Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Local Involvement Networks in Health & Social Care

Essex & Southend LINkSharon WheelerSharon Wheeler

Adult & Community ServicesAdult & Community ServicesStrategy & Planning Manager; Older People, Carers & Strategy & Planning Manager; Older People, Carers &

CultureCultureIan Flack, Project ConsultantIan Flack, Project Consultant

Council for Ethnic Minority & Voluntary Sector Council for Ethnic Minority & Voluntary Sector Organisations (CEMVO)Organisations (CEMVO)

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

• BackgroundBackground

• Actions to dateActions to date

• Future relationship between LINk & Future relationship between LINk & ScrutinyScrutiny

• Next stepsNext steps

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

MAIN AIM OF THE LINk

To enable local people (individuals To enable local people (individuals organisations and groups) to organisations and groups) to influence the planning, influence the planning, commissioning and delivery of commissioning and delivery of health and social care services so health and social care services so as to obtain better outcomes.as to obtain better outcomes.

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Background• Our Health, Our Care, Our Say’ Our Health, Our Care, Our Say’ (White Paper, (White Paper,

January 2006): more choice and a louder voice.January 2006): more choice and a louder voice.

• ‘‘A Stronger Local Voice’A Stronger Local Voice’ (DH, July 2006): existing (DH, July 2006): existing Patient and Public Involvement Forums (PPIFs) to Patient and Public Involvement Forums (PPIFs) to be replaced by Local Involvement Networks be replaced by Local Involvement Networks (LINks): a wide (LINks): a wide networknetwork of voluntary and of voluntary and community groups and interested individuals who community groups and interested individuals who will represent the views of patients and the public. will represent the views of patients and the public.

• Local Government and Public Involvement in Local Government and Public Involvement in Health Act 2007Health Act 2007

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

DUTIES…

• promoting and supporting the involvement of people promoting and supporting the involvement of people in the commissioning, provision and scrutiny of local in the commissioning, provision and scrutiny of local health and social care services;health and social care services;

• obtaining the views of people about their needs for, obtaining the views of people about their needs for, and experiences of, local care services and making and experiences of, local care services and making these views known to those responsible for these views known to those responsible for commissioning, providing, managing or scrutinising commissioning, providing, managing or scrutinising those services;those services;

• making reports and recommendations about how making reports and recommendations about how local care services could be improved, to those local care services could be improved, to those responsible for commissioning, providing, managing responsible for commissioning, providing, managing or scrutinising those services.or scrutinising those services.

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

…POWERS

• enter specified types of premises and view the enter specified types of premises and view the services provided as well as collecting the views and services provided as well as collecting the views and experiences of recipients of services;experiences of recipients of services;

• request information and receive a response within a request information and receive a response within a specified timescale;specified timescale;

• make reports and recommendations and receive a make reports and recommendations and receive a response within a specified timescale; and,response within a specified timescale; and,

• refer matters to the relevant Overview and Scrutiny refer matters to the relevant Overview and Scrutiny Committee (OSC) and receive a response.Committee (OSC) and receive a response.

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

LINks REGULATIONS, 1 APRIL 2008• Temporary duty on LAs to make Temporary duty on LAs to make

arrangements for LINks’ activities to be arrangements for LINks’ activities to be undertaken.undertaken.

• Entering and viewing of premises only by Entering and viewing of premises only by authorised representatives.authorised representatives.

• LINks must have and publish required LINks must have and publish required procedures.procedures.

• LINks must publish their decisions.LINks must publish their decisions.• Service Providers and OSCs must respond to Service Providers and OSCs must respond to

reports and recommendations within 20 reports and recommendations within 20 working days.working days.

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Partnership

• Southend Borough Council and Essex County Southend Borough Council and Essex County Council have worked together in partnership to Council have worked together in partnership to establish LINks (originally partnership included establish LINks (originally partnership included Thurrock Borough Council)Thurrock Borough Council)• 2 processes 2 processes – – Public engagement / consultation on key issuesPublic engagement / consultation on key issues - Procurement of a Host organisation- Procurement of a Host organisation• Essex have taken the lead on wider consultation, Essex have taken the lead on wider consultation, Southend has led on the procurement of the Host Southend has led on the procurement of the Host

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Consultation on key issues

• Consultation between October 2007 and 6Consultation between October 2007 and 6thth DecemberDecember• Established views of stakeholders in order Established views of stakeholders in order

to determine the tender specificationto determine the tender specification - - How many Host organisations should there be How many Host organisations should there be

(i.e. one (i.e. one or one per authority)?or one per authority)? - How many LINks should there be; one or five?- How many LINks should there be; one or five?

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Outcome of consultation

• 56 responses received from questionnaire56 responses received from questionnaire• 75 attendees at 7 evening consultation events75 attendees at 7 evening consultation events• Predominant view 1 Host, 5 LINks modelPredominant view 1 Host, 5 LINks model• Comments informed the tender specification Comments informed the tender specification • Mixed views from Thurrock – Thurrock withdrew Mixed views from Thurrock – Thurrock withdrew from partnership to go out to tender on their own.from partnership to go out to tender on their own.

