HEALTHIER PEOPLE, BETTER FUTURE

livin’ it!Spring 2019

Question time for health leaders at Lowerplace Primary School

Local campaign launched to prevent abusive head trauma in babies

Cervical screening saves lives

Welcome… to the spring edition of livin’ it!The warmer weather will hopefully soon be upon us and we can put the winter weather behind us! We are excited to update you on what has been happening over the winter season and what is planned for the coming months.

In this edition you can find out about a new programme that has launched to tackle tooth decay in children in the borough and throughout Greater Manchester, how people are benefitting from a new share for you programme and how CCG staff enjoyed a question and answer session at Lowerplace Primary School.

You will also find details on Rochdale Infirmary being shortlisted in the Student Nursing Times 2019 awards, tips for improving your nutrition and hydration and our diary dates section to let you know what is up and coming over the next few months.

We always like to hear from you and encourage your feedback about any general healthcare issues. One way to do this is through our Governing Body and Primary Care Commissioning Committee meetings, these can be found on page 7.

You can also view and download copies of livin’ it! from the publications section of the newly launched NHS HMR CCG website www.hmr.nhs.uk and keep in touch with us on social media, like us on Facebook NHS HMR CCG and follow us on Twitter @NHSHMR.

The summer edition of livin’ it! will be out in June 2019, available at GP practices, libraries, community centres and other venues, so please pick up a copy.

Thanks for reading

Dr Chris Duffy Chair, NHS HMR CCG

Question time for health leaders at Lowerplace Primary SchoolPupils at Lowerplace Primary School, Rochdale had the chance to grill local health leaders in February when they held their own question time session.

HMR CCG’s Governing Body, which oversees the work of HMR CCG and sets its priorities, moved its informal meeting session to Lowerplace Primary School on Friday 15 Feb 2019. During the meeting Governing Body members were put in the hot seat as they took questions from pupils on local health issues that they are interested in.

Among the things that pupils wanted answers to were what is the most common illness that doctors see daily; how is the Governing Body going to help people to be fit & healthy; how is the Governing Body helping people to use the right health services; and if the NHS had unlimited funding, what services would the Governing Body introduce or improve?

Dr Chris Duffy, local GP and HMR CCG chair said: “The meeting was a great chance for us to get pupils’ perspective on health issues. Their questions were well thought out and it’s inspiring to know that our future generation is just as passionate about the health service as we are.”

The lively question and answer session was the culmination of a week of work that HMR CCG Engagement Lead, Phil Burton had done with Year Six pupils at the school exploring what the NHS is and health matters in the Rochdale borough.

Garry Johnson, Headteacher at Lowerplace Primary School said: “It was a privilege for us to welcome HMR CCG’s Governing Body, not least because health is such an important part of our school’s culture. The classroom lessons improved pupils’ understanding of health issues in their hometown and helped them to come up with some searching questions that would put journalists to shame!”

If your school would like to find out more about working with NHS HMR CCG, please contact HMR CCG Engagement Lead, Phil Burton via phil.burton@nhs.net or 01706 652151. Or log onto www.hmr.nhs.uk/get-in-touch/

Share for you achieving benefits More and more people in the Rochdale borough are benefiting from their doctors, nurses and care practitioners being able to see a fuller picture of their care history as more organisations go live in the share for you programme.

The beginning of March saw approved users in adult care services being switched on to the new digital care record solution enabled by Graphnet Care Centric. The system allows local care providers to see up-to-date records of local users of services. Being able to see a combination of the records provides the fullest picture of that person’s health and social care needs. This means that better and faster clinical and welfare decisions can be made about them.

This will result in quicker treatment, without users being asked the same questions over and over again. Sharing information makes care safer as clinicians and care professionals will have all of the information (e.g. details of allergies or current medication), at the point of care, which will reduce the chance of errors being made and improve the transfers of care between health and care providers.

