Action Plan to Enhance Personal and Public Involvement ...m. PPI Action Plan 15 16 Final.pdfThis PPI Action Plan outlines the key actions that will be taken to enhance Personal and

PPI Action Plan Template 2015-2016

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Action Plan to Enhance Personal and Public Involvement

Within the Older People and Primary Care Directorate 2015-2016


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This PPI Action Plan outlines the key actions that will be taken to enhance Personal and Public Involvement during 2015/2016 and will feed into the overall Trust Corporate PPI Action Plan.

The key contacts in relation to this action plan are:

Mrs Angela McVeigh Director of Older People and Primary Care Lead Director for PPI College of Nursing, Craigavon Area Hospital 68 Lurgan Road, Portadown, BT 63 5QQ Telephone: 028 38 613979 Email: [email protected]

Mr Gerard Rocks Assistant Director Promoting Wellbeing (Acting) Bannvale House, 10 Moyallen Road GILFORD BT63 5LX Telephone: 028 38 833220/41 Email: [email protected]

Roisin Toner Assistant Director of Enhanced Services Bannvale House Gilford BT63 5LX Tel: 028 3833 3217 Email: [email protected]

Brian Beattie Assistant Director of Primary Care Bannvale House Gilford BT63 5LX Tel: Email: [email protected]

Melanie McClements Assistant Director of Older People Services Bannvale House Gilford BT63 5LX Tel: Email: [email protected]

mailto:[email protected]






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PPI Indicators

1 Information a. Do you have information explaining who you are, what you do and how

you can be contacted?

b. Do you provide information on the standards service users and carers can expect from your service

c. Do you provide information to help service users or carers to understand more about their health and/or social care needs?

d. Do you signpost and/or provide information to service users / carers of other sources of support available locally?

e. Do people who use your service and their carers know how to make a complaint?

f. Do people who use your service and their carers know that they have a right to be involved in the planning, development and evaluation of the service you provide?

g. Do you provide a list of opportunities for involvement?

h. Do you maintain a database of interested people?

i. Do you provide feedback to those who have been involved?

j. Do you provide feedback on impact and learning?

2 Levels of involvement 1. Do you involve service users in the development of their care and/or

treatment plan and have mechanisms in place to monitor and evaluate how staff in your area of responsibility uphold the 5 Patient Client Experience standards :

i. Respect ii. Attitude iii. Behaviour iv. Communication v. Privacy and Dignity?

2 Do you involve service users and their carers/ family in the evaluation of the service you deliver?

3 Do you involve service users, carers and the public in the development of new services or in planning service improvements for the service you deliver?

4 Do you involve service users, carers and the public in the planning and development of services/projects that influence the way your Directorate carries out its business?

5 Do you involve service users, carers and the public in the planning and development of services/projects that influence the future direction of the Trust?

3 Training

What mechanisms do you have in place to assess the training and development needs of your staff to enhance their skills in personal and public involvement?

What mechanisms do you have in place to assess the training and development needs of your service users, their carers and the public need to enable them to participate in involvement activities?

What training and support do you provide for staff, service users and carers?

What opportunities can you identify for service users and carers to become involved in the training of your staff?

4 Monitoring and Evaluation

How do you measure/assess the impact and outcome of your involvement activities?

What has been the impact of your PPI activities on services?

Has PPI improved the patient client experience/quality of care?

What did those involved think about the process of involvement?


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1 Information Key Objective: Information that supports the engagement and involvement of service users, carers and the public is available in a variety of formats to meet identified need.

Key Deliverables

Key Actions 2015/16 Timescales & Leads & RAG

Progress Update/Impact @ 31/03/16

Information explaining who you are, what you do, how you can be contacted and the standards service users and carers can expect from your service is available

PPI Team to develop PPI staff leaflet

Develop Carer Register Leaflet

Review and up-date PWB Staff Directory

All teams to review contact information and up-date as required

All teams to check contact info available on Trust website

C Agnew

All HOS

March 2016

PPI Team Leaflet & Carer Register Leaflet complete.

PWB staff directory updated & available on website and sent to C&V networks through database.

Checklist exercise confirms all OPPC services have service leaflets available. ICT Newsletter and PWB Newsletter Annual reports

All Clinical Guidelines now available on intranet.

