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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 a feedback form available at:www.airedalewharfedalecravenccg.nhs.uk
- emailing comments to: email@example.com
- 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
To find out more about stroke and how the new service will provide emergency care to help people across Bradford, Airedale, Wharfedale and Craven, watch the video on our website.
Have your say on stroke services
“We are 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 (AGH) will move to Bradford Royal Infirmary (BRI) where we will create a single HASU for the whole district.
More information can be found by reading this leaflet.
Easy Read version available here
Please tell us here what you think of these changes.
If you, or a relative, or someone you care for, has experienced a stroke and you would like to complete a questionnaire to tell us about your or their experience of the care, please do so here.
Only a hospital test can confirm a stroke for sure but it’s important to know the signs, and be able to respond quickly, if you suspect someone is having a stroke. To learn more about the symptoms of stroke and how to respond appropriately, visit the national website for stroke service.
Report on the CCG’s stroke engagement work
Between July and September 2015 Airedale, Wharfedale and Craven, Bradford City and Bradford Districts Clinical Commissioning Groups (CCGs) engaged with patients, carers and members of the public on recent changes to stroke services. The feedback we received is now available in a report.
In November, representatives from the CCGs – together with Airedale NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust and Yorkshire Ambulance Service – met to discuss the report and its recommendations. At the meeting we drafted an action plan which will be submitted alongside this report to our public board meetings in January 2016.
We would like to take this opportunity to thank everyone for their time in providing their feedback on the changes to stroke services. Hearing patients’ and carers’ stories and views helps us to make changes in the way we deliver services, and improve the experience of others. As a result of the feedback – amongst a range of other actions – we will be making changes in both how and what we communicate to patients who have experienced a stroke, their carers and family members.
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.
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.
|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: firstname.lastname@example.org
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
Manningham Medical Practice, Lumb Lane
This consultation closed on the 31st March 2016.
Following the consultation on the future of Manningham Medical Practice and an in-depth review; the CCG decided to close the surgery. The decision was made by the CCG primary care commissioning committee (PCCC).
Since then, the decision to close Manningham Medical Practice has been reversed. You can read more about why the decision has been reversed here.
We asked patients and other stakeholders for their views about the future of Manningham Medical Practice, Lumb Lane, Bradford BD8 7BS.
The consultation letter provides an update and tells you about some important changes at the surgery.
The surgery looks after the health and care of over 3,600 patients. The contract to run the surgery is held by Local Care Direct and comes to an end on 30 June 2016. This means that we need to think about future arrangements to care for everyone who sees a doctor at Manningham Medical Practice. To do this we could do one of the following things:
1. offer an extension of the existing contract to Local Care Direct. This means that management of the surgery would stay the same; or
2. find someone new to run the surgery (for example, a group of doctors, or another organisation); or
3. close the surgery and help you find a new doctor. There are 15 other surgeries within a mile of Manningham Medical Practice and most of them are accepting new patients. A list of these surgeries is in the consultation letter.
At the moment, you can continue to see your doctor and other staff at Manningham Medical Practice as usual.
Mental health and wellbeing strategy for Bradford, Airedale, Wharfedale and Craven
This consultation closed on the 30th August 2016.
Information about the consultation can be found below. We will be including your feedback in the development of our mental health and wellbeing strategy which is due for publication in Autumn 2016.
We value your continued feedback, to find out more about how to get involved and tell us your views, visit our 'how to get involved' pages.
We want to find out people’s views on how the district’s mental health services should be developed and delivered to make sure everyone has the best support to prevent mental ill health and achieve mental wellbeing.
The strategy will focus on what can be done to promote and retain good mental health, prevent mental health problems and improve the health and wellbeing of those living with and recovering from mental illnesses.
We want as many people as possible to get involved in developing local mental health services by sharing their experiences and telling us how they think things could be made better.
As well as the core mental health services, there is also a need for local people and organisations, the NHS, local authority and the voluntary and community sector to do the things that will support good mental health and wellbeing and remove barriers that prevent people from accessing care.
This may include providing choices that promote good housing and a place in the community, strengthen families, enable friendships, build networks, and support employment, activities and positive lifestyles.
