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National consultation about reducing prescribing of over-the-counter medicines

NHS England launched a national consultation about reducing prescribing of over-the-counter medicines.

We encouragedg you to contribute to the public consultation being carried out by NHS England on reducing prescribing of over-the-counter medicines for 33 minor, short-term health concerns. The aim of the consultation is to provide you with information about the proposed national guidance and to seek your views about the proposals.

The consultation covers prescriptions for items to treat a condition:

  • that is considered to be self-limiting and so does not need treatment as it will heal of its own accord;
  • which lends itself to self-care, i.e. that the person suffering does not normally need to seek medical care but may decide to seek help with symptom relief from a local pharmacy and use an over the counter medicine.

Some vitamins, minerals and probiotics are also included in the proposals as items of low clinical effectiveness which are a high cost to the NHS.

NHS England has partnered with NHS Clinical Commissioners to carry out the consultation after CCGs asked for a nationally co-ordinated approach to the development of commissioning guidance in this area to ensure consistency and address unwarranted variation. The intention is to produce a consistent, national framework for CCGs to use.

Community care services for people living in Craven (including the future of Castleberg Hospital)

This consultation closed on 27 February 2018. We anticipate that a final decision on the future of the services will be made by our governing body in May 2018.

We carried out a three-month consultation about the future of community care services in Craven – including the future of Castleberg Hospital.

The consultation encompassed community services for adults – whether in hospital or in people’s own homes – when they need rehabilitation, more support to prevent them becoming acutely unwell, or care when they are nearing, or at, the end of their life.

In April 2017, one of these services – a 10-bedded ward at Castleberg Hospital – was temporarily withdrawn on safety grounds following ongoing issues with the power supply, heating and drainage at the Giggleswick site.

Since then additional community services (including inpatient beds in local care homes) have been provided to ensure that everyone’s health and care needs have been met. These also include services at the main acute hospital sites in Steeton and Lancaster. To extend their role as part of the community team, Castleberg’s nursing team has provided additional support to patients in their own homes.

Outcome of previous engagement and options

The CCG engaged with local people in August and September 2017 to find out what matters to them, what they need from services and the best ways of consulting them. The feedback from this engagement helped the CCG to plan the consultation, and informed the two options on which the consultation is based. These are:

  • Option 1: continue to provide inpatient care in the community and repair/restore Castleberg Hospital
  • Option 2: provide an enhanced range of care in people’s home or in an alternative community setting (determined by need), and close Castleberg Hospital.

A third option – to build a new facility – was discounted on the grounds of cost and did not form part of the consultation.

You can read the full consultation document here an easy read version is available here.

The future of stroke services in West Yorkshire

West Yorkshire and Harrogate stroke services engagement work closed on the 15 March and their findings from this work will be published here in May.

Across West Yorkshire and Harrogate, health and care services are working together to ensure stroke services are fit for the future.

Before decisions are made, Healthwatch in our region have been asked to find out what people think about the services that are currently provided and what would be important to them now and in the future should they have a stroke, or care for someone who has.

This covers the whole stroke pathway from prevention, the first 72 hrs of care, through to rehabilitation and community support.

In Bradford and Airedale, previous engagement was carried out when changes were made to local stroke services in 2015/16. So to avoid asking people the same questions again, we’re building on the engagement that’s already taken place. You can read about the previous engagement here.

For more information click here.

Gluten-free food on prescription

This consultation has now closed. The responses we have received will be used as part of a report which will help inform our final decision.

If you would like a copy of the final report, please email your name and address, titled Gluten- free Consultation, to: engage@awcccg.nhs.uk

The CCG is asking for people’s help to decide the future of gluten-free food on prescription. We have launched a consultation with patients, their family and carers as well as the wider public about whether gluten-free food should be provided on prescription.

Detailed information about the consultation and our proposals can be found in the consultation document

The consultation document also includes information about current guidelines, the cost of gluten-free prescribing to the NHS and why we are looking to make this change. You can also look at the easy read version here. This is a three-month consultation which runs from January to Friday 31 Marc

Maternity services

Over the coming weeks, a number of focus groups are taking place organised by the Maternity Partnership with support from NHS Airedale, Wharfedale and Craven Clinical Commissioning Group (CCG) and the local hospital trust – Airedale NHS Foundation Trust.

