Urgent Care: Our proposals for urgent treatment centres in Leeds Engagement dates: 21st January 2019 – 15th April 2019 Engagement Report Supplementary Information Report written by: Adam Stewart, NHS Leeds CCG NHS Leeds Clinical Commissioning Group 02 Urgent Care: Our proposals for urgent treatment centres in Leeds Contents Executive Summary 04 1. Background information 06 a) How did we identify and engage with people? 07 b) Patient assurance 07 c) Where can I find out more about the engagement? 07 2. Methods 08 a) Survey 09 b) Public events 10 c) Drop-in sessions 11 Leeds Society for Deaf and Blind 12 Leeds Autism Hub drop-in 13 d) Other engagement activities 13 Healthwatch Leeds 13 Media 14 3. Engagement Support 15 a) Background 16 b) People with a learning disability 18 c) People from migrant populations, asylum seekers and refugees 18 d) People with a mental health condition 19 e) People who are over 65 20 f) People who are D/deaf or hard of hearing 20 Themes and recommendations from VAL 20 Appendices a) Equality monitoring information 21 b) Circulation list 31 03 NHS Leeds Clinical Commissioning Group 1. Executive Summary 04 Urgent Care: Our proposals for urgent treatment centres in Leeds 1. Executive Summary Executive Summary This report provides an overview of how we People who were unsure reported that the engaged with local people on our proposals centres could improve access but only if they are: for five urgent treatment centres in Leeds. • easy to get to and use, These centres will help people who have • have a good range of facilities, and an urgent but not emergency need for healthcare. This covers a wide range of • are communicated well to the general public. situations, such as cuts, insect bites, sprains and strains, fevers, and vomiting. It is hoped When asked specifically about the locations urgent treatment centres will address two and opening hours of the centres, people challenges: preferred to have the centres close to where they live, however, many supported the CCG’s 1. a lot of people go to Accident and proposal to have a centre in the Seacroft area Emergency (A&E) because they’re not sure where to go for urgent care or because they Statistical analysis of the data shows that the say they can’t get a GP appointment; and proposals are not discriminatory, and indeed, 2. to meet anticipated future demand as have a more positive impact on people with more people will live with long-term a disability and people who have recently health problems who may periodically given birth. need urgent care. You can read a full analysis of our The NHS Leeds Clinical Commissioning Group engagement here: https://www.leedsccg.nhs. (CCG) asked people in Leeds to give their uk/content/uploads/2019/01/2019_09_12_ feedback on the plans for urgent treatment Brainbox_UTC_v5-.pdf centres. This document supplements the independent analysis and engagement report This document provides extra information produced by Brainbox Research. about the engagement, including: • how patient representatives helped us NHS Leeds CCG engaged with a large develop and deliver the engagement; number of people, including those who face • the methods we used to engage with challenges in accessing health care and can people; and sometimes find it difficult sharing their views • the support we received from our partners about services. to deliver the engagement • A total of 3227 people completed the survey • The results provide evidence that there is confusion about what urgent care means and how to access it • There is strong support for the proposed urgent treatment centres: most people (63%) believe that they will improve access • Reasons why they will improve access include: • that they will make it clearer where people should go if they need urgent care, • they will increase choice and capacity, and • they will provide a convenient and realistic alternative to seeking care from GP practices 05 NHS Leeds Clinical Commissioning Group 2. Background information 06 Urgent Care: Our proposals for urgent treatment centres in Leeds 2. Background information 2. Background information a. How did we identify and engage with people? The CCG developed a comprehensive There were three ways that people could engagement and communication plan of give feedback on the plans. how to involve as many people as possible. • Complete a survey, available online and in An equality impact assessment also helps us paper formats. An easy read version was identify if any communities will be adversely also available. The survey ran from 21st affected by our proposals. January to 15th April 2019 • Talk to representatives of the CCG at one of the six formal events and fifteen drop- in sessions held around the city between February and April • Tweet or post on Facebook and Twitter b. Patient Assurance We have a responsibility to involve patient • Our CCG volunteer programme gives local representatives in developing our plans to people a chance to take part as we work engage with the public. We call this ‘patient to engage and involve the people of Leeds assurance’. Their role is to provide assurance in developing health care services across that the voices of patients, public and carers the city. You can find out more about are heard and taken into account when we our volunteer programme here: https:// develop local health services. www.leedsccg.nhs.uk/get-involved/ccg- volunteer/ Patient assurance for our Urgent Treatment • Our CCG volunteers have helped support Centre (UTC) engagement has come from: the engagement by getting involved in a • The NHS Leeds CCG Patient Assurance number of ways: Group (PAG). The PAG is an advisory • Distributing surveys and promoting the group made up of patient representatives engagement in their local communities and Healthwatch Leeds. They reviewed • Attending engagement events and our engagement plan for UTCs in Leeds drop-in sessions around the city and on 5 December 2018. They agreed that speaking directly to people about the our plans to engage local people were proposed change robust. You can read the minutes from the meeting here: https://www.leedsccg. • Sitting on project groups nhs.uk/content/uploads/2019/02/2018-12- 05PAGMinutesv2.pdf c. Where can I find out more about the engagement? You can see details of the engagement on our website at the following link: https://www.leedsccg.nhs.uk/get-involved/your-views/urgent-treatment-centres/ You can read the main engagement report here: https://www.leedsccg.nhs.uk/content/uploads/2019/01/2019_09_12_Brainbox_UTC_v5-.pdf This document aims to outline and detail additional information relating to the engagement we conducted between January and April 2019. 07 NHS Leeds Clinical Commissioning Group 2. Methods 08 Urgent Care: Our proposals for urgent treatment centres in Leeds 2. Methods 2. Methods Below you will find further detail on the methods the NHS Leeds CCG used to engage with people a. Survey We used online and paper surveys as the The survey was shared in hard copy and/or main method of engaging with patients, electronic formats with the following: members of the public, carers, NHS staff • All GP practices in Leeds and wider partners. We also worked with Change who produced easy read versions of • NHS Leeds CCG patient and staff networks the engagement document and survey. They (GP bulletin, staff bulletin, E-ngage also put together an easy read online survey. newsletter, CCG Community Network) You can view all versions of the engagement • NHS partner organisations including: Leeds document here: https://www.leedsccg. Teaching Hospitals NHS Trust (LTHT), Leeds nhs.uk/get-involved/your-views/urgent- and York Partnership NHS Foundation treatment-centres Trust (LYPFT) and Leeds Community Healthcare NHS Trust (LCH) • Leeds Citizen Panel • Promoted on Forum Central and Doing Good Leeds • Community organisations such as one stop shops, libraries, schools, community hubs • A wide range of third sector organisations (see section ‘b. Public events’) • The survey was also shared by Voluntary Action Leeds (VAL) with Engaging Voice’s partners that work with priority groups identified by our equality impact analysis. The full list of organisations engaged with by VAL can be seen in section ‘c. Drop-in sessions’ 09 NHS Leeds Clinical Commissioning Group b. Public events We ran a number of public events to allow We planned and delivered nine engagement people to come along and find out more about events across six days in total. We held the our proposals. The events were promoted events in different location across Leeds to widely by our partners, using posters and via allow different people the opportunity to social media. The events featured: come along • A presentation from a commissioner on the proposal • Facilitated group work for people to share their thoughts and ideas • The opportunity for people to ask questions in a dedicated ‘Questions and Answers’ session Number of people Date Time Location who attended Friday 8 10am – 12pm & Leeds Society for 17 February 2019 1.30 – 3.30pm Deaf and Blind Monday 25 Old Fire Station, 1.30 – 3.30pm 9 February 2019 Gipton Monday 4 10am – 12pm & Seacroft Recovery Hub 7 March 2019 1.30 – 3.30pm Friday 8 New Wortley 10.30am – 12.30pm 1 March 2019 Community Centre Wednesday 13 10am – 12pm Carriageworks Theatre 9 March 2019 Friday 22 10am – 12pm & Hamara Centre 0* March 2019 1.30 – 3.30pm *We promoted the two events at the Hamara Centre widely as part of our promotion of the engagement work. We also worked with the Hamara Centre to promote the events with their network. Despite this, we did not have anyone attend the two planned engagement events. 10 Urgent Care: Our proposals for urgent treatment centres in Leeds c.