News from Cumbria Action for Health

News from Jozi Brown, Senior Engagement Officer at Cumbria CVS

Two weeks to go! A reminder that our next conference is on the Wednesday 26 November 2014 at Rheged, Penrith (please make sure you book a place if you’d like to attend).

Health and Well-Being Board Update from 4 November 2014
– update from Sonia Mangan (elected third sector representative on the Cumbria Health and Wellbeing Board)
The papers for this periods Board meeting can be found at
The next meeting is 27 January 2015 and note that the intention at that meeting was to focus on older adults and ageing.

My apologies for not reminding colleagues that the papers were online prior to the meeting but there have been a number of development discussions since the last Board meeting including a review of the Health and Well-Being process and function and structure in the County.

This report and recommendations has been shared with all colleagues on Third Sector Network Executive and at the last meeting of that group I was given clear instruction to object to the recommendations on the grounds that there would be no Third Sector seat on the Health and Well-Being Board. The recommendation will be that the Board from January 2015 has the statutory required membership only.

There is no paper on the County Council portal to date that relates to that recommendation as all discussions so far have been in the “development” part of the session but as the proposals will be discussed by the County Council Cabinet on 27 November 2014, I will be working with TSNE so that we can continue our objection to that group and share the discussions with you.

The key points from recommendations so far are:

  • Health and Well-Being Board will have statutory members only and be chaired by the Council leader (the H&WB Board members wanted a TS and District rep addition to this group);
  • The Board will be supported and informed by its worked by a new Public Health Alliance and the TSNE will have a member on that group as well as this group linking with the work of the local forums where we do have a role (the H&WB Board felt that the Alliance ought to be able to choose its own Chair) ;
  • The recommendation was for the Public Health Alliance to have a County Councillor as its Chair;

On the other papers at the Health and Well-Being Board colleagues may wish to note the following:

  • Both Children and Young People and Adults safeguarding annual reports/business plans and we do have Third Sector representatives on both of those groups
  • For Children and Young people the focus has been on multi-agency support and early help;
  • For Adults the issues impacting safeguarding are the Care Act; Making Safeguarding personal; public engagement; the Mental Capacity Act; and of course issues arising from Winterbourne;
  • Better Care Fund – there will be further submissions from the County as although the plan has been improved in principle there are some further conditions to be met – especially around the targets in reduction in admissions;
  • Pharmaceutical Needs Assessment is in the Board pack and colleagues may find the analysis by district very helpful however there is no critique about the data or specific recommendations. This assessment is sent to NHS England and is mainly used as an influencer to NHS England about encouraging providers to support our communities;
  • JSNA refresh – there is a paper in the pack and the process needs a lot more work and I will be working with Jozi and Carolyn to make sure our voice is heard in this process.

Any questions I would be happy to attempt a response, note my new contact details below…
Sonia Mangan, Managing Director, Croftlands Trust Ltd. E-mail: Telephone: 01228 592325 or mobile: 07745439446

Update from South Lakeland Mind
(HELP crisis fundraising campaign – our progress)
Press release can be downloaded here, giving an update on their recent campaign to save South Lakeland Mind. The press release also gives information about how you can help them in their efforts.

Maternity services in Cumbria to get independent review
An independent review of Cumbria’s maternity services gets under way next week with a fact-finding visit from a team of experts. Ensuring top quality maternity services is a priority for NHS Cumbria Clinical Commissioning Group (CCG). Along with Lancashire North CCG, it has invited the Royal College of Obstetricians and Gynaecologists to undertake a review of maternity services in Cumbria and the Morecambe Bay area.

The Royal College will provide independent, objective, expert clinical advice, to support the local NHS in making the best decisions. The review team, headed up by Dr. Anthony Falconer, retired consultant Obstetrician at Plymouth Hospitals NHS Trust and former President of the Royal College of Obstetricians and Gynaecologists, will visit maternity units in Barrow, Whitehaven, Carlisle, Penrith, Kendal and Lancaster on November 18, 19 and 20. The review team is tasked with hearing as many views as possible while gathering evidence for its review. Clinical consultants, midwives, GPs, health service managers, paramedics , members of the public and representatives of maternity service users will be among a wide range of people whose opinion will be sought.

NHS Cumbria CCG medical director Dr David Rogers said: “This essential independent review will help inform our commissioning intentions for Cumbria’s maternity services. The review will give us guidance on the best arrangement of services to deliver the safest and best service possible. The CCG has made it clear that it wishes to see consultant-led maternity services in Whitehaven and Barrow providing they can be delivered safely and sustainably.”

