NHS North West London CCG merger: how you can respond to the “Case for Change” merger proposal

Having your say on the “Case for Change” proposal in North West London.

NHS North West London CCG is asking local residents for feedback on its proposal to bring eight local Clinical Commissioning Groups (CCGs) together to create one single CCG for North West London.

This is an opportunity for anyone who uses health services in Brent, Central London, Ealing, Hammersmith & Fulham, Harrow, Hillingdon, Hounslow and West London to have your say on the changes to how local health and social care services are delivered in your area.

Your comments will be welcomed by the CCG until Saturday 24th August. You can email these comments to your CCG: nwlccgs@commissioningreform@nhs.net.

Healthwatch Central West London is working with its Local Committee members across the three boroughs to put its response together. The response will be published here on our website when the feedback period has ended.

Some of you might be aware of the changes taking place at the CCG level, but if not, please read below for an overview of the current proposal and its aims. You can also download and read the full proposal and a summary document.

 

What is the “Case for Change” proposal?

NHS North West London Clinical Commissioning Group (NHS NWLCCG) is proposing to move from its current structure, in which eight local Clinical Commissioning Groups (CCGs) work in partnership with one another, to one new, single CCG. This move is in line with the NHS Long Term Plan, which has proposed a reduction in the number of CCGs nationwide.

The single CCG would have decision making powers, but the delivery of different services would be the responsibility of eight different integrated care partnerships (or ICPs). These have similar responsibilities to the current form of CCG, but with some differences – you can learn more about these with this helpful summary presentation (click the link to view the video).

 

Why is this change being proposed?

NHS Long Term Plan aims to reduce the number of CCGs and strengthen connections between all local health and social care services, helping local people and providers to work together to find a more personalised approach to managing their care. Support for health and wellbeing is not limited to clinical health services (i.e. your GP or your local hospital), and all health and social support services should be able to work together to meet the health and care needs of local people.

By bringing the borough-level services together to create one regional structure, NHS NWLCCG suggests that a single CCG would be better placed to:

  • Commission local health services and contracts on a larger scale
  • Reduce inequalities in health service provisions between neighbouring boroughs
  • Become more cost efficient (with particular savings in administration or “back office” costs), enabling the CCG to save money that can be invested in other services
  • Share best practices and creating consistent standards across the eight boroughs

 

The Healthwatch position

Healthwatch has collected responses from local committee members throughout different stages of the merger proposal process, and you can read our previous position on the proposal here.

People have shared concerns with us about the transition from a borough-level structure to a regional one. Our recommendation is that, while there is potential for a CCG merger to improve efficiency, it is important that CCGs listen to what local people think about the health and care services they receive. Making sure people can have their say about significant changes to health and social care is critical to the success of Integrated Care Systems (ICS) and Sustainability and Transformation Partnerships (STP).

 

For more information on the Case for Change, you can find more details in the pages and publications linked to in this post:

Oriel – your views on the development of the new Moorfields Eye Hospital

Oriel is the  proposal to design, build and operate a new, purpose-built centre of excellence for eye care, research and education for Moorfields Eye Hospital and the UCL Institute of Ophthalm.

It is a joint venture between Moorfields Eye Hospital, UCL and Moorfields Eye Charity. It is proposed for services at Moorfields Eye Hospital on City Road and UCL Institute of Ophthalmology (IoO) on Bath Street to relocate to a new, integrated facility at a preferred site of St Pancras Hospital.

Their vision is to create an environment for innovation to flourish, inspiring improvements in people’s sight. The new facility aims to be flexible and modern, and could enable eye care, research and education to be brought together for the first time.

Oriel needs your views

At the moment, Oriel is seeking your thoughts on how a proposed relocation of services from City Road to a new, integrated facility at St Pancras would affect you. This survey asks about your inital thoughts, the improvements you would hope to see and any concerns you may have about Oriel.

This survey is open to everyone, including staff, patients, and other stakeholders and can be completed here: https://www.surveymonkey.co.uk/r/Oriel-yourthoughts

How Are Palliative Care Services Working in North West London?

Resident and organisations in Hammersmith & Fulham, Kensington and Chelsea & Westminster are being asked for their views on how well adult palliative care services are working across the three boroughs as part of an independent review launched in December.  The review aims to make improvements for patients, to make sure services are joined up and deliver effective and quality care.

