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Virtual NHS Consultations

recent survey for the British Medical Association showed that 95% of GPs are now offering remote consultations and 88% want to see greater use of them continue in the future.

Whilst people previously told us that they welcome the idea of the NHS making better use of new technology to help make care more convenient, people’s experiences of telephone, video, and email consultations to date have been more mixed.

For some, they are working well, and many previously sceptical individuals have been converted following a positive experience. For others, these types of appointments have introduced new barriers to care.

So how can we make sure that this revolution in the way care is delivered works for everyone?

What makes a virtual appointment good?

Last week Healthwatch England published the findings of some rapid research conducted in partnership with Traverse and National Voices. Involving people who have had a virtual consultation during the pandemic, this report provides useful insights for NHS services and individual clinicians.

Key findings and recommendations

Arranging a virtual consultation:

  • Feeling safe and comfortable – It’s important for people to feel safe, comfortable and that they have a confidential space in which to talk about their medical concerns. Most of those we spoke to hadn’t received any information in advance about how the appointment would work or what they could do to help. It would be useful for patients to be alerted to this fact beforehand so that they can prepare for their appointment.
  • Making the benefits known – Secondly, to realise the benefits of people not having to travel to appointments, patients need a reasonable time window for their appointment. Where people are not given this, it leads to increased frustration, with missed calls or unexpected delays creating anxiety.
  • Getting the format right
    Most of those we spoke to had telephone consultations, but a significant number felt that video would have been better.

We heard examples where people’s level of digital literacy had not been assessed before the appointment. There were also examples discussed where people felt remote consultations would never be appropriate, such as delivering bad news following a diagnosis.

During the appointment itself

Giving people the time they need

Whichever form of remote consultation is used, people were clear that it must not mean a compromise on the quality of the interaction. Appointments must not feel rushed, patients need to feel listened to and clinicians must have all the information they need to hand.

“I didn’t know what to expect. The physio created space to ask about how I was doing. I felt heard and was able to ask questions. It was refreshing. A normal physio session would be in a crowded room, five minutes instructions, you practice the movement, they pop back after seeing other people and ask you how you are getting on, it’s rushed. I see about 15-20 health professionals a year and this is the most person-centred session I have had.”

– Maria, physiotherapy patient.

Test, learn and improve

Seek feedback

As with any significant change it is important to seek feedback and to learn from what works and what needs improvement. Yet most participants in our research reported that they weren’t asked for feedback about their remote consultation experience.When we asked them for suggestions, they identified many ways in which remote consultations could be made better. For example, enabling sessions to be recorded and played back later so people can confirm they have understood, or introducing closed captioning to help those with hearing loss.

Overall, one of the biggest learning points was around quality. While some people in the health and care system may see remote consultations as a way of delivering care more efficiently, it is clear that any impact on quality will likely see a significant drop-off in people willing to access care in this way.

Getting the most out of the virtual health and care experience

Our Strategic Plan for 2020-2022

The plan below sets out our plans for the next three years, as identified by the Healthwatch Northumberland Board.

We have three strategic aims which are the themes for our work over the lifetime of the strategy. Our work each year will be identified as meeting one or more of the aims.

Health: with the help of Healthwatch Northumberland, the views, knowledge and experiences of health service users and carers are listened to and influence changes and developments in health service in Northumberland.

Social Care: With the help of Healthwatch Northumberland, the views, knowledge and experiences of service users and carers are listened to and influence changes and developments in social care services in Northumberland.

Communication and Engagement: the people, service providers, commissioners and key stakeholders in Northumberland know, trust and are involved with Healthwatch Northumberland.

 

Read our Strategic Plan for 2020-2022

Safe Hospital Visiting Piloted Locally

Northumbria Healthcare NHS Foundation Trust is piloting reintroducing visiting safely to some of its inpatient wards in hospitals across Northumberland and North Tyneside.

Working with relatives, the trust is putting in place an appointment system to enable people to visit loved ones on wards at Alnwick Infirmary, Berwick Infirmary, Blyth Community Hospital, Haltwhistle War Memorial Hospital and medicine, care of the elderly and mental health wards at Wansbeck, Hexham and North Tyneside general hospitals.

The relatives of patients in these pilot areas will be contacted to make arrangements to visit if they wish. If anyone has any questions about the pilot, or are unsure whether the ward on which their loved one is staying is part of it, they should contact the ward directly.