Steven Blezard, Director of Operations for Adult Social Care in Rochdale and social care lead for the Share for You programme said: “This technology has the potential to achieve enormous benefits for health and social care within our borough as it allows appropriate practitioners to see all the relevant information associated with their service users. It takes the pressure off users as they don’t need to recall other details to relay to a new professional and it takes any guess work out of care for the practitioner. The organisations that will be involved in the sharing arrangement are Rochdale Adult Care Services, GPs within the area of NHS Heywood, Middleton and Rochdale Clinical Commissioning Group, the Northern Care Alliance (Pennine Acute Hospitals NHS Trust), Pennine Care NHS Foundation Trust, BARDOC Out of hours GP services and Springhill Hospice. In time there will be further stages to the programme that will link up children’s records that will be accessible by practitioners involved in the care of local children and care homes within the borough”.

Share for You recognises that not all people in Heywood, Middleton and Rochdale may want their details to be shared in this way. If people have any concerns they can talk to their GP practice and if necessary they can be opted out of the process via their surgery.

More details including instructions on how to opt out of the process can be found at www.HMRShareforyou.nhs.uk

Rochdale children to enjoy a better start in life as new £1.5 million programme tackles tooth decayHundreds of under-5s across Rochdale are set to be saved from the pain and misery of tooth decay after the borough has been selected to take part in a new £1.5 million programme to transform the dental health of children across Greater Manchester.

The Greater Manchester Health and Social Care Partnership’s oral health programme has been created to address persistently high levels of tooth decay among under 5s across the city-region.

Nearly half of all five-year-olds in Rochdale (47%) start school with tooth decay – well above the averages for both Greater Manchester and England as a whole (25%).

There are currently over 200 hospital admissions a year for tooth extractions among Rochdale’s under-tens – making it the most common reason for them to be admitted to hospital. As well as causing pain, sleepless nights and days of missed school and work for children and their families, each extraction costs the NHS around £1,000. This adds up to a total bill of £20 million every year for treating preventable tooth decay in children across Greater Manchester.

The new Greater Manchester programme aims to reach 90% of under-5s in Rochdale, Bolton, Oldham and Salford. Its measures tackle the widespread impacts of high sugar diets and make regular toothbrushing the norm including introducing supervised toothbrushing every day in schools and nurseries for children aged two to five; training dedicated ‘dental champions’ to lead the way in improving dental care in Early Years settings; encouraging families to make dentist visits in the first year of each child’s life; and improving access to quality dental services for those aged under five.

Andrea Fallon, director of public health at Rochdale Borough Council, said: “Making sure our children’s teeth and gums are healthy is more important than people might think; dental decay can seriously affect how children feel about themselves, and how they speak, eat and socialise. Unhealthy teeth in childhood - including baby teeth - can lead to a lifetime of misery, so prevention is absolutely essential.”

If you would like support in introducing healthy initiatives to your school or early years setting, or if you’d like Rochelle to visit you, contact Rochdale Borough Council at healthy.heroes@rochdale.gov.uk

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New Abusive Head TraumaPrevention Campaign launched in RochdaleRochdale Borough Safeguarding Children Board has launched a new campaign aimed at helping local parents and carers with young babies to cope with infant crying.

Most babies start to cry more frequently at two weeks of age, with crying becoming more frequent and longer lasting during the next few weeks and reaching a peak at six to eight weeks. The campaign aims to highlight key messages from the ICON programme to let parents and carers know that this behaviour is completely normal and that they are not alone in dealing with this situation. It is completely natural for babies to cry and it is important to remember that this will stop. After approximately eight weeks babies start to cry less and less each week.

The ICON programme provides the following important messages:

• I Infant crying is normal and it will stop

• C Comfort methods can sometimes soothe the baby and the crying will stop. Is the baby hungry, tired or in need of a nappy change?

• O It is OK to walk away, if you have checked the baby is safe and the crying is getting to you. After a few minutes when you are feeling calm, go back and check on the baby.

• N Never, ever shake or hurt a baby, it can cause lasting brain damage or death.

Dr Ghafoor, HMR CCG Safeguarding Lead, said: “A baby’s cry can be extremely upsetting for parents and carers and the ICON campaign offers coping with crying advice and lets parents and families know about techniques to comfort their baby and that it’s okay if they need to take a break from a baby’s crying as long as the baby is safe and the parent/carer returns after a few minutes.”

