1. INDEPENDENT SCRUNITY
(LONDON PATIENT VOICE)
Paula Lloyd knight
Head of Patient and Public Voice
NHS England London Region
Scrutiny Paula Lloyd Knight June v4

2. NHSEL MEETING THE
PARTICIPATION CHALLENGE
To meet its statutory obligations NHSEL
proposes to develop:
A stand alone patient and public scrutiny
function to hold the region to account for how
it meets its statutory participation obligations
Scrutiny Paula Lloyd Knight June v4

3. SCRUTINY PROGRESS TO DATE
• Sept 2013- Transformation group agreed
approach to setting up public arms length
scrutiny
• Dec 2013 – Successful co design day held with 50
people agreed framework and concept
• Jan 2014 – Task & finish group developing
operating framework
• May 2014 – procurement process for provider
• June 2014- Appointed Centre for Public Scrutiny
Scrutiny Paula Lloyd Knight June v4

4. OUTCOME
METHOD
PRODUCTS
Public Scrutiny of Participation London Region
Scrutiny Paula Lloyd Knight June v4
Patients and the public have independently evaluated NHSEL’s
engagement against the two participation duties and made
recommendations for improvements.
Community Asset based Approach
Create London Patient Voice as a stand alone group which holds NHSE
London to account against the two participation duties across its direct
commissioning function
1. Annual independent evaluation of NHSEL participation report
2. Independent assessment of the impact and experience London
citizens have had on NHSE commissioning activities
3. Annual recommendations for improvement

5. EXTERNAL SCRUNITY (London Patient Voice)
Scrutiny Paula Lloyd Knight June v4
LAY MEMBERS
SENATE
SCN PATIENTS FROM
SCRG
PATIENT REFERENCE
GROUPS FROM ACROSS
DIRECT
COMMISSONING
FUNCTION
INDPENDENT PARTICIPATION
SCRUNITY
ENABLERS
LONDON PATIENT VOICE
Independent patient /pubic
scrutiny against the two
participation standards
•Assess NHSEL annual report
• produce independent
report & recommendations
for improvements
•Collect evidence from
existing NHSEL patient
groups on their experience
of involvement
Call for evidence
REVIEW EVIDENCE
Provide report on their
experience of involvement
Provide evidence on the
impact they have in CRG
Provide evidence on impact within
the senate
Call for evidence
Call for evidence

6. Role of London Patient Voice
• Assess NHSELRs annual participation and engagement
in commissioning report
• Prepare & publish an independent evaluation of
NHSELR participation and engagement report making
recommendations
• Evaluate domain 2 of the direct commissioning
framework against the HSCA participation duties and
give recommendations for improvement
• Collect evidence from NHSEL patient reference groups
across the direct commissioning function to support
validation of NHSEL report
• Define what good looks like
Scrutiny Paula Lloyd Knight June v4

7. Membership London Patient Voice
• Independent Chair (open recruitment)
• 11 members (open recruitment)
(Membership to be representative of London's
diversity – at application process)
Scrutiny Paula Lloyd Knight June v4

8. Patient reference group relationship with LPV
Reference groups are not part of LPV but are part of
NHSEL P&E structures and will have a working
relationship with LPV ( members will not be able to
be part of both)
• Existing NHSEL patient/ user groups who are
active participants in the commissioning process
• Provide expert user experience / knowledge to
NHSEL
• Each group will prepare a report to the LPV on
their experience of involvement and the impact
they believe they have made, this will form part
of the annual call for evidence
Scrutiny Paula Lloyd Knight June v4

9. Relationship with NHSEL
• LPV will be a stand alone arms length group
• NHSEL should have clear arrangements for
how it manages the LPV recommendations
• NHSEL SMT may be asked to give evidence to
support the annual report and
recommendations
Scrutiny Paula Lloyd Knight June v4

10. Creating and developing London Patients
Voice
Su Turner
Head of Programmes
Centre for Public Scrutiny

11. Who are CfPS?
Founded in 2003 to:
• promote accountable public services
• influence policy and practice
Now a charity, we are a national leader in ideas about
accountability and scrutiny in public services:
• on-line (library, exchange, bulletins and news, blog, twitter)
• training and improvement support services
• publications and events

12. what is scrutiny?
Fundamentally, we believe that:
scrutiny is based on the principle that
someone who makes a decision…
…shouldn’t be the only one to review or
challenge it

13. what is good scrutiny?
CfPS “four principles” of good scrutiny:
• Provides ‘critical friend’ challenge to executive policy-
makers and decision-makers
• Enables the voice and concerns of the public and its
communities
• Is carried out by ‘independent minded governors’ who
lead and own the scrutiny process
• Drives improvement in public services

14. Creating London Patient Voice -
Recruiting and developing its members
• Recruitment – by end of July
• 3 training and development sessions in August covering:
• Getting to know each other, NHS England and the
London Area Team.
• Independent scrutiny, questioning and listening skills.
• Working with others and work programming.
• Coaching and support – particularly for the Chair
• Support for panel members at meetings

15. Thank you
Any questions?

16. To find out more
www.cfps.org.uk - register on-line or sign up for:
- e-newsletters, e-digests & scrutiny exchange
- reviews library, on-line forum, latest news
- new Policy and Skills Briefings
Twitter: @CfPScrutiny
info@cfps.org.uk or 020 7187 7362 for helpdesk