Patient Round Up - Voluntary Action Reigate

Patient Round Up
                                                                                      2020
February

   Dr Elango Vijaykumar
   Clinical Chair East Surrey Clinical Commissioning Group

   Dear Friends,

   Welcome to the penultimate edition of Patient Round Up!
   As you will know ESCCG is merging with three other Surrey CCGs to form one larger Surrey
   Heartlands Clinical Commissioning Group on the 1st April 2020.

We would like one last opportunity to celebrate the work of the CCG and to thank you all for the
important part you have played in improving local services for our community.
Rather than have separate and final meetings of patients, practices, partners and professionals we
are proposing one fond farewell, where the work and achievements of the CCG can be
celebrated/showcased – a bit of a “Our Community Said/ We did”.
This will be on;
Tuesday 3rd March 2020 12.30pm – 3.30pm at Nutfield Lodge, Nutfield Road, Redhill, Surrey
RH1 4ED with a buffet lunch.
Anyone who would like to attend can book their place through Eventbrite by clicking on the link below;
https://www.eventbrite.co.uk/e/a-fond-farewell-to-east-surrey-clinical-commissioning-group-tickets-
92345601179
I would like to see as many of you there as possible.

I hope that many of you are still feeling motivated enough to make/keep your resolution to make
healthy changes in your life and I have included a few items in this newsletter to keep you going.

Some of you may be worrying about the Wuhan coronavirus. This is a rapidly evolving situation which
Public Health England (PHE) are monitoring carefully, but, based on the available evidence, the
current risk to the UK population is low. The Government will publish the latest updates everyday
here: https://www.gov.uk/guidance/wuhan-novel-coronavirus-information-for-the-public
My best advice is to keep up to date with the facts, advice and guidance from PHE either through the
link above or later in the newsletter.

As always there are a number of different ways that you can have your say, please take time to have
a look at the “Get Involved” section at the end of this newsletter, and help us to design services that
truly meet our local need.

With all good wishes,

Dr Elango Vijaykumar
Clinical Chair
East Surrey Clinical Commissioning Group

A&E is for emergencies – get the right care for your needs

Use NHS 111 for any medical concerns – trained advisers will assess your symptoms & direct
you to the right place for treatment. It’s much quicker than a visit to Hospital A&E
Departments.
Working in partnership, Surrey and Sussex Healthcare NHS Trust (SASH) and NHS East
Surrey CCG are reminding people about the range alternative local NHS healthcare services
available.
If you become ill, there are many NHS services that can help you get better depending on your
condition.
   •   For less serious, urgent conditions including sprains or fractures Caterham Dene Minor
       Injuries Unit (MIU) can care for you. It’s open from 8am to 8pm every day including Bank
       Holidays, with an average waiting time of less than 30 minutes. There is a MIU X-ray facility at
       Caterham Dene Hospital, Monday to Friday 9am to 5pm and from 10am - 5pm Saturday,
       Sunday and Bank Holidays or Crawley Urgent Treatment Centre (UTC) West Green Drive
       Crawley RH11 7DH tel. 01293 600300 ext. 4141 is Open 24 Hours

•   If you do not have an urgent condition, consider making an appointment with your GP. If the
       GP practice is closed, call 111 – the free NHS phone service, which is available 24 hours a
       day, 365 days a year to get advice on the most appropriate care.
   •   For conditions such as coughs, colds or upset stomach and other common illnesses, local
       pharmacists are qualified to offer advice and dispense medicines.
   •   For advice to help prevent getting ill and self-manage minor illnesses visit NHS
       Choices https://www.nhs.uk/pages/home.aspx

Beat the Winter blues!

Feeling low or ‘blue’ is not uncommon in the winter, especially after the excess of Christmas and
the New Year. For many it is a return to work, the weather is grey and we remember the (extra)
amounts we spent / ate over the holiday period. However, Seasonal Affective Disorder (or – the
Winter Blues) also has a ‘real’ medical basis. Theories suggest that this is due to our body’s
response to daylight (or the lack thereof). Shorter daylight hours in winter lead to production of
higher levels of melatonin, which in turn can lead to feeling tired and sometimes depressed.