Each year the Maternity Partnership and the CCG hold a series of focus groups throughout the district to listen to the views and experiences of new mums and mums-to-be on topics chosen by people who use the service. There will be an opportunity to talk with midwives and service commissioners.

This year, we want to hear from you about what your expectations of the services that support you throughout your whole maternity journey. The information we gather will help us to develop personalised maternity services in our area, make improvements and identify what is important to people using maternity services.

The Maternity Partnership is made up of members of the public as well as health professionals who work together to improve maternity services across Bradford, Airedale, Wharfedale and Craven.

We hope you will be able to attend and share your experiences. The dates and times of the focus groups are shown below. If you cannot attend, you can still share your views about your experience of maternity services and the choices that you would like to make at: engage@awcccg.nhs.uk

Venue & Address

Date &Time
Sangat Community Centre
Marlborough Street
Keighley
BD21 3HU
Wednesday 20th April
1.00pm – 2.00pm
Skipton Children Centre
c/o Brougham Street Nursery School
Skipton
BD23 2ES
Monday 25th April
10.30am – 11.30am

North Craven Children Centre
Settle Health Centre
Settle
BD24 9HZ

Thursday 5 May
2.00pm – 3.00pm

Ilkley Children Centre
Little Lane
Ilkley
LS29 8HZ

Thursday 19 March
1pm – 2pm
Keighley Healthy Living
13 Scott Street
Keighley
BD21 2JH
Tuesday 10th May
1pm – 2pm

 

Have your say on improvements to 'critical hours' stroke services

There is still a chance for people to have their say on plans to improve local stroke services.

Clinical leaders in Bradford, Airedale, Wharfedale and Craven are now gathering lots of views from across the district but there is still opportunity to contribute.

The plans ensure that anyone who has a stroke receives consistent and safe care. As part of the changes, two existing hyper acute stroke unit (HASU) beds at Airedale General Hospital are now at Bradford Royal Infirmary following the creation of a single HASU for the whole district.

The three local NHS clinical commissioning groups (CCGs): Airedale, Wharfedale and Craven, Bradford City, and Bradford Districts – together with the local hospital trusts – have been working to develop a single site emergency stroke service for the district.

The service, based at Bradford Royal Infirmary, provides round the clock care, seven days a week, giving patients access to the specialist skills, tests and treatments needed to save more lives, improve recovery and reduce disabilities that can result from a stroke – particularly in the first critical 48 hours of care.

The existing stroke unit at Airedale Hospital has remained as an acute stroke care and rehabilitation unit – 90% of the services it provides have been unaffected by this decision – and the two HASU ‘emergency’ beds have transferred to Bradford Royal Infirmary alongside the existing HASU beds at that hospital.

As soon as patients have been stabilised by the team in Bradford, usually within 48 to 72 hours, patients from the Airedale, Wharfedale and Craven areas are transferred to Airedale General Hospital for their ongoing acute stroke care and rehabilitation.

Dr Phil Pue, chief clinical officer of Airedale, Wharfedale and Craven CCG, said: “We recognise that our plans will have a direct impact on patients who will need to travel a further distance to receive their HASU care and, potentially, on those already receiving or likely to receive care at Bradford Royal Infirmary.  So we want to hear from as many people as possible who will be affected by this change.”

Dr Andy Withers, clinical chair of Bradford Districts CCG, added: “Local people’s views will enable us to understand what is important to them when accessing stroke services and how the changes will impact on their lives, and to identify any issues we have not considered and potential service improvements that should be discussed.

“All the information we receive will be published in a report explaining how we will respond, through the new service, to people’s concerns and comments.”

People can get involved before September 9 by:

  • filling in our online questionnaire
  • emailing comments to: engage@awcccg.nhs.uk
  • writing to us at: Patient Advice and Liaison Service (PALS) – Stroke, Freepost RTER-LYHC-EJET, Douglas Mill, Bowling Old Lane, Bradford BD5 7JR
  • calling: 01274 237324

Watch our video to find out more about stroke and how the new service will provide emergency care to help people across Bradford, Airedale, Wharfedale and Craven.

We’re planning to improve stroke services for people living in and around the Bradford, Airedale, Wharfedale and Craven areas to ensure that anyone who has a stroke receives consistent and safe care.

