The purpose of this meeting is to share regular information across all sectors, identify issues encountered and discuss how we can work collaboratively in a connected and integrated way to help improve the pathways into services for Wirral residents.
During this time, these meetings are virtual so please follow the joining instructions.
11am -Welcome- Please mute your microphones.
Bridget Hollingsworth – Adult Social Care updates
Gary Rickwood – Flu vaccination campaign
Louise McNee – Wirral CCG updates
Mark Trewin – Rethink Mental illness
All – Info sharing
Bridget Hollingsworth – Adult Social Care updates
- Issues in care sector nationally – depletion of domiciliary care force – losing to other services
- If someone is in hospital they can have a timely assessment but there may be a delay in returning home due to lack of care workers
- Discharge to Assess – used to be discharged to homes in community for therapy – service is now based in Clatterbridge – Discharge to Assess ward with a consistent therapy offer – not fully operational yet but will be stepped up gradually
- Assessments in community – increased numbers to assess due to COVID – everything has been risk stratified – prioritising reviews where they can
- Assessments/reviews at home are carefully risk managed – have to be aware of COVID risk
- Carers’ assessments ARE taking place
- Currently reviewing Direct Payments offer in Wirral – looking at the culture – thoughts from the group would be greatly appreciated
- Focus on person-centred assessments and outcomes for all
- Project focusing on three teams – strength-based assessments – as person-centred as possible, based on conversations rather than assessment forms; likely to take longer but evidence that if more time is spent on the assessment process there can be better outcomes and resilience – can share some stories
- Building the time in – it will affect the whole system – need to change structures including IT, metrics social work are measured by (e.g. time from referral to assessment completion)
- Wirral Mencap – would like to connect around a process for those who don’t get statutory advocates but need additional support (e.g. those with learning disabilities)
- It’s about making workers more aware of what is available in the voluntary sector rather than just thinking about services – will work together
- Social care staff should be using Wirral InfoBank
- Recruitment – dom care – can we help to promote recruitment campaigns?
- Yes please – it will be in the action plan, there will be meetings to join up
- We need to thank people – not just NHS staff!
- Terms and conditions can be very different in the care market as opposed to NHS/council – there is a conversation to be had
- Social media/comms campaign will be happening
- Mandatory vaccination in care homes from 11th November – not having a massive impact in Wirral but is a factor
- Lack of domiciliary care staff can delay hospital discharge – please help to promote any recruitment campaigns and vacancies when shared
- New Discharge to Assess ward in Clatterbridge is being rolled out
- New assessment process focused more on conversations than forms is being trialled in West Wirral – very person-centred
Gary Rickwood – Flu vaccine updates
- Presenting letter from NHS England (attached) as a reflection on the last flu season
- Last year was the highest level of flu vaccine coverage ever achieved.
- The uptake in the group aged 65 and over was 81%.
- The Wirral was above the national average.
- Presenting the national letter (attached) that is sent to introduce the flu season, this letter was sent in July.
- This letter highlights again that the previous flu season was the biggest NHS flu vaccination programme ever, and that is was successful.
- The letter states that there may be an increased risk of people catching the flu this year because so little flu virus circulated last year.
- To clarify this is saying that because so little flu circulated last year, as a population we may be more vulnerable to flu this year.
- There are various reasons why people did not catch the flu virus last year.
- The large scale roll out of the flu vaccine last year.
- The measures taken to prevent COVID-19 (Lockdown, social distancing, enhanced cleaning etc.) would also prevent people catching the flu.
- The groups that are eligible for the flu vaccine in 2021 to 2022 are:
- All children aged 2-15 (but not 16 or older) on 31st August 2021
- Those aged 6 months to under 50 years in clinical risk groups
- Pregnant women
- Those aged 50 and over
- Those in long-stay residential care homes
- Close contacts of immunocompromised individuals
- Frontline health and social care staff
- 100% of frontline health and social care workers will be offered the flu vaccine.
BW485_Achievements and developments during 202021 season (Flu reimbursement letter)_April 2021 (003)
- COVID booster and flu jab – can you have them at the same time?
- Still waiting for an update
- Louise McNee – confirmation that Birkenhead Medical will be co-administering vaccine (especially for care homes and housebound patients) but not sure about the rollout across the Wirral
- Definition of ‘carer’ for access to flu jab – they may need to be registered as a carer at their own practice in order to get offered the jab
- Carers’ passport? Could this be linked in?
- Report back to flu group if carers are struggling to access vaccine
- People need to understand that they are carers
- The Care Act definition of a carer – A carer is anyone, including children and adults who looks after a family member, partner or friend who needs help because of their illness, frailty, disability, a mental health problem or an addiction and cannot cope without their support. The care they give is unpaid.
- Are people with learning disabilities eligible?
- Yes – but this needs to be clearer
- They do have materials for communicating with people with LDs
- The new flu season is upon us
- Get your flu jab when offered – this winter could see a resurgence of the flu due to the lack of a flu season last year
- Carers and those with learning disabilities are eligible
Louise McNee – COVID-19 vaccination campaign
- 83.8% in Wirral have had at least one COVID jab, 78% have had both
- Delivery has changed – taking the vaccine out into the community to make it easier/more convenient – vaccination bus going to areas of low uptake with first and second doses – mostly well-received by the community
- Vaccine now available to 16-17 year-olds – working with sixth forms, Wirral Met etc and taking bus to them/doing pop-up clinics
- Good opportunity for CCG to talk to the younger age group – pulling together quotes, videos etc – will be shared for ‘Back to Life North West’, regional campaign to encourage young people to get the vaccine
- World Patient Safety Day 17th Sep – theme was ‘Maternal Health’ – had a pop-up clinic at Seacombe Children’s Centre and had members of WUTH’s maternity team present to speak to pregnant women about the vaccine and any concerns
- PHASE 3 – booster vaccinations have started
- People are being invited by national booking service and by GPs – have to have at least 6 months between 2nd vaccine and booster; starting with over-80s and health and care staff
- 12-15 year-olds are being offered vaccine through school nurses (with parental consent)
- CGG AGM – 13th October – keep an eye out for invitations
- 12-15 year-olds – parents asking for more information as they’re getting consent forms for jabs that don’t cover COVID jab
- Will liaise with Fiona Fleming who is leading from Community Trust on school effort – need to ensure a consistent message
- There is a joint COVID/Flu vaccine campaign nationally which will be shared
- Wirral has a good uptake of the COVID-19 vaccine and the focus now is on specific areas and age groups, including 16-17 year-olds
- Phase 3 (booster vaccinations) have started and people will be invited based on age group
Mark Trewin – Head of Alliance-Building at Rethink Mental Illness
- Rethink has some funding to support local areas around implementation of Community Mental Health Framework
- Want to expand from an NHS-led way of working to be more community-focused – co-production, listening to experts by experience etc
- Rethink working with voluntary sector groups in mental health field
- Are you working within schools?
- Not specifically in schools but working with a lot of contacts in child and adolescent mental health, so even though it is not them doing it they can still information share with the people that are.
Yunus Mogra – NWAS
- Demand continues to be high for the ambulance service – level 4 out of 5
- AGM last week – lack of awareness within communities around NHS 111 service – please share comms with your groups!
- Mental health practitioners do sit in NHS 111/999 service
- Staff will still be wearing full PPE if coming to you for their own safety