Latest news from the Greater Manchester and Eastern Cheshire Strategic Clinical Networks

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Newsletter

October 2022

 

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Networks on right track for future improvements

This month our support team met with two of the leaders of NHS Greater Manchester Integrated Care – helping us to sharpen the focus on our future work.

The two meetings with chief executive Mark Fisher and chief medical officer Dr Manisha Kumar emphasised the importance they give to networks in the newly-formed health and care system.

It was pleasing to hear that much of what we are currently doing will play a big role in meeting the challenge of their future priorities.

Just to give one example, continuing programmes from our frailty, diabetes and respiratory networks to repond to the demand from frequent users of emergency care services in a more appropriate cost-effective way, something which was highlighted by Mark.

It continues to be a busy 2022. This month, you can read about an event held by the Cardiovascular Network, a web-based training resource for improving palliative and end of life care for inequality groups, online support for referrers to the NHS Low Calorie Diet Programme, and the Greater Manchester Neurorehabilitation and Integrated Stroke Delivery Network’s annual conference.

Also, we have a Q&A with our senior data manager, throwing the spotlight on a really important part of the networks.

 

Best wishes

Julie Cheetham and Dr Peter Elton

Julie Cheetham            Dr Peter Elton

Director                        Clinical director

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Mark and Manisha meet the team!

The SCNs’ support team met both NHS Greater Manchester Integrated Care’s chief executive Mark Fisher and chief medical officer Dr Manisha Kumar to discuss the challenges and priorities ahead.

Mark and Manisha joined our team meetings to talk about the opportunities and challenges ahead, as well as their early thoughts on the priorities for our city region.

Manisha said she was very keen for clinicians to be at the centre of decisions made to improve health and care, while Mark said he was enjoying meeting people across Greater Manchester and in the process of formulating what his handful of main priorities would be.

He spoke about his involvement in the past with the Troubled Families programme and his interest in supporting the small group of people who regularly use health and care services.

The meeting with Manisha follows her talk at the SCNs’ clinical leads and associates leadership session last month.

 

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GMNISN event

Neurorehabilitation and Integrated Stroke Delivery Network

'Outstanding' clinicians recognised for contributions

The Network hosted its first face-to-face neurorehabilitation annual conference for several years at the AJ Bell Stadium in Eccles.

The event was well-attended, with many also joining online via a YouTube LiveStream which has already been viewed nearly 300 times.

The network was delighted to share a packed programme of thought-provoking talks, which raised key themes around increasing the evidence base and involvement in neurorehabilitation research, as well as highlighting more innovative approaches to patient care.

There was a good mix of charity and commercial stands to keep delegates interested and informed about developments and services.

A poster competition featured 20 entries in the inpatient and community categories, with prizes awarded for winners and runners up.

Network manager Sarah Rickard also made two awards for outstanding contribution to neurorehabilitation, firstly to Dr Fayaz Morcos from the Floyd Unit and Neurorehabilitation network inpatient clinical lead, and also to Ashleigh Knowles, from Heywood, Middleton and Rochdale community neurological rehabilitation team and the network’s community lead.

The event was a fitting tribute to the Network’s long-standing administrator Lisa Chadwick who suddenly passed away this month. The conference was her baby and she was sadly missed.

You can view all the event’s resources here and find out more about the network by visiting www.gmnisdn.org.uk and following @GMNISDN on Twitter.

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Palliative and End of Life Care Network

Online learning package to improve care for inequality groups

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The Network has worked with Christie’s digital team to produce a web-based, bite-size learning package to improve services for inequality groups.

The online resource is for health and social care professionals and uses a variety of interactive media. The aim is to enhance consideration when supporting care for individuals from any of the inequality groups.

A Different Ending (2016), a Care Quality Commission Report, highlighted 10 inequality groups that did not receive equal access to palliative care services:

  • People with conditions other than cancer
  • Older people
  • People with dementia
  • People from Black and Minority Ethnic (BME) groups
  • Gypsies and travellers
  • People with a learning disability
  • People with a mental health condition
  • People who are homeless
  • People who are in a secure/detained setting
  • Lesbian, gay, bisexual, and transgender people

As part of the palliative and end of life care inequalities programme outlined in this video, a collaborative piece of work was completed, commissioned by the Christies School of Oncology, and the hospital’s digital team then produced the web resource with the network.

