Vhs presentation scottish transitions forum - 1 nov 13 - v2


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A presentation exploring the engagement matrix and how Health boards can engage with the third sector using this a tool. There is also mention of Third Sector Leads in Scotland

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  • Three key areas of work currently:
    Health and social care integration
    Tackling health inequalities
    Improving engagement between health boards and the third sector
  • In the government’s language:
    “The quality strategy provides the context for the Scottish Government/ NHS Scotland’s approach to realising the 2020 vision. “
  • Quality Strategy recognition of the role of the third sector and need to embed sector as partner
    Christie Commission recognition of third sector’s crucial role in supporting a fair and equal society 
    Ministers’ ambition is for third sector to be at the heart of the public sector reform agenda, helping influence and shape it
    ‘Why involve the third sector in health and social care delivery?’ evidence paper to the Scottish Government, December 2011.
    Barriers identified by the QAB/Scottish Government:
    Diversity of third sector – can appear fragmented & uncoordinated from outside
    Short term funding vulnerable to withdrawal
    Policy, planning and consultative interface between TS & health boards is underdeveloped
    Service interface between TSOs and health services is variable
    Lack of robust evidence on impact of TS on health outcomes & need to give greater value to qualitative outcomes
  • Third sector leads, who are they? E.g.
    Head of planning and health improvement, CHCP
    Public Involvement Manager
    Executive Nurse Director
    Service Planning Manager
  • Developed and co-produced by Action Group (comprising VHS (chairing), CHEX, SCVO, CFHS, the Alliance, NHS Health Scotland, NHS GG&C East Dunbartonshire CHCP) and the Leads Network – developing joint ownership of the tool
    Launched at SCVO’s The Gathering February 2013 – Derek Feeley (and promoted at NHS Scotland, The Event, June 2013)
    Endorsed by the Quality Alliance Board - February 2013
    Scottish Government ‘task and ask’ issused to health board CEOs - May 2013 (Ministers keen to know ‘what is working well’)
    Boards’ completed Matrices/material returned to the SG by end August 2013
  • Enables the parties to discuss, identify, record and review levels of engagement between health and third sector :
    Against a number of key functional areas:
    Policy and strategy development
    Planning and commissioning
    Service delivery
    Capacity building
    Learning Exchange
  • e.g.
    If the third sector is involved in the development of local commissioning plans, including helping to develop priorities, you might record this as evidence of collaboration, Level 4.
    Whereas if the health board only provides information to the third sector once plans are completed, this might be better recorded as Level 1, informing.
  • Completing the Scottish Government’s Task and Ask in the Scottish Borders
    NHS Borders engagement event for 50+ participants across third sector, August 2013, Melrose. NHS and local authority participants also. The first engagement event in Borders focused specifically on how the third sector and health engage and work together. Participants completed larger than life Matrices throughout the day.
    Photo: Steven Bermingham, NHS Borders Matrix Champion and Public Involvement Manager
  • Other examples of how health boards approached the ‘Task and Ask’ over Summer 2013:
    Ayrshire and Arran
    Took a community health and care partnership approach – organised three engagement events for each CHCP area, in partnership with the three Third Sector Interfaces – who drew in a large number of organisations from across the voluntary health sector, many of them smaller providers.
    What did the Matrix exercise reveal?
    What was working well – e.g. strong evidence that third sector is a key partner in shaping and providing care as part of RCOP.
    What else might be done: a joint conference is planned on health and social care integration for the South Ayrshire CHCP area.
    Third sector already very integrated as part of community planning, so Voluntary Action Orkney and NHS Orkney did a ‘whole system check’ on engagement between health and third sector to refresh and review their understanding/picture.
    Highlighted what working well – e.g. ASSIST – health’s partnership with the third sector in the suicide prevention strategy
    Identified gaps that they hadn’t been as aware of – e.g. some service gaps in outlying islands
    Committed to developing an action plan to look jointly at the gaps and how they might be addressed.
    NHS 24:
    NHS 24 completed the Matrix exercise jointly with Stonewall Scotland, looking at their Breathing Space and wider partnership centred on helping NHS 24 meet its equality goals.
  • Early signs are that the Matrix is mobilising people, enabling a shared focus, engendering dialogue etc. (The Show and Shine workshop for the Leads Network in September 2013).
    We will know more once the SG has synthesised the material gathered in from health boards and drawn up its report.
    Meantime, VHS is showcasing the engagement work of NHS Greater Glasgow and Clyde and NHS Ayrshire and Arran at its forthcoming Symposium on 28th November in Edinburgh.
  • Aileen McLeod MSP, Parliamentary Liaison Officer to the Cabinet Secretary for Health – see her opinion piece in Third Force News last week, highlighting the important role of the third sector and flagging the Engagement Matrix. Headline was ‘Third Sector no third wheel in health and care integration’.
    Cartoon courtesy of Derek Feeley – his speech launching the Engagement Matrix at the SCVO Gathering in February 2013 (NB he also had a cartoon that said: ‘Do one brave thing then run like hell!’ – again, to illustrate his point that we can’t go on doing things the same as before, transformational change is necessary).
  • Vhs presentation scottish transitions forum - 1 nov 13 - v2

    1. 1. Claire Stevens, Chief Officer The Engagement Matrix Scottish Transitions Forum 1st November 2013
    2. 2. Voluntary Health Scotland • National intermediary for a network of voluntary health organisations & workers • Promoting & mobilising the sector’s role in transforming services and impacting on health & wellbeing • Gateway between policy makers and the third sector • Platform for voluntary organisations to be heard and influence
    3. 3. The 2020 Vision By 2020 everyone is able to live longer, healthier lives at home or in homely setting. A healthcare system with: •integrated health & social care •a focus on prevention, anticipation & supported self management •Day treatment the norm, if can’t be provided in community •Highest standards of quality & safety, with person at centre of all decisions •Focus on getting people back home asap, with minimal readmission risk
    4. 4. Healthcare Quality Strategy Three quality ambitions: •Partnership •Avoiding harm or injury •Appropriate support at right time Six dimensions of healthcare quality: •Person-centred •Safe •Effective •Equitable •Timely
    5. 5. Why involve the third sector? • • • • Better outcomes for people & communities Information, advocacy & support Services that engage, empower & enable people Partnership approach is key to Quality Strategy Quality Alliance Board – reviewed involvement, identified barriers & agreed need to: • Sustain & enhance health/third sector engagement • Tackle variation across Scotland
    6. 6. Improving Engagement • Three action groups: – Improve understanding through online resource – Develop use of community benefit clauses – Improve engagement between key people in boards & third sector • Lead officers in each health board identified • Leads Network
    7. 7. The Engagement Matrix • Tool – comprises template & guidance • For health boards & third sector partners to complete together • Designed to: – Map existing engagement – Identity gaps – Agree next steps
    8. 8. The Template
    9. 9. Examples of evidence
    10. 10. Show, tell & next steps • Mobilising people to get together & focus on the positive • Enabling a shared focus & activity in its completion • Acting as a catalyst for dialogue, relationship building, partnership working • Scottish Government will report to NHS CEOs this month
    11. 11. Third sector no third wheel!
    12. 12. More information Download the Matrix: http://www.vhscotland.org.uk/engagement-matrix/ @VHScomms claire.stevens@vhscotland.org.uk 0131 474 6189