Here are some highlights of how the separate organisations have shaped better healthcare in our area.
The CCGs have been committed to commissioning the best possible healthcare for Bristol, North Somerset and South Gloucestershire since 2013. In that time, we’ve listened to people in the community and worked with clinical partners to shape the healthcare services our area needs. Together, we’re working towards a new set of ambitions across the whole area.
Funding mental health support in schools
We became the first city in the country to fund a mental health-focused training package for staff in every primary and secondary school, working closely with Bristol City Council. The training is designed to raise the profile of Child and Adolescent Mental Health Services (CAMHS), with the focus on early intervention to make a significant difference to young people’s lives.
Advancing our dementia care
We have established leading dementia wellbeing services, with around 2,000 patients benefiting from specialised support last year. A key feature is that people are never discharged from the service and can access support whenever they need it. We’re making continued investments and the number of people the service supports has nearly doubled over the last 12 months.
Sustainability and Transformation Partnership
We developed a new plan to guide our commissioning activity until 2021 as a partnership between Bristol, North Somerset and South Gloucestershire CCGs. After drafting the plan together, we involved the community and other clinical groups to gain their input. We had meetings with the three local authority health scrutiny committees and community volunteers. Our work together set us up to develop the best possible healthcare services for our population’s needs in the coming years.
Designing healthcare with our young people
We held a major consultation to find out what local young people, their parents and professionals involved in their care, thought of our community health services. We received over 1,200 ideas and have been using that feedback to shape children’s and young people’s health services.
Improving hospital discharge for older people
Our Discharge to Assess (D2A) scheme speeds up hospital discharge times for older patients, helping them get home quicker. The D2A team support patients to be discharged and assess ongoing care at home, on the same day, by community teams of social workers, nurses, physiotherapists and occupational therapists. The scheme has helped 20 people who would otherwise be in hospital receive therapy in their own homes and enabled us to save a total of 376 hospital bed days.
Appointing a new community healthcare services provider
In partnership with NHS England and North Somerset Council, we appointed North Somerset Community Partnership (NSCP) to provide community healthcare services. They provide all adult and some children’s community health services and specialist services, such as those for people with Parkinson’s disease, until April 2019.
Developing better out-of-hospital care
Helping people to live safely and independently at home as they age has been a high priority. We’ve introduced several initiatives to help people get better outside of hospital, from helping them discharge as soon as they’re fit to leave, to outpatient appointments in the community, and working with Age UK to provide better support to people as they age.
Transforming community services for children
We re-procured children’s community health services for Bristol and South Gloucestershire. This involved a partnership of five commissioning organisations working together to develop a cost-effective service for the whole area that recognises specific local needs, delivering coordinated care to children, young people and families.
Tackling diabetes and promoting self-care
We joined the second wave of the national Diabetes Prevention Programme in April 2017, building on a pilot at Leap Valley GP practice in Emersons Green, Bristol. Together with Bristol and South Gloucestershire CCGs, we’ve also since been selected to pilot the digital stream, which aims to establish whether digital interventions are effective in supporting behaviour change in people with non-diabetic hyperglycaemia (NDH) and overweight and or obese individuals.