Brighton and Hove Local Involvement Network (LINk) Farewell Event Thursday 14 th March, 2013 10am to...
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Transcript of Brighton and Hove Local Involvement Network (LINk) Farewell Event Thursday 14 th March, 2013 10am to...
Brighton and Hove Local Involvement Network (LINk)
Farewell EventThursday 14th March, 2013
10am to 3pmBrighthelm, North Road, Brighton, BN1 1YD
Magda Pasiut, CVSF Development Officer and ex-LINk Volunteer
Rachel Travers, Chief Executive, Amaze
Sylvia New, LINk Steering Group Member
Presentations about LINk engagement
THE PURPOSES OF THE GROUP ARE:•to support women who have emigrated from Poland and are currently living within the Sussex area to integrate into local society;•to raise awareness of health services among Polish women and their children;•to provide information on health, education, housing, family support, social care, employment;•to work in any areas that SPWG feels will help Polish women.
WHERE YOU CAN FIND US
Facebook: www.facebook.com/sussexpolish.womensgroup
Website: http://portbrighton.co.uk/index.php?option=com_content&view=section&layout=blog&id=14&Itemid=303
Email: [email protected]
Magda Pasiut, CVSF Development Officer and ex-LINk Volunteer
Rachel Travers, Chief Executive, Amaze
Sylvia New, LINk Steering Group Member
Presentations about LINk engagement
Amaze and B&H Link
• Amaze (via Parent Carers’ Council) tried to encourage the Link to consider the needs of children and young people with disabilities and special needs (given high incident, high cost users of city’s health services)
• Parent Rep unable to continue to attend steering group but have fed in various papers/reports
• Developed a partnership pilot to reach out to isolated parent carers in two neighbourhoods
Total CYP in B&H with significant disability/special need (3,400)
Existing Families on theCompass Database
(1,834 - 54% of total)
PaCCMembership
(200)
Partnership Outreach Pilot to Parent Carers – Engagement Model
Moulsecoomb Estate - TDC
Knoll Estate - HKP
PaCCPartners 8x
Parent Support Groups
Hidden/isolated familiesTargeted for PartnershipOutreach with Trust for Developing Communities & Hangleton & Knoll Project
Gap analysis performed
Direct Support:Referrals to Amaze services & training,
CDWs, GPs, other services
Engagement & Collective Voice:Set up 2 x parent
support groups
INTELLIGENCE AT:Disabled Children’s, CAMHS & SEN Partnership BoardsHealthwatch/LinkCity-wide Health ForumHealth & Wellbeing Board
OUTCOMES: Sense of belonging, reduced isolation, improved confidence, health & wellbeing of carer, increased knowledge/access to other services e.g. housing, benefits & support for child e.g. education
Results so far
Moulsecoomb Hangleton & Knoll
No. households ‘door knocked’ 1,500 1,800
No. households opening door 200 300
No. households spoken to identifying with being the parent or grandparent of a child with SEN
52 (25%) 34 (11%)
No. at coffee morning ‘new’ to Amaze i.e. not on Compass 13 7
No. supported (or to be supported) to complete a DLA 6 8
No. supported to join the Compass 11 6
• "You can never get an (GP) appointment.“
• “My GP doesn't ‘get’ my son's SEN at all so rather than 'get a cab there, I go to A&E'
• “At my GPs you have to queue up for hours with your child with SEN in the cold and it's first come, first served."
• "My daughter is turning 16 at the end of this year and I don't even think her GP knows that she is on the autistic spectrum. He will be responsible for her health! I always wonder whether to remind him."
• “We don’t want to have to wait 2 weeks for a doctor’s appointment..”
• “It feels like my daughter is 'caught’ between Seaside View and CAMHS”
• “Some health visitors are good, others aren’t. There needs to be better consistency in their service.”
