action plan to enhance personal and public involvement ...m. ppi action plan 2016 17 final.pdfthis...

PPI Action Plan Template 2016/2017

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Action Plan to Enhance Personal and Public Involvement

Within the DISABILITY Division

April 2016 – March 2017


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Introduction This PPI Action Plan for the Disability Division outlines the key actions that will be taken to enhance Personal and Public Involvement during 2016/2017 and will feed into the corporate Trust PPI Action Plan.

The key contacts in relation to this action plan are: Bryce McMurray Director of Mental Health and Disability (Acting) Bannvale House, 10 Moyallen Road GILFORD BT63 5LX Personal Assistant Tracy Griffin 028 38 833222 Email: [email protected]

Miceal Crilly Assistant Director of Disability Services Bannvale House, 10 Moyallen Road GILFORD BT63 5LX Tel: 028 38 833248 Email: [email protected]

Bronagh McKeown Head of Day Care Services, Day Opps and Day Care Contracts Oakdale House NEWRY BT35 8AP Tel: 028 308 25120 Email: [email protected]

Pat McAteer Specialist Services Manager (Brain Injury, Sensory, Behaviour Support) plus contract monitoring Oakdale House NEWRY BT35 8AP Tel: 028 308 25120 Email: [email protected]

Dessie Cunningham Head of Supported Living and SL Contracts Ferndale GILFORD BT63 5LX Tel:028 38 833249 Email: [email protected]

Barry Collins Head of Transport Services Rosedale GILFORD BT63 5LX Tel: 028 38 833271 Email: [email protected]

Donna Curley Responsible for 3 Comm Teams – Armagh Learning Disability, Armagh Physical Disability, C&B Learning Disability Jackson Hall (Ward 4) St Luke’s Hospital ARMAGH BT61 7NQTel: 028 37 412339 Email: [email protected]

John McEntee Responsible for 3 Comm Teams – Newry Learning Disability, Newry Physical Disability and C&B Physical Disability Drumcashel House Newry Tel: 028 302 56780 [email protected]

Noreen McComiskey Learning Disability Specialist Services Manager (Forensic, Epilepsy, Crisis Response and Transition) Oakdale House, NEWRY, BT35 8AP Tel: 028 308 25120

Email: [email protected]

mailto:[email protected]




Tel:028







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PPI Indicators

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

you can be contacted?

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

3. Do you provide information to help service users or carers to better

understand and manage their health and/or social care needs?

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

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

6. 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?

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

8. Do you maintain a database of interested people?

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

10. 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 1. 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?

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

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

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

4 Monitoring and Evaluation 1. How do you measure/assess the impact and outcome of your

involvement activities?

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

3. Has PPI improved the patient client experience/quality of care? If so, how?

4. 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 2016/17 Timescale& Leads

RAG rating

Progress Update/Impact @ 31/3/17

Information explaining who you are, what you do, how you can be contacted and the standards that can be expected from your service

All teams to keep contact information under review and up-date as required and ensure up-to-date info available on Trust website, Share Point and DoS

ADs, HOS, Managers March 2017

Checklist exercise confirms all services have service leaflets available. All Clinical Guidelines available on intranet. Standards included as part of information leaflets and packs. Service user guide / Statement of purpose available for sus and carers.

Information on conditions or issues relating to the service/s provided is available including signposting to other external sources of support

Checklist exercise confirms all Disability services have information on conditions or issues relating to the service/s provided available.

All teams to keep information under review and up-date as required and inform A&I and DoS for database

ADs, HOS, Managers March 2017

‘Opportunities for All’ website continues to be promoted and further developed to provide an accessible resource of information and support on a range of opportunities for people with a disability.

Service Users, Carers and the Public are aware of how to access Trust’s complaints process and how to make a comment or compliment

All teams to keep under review ADs, HOS, Managers March 2017

Checklist exercise confirms all Disability services provide information at initial assessment that explains how Service Users, Carers and the Public can make a complaint or comment on the service provided. Focus is on local resolution

Information explaining how to become involved in the planning, delivery and evaluation of the service/s

Continue to Display PPI ‘Have your Say’ poster in premises and distribute registration forms

Monthly monitoring meetings provides opportunity for key worker to liaise with service user and family member/s to ask for their views on the service provided

Install link from Opp. for All site to PPI page

ADs, HOS, Managers, All staff Mar 2017

Completed.-Leaflets and posters distributed.

Database of interested people is in place and maintained

Continue to maintain database of service user/carer details ADs, HOS, Managers, Mar 2017

Checklist exercise confirms each Service Team has database.

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

Use PPI Opp. for Involvement Template on Involving You section of Trust website and share with service users, carers and Trust forums and groups

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

ADs, HOS, Managers Annually.

