ccg volunteer induction day 2019 welcome! · building healthier communities objectives we will...

Building healthier communities

CCG Volunteer Induction Day 2019

Welcome! Thursday 3 October 2019 – Cloth Hall Court


House keeping

• Welcome to Cloth hall Court

• Toilets

• Fire alarm

• Timings of the session (agenda on tables)

• Breaks and Lunchtime

• Induction Packs


Introductions


Aim

The aim of volunteer induction training is to:

‘to welcome our volunteers to the programme

and

ensure that our volunteers understand and are

effective in their role’


Objectives

We will achieve our aim by:

• Providing opportunities to learn and share with other

volunteers, staff and partners

• Providing a brief overview of the role of the Clinical

Commissioning Group (CCG)

• Discussing our statutory duty to engage

• Exploring the role of the CCG Volunteer

• Introducing our commissioners and wider partners

• Explaining and exploring how we provide assurance


Learning outcomes

By the end of the induction day you will be able to: • Describe the role of the CCG

• Explain why engagement is essential when developing health and

care services

• Describe the role of a CCG volunteer

• Give examples of how CCG volunteers get involved in the work of

the CCG

• Identify our key partners

• Outline how CCG volunteers provide assurance for our

engagement activities


Agenda

09:30 Arrival

10:00 Welcome and housekeeping

10:15 What is the CCG?

11:00 Break

11:15 What is the role of the CCG volunteer?

12:30 Lunch

13:15 Presentations from our partners

14:30 Break

14:45 Providing patient assurance

15:45 Questions and close


What is the CCG?

• Clinical Commissioning Group (CCG)

• Created following the Health and Social Care Act in

2012

• Responsible for the planning and commissioning

of health care services for their local area

• Not responsible for providing health services

• Works as part of a wider system


What is the CCG?

What is commissioning? • Best possible health outcomes for the local population.

• Involves

• Planning – assessing local needs and deciding on priorities

• Designing – developing local services

• Buying – Procuring services from providers

• Improving – Evaluating and monitoring services

• Ongoing process.


What is the CCG? - quiz The annual budget for NHS Leeds CCG is £1.2

billion

Managers account for 5% of NHS staff

85% of people rate their experience of making a

GP appointment as ‘good’

The NHS deals with 1 million patients every 48

hours

The NHS is the fifth largest employer in the world

The NHS provider deficit is almost £400m

TRUE – The budget deficit for the country will be

£22 billion by 2021

FALSE – under 3% (2.97%)

FALSE – 72.7%

FALSE – every 36 hours

TRUE – behind (US defence, People’s Liberation

Army in China, Walmart and McDonalds)

FALSE – it is almost £960m


What is the CCG?

Who do we work with? • The CCG is one of many organisations working together in Leeds and

across West Yorkshire and Harrogate to improve health and social care

• This integrated way of working is called ‘system integration’

• This approach will help us improve outcomes and make the best use of

limited resources

• We work with: • Local council

• Providers (Hospitals, GP’s and community services)

• Third sector

• Local people


What is the CCG?

What is engagement? Quality in health services is made up of three components:

• Clinical effectiveness (what works)

• Safety (what’s safe)

• Experience (what people think about the care they receive)

‘experience of care has arguably not been widely regarded in practice as being equal to

clinical effectiveness and safety for health professionals, mangers or commissioners’

Patient Experience Journal 2015

Engagement is how we understand people’s needs, preferences and

experience of using services


What is the CCG? – engagement risks

Mid-Staffordshire (late 2000’s) • Poor care and high mortality

• The trust did not listen sufficiently to its

patients and staff

• A negative culture

• A tolerance of poor standards

• A disengagement from managerial and

leadership responsibilities.

• Other agencies did not detect and

correct poor standards of care

Winterbourne View (2010) • Physical and psychological abuse

• Learning disabilities

• Social services and CQC both aware of

the concerns but did not act

• 29 incidents were reported to the police.

The police didn’t follow up the incidents

because they believed the reasons given

by staff at Winterbourne View.

‘We need to hear the patient, seeing everything from their perspective, not the

system’s interests.’ The Rt Hon Jeremy Hunt MP Secretary of State for Health, 2014


What is the CCG? - our engagement duties

The Health and Social Care Act 2012 outlines two legal

duties, requiring Clinical Commissioning Groups (CCGs)

and commissioners in NHS England to enable:

1. patients and carers to participate in planning, managing and

making decisions about their care and treatment.

2. the effective participation of the public in the commissioning

process itself, so that services provided reflect the needs of local

people.


What is the CCG? – commissioning cycle

Patient and public participation is an essential component of

commissioning, and should be considered at all stages of the

commissioning cycle (planning, designing, buying and monitoring

health and care services).

