Engaging all our communities
Promoting equality is at the heart of NHS Nene CCG values, ensuring that we commission services fairly and that no community or group is left behind when we make commissioning decisions on behalf of our population, especially in relation to meeting the challenges the NHS face, as outlined in the Long Term Plan.
We recognise that some parts of our community are less easily heard than others and have worked hard to build a clear understanding of the opportunities we have to reach them.
Through our extensive network of contacts, those we have engaged with include:
- People with visual impairment, hearing loss and other physical disabilities
- The Armed Forces community
- People with mental ill healthPeople with learning disabilities
- The Somalian community
- The LGBT community
- Parents with young children
- Older people
- Local people in rural communities
The CCG also ensures that where we run surveys, we capture demographic information about those who respond.
Related policies and evidence about meeting our equality responsibilities can be seen here.
Examples of targeted CCG engagement to reach all parts of our community includes:
The Armed Forces Covenant is a promise by the nation ensuring that those who serve or who have served in the armed forces, and their families, are treated fairly.
The Northamptonshire Armed Forces Covenant Partnership, which includes Nene CCG, commissioned Healthwatch Northamptonshire to find out more about the health and social care needs of the Armed Forces community. This includes people serving as regulars or reservists, volunteers, ex-forces members (veterans) and family members of past and present service personnel.
More than 450 people took part in the survey in 2018 and a report on the findings has been published.
The report recommendations call for a greater awareness of the Armed Forces Covenant amongst health professionals in the county, more timely access to suitable mental health support, and further preparation for civilian life when people leave the armed forces.
The survey data is now being formally analysed by the University of Northampton. However, the Northamptonshire Armed Forces Covenant Partnership is responding to the report recommendations, as outlined below.
- Awareness of the Covenant. All partners on the Covenant Board, including Nene CCG, are working hard on awareness and training, although it is recognised that this commitment needs to be extended more widely. Keeping the issue high on the agenda will help to ensure that our Armed Forces community do not slip through the net. Active work has only begun in the last two years, with the aim of embedding it throughout mainstream NHS services.
- Mental Health. NHS England, through Ministry of Defence funding, have commissioned a new national Veterans Mental Health service. This is fully supported by Nene CCG and the local Covenant Partnership Board. It will help serving personal through transition into civilian life, in addition to our current veteran population, with specific and timely support for all types of mental health issues.
- Transition into Civilian Life. Nene CCG and other partners are committed to working with the transition team within the Ministry of Defence, so that individuals can be directed to the support available. We recognise the importance of ensuring that those being medically discharged or who leave early for some other reason do not slip through the net.
The CCG undertakes a programme of tailored engagement activity with our Armed Forces community. This includes working with partners such as the British Legion and SSAFA charities, attending events like Armed Forces Day and veteran tea dances, and arranging focus groups. Nene CCG has been awarded the Ministry of Defence’s Silver Award, as an employer committed to the Armed Forces Covenant.
Nearly 10,000 Northamptonshire children are estimated to have a mental health issue. Half of all mental health problems experienced by individuals begin by the age of 14, and these can continue into adulthood if not addressed. Poor mental health can also lead to poor physical health.
In Spring 2018, Young Healthwatch Northamptonshire was asked by the Northamptonshire Health and Care Partnership, which includes Nene CCG, to gather young people’s views on local mental health services.
To do this they devised a survey to ask young people across the county about their emotional wellbeing and access to services – specifically their frustrations and what services they would like to support them.
749 young people aged 11-19 responded, including 45 who identified as being a ‘young person in care’ and 71 who said they looked after someone with an illness or disability (carers). The resulting report produced some key recommendations:
- The development of a self-help service to enable young people to access support when needed – co-designed with young people to ensure it meets their needs
- More, or more specialised, mental health support in schools and colleges to enable young people to access support in an environment that suits them
- An assessment of the waiting times for wellbeing services for young people (especially Child and Adolescent Mental Health Services), and finding ways to improve them
- Continuing to ensure that the voice of young people is heard in decision-making, and in the design of youth mental health and emotional wellbeing services
The main themes identified in the survey are addressed in Northamptonshire’s refreshed Children and Young People’s Local Transformation Plan for mental health services, of which Nene CCG is partner.
The plan outlines the intention to strengthen how CAMHS supports other services with an Early Intervention Model, which aims to contribute to the creation of mentally healthy communities in Northamptonshire. This is in line with the aspirations and recommendations of the national Five Year Forward View for Mental Health and Future in Mind.
There will be a range of direct work undertaken with children, families and carers, plus indirect interventions to reduce stigma, build resilience, increase knowledge and improve understanding and early identification of mental health difficulties.
These interventions will take place in the different settings in which children find themselves:
- For young children, this includes Children's Centres and primary schools
- For older children, this includes secondary schools, GP practices, online or through virtual communities and platforms
- For those with additional needs, the ‘communities’ might include Children's Services, Youth Offending Teams or schools specialising in addressing social, emotional and mental health needs
This year to support our local Winter Campaign Nene CCG had the opportunity to do something slightly different.
The project, funded by NHS England was inspired by the following account from a local member of the community:
‘I have been entitled to the flu jab for a while now but I have never taken up the opportunity to have it, I didn’t feel like I needed it. This year things have changed, I have a granddaughter who was born prematurely and as a result has a lung condition.
For the first time this year, I will be having my flu jab, not just for my own health but also to protect my granddaughter’s health. #ImDoingItFor my Granddaughter’
- Mr A, a very proud Granddad
Working with the local Northamptonshire Singing 4 Breathing choir and Chris Startup a local music professional, the Clinical Commissioning Groups produced a promotional video using a song written by Chris and performed by the choir specifically for the project.
The local Signing 4 Breathing choir was set up by James Wyatt an Occupational therapist from Northampton to help people diagnosed with Chronic Obstructive Pulmonary Disease (COPD). COPD causes long-term damage to the lungs and people with the condition often experience chronic breathlessness. Singing 4 breathing has made a profound difference to local residents’ health thanks to the natural lung exercise singing can bring.
Flu can be dangerous for the most vulnerable members of our community. The aim of the campaign was to encourage those members of the community that were entitled to the flu vaccination to have it for themselves or to have it for members of the community like Mr. A’s granddaughter who features at the end of the video.
The choir, who were all eligible for a free jab due to respiratory conditions, became advocates for the flu jab and accompanied CCG staff on the annual Winter Campaign roadshow to perform live at venues around the county whilst encouraging uptake.
People with a learning disability often have poorer physical and mental health than other people but this does not need to be the case. Nene and Corby CCGs engage with people with learning disabilities in a number of ways to improve the care they receive and their health.
Quality Checker Service
Quality Checkers work with local providers to improve the experience of healthcare and support for people with learning disabilities All Quality Checkers have a learning disability and experience of using local services. They actively engage with people with learning disabilities and will then advise us how NHS services could be made better for people with learning disabilities.
As a result of the service:
- People are meaningfully engaged in sharing their experiences of the support received
- Services receive feedback on the support they deliver and recommendations are made on how it can be improved
- Commissioners are advised of any gaps in services they need to consider
Longer Lives for People with Learning Disabilities Events
In February 2019, Corby and Nene CCGs organised two special events to educate and inform people with learning disabilities, their families, carers and support workers about health problems that are often missed or ignored. The aim was to help patients who are unwell to get the right help more quickly. You can find out more about these events by watching the short film below: