Humber, Coast and Vale – August 2020

 August 2020
 
 Week Commencing 31st August 2020
 
In this week’s blog, Professor Stephen Eames, Independent Chair and System Lead of the Humber, Coast and Vale Health and Care Partnership, writes:
 
“This week (Friday, to be precise) marks four months since we made the public announcement that the Partnership had become an integrated care system (ICS). The announcement on 4th May came at a time when health and social care colleagues in Humber, Coast and Vale were working around the clock to respond to Covid-19, so there was little time to celebrate this achievement. So while the announcement was, and still is, a source of great pride for all concerned across the Partnership, back in May it was very much a case of, ‘this is fantastic news, but we’re very much focused on our collective response to Covid-19’.” Read more
 
You can find out more about our work on our website
You can read former blog posts from previous contributors here
Our summer stakeholder newsletter can be viewed here
You can read the latest HCV Partnership board briefing paper here
You can read the latest news on our website here
Or find us on Twitter: @HCVPartnership, on Facebook: @HCVPartnership, or watch our videos on YouTube
 
Many thanks and best wishes,
Humber, Coast and Vale Health and Care Partnership Team
 
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NEW **Recruitment Opportunity** – HCV Partnership’s Mental Health Programme seeks to appoint Black, Asian and Minority Ethnic (BAME)- background Engagement Manager
 
Expressions of interest are sought from all of our partners to identify an inspiring individual from the BAME community to champion diversity, and to encourage and promote inclusion and equality for those from Black, Asian and Minority Ethnic backgrounds. This post will focus on leading work to improve collaboration and co-production with BAME communities, as well as working proactively to help improve the stigma of mental ill health in BAME communities. This role will also involve ensuring we are delivering services in the right places, and that they are accessible for all communities. If you wish to discuss this further or have interested staff please contact Alison Flack, Mental Health Transformation Programme Director, alison.flack@nhs.net tel: 07841766362 or Emily Davey, Programme Officer, Emily.davey4@nhs.net. Expressions of interest should be submitted by 5pm on 9th September 2020.
 
What’s happening this week?
 

  • The Humber, Coast and Vale Strategic Estates and Capital Group will meet on Tuesday (1st September).
  • The Humber Local Digital Roadmap (LDR) Board will meet on Wednesday (2nd September).
  • The Humber Acute Services Review Executive Oversight Group will meet on Wednesday (2nd September).
  • The HCV Clinical and Professional Group will meet on Friday (4th September).
  • The HCV Testing Co-ordination Group’s next meeting takes place on Friday (4th September).

What happened last week?
 
HCV Finance, Planning and Performance Board (Monday, 24th August)
 
The Board met mid Phase 3 planning to engage in a ‘confirm and challenge’ session with senior finance and planning colleagues from across the two geographical partnerships of the Humber and North Yorkshire & York. Triangulation of finance, activity and other areas was completed following the meeting and phase 3 submissions made towards the end of last week for the Humber, Coast and Vale Partnership. Updates have also been provided around Workforce and the ongoing work affecting Capital and Estates. Ongoing work taking place across the system to understand the NHSEI financial allocations 2020/21 including transformational funding.
 
HCV Black Lives Matter and Black, Asian and Minority Ethnic Inclusivity Steering Group (Thursday, 27th August)
 
Chaired by Steve Russell as the Executive Lead for this work, a group of volunteers and interested colleagues from across the Partnership came together for the first time for an initial discussion around the challenges and issues associated with inequalities and discrimination faced by people from Black, Asian and Minority Ethnic backgrounds within our organisations and our communities. The group is in the process of pulling together an anti-racism programme of work which will improve the levels of diversity and equality across the Partnership and ultimately benefit both BAME and non-BAME colleagues. As part of the meeting, those in attendance provided a brief verbal overview of what had brought them to the meeting and a presentation from colleagues in West Yorkshire and Harrogate Health and Care Partnership about their work supporting a ‘network of networks’ across their region.
 
