27-06-14 healthwatch doncaster annual report 2013-14

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    Healthwatch DoncasterAnnual Report2013/14

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    ContentsIntroduction Pg 1 & 2

    The First Year Pg 3

    Structure and Governance Pg 4

    The Board Members and Pg 4Sub Committees

    Accessing Healthwatch Doncaster Pg 4

    Vision, Mission and Values Pg 5

    Strategic Aims Pg 6

    Our Work and Performance Pg 7

    Community Engagement Pg 7

    Community Hubs Pg 8

    Volunteers Pg 8

    Advice and Signposting Pg 9 & 10

    Advocacy Pg 11 & 12

    Involvement in other Pg 13Committees/Groups

    Finance Pg 14

    Future Plans and Challenges Pg 14 and 15

    Closing Statement Pg 15

    Acknowledgements Pg 15

    Publicity Pg 15

    AnnualReport

    2013/14

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    1 1

    Introduction

    AnnualReport

    2013/14

    Healthwatch Doncaster

    The Government created Healthwatchthrough the Health and Social Care Act(2012). This Act paved the way for a

    national body - Healthwatch Englandand required that each local councilwith social care responsibilities, usinginitial funding from central government,establish a Local Healthwatch from April2013.

    Healthwatch Doncaster was establishedin April 2013, as one of 152 localHealthwatch organisations.

    Board members were appointed in June2013. During our first year, there hasbeen a change of support organisationand two changes of Board Chair.

    We are based at Duke Street, Doncasterwhich is our business office and alsoserves as a drop-in centre for the public.

    Healthwatch Doncaster aims to givecitizens and communities a strongervoice to influence and challenge how

    health and social care services areprovided within their local area bygathering health and social care serviceuser experiences (both good and bad)and feeding the information back tocommissioners to help shape futureservice provision.

    We also have a responsibility to provideor signpost people to information to

    help them make choices about healthand care services.

    Healthwatch Doncaster:-

    Has a seat on the statutory Healthand Wellbeing Board, ensuringthat the views and experiences ofpatients, carers and other serviceusers are taken into account whenlocal needs assessments andstrategies are prepared, such asthe Joint Strategic NeedsAssessment (JSNA) and the re-authorisation of ClinicalCommissioning Groups

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    Introduction

    AnnualReport

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    Enables people to share theirviews and concerns about theirlocal health and social careservices and understands thattheir contribution will help build apicture of where services aredoing well and where they can beimproved

    Alerts Healthwatch England, or theCare Quality Commission (CQC)and/or council scrutinycommittees, where appropriate,to concerns about specific careproviders, health or social carematters

    Provides people with informationabout their choices and what to dowhen things go wrong

    Signposts people to informationabout local health and social careservices and how to access them

    Gives authoritative, evidence-

    based feedback to organisationsresponsible for commissioning ordelivering local health and socialcare services

    Can help and support ClinicalCommissioning Groups and councilsocial care departments to makesure that services really aredesigned to meet citizens needs

    Should be inclusive and reflect thediversity of the community itserves

    Healthwatch Doncaster is the localHealthwatch for the Borough ofDoncaster. One year on fromestablishment, we have set up the staffand Board of Directors and are workingtowards each of its statutory duties.

    This Annual Report gives a detailedaccount of how we have fulfilled ourresponsibilities during the past year.

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    3 3

    The First YearAnnualReport

    2013/14

    The Journey So Far.....

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    AnnualReport

    2013/14The First Year

    Structure and Governance ofHealthwatch Doncaster

    The administrative support forHealthwatch Doncaster is currentlyprovided by the Carers Federation.They employ the office staff and

    outreach workers and support the Boardwhich consists of 7 Board members andan Interim Chairperson. These are:

    Supporting the Board and the newlyappointed Executive Committee are anumber of sub committees who takelead responsibility for finance, businessdevelopment, governance, communityengagement, enter and view andadvocacy service.

    Importantly, all our volunteers play avital part in the delivery and governanceof the organisation and its aims.

