Photo credit: The Cord via www.mcmurraymusings.com
The Connected Homeless. Did you think homeless people don’t use smartphones? Think again…
The Local Involvement Network for Devon is holding three events around Devon to enable people to identify key points and priorities for meaningful engagement. Taking place in late February, LINk Devon hopes these events will help Clinical Commissioning Groups and other decision making bodies understand what people think is important about good engagement.
A sub group of LINk Devon’s leadership group has been looking at Patient Participation Groups in GP surgeries and consulting with practice managers and public involvement professionals to build a picture of involvement in the NHS.
LINk Devon would like to find out more about what people’s views are on how engagement and involvement could be carried out and influence the early development of NEW Devon’s “Meaningful Engagement and Purposeful Communications” Strategy. The three focus events in Exeter, Ivybridge and Barnstaple are aimed at people who know and care about the services offered in their local area. Patients, public and professional staff will have a chance to work together to plan and prioritise their ideas for development of patient and public engagement in Devon.
Booking forms and more information can be downloaded using the following links.
Key Guidance Documents Downloadable spreadsheet indexed by subject and audience. Click on the hyperlinks to access the documents. Plus here’s a simple diagram…
Here are some fact sheets about CCG development.They are in fairly plain english…
Regarding the roles of Patient Participation Groups at GP surgeries (PPGs) in the decisions of Clinical Commissioning Groups, the authorisation process described here spells out the requirements …. PPGs are a big part of the picture, however there is also an additional need to commission for other groups of patients.
The duty is …
“• To commission healthcare to the extent the CCG considers necessary to meet the reasonable requirements of:
· patients registered with the GP practices who are members of the CCG;
· people who usually live within the CCG’s defined geographic area who are not registered with any GP practice (except where regulations prescribe otherwise).
• To commission healthcare for other groups of patients as defined in regulations. This will include:
· commissioning emergency care for any person present in the CCG’s geographic area
· commissioning services for people receiving NHS continuing healthcare in out-of area placements.
To make arrangements to secure public involvement in the planning of commissioning arrangements and in developing, considering and making decisions on any proposals for changes in commissioning arrangements that would have an impact on service delivery or the range of health services available.”
Public engagement must be “meaningful”….and the commissioning information will be contained primarily within the JSNA. CCGs will have a duty to help prepare this information …
…and will be required to use it, through membership of the Joint Health and Well Being Board…
The legislation is interpreted in here in section 2 (the Functions of Clinical Commissioning Groups). Developing Local Healthwatch Organisations will need to form effective relationships across all these bodies; the CCGs will not operate in isolation from the JSNA and the Joint Health and Well Being Strategy, but in turn, as part of a system of checks and balances, will have to show its commissioning plans fit with the Joint Health and Well Being Strategy.
will be the new independent consumer champion created to gather and represent the views of the public.
“Healthwatch England will act as a champion for those who sometimes struggle to be heard.”
Anna Bradley, Chair of Healthwatch.
Healthwatch will play a role at both national and local level and will make sure that the views of the public and people who use services are taken into account.
Healthwatch England, launching in October 2012, will work with local Healthwatch and will also:
Local Healthwatch, launching in April 2013, will take on the work of the Local Involvement Networks (LINks) as described above, and will also:
If you wish to get involved now, LINk Devon local Community Involvement Coordinators are:
Margaret Conkey (North Devon) Jill Perry (Teignbridge and South Devon)
Dawn Lawrence (Mid Devon) Angela Rose (West Devon)
Caroline Lee (Exeter and East Devon)
Please telephone 01404 549045 or email firstname.lastname@example.org for further information.
I dived into the Commissioning Board webpages and pulled out a few key facts about the process. I hope it’s useful!
The purpose of authorisation
Through the authorisation process, the NHS Commissioning Board will be assured that CCGs are able to commission the majority of healthcare safely, to discharge responsibly their stewardship of the majority of the NHS budget and exercise their functions in relation to improving quality, reducing inequality and being efficient, and hence delivering better outcomes within their resources.
The authorisation process is built around six domains, agreed with emerging CCGs and patient and professional organisations. Assessing CCGs through these six domains provides assurance that CCGs can safely discharge their statutory responsibilities for commissioning healthcare services. They are also intended to encourage CCGs to be organisations that are clinically led and driven by clinical added value. The domains are:
…which requires emerging CCGs to:
Understand the local population including a strategy for promoting choice.
