BRIDGE Forum September 2021 Snapshot

Sep 27, 2021 | BRIDGE Forum, News, Newsletter

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

Questions/issues raised

  • 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

Key messages

  • 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
      • Carers
      • 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)
    • Annual_National_Flu_Programme_2021_to_2022_letter

Questions/issued raised

  • 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

Key messages

  • 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

Questions/issued raised

  • 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

Key messages

  • 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

Questions/issued raised

  • 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

The next BRIDGE Forum will take place on 20th October (for third sector groups) and 21st October (for PPGs). If you have previously attended a BRIDGE Forum you should receive an invite, or you can email [email protected] to reserve a place.

Bridge Poster (OCT21)

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