Standards included as part of information leaflets and care plans

Information on conditions or issues relating to the service/s provided is available for SU’s, Carers and the Public

o Ensure information is available and up-to-date ADs, HOS, Mangers March 2016

Electrical safety leaflets in English, Portuguese, Lithuanian, Polish and pictorial

Mental Health Ethnic Minorities toolkit for practitioners

Easy sleep – Portuguese, Russian, Polish and Easy Read

Information that explains how Service Users, Carers and the Public can make a complaint or comment on the service provided is available

o All staff to be competent in following the Trusts complaints and comment procedure

o We value your views leaflets shared with service users and carers

ADs, HOS, Managers March 2016

Complete

Information that explains how Service Users, Carers and the Public can become involved in the planning, delivery and evaluation of the service/s provided is available

o Continue to Display PPI ‘Have your Say’ poster in premises and distribute registration forms to SU, carers and Public.

o Continue to use the Trusts Facebook and Twitter accounts to highlight opportunities for involvement

ADs, HOS, Managers, All staff March 2016

Have Your Say Leaflets and posters distributed

Polish version of Have Your Say available to staff.

Information included on some Team information leaflets

Database of interested people is in place and maintained

o Each area of service to set up database to record service user details

Managers Annually.

Registration form re-circulated

Information that explains the areas of service and the key service development areas in which SU’s, Carers and the Public can become involved is available

o Staff should be aware and signpost SU , Carers and public to relevant forums that potentially contribute to planning, delivery and evaluation of services

o Opportunities for involvement list to be developed and displayed beside Have Your Say Posters

o Opportunities for Involvement circulated through PWB CV sector mailing list and Service User/Carer Group list

ADs, HOS, Managers Annually.

Opportunities for Involvement template re-circulated Nov 2014.

Opportunities for Involvement continued to be circulated through PWB CV sector mailing list and Service User/Carer Group list

Feedback provided to those involved and generally on impact and learning

o Use of feedback template and other methods o Feedback to colleagues and PPI Team

Managers March 2016

Feedback template re-circulated


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2 Service User and Carer Involvement Key Objective: Service Users, Carers and the public are directly involved in the planning, delivery and monitoring of Trust services at each of the 5 levels identified in the Trust’s Strategic PPI Action Plan Framework.

Key Deliverables Key Actions 2015/16 Timescales & Leads


Implement PPI Strategic Action Plan Framework and Consultation Scheme

o Review and up-date PPI Strategy in line with regional guidance o Review and up-date Consultation Scheme in line with regional guidance o Continue to develop detailed directorate action plans across the 4

Directorates directly delivering to the community o Monitor progress through Patient Client Experience Committee

PPI Team March 2016 Trust Chair Quarterly

Awaiting final PPI Research report and results of check list exercise- roll over to 16/17

Attendance at regional PPI leads workshop Aug 15 to agree standard format. Awaiting template.

Directorate Action Plans 15/16 completed

Quarterly reports submitted to PCEC o Continue to support development of PPI Panel and action plan o Continue to support PPI Panel representation on range of strategic fora

including Regional PPI Forum, PCEC, Carers Reference Group, 10,000 Voices Project etc.

Relevant Chairs supported by PPI Team March 2016

Action Plan 15/16 completed and implemented.

Continued representation on other relevant groups including regional PPI Forum.

PPI Panel members contributed to design and delivery of PPI workshops at Quality Event Oct 15

o Continue to develop Trust Carers’ Reference Group to support involvement of carers in planning, development and evaluation of Trust services

o Continue to monitor implementation of Trust Carers Action Plan o Carers Coordinator liaising with programmes of care to ensure

establishment of Carers involvement mechanisms as appropriate

AD Older People March 2016 P McCrink

New members recruited. Recruitment continues

Annual Report 14/15 completed

Action Plan 15/16 completed. Established in MH, LD, Gillis, Non Acute Hospitals,

Intermediate Care Service, Community Stroke, Autism, Inflammatory Bowel Disease Panel & Palliative Care Experience Group

Trust Traveller Action Group

o Continue to support development of Trust Traveller Action Group so that Travellers continue to be involved in the planning, development and monitoring of Trust services

G Rocks & C Agnew March 2016

Progress Report 2014/15 developed & available on website

Health Training Coordinator appointed -16 Travellers completed CHC and 1 completed CHT. Funding extended for further 2 years

Action plan 15/16 completed implemented

Older People’s Strategy Redevelopment

Re-establish Living Your Life to the Full Steering Group

Review TOR and agree action plan

Angela McVeigh March 2016

2 PPI Panel members recruited to attend

Unscheduled Care Managed Clinical Network (MCN)

o Improve engagement with services users and local communities to help further coordinate Unscheduled Care services in light of the significant developments in TYC

G Rocks March 2016

The HSCB and PHA have put in place revised structures for oversight of USC. MCN arrangements to be reviewed in light of this new guidance.


