Download - London patient voice july 2014
INDEPENDENT SCRUNITY(LONDON PATIENT VOICE)
Paula Lloyd knightHead of Patient and Public Voice
NHS England (London Region)
Scrutiny Paula Lloyd Knight June v4
Setting the scene
On 2nd December 2013, over 50 people, committed to improving patient participation in London gathered to share their insight and recommendations for how NHS England (London Region) commissioners can be held to account for their engagement activities.
The co-production day was organised to gain insight into how the population of London might hold NHS England (London Region) to account for its engagement activity and outcomes.
Strong governance
Working at pace…without leaving anyone behind
3. OUTCOMESDescribe what we want the Assembly to achieve in the future
2. DOING & BEINGWhat will the Assembly members be doing – what activities and work, what will
they be thinking, how will they be behaving?
1. HOW WILL IT FEEL?Use words and pictures to express how we want it to feel to be a
member of the Assembly in the future
4. VALUES
4. VALUES
COLLABORATIONEMPATHY
COMPASSION
PERSON CENTERED TRUST
MUTUAL RESPECT
OPEN COMMUNICATION
HONESTY
TRANSPARENT
No fudge, there are clear objectives
Everyone’s views are respected
Listened to
Given enough time to be heard
No language barriers
A leap into the unknown….but feel
supported
Barriers to overcome are part of the “challenge”
Part of a team/partnership
Understand how everything is interlinked
Working towards a common goal –for the common good
Rewarding
Working with the public as people….not just as patients
Thinking out of the box, being creative
Dynamic
Feeling in touch
Positive use of time“You have sought me out, given me enough time,
listened to me, helped me to participate”
Successfully juggling the many topics, issues and
needs
Light, relaxed, comfortable, holistic environment
In controlEnergised
Differences are accepted
Travelling together on a journey
BELIEF
Endless possibilities
energy
Key values are known, lived, built in
Learn from others – local, national, international
Active
Engaged
Resilient and effective advocates
A critical friend: reading, listening, questioning,
challenging
Making decisions and agreeing
Accountable
Not leaving things to chance
Visionary
Actively listening
In meetings: useful contributions, constructive,
productive
Outside meetings: Collecting and absorbing opinions and events; online sharing and
collaboration
Working effectively with commissioners
Unbiased focus –representing everyone
fairly
Growing together
Accept when things go wrong
Adaptable – leaving old atti tudes/ processes behind
Open to others knowledge,
opinions, ideas
Questing
Bridging the gap
Magic when it works
Totally inclusive and representative
Good communicators and
ambassadors –feeding back to
Londoners
Shifting attitudesSetti ng the standards/role modelling participation
Safeguarding quality/addressing inequality
Fulfil promise to hold commissioners to account
An entity which truly represents the population of London
Better health outcomes as result of commissioners held to account for PPI
Signposting
Everyone is equal
Everyone’s opinion is valued
Empowered
Scrutiny Paula Lloyd Knight June v4
Outcome of co production day
Develop - A stand alone patient and public scrutiny function to hold the Region to account for how it meets its statutory participation obligations
Group to be called ‘London Patient Voice’
Scrutiny Paula Lloyd Knight June v4
Progress towards developing LPV
• Sept 2013- NHSE (LR) Transformation Group agreed to setting up public arms length scrutiny Group
• Dec 2013 – Successful co production day held with 50 people agreed framework and concept
• Jan 2014 – Task & finish group developed operating framework
• May 2014 – procurement process for independent provider and support for LPV
• June 2014- Centre for Public Scrutiny appointed• July 2014 – Recruitment commenced
OUTCOME
METHOD
PRODUCTS
Public Scrutiny of Participation in the London Region
Scrutiny Paula Lloyd Knight June v4
Patients and the public have independently evaluated NHSEL’s engagement against the two participation duties and made recommendations for improvements.
