1. 1. Local Healthwatch in Devon Who am I? Paul Giblin, DCC Strategic Planning & Commissioning Manager – People (and Olympic torch-bearer!) Why am I here? To talk about how we can build Local Healthwatch in Devon, hopefully using existing providers in a more effective way.

2. 2. Local Healthwatch in Devon The challenge: Devon County Council has to procure a Local Healthwatch for the County, just as it had to procure a Local Involvement Network. The new organisation has to be in place by 1 April 2013. Poisoned chalice or great opportunity?

3. 3. Local Healthwatch in Devon Whereas LINk is a membership network supported by a host organisation (EDVSA), Local Healthwatch (LHW) will be “a corporate body carrying out statutory functions”, “embedded in local communities”. It will be able to employ staff and volunteers, keep accounts and make its annual reports available to the public. Localism means little else has been specified organisationally.

4. 4. Local Healthwatch in Devon In Devon we are working on an ‘outcomes-based’ specification for our Local Healthwatch (LHW). This will enable an organisation or group of organisations to show how they can carry out the range of LHW functions. To help us determine that eventual spec we are undertaking the following activities…

5. 5. Local Healthwatch in Devon Survey Started by LINk, still used at their local meetings Sent to user & carer engagement networks Sent to independent providers Sent to Devon Voice citizens’ panel Distributed by CABx Added to online Devon News Centre Listening events 4 locality LINk events with DCC/NHS input Stakeholder event today NHS and social care provider discussions Potential LHW provider information event in April

6. 6. Local Healthwatch in Devon Rebecca Keeling from LINK Devon presents their survey findings so far… Steve Edwards from DCC’s Place Grouping talks about DCC’s latest consultation on LHW… Then I will tell you what will happen to our findings…

7. 7. Local Healthwatch in Devon Reference Group The survey and event findings are being fed into a Reference Group of people with an interest in LHW, inc. County & District Councillors, voluntary sector reps and relevant DCC and NHS officers. This group is clarifying our vision and honing up the set of requirements for LHW in Devon…

8. 8. Local Healthwatch in Devon Steering Group Our Reference Group discussions will then inform the work of our officer-only Steering Group which will finalise the contract specification for which organisations will be able to tender for the role of LHW. Depending on procurement advice we may have ‘Steering Group-plus’ group…

9. 9. Local Healthwatch in Devon Current Timetable: 27 Jan- 16 Feb 4 Locality Public Listening events 24 Feb Reference Group Mid March Stakeholder Event Early April Potential Provider Information Event March-May Reference Group deliberations May-July Steering Group tender development July-Sept possible tender period Oct-Nov possible tender evaluation Dec-Jan possible contract award & prep April 2013 LHW Devon in place!

10. 10. Local Healthwatch in Devon Reference Group’s principles for a successful LHW: Involving the community in LHW development. Having a distinct brand and identity, backed by published standards and a performance framework. Establishing a reputation for being fair, equitable and trustworthy. Making experiences count with a ‘you said, we did’ approach. Reaching out to the public in a way which does no exclude people. Working effectively with existing bodies such as the Overview Scrutiny Committee, cont…

11. 11. Local Healthwatch in Devon Attaining a high profile with health, social and primary care professionals. Ensuring the public know how to access LHW and know what it stands for. Building on what is already working well and improving current practice. Being imaginative about involvement and using modern communication methods. Encouraging advocacy and involvement groups to co- operate for a coherent LHW. Using evidence as well as individual feedback to determine priorities.

12. 12. Local Healthwatch in Devon Current LHW functions in Devon, TODAY’S REAL FOCUS: Engagement & involvement LINk public engagement alongside ULO networks and wider voluntary sector. DCC and NHS consultation LINk and ULOs sit on a Joint Engagement Board (JEB), with sub-groups for different levels of consultation. Service monitoring Involving the public and service users in monitoring services happens in many ways, linked to the Care Quality Commission, being consolidated in DCC’s emerging Quality Strategy and with service user input via a JEB group.

13. 13. Local Healthwatch in Devon NHS complaints advocacy This is currently carried out by the national Independent Complaints Advocacy Service, DCC will be responsible for commissioning this from April 2013, LHW will be able to either provide the service or signpost to it. Information provision & helping people make choices There is a range of information providers, inc. Care Direct social care single number, NHS Choices, online Devon Community Directory, Devon Virtual Carers Centre, etc. NHS Patient Advice & Liaison Services (PALS) also provide aspects of the above.

14. 14. Local Healthwatch in Devon Work with GPs/Clinical Commissioning Groups (CCGs) NHS Devon will no longer exist in April 2013, we will have two CCGs: Southern Devon North, East & West Devon (inc. Plymouth). Representing views on Health & Well-being Board LINK and JEB have seats on DCC’s Shadow Board and on full Board from April 2013.

15. 15. Local Healthwatch in Devon In Devon we are also want to add children’s health & social care to the LHW remit. The JEB already covers children’s engagement. LINk Devon have set up the LOGO children’s group. NHS services are cradle to grave. And there must be signposting opportunities to children’s information etc

16. 16. Local Healthwatch in Devon Today’s discussions We want stakeholders to use the DH document LHW: a strong voice for people and the information on how LHW functions are currently provided in Devon to help further scoping of the requirements which will inform the final tender spec. We also have displays from current providers for quality networking and to inform your discussions…

17. 17. Local Healthwatch in Devon As you can see, LHW gives us a great chance to join up lots of activity. This will require Teamwork by people who don’t usually work together…

18. 18. Local Healthwatch in Devon So, to abuse an often-quoted management- motivation phrase: There’s no ‘I’ in HealthWatch!

19. 19. Local Healthwatch in Devon I once described forming LHW as like herding cats, so who wants a place in our lovely joined-up basket?

20. 20. Local Healthwatch in Devon Thank you very much for listening to me, I hope I made sense. Jenny McNeill from NHS Devon will now introduce the discussion sessions…