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Key Objective: Service Users, Carers and the public are directly involved in the planning, delivery and monitoring of Trust services at each of the 5 levels identified in the Trust’s Strategic PPI Action Plan Framework.



PWB

Macmillan Cancer Health and Wellbeing service

Continue to support development of Cancer User/Carer Group

Involve Cancer User/Carer group and volunteers in the planning, development and delivery of cancer service

Lynne Smart Sharon Clarke March 2016

Group continue to meet every 6 weeks. Ongoing recruitment of new members through HWB events

Macmillan Quality Environment Award. Scored 5 (highest) for service user involvement and commended on comprehensive volunteer induction.

Implementation of Smoke Free sites across Trust area

Carry out survey to establish views of staff, patients, service users and the public about plans to introduce smoke free sites

Establish 4 working groups to implement smoke free sites with user and carer representation.

G Rocks L Smart March 2016

3,416 individuals responded. 65.5% in favour of Trust becoming completely smoke free.

4 working groups established and advertised for service user/carer involvement

PLIG/ MH o Continue to engage service users/carers in the development of a 5 Ways to Wellbeing training programme and this will be piloted with service users before being rolled out.

o Young people involved in the design of Gimmie Five – the five ways to wellbeing resource for youth

o Involve service users in the external evaluation of the Mellow Parenting Programme

o Involve Service Users in the further development and roll out of REMIND – CAMHS / Autism initiative.

o Families Voices Forum represented on PLIG partnership.

PLIG Coordinator/ MH Promotion Lead March 2016

o Currently part of service improvement / research project piloting with IBD patients in partnership with IBD Patient Panel and Senior HP Officer (MH)

o Complete and training rolled out in Youth Service with view to roll out in other CV youth sectors

o Ongoing. Their experience will help shape future programmes.

o Practitioner workbook currently being developed to support the programme

o Attendance at meetings and Forum progress tabled.

Neighbourhood Renewal

Consultation with relevant NR Partnership Board

Planning events

PWB Managers and NR Workers March 2016

Completed

CD and Health Improvement Action Plans

Consultation with key stakeholders in development

Focus groups with beneficiaries to identify need and support planning of activities

PWB HOS March 2016

Completed

Volunteering Consultation with volunteers regarding format of Volunteer Recognition Event

Volunteer Coordinators

Completed


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Older People

Future of Statutory Residential Care for Older People

Support the engagement and involvement of service users and carers in the Consultation on the future of Statutory Residential Homes

Focus groups to be held in each residential home

A McVeigh/ M McClements September 2015

AD for older people visited each residential home Complete

Review of Day Care

Hold focus groups with day care facilities

Develop action plan from feedback

T Armstrong March 2016

Focus groups carried out in all day care facilities. Report shared and action plans developed as result of feedback being progressed.

Domiciliary Care

Service to identify improved service approach with greater focus on quality service model - Outcome Base Care

M McClements R Fitzpatrick -Harkin March 2016

Pre pilot questionnaires completed with SU’s, staff & commissioners. Video of evaluation show cased at Quality Improvement Event Oct 15 and available on You Tube. Post pilot information will continue to be sought to indicate successes. Planned phased roll out across all A&D will enable further testing of model at scale with view to developing in all areas

Primary Care

Integrated Care Partnerships

Division to help ensure ICP’s focus on how care is provided to frail older people, particularly by the GP, community nurse and care manager, with much closer working one with the other.

Continue to chair SHSCT Interface meetings with ICP

Angela McVeigh March 2016

Continuing to chair Interface meetings

HSCB ICP Project Workers continue to link with PPI team

ICP managers linking closely with PPI team

Physiotherapy Service

Review existing CDC service (Lurgan). Carry out parent questionnaire and establish CDC Parent Reference Group

Staff Occ Health Physio feedback process to continue

Carry out Physiotherapy Ante Natal service evaluation

Carry out Over to You programme audit

D McAtasney G Donnelly S Thompson D Hall

Completed March 2015

Completed May 2015

Completed May 2015

Completed April 2015

Vision for nursing care in older peoples services

Gather views of staff and other stakeholders on vision for nursing care in older peoples services

Support Age NI to identify vehicles for service user and carer involvement

M Cahill March 2016

Information forwarded to Age NI

On line questionnaire developed and promoted

Focus groups promoted

Report developed and presented 21/3/16.

Intermediate Care Team (ICT)

Share information with carers when planning for Respite Care ICT Team lead March 2016

Family Carers are engaging with the ICT to discuss the value of the My Day documentation for those availing of respite placements and to propose changes and updates.

