Heatwave plan for England

Here is the Heatwave plan for England by Public Health England.

A document can be downloaded below.


As we approach summer, this letter is intended to draw your attention to the Heatwave plan for England (background Annexe 1). No changes have been made to the plan this year, apart from removing the calendar year from the title, amending broken links, and reflecting new NHS England structures. This plan will remain in place until further notice. The following documents are available online at: www.gov.uk/government/publications/heatwave-plan-for-england:  the Heatwave plan for England  Making the Case: why long-term strategic planning for heatwaves is essential for health and wellbeing  three information pamphlets containing action cards for easy use by organisations, staff and the public  existing advice on looking after children in school and early year’s settings now in a stand-alone leaflet  easy read version Page 2 of 4 Recommended next steps The plan is a good practice guide and the actions denoted within it are illustrative. There are five key messages we recommend to all local areas: 1. All local organisations should consider this document and satisfy themselves that the suggested actions and heat-health watch alerts are understood across the system, and that local plans are adapted as appropriate to the local context. Local health resilience partnerships (LHRPs) may wish to use the plan to review their own heatwave plans 2. NHS, social care and local authority commissioners, together with local resilience forums and LHRPs, should satisfy themselves that the distribution of heat-health watch alerts will reach those that need to take action 3. NHS, social care and local authority commissioners should satisfy themselves that providers and stakeholders take appropriate action according to the Heat-Health Watch level in place and their professional judgements, noting the dates of Ramadan Thursday 18 June to 18 July 2015 (approximately) when many Muslims will be fasting during daylight hours 4. Opportunities should be taken for closer partnership working with the voluntary and community sector to help reduce vulnerability and to support the planning and response to heatwaves. This should include organisations with remits that are not specifically related to health and social care, since their engagement can help to communicate messages, provide additional resources, and identify and engage vulnerable people, who may not be already linked into statutory services 5. Long-term planning and commissioning to reduce heat-related harm, in view of the evidence on climate change is considered core business by health and wellbeing boards and included in joint strategic needs assessments and joint health and wellbeing strategies where appropriate

Heatwave Plan - Pic

Changes to Ealing maternity and interdependent services confirmed

For Information

Changes to Ealing maternity and interdependent services confirmed

 At its meeting in public on Wednesday 20 May 2015, Ealing CCG’s Governing Body confirmed that the closure of the maternity unit should be completed on 1 July 2015.  As well as the timing of the closure, the Governing Body discussed the planned improvements to community provision of antenatal and postnatal care in the borough of Ealing and the impact of the decision on paediatrics, neonatology and gynaecology.  In summary the changes to those services will be as follows:


No change to existing paediatric services until June 2016 

Introduction of a new Rapid Access Clinic at Ealing Hospital

Paediatric inpatients will transition on 30 June 2016


Neonatal care will be relocated to the six remaining neonatal units in NW London

Changes will take place at the same time as the maternity transition


All gynaecology services will remain at Ealing Hospital

More senior clinical cover during core hours (changing from 9am-1pm to 9am-5pm on weekdays) and also cover on weekends (from zero hours to 9am-1pm) in Ealing’s Emergency Gynaecology Unit

Out-of-hours, emergency gynaecology consultant cover will be provided at Northwick Park

The timetable for the changes is as follows

Last  induction at Ealing hospital  and Maternity unit closes to all new admissions (24 June)

Last elective C-section  at Ealing hospital (25 June)

Ealing divert spontaneous deliveries & babies to other providers (24 June onwards)

All babies discharged from Ealing neonatal unit (29 June)

All mothers discharged from Ealing maternity unit (1 July)

Final closure of labour ward, birth centre and neonatal unit at Ealing (1 July)

Last group of staff to transfer will be neonatal nurses, medical team, the reduced number of staff on labour ward, birth centre and postnatal staff (1 July)

2 July onwards

Maternity transitional team stay on Ealing site for 24 hours post closure

All women requiring transfer will be relocated back to their receiving trust if it safe to do so

Ealing Hospital open for service with all other receiving units for antenatal outpatient appointments.


We will be sending practices a number of materials to assist them with their conversations with women including a new Giving birth in North West London Booklet setting out the choices available to them. Also attached is an FAQ being provided to GPs and midwifes to aid them in conversations with women.


A press release announcing the decision has been placed on each CCG website and we will be carrying out a wide spread communication exercise to providers, and political and partner stakeholders to let them know of the outcome of the meeting.  This will be followed by more bespoke communication and engagement to targeted audiences, including the women at Ealing Hospital affected.

At the heart of this work is the desire to improve maternity care in North West London. We believe these important but difficult changes will do so.  We would like to thank staff, governing body members and our partners in our NWL hospitals and beyond for all their hard work and commitment in delivering this important change.

Changes to maternity and interdependent services at Ealing Hospital FAQ

NHS Five Year forward view. Summary of Chapter 1

NHS England has produced a strategy document on its plan for the next 5 years. This has some radical proposals on new models of care to meet future demand.

Chapter 1 makes the case for why the NHS needs to change.

Click here for a link to the document. Other chapters to follow shortly.

