St Helens CCG Governing Body Meeting 17 th 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 Public event learning disabilities Public event – Mental Health Proactive Care GroupAttend Health Events Governing Body patient stories – lessons learned Healthwatch Community Groups (e.g. Cancer Strategy) Engaging in Independent Forums (Listen for Change, carers, MH, etc)

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

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 UnderstandingChallenge Transparency Building Trust change and sustainability