1. Patient and public voice in new governance arrangements at borough and south west London levels
Proposals developed from discussions from PPESG, SWL PPE leads and SWL SMT
Sept 2019

2. Principles
DRAFT
The distribution of time, effort and representation of local people in governance at local and SWL level should reflect proposed 80/20 split between borough and SWL CCG for planning and delivery – i.e. concentration at place
Expectation of transparency in decision-making and local accountability to communities should be supported by meetings in public of decision-making committees
Representation of patient and public voices on a future SWL CCG should be managed so as to maintain a clinically-led organisation
Important to preserve distinction between patient and public voice representation in the governance of an organisation and the activities of engagement
Place voices vs professional voice at SWL level

3. PPI lay member + professional voice at SWL CCG (HW and VCS)
Currently – 6 CCGs
Each borough
SWL CCG
System/CCG PPE voice
VCS umbrella
Healthwatch
Syste/CCG PPE voice
VCS
PPI LM HW + LM LM HW OR
(Two reps from SWL Stakeholder Reference Group one of which is HW)

4. Showing how patient and public voice could change with the changing health and care landscape
Now Future Where HW+ some VCS sit now Where HW/VCS could sit in future
Local Borough Committee of SWL CCG
Borough CCG Governing Body
Place-Based Committees in Common
Local Transformation Board
SWL CCG Governing Body
SWL Committees in Common

5. SWL Stakeholder Reference Group (Chaired by PPI LM on SWL CCG)
How it could work…
SWL Stakeholder Reference Group
(Chaired by PPI LM on SWL CCG)
SWL CCG
Governing Body
SWL Health and Care Partnership Programme Board
2 REPS
Lay member + HW + CVS/HW
System/CCG PPE voice
VCS umbrella
Healthwatch
Merton Community Engagement Reference Group – advice and voice on Merton TB
Wandsworth Community Engagement Reference Group – advice and voice on Wandsworth TB
Croydon Community Engagement Reference Group – advice and voice on One Croydon TB
Kingston Community Engagement Reference Group – advice and voice on Kingston TB
Richmond Community Engagement Reference Group – advice and voice on Richmond TB
Sutton Community Engagement Reference Group -advice and voice on Sutton TB
Merton Committee of SWL CCG
Wandsworth Committee of SWL CCG
Croydon Committee of SWL CCG
Kingston Committee of SWL CCG
Richmond Committee of SWL CCG
Sutton Committee of SWL CCG

6. SWL CCG – outline role of patient and public voice representatives at Governing Body – 1 Healthwatch and 1 VCS
Overall purpose
To ensure that the needs, aspirations and experiences of patients and the public influence discussions and decisions of the CCG at SWL level
To act as a champion for patients and the public, ensuring that the perspective of local people is considered in the business of the CCG
What the role is
To bring a patient/public/community perspective and sensibility to deliberations and discussion of the SWL CCG, drawing on discussions in members’ ‘home’ borough or professional network, but also drawing on discussions at the SWL Stakeholder Reference Group
To balance their particular perspective with broader patient and public interests in discussing and evaluating public and patient engagement and communications activity
To provide a critical friend challenge to the CCG to support better decision-making that is informed by the experience and expressed views of local people
To attend regular meetings of the SWL Stakeholder Reference Group
To be proactive in keeping their organisation and their key patient/public/community contacts informed of the work of the programme as capacity allows, in partnership with the programme and CCG communications and engagement teams
To provide summary feedback to their Governing Body, Board or equivalent meeting of their organisation following each meeting they attend

7. SWL CCG – outline role of patient and public voice representatives – at Governing Body 1 Healthwatch and 1 VCS (2)
What the role is not
To represent the members’ ‘home’ borough
To represent all SWL boroughs
To exclusively represent their sector or professional group (eg Healthwatch or the voluntary sector)  
What the role would involve
Attending regular meetings in public of the SWL CCG Governing Body
Attending the South West London Stakeholder Reference Group
Actively maintaining borough and SWL networks and channels for staying in touch with a range of community issues and experience
Supporting the role
SWL Healthwatch networking meeting – standing item: ‘SWL CCG’ (existing: currently monthly)
SWL CVS network: could be reinvigorated – standing item: ‘SWL CCG’
Discussions at SWL Stakeholder Reference Group
Resources: recognition that participation is not cost-neutral to Healthwatch or VCS – nominal sum to the organisation to backfill or to recoup admin cost
Pre-meets: with Director of Communications and Engagement and lay member (PPI) before CCG Governing Body meetings
Engagement checklists / prompt questions (from comms and engagement strategy toolkit)
Anything else?

