Partnership Board

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Our Partnership Board is a key decision making body for health and care in Bradford District and Craven.

To ensure that local people and communities are informed and able to influence decision-making, we are committed to being transparent about these meetings.

  • All meetings will be held in public either online or, where safe to do so, face to face in accessible venues
  • Papers for the meeting will be made available on our place based partnership website seven days in advance
  • We will gather public questions ahead of meetings and publish responses.

Full meeting papers are available on our place-based partnership website bdcpartnership.co.uk


How you can get involved

We welcome questions from members of the public about agenda items, or any other matters. Please use the box below to ask your questions in advance which will be raised during the meeting.

If you wish to attend the meeting, please email to receive joining instructions:
catherine.smith4@bradford.nhs.uk

Our Partnership Board is a key decision making body for health and care in Bradford District and Craven.

To ensure that local people and communities are informed and able to influence decision-making, we are committed to being transparent about these meetings.

  • All meetings will be held in public either online or, where safe to do so, face to face in accessible venues
  • Papers for the meeting will be made available on our place based partnership website seven days in advance
  • We will gather public questions ahead of meetings and publish responses.

Full meeting papers are available on our place-based partnership website bdcpartnership.co.uk


How you can get involved

We welcome questions from members of the public about agenda items, or any other matters. Please use the box below to ask your questions in advance which will be raised during the meeting.

If you wish to attend the meeting, please email to receive joining instructions:
catherine.smith4@bradford.nhs.uk

Questions for our Partnership Board

We are committed to being open and transparent in our decision-making and encourage people to ask questions.  

All questions will be raised in our Board meetings and the answers posted publicly on this website.

Our next meeting is on Friday 3 February, and the agenda includes:

  • feedback from our Listen in programme
  • public questions - questions will be brought to the board and answered and discussed 
  • regular reports from place-based partnership committees, risk register and performance information

Meeting papers are published on our website bdcpartnership.co.uk 

Please add your questions here, or email catherine.smith4@bradford.nhs.uk for more information about the meeting if you wish to attend.

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    With regards to the high demand for GP appointments and national guidance advising GP surgeries to conduct initial appointments virtually, can you advise exactly what is driving this e.g. Covid, a shortage of GP's, demand to see GP's now covid restrictions have been lifted, etc. And will there be a return to the norm at some point, where all GP appointments will return to being face to face?

    Lee76 asked about 2 months ago

    In response to your query about patients being seen face-to-face by their GPs. We wanted to reassure you that GP practice colleagues – this includes a range of healthcare professionals with specialist expertise – have continued to and do continue to see people face-to-face. To keep people safe our GP practices implemented national guidance in response to the Covid pandemic which asked for all initial appointments to be carried out virtually, such as through video call or over the telephone. Using their skills and experience, healthcare professionals are then asked to offer a face-to-face appointment where they feel this is clinically needed. The move to this model was always planned to take place, the pandemic meant we had to implement this sooner than intended. As a result we can confirm that this approach is one that will remain in place in line with national guidance.

    This approach of being able to offer more flexible appointment types has resulted in more people being seen by their GP practices than ever before. Bradford District and Craven GP practices General Practices are delivering approximately 25,466 more appointments per month in comparison with pre-pandemic appointment rates based on 415,985 appointments delivered in October 2022 in comparison with 390, 519 in October 2019 (NHS Digital Appointments in General Practice Monthly Data).

    We want to reassure people that GP practices are working hard in the face of significant demand to offer all types of appointments. An example of this shows that the number of face to face appointments is steadily increasing having risen from 65% to 70% of appointments from July 2022 to October 2022. We also recognise that some people need to be seen quickly, of all appointments being offered, 45% were same day appointments.

    There are also a significant number of appointments being delivered outside of core hours including enhanced access appointments (6:30pm to 8:00pm weekdays, 9am to 5pm Saturday) alongside specialist support through paediatric hub appointments or GP streaming appointments. These appointments are not included in the core general practice appointment data. These again offer the flexibility of telephone or video appointments as well as face-to-face.

