3 North Yorkshire Clinical Commissioning Groups announce appointments to strategic leadership team

The three North Yorkshire Clinical Commissioning Groups (CCGs) NHS Hambleton, Richmondshire and Whitby CCG, NHS Harrogate and Rural District CCG and NHS Scarborough and Ryedale CCG, today announce two appointments to their shared senior leadership team.

Wendy Balmain has joined the team as Director of Strategy and Integration. Wendy previously served as Director of Transformation and Delivery for Harrogate and Rural District CCG where she was responsible for delivering health care commissioning for the CCG and led work to integrate community and adult social care services. Wendy brings extensive experience across health and social care both at a national and local level to her new role. As Director of Strategy and Integration she will be responsible for primary care transformation and commissioning, including implementation of primary care networks, and will work closely with partners across North Yorkshire to expand integrated service models.

Simon Cox has been appointed permanent Director of Acute Commissioning. Simon has been serving in this role temporarily since January 2019. Prior to this he served as Chief Officer of NHS Scarborough and Ryedale CCG. Simon started his career as a practitioner in operating theatres in Leeds General Infirmary and brings thirty years of NHS experience to his new role. As Director of Acute Commissioning he will oversee the relationship with acute providers across the three North Yorkshire CCGs including commissioning and performance. He will also support transformation and service redesign initiatives ensuring that acute care best serves the needs of North Yorkshire.

Both Wendy and Simon have commenced in their new roles. Amanda Bloor, Accountable Officer for the North Yorkshire CCGs, said: “I am delighted that we have secured such talented senior leaders to work alongside me as we transform the way we deliver for the people of North Yorkshire.

“Wendy and Simon are the first directors to join the team which will provide strategic leadership for the three North Yorkshire CCGs, replacing director positions which were previously replicated across the CCGs. This ‘scaled up’ approach will enable us to work strategically with our partners as well as achieve consistent decision making across North Yorkshire for the people we serve.

“Both Wendy and Simon bring a wealth of health care and leadership experience and decades of public service to their new roles. They are committed to retaining the local focus of our work, delivering for local people, while enabling us to share good practice across North Yorkshire. This will enable us to make the most of our combined resources and contribute to better health outcomes for our community.”

In September 2018 the three CCGs’ Governing Bodies voted to introduce a shared senior leadership team across the three organisations. Recruitment is under way for three remaining positions on the new team:  Director of Vulnerable People, Director of Corporate service, Governance and Performance and Chief Nurse. Announcements will be made once appointments have taken place.

For further information contact the Communications Team at hardccg.media-enquiries@nhs.net or 01423 799300.

Read More

Work continues to improve mental health services for new and expectant mums

Published on Mar 7, 2019

Mental health services for new and expectant mums in Scarborough and Ryedale and other parts of the Humber and Yorkshire region are continuing to be developed courtesy of NHS funding worth hundreds of thousands of pounds.

Having secured a share of a £23 million nationwide investment announced by NHS England in 2018, the Humber, Coast and Vale Health and Care Partnership – a collaboration of 28 health and social care organisations – is working to deliver specialist community perinatal mental health services in Hull, East Riding of Yorkshire, North Lincolnshire, North East Lincolnshire, Scarborough and Ryedale, and the Vale of York.

The funding is part of a £365 million plan by NHS England to ensure 30,000 more women in all areas of England can access specialist perinatal services by 2021.

Perinatal mental health problems are those which occur during pregnancy or during the first year following the birth of a child. Perinatal mental illness affects one in five (20%) women, and covers a wide range of conditions. If left untreated, it can have significant and long lasting effects on the woman and her family.

Examples of perinatal mental health conditions include:

Moderate to severe postnatal depression

Anxiety disorders, including obsessive compulsive disorder and panic disorder

Eating disorders

Post-traumatic stress disorder

Severe mental illnesses including schizophrenia, schizoaffective disorder and bipolar affective disorder

Postpartum psychosis

Severe self-harm

Suicidal thoughts

Late last year, pre-existing perinatal services began to be developed further, while new ones were created to ensure women in all parts of the Humber, Coast and Vale area who experience complex mental health needs have access to treatments and support as early as possible. Providing support for families and signposting to relevant services has also been part of the service improvements.

