Engagement to Date Presentation. Morecambe Bay CCG

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1 Engagement to Date Presentation Morecambe Bay CCG

2 Aims and Objectives This presentation will highlight the engagement activities carried out on behalf of Morecambe Bay CCG.

3 Initial conversations A variety of initial conversations have taken place with our local communities to find out what makes the residents of Morecambe Bay happy and well.

4 Carnforth We attended a variety of events/ meetings with residents of Carnforth to host a conversation about how Carnforth could become the healthiest town in England. Conversations took place with: - Pupils from Carnforth High School - Rotary club members - Primary school head teachers - Carnforth free Methodist church attendees - Two patient participation groups - Local residents including elected members

5 Morecambe We attended a variety of events/ meetings with residents of Morecambe to ask two key questions: 1. How can we live healthy lives in Morecambe? 2. What kind of Morecambe do you want your kids to grow up in? Initial conversations took place with: Members of The Well ; a charity who offer support to help people recover from drug and alcohol addiction Pupils and teachers from Westgate Primary and Morecambe Bay Community Primary School Members of the Voluntary Sector at West End Impact

6 Lancaster We hosted several conversations with the population of Lancaster including: A conversation which was jointly hosted with Cat Smith asking If Lancaster was the healthiest town in the UK what would it look like? local people attended this event and gave their views. A Voluntary sector event which was attended by over 100 people

7 Barrow A number of conversations took place with the population of Barrow including: Discussions with members of The Well ; a charity who offer support to help people recover from drug and alcohol addiction A Walney Island Wellbeing conversation where local people were asked What would help you get out of the house? The NHS worked in collaboration with Furness Education and Skills Partnership to ask children to come up with schemes to help Barrow become a happier and healthier place to live.

8 Kendal A number of conversations took place with the population of Kendal including: We asked attendees from Age UK and the headways group in Kendal What keeps you happy and healthy? We supported a public engagement event where members of the public where asked to feedback on two questions: 1. What do you feel are the main health and care issues that Kendal Integrated Care Community (ICC) should focus on? 2. How do you feel we could work on these together?

9 Grange and Lakes Initial conversations in Grange and Lakes included: Two Grange & Lakes ICC community conversation have taken place at the Marchesi Centre in Windermere. Table Conversations asked attendees: 1. What is working really well in our community to make people happy and healthy? 2. How can we work together to improve the Health & Wellbeing of our community?

10 Next steps Following on from the initial community conversations a number of initiatives have been co-produced by local people, NHS staff and the voluntary sector. These outcomes will be highlighted throughout this report. The report will also document further engagement with residents of Morecambe Bay including conversations to find out what keeps people happy and well.

11 Spring 2017 Following on from discussions with local people, a community led Serenity cafe was launched in both Lancaster and Morecambe for people struggling with mental health issues A community choir was set up in Carnforth to help with social isolation and mental health issues identified during public conversations Following conversations with residents of Carnforth, local volunteers and health professionals co-created a local Bipolar support group and a Circulation café in Carnforth

12 Spring 2017 continued Members of the Morecambe Bay CCG team supported a series of open space listening events with people affected by cancer. At the events attendees were asked: 1. When frequent hospital visits stop, what sort of support and follow up care helped, or if I was available, would have helped you and others affected by cancer, begin to feel more like yourself again? 2. Looking to the future, how do you begin to get the most out of life again? What support might be helpful? A number of key themes came out of the listening events which were presented to the Morecambe Bay Cancer Patient Partnership Group. These included: Information Clinical and professional support Shared decision making Health and wellbeing Peer support Control and return to normal Following on from these events a series of task and finish groups were set up. For example a group called Information for people affected by cancer (ipac) was created and members went on to identify their own objectives and priorities.