8. How it could work… Patient and public involvement at borough and SWL level…
Each Borough – determined locally
SWL
Borough Community Engagement Reference Group
(New reference group at place level)
Stakeholder reference group for decision-making of Borough Transformation Boards/ Committees in Common and CCG local committee
Conduit for communications and wider engagement with borough groups
SWL Stakeholder Reference Group
(Replacing current SWL PPESG)
Stakeholder reference group for decision-making at SWL CCG and SWL HCP Programme Board
Advisory role for engagement at SWL level
Borough-based transformation boards/committees
DRAFT

9. South West London Stakeholder Reference Group - outline terms of reference
SWL Stakeholder Reference Group
(Replacing current SWL PPESG)
Meets 6x/year (aligned to SWL CCG GB schedule)
Chaired by lay member for PPI
Membership to include:
1-3 members from each borough transformation board (HW+CVS+1 other)
SWL CCG Director of Communications and Engagement
Other members of SWL Programme Team (in attendance: eg Director of Strategy, Head of Engagement)
Supported by SWL communications and engagement team
Stakeholder reference group for decision- making of SWL CCG and SWL HCP Programme Board
Advisory role for engagement and communications at SWL level
Reviews forthcoming agendas of SWL CCG Governing Body and SWL HCP Programme Board
Reports to and nominates HW and VCS representatives to SWL CCG and SWL HCP Programme Board
Feeds from/back to borough Community Engagement Reference Groups

10. Borough Community Engagement Reference Group
Borough Community Engagement Reference Group - outline terms of reference
PPGs
TRAs
VCS orgs
Faith groups
VCS networks
PPGs, trust patient forums
Bme & faith forums
TRA networks
PCN Forums
Borough Community Engagement Reference Group
Reference group at place level to advise
Borough Transformation Boards/ Commitees in Common and CCG local committee
Could be chaired by: Healthwatch /vcs umbrella organisation
Membership could include, for example:
NHS Trust public governors
Borough ‘umbrella’ groups eg
Borough patient reference group reps
PCN community forum reps
Tenant/Resident Association Network reps
Borough multi- faith forum
Borough BME network
supported by CCG/partnership officers
Stakeholder reference group for decision-making of borough-based health and care partnerships and CCG local committees
Receives information on borough health and care plans and priorities and has opportunity to ask questions, discuss, influence
Supports joined up engagement and communications across borough partners
Meeting format and/or frequency to be determined locally; could be
twice a year…
virtual…
Can develop over time
Set up of group to be discussed at a future borough communications and engagement steering groups and with local leadership team

11. Borough Community Engagement Reference groups – outline role description for members
Overall purpose
To ensure that the needs, aspirations and experiences of patients and the public influence discussions and decisions of health and care partners at borough level (Borough Transformation Boards, borough level CCG decisions, ?Health and Wellbeing Boards?)
To act as a champion for patients and the public, ensuring that the perspective of local people is considered in the business of health and care partners in local boroughs
What the role is
To bring a patient/public/community perspective to deliberations and discussion of health and care partners at borough level, drawing on knowledge and insights from members’ constituent groups
To balance their particular perspective with broader patient and public interests in discussing and evaluating public and patient engagement and communications activity
To provide a critical friend challenge to borough health and care partners to support better decision-making that is informed by the experience and expressed views of local people
To be proactive in keeping their organisation and their key patient/public/community contacts and constituents informed of the work of health and care partners as capacity allows
To provide summary feedback to their members or constituents following each meeting they attend
What the role is not
To represent their own organisation exclusively
What the role would involve
Participating in meetings of the Community Engagement Reference Group (virtual or face-to-face as per local arrangements)
Actively maintaining borough networks and channels for staying in touch with a range of community issues and experience

12. Questions?