| Welcome to our new look engagement newsletter | Hello everyone. It’s been some time since we sent you one of our programme newsletters – we hope you haven’t forgotten us; we certainly have not forgotten you.
We have been working away over the last few months to collate what people from all our communities, including our staff, have told us when we have been out and about asking what you think an improved health and care system in our region should look like. People’s views and opinions, no matter how they have been explained, matter to us and have been used to inform the next stage of our Programme’s work.
And that next stage is the formal Consultation which we hope will get underway a bit later in the year.
Let us know what you think and what you would like to see in the newsletter by emailing hasr@humberandnorthyorkshire.org.uk - we look forward to hearing from you. | | | Programme Update - June 2023 |
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A message from Ivan McConnell (Director of Strategic Development, NLaG) and Alex Seale (North Lincolnshire Place Director, ICB)
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We would like to thank you for helping us get to the critical stage of the Humber Acute Services (HAS) programme where we are now undergoing final assurance reviews prior to progressing to consultation.
The proposals for how services could be delivered in the future have been developed by clinical teams from the two hospital trusts – Northern Lincolnshire and Goole NHS Foundation Trust (NLaG) and Hull University Teaching Hospitals NHS Trust (HUTH) – working with patients, partners and members of the public across the Humber throughout every stage of the process.
It is now the role of the Humber and North Yorkshire Integrated Care Board (ICB) and NHS England (NHSE) to make the decision about what proposals are consulted on and when. The ICB is a statutory organisation accountable for local NHS services and performance across the region.
An informal review of the proposals by NHS England and the ICB has recently taken place. A key issue identified was that the picture and landscape in relation to maternity and neonatal services, both nationally and regionally, has changed significantly and remains dynamic. As such, it was deemed necessary to decouple maternity and neonatal services from the HAS proposals in order to undertake a more comprehensive review of the current provision and future delivery of these services across the Humber and North Yorkshire.
The hard work and extensive engagement that has been undertaken on maternity and neonatal care through the programme will help to support this ongoing work across the region, and further information will be shared in due course.
The Pre-Consultation Business Case (PCBC) that has been developed for Humber Acute Services has therefore been split into two, to enable the proposals for changes to Urgent and Emergency Care and Paediatric Care to be taken forward for consultation whilst further work continues to be done on maternity and neonatal services.
The PCBC, which sets out proposals for consultation, will be considered by the Humber and North Yorkshire Integrated Care Board (ICB) at its next meeting in July. Following this, NHS England will review the business case and make recommendations regarding whether or not to progress to public consultation.
So far, we have received assurance from:
- The Yorkshire and Humber Clinical Senate – the Senate has provided reasonable assurance (highest level) against three key questions – clinical viability, assumptions, and clinical interdependencies.
- The Consultation Institute - have provided evidence that we have delivered a high-quality pre-consultation engagement programme.
We could not have reached this stage without you all. Thank you for your hard work and contributions towards the programme.
The next steps in our assurance process are to gain ICB approval in July, following this we will go to the stage of a formal NHS England Gateway review; this is planned for July/August. We will then take the Consultation Document to a Joint Health Overview and Scrutiny Committee (JHOSC) of the local councils for a formal review, before hopefully commencing consultation in September.
It is important to note that the work done to date has been recognised as being of extremely high quality. We hope you continue to support our programme as we progress through these next stages.
We will keep you updated on through future newsletters, website, and intranet updates.
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We’ve produced an easy-to-read explanation for why services need to change. This short document explains some of the challenges we are facing in our hospitals across the Humber and a bit about the process we have been going through to find solutions.
You can share this with colleagues, friends and family. There is also a link where you can sign up to get involved
Please click here to read the Case for Change
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| Hear about our catch-up with Jenny Smith! |
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We caught up with Jenny Smith, Associate Medical Director for Strategy at NLAG, and one of the leaders of the Humber Acute Services (HAS) Programme
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Jenny talked about why she sees this as such an important programme for health and care in this part of the country. As a breast consultant, she sees the potential to bring better care for her patients – and speaks with real passion about working with staff, colleagues, patients and residents to make sure that these are designed around the needs of local people.