• “We’d like alternative treatments/healthcare for our child on the NHS…”
Intelligence gathered so far about Health
• Regular contact with those attending the coffee mornings/support groups but also those we came into contact with via the ‘door-knocking’
• We can help communicate the role of the Link and the transfer to Healthwatch – verbally and via newsletters/mailings
• We can support the new parent support groups to identify and feed up health and well being issues about their disabled child and themselves as carers to Link/Healthwatch/PPG
How project supports B&H Link?
“Some health visitors are good, others aren’t. There needs to be better consistency in their service.”
Magda Pasiut, CVSF Development Officer and ex-LINk Volunteer
Rachel Travers, Chief Executive, Amaze
Sylvia New, LINk Steering Group Member
Presentations about LINk engagement
Computers – so easy a child could…
3232
Today you will hear about:
• CQC and what we do
• How we have worked with LINks
• Our plans for working with local Healthwatch
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Single, integrated regulator for health and social care
Responsible for assuring safety and quality
Setting clear standards for care providers via registration
Inspection-led model, informed by information about risk
Clear focus on outcomes via patient experience
Enforcement powers – including closure
The background…
Parliament
Size of the challenge…
Primary medical services
10,000 locations
NHS Trusts
2,300 locations
Independent healthcare
2,500 locations
Adult social care
25,000 locations
Independent ambulances
300 locations
Primary dental care
10,000 locations
Outpatient appointments
70 million
People using adult social care services
1 million
Dental treatment – courses of treatment in 2011/12
10 million
National Standards of Quality and Safety
Our focus:
People focused
Outcome based
Plain English
The standards are mapped to six outcomes:
Involvement and information
Personalised care, treatment and support
Safeguarding and safety
Suitability of staffing
Quality and management
Suitability of management
CQC and LINks – the story
• CQC has a statutory duty to work with LINks – this transfers to Local Healthwatch
• Over the last 3 years, we have built relationships and shared information with LINks across the country
• We have involved LINks in CQC’s national work
• 20 LINks have worked with us to produce three briefings on working together
• Enter and view reports have been one of the most important sources of LINks information for CQC
• LINks have used CQC information to inform their work
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Quotes from CQC Inspectors
“The LINk did some enter and view visits focused on patient
dignity and protected mealtimes at a local trust which assisted us in assessing the trust’s compliance
with the standards.”
“The LINk’s information about an NHS Mental Health Service Ward led to us undertaking a responsive
review of xxx services.”
“We have used LINk enter and view reports to inform our inspection programme”.
What next – CQC and Healthwatch
• Healthwatch England has been established – CQC will work with them
• CQC will build local relationships with each local Healthwatch organisation from 1st April
• We hope Local Healthwatch will share enter and view plans, findings from surveys, and we can share information from our work
• CQC will publish a guide for local Healthwatch and start a new e-bulletin for local Healthwatch from April
• We will build on the learning from our work with LINk
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Keep in touch
CQC website includes all inspection reports on local services:
www.cqc.org.uk
A guide for LINks: working with CQC (2011) three briefings for LINks with learning with Healthwatch (Sept 2012) and LINks Bulletins, are avaliable at:
www.cqc.org.uk/localvoices
Please email the Involvement Team to keep in touch with CQC as you move to Healthwatch:
Email or phone our enquiries line
[email protected] 03000 616161
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Workshops
Workshop 1: Community HealthcareWorkshop 2: HealthwatchWorkshop 3: Hospital ServicesWorkshop 4: Mental HealthWorkshop 5: Primary Care
Michelle Pooley, Healthwatch Commissioner, City Council
Sally Polanski, Chief Executive, CVSF
Healthwatch, Brighton and Hove
Development of Healthwatch Brighton & HoveMichelle Pooley – Brighton & Hove City Council14 March 2013
The Journey to where we are today?engaging people in Local Authority to Consultation & Engagement
developing a ensure local developed using anlocal Healthwatch healthwatch equality impact assessment
set up
Underpins specificationOpen process to decide provider
Timescale: 1st July to 5th October 2012
Numbers: 431 stakeholders attended 40 workshops and events
215 residents responded to the survey questionnaire (112 online and 103 via hardcopy).
