinical network support during the pandemic. 

The team would also like to highlight wellbeing support which is available to all staff and their families in Greater Manchester who may require additional support at this time:

Greater Manchester Bereavement Service

Greater Manchester Bereavement Service is for anyone in the region who is bereaved or has been affected by a death, either personally or professionally.

Trained bereavement practitioners are there to listen, help find the right support and provide practical advice to support people. The service is also available for those seeking advice for others. The Greater Manchester Bereavement Service website features an interactive map of local and national support services as well as useful resources to help those affected by a death.

Call: 0161 983 0902 (Monday to Friday, 9am to 5pm, excluding bank holidays)

Email: salccg.gm.bs@nhs.net

Website: www.greater-manchester-bereavement-service.org.uk

 

Resilience Hub

Are you or your family feeling stressed, anxious or overwhelmed?

If you are a health or care worker and live or work in Greater Manchester, you can access the Greater Manchester Resilience Hub.

People have called the Hub to discuss issues such as increased workloads, redeployment concerns, home schooling, financial impacts, bereavement and the impact of these on families. Managers have also used the service needing more guidance to ensure they are doing the right things for their teams.

Helen Lambert, Service Lead at Greater Manchester Resilience Hub, said: “As the pandemic continues, we recognise that there are thousands of other health and care workers who may not have been on the frontline caring for patients, but have experienced stressful or traumatic events whether at work or at home.”

Talking to the team:

The Hub offers a confidential emotional wellbeing screen to health and care workers and their families - even if the staff member doesn't want to complete it for themselves. Once the screening is completed, people will get the chance to speak to one of the team in more detail about how things are and get advice and support, including access to therapy, wellbeing plans and other useful services. Go to www.penninecare.nhs.uk/c19screening for more details.

For leaders and managers:

Line managers and leaders can contact the Hub to seek guidance about wellbeing for teams and colleagues. There are also some key resources on the website under the managers and leaders tab, such as check and buddy guidance. The Hub can also provide webinars and join team meetings. Go to www.penninecare.nhs.uk/mcrhub-covid19 for more details.

 


Events

The SCNs’ events continue online while Covid-19 restrictions are in place:

 

24 February 2021, 1pm–3pm 

Inequalities Series in Accessing Palliative Care Services (mental health and prisons)

Microsoft Teams Meeting, Online, VIRTUAL, United Kingdom

 

24 March 2021, 1pm–3pm

Inequalities Series in Accessing Palliative Care Services (BAME & travelling communities, personalised care)

Microsoft Teams Meeting, Online, VIRTUAL, United Kingdom

 

21 April 2021, 1pm-3pm

Inequalities Series in Accessing Palliative Care Services (learning disabilities and LGBTQ+)

Microsoft Teams Meeting, Online, VIRTUAL, United Kingdom

 


Read our Achievements document

Top 10 achievements

If you haven’t already, please take a look at our Achievements 2013-2020 document.

The document reflects on how our clinical leads have helped shape changes which have improved the lives of thousands of people living in Greater Manchester and Eastern Cheshire.

The report looks at each network, explaining how our life course approach has seen sustainable improvements from maternity to children to end of life care, with many long-term conditions tackled in between.


See our website for more information on all our networks.

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