People and Communities Board: High Impact Actions for Delivering on Chapter 2 of the Five

People and Communities Board: High Impact Actions for delivering on Chapter 2 of the Five Year Forward View

The task The People and Communities Board (PCB) has been asked by Simon Stevens to recommend a limited number of high impact actions that would help to deliver chapter two of the Five Year Forward View.

The actions should:

 Make a concrete reality of the “new relationship with patients and communities” set out in Chapter 2 of the Forward View and further articulated in the PCB’s six principles

 Provide solutions to key problems, challenges and “pinch points” for the health and care system, as they impact on population health, care quality and sustainability of services

 Address key issues for patients, service-users and the voluntary sector

 Address issues of equality

 Be practical and helpful to those driving system reform eg in the STP footprints

 Help to mainstream the most promising approaches

 Have sufficient specificity and force to actualise real, tangible change

 Can be given effective and meaningful drive and backing by NHS England/ALBs, although activity may be located across services, the VCSE and beyond.

The PCB has been asked to deliver recommendations to Simon Stevens by December in order that as far as possible they can be incorporated into current system-wide planning activity.

Our approach This work will be divided into two phases

In phase one, we will develop a limited number of evidence-based high impact actions that are capable of system wide application, which where possible capture replicable offers from the voluntary, community and social enterprise (VCSE) sector, and which can be given meaningful drive and support by NHS England and the others ALBs and by colleagues in the local NHS and in local government.

These recommendations will not emerge from new work but will primarily draw on existing knowledge, analysis, evidence, policy, practice and relevant programmes. The overall approach will be as much as possible to work with those already driving the chapter 2 agenda, to leverage the networks of the PCB members, and to crystallise and energise emerging actions from various workstreams.

In scope, therefore, though this is not an exhaustive list, are:

 The work of relevant directorates of NHS England on patient and public participation and insight, patient experience, carers, personalisation etc.

 the Realising the Value programme

 the VCSE Review  the health and care voluntary sector strategic partners

 Untapped Potential – and related work by the Richmond Group of charities

 Key strands of the Five Year Forward View relating to general practice, mental health, cancer, maternity etc

 Evidence and best practice emerging from the new models of care vanguards, integrated care pioneer and other test sites

 Care Act implementation

The recommendations will be developed and iterated through a blend of desk research and rolling dialogue with key stakeholders.

The output of phase one will be to deliver – by mid-December - a set of high impact actions which as far as possible define the “what” and as much as possible start to set out the “how” of implementation.

Phase two will develop more detailed propositions on the “how” of implementation, advising on the best combination of national and local action, the use of system levers and incentives, and the mobilisation of broader social action and culture change within health and social care services and communities which will support the high impact actions and make a meaningful and measurable reality of chapter 2 of the FYFV and the six principles of engagement. It will include a fleshing out of relevant VCSE offers as part of this.

This work will form part of the PCB’s existing work plan, as amended to take account of this commission, with a view to completing phase 2 by end March 2017 and incorporating a wider, more open and inclusive engagement effort.

Key activities

1. Scope and agree broad project plan and necessary resources

2. Form sub group of PCB members which will work in partnership with key ALB colleagues to help shape and steer the work, agree a detailed project plan, develop and test emerging propositions and where possible take responsibility for leading on particular strands

3. Invite and evaluate high impact action propositions from targeted stakeholders

4. Hold workshop on 26th October with key stakeholders in ALBs

5. Develop and test an evolving long list of emerging propositions through a rolling programme of further targeted engagements with key partners and stakeholders

6. Hold webinars on 3 and 4 November

7. Use PCB board meeting scheduled for 7 November to hone the phase propositions.

8. Test out draft final propositions with relevant ALB colleagues

9. Deliver phase 1 recommendations – probably in the form of a letter to Simon Stevens by 16 December.

10. Develop phase 2 recommendations through a wider process of engagement and deliver by 31 March 2017

Jeremy Taylor, chair, PCB, 21 October 2016.