1. PATIENT FOCUS PUBLIC INVOLVEMENT

2. Levels of Involvement In Individual Care In Services At Service Planning Level

3. Levels of Influence Information Only Consultation Partnership

4. Ways to Involve Patients & Public Suggestion Boxes Questionnaires Public Forums Focus Groups Patient Reps Support Groups Public Meetings Events The Arts Electronic Methods

5. How to Do It Well Provide Information Be Open & Honest Allow Time Give Choices Recognise Contributions Provide Support Take Action Provide Feedback Evaluate

6. National Policy & Guidance (or what you must do! )

7. National Policy & Drivers Patient Focus Public Involvement (2001) Fair for All (2001) Partnership for Care (2003) NHS Reform (Scotland) Act (2004) National Standards for Community Engagement (2005) Equality Impact Assessment Toolkit (Interim Guidance) (2005) Delivering for Health (2005 )

8. National Guidance Closure and Change of Use of Health Services Premises (1975 Guidance) Consultation and Public Involvement in Service Change – Draft Interim Guidance (HDL (2002) 42) Informing, Engaging and Consulting the Public (2004 Guidance) Final Guidance (awaiting….)

9. Terminology Communicate, inform, consult, involve, engage…… Significant Service Change Proportionate Involvement

10. HDL 2002 (42) Guidance Public Involvement in Service Change - NHS Boards should note that: End process consultation is not acceptable. They should consult on all service change including new services. They should develop proposals for service change in partnership with all affected groups and communities. They should formally consult on the outcome of that development process.

11. HDL 2002 (42) Guidance Requirements for a valid consultation: Adequate information Adequate time Genuine consideration An inclusive process may not always result in universal support for a proposal.

12. National Standards for Community Engagement Day to day delivery of PFPI activity InvolvementSharing Information SupportWorking with Others PlanningImprovement MethodsFeedback Working TogetherMonitoring & Evaluation

13. Impact Assessment Legal duty to impact assess policies or strategies to avoid discrimination. Equality & diversity areas to consider: Racial Equality Disability Gender Age Sexual Orientation Religion/Faith Cross cutting themes e.g. children, social exclusion.

14. Role of Scottish Health Council To help improve the way that people are involved in decisions about health services. To scrutinise local NHS Boards to ensure they are working with, and listening to, people in their community.