Reintroducing visiting at The Northumbria hospital and surgical wards at general hospitals are currently NOT included in the pilot, however, a review is ongoing and the trust aims to expand it to more inpatient areas in due course should it prove safe and workable.

The trust suspended visiting in mid-March to protect its patients and staff and help reduce the spread of coronavirus except in the following circumstances which remain unchanged:

For patients who are receiving end-of-life care
For birthing partners in maternity units
For parents or legal guardians in the children’s unit
At the discretion of the nurse in charge for long-stay patients and those with dementia

There is also currently no visiting to day units, endoscopy, x-ray, oncology areas.

Marion Dickson, executive director for nursing, midwifery and allied health professionals at Northumbria Healthcare NHS Foundation Trust, said: “Protecting our patients and staff is our top priority and while it is not the right time to lift our suspension of visiting completely, we’re committed to working with relatives to safely introduce visiting in pilot areas.

“Our ward teams across Northumberland and North Tyneside are contacting the relatives of patients where visiting is to be allowed to make arrangements. We’d urge people not just to turn up to a ward to visit without first speaking to staff to make an appointment as they will not be allowed in. Anyone with queries should contact the ward directly.

“Whilst our Northumbria hospital and some wards at our general hospitals are excluded from the pilot at this stage, we’d like to reassure people that we are looking at how it is working and plan to include more wards when it is appropriate to do so.”

To keep everyone safe during the pilot, the numbers of visitors on wards at any one time will be limited and visiting will be restricted to up to an hour a day per patient. On arrival on the ward, visitors would need to wash their hands and wear a face covering, gloves and apron throughout their visit. It must also be the same visitor per patient throughout the pilot and visitors will be required to give their contact details to the ward staff.

Arrangements to make iPads available on wards across the trust to facilitate virtual visiting will remain in place. Friends and relatives are also able to stay connected to their loved ones in hospital by ringing 0191 293 4306, available Monday to Friday, 9am to 5pm.

Marion added: “We appreciate that it has been difficult for people not being able to visit loved ones in hospital over the last few months and we would like to thank them for their co-operation and understanding.”

Understanding Patient Participation Groups

Healthwatch Northumberland commissioned research to help it understand how the Patient Participation Groups (PPGs) associated with the 41 GP practices in Northumberland currently work, their aspirations and challenges and the relationship they want to have individually and collectively not only with Healthwatch Northumberland but also the Northumberland Clinical Commissioning Group (CCG), Primary Care Networks (PCN) and local community and voluntary groups. We also wanted to understand how we and PPGs can most effectively communicate and exchange information and views and how this can be used for the benefit of patients, their families and carers.

The research has identified several key areas where further discussion or action would help PPGs develop in a way that is appropriate for them. The recommendations at the end of the report form an agenda for those discussions and provide Healthwatch Northumberland with a series of actions we want to consider.

The research shows that PPGs want to engage with patients, with Healthwatch Northumberland and with the wider health community but for some this is difficult. PPGs see real benefits in engaging more widely and collaborating with others to improve the patient experience. Some PPGs would like to network and engage on a countywide basis whilst others would prefer to do this at a PCN level. This desire to collaborate must be nurtured by Healthwatch Northuberland and must be extended to include the CCG and the GP practices it commissions. There is a real opportunity for a partnership approach to help support PPGs and improve the patient experience and we will play a pivotal role in this.

The research also highlights several areas of challenge for PPGs. The key areas are:

• Recruitment and retention of members who are representative of the Practice Population and who are able to understand and represent the patient perspective and work with the practice to create improvements to service

• Engagement with patients and with the Practice to gather feedback in a meaningful way and to collaborate with the practice to use this feedback to best effect

• Time and to a lesser extent cost – to travel to meetings, to attend meetings at a time that is suitable and to contribute effectively both within and outside the meetings

51% of the PPGs in Northumberland completed the survey that formed the basis of the research and a further 4 provided information during telephone calls meaning HWN heard from 61% of the PPG population during the research period. One of the challenges for HWN is how it engages with the whole PPG community, particularly those who opted not to engage this time.

As PCNs develop, the role of the PPG will become more pivotal because these networks will need to understand the patient perspective and identify how they can develop services that, among other things, improve population health. Healthwatch Northumberland, along with the CCG, will have a role to play supporting both the PCNs and the PPGs. To be most effective we will need to ensure robust relationships with the CCG, PCNs and PPGs.