There is support available for parents and families, for details visit: https://www.rbscb.org/parents-carers/infant-crying-and-how-to-cope/

Rochdale Infirmary unit shortlisted in Student Nursing Times 2019 AwardsThe Wolstenholme Intermediate Care Unit at Rochdale Infirmary has been shortlisted for a national award in the Student Nursing Times 2019 Awards.

The unit has been shortlisted in the ‘Student Placement of the Year: Community’ category and is up against six other health-care providers, including other Trusts, a university, a hospice and a private healthcare provider.

Wolstenholme Intermediate Care Unit is a 24 single bedded purpose built facility which allows patients from the Rochdale borough to receive enhanced nursing and care therapy care with medical cover tailored to their specific needs.

Patients can be referred to the unit via the Urgent Care Centre Team and Transfer of Care Team either from hospital or from their own homes. An integrated therapy care plan supports the patient to achieve their goals and priorities enabling them to gain or retain their independence. Social care staff work on the unit to enable a supported discharge home.

Sister Jennie Curran, Interim Unit Manager, Wolstenholme Intermediate Care Centre at Rochdale Infirmary said: “The Wolstenholme unit is a great place to work, we have an amazing team spirit, with a caring can do attitude, and it is fantastic that we have been recognised as a great place to study and learn about nursing.”

The Student Nursing Times Awards 2019 celebrate and support the achievements of the student nursing community. The awards final takes place on Friday 26 April 2019 at the Grosvenor House, Park Lane, London.

Wolstenholme Intermediate Care Unit is part of an ‘Intermediate Care Tier Service’, which aims to reduce unnecessary admissions to hospital and ensure that people can leave hospital more quickly by making care more easily available in the community and people’s homes.

Nutrition & Hydration Week is food for thought for borough residentsEat and drink enough to remain healthy and independent is the message for everybody during Nutrition & Hydration Week 2019 in March and especially if you’re over 65.

Being well nourished and hydrated are vital to a person’s health, especially the elderly, sick and vulnerable, yet one in ten older people eat and drink less than they should to maintain a healthy weight.

“Poor nutrition and hydration put elderly people at increased risk of infection, delayed wound healing, low mood, headaches, constipation, tiredness, urinary tract infection and admission to hospital. On the other hand, getting enough food and drink gives people more energy, better mobility, fewer illnesses, quicker recovery and greater independence for longer. That’s why we’re spreading the word about the importance of good nutrition and hydration, and their benefits for health and wellbeing,” said Martin Hazlehurst, Greater Manchester Nutrition and Hydration (GMNH) Programme Manager (Rochdale).

The GMNH Programme team marked Nutrition & Hydration Week 2019 by sharing information with local elderly people, carers and relatives at tea parties in Heywood, Middleton and Rochdale hosted by Rochdale Borough Housing and HMR Circle. They also offered advice in a show on community radio station, Crescent 97FM.

Undernourishment: know the signs

• Loose clothes, or loose jewellery, belts or dentures• Poor appetite• Low energy• Thin arms and legs

Tips for boosting nourishment

• Have snacks between meals • Choose full fat food and drinks• Use ready meals and snacks that are easy to prepare

Dehydration: know the signs

• Check the colour of urine. Healthy urine should be clear in colour and doesn’t have a strong smell• Use the pinch test. Pinch the skin on the back of your hand, if it springs back quickly this shows you are well hydrated.

Stay hydrated

• Aim to have 6-8 drinks per day, (200ml each). Have drinks earlier in the day if you worry about getting up at night.

Mental health recovery college improves lives and can save local NHS over £1m a year A local mental health recovery college is making a positive difference to the lives of people with mental health issues as well as estimating it can save up to £1.3m of NHS money every year.

This is based on a globally-published evaluation into the success of the Health and Wellbeing College, run by Pennine Care NHS Foundation Trust.

The college provides students with the skills and knowledge to take control of their mental health recovery, along with opportunities to connect with others.

This resulted in the students having fewer appointments or phone calls with a mental health professional, which saved money and freed up clinicians’ time to support people with more complex mental health issues.

The Health and Wellbeing College offers a range of educational mental health recovery courses, including ‘Out of the Blues’ (coping with low mood), ‘Cool It’ (managing anger) and many more.

