Towards Active Engagement Kevin Clifford, Chief Nurse Katrina Cleary, HASC Locality Manager Sheffield CCG

The NHS belongs to the people The NHS belongs to the people. It is there to improve our health and well being, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot fully recover, to stay as well as we canto the end of our lives. It works at the limits of science – bringing the highest levels of human knowledge and skill to save lives and improve health. It touches our lives at times of basic human need, when care and compassion are what matter most. NHS Constitution

Patient and Service User Participation Quality in the New Health System – Maintaining and Improving Quality from April 2013 Patient and Service User Participation In the new system, patients and service users must be able to play an even more central role in the oversight and scrutiny, design and measurement of the provision of high quality care At every level of the system, patient participation must become a central component of how services are provided, designed and assured, reaching well beyond some of the formal mechanisms…

CCG Outcomes Indicator Set 2013/14 Overarching Indicator – Patient experience of Primary and hospital Care Patient experience of GP out of Hours Patient Experience of Hospital Care Friends & Family test for Acute in-patients care and A&E Add improvement areas

NHS Sheffield CCG 88 practices, 4 localities, 1 CCG 16 GP Associations (Towards Integrated Provision) Our CCG priorities To improve patient experience and access to care To improve the quality and equality of healthcare in Sheffield To work with Sheffield City Council to continue to reduce health inequalities in Sheffield To ensure there is a sustainable, affordable healthcare system in Sheffield Potential to use PO/CO to support practice commissioning and integration roles

Our Values Our patients at the heart of our decisions Doctors, Nurses and other Health Professionals will be making the decisions We want you to have more care closer to your home All of our practices will be involved There will be innovative projects across the whole of Sheffield We will ask patients and the public for input into every decision We will achieve the highest standards for all patients We will manage change well for the benefit of our patients The patient truly is at the heart of our decision – more important than organisations - our commissioning is based on what patients need and GPs are best placed to understand that We will work with many professional colleagues to ensure we have a comprehensive approach to commissioning services that understands the contribution our MDTs make to patient care. (CRG is worth flagging up at this point) Fundamentally we are about ensuring high quality services with as much that can be provided out of hospitals as is both practicable and clinically desirable, this will mean re-shaping hospital services to better reflect what patients need As a large CCG with strong academic interests, we will work with partners to bring research and innovation into our commissioning. We have contributed to the development of the Academic Health Science Network for Yorkshire and the Humber, the National Centre for Exercise and Sports Medicine and our practices are actively involved in research studies (we are the 7th highest recruiter of patients across primary care organisations in England) We are committed to practice engagement through our strong localities

How can Patient Opinion and Care Opinion help Sheffield CCG ? (1) 3 Foundation Trusts 2 Private Hospitals Walk in Centre Care Home Sector

How can Patient Opinion and Care Opinion help Sheffield CCG ? (2) Part of an early warning system Independent validation of provider patient / user experience data To inform design of new services and wider commissioning decisions

Using PO to Engage the Membership “South Sheffield – The Story so Far”

South Sheffield - Aspiration Increasing awareness of implications of Francis on Practices Recognition that the patient view cannot be ignored or seen as someone else’s problem Opportunity to build upon and improve interaction within Patient Participation Groups Possible Patient Council for Association

The Potential (1) Every day, every surgery, every GP hears the patient storey How to use that to best effect? Exploring: Promoting PO/CO on waiting room TV system Widget/Squidget on Practice Websites Icon on Clinical System

The Potential (2) Using stories generated from our patients to engage in discussions with PPGs Using reports and key stories to inform priority areas, particularly the development of integrated services Association lead clinician to work with CCG colleagues in responding to stories from our patients

Delivering A coordinated engagement approach between CCG and member practices Active listening and response to the patient voice Supporting commissioning priorities/intentions Building on what we’ve already got – maximising the potential