The report provides recommendations that are set in the context of the aims of the research and focus on the aspirations and challenges faced by PPGs and the way in which Healthwatch Northumberland can best engage to help address these.

Understanding Patient Participation Groups – read the full report.

Have a question about health and social care?

 

As we can’t hold our usual Meet and Greet session before the next Healthwatch Northumberland board meeting on Tuesday 23 June, we are inviting you to send us your questions instead.

If you use health or social care services in Northumberland or want to know more about Healthwatch Northumberland please send your question to Derry Nugent: derryn@healthwatchnorthumberland.co.uk by 5pm on Monday 22 June. We will answer your question within ten working days. Have a look at the agenda.

View Project Coordinator Derry Nugent’s video message below.

Ask the Board – Derry Nugent

 

 

Social distancing, self-isolation, shielding: what’s the difference?

Self-isolation, social distancing and shielding have been introduced by the Government to help you and your loved ones stay safe from COVID-19. Find out what they mean in practice and what applies to you.
What is social distancing?
Social distancing refers to limiting face-to-face contact with others as much as possible. If you have to go outside you should stay more than two metres (three steps) apart from anyone other than members of your own household.
The Government’s most up to date advice can be found here.
We can all help control the virus if we all stay alert. This means you must:
  • stay at home as much as possible
  • work from home if you can
  • limit contact with other people
  • keep your distance if you go out (2 metres apart where possible)
  • wash your hands regularly

Do not leave home if you or anyone in your household has symptoms.

For more information, see the full government guidance on staying at home and away from others.

Read more on what you can and cannot do under the new restrictions.

Should I be social distancing?

Yes, everyone should be social distancing until the Government instructs otherwise.

Easy read guide on social distancing

Take a look at the easy read guide on social distancing: Keeping away from other people: new rules to follow from 23 March 2020.

Go to easy read

What is self-isolation?

Self-isolation is the most effective way to prevent the spread of coronavirus and should be done if you show symptoms of coronavirus – such as a dry cough and/or high temperature. It means that you must stay indoors and where possible, avoid contact with others. This includes stopping day-to-day activities, such as shopping for food or collecting medication.

If you are self-isolating it is a good idea to call on the help of family and friends to help you do tasks where you would need to go outside. If you do not have a close network nearby, contact your local authority or community aid groups for help.

Should I be in self-isolation?

The Government’s advice is to self-isolate if:

  • You have any coronavirus symptoms, such as a fever above 37.8C, a persistent cough or breathing problems.
  • You think that you have been exposed to coronavirus. For example, by being in contact with someone who is displaying symptoms.
  • You live with someone who has symptoms of coronavirus.

If you live alone, you should stay at home for seven days from when your symptoms started. If you live with others, then you must stay at home for seven days from when your symptoms started. However, everyone else in the household who is well must stay at home and not leave for 14 days.

Easy read guide on staying at home

Take a look at the easy read guide on staying at home: Coronavirus (COVID-19): advice on staying at home.

Go to easy read

Further guidance for staying at home

Take a look at the Government guidance for households with possible coronavirus (COVID-19) infection.

Read more

What is shielding or social shielding?

Shielding or social shielding is used to describe how to protect those at highest risk of severe illness if they catch coronavirus. You can shield yourself following the Government guidance, and shield others by minimising all interaction between yourself and those who are most at risk.

Should I be shielding?

If you have received a letter from the NHS identifying you as a patient in the high risk category, you should stay in isolation for a total of 12 weeks from the date you received your letter. If there are any changes to this advice, you will be contacted.

People in this group who think they have developed symptoms of coronavirus should get advice from the NHS 111 online service or call NHS 111.

Easy read guide on shielding

Take a look at the easy read guide on shielding: Guidance on protecting people most likely to get very poorly from coronavirus (shielding).

Go to easy read

Hear to help: preventing isolation during lockdown

Clinicians from Newcastle Hospital’s Audiology Department are adapting the way they help patients who use hearing aids by offering an improved postal repairs service to prevent loneliness and isolation.

Patients receive replacement batteries and tubing for their earmoulds so they can continue to hear, despite the lockdown restriction on non-urgent face-to-face appointments.

