Current Engagement and Consultations

NHS Bolton Clinical Commissioning Group (CCG) talks to Bolton people all year round to hear your views on possible changes and improvements to local health services.  We want you to have more influence and input into the decisions we make.

They are your health services after all – so who better to ask?

Would you like to get involved and have your say?  There are details below of ongoing engagement and consultations.

Do you use Bolton's Diabetes Service?

For the past year, NHS Bolton CCG have been reviewing the Diabetes service in Bolton. We have spoken to over 120 patients about this service and positively 86% stated that they felt they were given enough information, and 80% felt the current diabetes service was good or very good.

As a result of what patients have said, we have done the following: 

  • Diabetes Patient Support (DiPS) Programme

You said: Many patients said the title Diabetes Patient Structured Education was very confusing and others found the name patronising.

We did: We have produced a new programme name which we believe is more engaging and describes what the programme does more effectively - entitled Diabetes Patient Support (DiPS) Programme.

  • Knowledge of Education for patients with diabetes

You said: There is limited information and knowledge in the Bolton community regarding the current Type 2 diabetes education sessions. The current sessions have very low uptake.

We did: The new DiPS Programme will have a leaflet which will be given to a patient by their GP practice to inform them about the new programme and how to access it.

  • Booking system

You said: The current sessions are structured as an informal drop in for patients recently diagnosed with type 2 diabetes. This results in very low turnout for each session. A session was arranged by a Bolton GP for 15 patients to attend. 15 patients were invited and 15 patients attended.

We did: This told us a booking system with a referral from a GP practice should be introduced to allow everyone to have the opportunity to access the programme. The DiPS Programme will have referral process for bookings from GP practice to the service.  

  • Evening Sessions

You said: The session with 15 patients was held in an evening. This told us that more patients would like the opportunity to attend these sessions on an evening if they are working in the day. Surveys have also told us that patients would like to have the opportunity to attend evening sessions.

We did: The new DiPS Programme will allow for patients to attend sessions in the evening.

  • Retention of Information

You said: Patients surveyed raised concerns about having too much information given too quickly and it was difficult to retain. The session held for 15 patients allowed the GP the opportunity to follow patients up to understand if they had remembered information around the 9 care processes. Some patients found it difficult to remember everything from one session.

We did: The DiPS programme will be spread across three sessions, allowing patients to take in and retain all the information around their condition in manageable portions.

  • Different venues

You said: Patients surveyed said they would like sessions to be more local and closer to home.

We did: The DiPS programme will have at least two venues compared to the current one venue.

What do you think of these changes and ideas? Let us know here

Calling all parents and parents to be!

NHS Bolton Clinical Commissioning Group (CCG) and Bolton NHS Foundation Trust have launched a group called Maternity Voices Partnership (MVP) which will allow you to guide and make a really difference to maternity services in Bolton.

We have held three meetings this year and received plenty of feedback. Thank you to all those who came to speak to us at our recent meetings.  Most mums and mums to be at these sessions were very positive about the service, but gave us the following ideas that we are currently looking into:

  • Create a simple guide for women which details the whole pregnancy journey and beyond, with a contact list. 
  • How the maternity service could involve dads and dads to be more.
  • Whether text reminders about appointments could be sent.

Are you a dad or dad to be? What do you think? We are really keen to hear from you and understand your experiences so we can make sure dads and dads to be are as involved as possible. We hope to hear from you soon!

How to get involved -

If you not been able to come to a meeting so far and would like to be involved and find out more, please search for Bolton Maternity Voices Partnership on Facebook and follow the page. Alternatively, please contact the CCG's Communications and Engagement Team on 0800 588 4400 (freephone) or BOLCCG.communications@nhs.net

Patient stories

Our board are keen to hear from Bolton people and find out more about your experiences of using local health services.  This is a great opportunity to tell your story! We can share your experiences as a voice recording, film, or written account – whatever you prefer.  There is no need to include your name if you do not wish to do so.  We can arrange to meet with you to discuss your story at a time and place convenient for you.  You can read the stories people have already shared on the Your Stories page.

If you would like to arrange a meeting or would like more information, please contact the CCG's Communications and Engagement Team on 0800 588 4400 (freephone) or BOLCCG.communications@nhs.net

 

Updates

Greater Manchester Neuro-Rehabilitation Service - Taylor Unit

Thank you to everyone for attending the various public meetings in Bolton and Wigan. 

