draft participation and engagement strategy€¦ · web view2016-03-07 · the draft...

Draft Participation and Engagement StrategySummary of Consultation Feedback

04/03/2016

Gillian ChurmsIntegration Programme Support Officer

Table of Contents

Executive Summary Page 3

Survey Results Page 6

Feedback Response Matrix Page 15

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Executive Summary

The Draft Participation and Engagement Strategy (v8) was opened up to public consultation during January and February 2016. The consultation period commenced Monday 25th January and ended Friday 12th February 2016.

An email inviting people to read the draft Strategy and take part in the consultation by answering a short survey was sent on behalf of Julie White to 1426 email addresses.

Social Media accounts (Facebook and Twitter) along with the public and internal websites of both Dumfries and Galloway Council and NHS Dumfries and Galloway also carried messages to inform people that the consultation was underway, and provided details of how they could view and feedback on the draft Strategy. This message was also shared via the DG-change website.

A press release relating to the consultation was also provided to local press organisations.

Further to the above, meetings with groups, organisations and members of the public have also been undertaken.

Consultees were asked to peruse the draft Strategy and feedback via a Survey Monkey hosted survey. Consultees were also given the opportunity to complete an Equality and Diversity Monitoring Form. There were also alternative opportunities for consultees to submit additional feedback regarding the draft Strategy.

The survey consisted of six questions. 58 people took part in the survey and a snapshot of the responses is as follows:

Question 1Our vision in the Participation and Engagement Strategy is: ‘The views, experiences and ideas of all our stakeholders will design and deliver health and social care services that meet the needs and aspirations of people in Dumfries and Galloway now and in the future’. Do you agree that this is the right vision?57 people answered this question and of these 82.4% responded with Strongly Agree/Agree.

Question 2There are four Objectives within the Strategy. Do you agree that these are the right Objectives?

a) Objective One:

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To engage with all individuals, communities and organisations who have a contribution to make to health and social care services in Dumfries and Galloway.55 people answered this question and of these 85.4% responded with Strongly Agree/Agree.

b) Objective Two: To use a range of participation and engagement methods so that everyone can contribute in the way that suits them.56 people answered this question and of these 94.6% responded with Strongly Agree/Agree.

c) Objective Three: To maximise the resources available for participation and engagement activity.55 people answered this question and of these 83.7% responded with Strongly Agree/Agree.

d) Objective Four: To monitor and report on the effectiveness of our participation and engagement activity.56 people answered this question and of these 91.0% responded with Strongly Agree/Agree.

Question 3Do you have any additional comments on the objectives in the Strategy?21 people submitted additional comments in response to this question.

Question 4Do you think that we have got the right balance between local activity and strategic activity?55 people answered this question and of these 45.5% responded ‘Yes’, 20% ‘No’ and 34.5% ‘Not Sure’. 22 additional comments were received from those who had responded ‘No’ or ‘Not Sure’.

Question 5Do you think that the reporting and monitoring arrangements for the strategy are sufficient?52 people answered this question and of these 53.8% responded ‘Yes’, 15.4% ‘No’ and 30.8% ‘Not Sure’. 15 additional comments were received from those who had responded ‘No’ or ‘Not Sure’.

Question 6Do you have any other comments or suggestions on the Participation and Engagement Strategy?15 people submitted comments in response to this question.

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Additional feedback received outwith the survey, were received from: 4 organisations 1 group 3 individual people

All feedback received has been collated and presented in this report. Further to the public consultation, a re-draft of the Strategy was made with the assistance of representatives from Strategic Planning and also with the members of the Participation and Engagement Strategy Action Group. The re-draft work was carried out largely during the week following the end of the consultation period, resulting in the Strategy being in a form that was suitable for submission to the Integration Joint Board, for their approval and adoption, in March 2016.

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Survey Results

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Question One

Our vision in the Participation and Engagement Strategy is: ‘The views, experiences and ideas of all our stakeholders will design and deliver health and social care services that meet the needs and aspirations of people in Dumfries and Galloway now and in the future’. Do you agree that this is the right vision?

Answer Options Response Percent

Response Count

Strongly Agree 45.6% 26Agree 36.8% 21Somewhat Agree 12.3% 7Disagree 3.5% 2Strongly Disagree 1.8% 1

answered question 57skipped question 1

Our vision in the Participation and Engagement Strategy

Strongly AgreeAgreeSomewhat Agree Disagree Strongly Disagree

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Question 2

There are four Objectives within the Strategy. Do you agree that these are the right Objectives?

Objective One: To engage with all individuals, communities and organisations who have a contribution to make to health and social care services in Dumfries and Galloway.


Response Count



Objective One: To engage with all individuals, communities and organisa-tions who have a contribution to make to health and social

care services in Dumfries and Galloway:

Strongly AgreeAgreeSomewhat AgreeDisagreeStrongly Disagree

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Objective Two: To use a range of participation and engagement methods so that everyone can contribute in the way that suits them.


Response Count



Objective Two: To use a range of participation and en-gagement methods so that everyone can contribute in the

way that suits them:


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Objective Three: To maximise the resources available for participation and engagement activity.


Response Count



Objective Three: To maximise the resources available for participation and engagement activity:

Strongly AgreeAgreeSomewhat AgreeDisagree Strongly Disagree

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Objective Four: To monitor and report on the effectiveness of our participation and engagement activity.


Response Count



Objective Four: To monitor and report on the effectiveness of our participation and engagement activity:


Question 3

Do you have any additional comments on the objectives in the Strategy?

Answer Options Response Count

21answered question 21

skipped question 37

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Question 4

Do you think that we have got the right balance between local activity and strategic activity?


Response Count

Yes 45.5% 25No 20.0% 11Not Sure 34.5% 19If No or Not Sure, Please provide further comments why you think the balance is not right: 22


Do you think that we have got the right balance between local activity and strategic activity?

YesNoNot Sure

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Question 5

Do you think that the reporting and monitoring arrangements for the strategy are sufficient?


Response Count

Yes 53.8% 28No 15.4% 8Not Sure 30.8% 16If No or Not Sure, Please provide further comments why you think the balance is not right: 15


Do you think that the reporting and monitoring arrangements for the strategy are sufficient?

YesNoNot Sure

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Question 6

Do you have any other comments or suggestions on the Participation and Engagement Strategy?

Answer Options Response Count

19answered question 19

skipped question 39

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FeedbackResponse

Matrix

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Draft Participation and Engagement Strategy Feedback Summary

Question 1Our vision in the Participation and Engagement Strategy is: ‘The views, experiences and ideas of all our stakeholders will design and deliver health and social care services that meet the needs and aspirations of people in Dumfries and Galloway now and in the future’. Do you agree that this is the right vision?

Question 2There are four Objectives within the Strategy. Do you agree that these are the right Objectives?a) Objective One: To engage with all individuals, communities and organisations who have a contribution to make to health and social care services in Dumfries and Galloway.

b) Objective Two: To use a range of participation and engagement methods so that everyone can contribute in the way that suits them.

c) Objective Three: To maximise the resources available for participation and engagement activity.

d) Objective Four: To monitor and report on the effectiveness of our participation and engagement activity.

Question 3Do you have any additional comments on the objectives in the Strategy?