    We recognise for many people the convenience and flexibility of telephone or online appointments is something that works well for them as they can fit these around busy work or home lives. However, we know for a smaller number of people these options can be difficult to access and may not offer the same level of convenience. We will continue to work with our GP practices to ensure we can be as flexible as possible when offering appointments, while ensuring we keep everyone safe when attending any of our GP practices – our patients, our colleagues and our visitors.

    It's really important that we help people find out more about the support available from a range of healthcare professionals working at our GP practices. This can include nurses, pharmacists and a range of other clinical colleagues. To do this we are asking people to understand why they may be asked to see someone other than a GP, this is because this is the most appropriate person to help you with your health needs and ensure you get to see the right person as quickly as possible.

    We’d like to recognise the work that our colleagues in our GP practices do every day, during a time where we are experiencing the highest ever demand for health and care services. We want to thank all those who continue to treat our colleagues and our patients with dignity and respect. Please continue to be kind to our colleagues and other patients.

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    I understand that the Bradford district and Craven Partnership will become responsible for commissioning community dentistry next year, sorry if I've got that wrong, assuming that you will take responsibility, I would ask what you intend to do about the community dentistry service in Settle, We are very concerned that there is an efficiency agenda to close the vital service and make vulnerable people travel the 16 miles to Skipton to get help (probably having to use community transport and volunteer drivers). Can you commit to retaining a service in Settle that satisfies the need for this large rural area.

    Jonathan Kerr asked about 2 months ago

    We can confirm that responsibility for planning and funding (commissioning) dentistry services including community dentistry will be transferred from NHS England to integrated care boards from April 2023. For our communities, this will be done centrally through NHS West Yorkshire Integrated Care Board. This responsibility will not be further delegated to local place-based partnerships such as the Bradford District and Craven Health and Care Partnership. However we will ensure we can influence decisions made on how services are commissioned, provided and delivered at a local level. This will include using feedback from our communities and our colleagues.  

    The current plans and proposals for the community dentistry service are being led by NHS England who are overseeing the process working closely with the provider of the service before a business case is submitted to NHS England, that could change their terms and conditions of their contract - this is covered by the Personal Dental Services contract. 

    The service that the Trust (Harrogate District NHS Foundation Trust) is proposing to close, isn’t a general access - high street - dental practice, it’s a Community Dental Service, which is a referral service, for patients who cannot be seen in a high street dental chair. 

    The service is provided one day a week from Settle Health Centre. However it is recognised that this is limited as they are not able to provide aerosol generating procedures.  Where a patient does need such a procedure they receive this from Skipton. At present the provider has confirmed that they have six active patients receiving treatment from the Settle site. 

    The Bradford District and Craven Health and Care Partnership will work closely with NHS England to ensure people are aware of any proposed changes and opportunities to be take part in any public involvement exercise, should one be set up. 

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    What are on doing to ensure patients get to see their GP face to face?

    Concerned patient asked 6 months ago

    Thanks for your question, we raised this at the Partnership Board meeting on Thursday 29 September.

    In response to your query about patients being seen face-to-face by their GPs. We wanted to reassure you that GP practice colleagues – this includes a range of healthcare professionals with specialist expertise – have continued to and do continue to see people face-to-face. To keep people safe our GP practices implemented national guidance which asked for all initial appointments to be carried out virtually, such as through video call or over the telephone. Using their skills and experience, healthcare professionals are then asked to offer a face-to-face appointment where they feel this is clinically needed.

    We understand that some media headlines suggest that GP practices have stopped offering face-to-face appointments. It’s really important for us to reassure people this is not the case. Around 65% of all appointments taking place in our GP practices are provided face-to-face.

    The flexibility being offered through virtual appointments, such as video or telephone calls, means we’re now seeing more people than ever across our GP practices. Our latest figures from June 2022 show that this means we are now offering an additional 60,000 appointments compared to June 2019.  This is an additional 20% appointments compared to the same period pre-pandemic due to flexible range of appointment types being made available.

    We recognise for many people the convenience and flexibility of telephone or online appointments is something that works well for them as they can fit these around busy work or home lives. However, we know for a smaller number of people these options can be difficult to access and may not offer the same level of convenience. We will continue to work with our GP practices to ensure we can be as flexible as possible when offering appointments, while ensuring we keep everyone safe when attending any of our GP practices – our patients, our colleagues and our visitors.

