INDEPENDENT SCRUNITY(LONDON PATIENT VOICE)

Paula Lloyd knightHead of Patient and Public Voice

NHS England (London Region)

Scrutiny Paula Lloyd Knight June v4

Setting the scene

On 2nd December 2013, over 50 people, committed to improving patient participation in London gathered to share their insight and recommendations for how NHS England (London Region) commissioners can be held to account for their engagement activities.

The co-production day was organised to gain insight into how the population of London might hold NHS England (London Region) to account for its engagement activity and outcomes.

Strong governance

Working at pace…without leaving anyone behind

3. OUTCOMESDescribe what we want the Assembly to achieve in the future

2. DOING & BEINGWhat will the Assembly members be doing – what activities and work, what will

they be thinking, how will they be behaving?

1. HOW WILL IT FEEL?Use words and pictures to express how we want it to feel to be a

member of the Assembly in the future

4. VALUES

4. VALUES

COLLABORATIONEMPATHY

COMPASSION

PERSON CENTERED TRUST

MUTUAL RESPECT

OPEN COMMUNICATION

HONESTY

TRANSPARENT

No fudge, there are clear objectives

Everyone’s views are respected

Listened to

Given enough time to be heard

No language barriers

A leap into the unknown….but feel

supported

Barriers to overcome are part of the “challenge”

Part of a team/partnership

Understand how everything is interlinked

Working towards a common goal –for the common good

Rewarding

Working with the public as people….not just as patients

Thinking out of the box, being creative

Dynamic

Feeling in touch

Positive use of time“You have sought me out, given me enough time,

listened to me, helped me to participate”

Successfully juggling the many topics, issues and

needs

Light, relaxed, comfortable, holistic environment

In controlEnergised

Differences are accepted

Travelling together on a journey

BELIEF

Endless possibilities

energy

Key values are known, lived, built in

Learn from others – local, national, international

Active

Engaged

Resilient and effective advocates

A critical friend: reading, listening, questioning,

challenging

Making decisions and agreeing

Accountable

Not leaving things to chance

Visionary

Actively listening

In meetings: useful contributions, constructive,

productive

Outside meetings: Collecting and absorbing opinions and events; online sharing and

collaboration

Working effectively with commissioners

Unbiased focus –representing everyone

fairly

Growing together

Accept when things go wrong

Adaptable – leaving old atti tudes/ processes behind

Open to others knowledge,

opinions, ideas

Questing

Bridging the gap

Magic when it works

Totally inclusive and representative

Good communicators and

ambassadors –feeding back to

Londoners

Shifting attitudesSetti ng the standards/role modelling participation

Safeguarding quality/addressing inequality

Fulfil promise to hold commissioners to account

An entity which truly represents the population of London

Better health outcomes as result of commissioners held to account for PPI

Signposting

Everyone is equal

Everyone’s opinion is valued

Empowered

Scrutiny Paula Lloyd Knight June v4

Outcome of co production day

Develop - A stand alone patient and public scrutiny function to hold the Region to account for how it meets its statutory participation obligations

Group to be called ‘London Patient Voice’

Scrutiny Paula Lloyd Knight June v4

Progress towards developing LPV

• Sept 2013- NHSE (LR) Transformation Group agreed to setting up public arms length scrutiny Group

• Dec 2013 – Successful co production day held with 50 people agreed framework and concept

• Jan 2014 – Task & finish group developed operating framework

• May 2014 – procurement process for independent provider and support for LPV

• June 2014- Centre for Public Scrutiny appointed• July 2014 – Recruitment commenced

OUTCOME

METHOD

PRODUCTS

Public Scrutiny of Participation in the London Region

Scrutiny Paula Lloyd Knight June v4

Patients and the public have independently evaluated NHSEL’s engagement against the two participation duties and made recommendations for improvements.