13 Spring 2017 continued Members of the Morecambe Bay CCG team worked in partnership with people affected by cancer to design and contribute to health and wellbeing events across Morecambe Bay. This co-creation of events involved regular meetings where attendees could input their ideas and shape future events. We continued to work with primary schools in Morecambe and Carnforth to support the implementation of Run a Mile. This initiative is to encourage pupils and teachers to run a mile each day during the school day

14 Spring 2017 continued We organised the first Art of Hosting training in Morecambe. This training brings together people from communities, public sector, the voluntary sector, and local groups to look at different ways to engage with the population to help address some of the challenges we all face. The training event was attended by over 60 people and focused on sharing some practical skills and tools that can bring people together in ways that help explore the potential for building a social movement that will facilitate improvements to health and wellbeing in Morecambe Bay.

15 Spring 2017 continued Members of the Morecambe Bay CCG team organised a Membership council celebration event to showcase work achievements and projects to date for each work stream

16 Summer 2017 We organised an Art of Hosting one day taster session in Lancaster. The day brought together people from the local community, public sector, the voluntary sector, and local groups to show them the practical skills and tools they can learn by taking part in the full training course which aims to bring people together to facilitate improvements to health and wellbeing A Morecambe Fringe Festival was organised by local residents who connected with each other at the Art of Hosting engagement event in Morecambe. The festival gave local people an opportunity to make connections whilst celebrating local history and arts.

17 Summer 2017 continued Members of the team attended a Gypsy and Traveller Engagement Masterclass to obtain the skills to engage and work more effectively with Gypsies and Travellers, ensuring that their services are inclusive and accessible. Members of the Morecambe Bay CCG team supported the pilot of a primary care training event in Morecambe. The event was aimed at practice nurses and involved a service user sharing their personal story of the consequences of their experience of cancer. The aim of the event was to improve the delivery of the cancer care review which is part of the cancer recovery package.

18 Summer 2017 continued Members of the Morecambe Bay CCG team linked with existing Macmillan funded services across Morecambe Bay for example the Macmillan welfare benefits advisors. This enabled clients to influence service improvements in new and innovative ways. Members of the Morecambe Bay CCG team facilitated the attendance of a service user at a regional Macmillan conference titled: Delivering for cancer: the NHS Five year forward view, discovering the impact of service user involvement in cancer care innovation and the recovery package. At the event the service user shared his learning to help demonstrate the importance of engaging with people affected by cancer when designing associated services.

19 Summer 2017 continued We supported the organisation of a Health Festival at Carnforth High School to enable local people have conversations about their health and wellbeing with the NHS members of the third sector and supporting organisations. Visitors were also able to have a free health and wellbeing check up and take part in activities including yoga and martial arts and learn how to use a defibrillator.

20 Summer 2017 continued We supported the organisation of a Lancaster Health Festival where members of the public were invited to join in conversations about their health and wellbeing, and to support people to think about, and make positive changes to their life. Health festival attendees were asked what they think makes a happy and well community.

21 Summer 2017 continued Along with other Bay Health and Care Partners, we attended the Westmorland County Show in Kendal to showcase recent successes in improving healthcare in Morecambe Bay and engage visitors in looking after their health and wellbeing. At the event we took the opportunity to ask people What makes a happy and well community?

22 Summer 2017 continued Following on from the Art of Hosting course in Morecambe, we supported community volunteer to set up and promote mental health cafes known as Socialease in both Morecambe and Lancaster. Socialease cafes provide a safe, non-threatening meeting place where people can either just sit with a brew, chat with people who experience the same feelings, use the board games or relaxation activities or look through some website suggestions/ books/organisations and activities which have helped others.

23 Summer 2017 continued We continue to attend the Animation Cafés in Barrow in Furness where we engage with local people, health professionals, GP practice staff, and representatives from charities and third sector organisations. The regular events give attendees the opportunity to make connections with like minded people, link community and health services together and to discuss what makes a positive difference to community health.

