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Developing HealthWatch in Kent


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A presentation from Kent’s Local HealthWatch Development Group covering the perspectives of the NHS, Centre for Public Scrutiny and local authority. This is a useful planning tool for local healthwatch groups.

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Developing HealthWatch in Kent

  1. 1. Developing HealthWatch in Kent Paul Cutler Kent Local HealthWatch Development Group 15th July 2011 Centre for Public Scrutiny
  2. 2. Today’s presentation <ul><li>To introduce myself and the Centre for Public Scrutiny </li></ul><ul><li>To begin to develop a shared understanding of HealthWatch </li></ul><ul><li>To explore a common vision for the transition to Local HealthWatch in Kent </li></ul><ul><li>To think about next steps </li></ul>
  3. 3. What would you hope people in Kent might say about HealthWatch in 3 years time? <ul><li>‘ it made a real difference for me’ </li></ul><ul><li>‘ I had a voice and I was listened to’ </li></ul><ul><li>‘ I chose a better way to get a service’ </li></ul><ul><li>‘ I learnt something new’ </li></ul><ul><li>‘ They are so easy to approach’ </li></ul><ul><li>‘ HealthWatch had a real impact’ </li></ul><ul><li>‘ It was fun being involved, I know we made a real difference for people in Kent’ </li></ul>
  4. 4. HealthWatch - statement of intent <ul><li>HealthWatch will be the independent consumer champion for the public </li></ul><ul><li>HealthWatch will be representative of diverse communities </li></ul><ul><li>It will provide intelligence to influence policy, planning, commissioning and delivery </li></ul><ul><li>It will provide local information </li></ul><ul><li>It will help people access and make choices about services </li></ul><ul><li>It will support people if they need to complain about NHS services </li></ul><ul><li>It will be credible, effective and efficient </li></ul>
  5. 5. From LINks to HealthWatch <ul><li>From </li></ul><ul><li>Influence services </li></ul><ul><li>Community voice </li></ul><ul><li>Local voice </li></ul><ul><li>To </li></ul><ul><li>Participate in decisions </li></ul><ul><li>Also support individuals </li></ul><ul><li>National voice too </li></ul>
  6. 6. No decision about me, without me <ul><li>EVERYTHING about us, WITH us </li></ul><ul><li>Co-production </li></ul>
  7. 7. Vision for HealthWatch in Kent <ul><li>What will it do for different groups? </li></ul><ul><li>What will it do for individuals? </li></ul><ul><li>How can it best do that? </li></ul><ul><li>How does it want to work with partners - commissioners, HwB, CVS? </li></ul><ul><li>What sort of organisation will it be? </li></ul><ul><li>‘ Form follows function’ </li></ul>
  8. 8. Some of the challenges <ul><li>Prioritising issues within fixed resources </li></ul><ul><li>Making a structure that works across Kent </li></ul><ul><li>Relationship with Local Authority </li></ul><ul><li>Existing advocacy services </li></ul><ul><li>Future contracts - e.g. complaints advocacy </li></ul><ul><li>Balance group issues with individual issues </li></ul><ul><li>Balance proactive with reactive work </li></ul><ul><li>Capturing the data and knowledge </li></ul><ul><li>Skills and confidence </li></ul><ul><li>Organisational form </li></ul><ul><li>Membership </li></ul>
  9. 9. HealthWatch design <ul><li>Voice and participation of local people </li></ul><ul><li>Understand and engage in the full commissioning cycle </li></ul><ul><li>Understand NHS and Local Authority structures, roles and services </li></ul><ul><li>Data </li></ul><ul><li>Relationships </li></ul><ul><li>Processes </li></ul>
  10. 10. Tools to help the transition <ul><li>HealthWatch Transition Plan </li></ul><ul><li>Joint Strategic Needs Assessment </li></ul><ul><li>Shadow Health & Wellbeing Board plans </li></ul><ul><li>HealthWatch regulations </li></ul><ul><li>Advice to LA commissioners </li></ul><ul><li>Pathfinder case studies and Action Learning Sets </li></ul><ul><li>NHS Constitution </li></ul><ul><li>Study visits to advocacy projects and PALS </li></ul><ul><li>Public Health Observatory </li></ul><ul><li>Online data </li></ul><ul><li>You’re Welcome </li></ul>
  11. 11. Building confidence <ul><li>Identifying common scenarios </li></ul><ul><li>Role play and practice </li></ul><ul><li>Research local solutions </li></ul><ul><li>Update on rights </li></ul><ul><li>Develop contacts database </li></ul><ul><li>Gather literature and online links </li></ul><ul><li>Create learning system </li></ul><ul><li>Example from NCB PALS LINks project </li></ul>
  12. 12. Health policy <ul><li>Health & Social Care Bill </li></ul><ul><li>NHS Future Forum and response </li></ul><ul><li>GP prospectus </li></ul><ul><li>Clusters </li></ul><ul><li>Shadow Health and Wellbeing Boards </li></ul><ul><li>Public Health </li></ul><ul><li>Pathfinders </li></ul><ul><li>Personal budgets </li></ul><ul><li>Evidence, research and case studies </li></ul>
