NHS East Sussex Clinical Commissioning Groups Public Involvement Annual Report 19/20 Introduction
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NHS East Sussex Clinical Commissioning Groups Public Involvement Annual Report 19/20 Introduction Sussex Wide Public Involvement Introduction Public Involvement in East Sussex CCG Looking Forward East Sussex CCGs 2 Introduction We are committed to putting those who use our services at the We use the NHS England Principles for Participation to guide our heart of everything we do, and applying the principle of ‘no decision public involvement activities: about me without me’ in our commissioning approach. • Relationships will be conducted with equality and respect. Introduction Public involvement in commissioning is about enabling people to: • Listen and truly hear what is being said, proactively seeking participation from communities who experience the greatest health inequalities and poorest health outcomes. • Use the strengths and talents that people bring to the table. Voice their views, needs and wishes Sussex Wide Public • Respect and encourage different beliefs and opinions. Involvement • Recognise, record and reward people’s contributions. • Use plain language, and openly share information. Contribute to plans and decisions • Understand what has worked in the past, and use knowledge that about services has previously been shared, and consider how to apply it to the present and future. Public Involvement in East Sussex CCG • Have a shared goal and take joint responsibility for our work. Work alongside us to ensure that • Take time to plan well. services are responsive to the needs • Involve people as early as possible. of our population. • Feedback on the results of people’s participation. • Provide support, training and the right kind of leadership, so that Looking Forward people can work, learn and improve together. More information about the guidance we follow, including the There are many different ways to involve patients, service users, principles for engagement is available at the following link: carers and the public, and different approaches are needed to www.england.nhs.uk/wp-content/uploads/2017/05/patient-and- ensure we reach, listen to and truly hear from people in a way that public-participation-guidance.pdf works for them. This report summarises our public involvement over the year 2019/20, and is published on our website with the CCGs’ full Annual Reports. East Sussex CCGs 3 Our public involvement commitment • Using best practice for capturing patient experience feedback and insights e.g. Friends and Family Test, to ensure that feedback We have a clear vision for patient, carer and public engagement, and informs commissioning priorities and service redesign plans. we are committed to ensuring that our patients, carers and the public • Communicating to our patients and the public, in a timely manner are at the heart of what we do. how their views, opinions and experiences have informed our We aim to be an organisation that takes account of their views, decision making (“you said/ we did”). Introduction experiences and suggestions for change, and use what we have heard to inform our plans in influence our commissioning of local services. In Our NHS Clinical Commissioning Groups carrying out meaningful public involvement, we commit to: (CCGs) • Providing clear and accessible information about the work of the CCG. The CCGs in East Sussex Clinical Commissioning Groups (CCGs) are Sussex Wide Public • Developing a culture of patient engagement and involvement clinically led statutory NHS bodies responsible for commissioning the Involvement amongst staff throughout The East Sussex CCGs, member GP majority of health services for local people. practices and service providers. We are responsible for the health of our local population in East • Developing a structured approach and methods for patient and Sussex, and are measured by how much we impact on and improve community engagement for planning, procurement, performance health outcomes. We commission local health services including monitoring and service redesign activities. mental health care, urgent and emergency care, elective hospital Public Involvement in East Sussex CCG • Establishing and maintaining an active and sustainable network services, and community care. of diverse and representative patients and partners, with proactive Up until 1 April 2020, Eastbourne, Hailsham and Seaford (EHS) CCG, dialogue and shared decision-making. High Weald Lewes Havens (HWLH) CCG and Hastings and Rother (HR) • Building relationships with the CCG’s providers, voluntary sector CCG operated as part of the Sussex and East Surrey Sustainability and organisations and other local commissioners; to ensure that our Transformation Partnership (STP) alongside 6 other CCGs: Looking Forward work