Here is a link to the image. 5 Year Forward Chap 1 (3)

5 Year Forward Chap 1

Join our weekly integrated care newsletter in 2015

Happy New Year! We hope to improved integrated care in 2015 with better integration. A lot going on, so join our newsletter for Great West Road Locality in Hounslow. We will share advice and tips and would welcome thoughts and views from patients, healthcare professionals and social workers. Just click on the link here. http://eepurl.com/bamNMD


Pulling together the Better Care Fund

This is a report by Grant Thornton on the challenges of implimenting the Better Care Fund. You can download the report here, Key points are outlined below.



Funding & Planning Arrangements

All organisations need to understand the strength of  relationship with partners and  the impact that various cultural differences can have and the benefits to be gained from improving these relationships

HWBs (Health & Well Being Boards) and individual local authorities and CCGs need to consider how they can work more effectively together to deliver the BCF with NHS providers, primary care, the third sector and other health and social care providers

 Working Together

HWBs should be clear as to their roles and responsibilities in relation to the BCF

HWBs should review and evaluate their membership to ensure it is fit for purpose and enables them to effectively and efficiently govern the BCF

Performance management arrangements are needed to provide a credible mechanism to monitor and take corrective action as required

Primary Care Recruitment Crisis

GP workforce crisis could force 600 practices to close, warns RCGP

Up to 600 practices could close within the next year because of the GP workforce crisis, the RCGP believes.

Dr Maureen Baker: practice closure warning

New research from the college estimates that the recruitment and retention crisis in general practice threatens to force 543 practices in England alone to shut down in the next 12 months, with up to 600 at risk across the UK.

RCGP data show that over 90% of GPs working in these practices are aged over 60.

The research found:

  • More than 1,000 GPs will be leaving the profession on an annual basis by 2022.
  • Around 22% of GPs in London could step back from front-line patient care within the next five years (with 41% of London GPs aged over 50).
  • The number of unfilled GP posts has nearly quadrupled in the last three years (2.1% in 2010 compared with 7.9%  in 2013).

New deal for general practice

Addressing college’s annual conference on its opening day in Liverpool on 1 October, chairwoman Dr Maureen Baker will demand a ‘new deal’ rescue package of incentives for GPs to work in under-doctored areas, and to ease the bureaucratic burden for returners.

The college is calling for 8,000 more full-time equivalent GPs by 2020 to cope with the demands of the ageing population.

RCGP leaders estimate that England needs nearly 40,100 GPs to meet increasing demand, 25% more than the current level of 32,075. In 2009, there were 32,110 GPs.

Dr Baker will compare general practice to the ‘walls of a dam’ preventing the rest of the NHS being flooded.

She will say: ‘So far, much of the damage to the dam wall has been hidden from the public – they see the flooding downstream in accident and emergency departments and in hospital pressures, but they haven’t  been aware that  GPs, nurses and practice teams have been absorbing that pressure by trying to do more and more with less and less.

GP ‘dam’ could collapse

‘But if we let that situation continue we will see whole chunks of the dam fall apart when practices have to shut their doors.

‘Every practice closed is a loss to a local community. Not only do patients lose out, but it piles more pressure on neighbouring practices, swelling patient lists already bursting at the seams.

‘We all know about the 98 practices in England, identified by NHS bosses that are at risk of closure due to the removal of the minimum practice income guarantee.

‘Today I can reveal new estimates from the college that 543 practices in England are at risk of closure if something isn’t done.

‘There are practices that have over 90% of GPs over the age of 60, when the average retirement age of GPs is 59 – this is  shocking.

‘With a growing, ageing population, not to mention a baby boom, we need to increase capacity in general practice, not take it away.

Practices should be expanding

‘If this was a business it would be expanding to meet demand – not shutting down services and closing branches.’

Dr Baker will say that in the face of relentless workload pressures and constant attacks from the media, ‘we are not attracting enough new doctors and nurses into general practice, or doing enough to retain the highly skilled workforce we have’.

‘All of these developments result in further weakening of the dam. Colleagues, the wall of the dam – the service of general practice – is under huge pressure and unless urgent action is taken to repair and restore the dam, it could burst with terrible consequences for our patients in general practice and indeed for the whole of the NHS.

‘Let’s continue to make our voices heard and demand a new deal for general practice.’

On Tuesday health secretary Jeremy Hunt announced plans to train and retain 5,000 extra GPs as well as £500m funding to roll out 8am til 8pm and weekend appointments.

Last week Labour said it would recruit 8,000 using a £2.5bn funding injection. It also plans to spend £100m to guarantee appointments within 48 hours.

Andy Burnham MP said the latest research from the RCGP ‘completely undermines David Cameron’s party conference rhetoric’.

‘The truth is that this prime minister has presided over a crisis in general practice and collapse in GP morale.

‘People are already struggling to get GP appointments and these figures suggest things are about to get even worse, not better, if hundreds of surgeries close for good.

‘This is a problem of the prime minister’s own making and he must urgently produce a convincing plan to sort it out. Unfunded, unrealistic party conference promises are not good enough. Patients must not be left travelling miles to see their GP or waiting weeks for an appointment.’

GP will be reporting from the RCGP annual conference on Thursday and Friday. Follow @coopercolin@NeilDurham@davdmillett on Twitter for news from Liverpool.


GP Recruitment Crisis - JPEG