HCV Clinical and Professional Group (Friday, 28th August)
 
Colleagues from the HCV Acute Collaborative joined the virtual meeting including the Chair Chris Long and a number of Chief Operating Officers from across the four Acute Trusts in our Partnership. The focus of the discussion was on Phase 3 plans and the NHS England targets set for the restart and restoration of elective and non-elective activity across the Partnership. The targets present considerable challenges for the Partnership and all ICSs across the country and concerns remain around workforce, new Covid-19 surges, flu and winter planning. The group were able to have a good discussion through primary and secondary colleagues present plus public health, on what this will mean over the coming months and how this will affect the new HCV Principles for Clinical Planning and Prioritisation which have been developed recently by the group and adopted by the Partnership Executive Board.
 
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Latest information on Covid-19
 
NHS Test and Trace
 
The latest weekly statistics for NHS Test and Trace in England show a 8% decrease in positive cases in comparison to the previous week, with 6,115 people testing positive between 13 and 19 August. This is the first decrease since the start of July. The numbers tested has increased by 2% in the same period. Between 13 and 19 August, just under 300,000 people were reached by Contact Tracers as close contacts of those who had tested positive, and 80.6% of close contacts were reached. Over 4 million people have been newly tested under pillars 1 and 2 since NHS Test and Trace began three months ago. Read more
 
Guidance for schools reopening
 
The UK Government is regularly updating its guidance for the safe reopening of schools this week across England and Wales. Latest Information can be found here
 
Stay Alert to Stay Safe – new materials available
 
New youth focused ‘consequences’ social animations are now available on the campaign resource centre.
 
Face coverings including across schools and workplaces
 
The latest information on wearing face masks and coverings across schools and the workplace can be found here. This also includes circumstances where you may be exempt from wearing a mask/covering. For information specifically relating to schools, and which was updated last week, please visit here.
 
Other information
 
Free Supportive Conversations Training – based on the principles of Making Every Contact Count
Hosted by the Faculty of Healthy Conversation Skills, the free 90 minute online session is based on MECC (Make Every Contact Count) philosophy and aims to facilitate the development of practical skills in having ‘supportive conversations’ to help people’s wellbeing. Sessions will be useful for Social Prescribing Link Workers, First Contact Practitioners, volunteers and others working with service users and patients over the telephone and in-person during the pandemic. The next sessions will be held on:
 

  • Friday 11th September – 14:00 – 15:30
  • Friday 25th September – 10:30 – 12:00
  • Monday 19th October – 14:00 – 15:30

You can book onto this free training by visiting here
 
NHS England & Improvement is recruiting new Patient and Public Voice (PPV) Partners to share their perspective and experiences and influence the way we commission services
 
We are currently recruiting patient and public voice (PPV) partners – patients, service users, carers, families and the general public – to share their perspective and experience with us to influence the way we commission services. In all our organisations, PPV partners can tell us when a decision could be unfair, or a priority skewed. As you know, it’s important that we reach out to prospective PPV partners rather than expect them to come to us. Some may face significant barriers to engaging with us, perhaps due to a long-term condition or because they belong to communities that are seldom heard. But the more diverse the groups we draw on, the richer the insights they will bring. Learning from those organisations that have significant experience in this area shows that it’s better to ask PPV partners how they want to be involved rather than making assumptions. We are particularly interested at this time in encouraging people from Black, Asian and Minority Ethnic (BAME) backgrounds to apply. To find out more and how to get involved, please visit here.
 
NHS Reset launches two new reports aimed at transforming NHS culture and the social contract with patients and communities: 1) A new relationship between the NHS, people and communities – learning from Covid-19 AND 2) Lean, light and agile – governance and regulation in the aftermath of Covid-19
 
Accompanied by a letter to Health Secretary, Matt Hancock, NHS Reset (a campaign led by NHS Confederation) last week launched two new reports on learning and fall-out from the coronavirus pandemic, aimed at influencing and informing policy-making as we move forwards into restoration. NHS Reset writes: “Change happened at an extraordinary pace in every part of the health and care system, built from the bottom up by leaders who united around the shared challenges presented by the pandemic. This was facilitated, in no small part, by the removal of various bureaucratic stumbling blocks that have previously hindered progress, including in improving patient care.” The campaign also emphasises: “With the emergency response to the pandemic now over, health and care leaders are keen to explore [a] new relationship and the opportunities to create a new ‘deal’, whereby people are active and engaged partners in the development of healthy places, not merely consumers of NHS services. A new relationship based on meaningful patient and citizen engagement, informed by community insights and underpinned by trust.” You can read the ‘A new relationship’ report here and the accompanying ‘Lean, light and agile’ report here. For more information about the NHS Reset campaign visit the website.
 