Question 4Do you think that we have got the right balance between local activity and strategic activity?

Question 5Do you think that the reporting and monitoring arrangements for the strategy are sufficient?

Question 6Do you have any other comments or suggestions on the Participation and Engagement Strategy?

Section 1 - Comments and Feedback Received via Survey

Ref Category Comments/Feedback/Questions

Part of DP&ES comment relates to Response

1

Public Consultation25.01.2016

While it is important to engage with everyone, it would be wrong to spend a lot of money on this which could be better used in actually providing the care.

Question Three Involving users, their families and our local communities in the design and planning of health and social care will assist in making our arrangements as efficient and effective as they can be, therefore ensuring that the maximum amount of money is available for providing care.

2


It remains unclear as to how these objectives will be supported operationally. How will the effectiveness of participation and engagement be measured?

Question Three Participation and engagement activities will be part of our service delivery. The effectiveness of these activities will be measured and reported to the management and the Integration Joint Board. The detail of what will be measured and reported is in development.

3Public Consultation25.01.2016

Hard to achieve with so many diverse categories of Groups.

Question Three The plan is to use representative/umbrella bodies as the way into hard to reach groups as much as possible.

4


It is essential for GPs to be involved in Health and Social care Integration but due to the recruitment crisis and the way GPs are paid, there needs to be funding available to pay for locums to allow GPs to attend meetings.

Question Three There are already arrangements in place to reimburse GP Leads who attend meetings.

5


This strategy is poorly constructed and conceived. It would have benefitted from significant revision even in this draft format. The strategy makes no attempt to make visible the mechanisms by which ALL individuals and stakeholders will be engaged and how this commitment to being all things to all people will be realised.

Question Three There is a list of the different mechanism that can be used within the Strategy document. It is however inappropriate to be definitive about the mechanisms for any particular engagement because we will be following the National Standards which require us to use different mechanisms depending on the purpose and objectives of the engagement. Strategy has been fully reviewed and revised based on comment and feedback received.

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6a


Two primary comments:The word 'gay' on page 12, should really read 'LGBT', or 'Lesbian, Gay, Bisexual, Transgender', or LGBT Plus'. Using the word 'Gay' alone can appear very male-orientated and quite patriarchal.

Question Three This whole appendix has been removed from the Strategy, being accessed instead through a hyperlink. While we are unable to change this wording (as this is contained within a Scottish Government publication) but you will see that the term LGBT is what we use throughout the document.

6b


The identification of Dumfries & Galloway LGBT Centre on page 22 is inaccurate and misleading as there is no such place anymore. There are two organisations in the county now - Dumfries & Galloway LGBT YOUTH centre, for young people only, and Dumfries & Galloway LGBT plus, who engages with everyone over the age of 18. By using the descriptor 'centre' it suggests that you are only going to consult on LGBT issues with the youth centre. If the integration is, as I understand, for adults, it really should be D&G LGBT Plus that is consulted.

Question Three The list was taken from the Integration Scheme and was correct at that time. In light of other comments we have amended the presentation of this list to remove individual organisations.

7


I feel strongly that the outcome of this must be reflected immediately in action to improve health and social care within the region and not just everyone attending meetings spouting all the politically correct noises.

Question Three The urgency of getting all the arrangements in place and improving health and social care for people in our region is well understood and shared by IJB Members and staff alike.

8a


Objective 1.Appendix 3 lists the Statutory consultees. In addition there needs to be a list of non-statutory consultees including both social and private housing interests. These non-statutory interests would then be represented on the PIP Steering Group.

Question Three The list in this Appendix had been lifted from the Integration Scheme and was based on Scottish Government Guidance.The Appendix has however been revised in light of this, and other comments and group/types of organisations are referred to, rather than an exhaustive list of individual organisations.

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8b Appendix 3 gives the ToR for each of the Locality Participation and Engagement Groups, membership of which includes housing. In my view it will be difficult to engage private housing interests at locality level and believe this voice would be better confined to the strategic level.

Question Three However we believe that consulting and involving them is required to develop our communities at both a local and strategic level. All 4 locality plans have reference to housing in both their plans and ‘we wills’. The list of members is however just a suggestion and as such some localities may wish to not have housing included.

9a


The grammar in your vision is rubbish....'views experiences and ideas' are not actions so therefore they cannot 'design and deliver' services.They can influence the design, or support the design or help the design and delivery....

Question Three This section has now been revised and the final version will include advice from the Plain English Campaign.

9b


Maximising resources for participation and engagement activity makes it sound like an 'add on' when actually it should be how we all work - involving communities from the very beginning in services development.

Question Three The section about resources describes how the partners will use the money and staff and technology they have available. It comes after the Objectives that focus on the involvement of local people and communities in service development.

10


The ultimate objective is for people to be involved in a way that positively influences health and social care in Dumfries and Galloway. It is not enough to say that they are involved but, in what ways their involvement made a meaningful difference

Question Three The Strategy has been fully reviewed and revised based on comment and feedback received.The effectiveness of the Strategy is specifically referred to in Objective 4 as that is indeed the key issue.

11


I agree with the first objective but am concerned about how to prioritise the information and ideas which come out of the engagement process. With so many consultees it may be difficult to reach a valid consensus.

Question Three How to deal with the responses to any engagement activity is part of the planning stage and there are various techniques, scoring systems etc. that can assist in this – ultimately the accountable body has to make a decision and it is important that the reasons for the decision are explained so that the process is transparent.


It is vitally important that any engagement is genuine and that we listen and respond to it rather than just record it and then do what the strategists in the centre think we should do instead.

Question Three The adherence to the National Standards and using a publicly accessible tool to set out the planning and implementation of any engagement will ensure that respondents can see what difference it made.

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13


The compilers of the document appear to have a very poor grasp of the English language, I would suggest they look up the dictionary definitions of participation and engagement - very loosely they mean the same thing so why use two words when one would do perfectly well!

Question Three The requirement to produce a ‘Participation and Engagement Strategy’ is part of the legislation. However it is recognised that terms are very similar and so definitions have been now included in the document that set out what the partners mean by these and other related terms.


It is an extremely comprehensive document and might just be too ambitious to achieve.

Question Three There will be an action plan that sets out the specific activities to be undertaken to deliver the Strategy. The action plan will be prioritised to take into account available resources.

15 Public Consultation01.02.2016

The strategy recognises the wide ranging gaps in communication and acknowledges the difficulties that may exist in under represented communities.

Question Three Comment noted.


Several. As usual your "Objectives" are statements which no one could deny are desirable outcomes. But they're so obvious a child could have written them.Who wouldn't want to set up a service that "meets aspirations", "engages with all individuals" or "maximises resources"? How could anyone possibly suggest these are not what we would wish? And therefore what can you possibly gain from canvassing people's opinions as to what they think? It would be like asking football fans whether they think it would be desirable that their team wins the league. Totally pointless, you must know the answer already.

Question Three The objectives are intended to be simple and clear as this is the first document that sets out what commitments the new body of the Integration Joint Board are making in relation to participation and engagement activity.

The objectives are also there to give a framework for detailed actions that can be measured and reported on.


We see the objectives as solid but the reporting one as a bit thin, a full mention of feedback to all involved with not only what is recorded but it made a difference.