While the college is based in Ashton-under-Lyne, it’s open to people aged over 18 years who live in the boroughs of Bury, Rochdale, Oldham, Tameside and Glossop and Stockport (the areas where Pennine Care provides mental health services).

Since opening in 2017, the college has supported 1214 students. There are currently six volunteers. And 16 former students have been offered paid employment as a part-time peer trainer.

This involves using their lived experience of mental health issues to support students and to develop and deliver courses. Through this, the peer trainers are able to continue their recovery and take the next step towards developing a meaningful and active life.

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Bowel Cancer Awareness Month, 1-30 April 2019www.bowelcanceruk.org.uk`

Diabetes Prevention Week 2019, 1-7 April 2019www.diabetes.org.uk

World Health Day, 7 April 2019www.who.int

World Parkinsons Day, 11 April 2019www.parkinsons.org.uk

Diary dates

“You were right, my cervical screening was nothing to worry about”Your friendly nurse is there to put you at ease.

Two women die every day from cervical cancer. Cervical screening can stop cancer before it starts.

Don’t ignore your invite letter. If you missed your last cervical screening, book an appointment with your GP practice now.

© Crown copyright 2019 CSSL19-22

XXXXX_PHE_BCOC_CervicalScreening_Reassure_Poster_Phone_AW_6_a.indd 1 21/02/2019 11:14

Cervical screening saves livesA new campaign has launched to raise awareness of the risks of cervical cancer and highlight the benefits of screening, reminding women that cervical screening can stop cancer before it starts.

The Public Health England campaign encourages all women to respond to their cervical screening invitation letters, and if they missed previous invites, to book an appointment at their GP practice.

Two women die every day from cervical cancer in England. Women can protect themselves against the risk of cervical cancer by attending their screening when invited; it is estimated that cervical screening saves around 5,000 lives each year. However, cervical screening is at a 20- year low, with one in four women in the UK not attending their test.

Everyone with a cervix, which is most women and many trans people, between the ages of 25 and 64 are invited to attend cervical screening every three or five years depending on their age. The screen-ing test, which only lasts a few minutes, is not a test for cancer. In fact, attending regular screening can help stop cervical cancer before it starts by preventing potentially harmful cells from developing.

The ‘Cervical Screening Saves Lives’ campaign empowers women with the knowledge and tools to get screened.

Advice on making the screening test more comfortableincludes:

• Talk to your nurse – they are trained and experienced in how to make your test comfortable• Wear a loose skirt or dress, you may feel more covered during your appointment• Take a friend or family member with you if it will help you feel more comfortable

For more information, visit www.nhs.uk/cervicalscreening

Council and health leader drops in to meet patients and staff at Rochdale InfirmarySteve Rumbelow, Chief Executive at Rochdale Borough Council met with staff and patients during a visit to Rochdale Infirmary’s Oasis dementia unit in February.

The Oasis Unit is a 10 bed facility which allows the assessment and diagnosis of patients from the Rochdale, Heywood and Middleton borough, with dementia and confusion arriving with acute medical conditions, either through the Urgent Care Centre, the Clinical Assessment Unit (CAU) or through direct GP referral. The unit is believed to be the first of its kind in a hospital setting in England.

Mr Rumbelow, who is also Accountable Chief Officer of HMR CCG, was greeted and shown around the unit by Lisa Ward who is the Ward Sister on the unit.

He went on to sit in on a meeting where the needs of patients are discussed, before meeting with some of the patients, doctors, nurses and other staff on the Unit.

Lisa Ward, Ward Sister on the Oasis Unit said: “It was a pleasure to show Mr Rumbelow around and introduce him to the staff and patients. He was very interested to hear about the Unit’s history and the different types of care we offer to the patients.”

Steve Rumbelow said: “I was delighted to visit a fantastic and ground-breaking facility, which is really leading the way in providing state-of-the art dementia care. It was great to meet such a dedicated and committed team of staff, delivering this superb service. We can be proud of the pioneering partnership work that is taking place, across the borough, to deliver such outstanding dementia care and support.”

Rochdale residents given the opportunity to share their views on the nature of alcohol harmHealthwatch Rochdale has facilitated a ‘Greater Manchester Big Alcohol Conversation’ with a group of isolated and underrepresented Rochdale residents, allowing their views and opinions to be used in identifying actions that will help tackle alcohol related harm.