Kate Johnston, Head of Audiology at the Freeman Hospital said “Lockdown and being isolated from family and friends is tough on anyone, but if you lose your ability to hear, this can be even more isolating for the individual.

“We want to make sure that everyone can maintain some form of normality and can keep connected as possible, in what is a difficult time for everyone.

“We are still offering patients advice and support. If anyone needs batteries for their hearing aid or require information, please get in touch.”

The postal service is something that will be maintained after the current covid-19 restrictions are lifted and patients are encouraged to continue to order batteries and tubes via post where possible.

The Trust is no longer able to operate a drop-in hearing aid repair service at the Freeman Hospital. The hearing aid repair service will be offered by appointment only.

Appointments will be available from 8.15am – 5pm Monday to Friday (excluding bank holidays).

Kate added: “Appointments will be limited to allow us to adhere to social distancing regulations in our waiting areas, so these appointments will be for emergency repairs only e.g.broken earmoulds. Please only book an appointment if it is an emergency.  For all other repairs and hearing aid maintenance, we are still providing our postal repair service.”

To arrange a postal repair or to book an appointment please contact Audiology:

Telephone: 0191 223 1043

Text message only: 07766 087 036

Email – Adults: tnu-tr.audiology@nhs.net or Paediatrics: tnu-tr.childrensaudiologynorthoftyne@nhs.net

The Trust continues to follow updates from NHS England and will be seeing non-urgent patients when it is safe to do so.

Ambulance Service launches Video Technology

Patients will soon be able to speak to ambulance service clinicians via video thanks to new technology being introduced by North East Ambulance Service (NEAS).

NEAS is making use of Attend Anywhere software to allow ambulance staff working in the community to seek advice from clinicians working within the Emergency Operations Centre via video link. This will also be used to speak to patients who require advice but may not need an ambulance to attend to them. Building on this, the service will then be expanded to the wider health system, including care homes.

The new system is one of 17 projects which NEAS has been working on since being chosen as one of three ambulance services to join the national Global Digital Exemplar (GDE) programme back in 2018.

Video conferencing will be rolled out at NEAS in the following ways:

Clinical advice for staff – newly qualified paramedics will be able to use the facilities to speak to specialist paramedics for clinical advice and reassurance whilst on scene with a patient who they think can be safely left at home without needing to travel to hospital. This support was previously carried out as a telephone conversation, relying heavily on vocal descriptions; using video instead will allow staff to use visual cues in their clinical decision making.

Patient support – after going through the triage system on either NHS111 or 999, patients who need to speak to a clinician may be given a secure link via text message or email, which will take them through to a video call on their smart phone, computer or tablet.

Specialist support – the system also has the potential to be used by other specialists, such as the NEAS Hazardous Area Response Team and Great North Air Ambulance, to see whether their services are required on scene, ensuring their specialist skills are reserved for patients who need them most.

Paul Aitken-Fell, lead consultant paramedic at NEAS, said “As the regional ambulance service, NEAS forms a critical part of the care process, bridging primary, secondary and acute care. We only touch patients for a short period of time, with little knowledge of their medical history but often in their most desperate times of need. It is therefore vital that we ensure we are informed as much as possible when we are needed.

“The initiatives we are pursuing through this programme, such as video consultation, are helping us to make better use of technology to improve the care and treatment decisions our clinicians make for our patients.

“In light of the current coronavirus pandemic, it is more important than ever that we are able to offer ways of being able to keep patients safely at home and reduce unnecessary ambulance attendances and referrals to hospital and other providers.

“One of the hardest jobs for a clinician working within our Emergency Operations Centre is the inability to see a patient and therefore having to rely on what they are being told over the phone. This inevitably means that they sometimes have no choice but to dispatch an ambulance just to get a pair of eyes on a patient and make sure they’re ok.

“The ability to see patients face to face via video consultations therefore means we can potentially reduce ambulance callouts, freeing up our clinicians to see more patients. We believe it may also mean we see a reduction in referrals to other providers, thereby freeing up appointments in the wider system and reducing the wait for people who need those physical appointments. And, for our newly qualified paramedics, it means they will have improved access to clinical support to help them deliver high quality care for every contact whilst also reducing unnecessary hospital admissions.”

The aim of the GDE programme is to join up and digitalise health systems to provide clinicians with more timely access to accurate information and support service change, thereby improving patient care.

