The public consultation on a review of health services for the older you is now closed (4th December 2015). Thank you for your responses.
From our early 50s we tend to begin to need more help from health and social care services. Sometimes we don’t need much, for example, a little advice or a short course of medication. But sometimes we need much more long term help, maybe we need a heart bypass, have a condition that will need managing for the rest of our lives, or need support to reduce falls in the home and keep us independent. The older we get, the more likely we are to move towards needing more regular support.
At NHS Wigan Borough Clinical Commissioning Group (Wigan Borough CCG), we constantly review the services we commission. We have been listening to the views of our older patients, their carers and families, along with the views of the consultants, doctors, nurses and other professionals that deliver the services. Lots of the feedback is positive and this is a testament to the knowledge, skill and hard work of our teams of doctors and nurses. However, we are also being told that there are a number of places where services could be improved if we did things differently.
This is to be expected.
The NHS was designed in the 1940s in a different world to the one we live in now and for a different generation of patients, with different expectations. The world has moved on. Whilst the NHS has continued to develop new medicines, new techniques and new ways to keep people alive, the essential structure of the NHS hasn’t changed enough to reflect modern generations and modern technologies.
As well as needing to change to meet the needs of our current patients, the NHS is under huge financial pressure and has to ensure that the services it delivers are sustainable for the years to come.
The population of our Borough is changing. The number of older people in our Borough is increasing because we are living longer lives. This means that our services are needed more than ever.
We want to make sure that as you age, you age well and safely remain independent in your own homes for as long as possible. This will mean we can make the services for older people better now and sustainable for the future.
Download the consultation document for a detailed overview of what we think the redesigned services might look like and why. We need feedback from our current patients, future patients, current carers, future carers, and health and social care professionals to help us make the right choices. Please read this information carefully, get involved in the discussions about the new services, fill in the questions at the back, and help shape your local NHS.
It is important to remember that this is just the beginning of the process. We can’t change everything at once - it wouldn’t be safe to try, and some of the changes we may collectively decide we’d like to make might take years to implement properly. The improvements we make to the service, taking into account the feedback from this consultation, will be followed by a continuous cycle of evaluation and amendment.
Opportunities to Engage
There will be more opportunities to engage following the publication of the independent consultation report. We will need help to design the services more and implement them. We will update this page as opportunities become available.
The consultation document explains the option we proposed during the consultation. It has the questions that we asked to help us understand your views and what you want from the service.
To download the complete consultation document, including questions, please click the link below. If you would like a printed copy of the document, or would like it in a different format, please email us on firstname.lastname@example.org or call 01942 482711.
To help us understand what patients want from their service and how health and social care professionals want services to change, we have been holding discussions. The conclusions and write ups from some of those discussions can be downloaded using the links below.
Equality Impact Analysis
We want to make sure that our services are accessible to everybody. To try and help us understand where the issues might be, we have undertaken an Equality Impact Analysis. This is a constantly evolving document. If you think we have missed anything, please do get in touch.
Publications and Research
We have reviewed many publications and research papers to understand what works well elsewhere. Here you can find links to the most important ones.
- NHS England (2014) Safe, compassionate care for frail older people using and integrated care pathway
- Kings Fund (2015) Acute hospitals and integrated care, from hospitals to health system
- British Geriatric Society (2012) Quality care for older people with urgent and emergency care needs “Silver Book”
- Kings Fund (2015) Population health systems going beyond integrated care
- NHS England (2015) – Personalised care and support planning handbook: the journey to person-centred care
- Kings Fund (2015) A new relationship with patients and communities?
- British Geriatrics Society and the Royal College of General Practitioners (2015) Fit For Frailty, Part 2: Developing, commissioning and managing services for people living with frailty in community settings
- HSJ/SERCO (2015) Commission on hospital care for frail older people
- Stonewall (2011) Lesbian, Gay & Bisexual people in later life
- National Voices, Age UK, UCL Partners, (2014) I’m Still Me…. coordinated support for older people
- The Cochrane Library (2011) Comprehensive geriatric assessment for older adults admitted to hospital (Review)
- The Health Foundation (2015) Shaping The Future, A strategic framework for a successful NHS
- Kings fund (2014) making our health and care systems fit for an ageing population
- Local Government 2015 Ageing: the silver lining, The opportunities and challenges of an ageing society for local government
- Ambitions for Palliative and End of Life Care: National Palliative and End of Life Care Partnership
If you have any questions, want more information or you would like to give us your views, please do get in touch:
Phone: 01942 482711
Post: NHS Wigan Borough CCG, Wigan Life Centre, College Ave, Wigan, WN1 1NJ