Question Three The point about feedback is well made – and while it is one of the ten National Standards and therefore a key part of this work, the narrative about the Objectives has been updated and gives a stronger profile to feedback

.

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Why is it necessary to use such convoluted language to ask simple questions?

Question Three Comment noted – the final version will take into account advice from the Plain English Campaign

19


They need not to diminish the core actual work of services by using too much time and money and other resource.

Question Three Involving users, their families and our local communities in the design and planning of health and social care will assist in making our arrangements as efficient and effective as they can be, therefore ensuring that the maximum amount of money is available for providing care.

20


As we have shown by our answers above we agree with the objectives, but we are worried about what will be done to make sure they will be achieved. Most of them will need quite a lot of work to be done.

Question Three There will be an action plan that sets out the specific activities to be undertaken to deliver the Strategy. The action plan will be prioritised to take into account available resources.

21

Public Consultation 13.02.2016

Your view of local should be to a parish level Question Three The particular definition of ‘local’ will depend on the nature of the subject matter and the purpose of the engagementWe expect the locality participation and engagement groups to link with local communities as a number of levels.


Don't really understand the question Question Four Strategic is something that covers the whole region or whole population; local is used to identify smaller geographical areas or groups of people.


Strategic activity does not always reflect what can be achieved or what requires to be achieved locally. Strategic activity can appear to happen in a vacuum, not taking into account local feelings/experiences or operational issues such as delivering services in a rural area.

Question Four The strategic plan and locality plans have been developed by talking to stakeholders across the regions and taking account of the views highlighted. Lessons have been learned from the engagement activity for these plans and have informed this participation and engagement strategy.


Not clear how one informs the other in practice Question Four In this context strategic means regional level, mirroring the strategic and locality plans.

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25


Since I missed entirely the first phase of the exercise in consultation, perhaps the broad message did not get to as many people as it needs to do. It seems highly likely that many people will fail to participate due to the length and complexity of the information presented in one large serving.

Question Four The public consultation period for this Draft Participation and Engagement Strategy ran from Monday 25th January to Friday 12th February 2016 and it is only one document that the Integration Joint Board is required to have in place by 1 April 2016. Extensive consultation has also taken place on the Health and Social Care Strategic Plan.It is recognised that there is a lot to take in, in a short space of time however so it is important to note that engagement will be ongoing – these documents are only the start of the IJB’s work.

26


This has all the appearance of a paper exercise. I see no real commitment to engage at strategic or local level. The very time of the document snacks of the dead hand of authority.

Question Four The requirement for this strategy is set out in legislation. The consultation on the strategic plan and associated documents has been extensive and this strategy aims to carry on the dialogue. The commitment of the IJB to engage is set out at the very beginning of the document and in particular the foreword.


I don't understand what strategic means or how it differs from local.

Question Four Strategic is something that covers the whole region or whole population; local is used to identify smaller geographical areas or groups of people.


You won't know if you have struck the right balance until after the Plan gets under way

Question Four Regular monitoring of the action plan to deliver the strategy will ensure that we assess its effectiveness and any problems addressed.


document has a feel of something that 'needs' to be produced rather an integral part of the way we work

Question Four The IJB’s commitment to participation and engagement is very much integral to the way it will work and this is so important it is set out at the very beginning of the Strategy.


I am unsure as to how many people have taken part or to the general awareness of the public.

Question Four This detail is included in this report.

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31


Far too much strategic investment and employment and not enough people supporting the local activity

Question Four The proposal to share resources between partners (people, money and technology) will assist in making our arrangements as efficient and effective as they can be, therefore ensuring that the maximum amount of money is available for providing care and supporting local activity. The P&E Strategy is a requirement of the scheme and in providing the support and structure around this in the form of a suggested Locality Participation and Engagement Group, it will allow the locality to shape and focus on the local work and people.


What do you mean by local activity and strategic activity I fail to see how you can have a 'balance' betweenthem

Question Four Strategic is something that covers the whole region or whole population; local is used to identify smaller geographical areas or groups of people.

33


The document is laughably heavy on what you want to do, in short "do things better" but very light on how you're going to do it, which is surely the crux of the matter, not least given the lack of funding and people to deliver change.

Question Four As with the majority of long term Strategies, there will be an action plan which details the activities to be put in place and measured on a short and medium term basis. The action plan will be prioritised to take into account available resources


The focus should be more on the locality. Question Four Revised Terms of Reference for the Locality Participation and Engagement Groups have been included. (page 17 of strategy)


Like many new approaches perhaps the balance could be seen as work in progress so it can always be reviewed and change on a constant basis.

Question Four The Participation and Engagement Strategy will be subject to monitoring and reporting as part of the Performance Management Framework.


I would be happier to see local activity having a higher weighting.

Question Four Please refer to the revised Terms of Reference for the Locality Participation and Engagement Groups (page 17 of strategy)

37


More access for frailer older people to participate, i.e. local in house small focus group meetings - I am happy to facilitate this at Abbeyfield

Question Four This is exactly the kind of tailored engagement that following the National Standards may suggest is appropriate, depending on the subject matter. The value of involving trusted people to facilitate engagement with vulnerable people is highlighted in the Strategy.

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38


This is the first information I have received on this matter and have no idea what came before

Question Four The public consultation period for the Draft Participation and Engagement Strategy ran from Monday 25th January to Friday 12th February 2016. It is only one document that the Integration Joint Board is required to have in place by 1 April 2016. Extensive consultation has also taken place on the Health and Social Care Strategic Plan.

It is recognised that there is a lot to take in, in a short space of time however so it is important to note that engagement will be ongoing – these documents are only the start of the IJB’s work.

39


It has been used as a political football, whatever the Scottish office has as a priority and supply extra funding, we cannot trust this Council to deliver. We have already seen funding for early year child care delayed, flooding funding delayed to name but a few.

Question Four The partners who support the Integration Joint Board (the Council and NHS) along with third sector have an important role to play in ensuring that local people’s views and opinions are taken into account and inform decisions at local and national level. Both organisations recognise that improvement is needed in participation and engagement and the proposed sharing of resources and Centre of Excellence (see Objective 3) are designed to do this.

40


The locality groups are mostly populated by medical professionals - or so it seems to me.Health and Social Care Integration will work best if we can call on the advice of people who work with communities but not necessarily on health matters. Community Learning and Development officers for example ought to be tapped into for help in reaching young people becoming adults.

Question Four The membership and Terms of Reference for the Locality Groups are in development and the involvement of a wider group of partners e.g. housing, is intended to give that wider perspective. CLD staff and approaches will be the foundation of the Centre of Excellence and so the Locality Groups’ activities will have access to their expertise.


How can I tell? Question Four There are references throughout the Strategy to strategic activity and local activity respectively – and information about the Locality Groups.

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We think it is good that the strategy says things to try to get the balance right, because we think it is important to get it right. We do not have any suggestions at present.

Question Four Comment noted.


I do not think there is enough communication of the services that are available and how the local community can make best use of them

Question Four The Integration Joint Board has a number of different pieces of work ongoing and improving communication is one of them.


