1. Progress, challenges and opportunities – Trust perspective. John McLellan E&D Adviser Basildon and Thurrock University Hospital NHS FT Mid-Essex Hospital Services NHS Trust

2. Progress? Visibility. Investment. Local, regional and national events. Part of language – NHS Constitution, CQC approach, etc.

3. Challenges? Senior management engagement. Budget commitment. Viewed narrowly, not seen as important or not an issue for this Trust, etc.

4. Challenges plus! Cuts. Budget restraints. Board and senior management attention. Perceived relevance.

5. How can these challenges be met? Examples of external pressure: –Southend and Disability Essex. –Mid-Essex and the HCC. –Basildon and Mencap.

6. How can these challenges be met? Examples of internal pressure: –Patient and public engagement agenda. –Risk / Governance agenda. –Events. –Staff networks.

7. Influencing and engagement examples. Southend – personal involvement of Chief Exec with Changing Faces. Broomfield – E&D Risk Mitigation Workshop! Basildon – Learning disability focus after inquest outcomes.

8. Influencing and engagement examples. Patient, carer and staff engagement. –Essex CC disability network. –LInKs in Essex. –CQC partnership involvement workshop. –DRAG and EIAs. –Diwali event. –Unison LGBT networks.

9. Opportunity 2010+? Tough years to come. Must show value, must align with other strategies. Leverage CQC and concept of ‘risk’. Push community engagement. Influence and capture Senior Management attention.

10. Q&A and more information. Clarifications / questions? More info if required: john.mclellan@meht.nhs.uk john.mclellan@btuh.nhs.uk Mobile: 07850 690038