7 Days Patient & Public Engagement: Using the emotional voice to drive change Adam Lott Improvement Manager Seven Day Services – South Team

What do we mean by 7 day services? What does it mean to patients and public? What can we do to support patients and public to be part of the decision making? Are we able to increase the confidence of patients and public in their discussions on 7 day services? How are local health and care services and commissioners enabling engagement for 7 day service plans locally?

Time to first consultant 10 Clinical Standards Patient Experience Time to first consultant review MDT Review Shift Handovers Transfer to community and Primary and social care Mental Health Quality Improvement Diagnostics On-going Intervention /Key services Transfer to community and Primary and social care

Our engagement test in the South: The main aim was to: To explore patient and public engagement in relation to seven day services, provide information and increase confidence of patients and public to influence the agenda locally.

The Themes: Patient Focus: If changes are made we must feel confident care will continue to meet our needs. Involve me: Organise to involve us in the planning, commissioning and delivery of 7 day services Integration: How are health and care services working together? – we can support you to cope with demands set nationally. Communication: Keep us engaged and provided with information about 7 days and local services

“The catalyst for my concerns are …So if I was admitted which maybe I should have been due to complications, I would not be discharged until the Monday. If I was in surgery earlier in the week and had a overnight stay, I would just be discharged the following day?” (Wessex)  

“We should be providing the leadership in the communities and designing and delivering patient engagement from our perspective and the NHS and care staff should come to us…not just us to them. It should be our agenda.” (Sussex)

“Can I ask…who actually benefits from all of this “Can I ask…who actually benefits from all of this? Is it the system or is it me the patient? Is it my health that benefits? We should be equal partners for 7 day services across the system.” (Devon)

“They have the research, they know we are dying at weekends in hospital, why do they need to speak to us for, they know we need help, they just need to do something about it! This is what it is like if you are ill over a weekend.” (Gloucestershire)  

Key Messages for stakeholders: PPE groups need support to understand the benefits of 7DS so they can help locally. Patients are drivers of change and want to be engaged from the outset Inspire PPE to be involved across health and care systems We must to plan creatively so to gain diversity in our engagement processes.

Example of public influence as driver of change: PPE representative taking information to their CCG and implementing 7DS formally into tendering governance processes, questions and new provider interviews. Example of community action to drive change and less top down.

Questions Ideas Thoughts Over to you… Questions Ideas Thoughts