Never heard of project before this email Question 5 Health and Social Care Integration is a very new initiative and there has been a short timetable for getting all the different documents required by the legislation in place. The public consultation period for the Draft Participation and Engagement Strategy ran from Monday 25th January to Friday 12th February 2016. It is recognised that there is a lot to take in, in a short space of time however so it is important to note that engagement will be ongoing – the documents are only the start of the IJB’s work.


Too early to judge Question 5 Comment noted.


Don't know yet Question 5 Comment noted.


I see no evidence of the IJB being held accountable for the success or failure of the strategy.

Question 5 The narrative in Objective 4 details how the performance information for the Strategy will be monitored and reported, including to the IJB


Might be useful to include more granular detail - although I appreciate that this is a strategic document

Question 5 As with the majority of long term Strategies, there will be an action plan which details the activities to be put in place and measured on a short and medium term basis. The action plan will be prioritised to take into account available resources

Ref Category Comments/Feedback/ Part of DP&ES Response

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Questions comment relates to

49


Improvements must somehow be made to happen by stimulating a culture for change. A culture which has a tendency to become bogged down in repeating the same strategies which are not working well.

Question 5 The foreword and the Objectives indicate a commitment to change, innovation and doing things differently.

50


Do not know who all the named boards etc. are and don’t understand the table provided for this part of the strategy

Question 5 Health and Social Care Integration is a very new initiative and there is a lot of work taking place to get all aspects of the legislation in place by 1 April 2016.The table referred to formed part of the draft Terms of Reference for the Locality Participation and Engagement Groups and has now been removed. The Integration Joint Board has a number of different pieces of work ongoing and improving communication is one of them which will complement the Participation and Engagement Strategy.

51


More could be done to measure the effectiveness of involvement i.e. the actual impact on health and social care in the area

Question 5 As with the majority of long term Strategies, there will be an action plan which details the activities to be put in place and measured on a short and medium term basis. Objective 4 highlights that effectiveness is a key performance measure.


The arrangements do seem cumbersome but I have only read the draft strategy document once and it is difficult to work through the various reporting and monitoring strands

Question 5 The final version of the Strategy will include advice from the Plain English Campaign. The Integration Joint Board has a number of different pieces of work ongoing and improving communication is one of them which will complement the Participation and Engagement Strategy.


Not sure what the reporting and monitoring arrangements are so it would be unfair to comment

Question 5 The narrative in Objective 4 sets out the performance arrangements including reporting and monitoring.



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54


Who knows? It's all management speak with no substance.

Question 5 The purpose of the Strategy is to set out the aims and the commitment of the IJB in this area of work. As with the majority of long term Strategies, there will be an action plan which details the activities to be put in place and measured on a short and medium term basis.


As already mentioned feedback and reporting has to have a reason and an outcome of change.



As effective monitoring and reporting arrangements are crucial to the success of the project, I would like to see more local input.


57


Lack of trust. Question 5 As with the majority of long term Strategies, there will be an action plan which details the activities to be put in place and measured on a short and medium term basis. Objective 4 highlights that effectiveness is a key performance measure and the reporting and monitoring arrangements.

58


We think the arrangements in the strategy will help. We are not sure that they make it easy enough for members of the public to have their say.

Question 5 The range of methods detailed in Appendix give an indication of the ways and means that partners will use to ensure members of the public have their say. The proposed Centre of Excellence will also have a role to play in improving how we do this.



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59


I am one of the 15 members of SNAP (Scottish National Action Plan Health and Social Care but also a member of the SNAP Adequate Standard of Living Reference Group.

The issue that I have with the engagement process is that I can find little that refers to poverty and how it impacts greatly on health but also the provision of social care.Of course there are many organisations in the SPG that have an interest in poverty issues but none that are totally dedicated to pursing those vital issues. In fact, I am not even sure that there are any organisations that are totally dedicated to poverty in the region.I am raising the issue of poverty factors with the SNAP Health and Social Care Action Group. In fact have asked for the recent report - "Shifting the Curve" from Naomi Eisenstadt (Scottish Government Adviser on Poverty and Inequalities) that was published on 22nd January to be circulated to members of the Action Group. I would have liked to have seen much more input on the effects of poverty throughout the consultation process

Question 6 Engaging with hard to reach groups, of which people experiencing poverty, is one is indeed a major challenge for this Strategy. The reference to the Tackling Poverty Co-ordination Group is key, as this Group will have a specific role in getting these voices heard on an ongoing basis. The use of trusted people and groups in this way is an important principle in how we will work.Increased use of the Monitoring Form will provide information about their engagement; and working with the Equality and Diversity Working Group will allow us to pick up where Protected Characteristics’ Minority Communities mean that some people in poverty have additional challenges in participation.The commitment to ensuring that any support is given e.g. payment of out of pocket expenses is also in recognition that there is a cost of engagement; and the focus on locality engagement where appropriate minimises travel. Following the National Standards will ensure that for each individual piece of work, consideration is given to the best method of engagement and how to remove any barriers.Other Strategies of the IJB (e.g. the Strategic Plan) also have a part to play in this agenda and it is important that they are all complementary and support our most vulnerable people, including those experiencing poverty.


Not fully appreciative of direct day to day feedback from service users

Question 6 This will be encompassed by the Locality Groups.


Just that it’s very important to include GPs in the Integration meetings, and funding will need to be available to allow them to attend as they are not salaried employees like all the other professionals involved.

Question 6 There are already arrangements in place to reimburse GP Leads who attend meetings.


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Questions comment relates to62 Public

Consultation26.01.2016

I think the principles and sentiments are all sound but stimulating change is not easy and will have to start from small beginnings by being clearly seen to demonstrate real improvement in provision of services to all users of health and social care which are very obvious to everyone.

Question 6 The case for change is strong; the status quo is not sustainable.


There was very little mention of children and young people and/or vulnerable groups who may need additional support to reflect their views and be meaningfully engaged and involved. What is the role of advocacy? What about work with children and youth groups and to promote inclusion and involvement via schools? What particular things will be done to involve disadvantaged groups - those where English is not their first language; poverty/disengaged; disability; isolated etc.

Question 6 Advocacy has now been included as a specific way in which we will assist people to participate and engage – the User and Care Involvement organisation was mentioned but more explicit reference to advocacy is helpful.The reference to using representative Groups for hard to reach groups is important (e.g. Looked After Children and Care Leavers’ Champions Board) as they will have a specific role in getting these voices heard on an ongoing basis. The use of trusted people and groups in this way is an important principle in how we will work.Increased use of the Equality Monitoring Form will provide information about their engagement and allow people to pick up any underrepresented groups; and working with the Equality and Diversity Working Group will allow us to pick up where Protected Characteristics’ Minority Communities mean that some people in have additional challenges in participation.The commitment to ensuring that any support is given e.g. payment of out of pocket expenses is also in recognition that there is a cost of engagement; and the focus on locality engagement and using new technology where appropriate minimises travel which assists people in poverty, those with mobility problems etc. Following the National Standards will ensure that for each individual piece of work, consideration is given to the best method of engagement and how to remove any barriers.Other Strategies of the IJB (e.g. the Strategic Plan)

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also have a part to play in this agenda and it is important that they are all complementary and support our most vulnerable people.



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I am pleased to see the proposal for a document so committed to public engagement and consultation.

