Have your say on NHS dental services in Portsmouth

As you may know, the Colosseum dental group recently ended three of its contracts to provide NHS dental services in Portsmouth – leaving hundreds of patients without a dentist.

NHS England is responsible for buying NHS dental services and is planning to put in place some new long-term contracts to provide more dental services in the city to replace those where contracts have ended.

NHS England want to make sure that the new services take into account what is most important to you when using NHS dental services. Please share your views by completing the online survey on the NHS engagement website.

If you would prefer to complete the survey in writing or need the information in a different language please call 0113 824 9119 or email england.wessexdental@nhs.net

The survey closes on Monday 21 October 2019.

Please do share this survey with your friends and family who live in Portsmouth.

Ofsted and the Care Quality Commission (CQC) give glowing report on city’s SEND services

Strong leadership and co-production praised in the inspection of support for children and young people with special education needs and disabilities (SEND) in city.

Ofsted and the Care Quality Commission (CQC) recently reviewed Special Education and Disability (SEND) services across the city to look at how well the needs of children & young people with SEND are met. They reported that: “strong leadership in the local area is leading to the successful implementation of SEND reforms; with leaders’ well-constructed plans for further improvement successfully encouraging a collaborative approach.” Inspectors said that “leaders ensure that young children have access to the support they need to get a good start in life, with one leader commenting that – ‘in Portsmouth, we work together to make things happen’.”

Co-production was also highlighted in the inspection report as being “developed well in the local area: The ‘shaping better futures together’ co-production group [of parents and carers] is well organised and has a secure understanding of what it wants to achieve.” Ofsted commented that “co-production with young people is successfully promoted through the young person’s ‘Dynamite’ group which is helping to develop valuable skills in its young members, who are improving outcomes for themselves and others.”

The inspection looked at partnership working and said that “collaboration with health services and joint commissioning in Portsmouth is effective and close working between hospital and community physiotherapists is leading to a co-ordinated and consistent approach to care”.

Inspectors commented that: “Children and young people with SEND have speedy access to the help and support they need without having to wait for a formal diagnosis. There is a well understood strategy to become a ‘needs led city’. Professionals across education, health and care work well in a joined-up way and education health and care (EHC) plans are competed in a timely manner” – with 99.5% completed on time.

Mental health provision for children and young people was also praised: “Children and young people receive helpful support in school for their emotional well-being. CAMHS work flexibily to offer training supervision and consultation to professionals across health and social care and the CAHMS drop-in clinic is popular and well-used. Those who need additional support have access to mental health services and most children and young people receive effective SEND support in school.”

The inspection team commented on SEND provision in schools and said that “children and young people with SEND are starting to attend school more regularly. Absence and persistent absence rates for children receiving SEND support are reducing over time. Overall educational outcomes for children and young people receiving SEND support and those with EHC plans are improving and school leaders value the work of the Portsmouth Education Partnership.

Parents told inspectors that ‘the annual review is the highlight of the year’ and that parents value the positive celebration of children’s achievements and the involvement of children and young people in the SEND review process.

When it comes to leaving school inspectors found that young people with EHC plans have a “positive transition from school to college”. Young people attending mainstream and specialist education settings told inspectors that they are confident that the right help will continue to be available to them as they move on to college; and day care opportunities in adult services are person centred and focus on building personal skills.”

Cllr Suzy Horton, Cabinet Member for Education at Portsmouth City Council said:

“I’m glad that inspectors have praised so highly our SEND offer; especially the strength of our partnership working with health services, parents and the young people themselves – which puts their needs at the forefront of the services we are shaping.

“We welcome the areas that have been identified for further development. We’re working on the things we’d like to be doing better at, and have incorporated these into our SEND strategy.

“We’re delighted with the strong, positive feedback from Ofsted and the Care Quality Commission of the city’s SEND services.”

Natalie Abraham, Portsmouth Parent Voice manager said:

“We represent parents in the city; we are also parents of children and young people with SEN and Disabilities and therefore know what it’s like to be on the receiving end of SEND services and PPV tell it like it is! The views of parent carers are listened to, valued and responded to in Portsmouth. It’s an ever-evolving partnership with health, education and social care to create and deliver better services for the children and young people who need it.”

Carly Blake (young person representative) Dynamite said:

“It’s good that young people in Portsmouth get their voices heard, and that local authorities listen to our thoughts and opinions about different services used by people with special needs and disabilities.”

Linda Collie, the GP clinical lead for NHS Portsmouth Clinical Commissioning Group said:

“I very much welcome what is, in general, an extremely positive report which highlights the closely-co-ordinated efforts all those involved have made to provide the very best services we can for children and young people in the city, including those young people who themselves are helping to shape the services.

