Engagement Annual Report 2019
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0 1 Contents Who we are 2 Our place 3 Vision for engagement 4 How we engage 5 Our engagement and involvement activities in 2019 11 Summary 31 2 Who we are NHS South Warwickshire Clinical Commissioning Group (CCG) is a membership organisation made up of 33 member GP practices, caring for a population of just over 291,000 throughout the Warwick and Stratford-upon-Avon districts. In 2018/19 we had a budget of £391 million to commission healthcare services for the people that live in south Warwickshire. 3 Our Place Our organisation is led by GPs and nurses supported by other professionals. We work together with patients, communities and GP practices to make sure that the right NHS services are in place to support people and help improve their health and wellbeing. Our mission is to make sure that we will continue to develop successful and effective partnerships with our communities, patients and partners to reduce health inequalities and deliver improvements in health for local people within the resources available. Throughout 2019 we began working more closely with our health and social care partners within south Warwickshire to develop South Warwickshire Place. Our aim moving forward is to engage at Place level to make it simpler for patients and the public to get involved with health and social care work happening across different organisations, ensuring that they can give their views and influence the commissioning, development and patient experience within services. 4 Vision for stakeholders. It also acknowledges our statutory responsibilities and the NHS commitment to involve patients in the way engagement in which health services are planned and managed. We are committed to putting Our approach to engagement is based on people first and we continue to strive to the principle of open and continuous improve communication and increase communication with patients, the public, participation and engagement in as many member practices, staff and key aspects of our work as possible. “Listen and Involve” - Our principles for communications and engagement: • Be accessible and include all sections of our community • Be honest and transparent • Use different ways to communicate to reach more people • Be open and clear from the start about what our plans are • Be realistic about what is and what is not possible and why • Make sure people have the right information at the right time • Inform and involve people as early as possible • Listen to people as well as provide information • Use plain language that people understand • Work with other organisations so we are more effective and avoid duplication Alongside the people of south in commissioning activities to the benefit Warwickshire, we work to ensure our GP of local people. Our staff, too, need to be member practices feel informed, engaged informed and engaged. and involved in their CCG and participate 5 How we engage “The Engagement Assessment Tool helps us to jointly decide with patients and members of the public the level of Engaging the public and patients is engagement required ranging from an central to our work when we are online surveys and focus groups developing clinical pathways, through to events and full public reviewing services or thinking of consultation.” making any changes to the services we commission. South Warwickshire CCG Public and Patient is signed up to the Healthwatch Coventry and Healthwatch Participation Group Warwickshire Good Engagement To help us keep a constant dialogue and Charter. The Charter supports open engagement channel with patients meaningful involvement of patients, and members of the public, the CCG public and carers in health and social facilitates a Public and Patient care and is central to how we approach Participation Group (PPPG). engagement. The PPPG is made up of the Chairs of the Gateway Meetings local GP practice Patient Participation Groups (PPG) and this link allows an All plans and proposals go to a Gateway invaluable two-way channel back and forth Meeting, which reviews the level of public between the CCG and the wider patient and patient engagement required using population. In addition to this, the CCG’s our Engagement Assessment Tool. The Lay Member for Public and Patient Engagement Assessment Tool was Involvement, Healthwatch, a Governing developed using NHS engagement best Body GP and the Governing Body Nurse practice and helps focus members of the also attend meetings. Gateway panel on the level of engagement required for each different During 2019 the PPPG met eight times, project. Members of the public attend the discussing and feeding back to the CCG Gateway Meeting and help assure us we on the following topics: are making the right decisions regarding engagement. • Extended Access • Patient Transport • NHS111 and GP out of Hours Services provided by Care UK 6 • Primary Care Networks and the service redesign projects or other CCG impact on patients plans or initiatives, the PPPG provides • Out of Hospital project - one year representatives for the CCG Gateway on