1. Leominster - slides and feedback
Event – 1 August 2017

2. Leominster told us Care delivered in local area Information is key
Good access to diagnostics, opticians and pharmacy
Good voluntary and community services with potential to utilise more
Traditional model of NHS not sustainable
GP surgeries could be a central hub
Do more locally, such as outpatient appointments
Limited mental health support
There is no integration with social care
Improve connection between services
Information is key
Insufficient information given by the NHS
Between my doctor and hospital
People’s understanding of conditions and self-care
Improve navigation and signposting
Access to health records across the system and for the public
Awareness of who to contact when
Trustworthy information
More than information available through internet
Person-centred care
Know me, not my condition
End impersonal care
Share results with patients
Recognise that people are reluctant to seek support
Access is poor
Parking is a challenge for NHS appointments
Length of appointments are too short
Poor access to NHS dentist
Lack of support with mental health
Access to equipment is difficult
Mobility is a factor
Healthy Lifestyles in your Community
Develop self-help groups and help people to identify others to form support networks
Health-checks for all
Issue guidance on prevention
Recognising carers
Improve quality
Standards of care are generally good
Professionals are interested in caring for people
There is duplication in tests and appointments (based on each condition rather than the person)
Follow-ups are not routine
Community rehabilitation is not sufficient

3. What’s important to Leominster
Improved access
Long-term support with mental health
Recognition & support with mobility
More care at home
rehabilitation
Develop multi-disciplinary teams
Training & support for carers
After-care
Social care
Virtual ward
Early help
to keep well
Involve me in
my care
Team work
Access to records & results
See the person, treat holistically
Continuity of care
Address isolation and loneliness
Health checks

4. Guide people through system
What’s important to Leominster
Guide people through system
Better communication
Key workers
Use local clubs to deliver signposting to appropriate services
Within the NHS
Build up WISH
With the public about the NHS
Advice on self-management
Focus on enhancing skills
Tools to check my health
Accessible mental health self-help
Local self-help groups

5. Key Issues for Leominster
Need for integrated health and social care system (LA, CCG, Providers and voluntary)
Guide people through the system
Lack of infrastructure for increasing care at home
Improve access to named person in primary care
Improve coordination and communication between different sectors of health and care system
Seen as a person and being involved in my care
Promote telecare and assisted technology

6. What Leominster asked us
Q: Would you like everyone to come to these events?
A: Yes, these events are for the public to participate in this work on community health services. We want to use people’s experiences of care to inform plans for improvements.
Q: Why is Leominster Hospital run by a GP practice?
A: Wye Valley NHS Trust run Leominster Community Hospital with medical cover provided by Mortimer Medical Practice, based in Kingsland.
Q: Who are Wye Valley NHS Trust?
A: Wye Valley NHS Trust is a NHS provider of acute (hospital) and community services in Herefordshire.
Q: Why is there a difference in way things are done between different GP surgeries?
A: GP surgeries are independent clinical services that are organized to meet the need of their patients. As of 1 April 2017, the CCG became responsible for commissioning primary care. The CCG are working with all practices to achieve similar ways of working. As patients, you can influence your surgery through the Patient Participation Group. Across practices, GPs and Practice managers come together to share good practice and learn from each other.