• Plan (what food have you run out of, how much money do you have)

• Design (write a shopping list)

• Buy (decide where to buy your food, get a receipt)

• Improve (what’s good, what’s not, decide what to buy next week)

We have a duty to involve patients at each stage


Break


CCG volunteers – a brief history

• Patient champions created in 2014 by NHS Leeds West CCG

• Approach rolled out across Leeds in 2015

• Training and peer support to empower patient champions

• 50 patient champions

• Involvement in over 100 engagement activities

• Opportunities to attend national and international events

• Well received by patients and national recognition

• Challenges: • No individual support

• Some people struggled to champion the voice of the wider public

• Some people ‘grilled’ commissioners rather than worked in partnership

• One CCG - an opportunity to refresh and improve


CCG volunteers – a fresh start

• Used learning and feedback from patient champions to develop a

new approach

• New programme started in autumn 2018

• Recruited 12 CCG volunteers

• Recruitment panel included Healthwatch Leeds

• Worked with CCG volunteers to develop an approach to

volunteering in the CCG

• CCG volunteers are co-producing this programme


CCG volunteers - groupwork

1. What skills, knowledge, attitudes and experience do you need to

have to be a CCG volunteer?

2. What’s the difference between a CCG volunteer and a member

of the public? What your role and what isn’t your role?

3. What are the benefits of the role for volunteers and the

organisation?

4. What activities might you get involved in and what support will

you need to be effective?


Lunch


Presentations from our colleagues


Break


What is patient assurance?

Patient assurance is:

‘confidence that the CCG will carry out an appropriate

engagement with the public

when a service change is proposed’

In other words, you should feel assured that when a service

change is proposed by the CCG, that we have a meaningful

plan in place to involve local people in the change.


What does appropriate engagement look like?

A good engagement should be: • Clear – outline why the change has been proposed, how people will be affected,

what people can influence and what the engagement aims to achieve

• Proportionate – reflect the size and scale of the change

• Timed – provide a clear and reasonable timescale for the project

• Informed – reflect existing evidence about who it might affect

• Accessible – use accessible methods and questions engage all communities

affected by the change

• Inclusive – involve all key partners and stakeholders

• Transparent – clearly demonstrate how people’s feedback has been used to

shape decisions


Where/when does assurance happen?

Patient assurance should happen throughout the

commissioning cycle

• Plan – have we involved people in our organisational

plans and priorities?

• Design – have we involved people in shaping services

• Buy – have we involved people in procuring services

• Improve – are we involving people in monitoring

services


How do CCG volunteers get involved?

Plan Design Buy Improve Provide assurance for

engagements to

develop our strategies

and plans

(deliberative events)

Attend the PAG and

provide assurance for

service change

engagement

Attend project steering

groups to develop the

engagement plan

Go out and speak to

local people

Attend the project

steering group and: • Ensure feedback is

used to shape service

• Support the

development of

engagement/equality

sections in contracts

• Assess sections of

provider bids

Attend project steering

group to ensure the

organisation is using

patient experience to

review and shape the

service


Patient Assurance Group (PAG)

A group which receives and reviews engagement plans for service changes.

CCG volunteers work with commissioners and CCG staff to ensure

engagement plans are robust.

Membership

• 3/4 CCG volunteers

• HealthWatch Leeds

• PPI lay person (Angela – chair)

• Senior leader from the CCG

• Engagement staff


Providing patient assurance

Groupwork: A commissioner comes to the PAG.

They tell you they are re-commissioning our social prescribing project and

want to speak to people who are using the service to understand their needs

and preferences. They say they will use a survey to engage with people.

You need to feel assured that the engagement is robust and meaningful

• What is your role and what is not your role?

• What more information do you need about the change?

• What questions might you want to ask to feel assured?



What is your role? What is not your role?

• Review the engagement plan

• Ask questions so that you understand

what engagement needs to take place

• Highlight areas where you think the

engagement is weak

• Work with the commissioner to

improve the plan

• Approve the engagement plan

• Question why the change is happening

• Approve the service change

• Ask questions that are not directly

related to the engagement (such as

questions about finance)

• Criticise the engagement plan

• ‘grill’ the commissioner



What more information do you need? • More information about social prescribing – what is the service?

• More information about the change – what is changing? Is the service going to be

different? How will it impact on service users? What can they influence?

• Timescales – what are they?

• Impact – who will the change impact on? Seldom heard groups?

• Methods – how will they engage?

• Stakeholders – who are the wider stakeholders and how will they engage with them

• Questions - What will you ask people?

• Ongoing patient assurance - How will people be involved throughout the project?



What questions might you want to ask? • What changes will existing patients notice?

• How many people use the social prescribing services?

• Please outline the timescales for the project?

• What do you already know about the people who use this service?

• What methods will us use to engage with people?

• Which local organisations do you need to work with during this engagement?

• What questions will you ask people?

• How will you make sure that people’s feedback is being used to shape the new

service?


What happens next

• CCG volunteer Training day on Sat 12 October 2019

• Citywide PPG event on Wed 9 October 2019 Emerald Suite, Headingley

Experience, LS6 3BR

• Big Leeds Chat on Thursday 9 November 2019 at Leeds Kirkgate Market

• Allocated mentor

• Dates for future PAG meetings

• Sign up to our CCG network

• Receive volunteer newsletter

• Other upcoming training – outlined in newsletters


Questions and close

• Evaluation

• Expenses

• Thanks

ccg volunteer induction day 2019 welcome! · building healthier communities objectives we will...

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