Agenda item called “NHS, HealthWatch and LINk developments. Relationship to the VCS Assembly and partnerships”
This presentation will concentrate on Local HealthWatch so that you can explore what it might mean to the voluntary and community organisations and its relationship with local communities. This presentation is not about the wider changes in the NHS. There is a link at the end of this presentation to a special edition of “The Month” which summarises the current position. We also have copies of the LINK Annual General Meeting report.
Wider determinants of health, and quality of life
Quick reminder of the current context
Department of Health policy : “nothing about me without me”
HealthWatch is about health and social care It is about both a collective and an individual consumer voice.
Local HealthWatch is very different to Local Involvement Networks. What will stay the same ? LAs will have a duty to deliver LHW - Collecting views about care services - Giving views to commissioners, providers and Care Quality Commission
Local HealthWatch will have 3 main functions: Influencing Signposting Advisory 2&3 are for individuals
This illustrates the complexity of the relationships – which are various and two way Community Groups & Vol Orgs highlighted for the purposes of this presentation. The DH Transition Plan describes the relationship between Local HealthWatch and HealthWatch England which will be an independent arm of the Care Quality Commission.
Gloucestershire has been making good progress on these key changes – purple boxes Since HealthWatch will provide the local voice to these strategic bodies, Gloucestershire County Council invited the LINk and its host to prepare a joint application to be the Department of Health a Local HealthWatch Pathfinder Also: -Arrangements for information, advice and advocacy will be looked as part of enabling the new Local HealthWatch to operate. Consultation on the advocacy strategy for adult social care is open until 16/711 (http://www.gloucestershire.gov.uk/index.cfm?articleid=16497)
There is a lot to do in preparing for the LINks transition to Local HealthWatch. The DH has indicated that it will let us know by the end of July whether our application has been successful
The Influencing Role – relates to communities Local HealthWatch will contribute the local voice to the Joint Strategic Needs Assessment and then through its role on the Health and Wellbeing Board to the development of strategic and commissioning plans. Hence why voluntary and community based member groups have such an important role to play.
Or another way of looking at it is as a system The aim of the pathfinder is to look at how to build a strong relationship beween the VCS, Local HealthWatch and the Health and Wellbeing Board. The focus is on the VCS because it is close to the communities it serves and is well placed to hear the voices of these communities. We want to build a communications pathways and relationships protocol to enable Local HealthWatch to play its influencing role in the Local Health and WellBeing Board If it is successful, voluntary & community groups will know and understand how they can contribute to the role of HealthWatch as a consumer champion This will enable them to play their role in addressing the health inequalities in the county. Local HealthWatch will give a voice to local communities, via the VCS in the Board and its strategies. It is not about giving the VCS voice as providers of services.
LINk listens and learns from the experiences of individuals to improve the collective experience of many. This example is about the experience of people discharged from the County’s acute hospitals.
If you would like to discuss this further please do contact me, Alternatively if you would like to either discuss this with the LINk, or perhaps join then please contact Barbara Marshall, Chair 2 links for background docs. Thank you for listening, I’d like to open this up to discussion..
What are the challenges and opportunities this presents ? Gloucestershire County Council would also like to invite the VCS to participate in these changes The County Council is in the process of preparing a plan to commission Local HealthWatch and invites voluntary and community organisations to contribute views and influence the design of this project, and hopefully join.
Local Health Watch presentation to the vcs assembly 110711
VCS Assembly Board: 11/7/11 Transition from Local Involvement Networks to Local HealthWatch Fiona Jones, Gloucestershire County Council Bren McInerney, Gloucestershire Local Involvement Network (LINk)
Aims today: <ul><li>Recap on the current context </li></ul><ul><li>Provide an overview on the introduction of the Health & Social Care Bill and “Local HealthWatch” </li></ul><ul><li>Give a rough idea of the likely timeline for these changes </li></ul><ul><li>Have a strategic discussion to explore the opportunities and challenges that Local HealthWatch poses to the sector and its role in hearing community voices </li></ul>
The Wider Picture: Involvement Health Social Care Housing, employment Leisure, deprivation Transport, Roads lights, Safety
Context: <ul><li>Demand for services is growing – significant increase in numbers of older and disabled people </li></ul><ul><li>Expectations of people who need care are changing </li></ul><ul><li>Services will be made more personalised, more preventative, more focused on delivering best outcomes </li></ul><ul><li>Pressures on funding increasing </li></ul><ul><li>A move of emphasis from the state to people and communities </li></ul><ul><li>Building open, capable and confident communities </li></ul>
Health and Social Care Bill – consumer voice <ul><li>“ The Government’s health and social care reforms are centred around the fundamental principle that patients and the public must be at the heart of everything our health and care services do. </li></ul><ul><li>This will only happen if there are mechanisms in place to involve and engage people in every aspect of how services are planned, commissioned, delivered and monitored. </li></ul><ul><li>In practice, this means ensuring that the consumer voice is integrated in the way things are done, not an add-on, an optional extra or isolated outside decision-making and planning – but a genuine shift to putting people’s views and experiences at their heart” </li></ul><ul><li>DH HealthWatch Transition Plan (March 2011) </li></ul>
HealthWatch <ul><li>“ Healthwatch will give communities a bigger say in how health and social care services are planned, commissioned, delivered and monitored to meet the health and social wellbeing needs of local people and groups, and address health inequalities. It will strengthen the voice of people and groups, helping them challenge poor quality services” </li></ul><ul><li>DH Healthwatch Transition Plan (March 2011) </li></ul>
Vision for Local HealthWatch <ul><li>Independent consumer champion, locally and nationally </li></ul><ul><li>Influencing policy, planning, commissioning and the delivery of health and social care services </li></ul><ul><li>Signposting information and advice to help individuals make choices, access services and be heard (independent NHS complaints advocacy) </li></ul><ul><li>Representative of diverse communities, including carers </li></ul>
<ul><li>It will have a seat on the Local Health and Wellbeing Board </li></ul><ul><li>As well as understanding and presenting community views, it will help individuals get better services </li></ul><ul><li>Views and experiences will count locally and be used nationally by the Secretary of State, Monitor, NHS Commissioning Board and the Care Quality Commission </li></ul><ul><li>It will be a statutory organisation commissioned by the local authority </li></ul><ul><li>It will be able to employ its own staff and pay volunteers for specific pieces of work </li></ul>Transition from LINks to Local HealthWatch – what’s different ?