24 Summer 2017 continued We organised an Art of Hosting taster session in Morecambe for interested individuals who had not attended the initial course. The day brought together people from the local community, public sector, the voluntary sector, and local groups to show them the practical skills and tools they can learn by taking part it the full training course which aims to bring people together to facilitate improvements to health and wellbeing Members of the team from Morecambe Bay CCG visited Visit The well in Barrow in Furness. The Well is a not-for-profit community interest company founded in 2012 by ex-offender and former drug addict, David Higham. With hubs in Barrow, Morecambe and Lancaster as well as sites in Kendal and Fleetwood, the group help people recover from drug and alcohol addiction. The visit gave us the opportunity to have lunch with the group and builds on existing relationships

25 Summer 2017 continued The Morecambe Bay Sun Shiners made their debut at the 2017 Dragon Boat race event. Dragon Bay is an annual charity dragon boat race taking place on Lake Windermere, in the shadow of the Langdale Pikes at Low Wood Water sports Centre. The event is a joint venture between CBA Events and English Lakes Hotels in support of Paddlers for Life. We supported an event in Barrow in Furness which welcomed members of the public to come together and have a free health and wellbeing check up. The event which was organised by the local Community Physiotherapy Team from Cumbria Partnership NHS Foundation Trust, aimed to encourage people over the age of 60 to find out about how they can improve their own health and wellbeing, enabling them to stay well in the community.

26 Autumn 2017 In celebration of Self Care Awareness Week members of the Morecambe Bay CCG team helped to host a self care event at Barrow Market which brought together local people, health professionals, GP practice staff, and representatives from charities and third sector organisations. The event gave attendees an opportunity to speak to processionals and find out how they can stay well this winter. At the event we spoke to local people to ask what makes a happy and well community?

27 Autumn 2017 continued We supported the roll out of cancer focused primary care training events for GP practice staff. These events involved service users sharing their personal stories of the consequences of their experience of cancer. The personal stories were used to improve the delivery of the cancer recovery package across Morecambe Bay. Morecambe Bay CCG collaborated with the living with and beyond cancer team at Lancashire Care NHS Foundation Trust to organise a health and wellbeing event in Garstang. Service users from both areas came together to plan and run the event for people who had been recently diagnosed with cancer. The purpose of the event was to make people aware of existing support in the community for example emotional and financial support for those living with cancer.

28 Autumn 2017 continued We gathered patient, public and staff views on proposed changes to cosmetic policies by running focus groups and using a survey which was shared on social media, within a press release, on the Morecambe Bay CCG website and associated newsletters. Morecambe Bay CCG launched a brand new Facebook page to share updates, news and events from across the Bay area with the public, patients and staff. The page hosts news and updates about health services across Morecambe Bay and how we are working closely with our local population.

29 Autumn 2017 continued Members of the Morecambe Bay CCG team supported the Furness Happy & Healthy Lifestyle Project. This project saw the NHS working in collaboration with Furness Education and Skills Partnership to try and improve the the health of local people in Barrow through new and innovative ideas from nine and ten year old from six Barrow primary schools. As part of this scheme, children from Barrow worked together to come up with schemes to help Barrow become a happier and healthier place to live. A short film on the project can be seen here: TPBn73sY&feature=youtu.be

30 Autumn 2017 continued We organised the second cohort of the three day Art of Hosting training in Morecambe. This training brings together people from communities, public sector, the voluntary sector, and local groups to look at different ways to engage with the population to help address some of the challenges we all face. The training event was attended by over 60 people and focused on sharing some practical skills and tools that can bring people together in ways that help explore the potential for building a social movement that will facilitate improvements to health and wellbeing in Morecambe Bay. The team attended the NHS Expo 2017 along with Better Care Together and presented a new film, which highlighted recent successes. The Expo is an annual conference hosted by NHS England, giving health professionals from across the country an opportunity to share learning and successes.