“During the pandemic, we saw health and care services respond at their very best, and we learned some big lessons about how to deliver change in clinical services - quickly and successfully. This same approach will help to create high quality, sustainable care for our patients – across a complex mix of providers and alongside partners and local groups.
Our communities face some significant health challenges and front-line clinical staff are stretched, so having honest conversations about priorities and how to deliver them will be critical. And we need to get the best we can out of the resources available.
Health services are precious to people, so there will be challenges of course. But within this, we must absolutely make sure that those with the greatest need and at highest risk of health inequalities are not left behind”.
In particular, Jenny sees the advantage of pulling into a single plan the many different change programmes underway in hospital services across two trusts and across our large and complex health and care system. Jenny believes this will make it easier for staff to understand the vision and ambition underpinning these - and believes that some of the benefits are already becoming clear, especially for staff.
For example, having a system-wide plan for working across the trusts will bring both opportunities to collaborate and to avoid duplication, with services which consistently focus on the best outcomes for patients. Also, increasingly working in a Humber-wide service will provide more opportunities for specialism and professional development for staff.
Collaboration is a theme she emphasises strongly as “absolutely essential” develop high quality and consistent care and to get beyond “us and them” as we focus on a single, unified vision.
Jenny describes the engagement so far as being “impressive”, and reports that feedback about new facilities is generally good.
However, while we have rich feedback from patients, staff and others on what they think of services and what they would like to see improved, she makes the point that the likely solutions have not yet been described to everyone.
So Jenny hopes to see a consultation process which is a genuine exchange of ideas and through which we are able to consider views from patients, staff and stakeholders, and use these to make the best decisions.
The process should provide opportunities for partners, such as in local government and the voluntary sector, to see our commitment and join with us to be truly ambitious for our people.
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| Yorkshire and Humber Clinical Senate Report | The Yorkshire and Humber Clinical Senate undertook a third (and final) review of the programme earlier this year. The Senate assessed the proposals within the Pre-Consultation Business Case (PCBC) and confirmed that they will provide better, more sustainable services for our population.
To read the report, please click here. | |
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NHS75 - Engagement to shape the future
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July 5th 2023 will mark the 75th anniversary of the NHS. To celebrate this significant moment, the NHS in Humber and North Yorkshire is speaking to local people to find out their thoughts on the NHS in its 75th year, and how it can continue to develop in the future. As well as being out and about in our local communities, we are asking people to complete our short survey online.
By completing this short survey, you will be helping us to gain a greater understanding of what is important to our communities when it comes to accessing health and care services. We will analyse all the responses we receive to identify any key themes and topics, with a report being shared with the NHS Humber and North Yorkshire Integrated Care Board to inform the future work of our local NHS.
You can complete the survey here
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| What is a Health Overview Scrutiny Committee? (HOSC) | Health scrutiny is a statutory function of local authorities and is usually discharged through appointed Health Overview and Scrutiny Committees (HOSCs). HOSCs form part of the overall accountability and governance arrangements of local health and care systems.
The primary aim of health scrutiny is to act as a lever to improve the health of local people, ensuring their needs are considered as an integral part of the commissioning, delivery and development of health services.
Current legislation requires NHS bodies to consult with the appropriate local authorities where there are any proposed substantial developments or variations in the provisions of health services (substantial service reconfiguration) in the area(s) of a local authority under consideration. Details are set out in the Local Authority (Public health, Health and Wellbeing Boards and Health Scrutiny) Regulations 2013.
The Regulations also make provision for the establishment of mandatory joint health overview and scrutiny committees (JHOSC) where NHS bodies plan to consult more than one local authority in relation to any specific proposed substantial service reconfiguration. | |  |
| Ask a Question! | | You can ask us a question or get in touch with us anytime by clicking here or the banner above! | |
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