Question 6 Comment noted.

65aPublic Consultation29.01.2016

On page 22 the final sentence under the heading Hard to reach groups is hanging in mid-air since it concludes " ...useful in accessing" What one may ask?

Question 6 The Strategy has been fully reviewed and revised based on comment and feedback received. This has been addressed as a result of revisions.

65b

On page 25 under item 8. Members of the Group, you have stated that the Carers Trust (a UK wide charity) is a member. Is this a true statement or should this read that The Dumfries and Galloway Carers Centre is a member or at very least the Carers Centre?

Question 6 This Appendix has now been revised.

65c

On page 29 under Participatory Appraisal methods I believe the final four bullet point markers should be removed as the third bullet point under this heading "The "tools" include:" surely includes these four points so they should not be listed separately.


66


More involvement at a local level particularly by those at higher levels. It doesn't seem particularly fair to expect workers across the sectors out in the localities to be pushing participation and engagement on behalf of the various services and particularly those at senior management level without any acknowledgement of the work being done or involvement/engagement in the process.

Question 6 The Locality Participation and Engagement Group has a senior commitment in the form of a locality manager and other senior roles within a locality. However there will be within the framework, support from a central function to move this agenda forward at a local level.


It needs to be re-written in plain English with the correct use of vocabulary so that it can be understood by the average person who is not steeped in management/organisation speak

Question 6 The revised, final version of this strategy will be subjected to a Plain English review prior to publication.


As with my previous remarks Question 6 Comment noted.


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Questions comment relates to

69a


The Working Together Standards are thought provoking and highlight the huge amount of work to be done. They mention the need to be innovative and the need to tap into well established and respected resources.


69b

Perhaps the National Farmers Union could be engaged in the integration process. They represent a significant hard to reach community. They have established lines of communication and could be encouraged to disseminate articles interest in newsletters. They could also assist in promoting health messages at agricultural shows and auction marts.

Question 6 The use of representative groups for hard to reach communities is an important principle and a specific reference to the NFU in relation to reaching farmers is a helpful suggestion which has been taken up in the narrative in Objective 1.

69c

At page 16, under the heading; Enabling dialogue about community needs.....Second last lineassisted by mentors of advocates, should it perhaps read assisted by mentors or advocates?

Question 6 This whole Annex has been removed from the Strategy, being accessed instead through a hyperlink. We are unable to change this wording anyway as this is a Scottish Government publication.


If you want us to take time to read 30 page documents please make them worthwhile to read and have some salient information and strategies that we can actually debate, judge and comment upon. Repeated surveys of this ilk only promote an increasingly jaded response and lead to non engagement in the whole process, which is the exact opposite of your presumed goal.

Question 6 Comment noted and will inform future consultations.Health and Social Care Integration is a very new initiative and there has been a short timetable for getting all the different documents required by the legislation in place. The public consultation period for the Draft Participation and Engagement Strategy ran from Monday 25th January to Friday 12th February 2016. It is recognised that there is a lot to take in, in a short space of time however so it is important to note that engagement will be ongoing – the documents are only the start of the IJB’s work.

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71


There is no mention of Mental Illness/Mental Health. The draft appears to have been written with The Equality Act 2010 in mind. This details people with Protected Characteristics, the second of which is, "Disability: The Act applies to a range of people that have a condition (physical or mental)...", so although it is using the characteristic as per the letter of the law to our client group it may lack transparency and not very inclusive of their needs. A lot of our service users do not see themselves as disabled. The draft also states, "...people whose lifestyle is distinctly different or whose circumstances could be stigmatising within the dominant culture may be excluded, for example teenage single parents, gay people. Yet these are often populations experiencing particular stresses. Engagement needs to address who the 'hidden' populations, (groups, communities), may be...", and again no mention of Mental Illness/Mental Health.

Question 6 This is an important issue and the Strategy has been amended to better reflect how we will engage with people who have mental illness and poor mental health and wellbeing.

The specific reference quoted is from a Scottish Government document which has been removed from the Strategy although is hyperlinked.

The issue of using trusted sources is an important principle of the Strategy; and by following the National Standards, appropriate methodologies and supports will be put in place.


Far too complex a series of question to be sent out to the general public in such a dense format

Question 6 Comment noted and will inform future consultations.


More openness is paramount to gain the trust of the ratepayer.

Question 6 The Strategy will be monitored and reported on to the IJB with all papers available to the public online; and meetings advertised and open to anyone to attend.

Individual engagement activities are to be recorded on the VOiCE tool which is a web based application, and available to anyone to view.

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When will this be reviewed? Question 6 The Participation and Engagement Strategy is for three years so it will be reviewed in 2019. However it will be subject to monitoring and reporting as part of the Performance Management Framework. Details of the performance monitoring and reporting arrangements are set out in Objective Four and in the introduction.


You need to give adequate for individuals and groups (such as community councils which tend to meet only once a month) to consider your reports and consultations. There are national standards for consultation you refer to, but you then fail to give adequate time for responses.

Question 6 The partners (the Council and NHS) are well aware that arrangements require to be improved and this Strategy is seen as a contribution to making that happen. In particular, under Objective 3, there are proposals for the sharing of resources and improving the capacity and capability of those undertaking engagement activities; and under Objective 4 improved performance monitoring, reporting and accountability for these activities.

76a


We have quite a lot of comments and some questions about the strategy. We will send these in a separate email as we have them in a file and do not find it easy to fit them into this Survey Monkey format. Also many of the comments and questions are more about what will be done to make the strategy work.

Question 6 Comment noted and additional comments received and addressed can be found later in this document.

76b We find the timescale of about a fortnight to reply is not long enough. Reading the strategy, understanding it, putting it into formats that people in our groups can understand, then arranging and holding sessions takes considerable time and effort. These points highlight some of the challenges of participation and engagement.

Question 6 Comment noted and will inform future consultations. Health and Social Care Integration is a very new initiative and there has been a short timetable for getting all the different documents required by the legislation in place. The public consultation period for the Draft Participation and Engagement Strategy ran from Monday 25th January to Friday 12th February 2016. It is recognised that there is a lot to take in, in a short space of time however so it is important to note that engagement will be ongoing – the documents are only the start of the IJB’s work.

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77


I think you should have more involvement with Community Councils where they are strong

Question 6 The National Standards provides for detailed assessment of who and how should be involved for each individual engagement. Community Councils as a tier of government are important.

The locality focus, particularly through the Locality P& E Groups will take account of the strengths and activity of all local groups, use and strengthen them accordingly.

Section 2 - Feedback Received Outwith Survey

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Ref Category Comments/Feedback/Questions Response

1


It's a very good thing for the Council to be doing. especially now as changes sometimes get made to services without any consultation with the people who receive the services - especially in terms of services being cut. However, it looks very complicated and not easy to read (unless there is an easy read version, in which case our apologies, as we are not aware of one) and we think it could put people off looking at it.

The final version of this Strategy will include advice from the Plain English Campaign. An easy read version of the Strategy and perhaps a summary has been discussed and will be considered as part of the IJB Communications Strategy.In the meantime, the information in this Strategy, and all other publications and work of the IJB is available in other languages and formats.

