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NHS Local - November 2002
Local NHS intelligence.


By Duncan Alexander
of Health Direction

Welcome to the November issue of NHS Local. Having been an observer of the numerous national NHS initiatives that have been launched over the last seven years it is clear that the majority take

much longer than originally envisioned. The diabetes NSF, the information for health project are two recent examples. Now a report on the SocietyGuardian.co.uk web pages suggest the launch of more than half of the 11 care trusts due to be set up next year has been delayed and some may not go ahead at all. Problems ranging from ‘horrendous’ bureaucracy to creating postcode lotteries of care mean that at least seven of the new organisations, created to integrate health and social care, will not be going live in April 2003 as expected by the Department of Health.

England

North East Lincolnshire PCT
A Cleethorpes based team of nurses celebrated success recently as they were commended with a Special Achievement Award at North East Lincolnshire PCT’s Annual General Meeting. The winners, Cleethorpes North Primary Health Care Nursing Team, were chosen by the judges for their innovative working across many clinical areas through a true team-based approach resulting in excellent care being offered to patients.

Chorley and South Ribble PCT
The PCT Multidisciplinary continence team have picked up two prestigious national awards during October. They first won the runners up prize at the Nursing Times Awards Presentation evening and then the PCT Team were joint winners with the Bolton Continence Team at Continence Foundation National Conference.

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Scarborough, Whitby and Ryedale PCT
Twenty-four practice nurses and three GPs have now each received a Diploma in CHD Management for Primary Care. Special training sessions organised by the Scarborough Whitby and Ryedale PCT, along with hours of extra study, ensured that 90% of doctors’ surgeries in the PCT area can now provide a member of staff with specialist knowledge of coronary heart disease to support those patients suffering from the disease.

Bracknell PCT
A series of initiatives are under way across Bracknell Forest to improve access to local surgeries, reduce waiting times for specialist assessment and improve care for people with heart disease. All are part of a national scheme known as the Primary Care Collaborative, which now involves 10 practices in Bracknell Forest.

The Third Annual Conference of the Northern and Yorkshire Public Health Observatory will be held between 9.30am & 4.30pm on the 4th of December 2002 at a venue in Durham, UK.

The aim of the conference is to provide an opportunity to share the work that the Public Health Observatory has undertaken or commissioned during its second year of existence and to look at how this work can best be put into action. It will also be a chance to shape the Public Health Observatory’s agenda into the future.

North and South Peterborough PCTs - Integrated Teams
These two PCTs have decided to pool resources for their Commissioning and Public Health Departments, irrespective of the outcome of the listening exercise on their proposed merger.

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Kennet and North Wiltshire PCT
Avon and Wiltshire Mental Partnership NHS trust, Kennet and North Wiltshire PCT and West Wiltshire PCT are launching a three month consultation on their plans for changes to a range of local mental health services. The consultation ends on January 17 2003.

Wolverhampton City PCT
Wolverhampton City Primary Care Trust is to pilot the first scheme in the Midlands to enable patients with long-term health problems to become ‘experts’ in their own condition. A government initiative, the Expert Patients Programme aims to give people the confidence, skills and knowledge to manage their condition better and be more in control of their lives.

Havering PCT
The has earned the ‘Positive About Disabled People Award’ for their commitment to existing and future employees with a disability. The ‘two ticks’ award will be presented to the Chairman, Len Smith at the November meeting of the Trust Board.

Westminster PCT
The National Lottery distributor, the New Opportunities Fund has awarded a grant of £11.3m over 18 months to Westminster PCT to provide 4-6 year olds in LEA maintained schools in London a piece of fruit daily. The PCT will be responsible for running the scheme across London and by December over 300,000 children over 1,700 schools will receive and apple, pear, banana or Satsuma each day.

Lambeth PCT
The leader of a team that provides specially tailored health care to one of the biggest refugee groups in the country has collected the runners up prize at this year’s Nursing Times Awards. Jane Cook is Team Leader of The Refugee Clinical Team which is hosted by Lambeth PCT and provides a service to 32,000 asylum seekers and refugees across Lambeth, Southwark and Lewisham.

North Peterborough PCT
A small group of Practice Managers has claimed that the local Walk-In Centre is increasing, not lightening, their GPs' workload. Nurses at the centre can only prescribe a limited number of drugs, which means that patients then have to contact their GPs to make appointments for the prescription. The PCT has said that 9 out of 10 patients attending the Centre are not referred on to a GP (the Centre treats 100 patients a day), but the Practice Managers said that they'd prefer to see the £500,000 per year Government grant spent on GP recruitment and more nurses at surgeries.

Scotland

Launch of Strategy to tackle CHD and Strokes
First Minister Jack McConnell and Health Minister Malcolm Chisholm launched Scotland’s first Coronary Heart Disease/Stroke Strategy, which aims to improve the prevention and treatment of CHD and stroke for patients throughout the country, on the 3 October.