    Accessing Healthwatch Doncaster

    The Head Office and Drop-in centre isbased on 36 Duke Street, Doncaster,DN1 3EA and is open from 9am to 5pmMonday to Friday. This enables thepublic to call in or telephone andreceive advice and guidance on localhealth and social care services or issuesof concern. A website has been createdto enable quick access to informationand wider publication of events andnews that affects the health and socialcare of the people of Doncaster. Wecan be contacted by one of thefollowing:

    Telephone 01302 378935

    to speak to a member of the support team

    Freephone 0808 8010391for advocacy and signposting support

    [email protected]

    Websitewww.healthwatchdoncaster.org.ukfor information about news and events

    The First YearAnnualReport

    2013/14

    Piotr Kay Arnold Debbie

    Adamczyk Kirk Ntiege Osborne

    Interim Chair Ayodele Ann John

    Sheila Barnes Adenekan Gilbert Burke

    mailto:[email protected]:[email protected]:[email protected]://www.healthwatchdoncaster.org.uk/http://www.healthwatchdoncaster.org.uk/http://www.healthwatchdoncaster.org.uk/mailto:[email protected]
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    Vision Mission and Values

    The Board wishes to make a publicstatement about how it sees its roleserving the people of Doncaster. Thefollowing statements are our

    commitment to the people of Doncaster.

    Vision

    Citizens of Doncaster will be able tohave their views of health and socialcare services heard by those who design,commission, deliver and monitorservices locally and nationally, and havedirect access to person centredinformation and advice to help navigate

    their way through the health and socialcare landscape.

    Mission

    To work collaboratively with everyone inDoncaster to improve the quality oflocal health and social care services.

    Values

    Healthwatch Doncaster will be a strong,

    independent voice and consumerchampion for the citizens of Doncaster.

    Innovation

    Healthwatch Doncaster will strive to becreative and original in its work.

    Quality

    Healthwatch Doncaster is committed topromoting best practice and ensuringquality in all areas of performance.

    Diversity

    Healthwatch Doncaster embraces,encourages and celebrates diversity andstrives to be inclusive in all aspects ofits work.

    People

    Healthwatch Doncaster will support itsstaff and volunteers to help themdevelop and grow.

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    Strategic Aims

    Healthwatch Doncasters commitmentto all communities in Doncaster is:

    To be an independent not for profit

    local organisation

    To be the public voice for health and

    social care services in Doncaster

    To engage with all communities in

    Doncaster

    To seek to influence the

    development, delivery and

    implementation of local health and

    social care services

    To support people to be involved

    and contribute to the work of

    Healthwatch Doncaster

    To support people to make a

    complaint about their treatment or

    care from local NHS services

    To provide comprehensive, accurate

    information and advice to the public

    to enable them to make effective

    choices and decisions when

    accessing local health and social

    care services

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    Our Work and Performance

    Community Engagement

    This is a key platform for HealthwatchDoncaster to link with the communityand to receive feedback on the issuesand concerns of the population linked tohealth and social care.

    Over the year we have hosted two majorevents:

    Meet Healthwatch Doncaster

    In September 2013, 42 people attendedour launch event at the DoncasterTrades and Labour Club where, througha series of workshops, we were able todiscuss how people wanted to beengaged with us in the future and also

    to discover any issues of concern linkedto health and social care services.

    The issues raised have helped to frameour future strategy of engagement andinvolvement with the people ofDoncaster.

    What Matters to You About SocialCare?

    In January 2014 we hosted an event atThe Lakeside Community Church todiscuss the proposals about future socialcare in Doncaster.

    The event was a joint venture withDoncaster Metropolitan Borough Councilto help them determine the issues thatwere important to the users of socialcare in Doncaster.

    It was attended by 89 people.

    The results of the consultation were fedback to Doncaster Council.

    We have also worked with otherpartners, attending events to increaseawareness of Healthwatch Doncaster

    and its role in the community.

    We continue to work in partnership withother organisations in Doncaster andduring the year have delivered 28awareness raising events and attended30 events held by other organisationsacross the borough such as:

    Stroke AwarenessDisability Awareness Day

    Cancer GroupsCarers Rights DayLocal Community Events

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    Community Hubs

    Healthwatch Doncaster is present inLocal Healthwatch DoncasterCommunity Hubs, where people candrop in and see us.