and plans complement each other and avoid unnecessary and expensive duplication. • NHS Brighton and Hove (BH) • Nurturing relationships that include and strengthen the voices • NHS High Weald Lewes and Havens (HWLH) Clinical of those seldom heard, vulnerable individuals and groups, and Commissioning Group supports equitable service delivery. These include: practice-based • NHS Crawley (CMS) Clinical Commissioning Groups Patient Participation Groups (PPGs), local Healthwatch, other local • NHS Horsham (HMS) Clinical Commissioning Group authority user groups, local voluntary organisations, and faith and • NHS Coastal West Sussex (CWS) Clinical Commissioning Group community groups. • NHS East Surrey (ES) Clinical Commissioning Group East Sussex CCGs 4 As from 1st November 2019, NHS East Surrey CCG became part The current three CCGs – which will become East Sussex CCG of Surrey Heartlands Integrated Care System (ICS). As part of – are members of the Sussex Health and Care Partnership Commissioning Reform, in response to the Long Term Plan, and the (SHCP) – formerly the Sussex and East Surrey Sustainability and move towards developing Integrated Care Partnerships, there will Transformation Partnership (STP). be several CCG mergers that will bring our CCGs in line with local SHCP is made up of partners including local authorities, health authority footprints, with effect from 1st April 2020: and care providers and clinical commissioning groups, all working Introduction together to improve health and care for their populations. The • East Sussex CCG Sussex Health and Care Partnership works collaboratively to offer • West Sussex CCG better health, better care and to ensure we make the most efficient • Brighton and Hove CCG use of our resources. SHCP is expected to become an Integrated Care System (ICS) in April There will be just one CCG for the East Sussex County, to align with Sussex Wide Public 2020. Involvement the County Council footprint and support the development of an Integrated Care Partnership (ICP). It is important to ensure that we are working for our local population and ensuring that the health and care systems work together. To support this, we will develop Integrated Care Partnerships (ICPs) for: Public Involvement in East Sussex CCG A26 • East Sussex A22 Wadhurst • Brighton and Hove Crowborough • West Sussex Northiam Uckfield Heathfield A21 Rye ICPs will bring together NHS and care services – hospitals, mental Looking Forward A26 Battle health services, community services and Primary Care Networks, A22 Winchelsea Ringmer Lewes Local Authorities, and the voluntary and community sector to work Hailsham together collaboratively to ensure the needs of the local population A27 Hastings Polegate Bexhill are responded to and met. ICP development will be progressed over Newhaven Peacehaven 2020/21. We will continue to ensure that we hear from local people Eastbourne Seaford about their views, experiences and needs, in order to shape the best possible services for the people of East Sussex. East Sussex Acute Hospitals, Main Towns and Villages East Sussex CCGs 5 The NHS Oversight Framework Table 1: The outcomes of the self-assessment for Sussex CCGs The NHS Oversight Framework for 2019/20 outlines the joint approach NHS England and NHS Improvement take to oversee 19/20 Self- CCG 17/18 Result 18/19 Result organisational performance and identify where commissioners and Assessment providers may need support; this includes an assessment for Public Hastings and Introduction Involvement, which provide a benchmark for future activity and Rother improvement. Public Involvement is assessed against five domains – Governance, Annual reporting, Day-to-Day Practice, Feedback and High Weald Evaluation, and Equalities and Health Inequalities, requiring publicly Lewes Havens available evidence. Eastbourne, Sussex Wide Public For the 2019/20 assessment, one submission was made for each Hailsham and Involvement of the three key Sussex areas – East Sussex CCG, West Sussex CCG Seaford and Brighton and Hove CCG, reflecting the intention to merge as from April 1st 2020. Evidence from all CCGs was identified Brighton and through working with our partners, including Healthwatch, patient Hove and public leads, local authority colleagues and our voluntary and Public Involvement in community sector (VCS). Horsham and East Sussex CCG Mid Sussex The following table shows progress since 2017/18, including the self-assessment for 2019/20 (confirmation expected July 2020). Crawley Coastal West Looking Forward Sussex East Surrey Good Requires Improvement Inadequate East Sussex CCGs 6 Introduction Sussex Wide Public Involvement Sussex Wide Public Involvement Public Involvement in East Sussex CCG Looking Forward East Sussex CCGs 7 Sussex Wide Public Involvement Community Ambassadors will be embedded across the Sussex Health