Oliver Lake, South East CSU
2 Draft in progress |
• Developing the Sustainability and Transformation Plan (STP) in south east London
• This work is being jointly carried out by south east London clinical commissioning groups (CCGs), hospitals, community health services and mental health trusts, with the support of local councils and members of the public
• Engagement activity led by OHSEL programme and supported by the CCG
3 Draft in progress |
Provide context and information to enable this committee to provide final assurance on their local pre-consultation plan
This session will:
• give legal context to the assurance process
• provide an overview of early engagement activities
• outline the pre-consultation approach and local activities
4
As part of the NHS England assurance for major change, CCGs will need to consider whether the four tests below have been met:
– Strong public and patient engagement;
– Consistency with current and prospective need for patient choice;
– A clear clinical evidence base; and
– Support for proposals from clinical commissioners.
• The tests will need to be completed once consultation proposals have been finalised
• The relevant CCG committee will need to consider the evidence of local compliance, confirm it is assured around proposed activity and make recommendations to the Stakeholder Reference Group (SRG) and the Committee in Common (CiC).
• A consistent approach to application of the four tests has been developed and agreed by CCG Chief Officers
5
During our early engagement phase, the programme reached over 3,000 people, with direct feedback from more than 1,700, through a number of different approaches:
• Six large scale events (one in each borough) in July 2015 – which reached over 440 individuals
• Outreach engagement - running focus groups; holding stalls at local fairs and festivals; running surveys; having an online feedback form; attending meetings; and working with local Health watch organisations to extend our reach into local communities
• Workshops with Healthwatch to discuss recommendations and learning from their local research and how to incorporate this into programme thinking
Of note, prior to our early engagement phase, significant engagement activity was also undertaken during the development of the strategy.
Analysis
All feedback was collated and analysed. The impact that it had to our plans has been detailed and published in our ‘You Said, We Did’ report:
http://www.ourhealthiersel.nhs.uk/Downloads/You-Said-We-Did-Issues-Paper-April-Dec-2015.pdf
Draft in progress |
6
• The planned care orthopaedic workstream is the only area in which we are developing proposals which may require public consultation
• The purpose of pre-consultation is to inform and prepare for full public consultation (if required) by gathering information from key stakeholders to inform the development of the final options
• The pre-consultation plan has been developed through discussions with the Communications and Engagement Steering Group, Stakeholder Reference Group, Equalities Steering Group, Joint Health Overview and Scrutiny Committee and the Planned Care Reference Group. The plan has also been externally assured by best practice engagement experts the Consultation Institute (tCI).
• Although our engagement is on-going, to make a meaningful contribution to decision making processes, feedback is encouraged by the end of September
Draft in progress |
7
• informally discuss the proposals with local stakeholders, tailoring our engagement approach to the needs of each audience
• build on information gathered during the early engagement phase and from the equalities analysis – ensuring that we are reaching those communities most affected by possible changes to planned care
• ensure that proposals are discussed in the context of the wider health and care system – and not developed in isolation
• build on the case for change and raise awareness of the issues being discussed
• strengthen our relationships with local communities and stakeholders in order to ensure an effective consultation
• demonstrate how the proposals have been reached and that all proposals, benefits and impact on service users have been considered
• demonstrate that we have listened to, and responded to what we have heard so far
Draft in progress |
8
• We are targeting engagement with groups most impacted by any potential changes to planned care orthopaedic services, building on intelligence gathered during early engagement
• This approach has been informed by two independent Equalities Analyses (Aug 2015 and July 2016) and recommendations made by the south east London Stakeholder Reference Group. These identified groups who would be most affected by changes to planned care services, including: older people; carers; people who live in areas of socioeconomic deprivation; race/BME communities; people with physical disabilities; people with learning disabilities and people who have or are undergoing gender reassignment.