Community Asset based Approach
Create London Patient Voice as a stand alone group which holds NHSE (London Region) to account against the two participation duties across its direct commissioning function
1. Annual independent evaluation of NHSE (London Region) participation report
2. Independent assessment of the impact and experience London citizens have had on NHSE (London Regions) commissioning activities
3. Public report making recommendations for improvement
London Patient Voice
London Patient Voice independently
appointed citizen scrutiny group
Assesses annual participation &
engagement report from
London Region
Gathers experiences of public involved in the regions commissoning
activities
Publishes Independent
report and makes recommendation
s for improvement
Independent scrutiny of NHS England (London Region) participation and engagement activities
Scrutiny Paula Lloyd Knight June v4
Role of London Patient Voice
• Assess NHSELRs annual participation and engagement in commissioning report
• Prepare & publish an independent evaluation of NHSELR participation and engagement report making recommendations
• Collect evidence from NHSE (London Region) patients & groups Involved in direct commissioning activities and Boards to support validation of NHSEL report
Scrutiny Paula Lloyd Knight June v4
Membership London Patient Voice
• Independent Chair (open recruitment)• 11 members (open recruitment)
(Membership to be representative of London's diversity – at application process)
Scrutiny Paula Lloyd Knight June v4
NHSE (London Region) PPI activities – Providing evidence of impact of involvement
NHSE (London Region ) Public & Patient Involvement structures are not part LPV but LPV will collect evidence from those involved in NHSE (London Region) engagement activities to explore their experience & impact on the decision making process.
LPV members will collect the experiences/evidence from:
• Existing NHSE (LR) patient/ user groups who are active participants in the commissioning process
• Groups who provide expert user experience / knowledge to NHSE (LR)
NHSE (London Region) Patient & Public Involvement arrangements in Direct Commissioning Activities
LPV to assess PPI
experiences
Patient & Public Procurement
Group
Health & Justice Stakeholder Sub
committee
Cancer Screening programme Board3 sub committees
Primary CareTransformation Patient Board
Specialised Commissioning
(Monitoring )TBC
Cancer User Involvement
GroupYouth Health
NetworkLondon
Immunisation Board
Strategic Clinical Network
reference groups
Scrutiny Paula Lloyd Knight June v4
LPV Relationship with NHSE (London Region)
• LPV will be a stand alone arms length group• NHSEL should have clear arrangements for
how it manages the LPV recommendations• NHSEL SMT may be asked to give evidence to
support the annual report and recommendations
NHSE (London Region) Governance arrangements for acting on LPV report & recommendations
1.
Report received by the Patient Experience &
Patient & Public Involvement Clinical
Governance Sub Group – to develop and agree an
action plan
2.
Action plan presented to the Clinical
Governance Group for approval and in-year
monitoring
3.
Formal response from The London Region
MD to
LPV on how it plans to meet its
recommendations
Creating and developing London Patients Voice
Su TurnerHead of Programmes
Centre for Public Scrutiny
Who are CfPS?
Founded in 2003 to:
• promote accountable public services • influence policy and practice
Now a charity, we are a national leader in ideas about accountability and scrutiny in public services:
• on-line (library, exchange, bulletins and news, blog, twitter)• training and improvement support services• publications and events
what is scrutiny?
Fundamentally, we believe that:
scrutiny is based on the principle that someone who makes a decision…
…shouldn’t be the only one to review or challenge it
what is good scrutiny?
CfPS “four principles” of good scrutiny:
• Provides ‘critical friend’ challenge to executive policy-makers and decision-makers
• Enables the voice and concerns of the public and its communities
• Is carried out by ‘independent minded governors’ who lead and own the scrutiny process
• Drives improvement in public services
Creating London Patient Voice -
Recruiting and developing its members
• Recruitment – by end of July• 3 training and development sessions in August covering:
• Getting to know each other, NHS England and the London Area Team.
• Independent scrutiny, questioning and listening skills.• Working with others and work programming.
• Coaching and support – particularly for the Chair• Support for panel members at meetings
Thank you
Any questions?
To find out more
www.cfps.org.uk - register on-line or sign up for:- e-newsletters, e-digests & scrutiny exchange- reviews library, on-line forum, latest news- new Policy and Skills Briefings
Twitter: @CfPScrutiny
[email protected] or 020 7187 7362 for helpdesk