Northern England Strategic Clinical Network and Public Health England North East Centre

Transcription

1 Northern England Strategic Clinical Network and England North East Centre Joint work programme Version Control Version Purpose / Change Author 0.1 First draft Jo Preston 11/07/ Second draft incorporating PHE Jo Preston 17/10/14 logos and perspective 0.3 PHE comments Claire Sullivan 22/10/ Input from other PHE colleagues Claire Sullivan 24/11/ Version sent to SCN Claire Sullivan 22/12/ Agreed document Jo Preston 19/01/ Addition of further projects to be Jo Preston/ Catherine 12/02/15 agreed Parker 1.2 Agreed updated document Jo Preston 16/02/ Agreed updated work programme Jo Preston 26/02/15 1

2 Background Currently, Northern England has some of the highest rates of premature death in England for big killers like cancer and heart disease. There are also significant inequalities between different communities within Northern England. People living in deprived communities are more likely to experience high levels of smoking, drinking alcohol excessively and poor diet resulting in 20,000 premature deaths per year across the region. In certain population groups these rates are even higher. For example, in inpatient mental health facilities smoking rates can be in the region of 75%. Collaboration between the experts Traditionally prevention has been seen as the remit of. But there is increasing recognition that to improve the health of the population prevention has to become everybody s business. Clinicians from many different specialties in Northern England have recognised this challenge and have identified prevention as a priority across several conditions in order to improve the health of our population. However, in times when resources are limited it is important that we do not duplicate effort and that we work across organisations to make best use of expertise. PHE role is to support the public to protect and improve their own health and to offer expert advice to Local Government, the NHS and other organisations to improve the public s health and develop the public health workforce. As a result Northern England Strategic Clinical Network and England North East (PHE NE) have identified priority areas of prevention which will benefit from a joint approach between clinicians and public health experts. We will do this by: providing clinical input and public health expertise to influence, and act as advocates for, the prevention agenda; working together to establish task and finish groups to support projects where prevention and/ or lifestyle is identified as a particular priority and there is not an existing group to support the work, involving colleagues from other organisations where specialist expertise outside of the remit of NESCN or PHE NE is required, for example, Health Education North East (HENE), Teams in Local Government. 2

3 In addition to the focus on primary prevention, public health skills can also be deployed in supporting the various groups that contribute to the work of NESCN. This input has been coordinated through the NE Healthcare Network so that there is public health membership of steering and several topic-specific groups. This input comes from staff employed both in PHE and in the local authorities. In addition, specialist registrars on attachment with PHE are picking up projects to support the network groups with PHE staff providing oversight to this work. There has been active engagement of NESCN staff with topic specific meetings of the NEHCPH network and this will continue. Current group membership is attached as an appendix. 3

4 Joint work plan Project 1 Healthy Lifestyles and Harm Reduction in Mental Health Nicotine Management for staff and patients 2 Acute and Chronic Headache Pathways Carol Mayes Angus Bell Jo Preston Suzanne Thompson - Chair Claire Braid Paul Goldsmith Claire Sullivan vice chair of group and Educational Supervisor Jo Darke PH Registrar Martyn Wilmore Fresh Judith Stonebridge PH Registrar Sue Gordon Educational Reduce smoking prevalence amongst people with mental health problems to the same level as the general population Clear pathways for referral implemented across NESCN and protocols for long term management developed including management of Group established and strategy developed. registrar identified to assess MH Trusts against NICE guidance. Smoke Free Mental Health Trusts event held with NTW and TEWV. Both Trusts have set a target of No Smoking Day, March 2016 to go smoke free. To arrange further events with North East together. To develop a communications strategy by end of registrar identified to undertake a Health Needs Assessment focussed on primary care referrals and management. March (HNA to be completed 2015) 4

5 3 Learning Disability Mortality Review 4 Campaigns 5 Chronic Kidney Disease Judith Thompson Supervisor Gerald Tomkins PH Registrar Sue Gordon- Project supervisor chronic headache in primary care. Reduce premature & amenable mortality of people with learning disabilities. Jo Preston Karen Lloyd Develop a mechanism for regional collaboration on priority public health campaigns. Rachel Tomlin Gerald Tomkins PH Registrar Sue Gordon Project Supervisor Carry out a Health Needs assessment with a primary care perspective and will look at those at risk of CKD, those with CKD, how they are managed and those that end up on dialysis A project steering group is established. registrar is supporting the group to establish a learning disability mortality review framework as part of this programme. Group established and initial priorities for North East campaigns identified by DsPH: sexual health physical activity to be followed by: Public mental health Best Start in Life Work will also continue to support national campaigns such as Be Clear on Cancer and Stoptober. registrar has written draft report to be discussed 6 Resilience for children Paul Goldsmith David Gardiner Supporting resilience and Current activity being reviewed March 2016 Ongoing ongoing 5

