1. Health and Wellbeing Boards Hearing patient and public voices Tim Gilling Deputy Executive Director Centre for Public Scrutiny

2. Re-defining relationships “We believe that many of the White Paper proposals provide opportunities to fundamentally redefine relationships and behaviours between:  professionals, patients and carers (e.g. through shared decision-making)  commissioners and providers (e.g. through shifting the balance of power and capacity to change the status quo)  commissioners, providers and communities (e.g. through involvement and influence)  commissioners, providers and councillors (e.g. through political leadership and scrutiny)” CfPS response to Equity and Excellence – October 2010

3. representatives or participants? CfPS: Accountability Works! 2010

4. what do we mean?

5. HWB perceptions of LHW and the VCS?  legal requirement/‘the usual suspects’  or knowledge, skills and insight  diverse  supporters  fundraisers  advocates  providers  assets v barriers

6. helping tackle challenges An efficient service that works for patients Treat the causes not the effects People engaged in their own health and care Transparency and participation

8. your challenges  credibility - staying independent but havingan influence  outsiders or insiders – easy to dismiss or easy to pigeonhole  community channel – facing out, in touch with wide networks  ‘critical friend’ – facing in, strategic advice from a non- institutional perspective