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UK campaign for better ME services in Suffolk and Norfolk

Discussion in 'Advocacy Projects and Campaigns' started by Suffolkres, Oct 2, 2018.

  1. Suffolkres

    Suffolkres Senior Member (Voting Rights)

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    This discussion has been split from this thread
    Some posts have been edited to remove discussion no longer needed about starting and splitting threads.


    Exactly DT, in 2009, we convincingly proved our case locally for a new service (or reinstatement of the lost consultant one).

    We even had suitable candidates waiting in the wings.....
    In 2013- 2014, the new service specification was agreed by all and by proper co production.

    Then the Tories and the Landsley reforms kicked in,.... and the CCG shit hit the proverbial fan.
    (I am of DT persuasion when it comes to direct language.)

    Roll onto 2018, .........when we finally salvaged a little from the endless fire of meetings, formal complaints, media interest etc....... well something for Suffolk at least.

    Norfolk is a tad trickier but we will be having a go!

    MPs have been useless, local elected members have been very good and supportive. Some of them have also talked in very direct language- (which I have recorded!)
    I am drafting a letter as we speak, to the chair of the Norfolk & Waveney Joint Strategic Commissioning Committee (sounds very grand- JSCC) -the JSCC who have failed to answer pertinent questions put to then in August.

    I, not we, have received a "Strictly Private and Confidential" missive from the chair (the most highly paid CCG head in Norfolk). http://www.edp24.co.uk/news/health/norfolk-nhs-ccg-chief-paid-200-000-for-nine-months-work-1-5252287 NHS chief paid up to £200,000 for nine months work as staff costs soar at Norfolk’s Clinical Commissioning Groups
    PUBLISHED: 15:59 26 October 2017 |
    Not sure if this was in addition to above £200,000
    "North Norfolk’s chair, meanwhile, Dr Anoop Dhesi, was the best paid chair of all Norfolk CCGs earning £120,000 from the CCG last year. He was given a £30,000 pay rise on the previous year."


    I am not the one who should have been written to thought............. as the Report was not drafted by me nor the questions put to committee by me......

    So a DT Special is being prepared as an Open Letter- sent to press as well who recently published the "post code lottery" article.

    I will, draft in as many direct phrases and sayings as I think I can get away with, 'cos frankly, the time for pleasantries and polite talk is past!!
     
    Last edited by a moderator: Oct 2, 2018
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  2. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    re government spending:
    "BRITAIN'S £150million F-35b Lightning II fighter jets have touched down in Norfolk after crossing the Atlantic." (that's £150million each).
     
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  3. Suffolkres

    Suffolkres Senior Member (Voting Rights)

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    Normal for Norfolk..Forget the fighters, Norfolk had NHS Billions.....
    About the CCGs in Norfolk and Waveney

    Local need – local choice
    With a population exceeding 1.1 million, Norfolk and Waveney’s CCG arrangements are in step with other areas of the country.

    In 2011, GP practices were asked by the Department of Health to form CCGs that best suited local need. Local GP Practices were very well placed to say what was needed and in Norfolk the five CCGs emerged; there was public engagement on the geographies and a rigorous assessment process. Each CCG has very different populations, so having a local CCG means commissioning can be more closely tailored to local need.
    Health services are run in localities
    There are three very distinct health ‘systems’ within Norfolk, each with its own acute hospital. West Norfolk has a distinct system around QEHKL, Great Yarmouth and Waveney has long been recognised as having a unique and distinct system around the James Paget University Hospital and in central Norfolk, the NNUH sits at the geographical centre.
    CCGs work to patients’ local areas
    The three CCGs in central Norfolk have differing needs – Norwich has all the issues of an urban centre not seen in rural north and south; North Norfolk has a much larger retired population; South Norfolk not only has specific demographic needs but it also has long-established relationships and ways of working which suit its local area. Each CCG engages closely with its local population and meets locally with public participation.
    Finances
    Each CCG has a programme budget in excess of a quarter of a billion pounds yet they are very small, lean organisations, led by local doctors and nurses. They are supported by small teams who are paid according to national rates. CCG running costs are less than 2% of total budget.
    Collaboration
    The CCGs collaborate and share commissioning at scale where it makes economic and clinical sense. For example, where services are shared, one CCG will often co-ordinate commissioning – such as South Norfolk CCG co-ordinating commissioning of the new Wellbeing Service across Norfolk and Waveney. CCGs share many services to save money and to work in a more joined up way – for example many back office functions, commissioning, contracting and finance functions are provided by a local commissioning support unit based in Norfolk.
    In central Norfolk, the three CCGs have established a Joint Commissioning Committee and a Joint Contracting Executive to further strengthen collaboration and there is also one System Resilience Group to manage the all-year-round pressures on the NHS, which is led and coordinated by North Norfolk CCG.

    Only yesterday (Tues Jan 12th 2016) Chief Officers from health, social care and partner organisations from across Norfolk met to discuss closer working.
     
    Last edited: Oct 2, 2018
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  4. Sasha

    Sasha Senior Member (Voting Rights)

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    I'm very impressed with how hard you've all worked to try to make progress towards a biomed-led service in your local NHS. :thumbup:
     
    Last edited by a moderator: Oct 2, 2018
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  5. Suffolkres

    Suffolkres Senior Member (Voting Rights)

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    It would be good to show our "Open Letter' and show how £ billion service provision is being run by headless chickens and turkeys -albeit highly paid ones..... What would Bernard Matthews say?
    Just post about CQC failing to deal with Duty of Candour (medical negligence) - has important for both NICE and GMC issues.
     
    Last edited by a moderator: Oct 2, 2018
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  6. Suffolkres

    Suffolkres Senior Member (Voting Rights)

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    The point is about "skepticism" and delivery of promise.... ( MRC) CMRC etc... and to illustrate a point, be wary!
     
  7. Andy

    Andy Committee Member & Outreach

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  8. Suffolkres

    Suffolkres Senior Member (Voting Rights)

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    About to finalise an Open Letter about the patient safety and patient risk from "insufficiency of services for ME" within Waveney (Suffolk) and Norfolk (5 CCGs).

    Waveney (Suffolk) and Norfolk (5 CCGs) have a new Joint Strategic Commissioning Committee who meet bi monthly- next meeting is the 16th in North Norfolk.

    Suffolk CCGs (2 CCGs) had made an effort at least and are to be praised for that.

    Letter will be posted as soon as it is signed off.
     

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