From LINks to Local HealthWatch – continuing LINk functions and acquiring new functions LOCAL HEALTHWATCH ‘ local consumer voice for health and social care’ Influencing Help shape the planning of health and social care services signposting Help people access and make choices about care advisory Advocacy for individuals making complaints about healthcare Strong LOCAL consumer voice on views and experiences to influence better health and social care outcomes Respected, authoritative, influential, credible and very visible within the community from 2013/14 seat on the health and Wellbeing board Joint Strategic Needs Assessment and Joint Health and Wellbeing Strategy scrutinising quality of service provision informing the commissioning decision-making process empowering people - helping people understand choice providing local, evidence based information representing the collective voice
Local Authority commissioning timeline: <ul><li>Services to start in October 2012: </li></ul><ul><ul><li>Influencing </li></ul></ul><ul><ul><li>Signposting to information & advice </li></ul></ul><ul><li>Service to start in April 2013: </li></ul><ul><ul><li>Advocacy for NHS Complaints </li></ul></ul><ul><li>Caveat: </li></ul><ul><li>timescales depends on the progress of the bill </li></ul>
Strengthening the collective voice of patients and the public ‘ Local champion voice’ Local HealthWatch Community groups, Voluntary organisations ‘ National champion voice’ Monitor Carers health and well being board Local authority HealthWatch England The public and patient voice - their views and experiences - influencing better health and social care outcomes Older people Working age individuals Mental health Disability groups … others BME groups OSC / scrutiny function NHS Commissioning Board DH – Secretary of State CQC GP consortia Providers Ombudsman Arrangements will ensure sharing of information to involve, consult and protect the public advisory influencing continuous dialogue
Local Context - Gloucestershire <ul><li>Is a Local Health and Wellbeing Board Early Implementer </li></ul><ul><li>Is a GP Consortia Pathfinder </li></ul><ul><li>Has applied to the Dept of Health to be a Local HealthWatch Pathfinder </li></ul>
Pathfinder Project <ul><li>Aim: </li></ul><ul><li>Build a communications pathways and relationships protocol to enable Local HealthWatch to play its influencing role in the Local Health and WellBeing Board </li></ul><ul><li>Outcome: </li></ul><ul><li>Local HealthWatch is able to play its influencing role </li></ul><ul><li>AND : voluntary & community groups know and understand how they can contribute to the role of HealthWatch as a consumer champion </li></ul>
Influencing commissioning JSNA Health and Wellbeing Strategic Plans Commissioning Plans: (LA, NHS and Joint) Local HealthWatch
A review of Hospital Discharge <ul><li>Why : concerns expressed by local people/VCS organisations on discharge from Cheltenham General and Gloucester Royal Hospitals </li></ul><ul><li>How we did this : Through setting up a LINk Task Group, which included individuals and VCS organisation membership, i.e. Age UK (Gloucestershire) , Gloucestershire Older Peoples Association and Carers Gloucestershire </li></ul><ul><li>What we found : there were issues in communication and information in all parts of the pathway </li></ul><ul><li>What has changed : our recommendations are now incorporated into the Hospital Trust’s revised discharge policy and are in the monitoring contract at NHS Gloucestershire </li></ul>
<ul><li>Contact details: </li></ul><ul><li>[email_address] </li></ul><ul><li>[email_address] </li></ul><ul><li>Useful documents from the Department of Health: </li></ul><ul><ul><li>HealthWatch Transition Plan http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_126325.pdf </li></ul></ul><ul><ul><li>NHS “The Month” Special Edition http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_127736.pdf </li></ul></ul>
For discussion: <ul><li>What are your thoughts on the challenges and opportunities that Local HealthWatch presents to the VCS Assembly/VCS sector ? </li></ul><ul><li>How can we strengthen the opportunity for community voices to be heard and understood? </li></ul><ul><li>What could be the next steps for VCS engagement with these changes and the pathfinder project ? </li></ul>