The online package increases awareness of improving identification of people approaching or at end of life, advance care planning, personalised care, communication, and supporting spirituality/cultural needs.

There is opportunity for the learner to reflect on their practice within each of the modules.

The online learning pack will be launched on Sunday, November 13. See the details in the flyer above to access the resources.

 

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Cardiovascular Network

Cardiovascular Recovery and Prevention Event

The NHS Greater Manchester Integrated Care System held a successful online Cardiovascular Recovery and Prevention event this month.  

The meeting, which was organised by the SCNs’ Cardiac Network, together with the Neurorehabilitation and Integrated Stroke Delivery Network and Diabetes Network, followed the regional North West Cardiovascular Disease (CVD) Prevent event that was held in June this year.

The  meeting was invaluable in exchanging ideas on how to restore our prevention work to pre-COViD levels with the aim of making further improvements. There was a rich discussions reflecting the wide range of expertise at the event.

There was enormous enthusiasm to tackle the major strands of prevention. There was, for example, a widespread acceptance that we have made progress on hypertension whilst we still need to detect a far higher proportion of those with hypertension and then achieve better control. There was a similar consensus on other aspects of prevention.

The meeting gained representation from the wider health and social care system, including NHS, local authorities, third sector, pharmacy and community services.

The project team would like to thank the speakers, facilitators, scribes, event management and our chair, Dr Manisha Kumar.

Watch footage of cardiac bus visit

Cardiac bus visit

Pictured above: The bus and GM Cardiac Network team who spoke to people on the day.

You can now watch video footage of the cardiac bus visit to Manchester city centre.

We reported in past newsletters about the event, which saw free stethoscope checks given to members of the public on the bus, which parked at St Anne’s Square.

Around 430 people had their hearts listened to.

The network team supported the initiative, which saw the bus arrive in the city with staff having already listened to 2,000 hearts nationally, finding more than 200 previously undetected cardiac conditions.

Manchester-based charity Heart Valve Voice, an important partner of the network, organised the tour, which has been to locations across the country. The Valve for Life initiative was also involved in funding the initiative.

You can watch the video footage here.

 

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Q&A with our senior data manager

Fatamah Shah

You usually find our data team in the background, crunching numbers and delivering statistics which help us work with our clinicians to improve the right services for the right people in the right places.

For a change, we are putting the work of the team in the spotlight and spoke to Fatamah Shah (pictured left), our senior data manager, about the role of her and her team, and why their work is so important.

Who is in the SCNs' data team?

It is a very small team currently with Richard Evans and I. Our roles are different. Richard covers the data management side whilst I do the analysis and report building.

What is the role of the data team?

The depth of our roles varies between the SCNs’ programmes. In general we provide information to support decision making, as well as share knowledge and help in tracking performance and progress within the programmes.  

 

Can you describe a typical day at work?

There usually isn’t a typical day, as the majority of the time what has been planned for the day changes due to priority work filtering through at the last moment. However, an ideal work day would be one that only has a couple of meetings and the chance to go through pieces of work sitting on the backbencher. 

 

Why is the work you do important to the success of the SCNs?

Data is important. With data you can understand and improve processes. This will in turn improve the patient’s outcome and journey as well as aiding with money and time wastage reduction for all involved.  

 

Is there one specific SCNs' project you found rewarding to be involved with and, if so, why?

It is rewarding to be involved in all of them, but the one that sticks out is maternity. Looking at the numbers and rates and calculating the number of babies’ lives saved, reduction in 3rd/4th degree tears rates etc is evidence of the importance data played in sharing best practice and shared learning between the providers.

 

What has been the most challenging SCNs' project you have been involved with? 

The challenge for me at the moment is the lack of access to some data. I am hoping with the new NHS GM Integrated Care that this changes positively in the near future and I have all the data that I need at my fingertips to carry out all the much-needed analysis that is at a halt at the moment.

 

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As soon as you are pregnant campaign

Maternity Network

As Soon As You’re Pregnant – new screening campaign launches

A new campaign has been launched to encourage all women expecting a child to book their midwife appointment as soon as they know they are pregnant – one of the key actions identified as part of our Greater Manchester Maternity Equity and Equality Plan. 

Some screening tests, including those for sickle cell and thalassaemia, are best done before a woman reaches 10 weeks of pregnancy. This is because further tests may be needed, and decisions made about ongoing care.