Voluntary Sector organisations encouraged to sign up to create a more diverse voice as DHSC’s Health and Wellbeing Alliance undergoes relaunch and revamp
 
Charities are being urged to join the voluntary, community and social enterprise (VCSE) Health and Wellbeing Alliance, following its relaunch on 15 August, to ensure the lived experiences of the people they represent are reflected in the development of health policy. The Health and Wellbeing Alliance is a key element of the Health and Wellbeing Programme, the aim of which is to promote health equalities and reduce health inequalities across the UK. The alliance is a partnership between the Department of Health and Social Care (DHSC), NHS England and Improvement, Public Health England and 20 voluntary sector partners and consortia, including Age UK, Carers UK, LGBT foundation and the Race Equality Foundation. Refreshing the membership will ensure strong representation to reduce health inequalities. Closing date for applications is midday on 6 November 2020. Application support webinars will be run in September. For more information and to apply please visit the main website here and the original press release from DHSC can be found here.
 
NHS to expand “soup and shake” diet programme to thousands of new patients across England to combat Type 2 Diabetes
 
Thousands more people in England with type 2 diabetes will be offered the chance to try a soup-and-shake diet weight-loss plan for free on the NHS. Studies show switching to the low-calorie liquid diet can put diabetes into remission. Experts say they want to help people to be as fit as possible, particularly during the coronavirus pandemic, as obesity and type 2 diabetes are linked and both increase the risk of complications from Covid-19. Find out more here.
 
NHS Confederation survey: Share your views on restoration of services, health inequalities, system by default
 
This is an incredibly challenging time for the NHS. As the only membership body to represent organisations that plan, commission and deliver NHS services, the NHS Confederation wants to make sure all of its members’ voices are heard and are able collectively to influence the direction of travel. Ahead of some critical influencing opportunities that are coming up this autumn, including the Government’s comprehensive spending review, winter planning decisions and the Government’s health and care taskforce, the NHS Confederation is surveying its members to capture their views on what the health and care system needs to look like in the aftermath of Covid-19. Take the survey.
 
