Long Term Plan Northumberland, Tyne and Wear and County Durham Report

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Summary of report content

This report contains the views of 1472 people gathered through a series of focus groups and surveys to help inform the implementation of the NHS Long Term Plan in the north east of England. The area covered is the North Integrated Care Partnership which forms part of the North East Integrated Care System. The report was produced on behalf of the 7 Healthwatch in the area by Healthwatch Darlington. Overall the report highlights the challenges that people who live in the north eastern region face in relation to accessing services, largely attributed to geography, with people traveling large distances across rural areas to get the support they need. Transport and digital solutions are discussed frequently as being key solutions, however they do no not currently meet the needs of the people in the area. Throughout the report communication between people and health care practitioner as well as between services is cited as being key to quality care and delays in accessing services can lead to delays in receiving diagnosis. Healthwatch County Durham praised the collective efforts of the voluntary sector, the importance of which is a key theme throughout the report and across areas. Healthwatch Newcastle and Healthwatch Gateshead looked at mental health with young people, identifying long waiting times and prevailing issues with stigma. Tailored services are needed as currently the support proffered can make people feel worse than better, for example care in the home or remote access to support for those who find it difficult to go out. Healthwatch South Tyneside also found that young people between the ages of 16 and 18 years fall into the gap between child and adult mental health services, which can be very confusing. Healthwatch North Tyneside met with people to talk about cancer services which received high praise, emphasis was given to the importance of peer support before and after treatment and Healthwatch Northumberland suggested learning from how cancer services were delivered should be used to improve support for people with dementia. Poor information and lack of support post diagnosis is a key issue for people who have dementia in the area. Healthwatch Sunderland explored the use of technology in improving access to services and found that there is still more to do while ensuring digital inclusion, a digital offer being part of the solution not all of it.

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General details

Report title 
Long Term Plan Northumberland, Tyne and Wear and County Durham Report
Local Healthwatch 
Healthwatch County Durham
Healthwatch Gateshead
Healthwatch Newcastle Upon Tyne
Healthwatch North Tyneside
Healthwatch Northumberland
Healthwatch South Tyneside
Healthwatch Sunderland
Date of publication 
Sunday, 7 July, 2019
Date evidence capture began 
Monday, 1 April, 2019
Date evidence capture finished 
Friday, 31 May, 2019
Type of report 
Report
Key themes 
Access
Booking appointments
Communication between staff and patients
Cost of services
Digitalisation of services
Food and nutrition
Health promotion
Holistic support
Lifestyle and wellbeing
Quality of appointment
Quality of care
Quality of patient transport
Quality of staffing
Referrals
Staff attitudes
Staff levels
Staff training
Support
Waiting times and lists for treatment
Other information of note about this report 
Carers
Wifi

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Other government body
If this work has been done in partnership, who is the partner? 
National Health Service England
Primary research method used 
Focus group
Survey
How was the information collected? 
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Primary care services 
Diagnostic and/or screening service - single handed sessional providers
GP practice
NHS 111
Secondary care services 
Appointments
Cancer services
Cardiology
Child and adolescent mental health services (CAMHS)
Dementia
End of life care
Maternity
Oncology
Palliative
Physiotherapy
Respiratory medicine
Mental health services 
Child and adolescent mental health services (CAMHS)
Community mental health team (CMHT)
Eating disorder services
Learning disability service
Older peoples mental health community service
Social care services 
After care
Assessment
Home care / domiciliary care
Community services 
Community based services for people who misuse substances
Community based services for people with a learning disability
Community based services for people with mental health needs
Community healthcare and nursing services
Urgent and emergency care services 
NHS 111
Other services 
Patient transport
Non-emergency ambulance service

Details about conditions and diseases

Conditions or diseases 
Cancer
Cardiovascular conditions
Respiratory conditions
Types of disabilities 
Hearing
Learning or understanding or concentrating
Memory
Mental health
Mobility
Long term condition
Types of long term conditions 
Alzheimer’s disease or dementia
Cancer in the last 5 years
Deafness or severe hearing impairment
Heart disease
Learning disability
Mental health condition
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
1472
Age group 
All people 18 and over
Gender 
All
Ethnicity 
All
Other population characteristics 
People who are geographically isolated
People with limited family or social networks
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
No
Types of health and care professionals engaged 
N/A
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Not applicable
Is there evidence of impact external to the report? 
Not applicable

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.