An additional £40m from Scotland’s budget (£10m in 2003-04, £15m in 2004-05, £15m 2005-6) has been set aside to implement the Strategy and drive forward a target of reducing deaths from CHD and Stroke among the under 75s by 50% between 1995 and 2010.

It will also support work to reduce maximum patient waiting times for angiography from 12 to eight weeks by 2004, and for surgery or angioplasty from 24 to 18 weeks by 2004. Key features of the new Strategy will include:

  • creation of local Managed Clinical Networks for CHD and Stroke in each NHS Board area by 2004;
  • creation of national databases for CHD and stroke. This will provide detailed information about the care patients are receiving from their GPs so that the Clinical Standards Board for Scotland can assess this care and help drive forward quality improvements;
  • a commitment to create additional specialist stroke units to treat 5000 more patients a year, prevent 200 fewer deaths and provide support to 300 more patients returning home after stroke. Professor Martin Dennis, based at the Western General in Edinburgh, will oversee the development of the Stroke elements of the strategy through a new National Advisory Committee for Stroke.

Wales

NHS Structural Change Programme - Progress Report - 29 October 2002

LHB Chief Executives

Following the appointment of 13 LHB Chief Executives from the first restricted round of appointments, the second phase of the process is well underway. 21 candidates have been shortlisted and invited to interview. Interviews are currently taking place and candidates are being notified of the outcome following completion of interviews for each region. Offers have been made for the Anglesey/Ynys Mon LHB, the Newport LHB and the Ceridigion posts and discussions are taking place with each successful applicant regarding the arrangements for taking up post. Further interviews will be held during the week commencing 29th October.

Regional Directors

The acting regional directors have now been appointed and are:

Stuart Fletcher - acting regional director for Mid and West Wales regional office (Chief Executive of Pembrokeshire NHS Trust)

Margaret Foster - acting regional director for South East Wales regional office (Chief Executive of Pontypridd and Rhondda NHS Trust)

Geoff Lang - acting regional director for North Wales regional office (Director of Finance at North Wales Health Authority)

Interviews for the substantive regional director posts took place on 16 October and an announcement on the successful candidates is expected w/c 28 October.

Public Health

Dr Cerilan Rogers has been appointed as the Director, National Public Health Service. Adverts for the Regional Public Health Directors were issued to health authority chief executives week beginning 6th October. The posts will be open to all consultants and directors employed on a substantive basis with Welsh Health Authorities. Appointments are expected to be made in November.

Director posts in NHSWD

  • The Director of Finance post has now been re-evaluated and falls within Pay Band 2 of the Senior Civil Service. We plan to re-advertise during week commencing 4 November.
  • Interviews have been held for the post of Director of Performance, Quality and Regulation. An offer of appointment has been made and an announcement will be made shortly.
  • The post of Director of Primary Care is under discussion and a decision on the way forward will be taken soon.

LHB Executive appointments: Finance Director/Medical Director/Nursing Director posts

  • These posts were advertised on 11 October with a closing date of 25 October. These posts are restricted in the first round to internal staff. Staff are able to claim ‘slotting-in’ entitlement to a post if their current post matches 2/3 of the job content of one of the advertised posts. The deadline for submitting claims for slotting-in was 17 October. If a claim is successful the member of staff will be offered the post; if not, a shortlisting, assessment and interview process will be run to fill all posts for which no ‘slotting-in’ has been agreed.
  • Concerns were raised about the original slotting-in process. The slotting-in panel reconvened on 28 October to reconsider applications and received advice from appropriate senior professionals. The panel will complete its work as soon as possible on the statutory second tier posts. Once these decisions have been communicated, if any applicant wishes to appeal, they will have two working days in which to do so. Appeals will be heard by a separate appeals panel. This is in line with the HR Policies. The process will then be repeated for the non-statutory second tier posts.
  • The closing date for applications for statutory second tier posts has now been extended from 25 October to 28 October, the closing date for non-statutory second tier posts remains as 31 October.

Health Commission Wales: Chair and Chief Executive

Once the accountability and job descriptions have been agreed then it is planned to advertise these posts in November. The Assembly's public appointment unit will handle the recruitment of the Chair.

Northern Ireland

The Secretary of State for Northern Ireland suspended the Northern Ireland Assembly and the Executive with effect from midnight on 14 October, 2002. The Secretary of State, assisted by his team of Northern Ireland Office Ministers has assumed responsibility for the direction and control of the Northern Ireland Departments.

Parliamentary Under-Secretary of State Des Browne MP will retain his current NIO responsibilities and assume responsibility for The Department for Social Development (DSD), The Department of Health, Social Services and Public Safety (DHSSPS), Equality, Human Rights and Community Relations.

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