But help is at hand and there are some simple tips to help change your mood, such as

   •   Winter Sun – if you can, try to get out in the sun or plan a winter holiday to a sunny location.
       You could consider buying a light box which can help improve your mood
   •   Eat yourself happy – remember to add more fruits and vegetables to your diet
   •   Get active – activity helps to change the levels of mood-regulating hormone serotonin in the
       brain. It may also help to get out and meet new people which could have an additional positive
       effect
   •   Start small - Christmas and New Year can be overwhelming so focus on small goals that are
       easily achieved

If you think you are feeling low and not quite up for January, despite the methods above, help and
support are available:

https://eastsurreyccg.nhs.uk/your-health/emotional-wellbeing-learning-disability-support-and-mental-
health/

ACTIVE SURREY ACTIVITY FINDER
You can search by your preferred activity and/or area. You can access it here:
https://www.getactive.io/surrey . If you don't have internet access, do feel free to ask one of the team
to run a search for you.

Drink Coach service for Surrey residents aged 18+

Are you worried about your drinking? Do you need help? DrinkCoach is a Skype-based confidential
service available free to Surrey residents aged 18+ who need support to reduce their alcohol
consumption.

You can access up to six 40 minutes coaching sessions delivered via skype by an alcohol specialist.
Sessions can be booked at a time that suits you including evenings and weekends. You will get a
dedicated alcohol treatment specialist who will help you identify and achieve your drinking goals
whether that is to cut down or stop.

Appointments are bookable online, and you need to enter the promo code SURREYWELL to access
the free coaching sessions.

Eating a balanced diet
Eating a healthy, balanced diet is an important part of maintaining good health, and can help
you feel your best.
This means eating a wide variety of foods in the right proportions, and consuming the right amount of
food and drink to achieve and maintain a healthy body weight.

The Eatwell Guide shows that to have a healthy, balanced diet, people should try to:

   •   eat at least 5 portions of a variety of fruit and vegetables every day (see 5 A Day)
   •   base meals on higher fibre starchy foods like potatoes, bread, rice or pasta
   •   have some dairy or dairy alternatives (such as soya drinks)
   •   eat some beans, pulses, fish, eggs, meat and other protein
   •   choose unsaturated oils and spreads, and eat them in small amounts
   •   drink plenty of fluids (at least 6 to 8 glasses a day)

If you're having foods and drinks that are high in fat, salt and sugar, have these less often and in
small amounts.
Try to choose a variety of different foods from the 5 main food groups to get a wide range of nutrients.
Most people in the UK eat and drink too many calories, too much saturated fat, sugar and salt, and
not enough fruit, vegetables, oily fish or fibre.

https://www.nhs.uk/live-well/eat-well/

  Happy New Year! It's a flagship year for us here at YMCA East Surrey as we celebrate
  our 150th year and we want everyone to celebrate!

  Join team YMCA in 2020 and run, trek, cycle, sleep out or come up with your own challenge.
  Whatever event you choose, you can be confident that our experienced events team will be on
  hand every step of the way to make sure you get the most out of your personal challenge.

  The money you raise will transform the lives of local people through our charitable services
  including youth work, counselling, housing, disability play schemes, sport and physical activity.

  If you would like to take part in any of our challenges, please get in touch today.
  Email challenge@ymcaeastsurrey.org.uk or visit www.ymcaeastsurrey.org.uk

  2020 YMCA Challenge Events Calendar

       Sleep Easy | Friday 6 March 2020
       Sleep rough for one night so others don’t have to

Y2Y North Downs Trek | Sunday 29 March 2020
    26.2m Marathon or 13.1m Half Marathon walk or run over the North Downs finishing in
Redhill

    Fun Run | Sunday 3 May 2020
    Adult 5-mile and junior 1-mile fun runs in Priory Park, Reigate

    Bruges 3&1 | Thursday 4 – Sunday 7 June 2020
    Cycle 134 miles from Redhill to Bruges in 1 or 3 days - 3 Day SOLD OUT

    Welsh 7 Summits | Friday 12 – Sunday 14 June 2020
    Climb seven summits in the Snowdonia National Park in one day

    YMCA Pennine Bridleway MTB Challenge | Wednesday 5 – Sunday 9 August 2020
    A stunning 175-mile off-road cycling challenge which runs through the Pennine hills from
Derbyshire to Cumbria and Kirby Stephen

    B50 Beginners MTB Ride | Saturday 29 August 2020
    Off-road beginner’s cycle ride linking the North and South Downs - Booking soon

Or take on your own challenge...
Are our listed events not quite what you're looking for or you've already signed up for an event?
No problem, just let us know what challenge you want to take on to raise money for YMCA East
Surrey and we can help you join in our free training and give you fundraising advice.

  FIND OUT MORE AND BOOK

Choose to talk about mental health and help change lives.

