Annual Report Summary Great Yarmouth and Waveney
This is a short summary of the NHS Great Yarmouth and Waveney CCG Annual Report for 2019/20.
2019/20 was the CCG’s final year before merging with the other four NHS CCGs in Norfolk and Waveney, following extensive engagement with our member practices, key partners, and members of the public. We created one joint management and staff team, including locality teams to maintain existing CCG business and the locality working partnerships, plus teams covering ‘system’ issues such as mental health and acute services transformation. The CCG made good progress in evolving a different, even more, collaborative way of working. The Local Delivery Group involved local authorities, providers and other local partners helped to co-ordinate the delivery of services and further strengthened some of our key relationships in the Great Yarmouth and Waveney area.
We have worked hard to ensure these strengths are carried forward into the newly created NHS Norfolk and Waveney CCG, with strong clinical leadership and a locality focus. Having one, larger, CCG offers an opportunity to tackle some of the really significant ‘system-wide’ issues such as strengthening our community mental health services, meeting the demand for NHS care and supporting our three hospitals to work closer together.
You can read some of the achievements of Great Yarmouth and Waveney CCG’s final 12 months below. It is important to recognise they are built upon six prior years of serving our local population.
Dr Liam Stevens (Chair) Melanie Craig (Chief Officer)
- £393.7m budget to commission health services
- £5.1m running costs
- 241,000 people registered with a South Norfolk GP practice
19 Member Practices
NHS and care organisations in Norfolk and Waveney work in partnership to transform how we provide services, so that they meet growing demand. Our five year plan remains formally in draft but is available here. We have set ourselves three main goals:
- To make sure that people can live as healthy a life as possible
- To make sure that you only have to tell your story once
- To make Norfolk and Waveney the best place to work in health and care
The Covid-19 pandemic will have far reaching consequences for both our health and care system and our wider society. In early 2020 the CCGs rapidly established an incident control room, a primary care incident response team and aligned senior staff to Strategic and Tactical Control groups with local authorities and police colleagues.
The CCG’s entire focus was switched to supporting the health and care response. Early achievements included:
- Re-deploying as many staff as possible to Trusts
- Supporting GP practices and Primary Care Networks to ensure patients could access services safely – such as introducing new websites for online consultations and dedicated zones in surgeries or dedicated buildings where people with Coronavirus symptoms could be seen by a clinician
- Sourcing Personal Protective Equipment (PPE) for GP practices, as NHS Trusts had different established supply routes
- Early work to establish Covid Protect, our innovative project supporting ‘high risk’ patients, in which they are asked to send in daily updates on their health with phone calls to those who were identified as needing extra assistance.
In this final year, Great Yarmouth and Waveney CCG reported many other achievements and milestones. This is a snapshot of some of them.
Our member practices were supported to establish 4 Primary Care Networks, each led by a clinical director, comprising teams made-up of different health and care professionals to provide people with more coordinated care.
We helped practices introduce a new type of website which enables online consultations.
Care homes in Great Yarmouth and Waveney have established working relationships with general practice, with all homes aligned to a practice with weekly visits from primary care.
The CCG’s Prescription Ordering Direct Service continued to help patients re-order the medicines they need, and the CCG was successful in reducing the prescription and use of medical opiates. Both these improve patient care and reduce unnecessary prescribing.
Norfolk and Waveney successfully bid for £70 million of funding to develop diagnostic and assessment centres at our hospitals.
A new service to assist patients self-presenting at the Emergency Department at the James Paget University Hospital was piloted at peak periods of demand. If their condition did not require an Emergency Department specialist, they were ‘streamed’ into a primary care treatment room.
For our cancer services we were awarded £1,673,210 in 2019/20 to employ additional staff, additional education and training for clinicians and nurses. We also introduced a new test to help detect and diagnose bowel cancer earlier.
We commissioned training to help people with diabetes to manage their condition and also for clinicians to increase their skills in this area.
We are now implementing our adult mental health strategy. For example we are re-aligning community mental health services to Primary Care Networks and GP practices, and we have increased the number of Crisis Resolution Home Team staff.
We planned the launch in mid-April of a 24/7 crisis first response helpline.
The CCGs were successful in winning funding to ensure that all of Norfolk’s Acute Hospitals, including the James Paget University Hospital, are able to provide Mental Health Liaison services to ‘Core 24’ standards, including access to mental health assessment within 1 hour in A&E.
Reducing the number of people placed in mental health beds outside Norfolk and Waveney was again a system-wide focus. From a high of 1742 out of area bed days in April 209, this reduced to 336 in December but rose again to 883 in March 2020.
Shortly prior to April 2019, East Coast Community Healthcare (ECCH) mobilised a new model of community services, including aligning of community teams with GP practices, a specialist palliative care service delivered in partnership with St Elizabeth Hospice, and a number of specialist services moved to the community from the James Paget University Hospital.
Norfolk and Waveney was selected as one of seven new “Ageing Well” accelerator sites in England to help develop innovative ways of helping older people remain safe and well at home.
The CCG hosted Norfolk and Waveney’s Children, Young People and Maternity team whose work included:
- Working with partners to meet the requirements of the Special Educational Needs and Disabilities reforms.
- Increased resources for paediatric and incontinence services
Among developments this year the CCG’s digital team helped GP practices introduce new websites that enable online consultations, secured funding to improve our system-wide IT including replacing the outgoing NHS network, N3, with the new Health and Social Care network, and connecting care records electronically so emergency clinicians can see important patient notes.
The CCG engaged with its local population through a range of activities, including:
- Holding an Engagement Event at East Coast College;
- Running a regular ‘Drop-in Feedback Clinic’ hosted by the CCG’s Governing Body Lay Member for Patient and Public Involvement;
- Supporting the Great Yarmouth and Waveney PPG Forum, a bi-monthly meeting of Patient Participation Group representatives from across the area;
- Helping to establish a Mental Health Co-Production Advisory and Assurance Group to implement our Mental Health Strategy, advising us on issues ranging from the management of mental health issues in Primary Care to improving services and support for people experiencing crisis.
The CCGs led engagement towards developing the Norfolk and Waveney Health and Care Partnership five-year plan and also undertook a substantial engagement exercise about the merger of our CCGs.