St Helens CCG Governing Body Meeting 17th July 2014

St Helens CCG Engagement Strategy WORKING WELL TOGETHER

2014/2019

Caroline Lees, Head of Corporate Affairs & Operations / Alison Brook Engagement Manager

• Presentation will cover:– Context of strategy– Objectives of strategy– Progress / delivery – what are we doing?– Governance for engagement and experience / audit– Current and future plans – moving forward– How will we know we have been successful

Context• Refresh of current

Engagement Strategy:• Support development

and implementation of 2-5 year Integrated Commissioning Plan

• ‘Call to Action’• Transforming

Participation in health and Care 2012• Input from

Healthwatch representatives

• Patient Experience and Involvement Group (LA, PH)

• Lay Representatives

Context - Call to Action

• Work together developing and redesigning services to meet future needs of the NHS – aging population, people living longer, rising demand, higher costs

• Improving not enough – transformation change for sustainability

• Quality and Safety – Winterbourne / Mid Staffs

• Staying well longer / prevention / self care and empowerment of patients

• Patients at the centre• Integrating health and social care

serves• Mental health • QIPP

3 Key Strategy Objectives

• Enabling and empowering patients and carers in decisions relating to care and treatment through engagement and involvement with individuals

• Enabling and empowering the 'public voice' in commissioning processes and decisions and

• Integrated commissioning and delivery, including pooling resources with the Local Authority for health and social care.

What are we doing?

• Call to action – local progress– Working well Together– Patient Charter via PPG

Forum– Call to action for

community groups– Primary Care Call to

Action (NHSE)– Citizen Panel– NHS IQ events

• Direct involvement in commissioning plans – IAPT– ESD– SALT– EoL– Community Nursing

Review– Clinical Hub

Call to Action – what are we doing?

• Membership up from 50 to 210 (500 end of year!)

• Twitter feed risen, broken 2300! (31 just last week)– Improving reach

• Facebook• Newsletters• Talk to us• More pledges re joining PPGs • Public Events

– Engaged with over 1000 people via attending events – CCG and Partners

• Youth event planned end July, health promotion and engagement in services

Equity, Equality and Diversity

• EDS Self Assessment June – September 2013, verified by Healthwatch

• ‘Developing’ organisation• Our equality objectives are:

– To make fair and transparent commissioning decisions;

– To improve access and outcomes for patients and communities who experience disadvantage;

– To improve the equality performance of our providers through robust procurement and monitoring practice

– To empower and engage our workforce • Action plan developed• Gap Analysis – identifies protected

characteristic groups and action plan for engagement

• E&D Hub on Internet, includes Gap Analysis and information on our diverse communities

EDS supports the CCG to:

• evidence how its working towards meeting the wider Public Sector Equality Duty (PSED) to eliminate, discrimination, advance equality or opportunity and foster good community relations (see appendix 1)

• meet the NHS England assurance framework • be more responsive to community and patient

needs • provide a level of assurance against the

commissioning practise of the CCG • improve access and health and wellbeing

outcomes for protected groups and communities • be vigilant to poor standards of care • address health inequalities • deliver against the commissioning priorities • provide a clear line of sight on any potential legal

and financial risks

CCG Governing Body (x3 Lay members)

Clinical Quality and Approvals Committee (Quality and patient

Safety)

Patient Experience & Involvement Group – this group is accountable for

management and reviewing all patient experience including learning from

incidents, complaints, patient feedback and learning from engagement

Patient Participation Group (PPG) Forum

(PPG representatives, CCG

/ Lay Chair)

PPGs Youth Forum

Patient Experience Data / information /

patient surveys / Healthwatch / focus

groups

CCC Model for Engagement and Patient Experience

Patient views and experience

Provider Quality and Performance

management

Healthwatch

Health & Wellbeing Board

Public Voice / Community

Groups

Members Council (GP Forum)

Integrated Programme Steering Group

Commissioning Specifications / business case development

Real Accountability = Real Transparency

• Document– Audit evidence– Evidencing outcomes– Transparency– 360 Survey

Current & Future Plans – building a robust infrastructure

• CCG– Staff training and support– Embed governance– Commissioning plan implementation– 360 action plan

• Forum / public engagement and communication- CALL to ACTION– On-going PPG support and development– Call to Action national / regional

campaigns– PPG Forum growth and development /

support– Youth forum expansion / work with LA– Attend events in community– Patient charter– Developing more integrated systems– Social media– Webpage– EDS action plan

• No crossed wires

Measuring effectiveness

• Public surveys to measure the public’s awareness of the CCG and it’s role

• We will continue the annual 360 survey of how well the CCG is engaging with partners and membership (benchmark June 2012/2014)

• We will record all engagement activity and feedback on how patient involvement experience has influenced commissioning activity (this will be reported to the Governing Body via the new Engagement & Involvement Group which will govern this activity) real accountability tool

• We will monitor web statistics and ensure that the information displayed is valuable and relevant for visitors

• We will increase our visibility on Social Media (measured by number of followers)

Strategy Outcomes – Greater Involvement = Greater chance of change

• Patients, public and partners work together in redesigning services which are sustainable and based on need

• Increase in CCG membership• More PPG Leads and members

attending forums• Increase in public awareness• Meet E&D objectives• More ‘hits’ on website (awareness

of CCG)• Improved public ‘reach’• Patients, public and partners report

they are fully engaged in commissioning decisions

• Improved information systems and analyses

• Needs– Clear communication and

accountability• Commitment• Good infrastructure /

governance• Partnership approach• Investment• Training• Team working

• How will we know we have been successful? Public & Partners will be our judge!

“I understand why and how decisions are made

about local health services”

“I joined my PPG and was listened to by my

practice”

“The CCG fed back to us how our views made a

difference”

The CCG can evidence how we made public

and patient views count

“I understand how to get involved and want

to be!”

“I understand why decisions are made by

the healthcare staff providing my care”

“I got involved and it didn’t feel like lip

service”

“we had open and honest

debate with the CCG’

Strategy provides the platform for collective & individual involvement and integration

Inclusion

InvolvementWorking together

Awareness

Supports infrastructure for a CALL to ACTION

Understanding Challenge

Transparency

Building Trust change and sustainability