About mental health

Around 1 in 4 people will experience a mental health problem this year yet the shame and
silence can be as bad as the mental health problem itself. Your attitude to mental health could
change someone’s life.
Mental health problems affect one in four of us, yet too many people are made to feel isolated,
ashamed and worthless because of this. Time to Talk Day encourages everyone to be more open
about mental health – to talk, to listen, to change lives.

We know that talking about mental health can feel awkward, but it doesn't have to. This year, we're
using the popular game 'Would you rather?' to help break the ice and get the conversation flowing.

https://www.time-to-change.org.uk/get-involved/time-talk-day

I would like to introduce you to the Disability Employment Adviser (DEA). Every Jobcentre has one
and they can sign post and advise you on careers advice, training, work trials, work experience,
volunteering and help getting back to work or staying in work from the Government scheme Access to
Work.

If you have a disability or long term physical or mental health condition, Access to Work can provide
practical and financial support to help you overcome barriers to starting or keeping a job.

Please visit www.gov.uk

 Planning Ahead – Care Home Residents’ Experiences of Advance Care
 Planning Healthwatch Surrey’s report
 The Surrey Health and Wellbeing Board has identified ‘helping people die well’ as a key focus for
 Surrey’s 10-year strategy. A Surrey-wide end-of-life care partnership is working to understand
 the current picture and identify opportunities to work collaboratively.
 This report gives care home residents a voice to share their experiences of advance care
 planning to help more people achieve good end-of-life care.
 https://www.healthwatchsurrey.co.uk/wp-content/uploads/2020/01/ACP-Care-Homes-Report-
 November-2019.pdf
 Please note: the publication of this report was delayed due to the pre-election restrictions in
 November/December 2019.

                               Novel coronavirus (2019-nCoV) - what you need to know

Public Health England have published advice and guidance in the form of a Q&A blog, find it on the
GOV.UK website Coronavirus: what you need to know.

EAST SURREY COMMUNITY CONNECTIONS NEWSLETTER

FRESH LOOK FOR 2020
Welcome to our fresh look newsletter for 2020! We’ve made some changes to make the newsletter
more user– and eco-friendly! We now have an index plus leaflets for the different services will be
attached in PDF format along with referral forms, posters and directions.
You can now find a summary of all the local East Surrey services on page 6.

                                              2020-01-31
                                           NEWSLETTER JANUARY.pdf

Each month we will feature one of our local services and update you about news and upcoming
events. If you have any suggestions that you would like to be included, please contact:
Lucy.Rowley@RichmondFellowship.org.uk

Some recent feedback asked that we explain a little about “…what's currently done locally
for care home patients…” so here we are;

A case study conducted in July 2017 (following a project commenced back in 2014 by East Surrey
CCG) determined a need for change in medical care for residents in care homes.
It identified patient needs
   •   Higher medical needs due to complex and changeable conditions
   •   61% of GPs found current arrangements for medical care of residents if care homes
       unsatisfactory
   •   40% of GPs felt medical support was below average or poor
   •   70% of GPs felt depression and dementia were not optimally managed.

Within care homes there was a lack of confidence in healthcare provision, Out of Hours sending to
hospital as the “go to” option.

Phase 1 of the project developed from the findings included
   ➢ Nurse advisors for Care Homes –
           The Nurse Advisors for Care Homes Service Model builds on a wide range of
           recommended programmes including the National Service Framework for Older people
           (2001); Avoiding and Diverting admissions to hospital (2004); End of Life Care Strategy
           (2008); Quality outcomes for people with dementia (2010); as well as local initiatives
           with the final outcome of reducing avoidable hospital attendance /admissions for
           residents in care homes.
              The model consists of 2 core elements which are case load management and enabling
              residents with life-limiting illness to die in their preferred place of care.
              1: Case load management:
              The caseload for this model is the care homes, rather than individual residents.
              Identifying the care homes as a caseload impacts and benefits all the residents within
              the homes, rather than a few on a patient-focussed caseload.
              Ambulance call data is reviewed every 3 months. A percentage is then worked out from
              the number of calls made to the ambulance service within that 3 month period in
              relation to how many residents there are within each care home. A local benchmark tool
              is used to place the care homes in to a Red, Amber, or Green (RAG) category
              depending on this percentage. Visits to the care homes are then planned by the Nurse
              Advisors for Care Homes within this traffic light approach. However, visits can be
              variable and flexible to take into account a care home suddenly increasing their
              ambulance calls for differing reasons.
              During the Nurse Advisor for Care Homes’ visits, the ambulance calls are reviewed;
              reflected upon with the staff; alternative pathways discussed; and advised on
              management plans to prevent avoidable hospital readmission. Patterns and gaps are
              identified, such as training, competencies, staffing levels and support from other health
              care professionals. Actions are agreed to address them.