  13. 13. Learning from the best of LINks <ul><li>Case studies from the Transition Plan </li></ul><ul><li>Evaluation of LINks </li></ul><ul><li>Scrutiny reports on LINks </li></ul><ul><li>NCB work on LINks and young people </li></ul><ul><li>Innovative practice </li></ul><ul><li>Measuring outcomes </li></ul>
  14. 14. CfPS research about LINks - key messages <ul><li>Manage the transition to HealthWatch well or risk losing good LINks members </li></ul><ul><li>Governance is important but a lot of time and energy can spent on revisiting it if it is not clear </li></ul><ul><li>Create a strong, accessible brand </li></ul><ul><li>Training needs </li></ul><ul><li>Clear processes and structures early on </li></ul>
  15. 15. 3 themes <ul><li>Representativeness </li></ul><ul><li>The ‘body corporate’ </li></ul><ul><li>Roles and responsibilities </li></ul>
  16. 16. Representativeness <ul><li>What does it mean? </li></ul><ul><li>Why is it important? </li></ul><ul><li>What does the data tell us? </li></ul><ul><li>What does it mean for different groups? Local voices </li></ul><ul><li>Finding the time to explore the issue </li></ul><ul><li>What are the barriers and challenges? </li></ul><ul><li>Diversity makes HealthWatch stronger </li></ul><ul><li>Evidence based best practice </li></ul><ul><li>Toolkits </li></ul>
  17. 17. Different groups, different realities <ul><li>Older people </li></ul><ul><li>Children & young people </li></ul><ul><li>Ethnic groups </li></ul><ul><li>Cultures & faith </li></ul><ul><li>Disability </li></ul><ul><li>Learning disability </li></ul><ul><li>Poverty </li></ul><ul><li>Carers </li></ul><ul><li>Rural and urban </li></ul><ul><li>Unemployed or working </li></ul><ul><li>Sexuality </li></ul><ul><li>Gender </li></ul><ul><li>Transport </li></ul><ul><li>Mental health </li></ul><ul><li>Local communities </li></ul><ul><li>Refugees </li></ul><ul><li>Different health needs </li></ul>
  18. 18. The ‘body corporate’ <ul><li>Formal legal status </li></ul><ul><li>Organisational form - CIC, charity or social enterprise </li></ul><ul><li>Wider policy direction </li></ul><ul><li>Boundaries and corporate ethos </li></ul><ul><li>Key documents - Articles / Constitution / SFIs / Scheme of Delegation </li></ul><ul><li>Governance </li></ul><ul><li>Policies - confidentiality, data, practices etc </li></ul><ul><li>Quality and standards </li></ul>
  19. 19. The ‘body corporate’ part 2 <ul><li>Corporate goals and consistent agendas </li></ul><ul><li>Leadership </li></ul><ul><li>Management </li></ul><ul><li>Benefits </li></ul><ul><li>Risk </li></ul><ul><li>Reporting </li></ul><ul><li>Accountability - internal and external </li></ul><ul><li>Efficient and effective </li></ul><ul><li>Shadow Local HealthWatch </li></ul><ul><li>Expertise in developing new organisations - OD / HR </li></ul><ul><li>Identify training needs </li></ul>
  20. 20. Roles & responsibilities <ul><li>Clarity of role </li></ul><ul><li>Feeling clear and safe </li></ul><ul><li>Appointments </li></ul><ul><li>Contracts and expectations </li></ul><ul><li>Accountability </li></ul><ul><li>Support </li></ul><ul><li>Performance </li></ul><ul><li>Paid and unpaid staff - remuneration and expenses </li></ul><ul><li>Conduct </li></ul><ul><li>Corporate responsibility </li></ul><ul><li>Conflicts of interest </li></ul>
  21. 21. Four key roles <ul><li>Members </li></ul><ul><li>Governors </li></ul><ul><li>Managers </li></ul><ul><li>Those doing the direct work </li></ul>
  22. 22. Creating a shared vision <ul><li>Set aside clear time with a boundary </li></ul><ul><li>Define key terms and ideas - be clear </li></ul><ul><li>Explore, challenge, debate and create </li></ul><ul><li>Use different tools and exercises </li></ul><ul><li>Pull it all together - synthesize </li></ul><ul><li>Confront obstacles </li></ul><ul><li>Agree and move forward </li></ul>
  23. 23. My reflections <ul><li>Start where you hope to end up </li></ul><ul><li>Map what you already know - e.g. advocacy, services </li></ul><ul><li>Map what you want to find out </li></ul><ul><li>Identify and tackle barriers early on </li></ul><ul><li>Learn from those doing it already </li></ul><ul><li>Agree a structure and process </li></ul><ul><li>Quick wins </li></ul><ul><li>Reflection </li></ul>
  24. 24. How CfPS can help you <ul><li>Outsider / insider </li></ul><ul><li>State of Readiness assessment and report </li></ul><ul><li>Focus groups </li></ul><ul><li>Interviews </li></ul><ul><li>Workshops </li></ul><ul><li>Creative tools and exercises </li></ul><ul><li>Case studies and examples </li></ul><ul><li>Critical friend reflection </li></ul><ul><li>Research </li></ul>
  25. 25. References <ul><li>HealthWatch Transition Plan (2011) DH </li></ul><ul><li> </li></ul><ul><li>Health & Social Care Bill (2011) </li></ul><ul><li> </li></ul><ul><li>Response to NHS Future Forum (2011) </li></ul><ul><li> </li></ul><ul><li>NHS Constitution </li></ul><ul><li> </li></ul><ul><li>Marmot Review </li></ul><ul><li> </li></ul>
  26. 26. Discussion <ul><li>What does a successful HealthWatch look like in 3 years time in Kent? </li></ul><ul><li>What measures would you use to judge if HealthWatch has been successful? </li></ul><ul><li>What do you need now to help you design a successful HealthWatch? </li></ul>