2


We think the timescale for comments is very short. Comment noted and will inform future consultations. Health and Social Care Integration is a very new initiative and there has been a short timetable for getting all the different documents required by the legislation in place. The public consultation period for the Draft Participation and Engagement Strategy ran from Monday 25th January to Friday 12th February 2016. It is recognised that there is a lot to take in, in a short space of time however so it is important to note that engagement will be ongoing – the documents are only the start of the IJB’s work.

3


We wonder if anyone who receives services has been involved in putting it together or just staff?

The first draft of the strategy was developed by the Participation and Engagement Strategy Development Group and was circulated to 1426 email addresses covering members of the public along with numerous community and business organisations, partners and other key stakeholders. The consultation was also publicised using social media and the DG Change, NHS, Third Sector and Council websites. Additional face-to-face consultation has also been undertaken, importantly with the Community Planning Equality and Diversity Working Group which includes representatives from a number of Protected Characteristics’ Minority Communities.

Ref Category Comments/Feedback/ Response

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Questions4 Public

Consultation04.02.2016

We would very much like to invite someone to come and talk to GIG members about the Strategy so that they can understand what it is all about. Would this be possible?

This was arranged.

5a


It is a very lengthy document and as usual with this type of proposal full of jargon which does not help as it hides most of what ought to be done and highlights wishful thinking that would cost too must to implement.

Comments noted. The final version of this Strategy will include advice from the Plain English Campaign.As with the majority of long term Strategies, there will be an action plan which details the activities to be put in place and measured on a short and medium term basis. The action plan will be prioritised to take into account available resources. The performance monitoring and reporting arrangements are set out in Objective 4 and include reports to the IJB – reports are publicly available and meetings are open to the public to attend.

5b


All the system needs is joined up writing, by this I mean all patient information should be accessible anywhere in the UK.I am able to quote an on-going case where my neighbour has been held in Castle Douglas hospital when many requests for them to be moved to Kirkcudbright have been ignored, they would be in a better state of mind now as local could visit as and when. Because they are in CD they only receives a maximum of 2 per week one is to give them Holy Communion. Social Services do not link into any other department and I can see they are unlikely to in the future.The hospitals in Dumfries and Castle Douglas have telephoned me on many occasions to locate my neighbour’s history over the past year, social service have this too but fail the system.Just a few of my thoughts, communication, communication, communication.

Extensive work is underway to identify and implement innovative ways to utilise existing technology and systems whilst a unified means of recording and sharing relevant information across all partners is developed.


Page 22 under the heading Hard to reach groups – the last sentence seems to finish in mid air “..., will be particularly useful in accessing” what is it useful in accessing??

The Strategy has been fully reviewed and revised based on comment and feedback received.

6bPage 25 point 8. Members of the Group – do they really mean the Carers Trust which is a UK wide charity or should this read Carers Centre or D&G Carers Centre?

Please refer to the revised Terms of Reference for the Locality Participation and Engagement Groups (page 17 of strategy)

Ref Category Comments/Feedback/ Response

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Questions6c Page 29 under the heading Participatory Appraisal methods – the

third bullet point sets out the 4 items that the “tools” include and lists them. So these items should not be designated as individual bullet points.



The Compact – our Board agreed to disband the Compact at their September meeting last year, as the TSI fulfils a lot of the Action Plan as part of our core work. Perhaps this needs to be reflected in the strategy. We would like to seek clarity on the financial element cited in the document in relation to the Compact.


8


David has specifically asked that the role of the Interface have an explicit mention with particular reference to the Scottish Government Advice Note on the role of Third Sector Interfaces (TSI) in Health & Social Care Integration, published in April 2015. This would help to clarify our role as a strategic partner capable of carrying out participation and engagement activity with the third sector.

This specific reference has been added to the updated Strategy – the role and contribution of the Third Sector is recognised and referred to throughout the document.

9


Comments we have received in relation to the Centre of Excellence ask for clarity around what this will look like, and who the ‘we’ cited in the document are exactly. Our interest is in how third sector organisations will be involved in this.

The Centre of Excellence was introduced in the Council’s Reshape Programme in December 2014 and its development has been part of a Service Review on Empowering Communities. Research (individual and group interviews) was undertaken by an external consultant (APSE) including with TSD&G and a wide range of community groups in autumn 2015. Reference has been made to the emerging partnership model at the Community Planning Executive Group in December 2015 and January 2016. The Review Report, including reference to the Centre of Excellence is scheduled for submission to the Executive Group on 2nd March and to the Council’s Community and Customer Services Committee on 8th March 2016. If a partnership approach is agreed then the proposed CfE will be developed with partners during 2016.

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Explanation of IJB Performance Framework - again we have been asked for clarity on what this looks like so would recommend perhaps including a more comprehensive explanation in an annex.

As with the majority of long term Strategies (and consistent with other documents e.g. the CLD Partners’ Strategic Plan) there will be an action plan which details the activities to be put in place and indicators and projects to be measured on a short and medium term basis. Objective 4 sets out the reporting and monitoring arrangements.


Jargon – some of the questions we have been asked are in relation to job titles which may need further explanation to allow for the document to be more accessible.

The final version of this Strategy will include advice from the Plain English Campaign

12


LRP’s – it is our understanding that all but the Nithsdale LRP have disbanded, and are currently under review. This may be something to consider going forward.

The Dumfries and Galloway Strategic Partnership is responsible for the community planning structures and it has not been asked to, or agreed to, disband any of the four LRPs. A review of Locality Structures was agreed in December 2014 by the Community Planning Executive Group, to take account of new Health and Social Care Locality Teams, Third Sector Locality Forums and the recent experience of LRPs. This Review is due to report in summer 2016 and is related to the Empowering Communities Review referred to in Q9 above.

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13a Public Consultation10.02.2016

We think the strategy talks about the important things and should mean that lots of people we be able to have their say.It is good that the Strategy is built on the National Standards for Community Engagement. Many of us remember having our say about the standards when they were being written.The strategy also fits in with the “Charter for Involvement” written by members of the National Involvement Network which is supported by ARC Scotland. The charter is made up of 12 statements which aim to ensure people who use services are at the heart of any plans about their lives, are able to have their say, are fully involved in any policies and decisions and can be fully involved in their communities.We think it is good that the strategy says there are lots of different ways you can find out what people think about things, and that you need to use these different ways because they suit different people.The 11 Participation and Engagement Principles are good. They say the things we think are important. They will help make sure lots of people can have their say.The 9 Key Areas to Consider will help make the strategy work well, but we think that it should also include easy-to-read, visual and audio methods. Maybe they could be added to the “Communication Routes”.

Comment noted.The reference to other formats and related activity is very helpful and appreciated for ongoing work.

13b Public Consultation10.02.2016

The strategy says definitions will be developed for the 6 bullet pointed terms. Does this mean that definitions will appear in the final document? We think they should.

Revised definitions are now included that provide further detail in reference to these terms.

13c Public Consultation10.02.2016

Following on from the previous comment, we think there should be a glossary added to the strategy document, and even terms and abbreviations that are explained in the document should be included in the glossary.

Comment noted.

13dPublic Consultation10.02.2016

“Our Voice” looks as if it will be a great way to help empower people to have their say.

Comment noted.