“A number of health schemes have been highlighted as ‘strengths’ in the report, such as the mental health nurse initiative as part of the NHS 111 service and the health-related absence project in schools. But there are one or two areas we need to work on to improve the NHS performance – such as achieving more consistency among our GP practices with regard to annual health checks for young people with learning disabilities and the transition arrangements between paediatric and adult health services.”

Neil Smith of Solent NHS Trust and Designated Clinical Officer for Portsmouth SEND said:

“It’s really pleasing that the feedback from the inspection was so positive. I feel it deservedly reflects the hard work and dedication that takes place across Portsmouth city on a daily basis.

“Strong leadership and coproduction genuinely includes children and their families by putting them at the heart of everything we do. I’m extremely proud to be part of it all.”

For more information about SEND provision in the city and the read the full report, please visit: www.portsmouthlocaloffer.org

Coverage for eConsult is now nearly city-wide

Nearly 190,000 patients registered with GP practices across Portsmouth now have access to a fast-response online consultation in a bid to improve access to patient services.

Twelve of Portsmouth’s 15 GP practices have introduced eConsult – which involves the GP practice responding to online enquiries, usually within 48 hours, often saving patients the need to book routine appointments.

It is planned that the remaining three practices will have gone live by the end of March 2020.

To access the service, patients simply go on to their GP practice website, visit the online services and choose an option about whether they want help for their condition, administrative help or general advice. This may involve online advice direct from their GP.

The questions are the same ones a GP would ask in a face-to-face appointment.

The practice will assess to see if they can give the patient self-care advice, or whether an appointment is required or the patient needs a prescription which could be sent to direct to the local pharmacist.

Early patient feedback showed that more than three in four of patients who had used eConsult in Portsmouth were very satisfied with the service.

Using eConsult frees up the doctors’ time to see those patients who most need an appointment. People often have simple questions that can be answered by email – giving patients re-assuring and faster advice than waiting for an appointment.

Dr Elizabeth Fellows, a GP at the East Shore Partnership who chairs NHS Portsmouth Clinical Commissioning Group, said: “eConsult is making a big difference to patients – by giving them the chance to have a consultation from the comfort of their home and saving them having to phone or come to the surgery.

“It allows them to get their tests arranged first, then perhaps a routine appointment becoming far more of a one-stop approach, which makes it a much better experience for everyone concerned.

“Patients also get signposted to the most appropriate service for them at the first point of contact – rather than attending an appointment to be told they need to go somewhere else.

“eConsult eases pressure on GPs by reducing the number of patients who are asking for appointments. It is particularly making a real difference to our workload on Monday mornings, when the demand is highest both for our services and for people calling us by phone.”

Two recent feedback comments to the East Shore Partnership about the service were:

–       “I was able to arrange the test I needed without having to waste a GP appointment.  I have a follow up appointment with a doctor in a couple of weeks.”

–       “This is a brilliant, time saving alternative to a face to face appointment. A reassuring service.”

New resources launched for World Suicide Prevention Day 2019

The Public Health team in Portsmouth City Council has created two new leaflets ahead of World Suicide Prevention Day on 10th September 2019. One offers advice on looking after your own mental health and the second provides guidance on supporting someone else with their mental health.

Getting people to take the same care of their mental health as they would their physical health is important in helping prevent people reaching crisis point. The leaflets will be available from places including libraries, community centres, housing offices, Family Hubs, pharmacies and GP surgeries. They’re also available online at portsmouth.gov.uk/mentalhealth.

These new leaflets complement the crisis card, which was produced for World Suicide Prevention Day last year. The crisis card lists services that can support someone with issues that have been shown to be key contributors to suicide, for example debt, bereavement and substance misuse. The crisis cards are fold-out wallet sized guides that are available at venues across the city and can be found on portsmouth.gov.uk/mentalhealth.

In addition, Public Health in partnership with the University of Portsmouth will be running free safeTALK suicide alertness training for employees from Portsmouth businesses. SafeTALK is a half-day session that prepares anyone 15 or older, regardless of prior experience or training, to become a suicide-alert helper. SafeTALK trained helpers can recognise the signs that someone might be having suicidal thoughts and can connect them with life-saving interventions. This training will take place on Monday 30 September, 1.30-4.00pm, at the University of Portsmouth. There are 20 spaces available. To find out more or to book a place please email Jane.leech@portsmouthcc.gov.uk.