Pharmacy services

Consultation with service users, carers and other stakeholders Pharmacy Ongoing- results will be used to inform service development


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Enhanced Services

Acute Care at Home service

Involve representatives from service user and carers groups to sit on working group following the implementation of the new service

Continue to hold focus groups to discuss on-going service provision and seek the views of service users, carers and community/voluntary sector for future service developments.

Develop service user and carer questionnaire and distribute to each patient/carer following team input.

Develop GP and Nursing Home Manager questionnaire and distribute to each NH manager and GP, attendance at NH managers’ meetings, GP Forums, SALT training events.

Poster presentation at Quality Improvement Event in Seagoe Parish Centre. Poster Presentation at AMU information morning in CAH.Quality improvement Breakfast Seminar host 27/11/15.

Roisin Toner Eamon Farrell March 2016

Phase 1 of AC@HT commenced in September 2015. It is available to 17 GP practices (99,000 population) and 36 Care Homes (1500 beds).Has to date prevented 420 hospital admissions and facilitated 110 hospital discharges.

Flyer for AC@H reference group developed and shared widely – 1

st meeting 2

nd Dec 2015. Low turnout.

Service user and carer questionnaire developed and distributed. Returns - 45 Service User and Carer questionnaires, 47 NH managers questionnaires and 35 GP feedback questionnaires

Focus groups planned in partnership with AC@H Ref Group members

Poster presentation at Quality Improvement Event in Seagoe Parish Centre Oct 15 and at at AMU information morning in CAH

Hosted Quality Improvement Breakfast Seminar 27/11/15.

Modernisation of Stroke Services in SHSCT

Direct involvement of service users in Stroke Strategy Workshops to help develop standards for the Long Term Support for Stroke Sufferers/Carers

Gather feedback from service users and carers throughout the stroke care pathway (acute, non-acute, community & C&V phases)

Roisin Toner March 2016 Noleen Lambe March 2016

Public better informed about the range of Stroke services available across the southern trust and the importance of early intervention and prevention.

3 draft patient surveys developed – carry out March 16

Development of carers/stroke survivor questionnaire

Stroke team staff attended community voluntary focus groups for feedback on service offered

Reconfiguration of stage 1 Stroke Association group to 12 weeks to increase engagement

Joint acute community stroke meetings

Trust Acute Non acute strategy stroke action plan

SSNAP audit ongoing

In reach by community stroke teams to non-acute multidisciplinary meetings with consultant access. Presentation by community stroke team staff to AD and Head of Service which included stroke survivor experience

Palliative Care Support regional consultation workshops coordinated by HSCB and Marie Curie

Continue to support the Palliative Care Reference Group

Aileen Mulligan Mar 2016

Group continues to meet every 6 wks.

Involved in developing Care of the Dying Patient, What is Palliative Care Information leaflet


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3 Evidencing Patient and Client Experience Standards Do you have mechanisms in place to monitor and evaluate how staff in your area of responsibility upholds the 5 Patient Client Experience standards – Respect, Attitude, Behaviour, Communication, Privacy and Dignity?



Evidencing compliance with the 5 Patient & Client Experience Standards and 10,000 Voices Project

Develop mechanisms to clarify and streamline the interfaces between Patient Client Experience (PCE) and Personal and Public Involvement (PPI)

PPI Team and PCE Leads March 2016

An information leaflet was jointly developed to assist staff and the public to understand the connection and appreciate the difference.

Leaflet agreed with PHA for regional use

Support service users and carers to sit on the Patient Client Experience Working Steering Group and Committee

C Agnew March 2016

2 service users identified

Identify OPPC representation on newly established PCE Steering Group

A McVeigh March 2016

Completed

Continue to co-chair the NQI Steering group A McVeigh March 2016

Completed

Continue to evidence compliance with PCES HOS March 2016

Ongoing feedback from service users

Compliments

RQIA reports

Productive Community Service (PCS)- ICTs

Easy read – leaflets and information- ICTs

Accessing Interpreting services

Translation of information and leaflets as required

When developing questionnaires we include Qs around the 5 PCES- Physio

Personal information stored securely and confidentially

Adhered to daily through telephone and electronic communication in A&I Team. Privacy, Respect, Behaviour and Dignity policy and procedures in place to confirm in daily practice

Continue to support 10,000 Voices Project HOS March 2016

Support for Care in the Home

Staff to make use of the Compliment Poster Template to showcase compliments /experience of service users and carers

ICT’s Older People Division March 2016

Compliment posters in use in Treatment Rooms within Armagh GP surgeries and non-acute hospitals


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Do you have mechanisms in place to monitor and evaluate how staff in your area of responsibility upholds the 5 Patient Client Experience standards – Respect, Attitude, Behaviour, Communication, Privacy and Dignity?