31 Autumn 2017 continued The team continue to support and regularly attend the Poverty Truth Commission meetings in Morecambe Bay. The Poverty Truth Commission aims to ensure that people who have experienced poverty first-hand are at the heart of how the region thinks and acts in tackling poverty and inequality. We created a website for the Art of Hosting Community of Practice in Morecambe Bay. The website provides a record and updates from the training which have taken place in different areas of the Bay. m/art-of-hosting.html

32 Autumn 2017 continued Members of the Morecambe Bay CCG team organised and hosted a Macmillan coffee morning to raise awareness and vital funds for Macmillan. This involved an office bake off and encouraged open and honest conversations amongst staff.

33 Winter 2017 Members of the Morecambe Bay CCG team engaged with public, patients and staff to find out their views on proposed changes to the prescribing of gluten free food and medicines and treatments used for short term or minor conditions that are readily available in pharmacies, supermarkets and other retail stores. We gathered people s views using an online survey. Read the full press release: The results and recommendations following this engagement is highlighted in the Morecambe Bay CCG Governing body report.

34 Winter 2017 continued We hosted an Art of hosting follow up event for people who attended the training in Morecambe. This day gave participants the opportunity to reconnect as a Community of Practice and share their experiences of using the engagement tools, build networks and gain additional support. We also created a Community of Practice Facebook group for all participants who have attended the Art of Hosting training across Morecambe Bay. The page is used as a space to keep the conversations going, bounce around ideas, ask for help and share information about conversations which have taken place

35 Winter 2017 continued We supported the launch event for the Bay Wide Stroke Prevention programme which aims to bring partners together to help to reduce Stroke mortality by 50% in two years. Over 60 experts participated in table discussions to begin the implementation of the Stroke Prevention Programme across the Bay. A key focus of the programme will be communicating how we can all reduce risk factors that can lead to a stroke. As part of Bay Health and Care partners Morecambe Bay CCG worked with partner organisations to run a 16 week campaign that aimed to help patients and public to help themselves and the NHS. Every week over the winter period there was a different theme to help people be ready for winter. Themes included encouraging people to get the flu vaccination, having a medicine cabinet at home with helpful basics, and ordering repeat prescriptions in plenty of time so they don t run short over the festive season.

36 Winter 2017 continued We organised the first three days of Art of Hosting training in Barrow in Furness. This brought together people from communities, public sector, the voluntary sector, and local groups to look at different ways to engage with the population to help address some of the challenges we all face. The training focused on sharing some practical skills and tools that can bring people together in ways that help explore the potential for building a social movement that will facilitate improvements to health and wellbeing in and around Barrow.

37 Winter 2017 continued Staff from Morecambe Bay CCG wore their brightest, boldest socks to work to raise awareness for Eating Disorders Awareness Week which ran from 26 February to 4 March. As part of Bay Health and Care Partners we supported Healthwatch Lancashire and Cumbria to tour North Lancashire and South Cumbria in the innovative Healthwatch Chatty Van. Visiting communities, the aim was to make people aware of issues facing the NHS in Morecambe Bay, as well as discussing new initiatives and ideas for improvements. Read the full article:

38 Winter 2017/2018 continued The team organised a three day health coaching course for 15 members of staff from the respiratory teams working in South Cumbria. Health coaching is helping people gain the knowledge, skills, tools and confidence to become active participants in their care so that they can reach their self-identified health goals. The teams have also been given access to the Patient Activation Measurement tool and associated training. This tool, used in conjunction with health coaching skills will help the teams to support patients to develop their knowledge, skills and confidence in managing their own health and health care.

39 Winter 2017/2018 continued Members of the Morecambe Bay CCG team supported the appointment of Dr Helen Crank, Principal Research Fellow at Sheffield Hallam University, as a keynote speaker at the fifth annual cancer conference hosted by University Hospitals of Morecambe Bay NHS Foundation Trust. The event aimed to raise staff awareness of living with and beyond cancer. Dr Crank spoke about the importance of physical activity in maintaining remission.