• During full public consultation, we would broaden our approach
Draft in progress |
9
1. Information to inform the content of the final options
• Whether people feel that the proposed changes will have an impact (positive or negative) on their health and wellbeing or those that they care for
• Whether there is anything missing from our plans or if there are any other solutions we haven’t yet thought of
2. Information to inform the consultation process/approach
• How people like to be communicated and engaged with during the formal consultation phase. What materials would they find useful, in what format and how would they like to share their feedback with us
• Whether people need any additional information in order to make an informed response to the proposals
• Whether there are any other questions we should be seeking views on
• If people understand how the proposed changes fit into the wider work of Our Healthier South East London
Draft in progress |
10
• Centrally developed communications and engagement action plan divided into CCG and programme led activities
• Activities reflect findings from recent Equalities Analysis, specifically focussed on the elective orthopaedic work
• Materials include a discussion document and questions (easy read versions available), generic presentations, briefings, newsletter articles and FAQs
• Full plan detailed in Appendices
Draft in progress |
11
Date Title/
description of
engagement
Place of
engagement
Form of engagement Contact details Protected characteristics groups covered /
Equalities analysis
Engagement objectives
August 2016
30 August
Engaging with
older people
COPSINS
Meeting with voluntary
organisation
k
07894401625
Jacky.Bourke-
Age
- raise awareness of this work.
- understand potential impact on this group -
as frequent service users.
- understand how they would like to be
involved in the full consultation
Contacted twice
- Waiting to
receive date
Engaging with
older people
Pensioners
Forum
Meeting/focus group
with a sample group
m
Age, ethnicity (vitamin D), sex (Osteoporosis) - raise awareness of this work.
- understand potential impact on this group -
as frequent service users.
- understand how they would like to be
involved in the full consultation
TBC People who
are overweight
and obese
Healthy weight
champions -
CCG
Focus group with sample
– in depth
Physical disability or long term condition - raise awareness of this work.
- understand potential impact on this group -
as frequent service users.
- understand how they would like to be
involved in the full consultation
Draft in progress |
12
Date Title/ description
of engagement
Place of
engagement
Form of engagement Contact details Protected characteristics groups covered /
Equalities analysis
Engagement objectives
September 2016
Building being
refurbished
Southwark residents Elmington
TRA
Meeting/focus group with a
sample group
[email protected] Social deprivation - raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
Hold 6/ 7 Sept AM Carers Southwark
carers/
citizens
advice
Meeting/focus group with a
sample group
verinder.mander@southwarkc
arers.org.uk
Carer/ social deprivation - raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
6 Sept Engaging
with older
people,
women
South
Southwark
Locality PPG
Focus group as part of
planned agenda
CCG Age
Physical disability or long term condition
Ethnicity
Gender
- raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
Draft in progress |
13 Draft in progress |
Date Title/ description of
engagement
Place of
engagement
Form of engagement Contact details Protected characteristics groups covered / Equalities
analysis
Engagement objectives
7 Sept Engaging with older people, women
North
Southwark
Locality PPG
Focus group as part of
planned agenda
CCG Age
Physical disability or long term condition
Ethnicity
Gender
- raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
9 September AM People with
physical disabilities
Southwark
Disablement
Association
Meeting/focus group with a
sample group
Disability - raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
9 Sept PM Latin American older people
Pembroke
House
Meeting/focus group with a
sample group
Ethnicity, age, gender - raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
14 Draft in progress |
Date Title/
description of
engagement
Place of
engagement
Form of engagement Contact details Protected characteristics groups covered / Equalities
analysis
Engagement objectives
15 Sept
Engaging with
older people
Golden Oldies
Meeting/focus group with a
sample group
om
Age, ethnicity (vitamin D), sex (Osteoporosis)
- raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
21 Sept People with
learning
disabilities
Speak up Southwark
– access to people
with downs
syndrome
Meeting/focus group with a
sample group
Disability - raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
21 Sept Southwark
residents
Sceaux Gardens TRA Meeting/focus group with a
sample group
m
Social deprivation - raise awareness of this work.
- understand potential impact on this group - as
frequent service users.
- understand how they would like to be involved in
the full consultation
15
• Response forms have been developed to capture feedback from local patients, public and staff, in a consistent way (hard copy and online versions)
• All responses will be compiled, independently analysed and brought together in one document which will be considered by CCGs and then the Committee in Common
• A full report will be published, detailing feedback and a programme response
Draft in progress |
16
The committee is required to provide assurance on the strong patient and public engagement test
• The committee is asked to confirm it feels the test has been met, in relation to the pre-consultation activity
• If there are any other improvements that could be made to our engagement approach
Draft in progress |
17
• Pre-consultation strategy
• Pre- consultation communications and engagement action plan
• Draft independent Equalities Analysis scoping report (August 2016)
• Discussion document content and online feedback form: http://www.ourhealthiersel.nhs.uk/orthopaedics.htm
Draft in progress |