Penny Hansford, former Director of Nursing at St Christopher’s Hospice who has been appointed as the Independent Chair of the review, has said:

“I want to hear from local people, particularly people who have an experience of the current service, both patients and staff.  I am passionate about palliative care services deliver the right care, in the right place, at the right time.”

Recommendations form the review will be reported back to the Clinical Commissioning Groups involved. Complete the patient or staff survey today. Find out more http://bit.ly/2RZnqFC

The Adovcacy Project Mental Health Magazine

Do live or work in London and have lived experience of mental health, either personally or as a carer?

Speakeasy was a magazine which ran from 2010 to 2018, in mental health hospitals in Kensington & Chelsea and Westminster. Written by service users and for service users, it provided a creative means for people in hospital to get their voices heard – by contributing poetry, artwork, stories and points of view. It was last published in 2018 as funding ended.

The Advocacy Project would like to seek new funding for a similar mental health magazine project, for people in hospital and in the community across London.

Your feedback will help the Advocacy Project to find out whether there is interest in having such a magazine.

Please have a look at examples of the Speakeasy magazine here. 

You can complete the short survey at https://www.surveymonkey.co.uk/r/5PHJDC9

Palliative Care Review Launches

Residents and organisations in Hammersmith & Fulham, Kensington & Chelsea and Westminster are being asked for their views on how well palliative care services are working across the three boroughs.

NHS commissioners are launching an independent review of local palliative care services, which care for people with advanced progressive illnesses. These services include home support, day centre facilities and care provided at inpatient hospice units.

Penny Hansford, former Director of Nursing at St Christopher’s Hospice who has been appointed as the Independent Chair of the review, has said:

“Today I am launching a call for evidence so that I can hear from local people. I would particularly like to hear from people who have an experience of the current services about how well they are working. I will also be writing to local organisations calling for evidence about the barriers they face and any gaps in services.

I am passionate about palliative care being delivered in a way that empowers both patients and families, ensuring services deliver the right care, in the right place, at the right time.

Once we have heard from local people, I will consider what can be done to improve these services to make them as effective and efficient as possible. I will then report these recommendations to the three Clinical Commissioning Groups involved, where a decision will be made. It is not the plan to reduce access to our palliative care services.”

Complete the questionnaire

To submit your views on palliative care services in the area please complete the questionnaire and send back to nwlccgs.triborough.palliativecare@nhs.net.

Feedback can be submitted up until date 13 February 2019.

Key documents

If you need any assistance in completing this questionnaire or require an alternative format please do not hesitate to get in touch, email nwlccgs.triborough.palliativecare@nhs.net. or telephone 0203 350 4366.

The Glad Study

The Genetic Links to Anxiety and Depression (GLAD) Study, led by the National Institute of Health Research (NIHR) Mental Health BioResource and researchers at King’s College London, is a project set up to support studies exploring risk factors for depression and/or anxiety.

Depression and anxiety are the most common mental health disorders worldwide.  In the UK, 1 in 3 people will experience symptoms during their lifetime.  The GLAD Study aims to better understand depression and anxiety in order to find effective treatments and improve the lives of people experiencing these disorders.

We invite you to take part!

There are 4 simple steps to signing up to the GLAD Study:

  1. Register for the website and read the information sheet
  2. Provide consent
  3. Complete a – 30 minute questionnaire to see if you are eligible
  4. Send a saliva DNA sample through the post

Once you have signed up to the GLAD Study, you will be able to see information on the website about a number of optional questionnaires or other research studies that are being carried out.  You will be able to choose to take part in these studies should you wish to.

For more information and to take part in the study, go to their website.

The Hype Project: Improving The Health of Young People

About The Project

We invite you to participate in an online research project investigating biological, psychological and socio-economic risk factor for long-term physical and mental healthy disorders together with associated health service use.  This information will guide our clinically informed decisions in helping improve access to health and social services and deliver complementary guided online bio-psycho-social interventions and resources to promote health and well-being in the community.

We are asking residents of England aged 16 years and older to help us by taking part in this project.

What does taking part in The HYPE project involve?

If you agree to take part, you will be asked to complete a consent form.  You will then be asked to:

  • Fill in a sort questionnaire about your physical and mental health and some events that you may or may not have experienced in your life.  This will take about 40 minutes.
  • Your will be re-contacted about our follow-up and evaluation study, and provided with information about health and social care resources as well as local events and activities.  We also may ask you to answer some questions about your experience of using online research and resource platform together with recent health service use.  This will take between 30 and 60 minutes.