Stronger Voice Making the proposals a reality Jacki Smart Head of Operations

“We must do more to listen to, and promote, the voices of those we care for. We need the voices of patients, those receiving care and their families to be heard in a much clearer and stronger way.” Cabinet Secretary for Health & Wellbeing, June 2014 ‘A Stronger Voice’ Ensuring the views and experience of service users and the public define health and social care Alex Neil, MSP

What did we do? Scanning the evidenceLocal engagement/ discussionsStructured interviewsNational engagement eventsDigital engagement

Location Scotland 57 Outside Scotland National Events 54 Unknown

Total engagement ActivityParticipants Local Discussion Groups (19) 139 National Events (5) 366 Online Surveys (2) 233 Twitter

Current position Proposals and key milestones for delivery submitted to Cabinet Secretary early January Agreed by Cabinet Secretary mid January COSLA leaders approved with minor caveats around approval and funding Indication of implementation and delivery role for Scottish Health Council and Healthcare Improvement Scotland Development of Identity and formal launch in May 2015

Leadership Coalition Feedback systems for Integration Authorities Peer Network Citizen Juries/ Panels Gathering and Analysing stories National Citizen Hub Scottish Health Council Led Scottish Government Led Healthcare Improvement Scotland Led Alignment with person- centred care activity Whole system approach

Peer Network (Local) Focussed on Integration Developing and Supporting citizens to participate Capacity Building – individual and collective Guidance, tools and techniques to support a range of methods of engagement in local service planning and delivery Strengthen local networks – focus on seldom heard Develop new and/ or strengthen existing successful mechanisms for engagement E.G. Patient/ Family Council, PPF, PPG, Citizen Panel Consideration: Role of 3 rd Sector interfaces? Community Planning Partners?

Citizen Hub (National) Virtual and Physical Space supporting people to have their voice heard Knock on the door philosophy Agreeing Standards for involving people across health and care- ‘Kite Mark’ Make links with existing local and national organisations and networks Provide the interface to link local with national Gather Intelligence on issues of concern to people Engaging in national dialogue with policy stakeholders

Citizens’ panels or juries (National) Focussed on matters of national policy Involving people in key discussions about health and social care Convened randomly across ‘communities’ Potential to convene 3 or 4 to ‘ deliberate’ on a topic of national importance Strengthening the service user and carer voice in national debates NOT for escalation of local issues or to give national direction to local issues Learning from local panels and juries that work well

Gathering Stories (National) Qualitative capture of experience Complementary to Citizen Hub Helping identify key national themes and priorities Designed to compliment and support existing use of feedback and story

Feedback Systems (National) New focus of work of Person-Centred Health and Care Collaborative Supporting boards and integration Authorities to further develop systems for capturing and learning from feedback

How will we do it? Stakeholder engagement and communications as priority Smaller project team reporting to larger group / programme board Key areas as work streams/ subgroups Identify funding and resources available and any constraints Implementation plan for testing, co-designing and refining Alignment with other activity will be key

Timelines 2015 – Gathering of stories – early testing by end June 2015 – Citizen Hub Developed and launched by end 2015 – Peer Network developed and working by end 2015 – Leadership Coalition is convened 2016 – First Citizen Jury convened in 2016 – New standards for involving people developed by Citizen Hub by June 2016 – Process for identifying priorities implemented by Citizen Hub by June 2016 – Systems for capturing evidence and sharing best practice via Citizen Hub in place by end of 2016 – Gathering of stories – spreading use of varied technologies through the whole system by end of 2016

Timelines - cont By the end of 2017 Systems and Process in place to locally and nationally evidencing involvement in improving health and care services Receiving and responding to feedback is seen as ‘business as usual’ Stronger Voice is evaluating and evolving in response to feedback

Detailed engagement findings and reports at: scottishhealthcouncil.org/strongervoice.aspx Watch our progress at: scottishhealthcouncil.org/strongervoice.aspx Keep in touch