    It's really important that we help people find out more about the support available from a range of healthcare professionals working at our GP practices. This can include nurses, pharmacists and a range of other clinical colleagues. To do this we are asking people to understand why they may be asked to see someone other than a GP, this is because this is the most appropriate person to help you with your health needs and ensure you get to see the right person as quickly as possible.

    One of the challenges we have, which is not unique to our place, is the number of health and care staff available to us. It is widely acknowledged that we experience challenges recruiting health and care professionals – such as GPs and nurses – which has a direct impact on our ability to meet health and care demand. This is a widely recognised issue that will continue to affect us in the short to medium term at the very least locally, regionally and nationally.

     

    We’d like to recognise the work that our colleagues in our GP practices do every day, during a time where we are experiencing the highest ever demand for health and care services. We want to thank all those who continue to treat our colleagues and our patients with dignity and respect. Please continue to be kind to our colleagues and to each other as well as we do our best to help you, your families and your friends.

     

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    I have been looking at the new ActAsOne website and was really saddened by the lack of diverse images representing the large BME workforce across the partnership: how were images decided?

    Anita asked 7 months ago

    Thanks for taking the time to review the Bradford District and Craven Health and Care Partnership website and submit a question to the Partnership Board last week. We acknowledge that the site does not currently demonstrate the diversity of our place. We are already working on developing a new photo library to ensure we have fully consented photos and ensure longevity for the images so we can use in other corporate communication channels. 

    We are in the process of commissioning new photography from across our place which will represent the diversity of both our people and our geography. This is planned to take place over the next couple of months working closely with community groups. We are aware that a limiting factor that may slow our progress could be the rise in Covid which means some of the groups we ae hoping to visit revert back to meeting online.

    In line with GDPR and data protection guidelines, we are unable to use images without current consent so need to refresh our photo library for the new partnership.

    We hope you continue to use the site and notice its continued development over the coming months.

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    I congratulate BDC Partnership Board having a successful meeting on 14 June 2022 and following that planning to hold next meeting on 12 July 2022 to implement the noble aim to be open and transparent and encourage active involvement with the population we serve. I hope unlike no public presence in June meeting there will be public presence in July to hear and ask about ethnic mix in the senior positions in employment with you.

    Vox Populi asked 7 months ago

    Thank you for taking the time to get involved with the Partnership Board of the Bradford District and Craven Health and Care Partnership, and for your question regarding the ethnic diversity of colleagues in senior roles within our partner organisations, which we raised at the Partnership Board meeting on 19 July.  

    We recognise how a diverse workforce contributes to more effective outcomes as well as improving decision making within organisations and wider systems. We agree that it is important that our workforce is as diverse as the communities we serve, and we are working together to ensure everyone in our workforce has a great experience at work and is able to make full use of their talents. This includes helping people already in our workforce to maximise their potential and helping them progress into the most senior roles. We monitor the composition of our workforce and publish how this is developing year by year. In addition we are actively working with local schools, colleges and the university to demonstrate the breadth of health and care careers available to people and inspiring people to be the next generation of leaders.

    For NHS trusts there is a national Workforce Race Equality Standard (WRES) which includes standard definitions of the data to be collected, and this enables comparisons to be made. You can find the latest nationally published WRES report and data at NHS England » Workforce Race Equality Standard 2021.

    Our three local NHS Foundation Trusts (Airedale NHS FT, Bradford District NHS FT, and Bradford Teaching Hospitals NHS FT) all have data included in the national report. I have pulled out a few key statistics below which relate directly to your question on senior roles:

    NHS Board membership (executive and non-executive roles) - 2021 data

     

    White

    BME

    unknown

    BTHFT

    70.6%

    29.4%

    0%

    ANHSFT

    93.3%

    6.7%

    0%

    BDCFT

    66.7%

    20%

    13.3%

    North East & Yorkshire

    87.7%

    8.2%

    4%

    England

    82.4%

    12.6%

    5%

     

    NHS senior non-clinical roles (Agenda for Change bands 8a – 9 – 2021 data

     