    We have held fortnightly CommunityHubs at:

    Bawtry Community LibraryBentley LibraryMartinwells Centre, EdlingtonVermuyden Centre, Thorne

    These Local Healthwatch DoncasterCommunity Hubs will continuethroughout the coming year and ourdates of attendance will be displayed at

    the hubs and on our website.

    We have a membership of approximately900. Over 200 new members have beenrecruited during the last year with 600plus inherited as part of the legacy ofDoncaster LINk.

    Our membership is important to us as itenables us to quickly make contact withnews about activities and events being

    held by Healthwatch Doncaster andother organisations.

    Importantly, our members become adirect point of contact for us when weneed a response to requests made to usby other organisations and in gatheringhealth and social care service userexperiences.

    Volunteers

    Healthwatch Doncaster could not beeffective without the hard work of ourvolunteers. Currently we have 8 Boardmember and 7 HealthwatchAmbassadors. We have 6 volunteers

    who are members of the CommunityEngagement Group and 3 who aremembers of the Information andPublicity Group.

    We ensure that we support ourvolunteers by use of an inductionprogramme and pack and by providingextensive training.

    Volunteers are trained in Enter andView. Enter and View is a crucial part

    of our work, and involves our volunteersvisiting any NHS organisation orcontracted care home to establish goodpractice or to raise awareness of areasthat do not meet quality standards orhave been identified as unsafepractices.

    These reports can form part ofsubmissions not only to the organisationsinvolved but also to the Care Quality

    Commission.

    We hold regular themed coffee morningsto enable members of the public tomeet informally, talk with each otherand to share their experiences.

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    Advice and Signposting

    This major area of our work gives directhelp to people who contact us bydropping in at our head office in DukeStreet, by telephone or by email.

    This service means we can give directadvice to enable people to contact the

    right person or organisation to supportthem with their concern, or we canredirect them to our Advocacy Servicewho can support them through a NHScomplaint procedure.

    Over the year we have dealt with 647signposting activities.

    Breakdown of mode:

    398 Telephone

    234 In Person14 Email1 Post

    Breakdown of top 5:

    190 Dentistry issues174 Information and Advice84 Advocacy Service29 GP/Health Surgery Queries27 Register with the NHS

    The following case studies highlight howwe support people who contact us withconcerns.

    Case Study 1

    BackgroundThe client called to talk about theproblems they had encountered trying

    to get a referral from the Doctor atBassetlaw Hospital to see a

    Lymphoedema nurse at Retford CareCentre, which was the preferred choiceof venue for treatment.

    The relevant letters from the GP hadbeen faxed over to the Doncaster RoyalInfirmary (DRI) but the client was sure aLymphoedema nurse was not based atthe hospital.

    The GP said the administrationdepartment would sort it all out butthat did not happen. The client wasfrustrated by the lack of detail providedon the nearest location of aLymphoedema nurse, and even tried to

    make direct contact with theLymphoedema nurse, but withoutsuccess.

    This left the client very frustrated atthe long delay in getting an appointmentbut also the lack of communication ingetting the referral to the nursearranged.

    From the time of first speaking to theGPs secretary, it took 20 weeks to getan appointment with the Lymphoedemanurse.

    Reason for ContactThe lady client wished to know wherethe most convenient care centre was tosee a Lymphoedema nurse. Other thanbeing informed it was St Johns

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    Information Centre, Bassetlaw Hospitalno specific contact information wasgiven.

    How We HelpedOur Signposting and Information Officerresearched the details of St. Johns forthe client, making sure there was a

    Lymphoedema service. The relevantdetails and information were sent to theclient by e-mail.

    FeedbackThe client replied, confirming a callfrom the Lymphoedema nurse at RetfordCare Centre had been received and anappointment had been made for thatsame week. The client contacted us by

    email expressing appreciation for theSignposting and Information Officersquick response to the query.

    Case Study 2

    BackgroundThe clients partner had been movedinto a care home situated out of townafter suffering from a stroke. The

    concern was not being able to afford thetrain tickets, making visiting her partnervery difficult due to travel costs.

    Reason for ContactThe client wanted to know if she waseligible for support with travel costs.

    What We DidOur Signposting and Information officer

    researched for any potential travelschemes that might be of help. It

    seemed that support with travel costswas not available.

    However, information and leaflets aboutthe Stroke Association and otherrelevant stroke support groups whomight be able to offer some advice weregiven to the client.