Cllr Matthew Winnington, Cabinet Member for Health, Wellbeing and Social Care at Portsmouth City Council, said; “I’m pleased to be marking World Suicide Prevention Day with some new materials that should help people look after their own mental wellbeing and support others that might be struggling with poor mental health. It’s so important that we continue to encourage people to talk more openly about mental health and to seek help if they’re having difficulties. By doing this we can hopefully reduce the number of people who feel that ending their life is the only way to escape the pain that they’re feeling.”

CCG leads way with latest electronic prescription upgrade live in all GP practices

Portsmouth has become the first area in the country where GP prescriptions for all patients can be sent electronically.

NHS Portsmouth Clinical Commissioning Group (CCG) has been piloting the latest improvement to the Electronic Prescription Services (EPS) Phase 4.

This allows GP prescriptions for all patients to be sent using the more efficient digital system and not just those who have chosen a regular nominated dispenser.

EPS saves the NHS time and money by reducing the amount of paper processing required by GPs, pharmacists and the NHS Business Services Authority.

Portsmouth CCG is the first in the country to have 100 per cent of their GP practices able to use EPS. Once the NHS Digital system is rolled out across England, it is estimated it will save the NHS £130m a year.

Patients see little or no change to the process of being prescribed medicines by their GP, or how they request and collect them from their community pharmacy. Those without a nominated pharmacy still receive a paper copy of their prescription listing what has been prescribed, but this will also contain a barcode. Pharmacy staff will then scan the barcode to download their electronic prescription from the secure NHS database – the NHS Spine. Patients with a nominated pharmacy will still have their prescriptions sent electronically without needing a paper copy.

Simon Cooper, Director of Medicines Optimisation for the CCG, said: “Implementing EPS Phase 4 across the city has been a very straightforward process for us and we are already beginning to see the benefits.

“Moving from what was essentially a paper-driven process to an approach which is primarily digitally-focused means much greater efficiency for our GP practices and dispensing pharmacies in terms of time and accuracy, and this can only be positive for patients, too.

“It’s also helping to create a much more accurate picture for us in terms of assessing prescribing data, which we can now do more quickly and with a greater degree of confidence in the information we are reviewing.”

Richard Ashcroft, Programme Director for Medicines and Pharmacy at NHS Digital, said: “This is a major step forward for patients, GPs and pharmacists. Portsmouth CCG have worked hard to introduce EPS Phase 4 and we look forward to other areas of the country following their lead soon.

“Every single prescription that is sent electronically, rather than via paper, saves money for the NHS as less time and valuable resource is spent processing and storing the paper prescriptions.”

Benefits of EPS Phase 4

  • fewer paper prescriptions will result in a more efficient, faster and secure process, saving the NHS time and money
  • an electronic system means prescriptions can’t be lost and GPs don’t need to sign replacements
  • clinicians will be able to keep track of the progress and status of prescriptions using the EPS Prescription Tracker.

Hospital, NHS Solent Trust and PPCA  scripts can’t be sent by EPS.

A Safe Space on a night out in Portsmouth

Safe Space at the Guildhall Walk Healthcare Centre is open every Friday and Saturday night, 10 pm to 3 am and on special days such as New Year’s Eve. This year the service will also run every night throughout Fresher’s Week, and will be open from the 13– 21 September 2019 (including the usual Friday and Saturday opening hours).

Safe Space provides an all-round health and wellbeing service as well as a safe place for anyone who is looking for a short respite on a night out and can help individuals contact friends and or family if they have any health or safety concerns.

Run by South Central Ambulance Service clinicians provide on-the-spot medical assistance to those who need it, to advice on subjects like sexual health, alcohol and drug use, or even personal safety. The Safe Space team can also signpost visitors to other services such as minor injuries units, out of hours GP services and mental health crisis teams.

Safe Space has proven to be a valuable asset and has had a real impact on the number of ambulance crews called to the busy town centre, in some cases for pavement side ‘see and treats’ that often don’t require a visit to the emergency department.

Over the years Safe Space has also built relationships with other agencies such as the Street Pastors, Hampshire Constabulary as well as the pubs and clubs who depend on the service. In 2018/19 alone there were 397 recorded visitors to Safe Space with some form of injury being recorded as the most common reason for being seen. The majority of people seen were in the 20-29 age bracket. Overall the service estimates to have saved 167 ambulance call outs to the City Centre during 2018/19.

Portsmouth’s Safe Space is one of many alcohol intoxication management services (AIMS) but has the ambition to break free from this label of that and do far more towards improving the health and wellbeing of all those visiting Portsmouth on a Friday and Saturday night who are in need of help or advice at a time when other avenues of care may not be available.

