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

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

representatives or participants? CfPS: Accountability Works! 2010

what do we mean?

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

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

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