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London patient voice july 2014

London Patient Voice (LPV) was established as an independent group to scrutinize NHS England's engagement activities in London. LPV will assess NHS England's annual participation report, gather experiences from public involvement, and publish recommendations to improve engagement. LPV membership was designed to represent London's diversity through open recruitment. LPV will operate separately from NHS England but collect evidence from existing public involvement structures to evaluate impact on decisions.

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INDEPENDENT SCRUNITY (LONDON PATIENT VOICE) Paula Lloyd knight Head of Patient and Public Voice NHS England (London Region) Scrutiny Paula Lloyd Knight June v4
Setting the scene On 2nd December 2013, over 50 people, committed to improving patient participation in London gathered to share their insight and recommendations for how NHS England (London Region) commissioners can be held to account for their engagement activities. The co-production day was organised to gain insight into how the population of London might hold NHS England (London Region) to account for its engagement activity and outcomes.
Strong governance Working at pace…without leaving anyone behind 3. OUTCOMES Describe what we want the Assembly to achieve in the future 2. DOING & BEING What will the Assembly members be doing – what activities and work, what will they be thinking, how will they be behaving? 1. HOW WILL IT FEEL? Use words and pictures to express how we want it to feel to be a member of the Assembly in the future 4. VALUES 4. VALUES COLLABORATION EMPATHY COMPASSION PERSON CENTERED TRUST MUTUAL RESPECT OPEN COMMUNICATION HONESTY TRANSPARENT No fudge, thereare clear objectives Everyone’sviews are respected Listened to Given enoughtimeto be heard No language barriers Aleap into the unknown….but feel supported Barriers toovercomeare part ofthe “challenge” Part ofa team/ partnership Understandhow everything is interlinked Working towards acommon goal – for the commongood Rewarding Working withthepublicas people….not justaspatients Thinking out ofthebox, being creative Dynamic Feeling in touch Positiveuseoftime “You have soughtmeout,given meenoughtime, listened to me, helpedme to participate” Successfully juggling the many topics, issuesand needs Light, relaxed, comfortable, holistic environment In control Energised Differences areaccepted Travelling together on a journey BELIEF Endless possibilities energy Key values areknown, lived, built in Learn from others –local, national,international Active Engaged Resilientand effective advocates Acriticalfriend: reading, listening,questioning, challenging Making decisionsand agreeing Accountable Not leaving things to chance Visionary Actively listening In meetings:useful contributions, constructive, productive Outside meetings: Collecting and absorbing opinionsand events; onlinesharing and collaboration Working effectively with commissioners Unbiased focus – representing everyone fairly Growing together Accept whenthings go wrong Adaptable –leaving old attitudes/processesbehind Open to others knowledge, opinions, ideas Questing Bridging the gap Magic when itworks Totally inclusiveand representative Good communicators and ambassadors – feeding back to Londoners Shifting attitudesSetting thestandards/role modelling participation Safeguarding quality/addressing inequality Fulfil promiseto holdcommissionerstoaccount An entity which truly representsthepopulation ofLondon Better healthoutcomes asresultofcommissionersheld to accountfor PPI Signposting Everyone isequal Everyone’sopinion isvalued Empowered
Outcome of co production day Develop - A stand alone patient and public scrutiny function to hold the Region to account for how it meets its statutory participation obligations Group to be called ‘London Patient Voice’ Scrutiny Paula Lloyd Knight June v4
Progress towards developing LPV • Sept 2013- NHSE (LR) Transformation Group agreed to setting up public arms length scrutiny Group • Dec 2013 – Successful co production day held with 50 people agreed framework and concept • Jan 2014 – Task & finish group developed operating framework • May 2014 – procurement process for independent provider and support for LPV • June 2014- Centre for Public Scrutiny appointed • July 2014 – Recruitment commenced Scrutiny Paula Lloyd Knight June v4
OUTCOME METHOD PRODUCTS Public Scrutiny of Participation in the 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 Region) to account against the two participation duties across its direct commissioning function 1. Annual independent evaluation of NHSE (London Region) participation report 2. Independent assessment of the impact and experience London citizens have had on NHSE (London Regions) commissioning activities 3. Public report making recommendations for improvement
London Patient Voice London Patient Voice independently appointed citizen scrutiny group Assesses annual participation & engagement report from London Region Gathers experiences of public involved in the regions commissoning activities Publishes Independent report and makes recommendations for improvement Independent scrutiny of NHS England (London Region) participation and engagement activities
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 • Collect evidence from NHSE (London Region) patients & groups Involved in direct commissioning activities and Boards to support validation of NHSEL report Scrutiny Paula Lloyd Knight June v4
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
NHSE (London Region) PPI activities – Providing evidence of impact of involvement NHSE (London Region ) Public & Patient Involvement structures are not part LPV but LPV will collect evidence from those involved in NHSE (London Region) engagement activities to explore their experience & impact on the decision making process. LPV members will collect the experiences/evidence from: • Existing NHSE (LR) patient/ user groups who are active participants in the commissioning process • Groups who provide expert user experience / knowledge to NHSE (LR) Scrutiny Paula Lloyd Knight June v4
NHSE (London Region) Patient & Public Involvement arrangements in Direct Commissioning Activities LPV to assess PPI experiences Patient & Public Procurement Group Health & Justice Stakeholder Sub committee Cancer Screening programme Board 3 sub committees Primary Care Transformation Patient Board Specialised Commissioning (Monitoring ) TBC Cancer User Involvement Group Youth Health Network London Immunisation Board Strategic Clinical Network reference groups
LPV Relationship with NHSE (London Region) • 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
NHSE (London Region) Governance arrangements for acting on LPV report & recommendations 1. Report received by the Patient Experience & Patient & Public Involvement Clinical Governance Sub Group – to develop and agree an action plan 2. Action plan presented to the Clinical Governance Group for approval and in-year monitoring 3. Formal response from The London Region MD to LPV on how it plans to meet its recommendations
Creating and developing London Patients Voice Su Turner Head of Programmes Centre for Public Scrutiny
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
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
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
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
Thank you Any questions?
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