Bank holiday – which pharmacies will be open?

The August bank holiday weekend is nearly here which could spell three days of visiting family, having a go at some DIY or going out and about in the local area.

The NHS wants to remind people that a network of pharmacies will be open over the bank holiday weekend and can help you with any minor incident or illness.

In recent years the range of treatment and advice available at pharmacies has increased hugely.

They can help people cope with many common health concerns, provide advice and guidance on what over-the-counter medicines to use, as well as supplying prescribed medicines.

This year the August bank holiday falls on Monday 26 August – and the Victorious Festival takes place in the weekend running up to it.

The popular event pulls in thousands of people into Portsmouth and so for both residents and festival-goers it’s important to know where you can go for help quickly.

Dr Elizabeth Fellows, chair and clinical executive at Portsmouth Clinical Commissioning Group, said: “As well as the long weekend, we also have the Victorious Festival taking place during the last weekend in August.

“Whether you’re heading down to the festival or keeping busy with other plans, we want to ensure you stay safe and know where to go should you need healthcare help.

“There will be a medical tent at the festival and staff have been trained to provide emotional and mental health support.

“A raft of pharmacies will be open across the Portsmouth and south east Hampshire area, you can visit a walk-in centre or call NHS111.

“It’s also important you plan ahead and check your medicine supplies to ensure you have enough to last throughout the weekend and beyond.”

Bank holiday opening times for pharmacies in Portsmouth are now available here.

Homes for our key workers – we need your input

Work is underway across Hampshire and the Isle of Wight to better understand the housing needs of workers in essential health and social care roles. We know that the availability of good quality, affordable housing is important, so please complete this survey if you are a health or social care specialist currently working, seeking work or studying in Hampshire and the Isle of Wight.
The information gathered from the survey will be used to help health and social care providers in the area understand the need for different types of houses in the city.
The survey is being run by Hampshire and Isle of Wight STP. Anonymous results will be shared across health and social care organisations in the region. All data will be stored and processed in line with data protection legislation.

Complete the survey online here.

Care navigators help you find your way around the health system

All sixteen Portsmouth GP practices are introducing a new scheme which should help patients see the most appropriate healthcare professional faster.

Around 230 practice staff across the city, including a number of receptionists, have received external training to become care navigators.

They won’t offer you clinical advice – but will help signpost you to the most appropriate health service for your needs, as the GP isn’t always the best person to see or the route for getting the most appropriate care faster.

Dr Linda Collie, a Copnor GP who is the clinical lead for NHS Portsmouth Clinical Commissioning Group, which has paid for the staff training, said: “We know that it’s not always easy trying to navigate local health services to find out who is best placed to help you for a particular health problem or concern.

“Care navigators have access to a directory of information about services to point patients to the most appropriate source of help, advice and support.

“On many occasions, a GP might not be the most suitable person for the patient to speak to or see. Patients can often be seen much quicker by a nurse or physiotherapist for example. In some places, a GP practice may not even be the right place for an enquiry.

“The next time that you make an appointment at your practice, you may be asked some questions about the reason for your appointment.

“Don’t be offended by this – it’s simply so that the care navigator can ensure that you see the person best suited to help you. We want you to see the right person, first.

“You don’t have to do this. The care navigator is not being nosy, and will respect both your privacy and your right to say ‘no.’

“But the care navigators will play an important role in not only help you to access faster healthcare, but also ensuring that GPs can dedicate most of their time to those patients who most need their help.”

Further integration of NHS Portsmouth Clinical Commissioning Group and Portsmouth City Council

Plans have been developed which propose new ways for the city’s council and NHS to work more closely together in future.

The plans set out options for further integration of the leadership of Portsmouth City Council and NHS Portsmouth Clinical Commissioning Group (CCG). This marks a continuation of a process of closer partnership which has involved senior joint appointments, and resulted in a range of positive changes such as targeted early health and social care support for children and families, a shared clinical record available to frontline NHS and social care staff, and integrated domiciliary care teams to help people return home after a hospital stay.

There are three key recommendations:

  • More decision-making to the Health and Care Portsmouth joint commissioning committee
  • Integrating the council and CCG approach to finance, including the creation of a joint role
  • Proposing future arrangements for the CCG’s accountable officer role.

In terms of the third point, the recommended course of action is that the CCG’s accountable officer functions are incorporated into the function of the Portsmouth City Council Chief Executive. The CCG will continue with its strong clinical leadership model, including clinical leadership for Health and Care Portsmouth and having a clinical chair for its governing board.