Reports and Publications
 
COVID-19-related
 

Other
 

  • UK Govt: All Our Health – Personalised Care and Population Health | updated 27 August 2020 | A framework of evidence to guide healthcare professionals in preventing illness, protecting health and promoting wellbeing.
  • Labour List: Disproportionate BAME Covid deaths were avoidable, task force finds | 17 August 2020 | This report from the West Midlands’ Covid-19 BAME Evidence Gathering Taskforce finds that the disproportionate number of Covid deaths in black and ethnic minority communities in the West Midlands was avoidable, after hearing evidence from families affected. The report will contribute to the wider review being conducted by the Labour Party into the impact of the virus on BAME communities, headed by Baroness Doreen Lawrence.
  • The King’s Fund: How Covid-19 has magnified some of social care’s key problems | 25 August 2020 | The pandemic has shone an uncompromising light on the social care sector. In this long read Simon Bottery explores how Covid-19 has exacerbated pre-existing challenges.
  • Centre for Policy Studies: Fixing Social Care – the fundamental choice | August 2020 | This report weighs up the three leading options for social care reform, ranking them by cost, political feasibility and impact on supply. It concludes that, of the options being considered, a pension-style model would be most cost effective, while also increasing supply and meeting the increasing demand for social care.
  • The King’s Fund: Deaths for Covid-19 – How are they counted and what do they show? | updated 19 August 2020 | This long read by Veena Raleigh examines how deaths from Covid-19 are counted and what the numbers show to date.
  • BBC News: Scrapping over 200 local councils could save £3 billion | 28 August 2020 | The report from the County Councils Network says one body in each area would reduce complexity and give communities a single unified voice. However, others argue bigger councils are unwieldy and undemocratic. 213 local councils highlighted in the report.
  • BBC News: Coronavirus ‘long haulers’ – blogger shares her story of living with the long-term effects of Covid-19 nearly 6 months later | 1 September 2020 | “Long tail Covid” is only just beginning to be studied by doctors and why the virus affects people for longer periods of time is still poorly understood.
  • Agenda Alliance: Voices from Lockdown – Chance for Change | August 2020 | This interim findings report shows that services supporting the most disadvantaged women and girls face a perfect storm as the Covid-19 lockdown eases, with demand surging but emergency funding dropping off. However, the report also highlights how many women and girls’ services have innovated and adapted to the new circumstances, despite extremely challenging conditions.
  • Institute for Public Policy Research: The whole society approach: making a giant leap on childhood health | August 2020 | This report looks at the government’s ‘obesity strategy’ announcement in July 2020 and considers how it could be used to address growing levels of ‘health risk’ faced by children. The report outlines a ‘whole society’ approach to expand ambition from obesity to all health issues; tackle the link between childhood health and issues such as marginalisation, poverty and deprivation; and ensure the full range of levers offered by a collective approach are being used.
  • Friends Families and Travellers: Suicide prevention in Gypsy and Traveller communities in England | 21 August 2020 | The suicide rate for members of the Traveller community is six times higher than the general population, yet Gypsy and Traveller communities are not recognised as a high-risk group, nor mentioned once in the government’s National Suicide Prevention Plan. This paper assesses 79 local suicide prevention plans that represent 113 local areas to see whether the high suicide rate in Gypsy and Traveller communities has been identified and mitigated against on a local level. It finds that only 5 out of 79 local suicide prevention plans in England mention Gypsy and Traveller communities.
  • Joseph Rowntree Foundation: Targeted action for parts of Britain at risk of surging unemployment | 7 August 2020 | New research identifies the parts of Britain that will find it hardest to recover from the economic impact of lockdown.
 
 
 Week Commencing 24th August 2020
 
In this week’s blog, Dr Nigel Wells, Clinical Lead of the Humber, Coast and Vale Health and Care Partnership, writes: “We’re working together to ensure equitable access to care across our region so that clinical need, not postcode, is the determining factor in prioritising patients as more services come back online following the initial response to the Covid-19 pandemic.” Read more
 
You can find out more about our work on our website
You can read former blog posts from previous contributors here
Our summer stakeholder newsletter can be viewed here
You can read the latest HCV Partnership board briefing paper here
You can read the latest news on our website here
Or find us on Twitter: @HCVPartnership, on Facebook: @HCVPartnership, or watch our videos on YouTube
 
Many thanks and best wishes,
Humber, Coast and Vale Health and Care Partnership Team
 
————
 
What’s happening this week?
 
The Humber, Coast and Vale Programme Leads will meet on Monday (24th August).
The HCV Population Health Management/Prevention Board holds its next meeting on Wednesday (26th August).
The HCV Testing Co-ordination Group’s next meeting takes place on Friday (28th August).
 
What happened last week?
 
HCV Voluntary, Community and Social Enterprise Sector (VCSE) Leaders Group Meeting (Monday, 17th August)
 
The group has been formed to oversee the VCSE Leadership Programme in Humber, Coast and Vale. The programme aims to support mutual understanding between the voluntary sector and the wider health and care sector and embed VCSE leadership within and across our Partnership. In addition to sharing updates on the programme, the group discussed the work they have commissioned to demonstrate the impact of Covid-19 on the voluntary and community sector across HCV and identify opportunities for development and greater collaboration – this report will be completed next month. Other topics covered in the meeting included: supporting people from BAME backgrounds to become trustees and, more broadly, how the sector can support diversity and foster diverse community leadership; the NHS volunteer responders scheme and local approaches to volunteering.
 
Scarborough Acute Services Review Steering Group (Wednesday, 19th August)
 
The Scarborough Acute Services Review Steering Group met to consider the work to date and plan next steps for the review. The meeting focused on plans for Out of Hospital services across North Yorkshire, building on learning from the response to Covid-19 and embedding new ways of working to ensure effective and integrated care models are in place. The meeting also looked at engagement and involvement plans for the next stage of the review, including engagement with patients affected by temporary changes in urology, stroke and oncology services, which is ongoing currently. The group also discussed plans to engage with local patients, carers and other stakeholders on emerging plans for paediatric services.
 
