New programme launched to prevent abusive head trauma injuries to babies

On 8 November, the Designated Nurses team  in North Yorkshire and York launched a new innovative programme to prevent abusive head trauma injuries to babies caused by shaking. ‘ICON – Babies Cry, You can Cope’ (ICON) is an evidenced-based programme designed to help parents and carers understand the normal crying pattern of young infants and to help them develop successful coping mechanisms.
The ICON programme has been initially funded by the four North Yorkshire Clinical Commissioning Groups (CCGs) and delivers four simple messages before the birth and in the first few months of a baby’s life which will be communicated by Midwifery and Health Visitor services :

I – Infant crying is normal;

C –Comforting methods can help;

O – It’s OK to walk away;

N – Never, ever shake a baby.

These ICON messages have been demonstrated to help parents and carers manage the stresses which can be caused by normal infant crying. Midwives, Health Visitors and other professionals across  the region have developed ICON expertise to help give parents and carers the tools they need to help keep their babies safe. They have also produced an information graphic around infant crying which can be found here.

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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.

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New funding for mental health crisis services in North Yorkshire

Mental health services have received a boost in funding across North Yorkshire to provide local people with additional crisis services and alternative places of safety.

Tees, Esk and Wear Valleys (TEWV) NHS Foundation services has received over half a million pounds worth of funding from local clinical commissioning groups (CCGs) to help reduce the impact of mental health crisis on both individuals in crisis and wider services, such as the police, ambulance and accident and emergency.

The funding will allow the Trust to maintain specialist 24/7 telephone assessment and crisis support, as well as expanding existing out of hours crisis cafes in York and Scarborough and introducing new crisis cafes in Northallerton, Harrogate and a mental health first aid response into Selby.

Crisis cafes are generally open on an evening and offer people aged 16 and over a safe and comfortable place to go to receive support when they are in distress. The cafes are supported by trained nurses and support staff who have mental health first aid training, whilst also being linked to local crisis and crisis resolution home treatment teams, so café staff can access a specialist response if needed.

The Trust’s existing crisis cafes, The Haven in York and Scarborough Crisis Café, have been operating since October and August 2018 respectively. Both have been exceptionally beneficial for local people, helping over 200 people a week to access information and support around crisis prevention, as well as signposting them to and facilitating access to other relevant and appropriate services, agencies and activities.

Commenting on the boost Liz Herring, head of adult mental health services for TEWV in North Yorkshire, said “This funding is excellent news for local people. We will be able to further meet people’s needs, particularly on an evening, which we know can be a challenging time. It not only allows us to invest in crisis café’s, which offer valuable out of hours support and advice, but it also means that we can develop our 24 hour crisis telephone line to further improve the response that we can provide to people.”

Helen Embleton, urgent care pathways lead said: “We’re delighted to have received NHS transformation funding. This will help us to deliver a responsive crisis service that meets key requirements set out in the NHS Long Term Plan.

“Extending the support available to people before and during a mental health emergency will help to make sure individuals receive the right care, from the right people, in the right place at the right time.

“Over the last couple of years, crisis services across TEWV have been focussing on delivering quality improvements that enhance collaborative and patient centred care. This has involved increasing multiagency working, improving access and pathways into services and increasing patient, carer and family involvement. Extensive work has also been undertaken to reduce police sections and unnecessary attendance at accident and emergency departments.

“We have worked closely with local partners including clinical commissioning groups, NHS England, the police, voluntary sector and ambulance services to secure this funding and are excited at the new and innovative plans in place to develop a ‘fit for the future’ crisis service that meets the diverse needs of the people we support.”

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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.

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NHS Scarborough and Ryedale CCG moves towards North Yorkshire merger

North Yorkshire’s three clinical
commissioning groups (CCGs) have agreed to merge.

The decision was ratified during a meeting in public of the Governing Bodies which represent NHS Hambleton, Richmondshire and Whitby CCG, NHS Harrogate and Rural District CCG and NHS Scarborough and Ryedale CCG, meeting as a ‘Committee in Common’.

A detailed formal proposal will be
submitted to NHS England by 30 September and should it be approved, the three
CCGs will begin operating as a single, statutory organisation from 1 April next
year.

NHS Hambleton, Richmondshire and Whitby CCG
Chair, Dr Charles Parker, said the proposed merger represents “a great
opportunity to improve healthcare for the people of North Yorkshire”.

NHS Harrogate and Rural District Chair, Dr
Alistair Ingram, said: “A single commissioning voice will make it easier to
reduce some of the health inequalities we see across the county and there will
be less duplication and bureaucracy.”

NHS Scarborough and Ryedale CCG Associate
Chair, Dr Peter Billingsley added: “Importantly, the governance model that will
be introduced 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.”

The proposed merger comes on the back of
reviews carried out by each of the three North Yorkshire CCGs last year, with
Amanda Bloor, formerly the Accountable Officer for Harrogate and Rural District
CCG, subsequently appointed the Accountable Officer across the three North
Yorkshire CCGs in December.

A shared executive leadership team is set
to be implemented soon.

The
proposal to merge has the unanimous backing of the three CCGs’ Council of
Members / Clinical Representatives (made up of local GPs and practice managers)
and the Local Medical Committee.

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