We are committed to being an organisation that delivers the best possible health and wellbeing outcomes for people who live within our local communities. This means adapting to new ways of working, ensuring a local focus but with the additional benefits of support, sharing good practice and learning across the Integrated Care Board (ICB) and the wider Frimley Health and Care Integrated Care System (ICS).
The COVID-19 outbreak has posed fundamental challenges in how we talk to local people and communities. We have had to prioritise the health, safety and welfare of patients, staff and wider society in our response to the pandemic.
At NHS Frimley ICB (NHS Frimley) we know that health and care services can be improved if we can learn more about the views, experiences and concerns of local people and communities, however following the introduction of social distancing and in line with government and NHS England advice, we postponed all face-to-face engagement activity in March 2020 whilst recognising a continued and critical need to talk to and hear local people and patients throughout this time.
To do this we have spoken to a wide range of stakeholders (that’s those with an interest or concern in our organisation), patients, carers and the public throughout the pandemic. We recognise the constant need to adapt and evolve to this ever changing situation and would like to take the opportunity to thank everyone involved in this work for their patience, time and flexibility.
Frimley Health and Care Community Panel has more than 1,700 members representing people who live across the Frimley ICS geography.
To better understand how local people were experiencing the impact of the COVID-19 pandemic the panel were asked to share their views during May and December of 2020.
These views and experiences were used to shape the way we work with and support local communities, as well as identifying both positive and negative changes to health and care services under the current restrictions and where gaps may have occurred.
This work provided a ‘snapshot’ in time as we recognised people’s perspectives and experiences were changing rapidly throughout the pandemic. This work, in combination with feedback from partner organisations is being used to identify and respond to shared priorities across the ICS.
For more information about this work and to view the survey results please click here.
Throughout 2020 understanding the local issues from the perspective of our partners, alongside what matters to local people, has allowed us to identify common priorities and areas of our existing strategy which may need to be refocused.
In an attempt to adapt to the potential opportunities and challenges that the next phase of the pandemic may bring we chose to seek cross organisational insights which could be shared with staff, from all organisations, to help inform their work and allow us to strengthen our relationships as we work in partnership towards a shared set of goals.
We used a number of different methods to capture feedback from local people, from staff and from our partners. Over the course of five virtual facilitated sessions 30 members of staff, GPs, local authority colleagues and Community Ambassadors had the opportunity to have a conversation about how these themes should inform what we do.
The sessions were split into three distinct sections with opportunity for conversation between each:
- Work on Clinical Commissioning Group (CCG) and Integrated Care system (ICS) priorities pre-COVID
- The impact of COVID on staff, the organisation and health and care providers
- The impact of COVID on wider stakeholders, patients, carers and the general public
A wide range of sources were used to form the basis for conversation. Some of these were national sources, others were local and some insights were based on telephone conversations with local charities, commissioned services and local stakeholders including:
Reports and data sources
NEHF local survey
Local Primary Care Staff survey
Local Acute data re admissions
Data shared by Rushmoor Borough council and Citizens Advice Rushmoor
Community services colleagues
Hampshire County Council
Hart, Rushmoor and Waverley District and Borough Councils
Voluntary Sector Leads
Healthwatch Hampshire & Surrey
Citizens Advice Rushmoor
Carers Support services (Adult and young carers)
Charity closely working with the Nepali population
Community centre in area identified as deprived
Counselling service for young people and local charity offering individual and family support
Participants were also encouraged to record their thoughts, comments and questions throughout the sessions leading to a series of actions for various partners that are outlined in our final report.
To access the slides, supporting notes and details of source information please click HERE.
To access the Insights report, detailing outcomes, actions and key themes please click HERE.
To access the communications and engagement toolkit please click HERE.
“Thank you to you and the team for all the hard work that has gone into the insights sessions. The material was fab and really thought provoking. It was expertly led and the space for reflections and conversations felt just right. I feel even more focused on what we have to do to get it right for communities and in tackling inequalities.”
Emma Boswell, Executive Director of Development and Improvement, Frimley Collaborative of CCGs
Both nationally and locally there is currently a drive to address inequalities. The pandemic has exacerbated existing inequalities as well as highlighted new ones.
NHS England has directly asked that we work collaboratively with local communities and partners to take action to protect the most vulnerable from COVID-19, with enhanced analysis and community engagement , to mitigate the risks associated with relevant protected characteristics and social and economic conditions; and better engage those communities who need most support.
Case Study: North East Hampshire and Farnham
- North East Hampshire and Farnham has appointed Dr Peter Bibawy as Clinical Chief for Inequalities. This role will have a specific focus on how the area best addresses health inequalities, working closely with partners in local government, other public services, the voluntary sector and local communities.
- On 6th October 2020 a virtual workshop was held with a wide range of local stakeholders including County, Borough and District Council representatives, CCG staff , voluntary sector , charity and community leaders, Local Healthwatch and Primary Care Network (PCN) Clinical Directors representing local GP Practices to discuss how we can work together to address inequalities in North East Hampshire and Farnham.
- The session was chaired by Kathy Atkinson, CCG Lay Member who introduced Dr Peter Bibawy, Clinical Chief for Inequalities and Patricia Hughes, Joint Chief Executive of Hart District Council. They set the scene and presented their shared ambition around partnership working to address inequalities. A range of presentations followed from Frimley Health and Care Integrated Care System (ICS), Public Health Hampshire, North East Hampshire and Farnham and Rushmoor Borough Council. Each sharing current data, good practice cases studies and emerging work and priorities.
- The second part of the workshop was dedicated to conversations on two key areas: principles and ways of working and barriers and practical solutions. You can access a full report and outcomes of this workshop here.