Engage with patients and public including disadvantaged groups.
Use engagement in commissioning decisions
Collect and share information with patients and public
(Outer North East London Equality Strategy Jan 2012- March 2013)
3 Clear and credible plans which continue to deliver the QIPP challenge within financial resources, in line with national requirements (including outcomes) and local joint health and wellbeing strategies
4 Proper constitutional and governance arrangements, with the capacity and capability to deliver all their duties and responsibilities, including financial control, as well as effectively commission all the services for which they are responsible
5 Collaborative arrangements for commissioning with other clinical commissioning groups, local authorities and the NHS Commissioning Board as well as the appropriate external commissioning support
6 Great leaders who individually and collectively can make a real difference.
Within each domain, the guide gives criteria, the threshold for authorisation for those criteria, the evidence required and the sources for that evidence. It can be read in full at http://www.commissioningboard.nhs.uk/files/2012/01/NHSCBA-02-2012-7-Guidance-Developing-Clinical-Commissioning-Groups-Towards-Authorisation.pdf
The thresholds have been set to ensure CCGs can be innovative in delivering improved outcomes, while also remaining safe as statutory bodies responsible for commissioning health services.
Timescales for completion of authorisation process
|Torbay and South Devon are in Wave 2||July 2012||3 September 2012||November 2012|
|NEW Devon is in Wave 3||September 2012||1 October 2012||December 2012|
Statistics of each CCG
CCG code: 99P
CCG name: NHS North, East, West Devon CCG (NEW Devon)
No. of practices: 130
No. of LSOA*s: 533
CCG code: 99Q
CCG name: NHS South Devon and Torbay CCG
No. of practices: 37
No. of LSOAs: 173
The NEW Devon CCG area also shares borders with Somerset, Dorset and Cornwall.
*Lower Super Output Area = a measure of population between 1000 to 1500 in size relating to postcode areas, which enables statistics be gathered and reported over small areas. http://www.datadictionary.nhs.uk/data_dictionary/nhs_business_definitions/l/lower_layer_super_output_area_de.asp?shownav=1
If you want to know more about how NHS Data is gathered please visit http://www.connectingforhealth.nhs.uk/systemsandservices/data/nhsdmds
Devon’s Joint Strategic Needs Assessment (JSNA) can be viewed at www.devonhealthandwellbeing.org.uk CCGs will be expected to respond to evidence produced by the JSNA. LINks and Healthwatch will be able to help promote and support the involvement of patients, users of social care, community groups, organisations and individuals who could be consulted about local need.
“When people are involved in making the decisions which affect their lives their self esteem and confidence rise, in turn improving their health and well being…Real change can come only from the local community itself by harnessing the energy, skills and commitment of local people in setting clear objectives for change and forming new partnerships for action.”
Since “Saving Lives – Our Healthier Nation” was published by the Department of Health in 1999, successive research has shown that where people – whether they have a direct interest, either as a provider, commissioner, community group, carer, local resident or if they use the services themselves- are collectively involved in planning services at all levels of decision making, then better health outcomes will be achieved for the person at the centre of it all-
On March 27th 2012 the Health and Social Care bill received the Royal Assent to become the Health and Social Care Act 2012. What remains now is for legislation to be translated into more policy guidance at local level. Andrew Lansley has pledged the NHS will be clinically driven, which means every action taken will need to be evidenced by better health results for people.
Of particular interest to our network will be the newly strengthened role of patient and public involvement in all publicly funded health and social care. New clauses in the legislation require the NHS Commissioning Board and Clinical Commissioning Groups to promote involvement of each patient and their carers and representatives (if any), in decisions which relate to the prevention or diagnosis of illness in the patients, or their care or treatment.
This is in addition to the remit of Healthwatch which is expanded from the current LINk requirement. Amplifying the voice of patients and users of social care, Healthwatch will be the mainstay of checks and balances enabling people across the county to hold services to account via the new Joint Health and Well Being Boards.
NHS “arms length bodies” will form part of the system of checks and balances over publicly funded healthcare. The Care Quality Commission will continue to regulate all licensed providers.
Local Healthwatch organisations will subsume LINk functions with additional requirements to enable people to exercise choice and control through advice and information re service provision and availability. In April 2013, the Local Authority will also be required to commission a local service for NHS complaints advocacy.