Humber Teaching NHS Foundation Trust has strengthened its already established specialist community perinatal mental health services in Hull and East Riding of Yorkshire. The Trust is also working with NAViGO and Rotherham, Doncaster and South Humber NHS Foundation Trust to introduce a new service in North Lincolnshire and North East Lincolnshire.

Tees, Esk and Wear Valleys NHS Foundation Trust is also introducing new specialist community perinatal mental health services across the Vale of York and Scarborough and Ryedale.

Michele Moran, Chair of the Humber, Coast and Vale Mental Health Partnership Board and Humber Teaching NHS Foundation Trust Chief Executive, said: “So many new and expectant mothers experience mental health problems and we’re proud to work with our partners to extend the perinatal service into underserved areas and hopefully help hundreds of women and their families.”

Michelle Thompson, Perinatal Mental Health Lead for the Humber, Coast and Vale Health and Care Partnership and Assistant Director for Women’s and Children’s Services for North East Lincolnshire CCG, said: “Having a baby is a major life event for mums and dads, and it’s natural to experience a whole range of emotions and reactions during and after pregnancy.

“But if these problems start to have a big impact on day to day life, it might be a sign of a mental health problem and this service will provide some much needed specialist support for local families who are experiencing difficulties during or after the birth of their child.”

If you are concerned that you or someone you care about might be experiencing perinatal mental health problems you can speak to health professionals involved in your care, such as your GP, midwife or health visitor, who will be able to offer support and refer you to an appropriate service.

For more information, please visit the following websites:

For Hull, East Riding of Yorkshire, North Lincolnshire and North East Lincolnshire patients: https://www.humber.nhs.uk/services/perinatal-mental-health.htm

For Vale of York and Scarborough and Ryedale patients: https://www.tewv.nhs.uk/services/north-yorkshire-and-york-perinatal-mental-health-service/

Read More

Community equipment amnesty launched across North Yorkshire

Published on Feb 19, 2019

Local NHS and social care leaders are calling on people across North Yorkshire and York to return loaned equipment like walking frames, crutches, beds, mattresses and hoists when no longer needed.

Last year the NHS launched a national so-called “crutch amnesty” to deal with concerns that perfectly good medical equipment is going to waste. It’s thought that for every 50 pairs of crutches issued through the NHS, only 10 pairs are returned. With a pair of crutches typically costing around £12.50, the annual bill for crutches in the NHS is estimated to be around £3 million.

This is also costing the local health service tens of thousands of pounds – money that could be invested elsewhere.

On behalf of the NHS clinical commissioning groups in North Yorkshire and York (including NHS Scarborough and Ryedale CCG), Dr Charles Parker, Clinical Chair of NHS Hambleton, Richmondshire and Whitby Clinical Commissioning Group said: “We’re calling on people to return, recycle or request collection of unwanted equipment so it can be used again by someone else in need.

“It’s vital we manage local NHS resources and budgets responsibly and reducing waste plays a big part in that.”

Councillor Michael Harrison, Executive Member for Adult Services and Health Integration for North Yorkshire County Council said: “Health and social care equipment includes a range of products to assist independent living at home, including mobility and communication aids, shower chairs, perching stools, walking aids and pressure relieving mattresses/cushions.

“A lot of this equipment never finds its way back to the provider when it’s surplus to requirements. It’s quite likely it’s just been put in the garage or in the cupboard under the stairs and forgotten about once it’s served its purpose.”

Michaela Harris, Business Support Manager from Medequip Assistive Technology Ltd (Medequip) which provides the service said: “If our customers have equipment they no longer need, they can simply get in touch with us and we’ll pick the equipment up for free – just ring 01423 226240 or email north.yorks@medequip-uk.com.

“Alternatively, surplus equipment can be returned to one of Medequip’s depot drop-off points in Scarborough or Knaresborough, or deposit it in one of three amnesty bins. There are currently two at York Hospital and one at the Friarage Hospital, Northallerton. We’re looking at increasing the number of these bins across other North Yorkshire and York locations.”