Throughout the engagement in Bolton, it was clear that the majority were supportive of a move from Leigh Infirmary within Bolton as this would provide better care for patients needing neuro-rehabilitation. However, whether this move would involve additional travel and cost for friends and relatives wishing to visits patients was raised as a concern. 

The following themes emerged from feedback were received: 

  • Travel - CCGs liaise with Transport for Greater Manchester to ensure all appropriate bus routes run with full coverage over visiting times. In addition, a suggestion of alternative transport commissioned to run between various sites such as Wigan, Leigh, and Bolton to Trafford.
  • Advertisement – Ensure information is clearly displayed at Trafford Centre bus terminal to signpost to Trafford General Hospital.
  • Funding - an accessibility fund made available for those relatives/friends who wish to visit the Unit at Trafford General who may need additional support.
  • Parking - Designated parking allocated for relatives of patients of the Unit.

As a result of this feedback, a full analysis of travel was undertaken to understand how much of an impact the move would make which is detailed below. The analysis showed that the approximate travel times for those travelling from Bolton would be the same as they are to travel to Leigh Infirmary. 

Travel by car

Below is a comparison of the approximate travel times by car to Trafford General Hospital and to Leigh Infirmary from various postcodes in Bolton:

Bolton to Trafford General Hospital

Bolton to Leigh Infirmary

BL1 – 24 minutes

BL1 – 24 minutes

BL2 – 24 minutes

BL2 – 30 minutes

BL3 – 24 minutes

BL3 – 22 minutes

BL4 – 18 minutes

BL4 – 25 minutes

BL5 – 26 minutes

BL5 – 20 minutes

BL6 – 35 minutes

BL6 – 28 minutes

BL7 – 35 minutes

BL7 – 40 minutes

 

Travel by Public transport (Train/Bus)

Below is a comparison of the approximate travel times via public transport to Trafford General Hospital and to Leigh Infirmary from various postcodes in Bolton:

Bolton to Trafford General Hospital

Bolton to Leigh Infirmary

BL1 – 1 hour, 12 minutes

BL1 – 1 hour, 10 minutes

BL2 – 1 hour, 14 minutes

BL2 – 1 hour, 8 minutes

BL3 – 1 hour, 17 minutes

BL3 – 45 minutes

BL4 – 1 hour, 12 minutes

BL4 – 1 hour, 8 minutes

BL5 – 1 hour, 12 minutes

BL5 – 37 minutes

BL6 – 1 hour, 42 minutes

BL6 – 1 hour, 37 minutes

BL7 – 1 hour, 42 minutes

BL7 – 1 hour, 37 minutes

NB: Please note these are approximate times as travel time could change depending on time of day etc.

An analysis has also been produced below of main bus routes from various postcodes across Bolton to both Leigh Infirmary and Trafford General Hospital.

Bolton - Trafford General Hospital

Bus routes common to both locations

Bolton - Leigh Infirmary

527 – Hourly till 22:52, Mon-Sun (accessible bus).

507 – Every 20-30 minutes till 19:40, then every hour till 22:40 Mon-Sat) Every 30 minutes till 22:40 Sun (accessible bus).

541 – Every 30 minutes till 17:31, then hourly till 19:03 Mon-Sat. No buses on Sundays (accessible bus).

 

525 - Hourly till 23:30, Mon-Sun (accessible bus).

501 – Every 10 -20 minutes till 20:50, then hourly till 22:50 Mon-Fri. Every 10 minutes till 18:50, then every 30 minutes till 22:50 Sat. Every 30 minutes till 22:50 Sun (accessible bus).

571 – Every 15-30 minutes till 22:30 Mon-Sat. Every 30 minutes till 21:30 Sun (accessible bus).  

562 – Every 20 minutes till 23:01 Mon-Sat. Hourly till 23:01 Sun (accessible bus).

582 – Every 10-20 minutes 20:05, then every 30 minutes till 00:15 Mon-Sun (accessible bus).

 

247 – Every 10 minutes till 23:06 Mon-Sat. Every 30 minutes till 23:06 Sun (accessible bus).

37 – Every 10 - 20 minutes till 19:40, then every 30 minutes till 23:10 Mon-Sat. Every 20 minutes till 19:10, then every 30 minutes till 23:40 Sun (accessible bus).

125 – Every 10 minutes till 22:16 Mon-Sat. Every 30 mins till 22:46 Sun (accessible bus).

517 – Every 30 minutes till 19:11, then hourly till 23:11 Mon-Fri, or till 18:31 Sat. Does not run on Sundays (accessible bus.