As part of this plan the existing hyper acute stroke unit (HASU) at Airedale General Hospital will move to Bradford Royal Infirmary where we will create a single HASU for the whole district.

You can learn more about why we’re making these changes and how they will improve stoke care in our area by watching this video or downloading our strokes services leaflet.

Find out more:

NHS continuing healthcare - draft redress guidance

NHS England has reviewed their guidance on redress in NHS continuing healthcare. The guidance will be on NHS England’s website for comment/feedback for six weeks, until Thursday 19 March 2015. It is hoped then to publish the final version shortly after that, which will apply with immediate effect.

The current guidance on redress for NHS continuing health care cases was published by the Department of Health in 2007, however the Parliamentary and Health Service Ombudsman (PHSO) has revised its own guidance “Principles for Remedy” on this area and the refreshed guidance reflects this.

The draft refreshed Guidance maintains the same basic principles of fairness that has always applied; that is to ensure that individuals are put back in the financial position that they should have been in.

Maternity services focus groups

Each year the Maternity Partnership hold focus groups throughout the district to understand people’s experience of using maternity services.This helps us to make improvements and identify what is important to people using maternity services.

This year, we want to hear from you about what choices and services are available along the whole maternity journey. This is so together we can develop personalised maternity services in our area.

The dates and times of the focus groups in Airedale, Wharfedale and Craven below. This will be an opportunity to talk with midwives and service commissioners to share your experiences.

We hope you will attend and take part and support service improvement. If you cannot attend, you can send us your stories and views about choice in maternity services at: engage@awcccg.nhs.uk

Venue & Address Date &Time
Skipton Children Centre
Brougham Street
BD23 2ES
Wednesday 28 January
10am – 11.30am
Keighley Healthy Living
13 Scott Street
Keighley
BD21 2JH
Tuesday 10 February
10.30am – 12pm
Sangat Community Centre
Marlborough Street
Keighley
BD21 3HU
Wednesday 11 February
1.30pm – 2.30pm
Rainbow Children’s Centre
Braithwaite Grove
Braithwaite
Keighley
BD22 6JB
Thursday 19 March
1pm – 2pm
Clarke Foley Centre
Cunliffe Road
Ilkley
LS29 9DZ
Thursday 26 March
7pm – 8.30pm

The Maternity Partnership are a group of members of the public and health professionals that work together to improve maternity services and facilities across Bradford, Airedale, Wharfedale and Craven.

*Update – We’ve had feedback that you would like us to hold a maternity focus group in the evening and in the Wharfedale area, so we are setting another group up. Details will be advertised here soon!*

Your feedback on our prioritisation questions

NHS Airedale, Wharfedale and Craven Clinical Commissioning Group has a fixed budget to commission healthcare services for the local population. It is not possible to fund all health care services that might potentially be available or requested and so we must prioritise how we spend the funding that is available to us. We have developed a set of six questions that we will use as an initial assessment when prioritising our work.

We would welcome your feedback on these questions and whether you think we are using the right criteria to prioritise how funding is allocated. Please send any comments to us using the contact details here.

If you are a service provider or supplier, you may find our publication scheme useful.

Please also read our initial prioritisation tool.

Urgent care strategy

The strategy describes how urgent and emergency care services in Bradford, Airedale, Wharfedale and Craven will develop over the next five years.  We want the services to:

  • meet people’s needs, be high quality, clinically safe and affordable;
  • be easy to understand and use
  • be responsive;  and
  • be joined up with other health and social care services.

Providing a focus, direction and common understanding that will help us work together to deliver our aims, the strategy considers what will be needed to deliver these service.

We have worked with a range of different people – including the public, through market research, focus groups and other discussions – and organisations to compile the strategy and now we would like to hear your views about it.  Please take the time to read it and tell us what you think.

You can read a copy of the full strategy or the summary. An easy read version is also available.

Have your say on NHS urgent and emergency care plans

A number of open meetings are being held by the local NHS clinical commissioning groups (CCGs) during September to discuss plans to transform urgent and emergency care services across Bradford, Airedale, Wharfedale and Craven.

Please come along to any of the open meetings below to find out more and give your views.

