Public & patient engagement session 1

Public & Patient Engagement Training – Session 122 April & 21 May 2013

Welcome

Your trainers:

• Anna Hynes, Health and Social Care Officer, CVAT• Ben Gilchrist, Policy and Participation Manager, CVAT

• Peter Denton, Healthwatch Tameside Manager

Community & Voluntary Action Tameside (CVAT) is the lead development and support organisation for community and voluntary action in Tameside.

Healthwatch Tameside is the local consumer champion for health and care issues in Tameside.

What do you want from this training?

Please tell us what would be useful for you to take away from these two ½ day training sessions…

Exercise 1 – other people’s decisionsWorking in pairs:

• Describe a time when someone else has made a decision that affected you

• Think about how much you were able to influence this• Think about whether or not it turned out the way you

expected• How did you feel about it – both at the time and

afterwards?

• Write a brief summary on a Post-It note

Examples might include a partner changing jobs, a family member moving in or out of your home, a holiday being cancelled, etc.

Exercise 2 – Put yourself on the ladderTake your Post-It from exercise 1:

• Put your Post-It on the rung of the ladder that most closely matches your description

NHS T&G CCG Framework for engagement

Focuses on commissioning, in 4 steps:

1. Checklist – thinking about your engagement

2. Impact of proposal – how does this relate to scale/type of engagement?

3. Planning the public and patient engagement activity

4. Evaluating – both the engagement itself and the impact/changes that have resulted.

This is about determining the scope of your project, background research & getting the ‘green light’ to proceed.

This is about understanding the scale of potential impact and what level of engagement is appropriate.

Support and guidance are available.

How successful were you?What did you learn?What changed?

Steps 2 & 3 may cause you to revise assumptions in step 1

FRAMEWORK – STEP ONEChecklist – scoping your project and engagement needed

Case study – action 1

Split into groups of 2 or 3 people:

• Briefly discuss one project each that you expect to be working on in the next 6 months (this is an opportunity to use the training to prepare for an upcoming task).

• Decide which project you will find it most useful to work on as a team.

• Answer question 1 of Step One of the framework (preferably in no more than 30 words):

• ‘Please provide a summary of your particular work stream’


For your chosen project• Answer question 2 of Step One of the framework (preferably in no more than 30 words):

• ‘What will you be doing that is different?’

Think about:

• What do we know that cannot change?

• What do we know that must change?

• What are we trying to achieve?



• ‘What will be the outcomes of the proposal?’

Think about:

• What are we trying to achieve?• Is this about improving a service within existing resources?• Is this about delivering the same level of service using fewer resources?• Is it about providing an equivalent service to more people, within the same resources?A B

Case study – action 4• Answer question 4 of Step One of the framework (preferably in no more than 30 words):

• ‘What does this mean for patients/public accessing the service?’

• This is about helping you to define your specific target audiences

Think about:

• Who currently accesses this service?• What do we know about how they access the service?• Do we have any data about the service that will help to answer this?

• Can we split ‘the public’ or ‘patients’ into smaller categories – groups of people we can engage on specific topics?



• ‘What positive and/or negative impact will this have on patients/public accessing the service?’

• Indicate where you could find further information to help to answer this (e.g. people within the CCG, local partners, secondary research).

Think about:

• Location & transport• Physical access to premises• Communication• Times

• Existing research/good practice

• Is there anything that might make it harder or easier for any of the protected characteristic groups to access the service?

COMFORT BREAKPlease return in 5 minutes



• ‘What noticeable changes will patients/the public see?’

• This is an opportunity to ‘reality check’ some of the assumptions you have made in questions 3 to 5 and to identify where more evidence (including that collected through engagement) might help.

Think about:

• Your answers to questions 3, 4 & 5

• What questions/concerns this might raise in patients’ minds

• What is the evidence base – how sure are we that these are the likely changes that people will see?



• ‘How will you measure the impact of your changes?’

• Impact could be about access, patient experience and/or clinical outcomes

• What will you do if the impact is unexpected and results in a negative patient/public experience?

Think about:

• Benchmarking and tracking• Existing data sources• How long it is likely to take for an impact to be noticeable

• Are the changes likely to impact differently on different groups of people?

• How and when can you measure health outcomes for this?



• ‘Have you considered that there might be cost and/or resource implications when delivering your PPE activity and if so can you explain what these implications might be?’

• It may be that this is only an approximate estimate – Step Three (planning engagement) may cause you to revise this figure.

Think about:

• What resources you have in the CCG

• How community groups and CVAT can help• How Healthwatch can help

FRAMEWORK – STEP TWOEstimating impact

Your impact levels

LevelHigh:

• Decommissioning a service• Permanent relocation of a service• Changes to patient pathway with a significant impact on patients/public• Temporary removal of service (1 month or more)• Temporary relocation of a service (1 month or more)• New service being commissioned

ActionCCG should offer local people to have their say, e.g. by:

• Formal (mandatory) consultation (S242)• Satisfaction surveys• Face to face and/or web based interaction

Your impact levels

LevelLow:

• Changes will have no significant impact but there is real opportunity for local people to influence and shape service delivery

• Changes will have no significant impact and there are no real opportunities for local people to influence

Action

• Involve via two-way communication

• Inform


• As a group, decide whether your project has high or low impact

• If it has low impact, is it most appropriate to involve or inform local people?

Think about:

• What data you have to support this assessment

• How you answered the questions in Step One of the framework

• Whether your impact assessment is true for all potential users of the service, paying particular attention to protected characteristic groups.

In conclusion

Today we have:

• Looked at some engagement theory and how it fits your work• Worked through STEP ONE – your scoping and checklist• Assessed STEP TWO – the impact of your project (and used this to determine to purpose of engagement)

In the next session:

• STEP THREE – Planning your engagement activity – including potential partners/sources of data• Feedback – how you act on engagement data• STEP FOUR – Evaluation

ANY QUESTIONS?

See you in session 2

THANK YOU

Health & Medicine

Public & patient engagement session 1