Merger approved for three North Yorkshire Clinical Commissioning Groups

NHS England has approved the merger of three North Yorkshire clinical commissioning groups (CCGs). The three CCGs – NHS Hambleton, Richmondshire and Whitby CCG, NHS Harrogate and Rural District CCG and NHS Scarborough and Ryedale CCG – will become the North Yorkshire Clinical Commissioning Group on 1 April 2020.

We welcome NHS England’s decision and the benefits it will bring to the people of North Yorkshire.

As a single organisation we will be able to:

  • Eliminate unnecessary duplication and bureaucratic boundaries to work more efficiently together and with our partners.
  • Ensure consistency of decision making for the people of North Yorkshire.
  • Develop a unified approach to relationships with the new North Yorkshire Primary Care Networks.
  • Provide a more agile and responsive service which maintains a local focus but enables us to obtain better value for money by commissioning at scale.
  • Reduce administrative costs to enable more investment in front line health services.
  • Share good practice and adopt the best from each of the three existing CCGs.
  • Speak as a unified commissioning voice for the benefit of our local population.
  • Work more strategically on a larger footprint with our local and regional partners.

This merger follows reviews carried out by each of the three North Yorkshire CCGs last year and builds on work already started to improve the way that the CCGs work together and deliver for local people. A single leadership team has already been appointed, following decisions by each CCG’s governing body in summer 2018, and we have already begun to look at how best to structure the new organisation.

Charles Parker, GP and Chair Designate of the North Yorkshire CCG said: “The North Yorkshire CCG will retain the existing commitment to strong clinical leadership and focus on the needs of local people, drawing in best practice from learning across North Yorkshire. The governance model we have developed will still allow there to be strong local leadership and patient engagement, ensuring each area of North Yorkshire will continue to have a strong clinical voice and patients’ views are represented.”

Amanda Bloor, Accountable Officer for the three North Yorkshire CCGs said: “A single commissioning voice will make it easier to reduce some of the health inequalities we see across the county and respond consistently to the needs our population. The merger also will enable us to work more efficiently and at scale freeing up resources to invest in front line health services.”

Work will continue in the months ahead with the community, staff and partners to further develop the North Yorkshire CCG before it begins operations on 1 April 2020. This will include beginning operations in shadow form from the beginning of the new year and developing our operational plan for our first year as well as longer term strategies to guide the work of the new organisation.

Read More

Health and social care recruitment event planned at Coventry Univeristy (CU) Scarborough

Humber, Coast and Vale’s Excellence Centre is hosting a recruitment event aimed at people with aspirations of working in health and social care.

The event will be held at CU Scarborough on Thursday 7 November between 2pm and 6pm.

Attendees will be given the opportunity to find out more about the wide range of jobs and careers that are available in Scarborough and Ryedale and across the wider Humber, Coast and Vale region.

Local health and social care employers will be attending the event – supported by NHS Scarborough and Ryedale Clinical Commissioning Group (CCG) – to provide information on current vacancies and training programmes within their organisations.

Margaret Wilson, Project Manager at Humber Coast and Vale Excellence Centre, said: “I think this is a brilliant opportunity for people who want to work in health and social care but don’t know where to start.

“It is a chance to learn about the broad range of job opportunities across Humber, Coast and Vale including mental health services, learning disability services, community services, healthy lifestyle and addiction services as well as a number of apprenticeship opportunities.

“There are lots of different jobs in health and social care so there is sure to be something for everyone whether you want to work in a hospital or residential home or in the community.”

Working in health and social care, you could be supporting someone with a physical or learning disability, someone with a mental health condition or someone who is frail or elderly.

The event is open to everyone, whatever your level of experience. Visit: https://www.eventbrite.co.uk/e/could-you-care-health-and-social-care-recruitment-event-tickets-76421598057 to book your place.

Read More

Local NHS Trusts and Clinical Commissioning Groups have partnered with CU Scarborough to introduce two new mental health nursing courses

Local mental health Trust, Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) has worked with CU Scarborough – part of the Coventry University Group, York Teaching Hospital NHS Foundation Trust and NHS Scarborough and Ryedale CCG to introduce a Registered Mental Health Nursing course and Nursing Associate course.