Date Time Venue
Monday15 September 4.30pm Carlisle Business Centre, Carlisle Rd, BD8 8BD
Tuesday16 September 12 noon Thornbury Centre, Leeds Old Rd, BD3 8JX
Thursday25 September 2pm Kirkgate Community Centre, Shipley, BD18 3EH
Friday26 September 4.30pm Khidmat Centre, 126 Ryan Street, BD5 7AS
     
Thursday18 September 1.00 – 3 pm Champions Church, Carleton Road, Skipton, BD23 2AU

If you can’t make it to one of the events above, there are a number of other ways you can tell us what you think about the strategy, including:

By completing our online response form

By email:   consultation@bradford.nhs.uk

By letter:   CCG urgent care strategy engagement, Freepost RTEK-UHKG-UBEK, Douglas Mill, Bowling Old Lane, Bradford BD5 7JR

By phone:  Contact our PALS service on 0800 0525 270

The closing date for comments is:  30 September 2014

This consultation is now closed and you can read the report summarising the feedback here.

Are you getting the services you need from your pharmacy?

Pharmacists are becoming increasingly important in the way we look after our health and the health of our families.

As well as picking up our prescriptions, we are also using them as to access advice and a broad range of services.

Bradford Council is looking into whether there is the right level of access to pharmacies across the district and whether they are offering the service you need.

Take part in this quick survey and you could help improve how pharmacy services are provided across the district: https://surveys.bradford.gov.uk/snapwebhost/s.asp?k=150718834713

NHS England (national consultation) - items which should not be routinely prescribed in primary care

NHS England has launched a national consultation about items which should not be routinely prescribed in primary care. This consultation is open now and closes on 21 October 2017.

To read more about the consultation and to read the full consultation document, visit the NHS England website.

You can give NHS England your views using the online survey here.

Initial engagement: the future of Castleberg Hospital, Settle

Please note, this initial engagement closed on Friday 15 September 2017.

We need your help to determine the future of Castleberg Hospital, Settle. We are asking you to tell us what you think would be the best way to conduct a future consultation on the service, what is important to you about the services you receive, and what options we should include in the future consultation.

Taking the time to give us your views is important. What you say makes sure that the services we commission reflect your needs, now and in the future.

What you tell us as part of this initial engagement will inform the options within a future public consultation about the future of Castleberg Hospital.

No decisions have been made yet about the future of the hospital, nor will a decision be made until the formal consultation (planned for later on this year) finishes.

About Castleberg Hospital

Airedale NHS Foundation Trust (AHNSFT) made the decision to withdraw services temporarily from Castleberg Hospital on 13 April 2017 following ongoing issues with the power supply, drainage and heating. ANHSFT could no longer be confident that the building was safe to provide inpatient care or was suitable for the health and wellbeing of its staff. The hospital had 10 beds providing intermediate care and some end-of-life and palliative services to patients living in Craven.

Along with NHS Morecambe Bay Clinical Commissioning Group (CCG), our CCG, NHS Airedale, Wharfedale and Craven, plans, buys and monitors the quality of services in the area, including those provided at Castleberg Hospital.

How are services being provided now?

The Trust continues to provide intermediate, end-of-life and palliative care services to people living in Craven. After clinical assessment, they are cared for at home or close to home (for example, in a nursing or care home).  To support this, the Trust has strengthened the community team working in and around the Craven area and Castleberg’s staff have been re-deployed temporarily across the community and intermediate care teams in Craven.

People who need acute inpatient care are treated at Airedale General Hospital or, if they live in Bentham, at Lancaster Royal Infirmary.  End-of-life and palliative care services are provided in people’s own homes, the care/nursing homes where they live, or in the Sue Ryder Hospice at Manorlands in Oxenhope.

The Trust is also seeking new office accommodation in the Settle area for community staff based at Castleberg.

What do you want us to tell you about?

At this stage we would like you to tell us about three things:

  1. what options we should consider for future intermediate, end-of-life and palliative care services in Craven,
  2. how you would like us to run a future consultation, and
  3. what’s important to you about services in your area

Options: our initial thinking isn’t either conclusive or exhaustive, but –  to give you an idea of the kind of things we might consider, below are three potential solutions that could form part of an options appraisal in the formal consultation:

  1. keep the hospital open,
  2. close the hospital and provide intermediate and palliative care in a different way
  3. build or use and alternative facility

We want to hear about what other solutions we could think about and why.