40 Winter 2017/2018 continued Members of the Morecambe Bay CCG team linked people affected by cancer into the new Macmillan information and support services based in University Hospitals of Morecambe Bay NHS Foundation Trust sites. We have recruited volunteers to support the service by attending various meetings including the living with and beyond cancer hub and also health and wellbeing events. Members of the Morecambe Bay CCG team facilitated conversations in the style of you said we did between service users from the Information for people affected by cancer (ipac) group and NHS staff involved in cancer care. These open and honest conversations encourage a mutual awareness of professional and personal roles within the cancer treatment pathway.

41 Winter 2017/2018 continued We hosted an Art of hosting follow up event for people who attended the training in Barrow in Furness. This day gave participants an opportunity to reconnect as a Community of Practice and share their experiences of using the engagement tools, build networks and gain additional support.

42 Winter 2017/2018 continued Members of the Morecambe Bay CCG team supported the involvement of service users in the recruitment of healthcare staff into positions within Cancer services. This style of recruitment helps possible recruits to understand the impact of the role and the importance of service user engagement. The CCG also provides mentorship to service users to enable them to fulfil the role and have a meaningful experience.

43 Winter 2017/2018 continued Members of the Morecambe Bay CCG team supported the Information for people affected by cancer group to transform into the Living with and beyond cancer hub. This development aimed to raise awareness of Cancer on a whole across Morecambe Bay, enabling people with lived experience of cancer to look at and influence existing cancer pathways. Morecambe Bay CCG continue to support this group. In response to the national cancer patient experience survey, members of the Morecambe Bay CCG team facilitated two focus groups with those affected by cancer. The focus groups enabled service users to make recommendations for service improvements.

44 Spring 2018 Along with other CCGs in Lancashire and South Cumbria, Morecambe Bay CCG have been asking people to give their feedback and ask questions about the proposed changes to the policy on assisted conception. We have gathered the views of residents using an online survey and also arranged a series of open forum events. Read more: In support of World Autism Awareness Week, colleagues from Morecambe Bay CCG came together for an autism awareness workshop. Deborah Brownson, an Autism Consultant led the session with the support of an autism champion from Barrow in Furness, to raise awareness and understanding of autism.

45 Spring 2018 continued Members of the Morecambe Bay CCG team organised for a service user to attend a breast cancer specific health and wellbeing event in Burnley. This enabled the service user to observe best practice and feed into the planning of a similar cancer health and wellbeing event in Morecambe Bay.

46 Spring 2018 continued Members of the Morecambe Bay CCG team organised and hosted a diabetes redesign workshop. The day brought staff, public and over 30 patients together to discuss how to improve everyone s approach to diabetes in Morecambe Bay. Representatives of Morecambe Bay CCG gathered at the site in Barrow where building is set to begin on the new Primary Care Centre- developed through Community Health Partnerships. The day was a fantastic opportunity to celebrate the next steps of the Primary Care Centre which is set to be complete in 2019.

47 Spring 2018 continued Members of the Morecambe Bay CCG team supported the Kendal Integrated Care Community to organise, promote and run their happier healthier Sunday fun day in Kendal. On the day members of the public came together to have conversations about their health and wellbeing. Other activities on offer included health MOTs, a variety of different sporting opportunities and arts and crafts. The event gave attendees an opportunity to speak to local people, to ask what makes a happy and well community?

48 Spring 2018 continued Members from all twelve Integrated Care Communities in Morecambe Bay came together on Wednesday 14 March to reflect on the previous year and learn and understand a bit more about some of the projects their colleagues have been working on over the last year. The event enabled attendees to learn from each other for the benefit of the residents and patients of Morecambe Bay

49 Next steps Morecambe Bay CCG will continue to engage with patients, public and stakeholders across Morecambe Bay Information and involvement opportunities can be viewed on the Morecambe Bay CCG website and in our stakeholder briefings. To be added to the stakeholder briefing mailing list please contact:

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