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We are the NHS organisation responsible for planning, designing and buying health services on behalf of people who live in Hertfordshire’s council districts of Dacorum, Hertsmere, St Albans, Three Rivers and Watford.

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  • CCG cannot continue to fund respite care at Nascot Lawn

    Herts Valleys CCG’s finance and performance committee has today unanimously concluded that the CCG cannot continue to fully fund the respite care service for children and young people at Nascot Lawn in Watford on a discretionary basis.

    The CCG will now give Hertfordshire Community Trust six months’ notice from tomorrow (17 November), in line with its contract, that the CCG’s funding for Nascot Lawn will come to an end on 17 May 2018.

    The committee discussed at length all the options for the future funding of the service, including options put forward by the families for a jointly funded service. All feedback received during the recent engagement process, including emails from families, was made available to the committee meeting that was observed by patient representatives including Healthwatch Hertfordshire.

    Officers’ preference as discussed at the committee meeting was to use health- related spending to fund Nascot Lawn to the maximum value of £100,000 per full year until March 2019. However officers went on to confirm that HCC had not confirmed core respite provision funding for Nascot Lawn and that their approach will be to fund three respite centres only. In view of this, the option of joint funding of Nascot Lawn was unavailable and the committee therefore agreed the withdrawal of CCG funding.

    The committee agreed that if the county council decides to reconsider its position and provide an option for four respite units or indicate a willingness to fund respite services at Nascot Lawn as part of a three centre approach, the CCG will be happy to facilitate support for a jointly funded service until March 2019.

    Chief Executive of Herts Valleys CCG, Kathryn Magson said: “This is now a matter for the council and as the statutory provider they must now take a clear lead in working with families to determine future provision. We hope they will make decisions in a timely manner in order to avoid continued uncertainty for families.”

    Dr Nicolas Small, chair of the CCG said: “This decision is one of our most challenging that we have faced and meeting with the Nascot Lawn families has been one of the most humbling engagement processes that we have ever undertaken. As individuals we cannot fail to be affected by the difficulties the children and their families face. We fully recognise their need for respite care but this must be a matter for the county council.

    “The CCG will remain fully committed to helping the council in the transfer arrangements following the council’s offer to families.”



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  • Improvements to urgent care services

    Urgent care services for patients in west Hertfordshire are being improved under plans led by Herts Valleys Clinical Commissioning Group (CCG).

    The aim is to make it easier and quicker for patients to get urgent medical attention for the most common ailments. This will free up A&E to treat the most seriously ill patients.

    Central to the new system is an improved NHS111 service staffed 24/7 by trained advisors linked to clinical staff who will assess patients’ needs and make sure they get the right care. This might be advising patients on self-care, booking appointments in an urgent treatment centre (or similar walk-in centres), arranging for people to see a GP or calling an ambulance in serious cases.

    The developments link with NHS England plans to create new Urgent Treatment Centres (UTCs) providing a more uniform service for patients.

    The Urgent Care Centre at Hemel Hempstead Hospital will become a UTC from 1 December as part a national roll-out.

    In addition to the current urgent care offering at Hemel Hempstead hospital the UTC will gradually introduce tests for things like respiratory infections, anaemia and deep vein thrombosis that are currently only available at Watford hospital. In addition to the current staff team of GPs and nurses the service should grow to include other professionals such as pharmacists, emergency care practitioners, access to mental health services and community nursing staff.

    The UTC in Hemel Hempstead will be open from 8am to 10pm every day, the same temporary hours that the urgent care centre has been operating since last December. The CCG will run a consultation from January to get feedback on the UTC service and take a longer term view on opening hours.

    There are plans to develop the urgent treatment centre approach in St Albans, Watford and Borehamwood during 2018.


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