Working Together

Service Change

 

We are reviewing how we provide the best possible care within the resources available.

 

This has an impact on how and where we provide services from. The majority of LCH services are currently delivering care from a large number of locations across the city. In the main, the locations have evolved over time rather than being designed this way. The trust is therefore working towards a more equitable and planned distribution of services. Changes are proposed and made understanding that local services are very important, but that in the context of ‘making difficult decisions’ the need to protect face-to-face clinical time and therefore minimising waiting lists/times is an even higher priority.

 

To help us identify how we can achieve what we need to do, we work with our patients, carers, public members, partners and stakeholders. Feedback on our service change engagement ensures we can implement any changes to minimise the impact on anyone affected. Our engagement and consultation processes are based on feedback and learning from patients, carers and other stakeholders such as Health and Social Care Scrutiny and Healthwatch. You can read more about our commitments to service change engagement here but our core commitments are that engagement processes will always include:

 

  • At least 2 methods of engagement
  • Sharing of full results of feedback
  • Impact of feedback (‘you said…we did’ and ‘you said…we didn’t and why’)

Below you can view copies of each service’s questionnaire which details the proposed changes as well as the full feedback from the engagement.


You can find more information on accessing our health centres on our Contact Us page.


Current service changes

  

Service / location affected Summary of proposal Engagement closing date Update
Community Paediatric Services To move LCH Paediatric services including Growth and Nutrition, Child Protection Medical, Springfield (neo-natal abstinence), Adoption & Fostering and Hepatitis B services from Ashley Wing, St James’ to St George’s Centre, Middleton, LS10 4UZ.

21 April 2017

Please click here to access this survey.

 

 


 Updates and feedback

 Service change 2016 - 2017

Service / location affected

Summary of proposal

Engagement closing date

Update                                                                                     

Leeds Sexual Health (Beeston)

To move Beeston Clinic from James Reed House (Beeston Village Medical Centre) to Beeston Hill Health Centre.

Surveys closed 13 January 2017

No concerns raised about move. Clinics continuing at Beeston Village, with timescale for move dependent on completion of building work. 

Community Gynaecology (Beeston)

No concerns raised through public engagement about move. Service provided at Beeston Hill since Jan 2017

Speech and Swallowing

To start providing the service in clinics as well as home visits

Please click here to access this survey

 

 

Nail Surgery at Beeston Hill Health Centre

To change the location of this service to Morley Health Centre.

 

Public engagement closed 27 January 2017 and service moved Feb 2017.

One concern raised about disabled parking in Morley which has been mitigated by promoting choice of locations dependent on specific access needs / preferences. 


  Service change 2015 - 2016

Service / location affected

Summary of proposal

Engagement closing date

Update

Overall approach

overall approach key themes (1)

To use the principles outlined to guide how we develop services that meet people's health needs and get as much impact for every health 'pound' we spend, both now and in future decision making. Also to establish criteria, based on feedback given, about what is important when making services accessible.

5.11.15

Board decision December 2015: Implement the range of identified actions that will respond to and address concerns about the approach and learn from and use this feedback when considering any other future changes to locations of services.

 

 Garforth Clinic

Garforth

For Adult Dietetics, Cardiac, Children's SLT, MSK, Podiatry, Weight Management and IAPT to stop proving appointments in Garforth Clinic and close the building, also affecting provision of Alcoholics Anonymous and Warfarin Clinics in the building.

5.11.15

Board decision December 2015 to make the proposed changes to Garforth clinic by moving all services currently provided there and closing the building. Impact reviewed by Board August 2016.