6 and young people (CYP) Carol Mayes 7 Atrial Fibrillation Nigel Rowell Alison Featherstone Mike Lavender Consultant in PH Medicine Durham County Council 8 Baby Clear Jenny Hicken Martyn Wilmore (Fresh) emotional well-being in schools. CYP PH lead on this within local government. PHE provide facilitation and co-ordination through the CYP s Group. SCN role is to offer clinical advocacy support where required. Identify and manage AF in primary care to reduce the incidence of stroke. Implement a systematic approach to carbon-monoxide monitoring at first booking appointment and train staff to offer advice and signposting to by local leads and complemented by sharing of good practice and emerging evidence base workshop coordinated by PHE. Event delivered in November 2014 looking at resilience and CYP substance misuse. DsPH have agreed to develop a NE resilience narrative and NE children s leads are looking to develop a model resilience programme. A joint project between the NESCN and Academic Health Science Network has been agreed. Kate MacKay has been appointed to the project manager post. The first programme meeting took place on the 12 th May. The next step involves setting up the programme board. Tobacco Control Collaborative Centre has been commissioned to deliver. 457 staff have been trained to do booking intervention and 380 Carbon 2016 June

7 9 Alcohol Elizabeth Morris 10 Peri-natal mental health Jenny Hicken Carol Mayes 11 Still birth Dr Stephen Sturgiss Anne Holt Deborah Wade Julie Daneshyar David Gardiner Nicola Miller Deborah Wade support women to stop smoking. Monoxide monitors have been distributed. 44 staff have had risk perception training. Newcastle and Teesside Universities are evaluating the project. Smoking in Pregnancy workshop held in Nov Support people to access help to reduce alcohol consumption. PHE are leading this work. SCN role is to provide clinical advocacy and support. Review of community peri-natal mental health services To reduce stillbirths across the network. The secondary care event between the SCN, Balance and England took place on the 16 th January. Mapping is being carried out to identify what support is currently available in each area and what referral pathways exist. Project currently being scoped by NESCN. PHE identifying local good practice through LA CYP PH s. PHE to offer on-going specialist PH advice to the review and development of a service specification. Align with nationally identified priorities. Support GROW training in all Trusts 2015 Project lead to be appointed June

8 Jenny Hicken Support Babyclear intervention Consider timing of IOL 12 Diabetic eye screening for pregnant women 13 Cardiac devices Alison Featherstone 14 Insulin pumps Elaine Stephenson Jenny Hicken Keith Allen Registrar Project Supervisor Madeline Johnson Mark Lambert Mark Lambert Identify current practice across the North East. PHE are leading an audit. SCN to provide clinical input. A major network review of cardiac devices (implantable defibrillators and cardiac resynchronisation therapy) Best value project on commissioning insulin pumps, to reduce costs and waste Project plan in place New model developed 2015 Out to joint procurement April Primary Percutaneous Cardiac Intervention Dr Dougie Muir Alison Featherstone Mark Lambert Primary Percutaneous Cardiac Intervention - commissioned work from the network Review available shortly April Cardiac diagnostics Kath Jones Mark Lambert Looking at future population needs are met for cardiac diagnostics and pathways are clarified Scope defined January Suicide Prevention Jo Preston and Catherine Reduce suicide rate specifically January 8

9 Suzanne Thompson clinical leads to be confirmed Parker amongst individuals in contact (current or recent) with mental health services. Identify a local service area to pilot the Detriot model Access to crisis services 19 ACE (Accelerate, coordinate, evaluate) Programme Dr Mary-Jane Tacchi Jo Preston Julie Owens Keith Allan Develop a suicide prevention programme aimed at middle agenda men through harnessing the sporting culture of the North East To identify appropriate data and data systems to describe access to and support from services for those in mental health crisis. Support the 9 projects in the North East and North Cumbria to improve awareness and early diagnosis of cancer. 9 projects across North East and North Cumbria have been included in the ACE programme. Several of these aim to improve cancer screening rates and this is a shared objective between NESCN and PHE NE. The projects are at various stages and updates are provided through NESCN Cancer in the Community Group. July Obesity and Mental Jo Preston Catherine Explore the potential for Work identified with Health Sept

