1. More Engagement with the Politics of Health and Social Care (being transparent about failings, less tribalism) Sarah Hankey Risk & Claims Manager

2. Why Engage with the Politics? Finance Reputational risk Legislation Quality Competition – any qualified provider Pathways of Care Duty of Candour Shared responsibility

3. Stakeholders Service User & Carer Primary Health Care Emergency Services Secondary Health Care Local Authority Non- statutory Services

4. Finance Challenged Health Economy – Staffordshire one of 11 Adult social care funding: 2014 state of the nation report : “Health is under real pressure with many Trusts operating a deficit and senior health and charity figures warning of a £30 billion funding gap in the health budget by the end of the decade (28 per cent of the budget). The estimated funding gap for adult social care over the same period is £4.3 billion (29 per cent of the budget).”

5. Legislation Deprivation of Liberty (DoLs) Mental Capacity Act (MCA) Mental Health Act (MHA) Care Act

6. Quality What issues do you think there are? Pathways of Care Shared facilities Right time/right place Multiagency/skilled approaches

7. Reputational risk What examples can you think of? Word of mouth (including social media) Media NHS Choices Healthwatch CQC/Monitor Competition 99% of service users just want a service – they’re not bothered who provides it.

8. Competition Confidence/quality “Any qualified provider” Costly Governance structures – reputation vs cost Positioning for business Evidencing multi-agency working

9. Duty of Candour statutory Duty of Candour to inform the patient, or other duly authorised person as soon as practicable, when they believe or suspect that treatment or care it provided has caused death or serious injury to that patient, and thereafter provide such information and explanation as the patient reasonably may request;

10. Duty of Candour statutory Duty of Candour on registered healthcare professionals to inform their employer where they believe or suspect that treatment has caused death or serious injury and;

11. Duty of Candour a criminal offence for any registered medical practitioner, or nurse or allied health professional or director of an authorised or registered healthcare organisation to knowingly obstruct another in the performance of these statutory duties, provide information to a patient or nearest relative with the intent to mislead them about such an incident or dishonestly make an untruthful statement to a commissioner or regulator, knowing or believing that they are likely to rely on the statement in the performance of their duties.

12. How to Engage with the Politics? What are your ideas? Meetings - visibility Integrated Care Pathways Case Management Unmet needs Communicate, communicate, communicate

13. A word of warning: when it all goes wrong……… Mid Staffs……. Domestic Homicide Reviews Serious Case Reviews Court of Protection Coroners Court HR Processes PALS/Complaints Claims

14. Thank you Sarah Hankey Risk & Claims Manager Sarah.hankey@sssft.nhs.uk Risk.management2@nhs.net 01785 221548