Community Asset based Approach

Create London Patient Voice as a stand alone group which holds NHSE (London Region) to account against the two participation duties across its direct commissioning function

1. Annual independent evaluation of NHSE (London Region) participation report

2. Independent assessment of the impact and experience London citizens have had on NHSE (London Regions) commissioning activities

3. Public report making recommendations for improvement

London Patient Voice

London Patient Voice independently

appointed citizen scrutiny group

Assesses annual participation &

engagement report from

London Region

Gathers experiences of public involved in the regions commissoning

activities

Publishes Independent

report and makes recommendation

s for improvement

Independent scrutiny of NHS England (London Region) participation and engagement activities

Scrutiny Paula Lloyd Knight June v4

Role of London Patient Voice

• Assess NHSELRs annual participation and engagement in commissioning report

• Prepare & publish an independent evaluation of NHSELR participation and engagement report making recommendations

• Collect evidence from NHSE (London Region) patients & groups Involved in direct commissioning activities and Boards to support validation of NHSEL report

Scrutiny Paula Lloyd Knight June v4

Membership London Patient Voice

• Independent Chair (open recruitment)• 11 members (open recruitment)

(Membership to be representative of London's diversity – at application process)

Scrutiny Paula Lloyd Knight June v4

NHSE (London Region) PPI activities – Providing evidence of impact of involvement

NHSE (London Region ) Public & Patient Involvement structures are not part LPV but LPV will collect evidence from those involved in NHSE (London Region) engagement activities to explore their experience & impact on the decision making process.

LPV members will collect the experiences/evidence from:

• Existing NHSE (LR) patient/ user groups who are active participants in the commissioning process

• Groups who provide expert user experience / knowledge to NHSE (LR)

NHSE (London Region) Patient & Public Involvement arrangements in Direct Commissioning Activities

LPV to assess PPI

experiences

Patient & Public Procurement

Group

Health & Justice Stakeholder Sub

committee

Cancer Screening programme Board3 sub committees

Primary CareTransformation Patient Board

Specialised Commissioning

(Monitoring )TBC

Cancer User Involvement

GroupYouth Health

NetworkLondon

Immunisation Board

Strategic Clinical Network

reference groups

Scrutiny Paula Lloyd Knight June v4

LPV Relationship with NHSE (London Region)

• LPV will be a stand alone arms length group• NHSEL should have clear arrangements for

how it manages the LPV recommendations• NHSEL SMT may be asked to give evidence to

support the annual report and recommendations

NHSE (London Region) Governance arrangements for acting on LPV report & recommendations

1.

Report received by the Patient Experience &

Patient & Public Involvement Clinical

Governance Sub Group – to develop and agree an

action plan

2.

Action plan presented to the Clinical

Governance Group for approval and in-year

monitoring

3.

Formal response from The London Region

MD to

LPV on how it plans to meet its

recommendations

Creating and developing London Patients Voice

Su TurnerHead of Programmes

Centre for Public Scrutiny

Who are CfPS?

Founded in 2003 to:

• promote accountable public services • influence policy and practice

Now a charity, we are a national leader in ideas about accountability and scrutiny in public services:

• on-line (library, exchange, bulletins and news, blog, twitter)• training and improvement support services• publications and events

what is scrutiny?

Fundamentally, we believe that:

scrutiny is based on the principle that someone who makes a decision…

…shouldn’t be the only one to review or challenge it

what is good scrutiny?

CfPS “four principles” of good scrutiny:

• Provides ‘critical friend’ challenge to executive policy-makers and decision-makers

• Enables the voice and concerns of the public and its communities

• Is carried out by ‘independent minded governors’ who lead and own the scrutiny process

• Drives improvement in public services

Creating London Patient Voice -

Recruiting and developing its members

• Recruitment – by end of July• 3 training and development sessions in August covering:

• Getting to know each other, NHS England and the London Area Team.

• Independent scrutiny, questioning and listening skills.• Working with others and work programming.

• Coaching and support – particularly for the Chair• Support for panel members at meetings

Thank you

Any questions?

To find out more

www.cfps.org.uk - register on-line or sign up for:- e-newsletters, e-digests & scrutiny exchange- reviews library, on-line forum, latest news- new Policy and Skills Briefings

Twitter: @CfPScrutiny

info@cfps.org.uk or 020 7187 7362 for helpdesk