Further information

Further information can be found in the engagement document, available here. You can also take a look at some information boards which include a timeline of events, comments from staff and patients, and how we will assess the options.

You can also watch a video from Dr James Thomas, clinical chair, which explains the initial engagement process and how you can give your views.

 

You can also read previous information published about Castleberg Hospital by clicking on the following links:

How to give your views

  • complete the online survey, available here 
  • print, complete and post the form at the end of this engagement document to: Freepost RTEK-UHKG-UBEK, Douglas Mill, Bowling Old Lane, Bradford BD5 7JR (no stamp is needed)
  • reply by email to engage@awcccg.nhs.uk
  • attend one of the following drop in sessions:
    Dates & times Venue
    Wednesday 9 August

     

    2.00 – 4.00 pm

    Thursday 24 August

    5.00 – 7.00 pm

    St John’s Methodist Church & Hall, Church Street, Settle BD24 9JG
    Friday 18 August

     

    11.00 am – 1.00 pm

    Tuesday 5 September

    8.30 – 10.30 am

    The Town Hall, High Street, Skipton BD23 1AH
    Thursday 31 August

     

    8.30 – 10.30 am

    Sutton Village Hall, Main Street, Sutton in Craven BD20 7JQ
    Thursday 7 September

     

    5.00 – 7.00 pm

    Devonshire Institute, 48 Main Street, Grassington, BD23 5AA
    Friday 15 September

     

    11.00 am – 1.00 pm

    Bentham Golf Club, Robin Lane, Lancaster LA2 7AG

You can give your views until Friday 15 September 2017.

What will be done with my feedback?

The feedback you give us as part of this initial engagement will be used to inform the content and the options that we give as part of the formal consultation.

The formal consultation will run for three months. Even if you have given your views as part of this initial engagement you can still contribute to the main consultation. 

The future of health and social care #oursaycounts

 

#oursaycounts - the future of health and social care 

Throughout July and August 2017, Healthwatch Bradford and District, commissioned by NHS Airedale, Wharfedale and Craven, Bradford City and Bradford Districts Clinical Commissioning Groups (CCGs), created a ‘big conversation’ with people across the local area.

The final report, which is being presented to the Bradford Health and Wellbeing Board next week, will be used to directly inform and shape the Bradford District and Craven health and care plan for the next five years.

The aim was to find out what mattered most to people about health and social care, where there might be willingness to compromise and what could be done differently in the future. Over 800 people gave their views. Ideas and comments ranged from individual experiences to thinking about wider issues and the needs of the population.

You can read the final report on the Healthwatch Bradford and District website


 

Consultation information:

 

The NHS, councils, and community organisations in Bradford District and Craven are working together to plan the future of health, care and support services. 

They want to have a conversation with local people so that they make the right choices for our area. And they've asked Healthwatch Bradford and District to help.

People could join the conversation online or come to one of our events

  • Monday 10 July 3-5pm, Central Hall, Keighley
  • Wednesday 12 July 5.30-7.30pm, Carlisle Business Centre, Bradford 
  • Friday 14 July 1.30-3.30pm, Bankfield Mercure Hotel, Bingley

You can find out more about #oursaycounts on the Healthwatch Bradford and District website.

 

GP services commissioning strategy

This consultation closed on 15 January 2018. You can read the final GP Services Commissioning Strategy Final Engagement Report here. You can find the final strategy for 2017-2021 on the strategies page of our website.


 

Airedale, Wharfedale and Craven Clinical Commissioning Group (CCG) is developing a new strategy for commissioning (buying) GP services in our area – this is called the GP services commissioning strategy. The purpose of this strategy is to ensure the best health outcomes for patients.

The strategy will describe the steps we think are needed to maintain and continue improving the quality of services. It also aims to reduce differences in care between services and to address how primary medical care services can be sustained in the long term.

As commissioners, the organisation responsible for buying services, it is important for us to know that primary medical care services are high quality, safe and that they offer best value. To help us know more we are seeking the views of patients and the public.

On this page you will find a document outlining the key points of our proposed strategy. You will also find a link to an online form which is one of the ways people could provide feedback. You can view the easy read version of the GP services commissioning strategy here.

We will use your feedback to help us understand what matters most to people in our area and to help shape our strategy for buying services. When the commissioning plan is agreed we will publish it on our website and through a range of other media and local groups.