Adult Dietetics

Dietetics

 

 

 

 

 

To reduce where clinics are provided, from 30 locations to 15, which includes moving clinics from GP practices to health centres

 

5.11.15

Board decision December 2015 to make the proposed changes to Adult Nutrition and Dietetics service, with the exception of provision in Rothwell/Oulton area.  This is instead recommended to be re-provided from the 3 GP clinics to one in Rothwell Health Centre (dependent on estates availability)       

Cardiac Rehab

Cardiac Rehab

 

To reduce where clinics are provided from 6 leisure centres to 4

5.11.15

Board decision December 2015: Reduce number of locations for cardiac rehab groupwork programme from 6 to 5, with the identified mitigation to address issues raised

Children's Newborn Hearing

CNH

 

 

To move the clinics in health centres to hospital sites

 

5.11.15

Board decision December 2015: Use the feedback about Newborn Hearing proposals to continue to pursue options for delivery in hospital/fewer locations

Children's Speech and Language Therapy

SLT

 

To reduce where clinics are provided from 23 locations to 12

                   

5.11.15

Board decision December 2015 to make proposed changes

Continence, Urology and Colorectal Services (CUCS)

cucs

 

To reduce where clinics are provided from 14 locations to 10

5.11.15

Board decision December 2015 to make proposed changes with the identified mitigation to address issues raised

Improving Access to Psychological Therapies (IAPT) 

IAPT

To reduce where clinics are provide from 54 locations to 22

5.11.15

Board decision December 2015 to make the proposed changes to IAPT, with the exception of provision in the Compton Centre, Harehills which is recommended to continue

Podiatry

Podiatry

To reduce where clinics are provided from 25 locations to 19

5.11.15

Board decision December 2015: Make the proposed changes to Podiatry, with the exception of continuing to explore options in Garforth so that we can provide podiatry services as close as possible to local residents

 

The full records of engagement and impact of feedback are available below.

 

 

Stage of Proposal

 

 

Information Available

Identifying the proposal

 

Leeds Community Healthcare, like all of the NHS, is reviewing how we continue to provide the best possible care within the resources we have. This has an impact on where services are provided from. We had a programme of service review and redesign affecting the majority of services during 2014/15. Following the service reviews, services redesigned their service models; as a result a number of services identified the need to change and reduce the number of locations they deliver care from. Currently the majority of services are delivering care from a large number of locations. This configuration in the main has not been designed in this way but has simply evolved over time. The proposed changes moved us closer towards a more designed model for services but acknowledged there was still further work to do going forward.

 

Aug 2015 Board paper Agenda Item ref 51, Page 62

 

Aug 2015 Board minutes of the discussion Agenda Item 62a, Page 10

 

Engagement "You said..."

 

Adult Dietetics Questionnaire   and responses

Cardiac Rehab Questionnaire   and responses

Children's Newborn Hearing Questionnaire   and responses

Children's Speech and Language Therapy Questionnaire   and responses

Continence, Urology and Colorectal Services (CUCS) Questionnaire   and responses

Garforth Clinic Questionnaire   and responses

IAPT Questionnaire   and responses

Podiatry Questionnaire   and responses

 

Interim review

 

We held Feedback Review groups during the 12 week engagement period and in the subsequent two week reflection period. These took place at in Beeston, Hunslet, Horsforth and Harehills and were attended by patients, carers, the public and staff (those affected personally by changes as well as those involved in the services proposing changes). The review groups helped us to identify key themes, any extra information needed or any particular groups we should proactively engage with to ensure their views are heard.

Service change feedback review group 12.11.15

Service change feedback review group 26.10.15

Service change feedback review group 13.10.15

 

External oversight

 

Leeds South and East CCG statement

Healthwatch Board workshop notes

Scrutiny report

Impact of engagement

 

You said...we did's

 

•   Decision

 

December 2015 Board paper Agenda item ref 85i, Page 112

Dec 2015 board minutes of the discussion Agenda item ref 97a, Page 9

 

•   Evaluation

 

How will check changes do not have unintended adverse consequences.

August 2016 Board paper Agenda ref 24, Page 88)

Aug 2016 board minutes of the discussion Agenda ref 39a Page 3

 

•   External review

 

Hansard website