1. Audiology Stakeholder Co-Design Meeting
Thursday 19th September
10-12:30pm
St Peters Centre

2. Audiology Service Co- design
The purpose of the event is to enable open dialogue in a collaborative co-design session with patients/carers, stakeholders, service providers & Lancashire commissioners to:
reflect on current service delivery model and pathways
review and reflect on recent patient and stakeholder engagement information
review best practice and compare and contrast with our current service model
review contracting options available
provide the opportunity to jointly develop a new model and consistent pathways across the Lancashire footprint

3. Audiology June 2017 Stakeholder Feedback Summary
3 stakeholder and patient engagement events Representatives from a range of sector organisations including Patients, Age Concern, Specsavers, neighbouring CCGs and Acute Hospitals. Themes: Systems and Processes Workforce Technology

4. Audiology June 2017 Stakeholder Feedback Summary
System and processes
Future model to include Prevention, Early Intervention, Education & Training, Audiology assessment and hearing aid fitting with patients able to access the right service at the right time e.g. wax removal, volunteers, ECLO.
System to support a patient centred approach to meet individual needs and maximise use of community assets, reduction in variation.
Pathway to be seamless at all points of transfer with clear criteria for access.
Develop a deaf awareness strategy with rollout to the general public to support inclusion and reduce stigma.
Equality of service provision including domiciliary care/care homes through a single point of access.
Both direct referral to the service and GP managed referral were discussed with no preference to either.

5. Audiology June 2017 Stakeholder Feedback Summary
Workforce
Support systematic training at appropriate levels for patient empowerment and clinicians to support appropriate referrals and promotion and provision of most appropriate equipment including assistive technology.
Improve the awareness, training and education for professionals within health and social care so that they are aware of specific needs of the deaf society.
Enhance communication skill training for all (public, public servants and carers) to support communication with those who are hard of hearing-training to be undertaken by someone who is deaf or hard of hearing e.g. lip reading, interpreters.
Organisations should be working towards becoming UKAS accredited to ensure assurance and confidence to all users, including patients and commissioners, that the service they receive is compliant with the latest international standards of practice

6. Audiology June 2017 Stakeholder Feedback Summary
Technology
Information and access to technology to enhance quality of life.
Public buildings and GP practices to have standard equipment such as hearing loops.
Availability of patient information in order to make an informed choice about the range of hearing aids and choices available.
Single IT systems and sharing of patient information across agencies/services to reduce having to repeat information.

7. Audiology August 2017 Patient Feedback Summary
In August 2017 patient engagement was undertaken by EL and BwD CCGs at: - Accrington Health Centre - Bacup Health Centre - Barbara Castle Way - Clitheroe Health Centre - Darwen Health Centre - Royal Blackburn Hospital - St. Peters Centre (Burnley) - Specsavers A total of 94 patients contributed to the 17 generic questions (+2 specific questions asked at BGH and RBH)

8. Audiology Patient Feedback Summary
71% attended their appointments by car either driving or as a passenger. 15% used public transport 53% preferred morning appointments Monday to Friday 1% were provided information regarding support groups 93% were satisfied or very satisfied with their appointment 81% said they would be prepared to pay a contribution or deposit for their hearing aids A significant number had more disabilities than hearing loss alone The majority stated a preference for appointments to be available closer to home

9. Audiology Service Co- design
Vision
To develop a Lancashire Audiology Service model which meets local patient and best practice guidance.
Achieve the best service delivery and outcomes for those with hearing loss.
Maintaining choice and access for patients close to home.
Improved patient experience and seamless pathways through greater responsiveness to people’s holistic needs.
Securing best value for money.
Reduce duplication.

10. Current challenges
Separate contracts under 55 years of age and over 55 years of age
Confusion within the pathways
Tariff system
Wax removal
Signposting to support services
Future workforce

11. Planning Evaluate current position of the Audiology Service and
Refine model/pathways, based on demand, constraints, opportunities, customer views, clinicians, stakeholders and providers
Agree the most appropriate service model and contracting options with Lancs wide commissioners
Deliver right care, right place, right time every time with the patient at the centre
Visualise/Brainstorm new concepts/pathways to deliver requirements

12. Timescales Title Dates Engagement Events June – end of Sept 2017
Share outcome of service review
Mid October 2017
Lancs wide Project Group Meetings
October – December 2017
Issue Commissioning Intentions
January 2017

13. Thank you Any questions?