Stakeholders: General Public, Patient Participation Groups, Communities of Interest Groups and Organisations, Neighbourhood Groups, Service Users and Self Help groups, LINk B&H, Young People, Councillors, Small Businesses, Statutory Workers, Health, Social Care and Voluntary and Community Sector Organisations
Priorities66%, n=138 ‘challenge poor health and social care services’ 64%, n = 138 ‘seek and listen to the views and experiences of all health and social care service users’
were the most important things for Healthwatch to be doing.
Information about Health & Social CareOf 205 replies of respondents prefer to get information about health and social care services from the ‘website / online’ and ‘GP surgery’ (48%). This is also where most respondents currently get information.
Just under a third of respondents would prefer to get information from either a ‘staffed telephone line’ (32%) or ‘face to face at a drop in centre’ (30%). Currently only 6% to 7% get their information this way.
Involvement
45% of respondents are dissatisfied with their opportunity to have their say on issues affecting local health and social care services. This is twice as many as are satisfied which were 23%.
76% of respondents disagree that they are able to influence decisions that affect local health and social care services, three times more than those that agree which were 24%.
Having your say
69% of respondents said that they would be very or fairly likely to become involved in Healthwatch as a formal member by ‘receiving information so I can choose when/how to get involved’.
Three times as many as would be very or fairly unlikely to get involved.
Equality Data
Preferred method for sharing their views67% was via online questionnaires 57% use of a Healthwatch website44% attending Healthwatch community events40% attending informal workshops
Your views and Experiences
Age: Although still underrepresented of young people, numerically and proportionally more young people have responded
Gender: Female respondents are over represented.Ethnicity: Likely to be under represented of Black & Minority Ethnic CommunitySexual orientation: Likely to be representative of the LGB communityWith a health problem or disability: Likely to be over represented
Mandate from the Consultation
• Prioritise intelligence gathering and synthesis
• Provide a credible voice– Tap into existing networks– Outreach to patients and social care users– Bring communities of interest together– Work with the Voluntary and Community Sector– Cascad information to citizens
• Make an impact on the Health and Wellbeing Board– Generate context and information for the JSNA– Provide real time local experiences of services e.g. through Enter & View
and PLACE to inform service improvement and better commissioning– Highligh service failures in timely and appropriate fashion
• Feed into the National organisation
– provide leadership and support to Local Healthwatch organisations i.e. set operational standards, standard protocols
– propose that CQC investigate poorly performing services
– advise Secretary of State, NHS Commissioning Board, English local authorities, Monitor and CQC itself
Healthwatch England
Brighton and Hove
Michelle Pooley, Healthwatch Commissioner Brighton and Hove City Council
Sally Polanski, CEOB&H Community and Voluntary Sector Forum
Healthwatch objectives• To obtain the views of people and make views known• To promote and enable the involvement of local people in the
commissioning and provision of local health and social care services• To recommend investigation or special review of provider services• To provide advice, signposting and information• To make reports and recommendations about how services could or should
be improved and require a response from providers• To play an integral role in the preparation of the statutory Joint Strategic
Needs Assessments &joint health and wellbeing strategies• To provide a professional Independent NHS Complaints Advocacy Service
• Independent watchdog for health and social care services
• Benefit patients, users of services, carers and the public by helping people to get the best out of services
• Hub and spoke model
Our vision for Healthwatch Brighton and Hove
Timeline for development
• Contract begins: April 2013• Transition from LINk to Healthwatch and
transfer of ICAS service: April-June• Governance framework and shadow
organisation in place: October• Healthwatch fully independent: April 2014
Get involved
• LINk participants transfer to Healthwatch• More information soon on our approach and
opportunities to get involved• Meanwhile, stay in touch and keep telling us
what service improvements are required
[email protected] 810235