The first students on the Nursing Associate course will start in January 2020, while the Mental Health Nursing course began in September.

It is hoped that the new courses will bring a welcome boost to the number of people choosing to work in local NHS mental health services.

The three-year BSc degree programmes will allow students to practice nursing in a range of in-patient and community settings, leading them to achieve registered nursing status with the Nursing and Midwifery Council.

There are 15 spaces available on the Nursing Associate course, and TEWV will be offering students on both courses a range of placements in its services, as well as offering apprenticeships on both programmes to a number of its existing staff.

The apprenticeships will allow Trust staff to obtain valuable skills, whilst remaining in employment throughout their studies, which in turn supports the Trust to retain valued staff.

Elizabeth Moody, Director of Nursing and Governance for TEWV, said: “The work was led by the Trust’s Professional Nursing and Education team, who already successfully work in partnership with a number of other Universities across the wider Trust area.

“We hope that the new partnership with CU Scarborough will bring a welcome boost to mental health nursing across the local area, with students choosing to continue their careers in the Trust once they have completed their studies.”

Emily Harrison, Course Lead for Nursing at CU Scarborough, said: “We were so pleased to welcome our first students onto our Mental Health Nursing course in September, and we’re also looking forward to the first students starting our Nursing Associate course in January.

“Mental health is such an important aspect of people’s wellbeing, and we need to make sure we have enough qualified nurses to take care of people who may be struggling. These courses will give students the skills they need to be able to do that.

“We are proud to be playing our part in training the next generation of mental health nurses to help patients in Scarborough and the wider area.”

Dr Peter Billingsley, Mental Health Lead for the three Clinical Commissioning Groups in North Yorkshire, said: “It is terrific that we now have general and mental health nurse training places available in Scarborough – it will go a long way towards addressing some of the recruitment challenges we face and is great news for the local economy.

“It’s important we support efforts to develop a local workforce with roots already in our community who will want to serve this area when they have completed their training.

“We are confident that many of the students who undertake this training will want to continue living and working in Scarborough and Ryedale, which is great news and will mean employers are not having to look further afield to fill vacancies.”

A programme for Learning Disability Nursing has also been approved and it is hoped that this will commence in the next academic year.

Read More

GP advice on how to stay well this winter

With winter just around the corner, NHS Scarborough and Ryedale Clinical Commissioning Group (CCG) are advising local residents on the best ways to stay well during the cold weather.

There are a number of effects the winter can have, and they are not just physical, the colder weather and shorter days can also affect your mental health.

NHS Scarborough and Ryedale CCG, Governing Body member and Local GP, Dr Peter Billingsly has a lot of useful tips to help you stay well this winter.

Be aware of norovirus

‘Norovirus outbreaks are more common this time of year, there is no specific treatment for norovirus, but you can take steps to ease your symptoms. If you’ve got sickness and diarrhoea, stay hydrated.

‘Don’t see your GP unless symptoms persist more than a few days, the best ways to avoid catching norovirus is wash your hands thoroughly after using the toilet. Last but not least, norovirus can leave you contagious 48 hours after the symptoms go, so please avoid hospitals and care homes.’

Get your flu vaccination

‘The best way to stay protected against the flu is to get the vaccination, the jab is free for pregnant women, over 65s and those with underlying health conditions. If you have a child ages 2 – 3 they are entitled to a free flu nasal spray to keep them protected.

‘If you are experiencing flu like symptoms, please seek advice from your pharmacist before it gets more serious. If you want to book a vaccination please contact your GP practice.’

Use the right service

‘If it is not an emergency, you can get medical advice 24/7 by using the NHS 111 service, they have trained medical professionals available who can direct you to the most appropriate medical care.

‘If you want to speak to someone face to face you don’t always have to wait for an appointment with your doctor. Your local pharmacy can provide clinical advice for minor health conditions common over the winter period such as coughs, colds, sore throats, tummy trouble and aches and pains.’

Keep a stock of useful medicines

‘It is important to keep a stock of over the counter medicines in your home over the Christmas period as your local surgery or pharmacy may not be open.

