The ‘Big Health and Care Conversation’ Engagement Report Date: 24 August 2016 Version: Draft 0.3 Contents 1. Purpose of report ............................................................................................................................ 3 2. Background ..................................................................................................................................... 3 3. Purpose of the public engagement ................................................................................................. 4 4. Process and methodology ............................................................................................................... 5 5. Promotion ....................................................................................................................................... 8 6. Key themes ...................................................................................................................................... 9 7. Next steps: .................................................................................................................................... 12 Appendix A – ‘The Big Health & Care Conversation’ Roadshows: Event feedback .............................. 13 Wallingford Roadshow .................................................................................................................. 13 Witney Roadshow ......................................................................................................................... 15 Oxford Roadshow.......................................................................................................................... 17 Bicester Roadshow ........................................................................................................................ 19 Banbury Roadshow ....................................................................................................................... 21 Wantage Roadshow ...................................................................................................................... 23 Feedback received via post‐it notes on the display boards: ......................................................... 24 Appendix B – ‘The Big Health & Care Conversation’ Survey ................................................................. 26 Appendix C – Stakeholder event for options development – 28 July ................................................... 40 Appendix D – Promotion of ‘The Big Health & Care Conversation’ roadshows and surveys ............... 49 Appendix E – Media Coverage of the Transformation engagement activity ........................................ 55 Appendix F – Social Media Coverage of Transformation ...................................................................... 57 1. Purpose of report The purpose of this report is to outline the public engagement undertaken from 6 June up to 22 August 2016 as part of the Oxfordshire Transformation Programme’s Big Health and Care Conversation. It describes the engagement, outlines key themes and identifies concerns and issues expressed by members of the public. It then sets out the next steps building on the early feedback, through to public consultation planned later this year. 2. Background The NHS Five Year Forward View was published on 23 October 2014 and set out a new shared vision for the future of the NHS based around the new models of care. It was developed by the partner organisations that deliver and oversee health and care services including Care Quality Commission, Public Health England and NHS Improvement. The NHS Five Year Forward View (October 2014), describes a vision for health and care service that will be needed in 2020. This vision empowers people, their families and carers to take more control over their own health, care and treatment supported by easy access to integrated holistic care, in settings closer to where people live and organised to effectively support people with multiple conditions not just a single disease. Achieving this vision will require NHS organisations to develop plans to ensure: Individuals are taking greater responsibility for their own health We are better at preventing and managing demand We are (re‐)designing services and finding innovative ways of delivering outcomes for a society that lives longer and expects more We are maximising the value of our health and social care spend The Five Year Forward View Into Action (December 2014) produced by NHS England develops this vision further and outlines new ways of working and new models of care over the coming years. The NHS in Oxfordshire performs well compared with other parts of the country, but we face increasing demands on and challenges to our services. Increases in life expectancy mean that we have a growing number of older people, living in the county, many of whom are living with a number of long term chronic conditions. We are facing real challenges recruiting high quality NHS staff and maintaining high quality estates and facilities. While the amount of money we receive for the NHS locally is increasing year on year, the cost of delivering services is growing at a faster rate. If we don’t change anything, we face a potential funding gap of £200m by 2020/21. We see the best healthcare in the future being provided to patients across Oxfordshire as close to their homes as possible, and reducing the reliance on hospital‐based care. A hospital bed is not always the best place to be treated. Our experience of delivering care has shown that many people, particularly those who are frail with multiple health conditions, do better at home supported by a good network of professionals. NHS and social care organisations in Oxfordshire have formed a Transformation Board to oversee a system wide Transformation Programme. It comprises Oxfordshire Clinical Commissioning Group (OCCG), Oxford Health NHS Foundation Trust (OHFT), Oxford University Hospitals NHS Foundation Trust (OUHFT), South Central Ambulance Trust (SCAS), Oxfordshire County Council (OCC) and the Oxfordshire Primary Care Federations. Its joint purpose is to develop plans for the integrated GP, community and hospital services. Its aims are to: Provide innovative ways of delivering outcomes for a society that lives longer and expects more Maximise the value of Oxfordshire’s health care spend Find ways to become better at preventing and managing demand Help individuals to take greater responsibility for their own health The work of the Oxfordshire Transformation Programme will feed into an over‐arching five year plan (called a Sustainability and Transformation Plan) across Buckinghamshire, Oxfordshire and Berkshire West, to address the above aims and make proposals for the type of transformational service change that is required. Since the spring of 2016, clinically‐led service review working groups have been developing ideas for possible future models of care for the following areas: Integrated care for frail older people and those with long term conditions and urgent and emergency care for the general adult population Planned (elective), diagnostics and specialist care Maternity Children’s services Mental health Learning disability and autism Primary care They have been considering clinical best practice, national and international evidence, health needs and future population health demand, service standards and the existing and potential future challenges of care provision, including financial pressures. They have also used feedback and insight which has been provided by patients, the public and stakeholders over recent years (2013‐15). 3. Purpose of the public engagement From June to December 2016 patients and the public are being invited to get involved in the development of proposals to transform the way health and care are delivered in the county. This period of engagement will help inform our thinking and help us to develop plans and inform our ideas for the way services might be best provided in the future. We want to hear people’s views as part of an on‐going process that will lead to public consultation later in the year on proposals for how some services may be configured in the future. The ‘Health & Care’ Transformation stakeholder event held on 6 June signalled the start of this public conversation. It aimed to gather views on possible ways we can use resources to develop sustainable, high quality and affordable care both now and in the future. 4. Process and methodology Following the initial stakeholder event at the Kassam Stadium on 6 June, further engagement was undertaken through a series of public roadshows around Oxfordshire, discussed at various stakeholder meetings as part of an on‐going dialogue and an online/ hard‐copy survey was available on OCCG’ s engagement website ‐ Talking Health. Individuals also had the opportunity for direct feedback via email, letter, phone, or freepost. In total, 359 people attended these public roadshows. A total of 209 people responded to the survey of which 118 were online responses and 91 hard copy responses were received. Details of the methods used are shown in Section 4: i‐iv below. i. Public road shows A number of roadshows were held around Oxfordshire throughout July and August to provide an opportunity for the public to find out more about the Oxfordshire Transformation programme and to have their say. These events were designed to be informal ‘drop‐ins’ with NHS clinicians and staff on hand to take feedback and answer questions. More information is available www.oxonhealthcaretransformation.nhs.uk