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Procurement of the Host

• Procurement process started at the same time as Procurement process started at the same time as consultation consultation

• Results of consultation received and approved by Results of consultation received and approved by members before the tenders were sentmembers before the tenders were sent

• Essex CC and Southend BC jointly tendering for a single Essex CC and Southend BC jointly tendering for a single Host organisationHost organisation

• Key stakeholders informed the specificationKey stakeholders informed the specification• Funding:- Funding:- - - Essex County Council - £480,000Essex County Council - £480,000 - Southend Borough Council - £123,000- Southend Borough Council - £123,000

– £10,000 towards set up costs £10,000 towards set up costs • Procurement processProcurement process

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Procurement Process

• Established an evaluation panelEstablished an evaluation panel– PPI Forum Chairs, Older People Interest, Mental

Health Interest, Officers from Essex County Council and Southend Borough Council.

– PCT areas covered – West, South East, Mid Essex, North East, South West (excluding Thurrock)

• Agreed Evaluation criteriaAgreed Evaluation criteria• Received 2 final bids (originally 4 at PQQ)Received 2 final bids (originally 4 at PQQ)• Bids assessedBids assessed• Final decision made – 3 year contract awarded 1Final decision made – 3 year contract awarded 1stst May May

2008 to CEMVO (Council for Ethnic Minority and 2008 to CEMVO (Council for Ethnic Minority and Voluntary Sector Organisations) Voluntary Sector Organisations)

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Stakeholders

• Stakeholder event 1Stakeholder event 1stst March 2008 March 2008• Approx 90 attendees Approx 90 attendees - representatives from Healthcare Commission, Local Authority, various - representatives from Healthcare Commission, Local Authority, various PPI forums, Voluntary & not for Profit Sector, Essex Fire & Rescue ServicePPI forums, Voluntary & not for Profit Sector, Essex Fire & Rescue Service

• Obtained list of interested people to form an initial Obtained list of interested people to form an initial steering group and working partiessteering group and working parties• Dates set for meetings of working groups and Dates set for meetings of working groups and steering groupsteering group• Start to develop framework documents to assist Start to develop framework documents to assist formation of the LINkformation of the LINk

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

LINks AND SCRUTINY• DoH recommends that OSCs review the Authority’s DoH recommends that OSCs review the Authority’s

expenditure on the LINk and the value received.expenditure on the LINk and the value received.• LINk will be able to refer matters to the relevant health or LINk will be able to refer matters to the relevant health or

social care OSC, which will be obliged to consider and social care OSC, which will be obliged to consider and decide how to respond.decide how to respond.

• Similarly OSCs will be able to refer to the LINk for views, Similarly OSCs will be able to refer to the LINk for views, etc.etc.

• Both the LINk and OSCs will be involved in Local Both the LINk and OSCs will be involved in Local Authority and NHS consultation exercises.Authority and NHS consultation exercises.

• Potential for overlap (but also cohesion!) in putting Potential for overlap (but also cohesion!) in putting together work programmes and local public engagement together work programmes and local public engagement exercises.exercises.

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

CHALLENGES FOR LOCAL LINk AND SCRUTINY

• Developing a protocol for referrals by the LINk to Scrutiny.Developing a protocol for referrals by the LINk to Scrutiny.• Ensuring that the LINk relates appropriately to Scrutiny, Ensuring that the LINk relates appropriately to Scrutiny,

Executive and Commissioners.Executive and Commissioners.• Developing efficient means of sharing information etc.Developing efficient means of sharing information etc.• How to ensure that overlap is avoided and cohesion How to ensure that overlap is avoided and cohesion

promoted in proposed review of services?promoted in proposed review of services?• Developing shared understanding if respective roles in Developing shared understanding if respective roles in

formal local health and social care consultation exercises.formal local health and social care consultation exercises.• Is there any merit in the LINk having a co-opted seat at Is there any merit in the LINk having a co-opted seat at

OSCs, and vice-versa?OSCs, and vice-versa?

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

KEY QUESTIONS

• How does the committee need to How does the committee need to adjust its ways of working to relate adjust its ways of working to relate effectively to the LINk?effectively to the LINk?

• How will the committee deal with How will the committee deal with formal referrals to/from the LINk and formal referrals to/from the LINk and what processes need to be put in what processes need to be put in place?place?

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Next Steps

• The Essex and Southend LINk held its inaugural The Essex and Southend LINk held its inaugural public meeting at Chelmsford City FC on Saturday public meeting at Chelmsford City FC on Saturday 28th June.  28th June. 

• AgreedAgreed– a governing document, policies and procedures for the LINk– the location of offices for CEMVO - the LINk Host organisation

• The option chosen made more money available for LINk development and outreach work.

• CEMVO is now working with LINk participants to CEMVO is now working with LINk participants to implement the structure for the LINk described in the implement the structure for the LINk described in the chosen governing document, recruiting staff and chosen governing document, recruiting staff and aiming at widening participation so that the LINk is aiming at widening participation so that the LINk is able to deliver its important role in improving health able to deliver its important role in improving health and social care provision for the people of Southend and social care provision for the people of Southend on Sea and Essex.on Sea and Essex.

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Safe – clean – healthy - prosperous – excellent – Creating a better Southend

Contact Details for the Host

CEMVO CEMVO

BOARDMAN HOUSEBOARDMAN HOUSE64 BROADWAY64 BROADWAYSTRATFORDSTRATFORD

LONDON E15 1NGLONDON E15 1NG Ian Flack, Interim Project Consultant, Tel 020 8432 0015 Ian Flack, Interim Project Consultant, Tel 020 8432 0015

Ian.Flack@cemvo.org.ukIan.Flack@cemvo.org.uk

Anne Villegas, Interim Project Manager, Tel 0208 8432 0000 Anne Villegas, Interim Project Manager, Tel 0208 8432 0000 Anne.Villegas@cemvo.org.ukAnne.Villegas@cemvo.org.uk