The review team is expected to report back to the CCG’s early in the New Year. The review will consider the best way to provide maternity services across each of Cumberland Infirmary Carlisle, West Cumberland Hospital, Penrith Community Hospital, Furness General Hospital, Westmorland General Hospital and Royal Lancaster Infirmary. No decisions have been made about any potential changes to maternity services. The Royal College will provide a report from the review, which is not expected until early 2015. At that stage NHS Cumbria CCG and Lancashire North CCG will work with the Hospital Trusts to determine the best course of action.

Cumbria wide ‘drop in’ sessions for Cumbria County Councils budget consultation
People in Cumbria are being encouraged to get involved and learn more about the biggest challenge the county council has ever faced in terms of cutbacks and changes to the way it runs services.
A series of drop-in events start across the county next week to help people understand more about the council’s drive to cut £213m from its annual spending by 2018. The council started its ‘Securing Your Future’ consultation last month and the drop-in events present an opportunity for the public to learn more about the scale of the task ahead and what specific savings the council is proposing to make next year.

The county council has already warned that 1,800 further jobs will have to go from the organisation over the next three years. It is consulting on a number of public-facing savings proposals, as well as asking the public for their views on what it can do differently to save money and retain services. One key question is whether Cumbria should save money by having a unitary council or councils rather than county and district councils. The drop-in events are just one of the ways that people can get involved in the consultation lasting until 20 January 2015. Cumbrians can also share their views online at or by picking a copy of the budget consultation booklet from their local library.

Cllr Patricia Bell, Cumbria County Council’s Deputy Leader and Cabinet member for resources, said “This is not something the council can do on its own. Our partners, our contractors and the public will all feel the effect as we lose more than one pound in four from our budget. Therefore it’s vital that people engage now to understand what these cuts mean for them. More than three quarters of our savings this year are coming from within the four walls of the organisation – by working more efficiently, reducing our managers and cutting our spend. But some savings do effect the public, which is why we need to have conversation with them through events like these drop-in sessions.”
To see the drop in session dates please go to their website at

Healthwatch Cumbria Vacancies
Healthwatch Chair
The role requires knowledge of the health and social care system across Cumbria, excellent chairing skills and the ability to lead the continued strategic evolution of Healthwatch Cumbria. Candidates will be required to demonstrate experience of operating at this level and of working within a complex governance system.
The Chair will be required to attend the quarterly meetings of the Board (normally held in Carlisle) and also attend the quarterly Board development sessions which are planned to take place between main Board meetings. Applicants should note that future meetings of the Board will be held in public. The minutes of Board meetings are made widely available through the Healthwatch Cumbria website. The Chair will also attend meetings on behalf of Healthwatch Cumbria representing its views and reporting back to the Board and the staff team.
The role of Chair is supported by an Honorarium of £4,000 and additional expenses will also be paid.

Healthwatch Board Member
Healthwatch Cumbria wishes to extend its skills based Board and would welcome enquiries from individuals interested in joining the organisation’s governing body which oversees the activity of Healthwatch Cumbria. We would especially welcome enquiries from applicants skilled in finance, engagement and strategic development, or from applicants with experience and knowledge of the health and social care system in Cumbria or elsewhere.

Healthwatch Ambassador
Healthwatch Cumbria is also seeking to add to its team of Ambassadors to extend its reach across the county. Ambassadors work alongside staff members supporting projects and engagement activity and when appropriate attending meetings on behalf of Healthwatch Cumbria.
We would welcome enquiries from people who are experienced or new to volunteering and who have some knowledge of the health and social care system and its services in Cumbria.

Training will be provided and relevant expenses covered and all positions are subject to DBS checks.
Further information, job descriptions and application forms can be downloaded below, or you may request an application pack by calling Head Office on 01900 607208.
Closing Date for All Positions: Friday 5th December 2014

Cumbrian Rural Health Forum Website launched
Rural communities face particular issues in accessing health and social care. The Cumbria Rural Health Forum was formed to help understand and address these issues.
The Forum represents health and social care providers from the public, private and voluntary sectors, health technology companies, health and social care commissioners and policy makers.
The Forum aims to work collaboratively to understand specific rural issues and jointly develop solutions, drawn from and contributing to international best practice.
Alison Marshall from the Cumbria Rural health Forum will be attending the Cumbria Action for Health Network conference on the 26 November in Penrith to give us more information about the work of the forum. Including their work around telemedicine.