10 Health Parker development of a regional strategy to manage obesity management in people with a mental illness linking to medicine adherence. 21 Dual Diagnosis Alcohol and Mental Health Jo Preston 22 Liver Elizabeth Morris Julie Daneshyar Julie Daneshyar Explore potential areas of collaboration. Explore developing a joint work programme between PHE NE and Liver Network to cover alcohol, obesity and Hepatitis C. 23 Assistive technology Claire Sullivan Explore opportunities to work with Newcastle University Digital Civics team to support the use of assistive technology across the Clinical Networks. 24 Dementia David Newman Julie Daneshyar Improve diagnosis of dementia and access to support for people with cognitive impairment. Education North East A dementia stakeholder event has been held which has identified the development of a needs based pathway as a priority. This will enable people with cognitive impairment to access help when it is needed, not just based on diagnosis. NESCN and PHE to explore joint work to raise GP 10

11 awareness of importance of dementia diagnosis and access to support. 25 Eating Disorders Jo Preston Heidi Douglas Conduct a Health Needs Analysis for adults requiring specialised eating disorder services in the North East and North Cumbria. A steering group has been established by Specialised Commissioning and the scope has been defined. 11

12 Oversight Group - Sue Gordon Cancer Network Cardiovascular Network Child Health & Maternity Network Mental Health, Dementia & Neurological Conditions Network Cross Cutting Groups Steering Group - Sue Gordon Steering Group - Sue Gordon Steering Group - Sue Gordon Steering Group - Sue Gordon Clinical Advisory Group Cancer NETWORK SITE SPECIFIC GROUPS (NSSGs) Brain & CNS NSSG Breast NSSG Colorectal NSSG Haematology NSSG Head & Neck NSSG HPB NSSG Gynae Oncology NSSG Lung NSSG OG NSSG Sarcoma Advisory Group Skin NSSG Thyroid NSSG Urology NSSG NETWORK GROUPS Cancer Unit Managers Children & Young People Co-ordinating Group Oncology Pharmaceutical Industry Partnership Cancer Information Working Group NETWORK CROSS CUTTING GROUPS (NCCGs) Acute Oncology Nurses Group Cancer in the Community Nick Springham, Pam Lee, Victoria Ononeze Chemotherapy Group Radiotherapy Group Senior Nurse & Education Group Histopathology Group Macmillan Survivorship & Follow Up Steering Group AHPs Network Acute Oncology Group Chemotherapy Nurses Group Cancer of the Unknown Primary Group Clinical Advisory Groups Stroke Mike Lavender Vascular Cardiac - Mark Lambert Diabetic Mike Lavender Renal Cardiac Heart Failure Group Cardiac Rhythm Engagement Group - Mark Lambert Cardiac Rehab Bev Oliver LIPIDS Diabetes Diabetic Footcare Adult Diabetes - Bev Oliver Stroke Stroke Rehab CVD Primary Care Mike Lavender Other Networks North East & Cumbria Learning Disability Network Neonatal Network Critical Care Network CFS/ME Network Paediatric Diabetes Network Liver Network - Pam Lee, Julie Daneshyar Trauma Network Clinical Advisory Groups Child Health Gill O Neal, David Gardiner Maternity Mike Lavender Paediatric Surgery Paediatric Anaesthetics Fetal Medicine Paediatric Palliative Care Birth to Early Years Group Regional Maternity Survey Office Northern Survey of Twin and Multiple Pregnancy (NORSTAMP) Acute Care for Children Long Term Conditions in Children Children and Young Persons Transition Perinatal Mental Health - David Gardiner Work Programmes Crisis Care Functional Disorders (Neurology) Physical Health of Mental Health Patients Children & Young People Acute Seizure Acute and Chronic Headaches Dementia CQUIN - Julie Daneshyar Dementia DES - Julie Daneshyar Deprivation of Liberty Safeguarding Suicide prevention Radiology Mental Health of Physical Health Patients Psychology Genetics Supportive Palliative Care and End of Life Deciding Rights Implementation Group Shared Decision Making Supported Self Management Rehabilitation Patient Public Voice/Experience John Liddell 12