Each Service Team has list of service users and carers details and opportunities for involvement are circulated as they arise.

Feedback provided to those involved and generally on impact and learning

Continued use of feedback template and other methods

Continue to feedback to those involved, colleagues and PPI Team

Managers March 2017

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 2016/17 Timescale & Leads

RAG rating


Specialist Services


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Review and modernisation of bed based short break provision (Respite) for individuals with a learning disability and their carers

Continue to support development of LD Carers Forum as part of the overall review and modernization of short break provision

Provide feedback on outcomes of focus groups, options appraisal group and an up-date on the new model developed

Explore development of quarterly newsletter aimed at ensuring consistency and accuracy of information received by carers.

Pat McAteer March 2017

Carers Forum remains a strong influence in the development of services for individuals with a Learning Disability. Members have been involved in the options appraisal for short breaks as well as the development of a scoring tool to help determine the amount of short break eligibility. Several members have been involved in a working group to develop a scoring tool to help staff and carers to reach an objective agreement as to the number of bed based nights a carer would qualify for as part of their respite package. The Carers Forum meets monthly and receives regular updates on short breaks, day opportunities and transition. An evaluation of the Forum to see how improvements can be developed and implemented commencing 8.2.17 with Clinical Leadership Solutions. The options appraisal for short breaks completed and all Carers of individuals with a Learning Disability have been informed of the proposed model for bed based short breaks. The Specification for the proposed bed based respite is currently with DLS and will be going out to Tender within the next few weeks. Carers have also been involved in a work shop to help determine future spend for improving services to older carers of individuals with a Learning Disability. Forum members involved in selection of an organisation to provide awareness training to Carers across the Trust iro rights and entitlements for Carers of individuals with a Learning Disability. Forum members planning the development of the newsletter. PPI team member has recently met with carers and will advise on the development of media aimed at reaching a wider audience of carers.

Development of appropriate mechanisms to support the involvement of those with sensory impairments

Continue to build on work of the Vision & Hearing Forum

Pat McAteer March 2017

The vision forum meets 3 -4 times per year. Attendee numbers range from 12-15 people. Bi annual news and views newsletter circulated reaching 800+service users. Minutes and newsletter provided in range of accessible formats. Range of consultations with Deaf and Hard of Hearing people iro new sign language partnership framework draft sign language Bill. There is no formal hearing Forum, but regular (monthly) consultations with the deaf and hard of hearing community in their own locality and setting are held. A quarterly newsletter “Sign of the times” is distributed to approx. 110 Profoundly Deaf sign language users in the Southern Trust

Hold focus group with Floating Support service users to gather their views and experience to help improve services

Colette Bigley October 2016

The annual Focus group meeting with Floating support services users has been scheduled to be held in December 2016


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Key Deliverables


RAG rating


Special Services Learning Disability

Forensic Services

Regional Forensic Network facilitated by HSCB to meet with carers to quality assure PPI

Review of Forensic Services involving stakeholders

N McComiskey March 2017

Report received from the Department/Board was very positive regarding service received as reported by carers. Innovative work supporting both the offender and the carer with ongoing support to ensure community integration.

Transition Service (18-21 years old)

Establish Reference Group involving service users, carers, independent sector

Develop protocol

Recruit new staff

Develop work plan to embed service

Hold HWB workshop for carers to identify issues and inform way forward

N McComiskey Sept 16 Nov 2016

Completed

Protocol developed and HSCB using model as basis for development of regional protocol.

Recruitment for new Transition Team completed

2 year plan to embed service being developed

Workshop held in November 16 - formal and informal involvement and peer support mechanisms being developed as a result of feedback from parents given at the event

Learning Disability Crisis Response Service

Continue to work with staff including the Behaviour Support Team, GPs, psychiatrist and social worker to provide the best care for service users during their time of difficulty.

Joe McGivern Gavin Crilly March 2017

Choice to receive care in ‘home’ environment reducing stigma associated with hospital admission. Tangible support for carers. Referrals to the Behaviour Support Team increase significantly year

on year however early intervention by the Behaviour Support Team

has enabled Carers and Trust staff to manage many complex

behaviours in a more timely and effective manner. Earlier

intervention has resulted in fewer family breakdowns and less

requests for hospital admissions and short break support

Develop HT Service to support SU’s & C’s at home/ placement for 48 hours preventing hospital admission and facilitating earlier discharge

Joe McGivern Gavin Crilly March 2017

Service developed with a range of home treatment interventions to assist with prevention of admission and earlier discharge. An average of 8 people being supported 7 days on an ongoing basis. Feedback has been very positive and the service has proved invaluable at the transition phase to assist with management of challenging behaviour and intervention. Carers have also provided potential feedback at Transition Consultation re: the assurance of having someone available at the end of a phone when other services are closed.