NEAS was chosen to join the GDE programme in recognition of its track record of digital delivery, which included being the first ambulance trust to deliver NHS111 services, being the first ambulance trust to roll out airwave radio and communications system service wide and being the first NHS111 provider to deliver region wide electronic GP bookings.

Other projects which have either been completed or are in the process of being implemented as part of the GDE programme, include:

  • Developing a common message to allow ambulance systems to digitally pass patient information to hospital systems supporting the transfer of care process;
  • Creating a central directory which provides NHS providers with real time information about services available to support a patient;
  • Capturing a patient’s NHS number as part of their 999 call, without delaying treatment to the patient, to provide clinicians with access to additional information relating to the patient’s previous symptoms and treatments and to transfer information to other services, such as GPs following an ambulance call-out;
  • Developing simulation software to identify the impact of system changes, both internally and externally, to ensure resources match the needs of the service;
  • Developing a messaging and collaboration platform for informing ambulance staff about their compliance with best practice and informing them of changes;
  • Introducing barcode tracking to better manage medicine and stocks on vehicles.

Coronavirus Information

Coronavirus Information Northumberland

As the coronavirus situation is changing constantly in the UK, we are directing you to the main sources of the latest information and advice.

Our team is working from home as of 23 March but we are still here for you and replying to all emails and calls – please bear with us if it takes us a little longer to get back to you.

The main symptoms of coronavirus are: a cough, a high temperature and shortness of breath. If you have any of these symptoms you should stay at home and self isolate.

 

You can find the latest information on our Coronavirus Page HERE

 

Events

Dementia Services

Join us to chat about dementia services in Northumberland, the services you or someone you care for have used, and what was good or what could be improved.

The forums will take place via Zoom. Read our guide on how to use Zoom.

If you would like to take part please contact Laura Kane: laurak@healthwatchnorthumberland.co.uk, or call 03332 408468.

Find out more about our other online forums

 

Children and Young People’s Services

Are you a voluntary or community organisation working with young people? If so, we’d like you to join us for an open discussion on children and young peoples services, particularly around mental health services.

The forums will take place via Zoom. Read our guide on how to use Zoom.

If you would like to take part please contact Laura Kane: laurak@healthwatchnorthumberland.co.uk, or call 03332 408468.

Find out more about our other online forums

 

Cancer services: Join our online forum

If you, or someone close to you, have used cancer services in the last 12 months, we’d love to hear about your experiences at our online forum.

Lead Cancer Nurse, Amanda, from Northumbria Healthcare, and Jo from the Northern Cancer Alliance will be there to answer your questions.

You can join us as a cancer patient or carer or as someone who works with people using cancer services, or just if you have an interest in local services and support.

For those who aren’t able or would rather not attend, questions for Amanda, Jo, or Healthwatch Northumberland can be sent via text to: 07413 385275 anytime before 12 August.

The forums will take place via Zoom. Read our guide on how to use Zoom.

If you would like to take part please contact Laura Kane: laurak@healthwatchnorthumberland.co.uk, or call 03332 408468.

Find out more about our other online forums

 

Laburnum Surgery closure – online forum

NHS Northumberland Clinical Commissioning Group (CCG) has made the decision to close Laburnum GP Surgery in Ashington.

The CCG’s primary care commissioning committee made the decision, last week, to end the contract of Laburnum Medical Group following inspections carried out by the Care Quality Commission (CQC) and ongoing investigations carried out by the CCG, which identified issues with the quality of care provided.

The practice, which provides healthcare for 2400 patients from Ashington and the surrounding areas, including Wansbeck, Morpeth, Newbiggin and Bedlington, will close by the end of July.

Patients at the practice have been written to and allocated another GP at a nearby surgery.

We are holding an online forum for patients to discuss any concerns they have about the closure of the surgery and their ongoing healthcare.

To register please email: laurak@healthwatchnorthumberland.co.uk or call: 03332 408468.

The forums will take place via Zoom. Read our guide on how to use Zoom. If you would like help setting up Zoom on your device please ask.

 

Read more about the closure of Laburnum Surgery

Find out more about our other online forums

 

Share your experiences – join our online forum

As we will be unable to get out and about across the county to meet with and listen to people for a while, we’re holding some public online forums, and we’d like you to join us. If you are unable to take part but would like to tell us about your experiences of these services, Caroline and Lesley will be available by phone, text and email each Wednesday between 3.00pm and 4.00pm to listen, answer any questions and help with providing information about services.