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Latest information on Covid-19
 
NHS England: Implementing phase 3 of the NHS response to the Covid-19 pandemic
 
Further to the letter of 31 July 2020 about the third phase of the NHS response to Covid-19, this document provides a range of supplementary materials to support implementation. The document includes: urgent actions to address inequalities in NHS provision and outcomes; mental health planning; restoration of adult and older people’s community health services; using patient-initiated follow-ups as part of the NHS Covid-19 recovery; finance – 2020/21 phase 3 planning submission guidance; and Covid-19 data collections – changes to weekend collections.
 
Test and Trace
 
The latest weekly statistics for NHS Test and Trace in England show a decrease in the number of people tested, an increase in positive cases, 60.5% of in-person tests turned around within 24 hours, less than 80% of those transferred reached and a fall of close contacts reached to 71.3%.
 
COVID-19: infection prevention and control (IPC)
 
Updated guidance on infection prevention and control for COVID-19 has been published here. This guidance outlines the infection prevention and control advice for health and social care providers involved in receiving, assessing and caring for patients who are a possible or confirmed case of COVID-19. It should be used in conjunction with local policies.
 
Public encouraged to register for COVID-19 vaccine trials as 100,000 already sign-up
 
Over 100,000 people have volunteered to take part in COVID-19 vaccine trials, helping to speed up efforts to discover a safe and effective vaccine. Read more
 
Study finds very low numbers of COVID-19 outbreaks in schools
 
Public Health England detected just 67 single cases and 30 outbreaks (defined as 2 or more linked cases) in schools across England in June. Read more
 
Video consultations in secondary care – resources
 
Resources to support trusts who are implementing video consultations have been added to our website. These are visual resources intended to support staff and patients use video technology for their appointments. The resources are relevant to any technology and any clinical setting and include a guide for patients, a guide for staff and information for trusts.
 
Stay Alert to Stay Safe – new materials available
 
New youth focused ‘consequences’ social animations are now available on the campaign resource centre.
 
Other information
 
Humber, Coast and Vale Health and Care Partnership piloting low calorie diet programme to combat diabetes
 
The Humber, Coast Vale Health and Care Partnership has been awarded a pilot for the delivery of a digital diabetes programme. The pilot will last two years in total and we will be working in partnership with Oviva. The programme will be expected to deliver 500 patients attending the Initial Assessment and the first session in each ICS/STP site initially (over a 2 year referral window). The programme will help some people to put their Type 2 diabetes into remission using a low-calorie, diet-based, weight management programme, with extra benefits including a better quality of life, improved blood glucose (sugar) control, and a reduced need for diabetes medications. The programme will go live in September 2020 and initially we will be looking to work with ‘champion’ practices or Primary Care Networks – this will allow us to ensure we have everything in place and to support a phased roll out. From early 2021 the plan will be for all practices across HCV to be able to refer patients into the programme (see attached documents). Should you wish to discuss further or would like to volunteer as one of our ‘champion’ practices please email Scott Walker, HCV Diabetes Project Officer by clicking here.
 
NHS Parliamentary Awards
 
Earlier this year, NHS England and NHS Improvement launched the NHS Parliamentary Awards- an award programme designed to encourage health and care organisations to engage with their local MPs, tell them about the work they do, and build or strengthen ongoing relationships. The window for nominations is open until midnight on Tuesday 1 September 2020. All health and social care organisations to reach out to their MPs to encourage them to submit a nomination. Graphics are attached separately which can be used to promote the awards more widely. More information about the NHS Parliamentary Awards and how to nominate can be found here
 
NHS Confederation survey: Share your views on restoration of services, health inequalities, system by default
 