Read More

New website to help people in Scarborough and Ryedale self-refer for mental health therapies

Published on Feb 6, 2019

North Yorkshire improving access to psychological therapies (IAPT) service, which offers talking therapies treatments, has launched a new website to make it easier for people to access help and support.

This includes an option to self-refer online without having to go through a GP.

The Tees Esk and Wear Valleys NHS Foundation Trust (TEWV) service helps people who are experiencing common mental health difficulties such as depression and anxiety.

The new website provides a wealth of information about the support and services available, as well as an option for anyone registered with a GP in North Yorkshire to self-refer online, with a series of questions designed to help determine if the service is suitable.

One in four people are thought to experience mental ill health at some point in their lives. Problems with low mood and anxiety can develop and make it difficult to cope with life’s daily demands. Significant events like unemployment, relationship breakdown, traumatic events or even stress at work can sometimes lead to difficulties which require help and support.

IAPT is a national NHS programme to increase the availability of talking therapy treatments recommended by the National Institute for Health and Clinical Excellence (NICE) to treat anxiety and depression. It aims to use the least intrusive method of care possible to treat and support people, such as guided self-help over the phone or face-to-face, psycho educational courses or computerised / face-to-face cognitive behavioural therapy.

Andy Wright, TEWV IAPT service manager, said: “The new IAPT website will allow people to easily find out more about the service, the support available and treatment options, as well as providing access to a range of convenient and simple online self-help resources for those receiving support through the service.

“It will also allow people to self-refer directly, through a quick online form, which will take people through a series of helpful questions to determine whether the service is right for them. If the service is deemed suitable they would then be offered an initial assessment over the phone, after which they will be directed to the most appropriate treatment option for their needs.”

People can also make an appointment with their GP, who will be able to discuss options and if appropriate make a referral to IAPT or a suitable alternative.

Speaking on behalf of NHS Scarborough and Ryedale Commissioning Group (CCG), NHS Harrogate and Rural District CCG and NHS Hambleton, Richmondshire and Whitby CCG, mental health lead, Dr Peter Billingsley, said: “The effects of depression and anxiety can be debilitating and brutal. However, we are now living in a society where there is much less stigma attached to mental health difficulties and people feel more able to talk about how they are feeling.”

Dr Billingsley, who’s a Scarborough GP and Associate Chair of NHS Scarborough and Ryedale CCG, added: “The new North Yorkshire IAPT website is a brilliant tool; it’s very easy to use and crucially, it’s straightforward for patients to refer themselves to the IAPT service, if they wish, without having to go through a GP first.”

The site can be accessed at www.northyorkshireiapt.co.uk

The IAPT service is not a crisis or urgent response service for people who are severely unwell. You should always dial 999 in a medical emergency or call NHS 111 for any urgent concerns. You can also find details about what to do in a mental health crisis on the TEWV website by visiting www.tewv.nhs.uk/services/crisisadvice/.

Read More

NHS leaders call on patients with norovirus to stay away from hospital

Published on Feb 1, 2019

The local NHS in Scarborough and Ryedale is calling on residents and communities for help to prevent the spread of norovirus.

York Teaching Hospital NHS Foundation Trust has taken the unusual step of restricting visiting to York Hospital “for the safety of patients and staff” after an outbreak of the winter vomiting bug and the closure of wards.

Norovirus is also affecting several wards at Scarborough and Bridlington Hospitals, with people urged to think twice before visiting loved ones.

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.

NHS Scarborough and Ryedale CCG Associate Chair, Dr Peter Billingsley, 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, norovirus is 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.”

Beverley Geary, Chief Nurse at York Teaching Hospital NHS Foundation Trust, added: “Over the past few weeks we have experienced a high level of norovirus at York Hospital which has resulted in the closure of wards in order to stop the spread, which means we have reduced bed capacity. Closing wards can help to contain the virus but visitors play a huge part in preventing the continued spread of the infection.

“The safety of our patients is our top priority. While we recognise the importance of having people visit when you are in hospital, we now need to introduce these measures in order to protect our patients, as well as keeping our staff safe, well and able to come into work.”

Norovirus is the most common stomach bug in the UK. 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.

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

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

Read More