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Inverclyde

Working with colleagues from Inverclyde Health and Social Care Partnership and Your Voice Inverclyde we held a meeting to hear feedback about local plans and priorities and how these align with the strategic vision to transform health and social care services that is set out in Moving Forward Together.

It took place 25 march in the Tontine Hotel in Greenock and Louise Long, the Chief Officer for Inverclyde Health and Social Care Partnership, and Dr David Stewart, the Deputy Medical Director for NHS Greater Glasgow and Clyde delivered a presentation to 78 people – a mixture of members of the public, local politicians and community planning partners. Also participating was Marie Farrell , Acute Director for NHSGGC Clyde Sector, Dr David Raeside, Chief of Medicine for NHSGGC Clyde Sector and Murray McEwan, Head of Service of Scottish Ambulance West Sector. 

During the meeting there was whole audience question and answer sessions and facilitated round table discussion with smaller groups where we; sense checked the aims and direction of travel set out in Moving Forward Together to deliver safe, effective and sustainable health and social care services; and asked people what matters most to them so that we can develop new models of care that are person centred and meet people’s needs.

All the feedback that we heard at this meeting and others across Greater Glasgow and Clyde is logged and will be examined so that at future events we are able to answer frequently asked questions, provide examples of transformation in practice and update people on any progress. Below we have provided a summary of the questions and the feedback that we heard from people at the Inverclyde meeting.


Questions

Participants asked a number of questions about local services and Moving Forward Together,  these have been summarised for this commentary under the following headings:              

  • Inverclyde Royal Hospital was the basis of several questions from participants with people asking where it fits with local priorities and the within the Moving Forward Together Programme:
    • It is good that there is planning to deliver more services closer to people in communities and to see investment in a new Health and Social Care Centre in Greenock. However, what effect will this have on Inverclyde Royal if some services potentially move out of there to be delivered more locally
    • There is concern about a lack of investment and challenges to recruit to some roles in Inverclyde Royal Hospital and that this will potentially lead to a loss of services. Can the Health Board assure people about the long-term future for the hospital
    • With a focus on creating specialist centres for specific conditions and outreach models such as that for chemotherapy, could Inverclyde Royal become such a centre to help ensure its future
  • Mental health services were raised as an area of particular concern and people want to know what is being done to improve access to these locally
  • Carers, the Third Sector and other community planning partners were highlighted as key stakeholders and critical to ensuring that not only health and social care is more integrated, but that other assets are recognised, incorporated and involved when developing new models and ways of working
  • Digital and technology can help transform health and social care, but with varying internet connection speed and differing levels of personal use there is a need to ensure that these approaches don’t create gaps and inequity  

In addition to the questions a public partner who has been involved with Your Voice Inverclyde, the Inverclyde Integration Joint Board and a member of the Moving Forward Together Stakeholder Reference Group welcomed previous and current engagement and urged people to get involved. They stated that there is a need for change to meet demand, that things will be different and people need to change their expectations, behaviours and to work alongside services to ensure they are fit for purpose and sustainable.


Feedback

When we asked people what mattered most to them they told us:

  • Access and transport is a particular concern for people in Inverclyde due to the distance and difficulty, for those without access to a car, of travelling into Paisley and Glasgow to attend services. This also includes having access to the Ambulance Service when needed in an emergency and them being able to easily get to the Queen Elizabeth or Royal Alexandria without delay. Timely and local access was also important with people wanting, where possible to access services as quickly and easily as possible
  • Personal relationships where you know and trust a professional and if new roles and ways of working are to be developed then people need to be supported to develop confidence in these. In particular older people might not be as comfortable with the use of technology and might prefer face-to-face contact
  • Person centeredness is important and covers how we should share information, communicate with and involve people in their treatment and care. Services should also have a more person centred approach to things like making and coordinating appointments to prevent unnecessary travel, more flexible operating times to meet people’s needs and overall people want to be treated as individuals with dignity and respect
  • Communication and engagement was highlighted and we heard that that we need to keep people up-to-date with accessible information on any changes and importantly involve them so that they can have a say in how local services are designed and delivered.  This will help create the knowledge, understanding and trust that people need to access and use services differently; and in particular we should engage with the younger generation to help support and drive a change in culture across all generations

When we asked people what can we do to meet the challenges together they told us:

  • Recognise strengths that communities and individuals have in delivering change as Inverclyde has assets that, when effectively engaged and worked with in partnership, can deliver results. Examples of this include when the community is used to support changing how people use and access services, or when patients and carers are involved in delivering training to improve service delivery
  • Education and support with people and services working alongside each other to change expectations, culture and behaviours and to encourage greater self-management and individual responsibility for personal health and well being. Community navigator type roles based in health and social care settings that can signpost people to a range of health and other community services was used as a good example of how to do this
  • Using technology more effectively with those that have access to and can use it as it could prevent unnecessary travel, help with overall efficiency, make better use of people’s time and support people living with long-term conditions to be more independent
  • Being open, honest and communicating with and involving people in difficult decisions about what range and types of services can realistically and sustainably be provided – especially when these will have an impact on local services

What people said about the Programme and direction of travel:

  • The need to change is widely accepted with people understanding that current models of health and social care are facing challenges that won’t be met by doing more of the same
  • Services closer to home is welcomed and there is a realisation that people might have to travel for specialist care; however this should be managed better to minimise any potential impact on people's lives
  • Digital solutions, technology enabled care and better use of and appropriate sharing of information was recognised as a key enabler to delivering new models of care, but again making sure that this doesn’t create any inequity  

Evaluation 

Your Voice Inverclyde also carried out an evaluation of the session and asked people the following three questions with some examples of the responses received:

  • Something I learned

“The importance of working together to achieve outcomes”

“A lot of issues raised were very local to Inverclyde”

“That new things are going to happen and we will be listened to”

  • Something I felt

“Concerned about what this means for local NHS services”

“A lot of pride in the area and community spirit”

“Health Board and HSCP want to listen to all involved for it to work”

  • Something I’ll take away

“A better understanding of aspirations of MFT”

“Enthusiasm of all the participants”

“To ensure I encourage partnership working”

  • Something I’ll leave behind

“The old ways”

“Negativity towards taking this forward”


The Moving forward together Programme would like to thank Inverclyde Health and Social Care Partnership for the opportunity to present, Your Voice Inverclyde for organising, supporting and facilitating the session and importantly thanks to all the local people who participated and provided feedback on the day.

If you attended this event and would like to provide further comment then you can email us at: feedback@movingforwardtogetherggc.org