TA01 – Hourly Mon, Tue & Thu only until 17:05 (accessible bus).

 

NHS Bolton CCG's Board agreed on 24th November 2017 that this service would move to Trafford General Hospital from April 2018. The CCG is now working closely with Greater Manchester Neurological Alliance on this move, and to ensure users of this service continue to be involved. If you would like to get involved or share any feedback you have about this service, please please contact the CCG's Communications and Engagement Team on 0800 588 4400 (freephone) or BOLCCG.communications@nhs.net

Bolton's Children and Adolescent Mental Health Services 

NHS Bolton Clinical Commissioning Group (CCG) has been talking to children and young people and their parents or carers who are or have used mental health services in Bolton. These services are often known as ‘CAMHS’, which stands for Children and Adolescent Mental Health Services.

CAMHS provide assessment and treatment for children, young people (under 18 years of age) and their families/carers. These services get involved when serious mental health problems are affecting, or are likely to affect, a child or young person’s emotional or psychological development, and where it’s having a real impact on their life. 

We are currently reviewing the services to be provided for Bolton, including which organisation should provide them. Thank you to everyone who gave their views. The feedback has been analysed and as a result a full new service specification has been produced.

We are in the process of finalising a ‘You Said We Did’ document which will be in both report form and children/young people form. This incorporates all of the engagement/feedback done and will be fully circulated once complete. If you would like a copy, please contact the CCG's Communications and Engagement Team on 0800 588 4400 (freephone) or BOLCCG.communications@nhs.net

As the CCG is looking to get a new provider for this service, a tender has been sent out and was closed on the 23rd November 2017. All bids are now being read and evaluated by a panel made up of stakeholders, a parent rep and a young person to make sure they meet all parts of the service specification, and allows the CCG to invite bidders in for initial interviews. We should know who our new provider will be by the New Year and then a new service will be in place from April 2018. Once a new provider has been selected, we will fully advertise this but please contact us if you have any questions or feedback on the service.  

Bolton GP Out Of Hours (OOH)

From January till March 2017, NHS Bolton CCG spoke to Bolton people about a proposal to move the GP Out Of Hours (OOH) service from Waters Meeting Health Centre to the Royal Bolton Hospital site. Thank you to everyone who gave their views on this proposal. We received over a 1000 responses from the public which has been fully analysed.

The following themes through the feedback have emerged:

  • Concerns were raised about increase in distances some patients would need to travel if the OOH service was moved. 
  • Cost of parking at the Royal Bolton Hospital site was also raised as an issue that needed to be considered if the OOH service moved there.
  • Suggestion was given that the OOH service should instead be moved to a town centre location.
  • Concerns were also raised that pressure may increase in Bolton's A&E Department if the OOH service moved nearby. 

No decision has been made as yet but we will fully advertise any decision as soon as possible. For any questions, please contact the CCG's Communications and Engagement Team on 0800 588 4400 (freephone) or BOLCCG.communications@nhs.net

The Prescribing Offer for Bolton consultation

From late 2016 to early 2017, NHS Bolton CCG spoke to Bolton patients about which items they felt should be available on prescription in Bolton that do not require a prescription. For example, items such as paracetamol, antacids and cough medicines.  

The full list of items currently available on prescription in Bolton that do not require a prescription are as follows: 

  • Laxatives
  • Head Lice treatments
  • Gluten Free food
  • Emollients
  • Ear Wax treatments
  • Dry eye treatments
  • Hayfever treatments
  • Antacids
  • Pain relief products such as paracentmol
  • Vitamin supplements
  • Mouth ulcer products
  • Teething products
  • Nutritional supplements
  • Adult nasal sprays
  • Colic products
  • Dental products
  • Non specialist baby milk
  • Cough medicines
  • Antiseptic cream

Thank you if you gave your views on this important consultation. We received over 400 responses from the public which have all been analysed. 

The following feedback was given - 

  • 66% of respondents felt that people should buy medicines and other items at a pharmacy or a supermarket, rather than getting them on prescription from a doctor.
  • However, 24% of respondents stated that this would depend on the cost of the item needed, and whether it was affordable for the patient.
  • Some respondents also felt uncomfortable buying some items such as antacids and laxatives without first seeking the advice of a GP. 

No decision has been made as yet but we will fully advertise any decision as soon as possible. For any questions, please contact the CCG's Communications and Engagement Team on 0800 588 4400 (freephone) or BOLCCG.communications@nhs.net

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