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Key Deliverables

Key Actions 2016/17 Timescales & Leads

RAG rating


Supported Living Services

Review of Supported Living Services

Continue to chair Steering Group for modernisation of the overall service.

Continue to support work streams and sub groups established comprising all stakeholders to enhance communication, review policies and procedures, provide clarity on staff roles and responsibilities and complete a workforce planning exercise.

Staff are considering using 10 000 Voices as a means of rating satisfaction with services.

M Crilly & D Cunningham March 2017

Steering group continues to guide overall modernisation agenda.

Work streams and sub groups have now concluded and work continues to finalise all proposed recommendations.

10,000 Voices has been approached to discuss feasibility.

Day Care Services and Day Time Opportunities

Review of Day Care services

Encourage service users and carers to take part in the engagement exercise regarding the future shape of Day Time Opportunities

Use feedback from stakeholder engagement process to develop specification for brokerage service

Continue to provide regular up-date letters and attendance at LD Carers Forum

Staff to consider how to better capture user views within Day Opportunities and also meet RQIA requirements in terms of capturing user experience, albeit in a more creative way than the annual questionnaire, which users and carers have said is the same thing every year. Staff will explore the possibility of using observations as one way of capturing qualitative data.

Investigate the possibility of using 10,000 Voices as a means of capturing views

B McKeown March 2017

Engagement sessions with 284 carers and service users in attendance. A report of proceedings capturing the views articulated by service users and carers was compiled and circulated to attendees.

The feedback has also been taken account of in drafting specification for brokerage service

A bi monthly update is given to the carers forum on development of day opportunities and also feedback from carers used to shape the future development of services.

A day opps newsletter has been produced by service users also detailing developments in day opportunities. The first edition has recently been circulated.

There is ongoing engagement with service users who attend day care centres through service user meetings. Annual Satisfaction surveys conducted with service users and carers and annual reports providing feedback in regard to survey outcomes. Information via letters and meetings with service users relating to relocation to modernised Day Centres,ie Linenbridge & Manor Centre. Service user evaluation forms were distributed/ returned in Linenbridge for comments on new day Centre.


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Key Deliverables


RAG rating


Day Care Services and Day Time Opportunities

RQIA questionnaires are distributed to service users and carers at inspections. Staff will continue to enable the carer to advocate for and explain their relatives’ needs at initial assessment meetings.

Carer’s perspective forms an important part of initial assessment re challenging behaviours. Service user and carers’ views are also actively sought and noted during monthly monitoring visits.

Accessing local amenities

Continue to support service users and their carers to ensure they are an integral part of community and voluntary services in their locality.

Launch “My Day –My Way “

Use Posters & DVD to promote Day Opportunities service - ongoing launch of dvd to be agreed when day opps coordinator returns from sick leave

All staff 2017

Sensory Disability Services have appointed a full time community access worker and significant developments have been made to enable profoundly deaf people to access their local communities. Sensory Services continue to work in partnership with RNIB to improve access to local community services for blind and partially sighted people and this involves extensive awareness raising about the needs of partially sighted and blind people. The Sensory Disability Services have developed a pen drive for Deaf people to study for the driving theory test in sign language. This is now available on Southerni.

Promotional Day Opportunities’ My Day –My Wa DVD‘has been launched.

Adult Disability Transition Team and LD Forensic Services continuously strive to ensure service users access their local community and develop partnership to create new opportunities

Fit 4 U -physical and sensory

Continue to support the Fit 4 U programme and Fit 4 U clubs

All staff March 2017

Dungannon, Armagh and Newry Clubs dissolving.

Co-ordinator is developing a means of including users on Steering Group and possible service user forum.

Fit 4 U2- Learning

Disability

Support Fit4U2 programme.

Explore how best to have Learning Disability Services Users views represented on the Fit 4 U Steering Group


Co-ordinator is developing a means of including users on Steering Group and possible service user forum.

Transition services are accessing this service. In addition they are working with the Promoting Well Being Team to develop sustained community opportunities for disabled people in partnership with partner agencies.


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Key Deliverables


RAG rating


Disability Community Teams

RQIA Audit with LD and PD Inform and involve service users in progressing recommendations from audit report once available

J McEntee March 2017

This was discussed with the Carer Forum in November 2016

Review of Short Breaks service

Continue to gather feedback from service users of their experience of current short breaks

J McEntee March 2017

Teams are collating this information. An evaluation Proforma was drawn up and is being sent to flexible respite recipients, these will be collated and considered at the end of the year and should help with planning and promoting with carers in 2017.