Meeting. The PPPG also supports many • Driving the digital agenda CCG projects, often by providing patient • South Warwickshire NHS representatives to support procurement or Foundation Trust appointment delivery of projects. Recent examples system have been working on a survey to gather • Managing Dementia – what is patient views on GP practice websites and happening locally supporting the CCG to look at Extended • Finance – an update on the CCG Access primary care appointments. budget and financial position We support constant review, reflection and • Integrated Care System (ICS) learning of our own engagement • An update on two ICS projects – processes and this year, the CCG’s Lay Cancer and Maternity and Member for Public and Patient Paediatrics Involvement worked with PPPG members The CCG produces regular reports for the to review their GP Practice Patient Groups PPPG to ensure they are kept up-to-date and the work of the PPPG itself. Results with the latest local issues, projects and were shared and were followed up by a plans, and have an opportunity to have workshop to discuss and share best their say. Our Lay Member for Public and practice and learning. Patient Involvement and Healthwatch also Co-production Group provide regular updates to the group. The PPPG creates Task and Finish Members of the public sit on our small Co- Groups when they wish to investigate or production Group, whose remit is to follow up on certain topics. Two such review and comment on various aspects groups formed in 2019 – one to explore of public and patient communication and Maternity Services and one to investigate engagement such as patient surveys, the future of the PPPG as we move into leaflets, publications and websites. This Integrated Care Systems, Place and year, the Co-production Group worked on Primary Care Networks. six projects, including a survey to help GP practices redesign their websites, which To support the commissioning process resulted in over 500 responses from and to ensure and assure the appropriate members of the public. level of engagement is undertaken for 7 Partnership working • NHS Coventry and Warwickshire CCG We recognise that one of the most • NHS Warwickshire North CCG effective ways to engage with our local • University Hospitals Coventry and communities is to work with partners Warwickshire NHS Trust across the healthcare system and • South Warwickshire NHS throughout the community and voluntary Foundation Trust sector. Working with partners such as • George Eliot NHS Trust Healthwatch and Warwickshire • Coventry and Warwickshire Community and Voluntary Action, we are Partnership Trust able to reach a wide audience including • Warwickshire County Council those more seldom heard groups. • Coventry City Council In order to get the view of patients • West Midlands Ambulance NHS currently in the system, we often work with Foundation Trust South Warwickshire NHS Foundation This year Warwickshire Healthwatch has Trust to speak to patients in hospital. In worked with us on a variety of projects 2019 we attend gynaecology outpatient including: clinics at Warwick Hospital to engage with people, resulting in detailed and valuable • The Rights to Access Project, feedback from 15 women. which was created by Healthwatch Warwickshire to help people who As part of our engagement on the are experiencing homelessness to Improving Stroke Service Consultation, we access healthcare when they need worked with a number of community and it. We supported and endorsed the voluntary sector organisations in order to project with our Chair co-signing a reach people in all of the nine protected letter that went out to all GPs in characteristics – age, disability, gender south Warwickshire. The project reassignment, marriage and civil was created as a result of the partnership, pregnancy and maternity, engagement work we did across race, religion or belief, sex and sexual the county talking to homeless orientation. agencies, homeless individuals, Working with our partners has been an and from reports about important part of the consultation. During homelessness within the consultation we have worked with: Warwickshire. 8 development of services and • We promoted the two 2019 how we spend our money Standing Conferences. Our PPPG members and CCG staff attended • Get involved in events, health to discuss the development of seminars and other patient and Integrated Care Systems and public involvement activities Primary Care Networks. • We widely advertised and • Become a health care promoted the Healthwatch champion to help us involve Warwickshire engagement of the other local people, patients and NHS Long Term Plan, resulting in carers across south feedback from hundreds of local Warwickshire. people on future plans for the NHS. Health Champions We are lucky enough to have hundreds of Health Champions in south Warwickshire who have signed up to work with us to improve health services in their area. We think that our Health Champions are a fantastic asset to the CCG and we are committed to providing multiple opportunities for them to influence our decision making.