Public Consultation on Changes to Orthopaedic Care

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22 August to 21 September 2016

The outcome of surgery is not always successful if patients have not addressed other conditions which impact on their physical health. There is clear evidence that patients who have a BMI of 40+ or who smoke have poorer outcomes following hip and knee replacements.

As an example, in April this year a briefing was published by ASH (Action on Smoking and Health) which promoted strong evidence of higher risks and worse surgical outcomes when a patient continues to smoke.

With this in mind, the two local Clinical Commissioning Groups (CCGs) — NHS Southend CCG and NHS Castle Point and Rochford CCG — are jointly reviewing their policies for orthopaedic surgery and are undertaking a public consultation on potentially changing the eligibility criteria for total hip replacements, simultaneous joint replacements, total knee replacements and arthroscopy.

We are seeking the views of local stakeholders, whether or not they would be directly impacted by this proposed change in policy. The consultation is open from Monday 22 August to Wednesday 21 September 2016. The consultation questionnaire is available at http://bit.ly/CCGorthopaedic

For more information, or would like the consultation document in another format, please contact SCCG.Communications@nhs.net or call 01702 313690.

You can download the full document: 'Changes to Orthopeadic Care' by clicking here

 

Urgent care services in Southend

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A public consultation has been launched over a proposal to develop a new service co-located with A&E at Southend Hospital, once the contract for a walk-in service at St Luke's Health Centre has concluded.

Dr. José Garcia-Lobera, chair of NHS Southend Clinical Commissioning Group, said: "When the walk-in service was first created, the national guidance was that locations away from hospital sites were preferred. It was believed this would reduce attendances at A&E. But this has not been the case and A&E attendances have continued to rise.

"Now the Royal College of Emergency Medicine says services should be positioned where patient are attending, by co-locating Primary Care facilities with A&E. This approach is supported by leading national bodies including the Royal College of Physicians, the Royal College of Surgeons, the NHS Confederation, NHS England and the Department of Health."

The proposed service would include a new "front door service" to A&E which would ensure patients were directed to the most appropriate place for their treatment;

  • Those with an urgent serious illness or injury would be admitted to the A&E department.
  • Patients with an urgent minor ailment or condition would be seen by GPs or nurses co-located at the new service.
  • Patients who did not need immediate care would be redirected elsewhere, including back to their own GP, local pharmacist or even to self-care at home.

It would be open 24-hours a day, seven days a week - longer than the opening hours of the current walk-in service (8am-8pm seven days a week). It would also ensure patients were being seen by the most appropriate service so that those who need specialist urgent care are seen and treated quickly.

Dr. Garcia-Lobera, said: "A significant part of the proposed new service involves re-routing patients away from the hospital if they have attended inappropriately. This could mean that if a patient attends with a minor ailment such as a cough or a cold they won't be treated at the hospital. Instead, staff might book them an appointment with their own GP, re-direct them to their local pharmacist or even advise them how to self-treat at home.

"The overall impact would be a reduction in people using A&E inappropriately and more support to help the hospital manage its patient flow. It will also put more staff on the front line at the hospital."

The public consultation includes a survey to capture residents' views on how they use local health services. This will be used to help inform the business case for the new proposal.

Urgent care in Southend

(click to view the one-page summary)

Working Together for a Healthy Southend

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NHS Southend Clinical Commissioning Group and Southend Health and Wellbeing Board invite you to give your views about keeping Southend healthy.

  • Join in the conversation about health & wellbeing priorities for Southend-on-Sea.  
  • Find out about the innovative Pioneer project, which is bringing health and social care closer together.
  • Meet other community members and service providers.
  • Browse a great range of health and care information stalls.
We would love you to join us at this free public event on Tuesday 19 May 2015,1:30pm-5pm at the Plaza Centre, 600 Southchurch Road, Southend-on-Sea, SS1 2PT.

Book your free place now: http://workingtogetherforahealthysouthend.eventbrite.com

For more information, or to express interest in having a marketplace stand, please email sccg.communications@nhs.net.

Weight management service

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Southend Clinical Commissioning Group (CCG) is working with six other CCGs across Essex to commission (buy) a Specialist Weight Management Service and we would like to hear your views on what we are proposing before we start this service.

Mid Essex CCG is leading this project on our behalf in partnership with, Castle Point and Rochford, Basildon & Brentwood, Thurrock, West Essex and North East Essex CCGs. CCGs are responsible for buying health services on your behalf and making sure these services are of good quality, safe and easily accessible when you need them.

Click here to read the supporting document, which outlines the propsals under consideration.

Consultations

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Here you will find details of our current and closed consultations. Please select a consultation from the menu on the left for details.