This is an incredibly challenging time for the NHS. As the only membership body to represent organisations that plan, commission and deliver NHS services, the NHS Confederation wants to make sure all of its members’ voices are heard and are able collectively to influence the direction of travel. Ahead of some critical influencing opportunities that are coming up this autumn, including the Government’s comprehensive spending review, winter planning decisions and the Government’s health and care taskforce, the NHS Confederation is surveying its members to capture their views on what the health and care system needs to look like in the aftermath of Covid-19. Take the survey
 
East Riding CCG to hold its first ever virtual Annual General Meeting
 
NHS East Riding of Yorkshire Clinical Commissioning Group (CCG) will be holding their Annual General Meeting (AGM) on Tuesday, 15th September (from 5pm), and they are extending an invitation to patients and the public to join them online as the meeting takes place virtually for the first time. Find out more
 
NHS England and NHS Improvement’s Commitment to Carers Programme: Mind The Gap project launch
 
Date: Friday 7th September 2020, 10.30am-12pm Venue: Webinar on Microsoft Teams. Mind The Gap aims to support Integrated Care Systems to deliver on the Long Term Plan Commitment to improve the identification and support of carers from vulnerable communities that are less likely to use and/or have positive experiences of services. The audience will be made up of carers (who will also be sharing their experiences), inequalities and migrant health leads, voluntary sector organisations, carers organisations, and carers leads from STP/ICS localities. To register your interest or if you have any questions please email
 
Reports and Publications
 
COVID-19-related
 
NHS Providers: Standing up to the test: learning lessons for the next phase of the national Covid-19 testing strategy
Social Care Institute For Excellence: Hospital discharge and preventing unnecessary hospital admissions (Covid-19)
NHS Confederation: Mental health services and COVID-19: preparing for the rising tide
Best Beginnings: Babies in lockdown: listening to parents to build back better
Agenda: Voices from lockdown: a chance for change
PODCAST The King’s Fund: Covid-19, racism and the roots of health inequality
Runnymede Trust: Over-exposed and under-protected: the devastating impact of Covid-19 on black and minority ethnic communities in Great Britain
The Children’s Society: Life on hold: children’s well-being and Covid-19
Institute for Government: How fit were public services for coronavirus?
 
Other
 
Office of Health Economics: The broader value of vaccines: the return on investment from a governmental perspective
NHS Providers: Implementing the 2020/21 GP contract: changes to personal medical services and alternative provider medical services contracts
Health Devolution Commission: Building back health and prosperity
Centre for Mental Health: Our place: local authorities and the public’s mental health
Institute for Fiscal Studies: Covid-19 and English council funding: how are budgets being hit in 2020–21?
NHS Employers: Improving performance by improving staff wellbeing: North Bristol NHS Trust
National Health Executive: New NHS Digital framework to help manage cyber threats
 
 
 Week Commencing 3rd August 2020
 
“It’s a big challenge; we’re in it together, so let’s do the right thing at the right time.”
 
Dr Nigel Wells, Clinical Lead for the Humber, Coast and Vale Health and Care Partnership, shares this message on behalf of the HCV Clinical and Professional Group (also see the ‘What happened last week?’ section), on the work to restore health and care services in our area amid the ongoing challenges caused by Covid-19. Read more
 
In this week’s blog, Beverley Geary, Senior Responsible Officer for the Humber, Coast and Vale Local Maternity System, writes: “I strongly believe that our maternity services will be better for the work that the LMS, partners and all the staff have put in during Covid-19; and it will continue to support the work the teams are doing. I am so pleased to be part of this programme.” Read more
 
You can find out more about our work on our website
You can read former blog posts from previous contributors here
Our summer stakeholder newsletter can be viewed here
You can read the latest HCV Partnership board briefing paper here
The latest key developments of the Yorkshire and Humber Care Record here
You can read the latest news on our website here
Or find us on Twitter: @HCVPartnership, on Facebook: @HCVPartnership, or watch our videos on YouTube
 
The Humber, Coast and Vale Health and Care Partnership bulletin will be taking a brief hiatus during the weeks commencing 10th and 17th August, resuming the week commencing 24th August.
 
Many thanks and best wishes,
Humber, Coast and Vale Health and Care Partnership Team
 
————
 
What’s happening this week?
 