The forums will take place via Zoom. Read our guide on how to use Zoom.

Whilst some of our forums are on specific issues and services, this one is a chance to tell us about any health or social care service you’ve used in the last 12 months. That could be hospitals, GPs, care homes, NHS 111, mental health services, maternity services or dentists and pharmacies.

If you would like to take part please contact Laura Kane: laurak@healthwatchnorthumberland.co.uk, or call 03332 408468.

Find out more about our other online forums

 

Mental Health services: Join our online forum

As we will be unable to get out and about across the county to meet with and listen to people for a while, we’re holding some public online forums, and we’d like you to join us. If you are unable to take part but would like to tell us about your experiences of these services, Caroline and Lesley will be available by phone, text and email each Wednesday between 3.00pm and 4.00pm to listen, answer any questions and help with providing information about services.

The forums will take place via Zoom. Read our guide on how to use Zoom.

The subject of this online forum is mental health services, so if you’d like to share your experiences of services in the last 12 months, or those of someone close to you, please join us.

If you would like to take part please contact Laura Kane: laurak@healthwatchnorthumberland.co.uk, or call 03332 408468.

Find out more about our other online forums

 

Unpaid Carers and Mental Health Online Forum

As we will be unable to get out and about across the county to meet with and listen to people for a while, we’re holding some public online forums, and we’d like you to join us. If you are unable to take part but would like to tell us about your experiences of these services, Caroline and Lesley will be available by phone, text and email each Wednesday between 3.00pm and 4.00pm to listen, answer any questions and help with providing information about services.

The forums will take place via Zoom. Read our guide on how to use Zoom.

The subject of this online forum is unpaid carers and mental health services, so if you’d like to share your experiences of services in the last 12 months, or those of someone close to you, please join us.

If you would like to take part please contact Laura Kane, laurak@healthwatchnorthumberland.co.uk, or call 03332 408468.

 

Find out about our other online forums

 

Maternity services: Join our online forum

As we will be unable to get out and about across the county to meet with and listen to people for a while, we’re holding some public online forums, and we’d like you to join us. If you are unable to take part but would like to tell us about your experiences of these services, Caroline and Lesley will be available by phone, text and email each Wednesday between 3.00pm and 4.00pm to listen, answer any questions and help with providing information about services.

The forums will take place via Zoom. Read our guide on how to use Zoom.

The subject of this online forum is maternity services, so if you’d like to share your experiences of services in the last 12 months, or those of someone close to you, please join us.

If you would like to take part please contact Lesley Tweddell, lesleyt@healthwatchnorthumberland.co.uk, or 07803 427 466.

 

Find out about our other online forums

 

SEND: Join our online forum

As we will be unable to get out and about across the county to meet with and listen to people for a while, we’re holding some public online forums, and we’d like you to join us. If you are unable to take part but would like to tell us about your experiences of these services, Caroline and Lesley will be available by phone, text and email each Wednesday between 3.00pm and 4.00pm to listen, answer any questions and help with providing information about services.

The forums will take place via Zoom. Read our guide on how to use Zoom.

The subject of this online forum is special educational needs and disabilities, so if you’d like to share your experiences of services in the last 12 months, or those of someone close to you, please join us.

If you would like to take part please contact Laura Kane: laurak@healthwatchnorthumberland.co.uk, or call 03332 408468.

 

Find out about our other online forums

 

Mental Health services: Join our online forum

As we will be unable to get out and about across the county to meet with and listen to people for a while, we’re holding some public online forums, and we’d like you to join us. If you are unable to take part but would like to tell us about your experiences of these services, Caroline and Lesley will be available by phone, text and email each Wednesday between 3.00pm and 4.00pm to listen, answer any questions and help with providing information about services.

The forums will take place via Zoom. Read our guide on how to use Zoom.

The subject of this online forum is mental health services, so if you’d like to share your experiences of services in the last 12 months, or those of someone close to you, please join us.

If you would like to take part please contact Lesley Tweddell, lesleyt@healthwatchnorthumberland.co.uk, or 07803 427 466.

 

Other online forums:

Wednesday 20 May 2.00pm – 3.00pm: Dementia Services.

Wednesday 27 May 2.00 – 3.00pm: Adult Social Services (to include support to live independently, care homes, learning disability services).