In order to manage the caseload effectively, the Nurse Advisors for Care Homes work in
             partnership with other health, social and voluntary organisations, whilst promoting
             communication between the care homes and these organisations. Creating networking,
             information sharing and learning opportunities through regular Care Home Forums,
             Study Days and newsletters.

             2: Enable residents with life-limiting illness to die in their preferred place of care:
             Delivering training and promoting the use of Prognostic Indicator Guidance (PIG) and
             Advance Care Planning (ACP) within the care homes. PIG is a tool to enable staff to
             recognise residents that may be approaching the end of their lives (last 6-12 months).
             Supporting the care home staff to embed this into practice and be proactive in thinking
             and planning ahead to prevent unnecessary hospital attendance/admissions and/or
             facilitating early discharge from hospital.
   ➢ Redesign of Locally Commissioned Services (LCS) to facilitate work of GPs in Care Homes
   ➢ Pharmacy
   ➢ New ambulance pathway

Phase 2 included
   ➢   Introduction of Anticipatory Care Record (ACR) communication
   ➢   Increase pharmacy support to regularly review medications
   ➢   Enable access by the ambulance service to a wider Directory of Services
   ➢   Appoint a prescribing dietician to complement the provision of medicine management.

Phase 3
   ➢ Developing and commissioning a single enhanced GP provision covering all homes.

Evaluation Quality of Care
   ✓   Care Home staff felt one GP visiting provided good patient care
   ✓   592 patients reviewed leading to 861 medicines stopped
   ✓   Number of A+E attendances fell by 4% (2015/16 – 2016/17)
   ✓   Emergency admissions from Care Homes in the same time period fell by 7.3%
   ✓   With ACRs in place ambulance staff were able to see and treat rather than convey to an acute
       hospital.

Get involved – Your opportunity to have your say

Shaping future CAMHS services - seeking views from young people, carers &
families

Providing a Child and Adolescent Mental Health Service (CAMHS) which meets the needs of Surrey's
children, young people and families is at the heart of what we strive to do at Surrey and Borders.
We've already made a number of changes and improvements, but there's more that we need to do
and that's where we need your help.
We are asking for feedback from young people, carers and families to help us shape future services –
to tell us what's working well and what needs to be different. The survey should take no more than 5-
10 minutes to complete and is open for completion until 20 January 2020. Information shared is
anonymous, no personal and clinical information or details on specific incidents should be provided.
We would be grateful if you could help share this survey.
The survey is available here: http://bit.ly/CYPSsurvey

Tandridge Voluntary Action (TVA) 2020 ‘Local Heroes Awards’

Tandridge Voluntary Action (TVA) is delighted to announce the launch of the 2020 ‘Local Heroes
Awards’, to recognise and reward the invaluable help and support given voluntarily by so many in our
community.
To be eligible, nominees must either live or work within Tandridge and receive no remuneration (apart
from expenses) for their time.

Voluntary Organisations who work with volunteers can nominate their own volunteers or residents of
Tandridge can nominate volunteers in their community.
Nomination categories include:
   •   Up to 10 Years
   •   Lifetime
   •   Young Volunteer Award - for 16-25 year old volunteers who have made an outstanding
       contribution to volunteering and who have inspired others to engage in volunteer service for
       their community
   •   Team Award – for a team of volunteers who have excelled in their provision of help to a
       community, association or charity
   •   Tandridge District Council’s Chairman’s Award for an ‘Invisible Hero’ – someone who
       supports everyone else and keeps organisations going, by doing many of the ‘behind the
       scenes’ jobs and finally
   •   The Mike Moss Community Award – for individuals who make a difference in their
       community, nominated by the community.

Click here to complete a form to nominate your local hero or use the attached document and return
to volunteer2@tva.org.uk or post to the address shown below.

Tandridge Voluntary Action
The Community Hub
1st Floor Library Building
14 Gresham Road,
Oxted
Surrey,
RH8 0BQ

Nominations must be submitted by 28 February, judging will take place the week beginning 9th
March after which successful winners will be informed.
This year the winner of each category will receive a trophy recognising their achievement, which will
be presented to them at a Civic Dinner to be held on 3 April 2020 at Bletchingley Golf Club.

If you have any comments, questions or suggestions about this newsletter or if you would like
to receive regular health updates from NHS East Surrey Clinical Commissioning Group
directly - please contact Carol Rowley carol.rowley4@nhs.net 07827253111