The Humber, Coast and Vale Suicide Prevention Steering Group is due to meet on Tuesday (4th August).
The Humber Acute Services Review Executive Oversight Group will hold its next meeting on Wednesday (5th August).
The HCV Covid-19 Strategic Health Co-Ordination Group is also due to meet on Wednesday.
The HCV Clinical and Professional Group will hold its next meeting on Friday (7th August).
 
What happened last week?
 
Humber, Coast and Vale Staff Side Union meeting (Wednesday, 29th July)
 
The representatives from the Unions that support staff groups across Humber, Coast and Vale came together last week for an introduction to Jayne Adamson the HCV Partnership People Lead. The focus of the meeting was to have a conversation, explore and develop how the group would work together moving forward particularly in light of the publication of the latest People Plan. They agreed to increase the frequency of meetings to monthly, to review the terms of reference and ensure the membership is appropriate reflective of the Unions operating across the Partnership.
 
Population Health Management and Prevention Board (29th July)
 
The Population Health and Prevention Board met for the second time last week. Whilst still confirming its ways of working and terms of reference, the group also received updates on the Population Health Management National Programme and the vulnerable and shielding patients activity across Humber, Coast and Vale. Public Health England provided an update and links to information on Health Inequalities. The group also commenced discussions on equality in and for our communities, how we may all to varying degrees be prejudice because of our unconscious bias and what this means for health and care of our population. It was agreed to continue the conversation and explore the action we could take at a future meeting.
 
Clinical and Professional Group (Friday, 31st July)
 
The Clinical and Professional Group was established during the height of the pandemic in April 2020, bringing together senior professionals and leaders from across health and care within Humber, Coast and Vale. Their purpose is to provide constructive oversight and expertise to the wider Partnership – in particular giving strategic direction in relation to patient care, the perspectives of frontline staff and the improvement of health outcomes. Recently the group has been focusing on Phase 3 planning (see Dr Nigel Wells’ message at the start of the bulletin), and is in the process of drafting a set of clinical priorities which can be utilised across the Partnership to assess and meet patient demand to the end of the financial year. These priorities will form the bedrock of recommendations to assist partner organisations in planning for the safe and patient-centred resumption of services following the Covid-19 pause. Recently the group has also been receiving updates from the various programmes across the Partnership including Cancer, Workforce, Digital and Population Health and providing input.
 
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Latest information on COVID-19
 
Change in guidance on self-isolation
 
Statement from the UK Chief Medical Officers on extension of self-isolation period: “In symptomatic people COVID-19 is most infectious just before, and for the first few days after symptoms begin. It is very important people with symptoms self-isolate and get a test, which will allow contact tracing. Evidence, although still limited, has strengthened and shows that people with COVID-19 who are mildly ill and are recovering have a low but real possibility of infectiousness between 7 and 9 days after illness onset. We have considered how best to target interventions to reduce risk to the general population and consider that at this point in the epidemic, with widespread and rapid testing available and considering the relaxation of other measures, it is now the correct balance of risk to extend the self-isolation period from 7 to 10 days for those in the community who have symptoms or a positive test result. This will help provide additional protection to others in the community. This is particularly important to protect those who have been shielding and in advance of the autumn and winter when we may see increased community transmission.”
 
Shielding guidance
 
From 1 August, shielding advice to those who have been identified as clinically extremely vulnerable is being relaxed, and the national shielding programme is being paused. The updated guidance will be published on 1 August on Gov.UK
 
Andrew Burnell: CICs have played a significant part in the pandemic response; and can play a valuable role in resetting health and care
 
Speaking to NHS Providers, Andrew Burnell, Group Chief Executive of City Health Care Partnership CIC, reflects on how, despite feelings of being overlooked at times by the centre, Community Interest Companies have played a significant part in the pandemic response. He explains how, by bringing CICs to the table in system-wide conversations, they can play a valuable part in resetting health and care and building a more inclusive future with fewer boundaries to service delivery.Read More
 
Humber NHS Foundation Trust ‘What makes me a contact’ Covid-19 materials
 
The Humber NHS Foundation Trust comms team has developed a poster (see attached below) explaining what makes a person a close contact in the context of the NHS Track and Trace service. The artwork includes everyday scenarios to help people to better understand in which circumstances they would be considered to be a close contact of someone who has tested positive for Covid1-9, and would therefore be required to self isolate for 14 days (even if they didn’t have symptoms).
 