A paper containing these recommendations was considered by Portsmouth City Council’s cabinet on 9 July, and will go to the CCG’s Governing Board on 17 July. It will then be considered by the city’s Health and Wellbeing Board. If agreed by all three bodies, approval would then be sought from NHS England with regards the proposed changes to delivery of the CCG’s accountable officer role functions.

Dr Linda Collie, the CCG’s clinical leader and current accountable officer, said: “For many years now, our ambition has been to bring health and social care together, because we feel that would bring valuable, tangible benefits to people living in our city. Ultimately, our total focus must be on meeting the needs of people using services in Portsmouth, and the changes we have been making, and are now proposing, are designed to do just that.

“The CCG has always maintained a strong clinical voice at the heart of the decision-making process, and we believe these recommendations will continue that and enhance our effectiveness.”

David Williams, Chief Executive of Portsmouth City Council, said: “A huge amount has already been achieved through our integrated working with the NHS, and these recommendations are a natural progression in Portsmouth’s journey to truly integrated health and social care. We now have much closer working between the council and the CCG, and have positive relationships with the voluntary, community and social enterprise sector. These proposals mark an important next step on that journey.

“Increasingly, NHS and council teams are working together under the Health and Care Portsmouth banner, and it feels right that we should now try to make sure that the leadership arrangements reflect that progress and Portsmouth has a clearer voice within the wider health system.”

Cllr Matthew Winnington, the council’s Cabinet Member for Health, Wellbeing and Social Care said: “This paper is a statement of intent – it sets out a clear vision for how the council and the CCG can continue to work together to deliver joined up services.

“Local authorities play a unique role in the lives of our residents. Bringing together the council and the CCG means we can work together to tackle those wider issues that impact the health and wellbeing of people in Portsmouth – things like improved air quality, housing and economic development. I’m excited to be delivering on our mission to make sure we’re providing the right services for the people in our city so they are supported to live full, healthy and independent lives.”


Why is the proposal being made?

The proposals are a natural development of work between the council and the CCG over a number of years.  They stem from requests made by both the council’s Cabinet and the CCG’s governing board to get broader and deeper integration between the two organisations. There are a number of factors involved: there are pressures on the health and social care system as a whole, and key documents (the NHS Long Term Plan and the Hampshire and Isle of Wight Strategic Transformation Plan) have set out how the NHS, local authorities and the voluntary, community and social enterprise sector can and should work together to address those pressures.

The proposals are about making sure there are structures and attitudes in place – in terms of resources, decision-making and people – to make sure the city can fulfil its desire to provide joined-up care for people in Portsmouth, delivered in the right place and at the right time.

Local authorities are uniquely placed to engage with residents on a number of factors that contribute to people’s overall health and well-being – like education, housing, leisure and transport. Bringing the council and CCG closer together means that resources, knowledge and expertise can be better combined for the benefit of the people of Portsmouth.  Together, the council and the CCG will work with the wider health and care system to influence the delivery of better, more cost effective services across the Hampshire and Isle of Wight area.

What has happened so far?

The two organisations have worked together for a number of years as part of the Health and Care Portsmouth programme, and already share a number of statutory posts – including in Adult Social Care, Children, Families and Education; and in Public Health. There are also shared commissioning functions and teams.

By sharing knowledge, expertise and resources we have been able to achieve much, including:

  • Health visitors and children’s social workers have been co-located since 2016; in addition a diverse range of health and social care professionals has been brought together to deliver a Targeted Early Help and Prevention service for children and families.
  • Adult community health, social care and therapies have been co-located to deliver multiagency care and co-ordination.
  • From June 2018 the CCG has commissioned an Integrated Primary Care Service incorporating the provision of three interconnected services: Out of Hours (OOHs), the AVS, and GP Enhanced Access. This will ensure safe, effective delivery of primary medical care services 24 hours a day, 7 days a week, and improve access to primary care.
  • A specific Blueprint for Adult Social Care in Portsmouth has been launched, with a cross-organisation programme board to ensure its delivery.
  • A joint health and care domiciliary care service specifically to enable people to return home as quickly and safely as possible after a hospital stay.
  • A collaborative approach has been taken to include the voluntary sector as an equal partner in the provision of health and care to Portsmouth residents. Through the signposting service, an easy access route for GPs has been available to access non-medical support from the voluntary sector for their patients.
  • A single clinical record across health and care providers in the city to improve communication between health and social care professionals. All GP practices within the city, Solent NHS Trust, and Adult Social Care use ‘TPP SystmOne’ as their primary clinical system – better for patients, and for the clinical staff.