    FeedbackThe lady left visibly thankful for theinformation provided.

    Case Study 3

    BackgroundThe client attended HealthwatchDoncaster and was both visibly agitated

    and in a serious amount of dental pain.

    Because the 8-8 surgery had beenunable to offer a dental appointmentthe client felt the service received hadbeen unsatisfactory.

    Reason for ContactTo make a complaint against the 8-8Surgery.

    What We DidA call was made to the surgery on behalfof the client and the situation wasexplained. An appointment for thefollowing day was arranged.

    FeedbackThe client was delighted, relieved andvery thankful.

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    Advocacy - Independent NHSHealth Complaints Service

    Part of Healthwatch Doncasters roleisto show how influential it has been inbringing about effective changes toHealth and Social Care services as a

    result of evidence gathering and publicfeedback.

    One of the ways it will do this is byoffering a free, confidential, impartialIndependent Health Complaint AdvocacyService.

    What is Healthwatch DoncastersIndependent Health ComplaintAdvocacy Service?

    Most of us use the NHS at some point inour lives, and many of us use theseservices regularly. Whilst the NHSworks hard to make sure that peopleare satisfied with the services,unfortunately sometimes things do gowrong.

    The NHS complaints procedure is inplace to make sure that issues areresolved at a local level, but on someoccasions it is recognised that someonemight need support to make acomplaint. Our advocacy service isthere to work with you to ensure youunderstand your options and help youto achieve the outcome you are

    seeking.

    For those who wish to deal with theircomplaint themselves, HealthwatchDoncaster, supported by the CarersFederation, has produced a Self HelpInformation Pack (SHIP) which aims to

    help our clients feel confident aboutraising their concerns.

    The self help pack explains the differentoptions for raising your concerns aboutthe NHS and offers you practical tipsand things for you to think about whenraising your complaint.

    During the past year the Independent

    Heath Complaints Advocacy service has:

    Provided advocacy support to 113people who wanted to raise aformal compliant through the NHScomplaint procedure

    To date 90 cases have beenclosedand marked as resolved and 23cases are still currently receiving

    advocacy support

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    Achievements

    Following complaints which have beenraised through the NHS complaintprocedure, changes in practice havebeen made at GP surgeries and NHSTrusts. This has led to serviceimprovement and improved patientsatisfaction.

    We have received positive feedbackfrom those we have supported as can beseen from the comments below:

    The following case study shows how wehave supported one of our clients.

    Case Study

    Client A contacted HealthwatchDoncaster Independent HealthComplaints Advocacy Service (ICA) toraise a complaint against a NHS Trusthospital. With support, a letter ofcomplaint was produced and sent to theTrust.

    A response from the hospital wasreceived which unfortunately raisedmore questions than answers and led toa request for a face-to-face meeting,where the client could raise theconcerns directly to the medical staffinvolved.

    The outcome of meeting was the clientreceived an explanation, an apology andfailings in care and treatment admitted.Changes in practices were agreed toensure service improvement.

    Permission was asked for and grantedfor a learning module to be devised bythe hospital for all new nurses tocomplete as part of their inductionhighlighting client As story.

    Without the invaluable support of

    Healthwatch Doncaster, I would not haveknown how to even begin to get the answers

    I am seeking to improve things for other

    families

    Quote from Lynn Jones

    I had a disagreement with my doctors.After trying to contact the Practice Manager

    for a day and a half with no success, I called

    Healthwatch Doncaster for assistance. The

    lady I spoke to was wonderful, polite,

    helpful and understanding. She arranged to

    send information to my computer, which was

    done very quickly. Immediately after the

    phone call, the Practice Manager finally

    called, then the doctor himself and things

    were finally sorted out. It is reassuring to

    know we have someone to help

    Quote Derek L French

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    Involvement in OtherCommittees/Groups

    Healthwatch Doncaster works with manyother committees and groups acrossDoncaster with Board members,volunteers or support team attending.