Evidencing compliance with PCE regional priorities

Develop a process to reduce noise at night in hospital. R Toner Non Acute March 2016

All night staff are aware of the acceptable level of noise at night.

No complaints from patients regarding the level of noise have been received.

Ward Sisters review and reduce unnecessary activity in their wards as it arises.

Soft close bins have been ordered for initial test in one ward. All bins will be removed and replaced by self-closing lids on all wards and departments.

Ward Sisters will complete an observation of practice during a night shift on their wards with the aim of monitoring and reducing activity which creates noise.

Raise the Profile of 'Hello my name is' in community and primary care settings.

ADs March 2016

Implemented across all wards and departments

All staff have a name badge with designation and some also have photographic ID

Ward Sisters undertake daily walk rounds at visiting times

Observation of practice in place to monitor same

‘Hello my name is’ posters on display

Individual service leaflets are provided to patients on referral which includes the names

of staff who will be caring for the patient

All staff working in residential and Day Care have been issued with a name badge with designation and encouraged to introduce themselves

Home and Day Care Services have introduced clear signage and photographs of manager and senior staff at the entrance to home and Centres.


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Training Key Objective: Training is provided to support staff, service users, carers and other stakeholders to develop skills and knowledge to enhance service user involvement at all levels across the Trust.



Staff receive training to develop skills and knowledge to enhance service user involvement within their area of work.

o Continue to provide PPI Awareness training to staff teams on request

o Continue to provide PPI Awareness training to student social workers at core induction programme

o Promote and encourage up-take of PHA e-learning training when available

HOS UI & CD

PPI Information leaflet for staff outlining support available circulated.

PPI Awareness delivered to student social workers at core induction programme August 2015 and Jan 2016. 71 students and 30 new staff members. PPI Awareness delivered at Prof Dev Programme for Nursing and Midwifery – 11 Sept 15. Leadership Within 2 workshops 54 staff OPPC Sept 15. Cook’s Tour - 1

CIT – Quality Improvement E learning pilot (PPI section) 30 staff

How to involve service users and carers workshop x2 (43 staff) at Quality Improvement Event 14/10/15

Regional PPI Awareness E learning pilot Oct 2015 (9 staff and 4 Panel members)

Mental Health Core Care Pathway staff awareness sessions co-developed with UCSIG. 100+ staff trained

o Complaints and comments training o Staff induction o Patient and Client Council awareness o Customer care training

Heads of Service

All teams received an update on complaints requirements – this remains an area for further development and education especially with regard to local resolution

Service Users, Carers and the public have access to training to develop skills & knowledge to participate effectively in the planning, delivery, monitoring & evaluation of services.

o Disseminate information about relevant training courses to voluntary/ community sector

PWB Continue to disseminate via mailing list

o Provide basic awareness training in capacity building issues e.g. committee skills, presentation skills etc. on request

CD Workers On request.

Completed and detailed in CD Annual Report

o Provide tailored Community Development & Health Initiatives Training to Community Groups & individuals.

CST Project Manager On request.

1 requested and delivered

Service Users and Carers are involved in staff training.

o Identify opportunities to involve Service Users, carers and the public when developing staff training

ADs, HOS & Team Leaders

PPI Panel member helped deliver PPI Awareness training to Brain Injury Team 15.04.15 and another Panel member gave presentation to 15 first year SW students at SRC as part of Social Work Degree revalidation process Nov 15.


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5 Monitoring and Evaluation

Key Objective: Establish systems and process to monitor and evaluate PPI activity across the Trust



Monitor progress against key deliverables in PPI Action Plans

o Complete PPI Checklist and return to PPI Team o Continue to complete and return PPI Impact Template o Continue to gather directorate PPI Impact Templates and

develop summary flyers o Produce regular reports as required

OPPC HOS PPI Team March 2016

Continue to record new PPI activity

o Continue to encourage the completion of PPI Checklist and Impact Template to capture new PPI activity and impact to contribute to Annual PPI Report

o Continue to complete and return PPI Impact Template

PPI Team March 2016 OPPC HOS March 2016

Evaluate how those involved in PPI Activity think about the process of involvement

Divisions to develop evaluation strategies to capture how those involved in PPI activity think about the process of involvement and link with PPI Team to support this.

PPI Team to promote the use of the Service User Testimonial Template

All staff

Documents

Action Plan to Enhance Personal and Public Involvement ...m. PPI Action Plan 15 16 Final.pdfThis PPI Action Plan outlines the key actions that will be taken to enhance Personal and