Transcript Developing Local HealthWatch in Kirklees

Developing Local HealthWatch
Trudi Wright, HealthWatch Project Manager
Proposed functions
 Independent consumer champion
 Act as a point of contact for individuals,
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community groups and voluntary organisations
to ensure engagement
Advocacy and complaints function
Signposting, information function to support
patient choice
Core member of HWB
Influencing role on the health and social
care economy
So, what’s new? How is it different
from the Local Involvement Networks
Move from influence to decision making – collation
of views and experiences and bring to the Health and
Wellbeing Boards, to influence decision making
Views and experiences to be used nationally- as well
as locally
Holding providers to account- report on services and
make recommendations
Signposting- information on accessing health and
social care services and promoting choice.
Escalation to HWE- where appropriate
What else is new?
 Complaints advocacy (from April 2013) – may be
commissioned from LHW
 Corporate body- can employ own staff;
 Subject to public sector duties (e.g. Equalities Act
2010, Freedom of Information Act 2000)
Local Authorities will….
 Be responsible for funding LHW (not ring fenced!)
 Commission a LHW organisation
 Be responsible for ensuring accountability and value
for money of LHW
Strengthening the collective voice of
patients and the public
HealthWatch - What will it do and how
can the VCS contribute or get involved?
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Obtaining views and experiences of patients &
public
Use existing information
Use a wide range of techniques
Robust mechanism for collating information
Training for volunteers/community members
Proactively seek out those who don’t normally
come forward
2. Making peoples views known
 Systematic reporting processes
 Look for trends
 Publish accessible & well evidenced reports – which
will help/support liaison with local commissioners
and providers
 Use existing arrangements- LHW can’t do
everything!
3. Promote & support involvement of
people in scrutiny, commissioning and
provision of services
 High profile and visible presence
 Establish credibility and reputation
 Collaboration with existing networks
 Ensure members/volunteers understand all parts of the
health and social care system
 Robust links/collaboration with other fora/networks,
e.g. patient panels, neighbourhood associations, faith
groups etc
 Training for members/volunteers on e.g. enter and view,
interviewing, equality and diversity, safeguarding, etc
4. Recommending investigation or
special review via HWE or CQC
 HWE and LHW’s will need to establish effective
information flows, and agreed processes based on
good governance.
 Need for more clarity on how information from
complaints (& PCT PALS) can be used effectively
5. Provide advice and information
about choice/access to services
 Know the local community - what exists already
 Awareness of local services
 “High Street presence”
 Identification of what isn’t available so gaps can be
filled
 Trained advisors, good IT support & accessible
information
 Robust methods of evaluation & defined success
criteria
6. Make views and experiences of people
known to HWE, & provide steer to HWE in
role as national champion
 Need to have robust methods of feeding information
back to HWE
 Have accountability as central principle to/from HWE
 HWE to be bridge for LHW’s to wider agendas
 HWE to audit evidence of LHW contributions to
improving health/care outcomes nationally
But it’s not all crystal clear….
“There are known knowns; there are things we know we
know.
We also know there are known unknowns; that is to say
we know there are some things we do not know.
But there are also unknown unknowns – there are
things we do not know we don't know.
United States Secretary of Defense,
Donald Rumsfeld, February 2002
For example
 Transition … from LINKS to LHW…. (the legacy)
 Children and young people
 Scrutiny and responsibility- conflict of interest?
 Where does “signposting for choice” stop and
advice/casework start?
 How does LHW gather local intelligence without
sufficient infrastructure?
 Less money
 High expectation of Healthwatch (especially after the
Francis Inquiry)
Contribution of the VCS
 Existing (strong) relationships with health and social
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care providers and patients and the public
Longstanding involvement in health and social care
networks
Experience of engagement and involvement
Experience of volunteer recruitment and retention
Presence and access points throughout the area
Healthwatch: Update from across the region January 2013
LA
Main LHW contract
NHS complaints advocacy
North Bank Forum
Cloverleaf-Advocacy
York CVS
York MIND
Bradford
Keighley Voluntary Services Ltd (Trading
name KIVCA)
Bradford and Airedale Mental Health Advocacy Group (BAMHAG)
Barnsley
Voluntary Action Barnsley
Voiceability
Leeds
Touchstone Consortium
Advonet Leeds (new consortium)
East
Riding
Meeting New Horizons CIC
TBC
Doncaster
Parkwood Healthcare
Parkwood Healthcare
Calderdale
Voluntary Action Calderdale
TBA – joining up for a 12 month grant with Kirklees
N. Lincs
Plan B?
Plan B?
N.E Lincs
North Bank Forum
Carers Federation
N. Yorks
York
Sheffield
Rotherham
Kirklees
Wakefield
Hull
Voluntary Action Sheffield (VAS)
Consortium
Deadline 26 February (results by 18
March)
Kirklees Citizens Advice Consortia
Wakefield Wellbeing Consortium
TBC 28 feb
Voiceability
Deadline 26 February (results by 18 March)
TBA – joining up for a 12 month grant with Calderdale
Voiceability
Carers Federation
Support to Healthwatch providers
 HWE
 Web in a box / Information hub / guidance and
training (enter and view)
 Monitoring of standards and quality?
 Yorkshire & Humber Healthwatch Commissioners
 2013 / 14 Training and development programme for
LHW providers (staff and volunteers) Work in Progress
 Designed and delivered by Involve Yorkshire & Humber
plus specialist providers
 Modules potentially around; support for volunteers,
working with children and young people, interrogating
data, strategic influence
Looking ahead – what can we expect?
Challenges
 Meeting the very high
expectations of
Healthwatch
 Accessing enough new,
skilled volunteers
 Making an impact /
evidencing its success
 Using its influence to
achieve service
improvements
 Ensuring the patient and
public voice is heard and
acted on with CCG’s and
council services
Opportunities
 Use its position on HWB
to present the patient
experience and challenge
the dominance of
commissioners
 Champion the benefits of
CCG’s and
commissioners working
more closely with the
VCS
 Generate new income
streams from the new
operating environment
 Target new people to get
involved as volunteers
For more information
 www.involveyorkshirehumber.org.uk
 www.healthwatch.co.uk
 LGA Briefings on Healthwatch
 http://www.local.gov.uk/web/guest/health/-
/journal_content/56/10171/3700506/ARTICLETEMPLATE
 [email protected] (07980 911654 /
01484 226371)