Engagement and consultations

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We will hold public meetings and attend listening events throughout the year where people can come along and tell us what they think about local services and our plans.

Meetings and events will be advertised on this site, through our email updates and through our voluntary and community sector partners.

AJM Healthcare wheelchair service survey

The NHS Wheelchair Service is committed to improving the service that we provide. To do this, we need your feedback

Earl’s Court Health and Wellbeing Service

West London CCG has outlined its latest plans for the Earl’s Court Health and Wellbeing Centre after the current healthcare provider has notified the CCG that it will stop providing the GP and walk-in centre services after 31 March 2020.

After an engagement exercise with local patients, the CCG is currently in the process of procuring a new provider to take over the existing patient list at the practice and will start proving care from the 1 April 2020.  

In addition the CCG  has been able to move into the centre a service which helps people with conditions that affect the joints, bones, muscles, and back pain known as a musculoskeletal (MSK) service. In addition, we’re also exploring whether a local GP practice would be interested in using the centre as an additional location to provide extra appointments for patients.

The walk-in centre (WIC) and its future

The contract for the walk-in service at Earls Court Health and Wellbeing Centre is due to expire on the 31 March 2020 and the CCG is currently considering what to do next.

We’ve heard from local residents that accessing health services can be confusing and means people are not always seen in the right care setting at the right time.

The walk-in centre no longer meets national guidance and it only sees around 15 patients a day, which doesn’t make it value for money. 

We are currently proposing not to renew the walk-in centre contract at the end of March and are carrying out an engagement exercise from the 2 to 27 September to hear from local people before any decisions are made.

The reasons for our proposal are as follows:

  • National guidance – Transforming Urgent and Emergency Care Services in England report which evidently suggests that walk-in centres are not effective in reducing A&E department attendances except when they are co-located and integrated with A&E departments
  • Clinical appropriateness – The walk-in service model offers one-off episodic care and is no longer viewed as good clinical practice and in the best interests of patients, who benefit from continuity of care from their own GP. This is a view fully supported by local GPs involved in discussions regarding ECHWBC
  • The walk-in centre activity neither encourages patients to seek primary care services wherever possible, nor does it represent value for money
  • Most of the walk-in patients presented with fever, sore throats, urinary infections and wound care needs. Many of which could be managed via a routine GP appointment, out of hospital care and/or a local pharmacist
  • Primary care capacity - the CCG has invested extensively in increased primary care capacity during the past couple of years through the GP extended access, located at hubs and local practices, ensuring availability of booked appointments 8am to 8pm, 7 days a week
  • National GP contract - the 2019/20 GP contract requires practices to make available one appointment per 3000 patients per day for direct booking via 111 for patients requiring urgent care
  • The existing WIC service sees 15 to 16 patients per day, typically 2 patients per hour and is not deemed to be at full capacity
  • Patient registration - only 27% of patients seen at the WIC are registered with WLCCG GP practices
  • The walk in service provides poor value for money compared to alternative primary care access points such as ordinary GP appointments, GP appointments at the hubs and pharmacy.
  • Our analysis shows that Chelsea & Westminster NHS Foundation Trust (C&W) see approximately 300 patients a day at its A&E / Urgent Care Centre (UCC) service.
  • In the unlikely event that as many as 50% of the patients currently presenting at the WIC in any given day started to attend C&W; when spread across the course of the working day this is not considered a figure which would have any detrimental impact on the service. 
  • Due to the location of the walk-in centre, as a consequence of the potential closure the figures for any additional patients attending Imperial College Healthcare NHS Trust would be lower still.

The CCG will be carrying out an engagement exercise with users of the walk-in centre and wider stakeholders from the 2 September –  4 October to:

  • Gain the views from a representative sample of people using the walk in centre and wider stakeholders regarding the CCG’s current proposal
  • Ask patients what’s important to them about the service and explore any actions the CCG would need to take if we were not to renew the walk-in centre contract
  • Work together with local CCGs to gain the views of patients who fall outside West London’s catchment area but still use the walk-in service
  • Carry out an online engagement exercise to raise awareness of the CCG’s proposal
  • Circulate information to surrounding GP practices to enable their patients to feedback

The outcomes of this engagement will then inform next steps and recommendations on the future of walk-in service to WLCCG’s Governing Body who will make the decision regarding the future of the contract. 

Click here to find out more.

 

Click here to complete the on-line survey.