The ‘As Soon As You’re Pregnant’ campaign seeks to inform women, particularly those at greater risk of having a baby affected by sickle cell and thalassaemia, why early booking with a midwife is imperative for good care.

A social media kit will be coming out to help promote the new resources.

The campaign also aims to make access to maternity services clearer, and to help people understand sickle cell and thalassaemia.

A new website at www.pregnancyscreeninggm.co.uk offers links and booking details of maternity services in all parts of Greater Manchester and can be translated into multiple languages.

The Maternity Network’s Equity and Equality Action Plan has just been submitted and will help Greater Manchester improve services for families from Black, Asian and mixed communities.

 

Reading the Signals report

This month saw the publication of Reading the Signals; Maternity and Neonatal Services in East Kent - the Report of the Independent Investigation

The report sets out the devastating consequences of failings and the loss and harm suffered by families who received maternity services at East Kent Hospitals University NHS Foundation Trust.

Our Maternity Network and Local Maternity and Neonatal System would like to recognise the distress this report has highlighted to women, families and their babies.

Greater Manchester Integrated Care will review the report in full and look to support and improve our maternity services care in the areas which are highlighted.  

Further updates will follow in subsequent newsletters.

 

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Respiratory Network

Aiming to reach all communities

Many people with respiratory health problems in Greater Manchester are from Black, Asian or mixed backgrounds and the Network is ensuring these groups are at the centre of their work.

These communities will be prominent in the forthcoming pulmonary rehabilitation campaign, which will encourage people to register for the sessions, which help people make improvements to their health and wellbeing.

The campaign website will be available in more than 70 languages, GP packs will be tailored for black, Asian and mixed communities and people in the campaign are also from those communities.

The same communities are at the centre of research to improve our understanding of the causes of long Covid.

Infection with Covid-19 is leaving people with multiple symptoms and new research is looking to understand what causes these, why some people are more susceptible to developing chronic health issues, as well as what support, care or treatment is currently available.

People who get involved in health research tend to have better health outcomes, as they become better at managing their own health. 

Joining the research community also means that people are actively helping the NHS to improve care and treatments.

In Greater Manchester, the work is being led by Research for the Future, and supported by the network, and aims to recruit patients from all communities.

Clinical lead Nawar Barkley will be attending events held by the Caribbean and African Health Network (CAHN) to promote the work.

Anyone who would like to register can do it easily online or by texting RESEARCH and YOUR NAME to 81400.

Find out more about the research campaign.

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Diabetes Network

New sessions to support referrals

Practices across Greater Manchester can receive tailored support to identify, contact and recruit people into the NHS Low Calorie Diet Programme, which can help people manage their type 2 diabetes.

Work will start with identified practices over the coming months to invite people to attend an information event where they will learn about the programme and hear from someone who has completed it.

People will then be given the opportunity to join if they are ready to do so.

Roll out of the programme is being coordinated in Greater Manchester by the Diabetes Network. 

Tailored referrer training is provided by Xyla and can be accessed on their website.

Anyone who would like a recap on how to refer, or an opportunity to ask further questions, can join a 15-minute Referrer Refresher training session.

These sessions will be held on:

  • Wednesday, November 2, at 4.30pm
  • Thursday, November 3, at 4.30pm

If you are interested in attending either of these sessions, please email Xyla at GM-LCD@xylahealth.com and they will share the invite.

For more information about the NHS Low Calorie Diet Programme and the direct support available to practices, please contact Anna.Agar@xylahealth.com.  

 

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Children and Young People Network

Consultation to find impact of Covid

Parents and carers of children under 5 are being asked to complete a survey about their experiences during the Covid-19 pandemic and the impact of lockdown and social distancing on their children and family.

Studies have shown that the Covid-19 pandemic continues to impact on the development and wellbeing of young children and babies, as well as impacting on parental wellbeing due to the pressures of lockdowns and social distancing.

The survey should take around 10-15 minutes to complete and all answers are anonymous. Click here to complete it.

The survey has been designed by the Greater Manchester Combined Authority (GMCA) and the 10 local authorities that form the Greater Manchester city region: Bolton, Bury, Manchester, Oldham, Rochdale, Salford, Stockport, Tameside, Trafford and Wigan.

 

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Staff news

Shelley Cunliffe from our Palliative and End of Life Care support team has joined NHS North West on secondment.

We wish Shelley all the best in her new role!

 

See our website for more information on all our networks.

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