‘These remedies could include basic painkillers like aspirin, ibuprofen and paracetamol, cough syrup and antacids that are all available at your local supermarket.’

Look out for yourself and others

‘The colder weather and shorter days can affect your mental health, get out in the sunshine if you can, even short bursts can improve your mental wellbeing.

‘Older neighbours and relatives are more vulnerable in the winter months and may need a bit of extra help to stay well, make sure you keep in touch and check in on them when you can.’

There is further advice on self-care san be found here, you can also find details of GP and pharmacy opening times over the winter season.

Read More

Keep infections at bay – health bosses call on patients with flu or norovirus to stay away from hospital

The NHS in York and
North Yorkshire is calling on residents and communities for help to prevent the
spread of winter infections.

An outbreak of influenza
or norovirus in hospital could have serious consequences for patients who are
already poorly and can lead to entire wards being shut down and quarantined,
putting an additional strain on NHS resources at a time when they are most in
demand.

With the number of
cases of norovirus starting to rise in our communities – not uncommon at this
time of year – health leaders from York Teaching Hospital NHS Foundation Trust
and clinical commissioning groups in York and North Yorkshire are appealing
directly to people with symptoms of influenza or norovirus to act responsibly and
stay away from GP surgeries, hospitals and other healthcare settings, where
possible.

NHS Scarborough and
Ryedale Clinical Commissioning Group (CCG) Chairman, Dr Phil Garnett, said:
“When we have loved ones who are poorly and in hospital, it’s natural we want
to be with them, even if we’re feeling under the weather ourselves.

“However, influenza
and norovirus are particularly contagious and the risk of passing these infections
on to the person you are visiting in hospital who may already be quite ill – as
well as other sick people and hospital staff – is extremely high.

“When a flu or
norovirus outbreak occurs, particularly in an environment like a hospital, it
is difficult to contain and can lead to the closure of entire wards, putting a
huge strain on local NHS resources at a time of year when they are most in
demand.”

York Teaching Hospital
NHS Foundation Trust Chief Nurse, Heather McNair, added: “Closing wards helps
us to contain an outbreak, but it means beds become unavailable and pressure is
created throughout the entire system. Visitors can help by staying away if they
have the flu or diarrhoea and vomiting and for at least two days after their
symptoms have stopped.”

Norovirus is the most
common stomach bug in the UK, affecting people of all ages. Like the flu, it spreads
rapidly in closed environments such as hospitals, schools and care homes. It
can be spread through contact with an infected person, by contact with
contaminated surfaces or by consuming contaminated food or water.

Typical symptoms of a
norovirus infection include the sudden onset of projectile vomiting and watery
diarrhoea. Some people also experience headaches, mild temperature and stomach
cramps.

There is no treatment
for norovirus but it is important people who have the winter vomiting bug keep
hydrated to combat the loss of fluids. People with norovirus will recover in a
day or two, but will remain infectious for up to three days after recovery.

Common symptoms of flu
include a high temperature, fatigue, headache, general aches and pains and a
dry, chesty cough. The best remedy is to rest at home, keep warm and drink
plenty of water to avoid dehydration. Paracetamol or ibuprofen may help lower a
high temperature and relieve aches.

Anyone who thinks they
may have flu or norovirus is advised not to visit a GP surgery, but to stay at
home and call NHS 111 for advice if necessary.

There are simple steps
people can take to reduce the risk of spreading norovirus:-

  • Thorough hand washing – wet, lather, scrub, rinse and dry
  • Don’t prepare food while infected
  • Immediately clean and disinfect surfaces after episodes of diarrhoea and vomiting
  • Wash clothes and bed linen that may be contaminated thoroughly
  • Drink plenty of fluids – stay away from caffeine and pay particular attention to the young and elderly for signs of dehydration

To reduce the risk of
spreading flu, people should regularly clean surfaces such as door handles,
telephones and computer keyboards to get rid of germs (hand contact with
infected surfaces is a common way for a virus to spread), use tissues to cover
the mouth when coughing or sneezing, put used tissues in the bin as soon as
possible and wash hands regularly.

For more information please visit www.nhs.uk/norovirus and www.nhs.uk/flu

Read More