Palliative care services

Further to publishing the independent review of palliative care services earlier this year, work has been progressing across the four boroughs to look at how we address the challenges and inequalities highlighted in the report. and develop services in line with the recommendations. Feedback from staff and patients identified that palliative and end of life care services could be improved and made more accessible to everyone; with less than half of patients with an expected death in contact with palliative care services.

The ‘Call for Evidence’, which was responded to by over one hundred individuals, took place earlier this year as part of the review. It gathered the views of patients, families, carers, staff and local people who shared their experience of the services. Our aim is to continue to work collaboratively with local people to produce a proposal for a new model of care, for specialist palliative care services within the community.

The new model of care aims to meet the following requirements:

  • Care is delivered in the most appropriate place at the right time, by the right clinician.
  • Services deliver high quality, effective, best practice care.
  • All patients have equal access to services and an improved, less fragmented experience of care.
  • Patient choice is central to the way care is planned and managed.
  • Staff enjoy working within the local system and feel supported in their work.
  • The system is financially sustainable in the medium and longer term.

We need to recognise that specialist palliative care is by its nature a specialism that should be carried out in the appropriate environment (recognised hospice, hospital or in a patient’s usual place of residence) by an expert team, which has the requisite skills and organisational arrangements to enable the provision of support to people in need of wherever they are, with access to timely and on-going expert assessment, advice and care.

Patient & public involvement
 

Patient & public palliative care working group

With this in mind we would like to invite people to participate in the on-going development of this work by joining, “The patient & public palliative care working group’, which will meet monthly. This will work closely with the Clinical Reference Group, a group of clinicians, palliative care service and commissioning staff responsible for designing the model of care.

Palliative care is the active, holistic care of patients with advanced progressive illness. Management of pain and other symptoms and provision of psychological, social and spiritual support is essential. This is a complex subject and one which naturally evokes strong and sometimes unfamiliar feelings. The group will be sensitive to this and aim to create an environment which is supportive whilst welcoming productive discussion.

We would like to create a group that is representative of the local boroughs, if you are interested in participating please see further information below. We are seeking people with or without experiences of palliative care services. Every view and experience is valued and welcomed.

LINKS
Job description
Application
Equal opportunities monitoring form

Please complete and return the forms above to nwlccgs.triborough.palliativecare@nhs.net by 4 October 2019 or send freepost to: FREEPOST: HEALTHIER NORTH WEST LONDON.

If you have any further questions please contact our project team at nwlccgs.triborough.palliativecare@nhs.net

Public workshops: Planning services together

In addition to the above working group, public workshops will be taking place this Autumn. The working groupandpeople from each borough will be invited to join health care professionals and staff from our services in a development session on the future model of care.

The aims of the workshops are to:

  • Bring patients, clinicians, commissioners and providers together collaboratively to discuss the theme of each workshop.
  • Share & understand patient & families experience of using local services.
  • Use this information to co-produce a new specialist palliative care model within the community for Brent, Hammersmith & Fulham, Kensington & Chelsea and Westminster.


WORKSHOP 1, Theme for discussion ‘Access to services’– 30th September, Wembley Centre for Health and Care, 6-8pm -  
Register to attend

WORKSHOP 2 – Theme for discussion ‘Care’ - 7th October, St Paul's Church, Hammersmith & Fulham, 9-12pm - 
Register to attend

WORKSHOP 3 – Theme for discussion ‘Aftercare & bereavement’- 24th October, Museum of Brands, North Kensington 3-6pm - 
Register to attend

Update on the Pembridge in-patient unit

The Pembridge Inpatient service currently continues to remain suspended for admissions, until further notice. A decision has not been made at this point on the future of the Inpatient unit. It will however be considered as part of the future service model.

Mailing list

If you would like to join our mailing list to be the first to hear the latest news and developments with this work, please email: nwlccgs.triborough.palliativecare@nhs.net

How we use your feedback

Capturing the experiences of our patients gives us important feedback on what it is like to be a patient in our borough. It tells us much more than what the treatment was like or whether the treatment was successful. It tells us how it felt to you as an individual, what you liked and what we need to improve.

We regularly produce reports on meetings, questionnaires and updates on our wider engagement strategy, helping both patients and members of the community to understand how their feedback is helping to shape the way healthcare is commissioned in our area. 

We publish quarterly engagement reports which are reviewed at the Patient and Public Engagement Committee and by our governing body. These reports will be made available in the publications section of this site.

Take a look at our public and patient information folder here.