    These include:

    Health and Wellbeing Board

    DMBC HWB Board Officers Support

    Group

    NHS Doncaster CCG Governing Body

    NHS Doncaster CCG Engagement &

    Experience Committee

    Mental Health Alliance Board

    Childrens Trust Board Regional Healthwatch Lead Officers

    Group

    Quality Surveillance Group

    Yorkshire Ambulance Service

    Stronger Communities Engagement

    Task & Finish Group

    Rotherham Doncaster & South

    Humber NHS Foundation Trust

    Doncaster and Bassetlaw Hospitals

    NHS Foundation Trust

    South Yorkshire & Bassetlaw Patient

    Experience Forum

    Learning Disability & Autism

    Partnership Board

    Learning Disability Partnership Board

    Health Sub Group

    Doncaster Mencap

    DRI Patient Experience Group

    Carers Forum

    DMBC Adults & Communities

    Engagement Group

    Disability Cluster group

    Doncaster Carers Forum

    NHS Complaints Advocacy Forum

    Inclusion & Fairness Advancement

    Group

    We also work with Healthwatch England,the Care Quality Commission and NHSEngland.

    Other Areas of Involvement ofHealthwatch Doncaster

    We have taken part in the Doncaster &Bassetlaw Hospitals NHS FoundationTrust Place Assessment process and withthe Modernisation Strategy for AdultSocial care in Doncaster. We areworking with DMBC to obtain anindependent response to thedevelopment and use of the Better Care

    Fund and have completed research onthe development and refreshing of theDoncaster Physical Disability andSensory Impairment (PDSI) Strategy.

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    Finance

    Future Plans and Challenges

    Over the next year we seek to:

    Increase our membership across

    Doncaster Recruit active volunteers

    (Healthwatch Ambassadors) to take

    up the essential work that needs to

    be undertaken in all our areas of

    work

    Be the service users voice in all

    aspects of health and social care

    Engage as widely as possible with all

    communities in Doncaster Working

    in close partnership with other

    organisations, especially in the

    voluntary and community sector, so

    that together we can capture the

    voice of local people and provide a

    greater influence on the shape of

    local services

    Engage in research on behalf of

    clients and partners to give an

    independent voice to such proposals

    as the Development of the Carers

    Strategy for Doncaster which is to be

    implemented in the near future

    The Carers Federation took over the responsibilities of host organisation in

    November 2013. The budget below reflects this and runs from November 2013

    March 2014:

    Healthwatch Doncaster Budget 2013/14Income

    Core Contract 143,174

    Total Income 143,174

    Expenditure

    Management and Staff Salaries 64,227

    Accommodation and Equipment Costs 40,262

    Running Costs 2,310

    Healthwatch Work Streams(Marketing Campaigns) 15,386

    Total Expenditure 122,190

    Efficiency saving returned to DMBC 20,984

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    Organise further Enter and View

    training sessions for our Healthwatch

    Ambassadors, to give them support

    and confidence to undertake this

    vital task, along with any other

    identified training

    Closing Statement

    We still face many challenges.

    We will be further developing our

    Executive Board, along with our newly

    appointed Executive Committee and

    looking at co-options to support the

    Board and Executive Committee in itswork.

    Healthwatch Doncaster has come

    through a challenging year but remains

    optimistic and encouraged that we can

    build on our first years work on behalf

    of local people.

    Acknowledgements

    Thank you to the Carers Federation who

    have supported Healthwatch Doncaster

    from 1stNovember 2013; helping to

    develop our future strategy and

    structure. We also wish to thank the

    Doncaster Metropolitan Borough Council

    for their continued support through acritical time in the early stages of

    Healthwatch Doncasters development.

    We would particularly like to place on

    record, our appreciation of the work of

    our former Chairperson Janet

    Greenwood, whose professionalism and

    commitment to Healthwatch Doncaster,

    took us through a very difficult time.

    Publicity

    This annual report is published and

    made available on the Healthwatch

    Doncaster website:

    www.healthwatchdoncaster.org.uk

    It is available in hard copy on request by

    contacting the support team. Copiesalso available at local libraries and

    community hubs across Doncaster.

    The Healthwatch Brand Healthwatch

    Doncaster is licensed to use the

    Healthwatch trademark (which covers

    the logo and Healthwatch brand) as per

    our license with Healthwatch England

    and the Care Quality Commission.

    http://www.healthwatchdoncaster.org.uk/http://www.healthwatchdoncaster.org.uk/http://www.healthwatchdoncaster.org.uk/
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