Physical Disability Carers Forum

Explore possibility of establishing Physical Disability Carers Forum

Hold information event to gather feedback from carers on need and best way to involve

D Curley March 2017

Meetings were held in the three locality areas facilitated by Disability Action as part of contract with the Trust. No interest from those who attended in becoming part of a forum. Carers prefer to be consulted and asked for views via the contact Data base. Service satisfaction questionnaires have been distributed to service users and carers.

Disability Carers Forum

Develop a Contact Database for Carers in Armagh and Dungannon Physical Disability Community Teams (Pilot Project)

Explore the possibility of establishing a Disability Carers Forum in Armagh and Dungannon locality

K Lavery March 2017

This is ongoing and is being shared with other teams. The forum has not been established as carers have not been interested in taking part.

Staff and service users partnerships

Staff to meet with service users and carers to plan activities within Appleby SEC and Oakridge

Appleby / Oakridge staff March 2017

Ongoing

Transport

Review of Day Care Gather views of service users and carers on transport arrangements in relation to day care

B Collins Dec 2016

Letter issued to all service users and carers inviting final comment by mid Dec

Gather feedback from day care facilities on transport arrangements post day care review

B Collins March 2017

Integrated Transport Strategy- Pilot Autumn 2017

Involve Service Users and Carers in Trust Implementation Group to mirror regional actions and implement the preparation for introducing this initiative

M Crilly March 2017

PPI team have provided initial advice around planning this initiative.

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


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identified in the Trust’s Strategic PPI Action Plan Framework. Key Deliverables

Key Actions 2016/17 Timescale &

Leads RAG

rating Progress Update/Impact @ 31/3/17

Evidencing Compliance with Patient and Client Experience Standards

Evidencing compliance with the 5 PCES

Continue to support the implementation of the regional 10,000 Voices Project as required


10,000 voices recently facilitated a workshop with users/carers to evaluate and future plans for Transition Services. They have been involved in designing opportunities for carers to avail of in their local community e.g. Take 5 for Carers

Agree MHD PCE priorities for 16/17

Implement and provide quarterly up-date reports

ADs MHD Priorities agreed and being implemented


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3 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.

Key Deliverables Key Actions 2016/17 Timescale & Lead

RAG rating


Staff receive training to develop skills and knowledge to enhance PPI within their work

Promote and encourage up-take of PHA PPI Awareness module on Trust E Learning platform

Link with PPI Team for support as required

Attend Induction training and existing staff training to raise awareness of the importance of LD accessing services and how they can help this process by signposting. Also to inform staff, service users of the role of community access

Team Leaders Mar 2017 Comm Access Staff

Current staff aware of PPI and use PPI in practice.

Discussed during supervisions and PDR’s

Date to be agreed to attend LD team N&M

PPI E learning = 52 staff completed

Staff are focusing on feedback and lessons learnt from complaints, issues and concerns

Included in new staff induction to teams

Disability awareness training

Teams identified from Checklist exercise – Brain Injury/Sensory, Supported Living and Community Teams

61 staff have completed PPI awareness training

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.

Disseminate information about relevant training courses to voluntary/ community sector


Service Awareness for service users and carers

Attend LD carers forum every 2 months and provide updates

Contract with Disability Action to provide as required

Advocacy services / training

Disability awareness training

Members of the Carers Forum are made aware via email of all training courses available to them. Forum members are asked to ensure that they share this information with their peers as extensively as possible.

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

Service Users who are either deaf or blind are extensively involved in awareness training of staff across a wide range of programmes. This is particularly important to staff as they have a much clearer insight into the impact of a sensory condition on a patient/client. Carers of transitioning service users with complex behaviour support needs assisting with providing training for staff. Very positive response from staff and carers. The Adult Disability Transition Team has involved users and carers in the planning of services and also in the delivery of bespoke training


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4 Monitoring and Evaluation

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

Key Deliverables

Key Actions 2016/17 Timescale & Lead

RAG rating


Monitor progress against key deliverables in PPI Action Plans

Continue to ensure staff up-date PPI Action Plans for their area of responsibility

Link with PPI Team to help produce regular reports as required

HO UI&CD HOS/ Team Leaders PPI Team

Ongoing. PPI Champions identified in division.

Continue to record new PPI activity

Continue to encourage the completion of Impact Template to capture new PPI activity and impact to contribute to Annual PPI Report 16/17

PPI Champions March 2017

Disability Services are committed to identifying and recording PPI activity.

Continue to use PPI Evaluation Tool

Continue to use evaluation tools to capture feedback from service user and carer involvement of their involvement activity.

Staff continue to link with advocacy services to support this action

All teams March 2017

The Learning Disability Division are in the process of carrying out an evaluation of the Carers Forum to see how it can be used more effectively. Carers will select the Evaluator.

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