Attendees at College Bank and Falinge drop in were asked to share their views on the scale and nature of alcohol harm in Greater Manchester, which will be used to produce Greater Manchester’s ‘Ambition for Alcohol’ - a vision for local people’s relationship with alcohol, produced by the people who live and work in Greater Manchester.

Issues identified in the conversation included:

• A lack of education over the harms of alcohol and knowing when alcohol consumption is becoming a problem

• Knowing where to go for help

• Overcoming the stigma of alcohol related problems so people won’t be too embarrassed to access help

• Lack of policing for alcohol related issues

• Problems with young people drinking on the street.

Residents also stated they felt that alcohol abuse was the problem and not alcohol itself, but there was little support available for those who needed help with their alcohol consumption.

The Big Alcohol Conversation was launched in November by Andy Burnham and The Greater Manchester Health and Social Care Partner-ship and is the largest ever engagement exercise undertaken in the region on alcohol harm.

Views gathered during the Big Alcohol Conversation will contribute to Greater Manchester’s ‘Ambition for Alcohol’, a high-level plan of action for tackling alcohol-related harm across the city region due to be published during 2019.

10 May 2019HMR CCG Primary Care Commissioning Committee meeting, 11.30am – 1.30pm www.hmr.nhs.uk

17 May 2019HMR CCG Governing Body meeting10.30am – 12.30pm, www.hmr.nhs.uk

Action on Stroke Month, 1-31 May 2019www.stroke.org

Mental Health Awareness Week, 13-19 May 2019www.mentalhealth.org.uk

Dementia Action Week, 21-27 May 2019www.alzheimers.org.uk

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ShareforYoumakes it easier and quicker to get the information needed to look after you.

Why do you need to share my information?

ShareforYou will provide health and social care professionals directly involved in your care access to the most up-to-date information about you. This allows the professionals caring for you to more fully understand your needs.

Information is already shared by phone and paper records, ShareforYou simply allows this to happen more quickly electronically. It does this by sharing appropriate information from your records between health and social care services that are providing care for you.

Who can see my records?

Only care professionals directly involved in your care will see your personal care information through the ShareforYou system.

How do I know my records are secure?

By law, everyone working in, or for, the NHS and adults’ and children’s social care must respect your privacy and keep your information safe and confidential. Your information is stored on secure computer systems connected to a secure health and social care network.

Can I access my records?

Yes. Under the current laws you can request access to all information that organisations hold about you. Please contact the organisation providing your care directly to request this information.

Can I opt out of my records being shared?

Yes. You do have the right not to have your information made available via share for you. This can be actioned via your GP surgery but

this will mean that your health and social care professional will not have access to all the information they need for your care.

What information will be shared?

Your shared record will contain a summary of your most up-to-date, relevant health and social care information which includes things such as:

• your recent diagnosis and test results;

• what allergies you have;

• what medications and treatment you currently receive;

• any current or past (and significant) illnesses; and

• encounters and referrals

ShareforYou will ensure that professionals involved in your care in Heywood, Middleton and Rochdale have access to the information they need to provide you with the best care possible. We understand how frustrating and difficult it is having to repeat details of your symptoms and medical history each time you see a different doctor, nurse or social care professional, or when you visit a hospital or A&E department. ShareforYou will help avoid this.

What does it mean to you?

Information sharing

Better joined up care

Better care for YOU

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Who’s involved in ShareforYou?• Local GPs

• Your local hospitals and community healthcare providers

• Your local social services

• Local mental health care providers

• Local ambulance services

• Local joint NHS and Social Care commissioners

• Other associated health and social care providers

If you have any questions or want to know more about ShareforYou, please email hmrcommunications@nhs.net or visit www.HMRShareforYou.nhs.uk.

FAQs

What is ShareforYou?

Visit us: Number One RiversideThird FloorSmith StreetRochdaleOL16 1XU

Write to us:Freepost RTGA-LJBY-SYABNHS Heywood, Middleton and Rochdale CCGPO Box 100RochdaleOL16 9NP

Visit our website: www.hmr.nhs.ukEmail us: hmrcommunications@nhs.netCall us: 01706 652853Tweet us: @nhshmr

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