Ever wanted to complain about a public service?
South Lakes CAB in partnership with the Parliamentary Ombudsman are hosting a Focus Group on 27 November 2014. The Focus group will take place between 10-12 at our offices Windermere Library Ellerthwaite Road, Windermere LA23 2AJ. Refreshments are provided, and travel expenses will be reimbursed. All participants who attend will receive a £25.00 gift voucher.  Please contact Ollie Flitcroft, email to reserve a place.

Tailor – made: how community groups are improving people’s lives
The Community Development Foundations recent (rather brilliant) report ‘Tailor-made: how community groups are improving people’s lives’ centres around small community groups – many of which are running on income of less than £2,000 a year – which sit under the radar. It looks at the tailored services that they provide to their community and the support they need to work well.
Direct link to the report

Putting people in charge of their own health and care – the state of involvement
The idea that people should have a stronger voice in decisions about their health and care, and that services should better reflect their needs and preferences, has been a policy goal of politicians and senior policy-makers in health for at least 20 years. Patients want it, and the evidence shows that when they are involved, decisions are better, health and health outcomes improve, and resources are allocated more efficiently. Despite this, and some small pockets of improvement, there has generally been a lack of progress towards fully involving people in their own health and care. This report examines the reasons behind this, and considers how we can advance the cause of making person-centred care the core of health and care reform.
Link to the report:

The social and economic impact of the Rotherham Social Prescribing Pilot
This Pilot has been allocated further funding until March 2015, following its NHS ‘Excellence in Individual Participation Commissioner’ award.
The Pilot is being delivered by Voluntary Action Rotherham (VAR) on behalf of NHS Rotherham CCG. The aim of the borough-wide Pilot is to strengthen the capacity of GP practices to meet the non-clinical needs of patients with complex long-term conditions who are the most intensive users of primary care resources. The Pilot is part of a wider GP-led Integrated Case Management Pilot.
The evaluation evidence so far is very positive. Following their referral to Social Prescribing, patients’ use of hospital resources has reduced by up to a fifth, as measured by the number of in-patient stays and A&E attendances and outpatient appointments over a 12-month period. For Rotherham commissioners, this represents promising potential financial returns in a relatively short time. The Pilot provides a model for future micro-commissioning of community level services across a wide range of public service areas.
This report (download here) by the Centre for Regional Economic and Social Research will be of particular interest to commissioners, all local authorities, health and care professionals, and the voluntary and community sector.

Factsheets accompany Part 1 of the Care Act 2014: provide an overview and the duties and powers local authorities will have in the future
The factsheets covers areas such as who is entitled to care, carers, safeguarding and care and support planning.
Care Act Factsheets web link:

Get everybody active every day
Public Health England (PHE) has co-produced ‘Everybody active, every day’, an evidence-based approach to improve the nation’s health through everyday activity.
To facilitate cross-sector collaboration, PHE has co-produced the framework with over 1,000 national and local leaders in physical activity and is calling for action from providers and commissioners in: health, social care, transportation, planning, education, sport and leisure, culture, the voluntary and community sector, as well as public and private employers.
To make active lifestyles a reality for all, the framework’s 4 areas for action will:
• change the social ‘norm’ to make physical activity the expectation
• develop expertise and leadership within professionals and volunteers
• create environments to support active lives
• identify and up-scale successful programmes nationwide (see notes to editors)

To find out more please visit the website at

Commissioning for outcomes and co-production – A practical guide for local authorities – download here.
All local authorities hope to govern in a way that promotes well-being and tackles societal problems at their root. But with finances slashed and demand for public services swelling, struggling councils are seeing these objectives drift further and further out of reach. What can be done? A new model of public service commissioning is evolving across England that may hold the key.

The word ‘crisis’ has become commonplace in local government over the last five years. Reeling from cuts of up to 30%, councils are faced with the seemingly impossible task of stretching dwindling funds ever further. But new strategies are out there. By embracing the skills, time and energy of those who know most about public services – the people who use them – and switching focus towards identifying and achieving the long-term outcomes that really matter, councils are breathing new life into the services they commission. This (attached) handbook and practical guide is the result of eight years of collaboration between the New Economics Foundation (NEF) and local authorities.

Talking wellbeing: A public dialogue approach to effective policy-making – download here
By running three public dialogues on wellbeing in policy, this project found that the public were interested and engaged with wellbeing, and that the wellbeing lens enabled them to really consider what matters to them. This has the potential, not only to deliver better policy, but also to reconnect people to the policy-making process in a meaningful way. Since 2010 the government has made great strides in measuring population wellbeing. The question now is how to use that data, and other evidence on wellbeing, to create better policies.

Jozi Brown
Senior Engagement Officer
Cumbria CVS
01768 80131