Over the last five years we’ve heard lots of things about the type of mental health and wellbeing services that local people would like to be developed, and have summarised them in this document.
Over the next month we are working with a number of local groups to check whether this information is still accurate and what other gaps in services we need to consider.
Understanding experiences of maternity services
This survey closed on the 12th September 2016.
The maternity partnership wants to hear from people who have had a baby in the last 8 months, or people about to have a baby. They are gathering feedback about your experiences so that we can continue to work to improve the services you receive.
The maternity partnership is keen to involve local people in influencing the design and development of local maternity services. Each year, the partnership conducts research to listen to the views and experiences of new mums and mums to be, on topics chosen by people who use maternity services. This year the theme is around your expectations about the services that support you during your pregnancy, birth and post birth.
Consultation on gluten-free prescribing
This consultation closed on the 30th September 2016. You can read about the decision on the outcome of this consultation here.
As part of the Quality, Innovation, Productivity and Prevention (QIPP) programme, we want to review our policy on the prescribing of gluten-free foods. As we are proposing a change to the way we prescribe gluten-free foods, we are inviting patients, the wider public and health professionals to tell us their views on our proposals.
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.
Your feedback will be used as part of a report which will help inform our final decision. The consultation will close on the 30th September 2016.
There are lots of ways that you can give your feedback:
- fill in the online consultation form,
- post us a paper copy of the form which can be found at the end of the consultation document,
- email email@example.com
- come along to one of the public drop in sessions:
- Tuesday 9 August, 3pm to 4.30pm, Windhill Community Centre, Church Street, Shipley, BD18 2NR
- Tuesday 23 August, 6.30pm to 8pm, at Frizinghall Community Centre, Midland Road, Bradford, BD9 4HX
- Wednesday 7 September, 3pm to 4.30pm, at Park Lane Centre, Bradford, BD5 0LN
Future of GP services - primary medical care commissioning strategy
This engagement closed on the 14th October 2016.
NHS Bradford City and Bradford Districts clinical commissioning groups (CCGs) are developing a new primary medical care commissioning strategy. This looks at the services delivered by GP practices in Bradford.
We are developing this new strategy so that we can create a sustainable health and care economy that supports you to be healthy, well and independent.
The strategy will set out what we need to do to improve quality, reduce variability in care and make sure services are sustainable for the future.
There are three main challenges that face primary medical care services in Bradford which this strategy will look to address:
- increasing levels of demand and more patients with increasingly complex conditions,
- meeting the expectations of seven day services, alongside developing a workforce to match,
- significant financial pressures alongside the need to adapt and change the way services are delivered.
Our vision is to:
“commission and deliver excellent primary care for everyone in Bradford”
We are hoping to deliver on this vision by focusing on the following areas:
- improving access
- improving quality
- building the workforce
- self-care and prevention
- estates, finance and contracting
By focusing on these key areas for improvement, by 2021, we hope to achieve:
“to deliver a sustainable model of primary care which is fully integrated within the wider health and care system and ensures people in Bradford have timely access to high quality, safe services.”
Once you have had a look through, we would like to you to let us know:
“what are your three main concerns regarding primary medical care and have we addressed these concerns in our strategy?”
How to give your views
Email – firstname.lastname@example.org
By post: Primary medical care commissioning strategy, Freepost RTEK-UHKG-UBEK, Douglas Mill, Bowling Old Lane, Bradford BD5 7JR
Attending the drop in session: 8th September, 3pm to 4pm, Carlisle Business Centre, Carlisle Road, Bradford, BD8 8BD
The future of stroke services in West Yorkshire
West Yorkshire and Harrogate stroke services engagement work closed on the 15 March. The findings from our engagement 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 Bradford and District 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.
Healthwatch have been doing some in-depth interviews with people who've had recent experience of stroke. We've been talking with patients and carers identified through liaison with stroke rehabilitation wards at local hospitals and community stroke services. This work will contribute to the overall report for West Yorkshire and help shape the future of services across the region.
People in the Bradford District and Airedale can also share their views on the future of regional stroke services by taking part in the online survey - https://www.surveymonkey.co.uk/r/WYStrokeServices
You can also contact the Healthwatch team on 01535 665 258 if you need any support completing the survey or have any questions.