Insert organisational logo here on master slide What is PPI? (Public & Patient Involvement) Name Title Organisation Name

Insert organisational logo here on master slide So what is PPI ? Public and patient involvement happens at two levels –Individual –Collective (group) PPI key areas –Information –Feedback –Influence

Insert organisational logo here on master slide PPI – The Legislation Health & Social Care Act Disability Discrimination Act Race Relations Amendment Act Human Rights Act Freedom of Information

Insert organisational logo here on master slide PPI – The Historical Context Bristol Royal Infirmary Inquiry Improving health in Wales Signposts Signposts 2

Insert organisational logo here on master slide PPI – The Media Context Beverley Allit Harold Shipman Victoria Climbie Kennedy Report

Insert organisational logo here on master slide PPI – Current Themes Health Social Care & Wellbeing Strategies Wanless Action Plans Shaping Health Services Locally Healthcare Standards Designed for Life

Insert organisational logo here on master slide Signposts- in brief A good practice guide on how to involve patients and the public in health Includes how to develop a strategy and action plan Examples of methods to involve patients and the public

Insert organisational logo here on master slide Signposts 2 - in brief ( A self-assessment tool) Strategy & planning Resources Staff training & development Results & impact Engagement & inclusion Collaboration & Partnership

Insert organisational logo here on master slide Linking with Clinical Governance Pillars of Clinical Governance Education, Training & Continuous Professional & Personal Development Strategy Clinical Research & Effectiveness Clinical Risk Management Staffing & Staff Management Public & Patient Involvement Information Management and Technology

Insert organisational logo here on master slide Healthcare Standards for Wales First domain – the patient experience “The views of patients, service users, their carers and relatives and the public are sought and taken into account in the design, planning, delivery, review and improvement of health care services and their integration with social care services”

Insert organisational logo here on master slide Consulting with Stakeholders PPI from start of process Guidance for consulting on substantial changes to service Minimum of 12 weeks Consult as widely as possible

Insert organisational logo here on master slide Public & patient involvement in health services

Insert organisational logo here on master slide Overcoming the barriers to participation 1.It isn’t fair to burden people who may be disadvantaged or in difficulties 2.People want decent services rather than a say in them 3.It raises unrealistic expectations

Insert organisational logo here on master slide Overcoming the barriers to participation (2) 4.Not enough resources 5.People are too apathetic 6.Those who get involved are not representative

Insert organisational logo here on master slide Overcoming the barriers to participation (3) 7.PPI means criticising and checking up on staff 8.Involving people creates delays and inefficiencies 9.Its not really possible to involve children and young people

Insert organisational logo here on master slide Overcoming the barriers to participation (4) 10.How can you involve people whose rights have to be restricted? 11.Perceptions of health service staff 12.“We tried it one and it didn’t work !”

Insert organisational logo here on master slide Overcoming the barriers to participation (5) 13.Misunderstanding of what is being asked of people 14.Lack of ownership 15.Lack of skills

Insert organisational logo here on master slide Overcoming the barriers to participation (6) 16.What about the needs of participants ? 17.What about barriers between agencies ? Barnsley PCT Toolkit 2003

Insert organisational logo here on master slide Check in the Baggage

Insert organisational logo here on master slide Why do PPI ? It is everyone’s business It is a statutory requirement ! It is good practice It means a better service for patients Patients & the public are engaged with health

Insert organisational logo here on master slide Benefits to patients & the public Improved communication between patients and staff Improved understanding of conditions and treatments for patients, carers and their families = better outcomes Improved understanding of health services for patients and the public

Insert organisational logo here on master slide Benefits to staff and the organisation Builds trust between the patient and staff Improves communication between the patient and staff Patient experience informs planning and service improvement

Insert organisational logo here on master slide Benefits to staff and the organisation (2) Accessible and responsive services based on local experience and need Increased patient confidence in local NHS Highlight local examples

Insert organisational logo here on master slide You have service changes in the pipeline, what should you consider?

Insert organisational logo here on master slide The Three T’s Targeting Techniques Timescales

Insert organisational logo here on master slide Targeting High Consequence Low Influence High Consequence High Influence Low Consequence Low Influence Low Consequence

Insert organisational logo here on master slide Targeting (2) Need to target! Highest priority High Influence Lowest Priority

Insert organisational logo here on master slide Techniques Surveys Focus Groups User Groups Special Interest Groups Interviews Public meetings Citizens Panel Complaints / compliments

Insert organisational logo here on master slide Timescale Planning Consulting Implementation

Insert organisational logo here on master slide Timescales (2) Plan Make decision Ensure agreement Implement Plan Make decision Ensure agreement Implement TIME Traditional consultation timescaleCollaborative consultation timescale Consultation

Insert organisational logo here on master slide Timescales (3)

Insert organisational logo here on master slide How long will these phases take? Initiation. –The phase at which something triggers the need to involve people, and you start to think what that involves. Preparation. –The period when you think through the process, make the first contacts, and agree an approach. Participation –The phase in which you use participation methods with the main interests in the community. Continuation –What happens in this phase will depend very much on the level of participation - you may be reporting back on consultation, or at another level setting up partnership organisations.

Insert organisational logo here on master slide BEAR IN MIND All projects should have –specific aims, –declared outcomes –appropriate methods –sufficient resources –sufficient resources (money, people and time) And should be evaluated at the end point.

Insert organisational logo here on master slide Contact details : Name Tel