NHS rolls out ‘COVID-friendly’ cancer treatments
 
‘COVID-friendly’ cancer treatments that are safer for patients during the pandemic will be expanded and extended through a £160 million initiative, NHS chief executive Sir Simon Stevens announced today. Find out more
 
Health and care workers to self-isolate on return to UK from high risk countries
 
From 31st July, registered health and care professionals travelling to the UK from high risk countries will lawfully be required to self-isolate for 14 days. They will no longer be exempt. The current list of countries exempt from self-isolation measures is available on GOV UK. The data for all countries and territories is kept under constant review, and the exemptions list is updated with any changes on a regular basis as and when required to reflect the shifting international health picture. Health and care professionals returning from a country which has a travel corridor to the UK will not be required to self-isolate on return. Information on air corridors can be found here: here
 
Visiting my GP surgery during COVID-19: Carol’s story
 
York Haematology Support Group founder, Carol Miller was diagnosed with Acute Myeloid Leukaemia in 2004. Since her diagnosis, Carol has used her experience with cancer treatment to help others going through the same thing. In this Humber, Coast and Vale Cancer Alliance feature, Carol shares her experience of attending her GP surgery and hospitals for tests during the coronavirus pandemic.
 
Other information
 
NHS People Plan
 
On Thursday, 30th July NHS England and NHS Improvement, and Health Education England published the next part of the NHS People Plan. We are the NHS: People Plan for 2020/21 – action for us all sets out what our NHS people can expect from leaders and each other. The plan is practical but ambitious, and sets out the action needed to look after and support our NHS people in 20/21 – recognising the pressure we have all been under during the COVID-19 response. Published alongside the plan was Our NHS People Promise, which challenges us all to make the NHS a better place to work
 
Healthier You NHS Diabetes Prevention Programme
 
The Healthier You NHS Diabetes Prevention Programme re-launched on 26th July with a new referral process to expand access to the programme. The referral model is changing from a GP referral-only model to include an additional self-referral model. Eligible participants will be able to sign themselves up to the programme online without a GP referral using the Diabetes UK risk tool. A communications toolkit containing social media assets, bulletin copy, posters and leaflets is available from the Public Health England Campaign Resource Centre.
 
Free webinars and workshops
 
Free NHS webinars and workshops are delivered weekly by NHS Elect. This week’s week schedule can be viewed here
 
Reports and Publications
 
COVID-19-related
 
House of Commons Public Accounts Committee: Readying the NHS and social care for the Covid-19 peak
The King’s Fund: Covid-19, racism and the roots of health inequality
Nuffield Trust: Resuming health services during the Covid-19 pandemic: what can the NHS learn from other countries?
PODCAST The King’s Fund: Why are ethnic minorities disproportionately affected by Covid-19?
Public Health England: Excess Weight and COVID-19 Insights from new evidence
Health Education England: The Future Doctor programme: a co-created vision for the future clinical team
NHS Employers: Supporting staff to return to the workplace
The Healthcare Improvement Studies Institute: Testing times: an ethical framework and practical recommendations for Covid-19 testing for NHS workers
National Voices: The impact of Covid-19 on the health and care voluntary sector
Public Health England: Wider impacts of Covid-19 on health monitoring tool
Office for National Statistics: London bus drivers review
 
Other
 
National Voices: The Dr will Zoom you now: getting the most out of the virtual health and care experience
Department of Health and Social Care:
Nuffield Trust: Tackling obesity: empowering adults and children to live healthier lives
Campaign to End Loneliness: The psychology of loneliness: why it matters and what we can do
Health Foundation: Living in poverty was bad for your health before Covid-19
The King’s Fund: Mental health and primary care networks: understanding the opportunities
Campaign to End Loneliness: The psychology of loneliness: why it matters and what we can do
House of Commons Housing, Communities and Local Government Committee: the need for cardiac prevention in secondary care to evolve to address health inequalities
The King’s Fund: Building more social housing