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13e Public Consultation10.02.2016

Appendix 1 National Standards for Community Engagement Issues and Responses for Rural CommunitiesEveryone involved in participation and engagement should be strongly encouraged to read and take in all the things that are said in the Issues and Responses for Rural Communities given under each National Standard in the Advice Note for Rural Practice. The issues covered highlight the challenges presented and should make us all consider how we can make participation and engagement more effective.

Comment noted. The Advice Note will be hyperlinked from the Strategy.

13f Public Consultation10.02.2016

Appendix 2 StakeholdersThe list of Stakeholders seems to cover most of the organisations and groups that should be involved in participation and engagement. But it does not include Staff Associations, which are mentioned together with Trade Unions elsewhere in the document. Also, as a matter of general interest, can you tell us why in the list of stakeholders, some organisations are specifically mentioned by name (e.g. UCI, Capability Scotland, The Food Train etc.) whilst hundreds of other organisations are just included under several general headings?

The list in this Appendix had been lifted from the Integration Scheme and was based on Scottish Government Guidance.The Appendix has however been revised in light of this, and other comments and group/types of organisations are referred to, rather than an exhaustive list of individual organisations.

13g Public Consultation10.02.2016

Appendix 3 Locality Participation and Engagement Group (LP&E Group)Section 2 Purpose. This says “A local group will be set up …… to ensure co-ordinated activity …..” How will this local group be chosen?

The Locality Manager and others within the Locality will formulate and review the membership as the group matures ensuring that everybody required is involved.

13h Public Consultation10.02.2016

Section 6 Chair. Why is the chair of the LP&E Group to be a Public Health Practitioner?

This has been changed in the Terms of Reference to enable each locality the chance to pick a chair they feel is most appropriate

13i Public Consultation10.02.2016

Section 10 Quorum. This says a quorum will exist when at least 3 representatives are present. We think this is a small number for such an important group and could be very unrepresentative. Also does the word representative mean any member or any representative as shown in the list of members?

This has been reviewed to include at least 5 members.

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13j Public Consultation10.02.2016

Table about Monitoring Compliance with Terms of Reference. This talks about reporting arrangements to the Primary and Community Senior Management Team, but section 3 of the Terms of Reference says that the LP&E Group reports to the Locality Management Team. We find this puzzling.

The table referred to formed part of the draft Terms of Reference for the Locality Participation and Engagement Groups. Please refer to the revised Terms of Reference for the Locality Participation and Engagement Groups (page 17 of strategy)

14a Public Consultation10.02.2016

This Strategy should complement the SP.Use of specific terminology consistent with that used within the SP.

There are a number of documents that the IJB has to produce, including this Strategy and the Strategic Plan. Work has been undertaken to improve the language and consistency. The final version will include advice from the Plain English Campaign which also reviewed the Strategic Plan.

14b Public Consultation10.02.2016

Vision stated within the DP&E Strategy is not reflective/consistent with that stated within the Scheme.

The vision in the Scheme is for health and social care integration. The vision in this Strategy was for the Strategy alone. To avoid confusion, the Strategy vision has been incorporated into the aims.


Principles:a) Should specifically include and reference the National Standards for Community EngagementThe VOiCE structure:Specifically reference terminology and phrases used within the SP/LPSpecific Points:1 – Include definitions of list on page 62 – avoid duplicationEngage with people NOT individuals

The Strategy has been fully reviewed and revised based on comment and feedback received. This has been addressed as a result of revisions.

14d Public Consultation10.02.2016

Objective 1: People who have a view or opinion rather than contribution Suggest splitting into the groups you mention on page 5? Use terminology from Legislation – about engagement with

public and SPG – ‘reviewing strategic plan and any decision (outwith the strategic planning cycle) that would have significant effect on an integrated service

Unsure of meaning of understanding participation and engagement activity

PIP section – talk about locality participation and engagement groups


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Objective 2:Contribute? – what does this mean?Expand what? – what does this mean?



Objective 3:Remove first sentenceAdd ‘other resources such as buildings’Add ‘staff communication and engagement skills’What gaps?Add sub-headings – VoiCE; Equality Monitoring: best practice and building on good practiceInclusion guidelines as an appendix?



Objective 4Suggestions about first two paras – not sure of meaning in second para WebsiteSupporting, monitoring and reviewing the SP – we’re not clear what monitoring talking about – SP or Participation and Engagement StrategyWhat is Our Voice?

The Strategy has been fully reviewed and revised based on comment and feedback received. This has been addressed as a result of revisions.The specific information about ‘Our Voice’ is included in the Introductory section.


AppendicesNational Standards – remove Scottish Executive brandingDon’t need whole remote and rural advice note – just a hyperlink

The Strategy has been fully reviewed and revised based on comment and feedback received – the specific proposal here to make the advice note a hyperlink has been actioned. This has been addressed as a result of revisions.


Page 3, Para’s 5 & 6Perhaps a summary here or elsewhere in the document of the key themes emerging from this as they are crucial to understanding the diversity needs of the population


15bPublic Consultation11.02.2016

Page 3, Para 8Remove the word ‘ever’, 'first' is explanatory enough.


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Page 5.This section also needs to highlight the three public sector equality duty outcomes and demonstrate how they will be fundamental to both the work of the IJB and this strategy. Meeting the needs of our diverse population in line with the nine protected characteristics from the public sector equality duty.

The IJB is to produce a number of policies and documents including Equality Outcomes and Mainstreaming Reports. This Strategy is therefore complementary to that work and will be presented alongside the first set of proposed Equality Outcomes in March 2016.

15d Public Consultation11.02.2016

Page 6, Para 2. This needs rewording as it feels very jargony and not plain. Perhaps a diagram would help demonstrate the different levels of information both the reasons for providing and outcomes of receiving

The final version of the Strategy will include advice from the Plain English Campaign.


Page 7, Objective 1, Para 1. Any or each? The Strategy has been fully reviewed and revised based on comment and feedback received. This has been addressed as a result of revisions.


Page 7 Objective 1, Para 2. This section feels like it needs to be more explicit in particular for this outcome. It requires written more around partnership principles than a 'role' and expanded so it is fundamental to the approaches and not a bolt on



Page 7, Objective 1, Para 4. Insert (PIP). Insert ‘as well as’ before ‘offer the best route’



Page 7, Objective 2, Para 1. Remove ‘huge’Explain what they will be contributing to and end the sentence. Start new sentence - Examples...


15i Public Consultation11.02.2016

Page 7, Objective 2, Para 2. Approaches using technology, providing the opportunity to reach a wide range of people in their own homes or on the move. We will develop...


15jPublic Consultation11.02.2016

Page 8, Objective 3, Para 5. What about using existing evidence to enable w wide initial targeting spread so as not to make approaches inequitable and less timely for those with diversity needs?


15k Public Consultation11.02.2016

Page 8, Objective 4. This section needs to highlight the responsibility to meet the equality act public duty outcomes

The IJB is to produce a number of policies and documents including Equality Outcomes and Mainstreaming Reports. This Strategy is therefore complementary to that work and will be presented alongside the first set of proposed Equality Outcomes in March 2016..