    White

    BME

    unknown

    BTHFT

    80.5%

    18.6%

    0.8%

    ANHSFT

    89.8%

    10.2%

    0

    BDCFT

    87%

    10.4%

    2.6%

    England

     

    10%

     

     

    In addition to NHS Trusts, our local authority City of Bradford Metropolitan District Council also publishes a wealth of data on its workforce composition. It can be accessed here: PowerPoint Presentation Template - Approved Corporate Design (bradford.gov.uk). This data tells us that as of 30th June 2021 the senior leadership grades of employees at the Council were made up of:

     

    White

    Non-white

    Not known

    Management roles (Special grades above PO6 = 1.5% of the overall workforce)

    75%

    20%

    4%

    Very senior management (0.2% of the overall workforce)

    67%

    8%

    25%

     

    While we appreciate that data collection and reporting is important, what’s more important is the opportunities we give people to progress. We have been actively involved in the West Yorkshire Fellowship programme, offering a range of placement opportunities. As a result we are now already seeing people use this as a platform to secure senior level roles.

    I hope you find this information helpful, and I would encourage you to take a look at the published reports of the Council and the NHS, which provide a much wider range of workforce equalities information.

    Posted on behalf of James Drury, Director of Partnership Development

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    What is being done to improve the transition from active treatment to palliative care? Is there support for a Compassionate Communities approach?

    Molly asked 8 months ago

    What is being done to improve the transition from active treatment to palliative care? Is there support for a Compassionate Communities approach? 

    Thank you for your question which was raised at our meeting on 14 June.  The Board was interested in the topic and heard from Michelle Turner, Director of Quality and Nursing, who provided this response: 

    Michelle explained that, although there are no issues with the transition between patients transitioning from active treatment to palliative or end of life care, there are improvements that could be made. 

    One area for further improvement is the sharing of information between secondary care and general practice. A working group is currently looking into this to ensure improvements. There is a template currently in use which identifies people who are in the last twelve months of their life and this information is shared across local services such as district nursing, Gold Line, the hospitals and hospices to help ensure that people’s care is consistent and responsive to their needs. Gold Line is a nurse-manned phone line which operates 24 hours a day, 7 days a week and which provides advice and support to palliative patients and their carers/family members. 

    Other areas of work include: 

    • The ReSPECT initiative is being led by a senior palliative care nurse and rolled out across Bradford District and Craven. The initiative supports better conversations with people reaching the end of their life to ensure their preferences for the end of their life are understood and recorded. 
    • In the Bradford city area, there is work being undertaken under the Reducing Inequalities in Communities (RIC) programme on the development of a befriending and support package for people approaching the end of their life, so they can be supported in the community. 
    • Community connectors work across general practice to signpost people into the most appropriate services and can connect care across services. 
    • Some Community Partnerships are developing projects related to end-of-life care and working alongside the wider community to support the local population. 

    Michelle explained to the Board that the Compassionate Communities approach, which was highlighted in the question, is a public health approach to palliative and end of life care.  This approach supports community development in line with NHS England’s Palliative and End of Life Care Ambition framework for local action.  Michelle expressed support for looking into the approach further to see how it could strengthen existing work to improve people’s experiences at the end of their lives.

    If you would like to get involved or find out more about any of the ongoing work outlined, please get in touch with us via engage@bradford.nhs.uk and we can connect you to our colleagues who lead on end of life care.

    Many thanks again for your question.

    Sent on behalf of Max McLean, Chair of Bradford Teaching Hospitals NHS Foundation Trust, who chaired the partnership board meeting on 14 June.

    The minutes of the meeting will be published on our website prior to the next board meeting on 12 July. 

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    Why did I only get 4 days notice of this meeting? It's not enough time to properly look at paperwork etc.

    Su asked 8 months ago

    Thanks for your question, and sorry that we published this information late. We are still working to set up our processes ahead of our launch on 1 July, and this Shadow Board meeting is an opportunity to test out some things and iron out these sort of glitches. We will be publishing future papers further ahead to give people plenty of time. 

Page last updated: 31 Jan 2023, 02:02 PM