1. Patient and Public Involvement Practice Development Day Thursday 17 October 2013

2. Patient and Public Involvement 2 Objectives The aim of this session is to provide you with an overview of patient and public involvement. Specifically we want to help you to understand: What is patient and public involvement? Why do we involve patients and public in our work? How do we involve patients and public in our work?

3. Patient and Public Involvement 3 What is patient involvement? Engagement, or patient and public involvement, means: Discussing our plans with patients and the public Getting views and thoughts on those plans Getting views and thoughts on what they want from health services Explaining why services need to change. It is about enabling patients and the public to have a say and the NHS listening to and acting upon their views.

4. Patient and Public Involvement 4 Why do we engage? ‘No decision about me, without me’ is at the heart of the government’s reforms to the NHS. We are responsible for engaging with the local population to ensure that the services they are paying for meet local needs. There are a number of statutory and non-statutory requirements we have to meet: The NHS Constitution The Health and Social Care Act 2012 The Francis Report

5. Patient and Public Involvement 5 Why do we engage? We don’t just engage with the community to fulfil our legislative duties - more importantly successful PPI activity brings a wealth of benefits: Develops our local reputation Makes our journey clearer – community must want to come with us! Makes it easier to create change Helps to achieve QIPP targets through development of new ideas Encourages patients to lead change

6. Patient and Public Involvement 6 The engagement cycle The Engagement Cycle is a strategic tool that helps to identify who needs to do what, in order to engage communities, patients and the public at each stage of commissioning.

7. Patient and Public Involvement 7 Engagement Framework Governing Body Patient and Stakeholder Advisory Group PPG NetworkYouth VoiceOther groupsBetter Together PPG We have established an engagement framework which describes our approach to involving stakeholders

8. Patient and Public Involvement 8 Lay representation We have a Lay Member for Patient and Public Involvement on our Governing Body. The role of the Lay Member is to: Support the Governing Body in public and patient engagement activities Hold the CCG Executive Team to account for the delivery of its strategic objectives Ensure that patient and public engagement is considered across all levels of SWCCG Challenge processes which do not support the objectives set out in our engagement strategy

9. Patient and Public Involvement 9 Patient and Stakeholder Advisory Group (PSAG) Fundamental to the way that SWCCG operates is the establishment of a Patient and Stakeholder Advisory Group. This group advises the Governing Body and: Provides a key communication channel to stakeholders Enables two way communication on key issues and plans Provides a vehicle for stakeholders and patients to input into strategy and commissioning plans Advises the organisation on how to undertake involvement work

10. Patient and Public Involvement 10 Better Together membership scheme We have established a membership scheme called ‘Better Together’ which is a group of volunteers who are willing to be involved in shaping local services. Participants are able choose their level of involvement Participants receive the appropriate training and support to be involved Aim to have a sufficiently widespread number of local people involved in the scheme so that it is demographically and geographically representative of our population.

11. Patient and Public Involvement 11 SW PPG Network and PPGs The South Worcestershire PPG Network consists of representatives from PPGs and provides: A collective mechanism for engagement A forum for networking across our localities The opportunity to share best practice A conduit for two-way information between practice patients and the Patient and Stakeholder Advisory Group (PSAG). The intention is that all active PPGs are represented on the group but more work needs to be done to ensure it is more representative of south Worcestershire and the four localities.

12. Patient and Public Involvement 12 Benefits of PPGs Patient Participation Groups are good for our organisation because: Their members represent patients who already hold an interest in local health services Many members engaged with PPGs are often the same people who are active in a wide range of other community groups They already collect practice-level patient insights – many are actively involved in analysing and evaluating patient insight data (eg GP survey_ They can work as intermediaries with patients They can support distribution of patient information

13. Patient and Public Involvement 13 Benefits of PPGs Patient Participation Groups are good for patients because: Patients will be more responsible for their own health Patients will have better understanding of practice Patients will be involved in arrangements around primary healthcare before decisions are made Patients will benefit from improved communications with practice staff Patients will have a forum to suggest positive ideas and voice concerns Patients will maintain an open dialogue with GPs and other healthcare professionals

14. Patient and Public Involvement 14 Benefits of PPGs Patient Participation Groups are good for practices because: GPs and practice staff will be able to plan services with patients in order to increase their effectiveness They will be able to get help from patients in meeting targets and objectives (eg carrying out surveys) They will have a forum to voice concerns, ideas and suggestions to their patients They will get closer to the community for whom they care for They can offer more practical help (eg flu clinics)

15. Patient and Public Involvement 15 What have we done so far? SWCCG Constitution IFR decisions Strengthening Healthy Communities Speech and language therapy MSK ICATS tender evaluation Hospital from Home tender evaluation Area Prescribing Committee Quality assurance visits 5 year strategy Community hospitals Urgent care Stroke services

16. Patient and Public Involvement 16 Final thought… A CCG without effective means to engage, listen to, learn from and respond to its patients and public risks frustration, failure and legal challenge

17. Patient and Public Involvement 17 Where to find out more For more information about patient and public involvement contact: Sarah Harvey Speck Lay Member for Public and Patient Involvement Sarah.Harvey-Speck@worcestershire.nhs.uk Tom Grove Head of Communications and Engagement Tom.Grove@worcestershire.nhs.uk

18. Patient and Public Involvement 18 Questions for discussion If you currently run a PPG… How effective do you find it? Is it a useful forum for planning services? Do members help with practice initiatives? Is it representative of your practice? If you don’t currently run a PPG… Why not? Is it due to financial constraints? Is it due lack of available staff / GP time? Have patients not shown any interest? If you are thinking of setting up a PPG… Do you know how to do it? Do you know who you can approach for help in setting one up?