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15lPublic Consultation11.02.2016

Page 9, Supporting, Monitoring and Reviewing the Strategy, Para 2. This might be clearer if presented in a timeline/ flowchart

The proposal for a diagram is helpful and will be taken up as part of the IJB Performance Management Framework. .

15mPublic Consultation11.02.2016

Page 9, Supporting, Monitoring and Reviewing the Strategy, Para 3 Our VOICE. This should be mentioned much earlier in the document as a key collaboration and learning tool

‘Our Voice’ is a Scottish Health Council initiative and detailed in the background section, separate to Visioning Outcomes In Community Engagement (VOiCE) which is a tool that flows from the National Standards and therefore referred to there. .

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16a


We feel that there could be a disconnect between the objectives and the written strategy. To emphasise the disconnect a simple ‘word search’ was conducted of the Participation and Engagement Strategy document and the results are shown in the table below:

The National Standards include one which is about overcoming barriers and issues such as literacy, access to broadband etc. would be addressed at that point. This Strategy/the IJB does not have responsibility for addressing these issues. There will be a clear connection between the Objectives and the action being taken to deliver the Strategy through the Action Plan and indicators and projects for issues that the IJB is responsible for will feature in here.

Key Word Frequency of Occurrence

Comment

Literacy 0 D&G is one of the highest literacy problem areas in Scotland and with 57.57% of adults with no qualifications and/or no level 1 qualification.(Source: https://www.go-on.co.uk/resources/heatmap/#details-container)We would question how objectives 1 & 2 can be achieved without mentioning strategies to overcome the literacy issues.

Digital 0 D&G scores the highest level of digital exclusion in ScotlandSource:(Source: https://www.go-on.co.uk/resources/heatmap/#details-container)We would query how a 3 year participation and engagement strategy doesn’t mention or address this issue?We feel that objectives 1 & 2 can’t be achieved without addressing the issues of digital exclusion.

Broadband 0 See Digital aboveInternet 0 See Digital and Broadband aboveExclusion 3 Specific types of exclusion are mentioned but there doesn’t appear to be any strategies detailed on how to

address themDigital Exclusion 0 See Digital aboveWebsite 2Telephone 1 ‘Telephone’ appears in appendix 4 the final page of the document.

We would query why a 3 year participation and engagement strategy would not show a fully developed telephone interaction strategy to help overcome the aspects of digital exclusion and poor literacy?

Online 3 2 references to online occur in the final 2 pages of the document.

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https://www.go-on.co.uk/resources/heatmap/#details-container

https://www.go-on.co.uk/resources/heatmap/#details-container


16b


Concern is expressed with Objective 3 as it would be appropriate not to ‘maximise’ but to ‘optimise’ to generate the best value for money resources available. Objective 3, as written, appears to give a large amount of budgetary freedom to the IJB in a time of fiscal restraint which is inappropriate. There is a fear that resources from the IJB could be transferred to fund the Council’s Centre of Excellence for Community Participation and Engagement as detailed on page 8, which is not a transferring function, at the expense of IJB front line services such as Care & Repair (a transferring function). Objective 3 could be re-written, and a suggestion is:To optimise the resources available for participation and engagement activity to achieve the most appropriate value for money outcomes.

Wording of the Objective changed to ‘optimise’

The purpose of this Objective is to ensure that the available, limited resources from the Council and NHS are shared to achieve any economies of scale, minimise any duplication and build expertise and support.

Agreement for a partnership Centre for Excellence has not yet not been reached although there has been very positive reception to initial discussions in the Community Planning Executive Group and in other forums

16c

We also feel that there is poor use of the Joint Strategic Needs Assessment (JSNA) information which highlights “At Risk” Populations in section 9 and those with disabilities in section 7 & 8. This valuable and validated information should have been used to prepare H&SCI Locality Specific appendices for Participation and Engagement Strategic. This could have been used to help inform the Locality Plans and the Locality Delivery Plans.

The strategic needs assessment information has been the basis for developing strategic plan and locality plans. Plans and activity will be forthcoming from newly formed locality participation and engagement groups

16d

Question 4We feel that an opportunity has been missed. As detailed above, the JSNA data could have been used to create H&SCI Locality specific Participation and Engagement Strategy annexes that reflect the particular profiles and needs of them. For example JSNA page 140 states:“Literacy problems lead to communication difficulties and mistrust of service providers using medical jargon.”Whilst the extract is taken from the Gypsy & Traveller section, it is applicable to all members of the local community who may experience literacy problems, and some Localities have a higher incidence than others and therefore appropriate plans should be put in place to prevent this mistrust.

The strategic needs assessment information has been the basis for developing strategic plan and locality plans. Plans and activity will be forthcoming from newly formed locality participation and engagement groups.

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16e

Question 5 “Our Voice” is a web based portal and therefore those without internet access owing to the high levels of digital exclusion in Dumfries & Galloway, as detailed above, will not be able to engage with the process. Therefore other methods must be devised in order to promote inclusiveness.

Explanation of ‘Our Voice’:Our Voice is based on a vision where people who use health and care services, carers and the public will be enabled to engage purposefully with health and social care providers to continuously improve and transform services. Our Voice will operate at individual, local and national levels to support improvement and to empower people to be equal partners in their care.Our Voice has been developed in partnership involving the Scottish Health Council, Healthcare Improvement Scotland public partners, COSLA, the Scottish Government, The Alliance and other third sector partners. More information can be found at the Our Voice website http://ourvoice.scot/

16f

In the stakeholders’ list page 21 and the hard to reach groups section on page 22, Care & Repair should be added. Care & Repair provides a home based service to private home owners and private tenants for the delivery of grant supported adaptations to support independent living.

This Appendix has now been revised.

16g

We feel that the following should be added to ‘hard to reach’ groups:

Those with literacy problems People who are digitally excluded Young People Homeless people

The Strategy has been updated to include these examples

16h

In addition, Dumfries & Galloway is about to start receiving Syrian Refugee families as part of the national resettlement programme. No mention of this has been made in the Strategy.

All people from other countries and races are covered by the reference to Protected Characteristics’ Minority Groups. In addition, the number of Syrians coming to the region is very small and as the aim is that they resettle as local residents it is inappropriate to highlight them in a strategic document.

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http://ourvoice.scot/

http://www.scottishhealthcouncil.org/patient__public_participation/our_voice/our_voice_framework.aspx


16i

Concern is expressed that valuable funding may be used for such proposed activities as detailed on page 30 such as song writing, dance and theatre and visual art which may not offer value for money, or provide appropriate levels of participation and engagement.

The National Standards requires consideration to be given to the most appropriate method for the engagement to be undertaken. The inclusion of a wide range of methodologies in this Appendix is to demonstrate the willingness to use innovative and creative approaches. As other National Standards are focussed on resources and an assessment at the end, there are safeguards built in to any inappropriate activity or not valuable.

16jWe feel that overall the Participation and Engagement Strategy appears quite weak, and has missed some key opportunities to use JSNA data and linkages to the Localities, and the Locality Planning and Locality Delivery Plan processes.

The strategic needs assessment information has been the basis for developing strategic plan and locality plans. Plans and activity will be forthcoming from newly formed locality participation and engagement groups.

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draft participation and engagement strategy€¦ · web view2016-03-07 · the draft...

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