CEG Information Pack An introduction to NHS West Suffolk Clinical Commissioning Group s Community Engagement Group Version 1. 12/04/18 1
Contents An Introduction to the Clinical Commissioning Group 2 An introduction to local NHS services 4 Patient and Public Involvement explained 4 The role and function of the Community Engagement Group 6 Governing Body and Clinical Executive 8 Examples of how the CEG have helped us shape NHS services 9 The recruitment and selection process 10 Expenses 10 An Introduction What is local commissioning? Local commissioning means local GP practices joining together to form a group which will commission (buy-in) local health care services, rather than it being done by the Department of Health. As the commissioner, the CCG decides which health services should be provided, who will provide them and how they should be paid for. The CCG has a duty to act as an advocate for patients and ensure that the appropriate high-quality services are provided and that those services represent a good use of taxpayers money. Why do we commission? The CCG is responsible for commissioning a wide range of clinical or service areas for people in the West Suffolk area. Services we commission are as follows: Community health services Maternity services Urgent and emergency care such as A&E, ambulance and out-of-hours services Elective hospital care Mental health services Continuing Healthcare 2
We commission services from a number of providers which include: West Suffolk NHS Foundation Trust Addenbrooke s Hospital East of England Ambulance NHS Trust to provide emergency and non-emergency ambulance and patient transport services Allied Health Professionals Suffolk to provide physiotherapy services West Suffolk Hospital, Ipswich Hospital and Norfolk Community Health and Care Trust to provide community health services Norfolk and Suffolk NHS Foundation Trust to provide mental health services Care UK to provide out-of-hours GP and dental services Our Vision, Mission and Values Our vision Long and healthy lives for everyone in West Suffolk. By long and healthy lives we mean people s physical and mental health and wellbeing. By everyone we mean children, young people and adults. We are committed to reducing the inequalities which individuals currently experience. Our mission The mission of the CCG is to work with the community and clinicians to plan and commission safe, high quality services which meet the health needs of the people we serve, while maintaining financial balance. The CCG promotes good governance and proper stewardship of public resources in pursuance of its goals and in meeting its NHS statutory duties. Our values 'PATIENTS' Patients first Action orientated drive and deliver quality improvements Teamwork clinical leadership, patients, public, providers and staff Integration for improved results Equality of opportunity Never overdrawn a balanced budget Timeliness decisions results Safe, sustainable systems 3
An introduction to local NHS Services The Clinical Commissioning Group looks at the Health needs of its locate population and then commissions/ contracts the health care locally to meet those health needs. In addition it overseas the contracts to ensure services are being provided as per the contract. In effect it is the organisation responsible for ensuring a broad range of services are provided for the local population. The community engagement group consists of local service users, a voluntary sector representative and the lay member for patient and public involvement. It s role is to work in partnership with staff to promote patient and public involvement in all the work undertaken by the clinical commissioning group. Patient and Public Involvement - Explained Background The CCGs believe that integrated working is the most effective way of improving the quality of local health services. The term integration means different things to different people. Here, it is defined as a means of identifying opportunities for better team working in order to improve service delivery. In other words, the mission of the CCG is to work with the community and clinicians to plan and commission safe, high quality services which meet the health needs of the people we serve, while maintaining financial balance (NHS Ipswich and East Suffolk CCG website). This mission highlights the importance of working with patients and communities to gain their views, to listen and to engage with them to build better services. The CCGs have a legal duty to involve service users and communities in making decisions about their health and healthcare. The NHS Health & Social Care Act 2012 sets out the requirement to involve patients and the public in the planning of services, in developing proposals for change and in any decisions which would impact on services. 4
Working in partnership with the public Partnership working was the term chosen by patients and service users that best reflected their contribution to the work of the NHS Ipswich & East Suffolk Clinical Commissioning Group (CCG). Those two simple words make it abundantly clear that public opinion sits at the very centre of our efforts to co-produce with members of the wider community. While the Ipswich & East Suffolk CCG was in the process of defining what it meant by coproduction, colleagues from the neighbouring NHS West Suffolk CCG were on the same journey, and, reassuringly, coming to the same conclusions. This has led to the two CCGs working together in harmony, sharing their experiences to develop a best practice engagement model that will guide both organisations as they strive to ensure that the patient voice is heard loud and clear in the provision of future healthcare services. In Ipswich and east Suffolk, the Chief Operating Officer and Chairman of the CCG supported the creation of joint workshops involving members of the Governing Body, Clinical Executive, Community Engagement Partnership and GP surgery patient participation groups. Meanwhile, in west Suffolk, a group of people were recruited from the community to help forge effective relationships between the CCG, patients and the public. In addition to the annual Patient Revolution event, where the open space approach was used to enable members of the public to set the agenda, workshops were also held for members of the Community Engagement Group and Clinical Executive. These initiatives led not only to a definition of partnership working, but also prompted the development of an engagement toolkit for staff and the creation of a database of patients and service users with whom both CCGs could work in partnership. The appointment of 12 partnership champions drawn from teams across both CCGs aims to embed partnership working within all aspects of commissioning. Working together, the champions support and encourage working alongside patients in partnership. A framework demonstrating the spectrum of engagement was also designed, along with a method of capturing, monitoring and reviewing all engagement work. Working in partnership is absolutely the right thing to do. Nobody is pretending it s easy. The only easy thing is talking about it - actually doing it is much harder. In order for partnership working to become the norm a change in culture is required. The belief that professionals know best is outdated. Technical, clinical and managerial expertise should be blended in with the lived experience, community knowledge and leadership of patients and service users in order that our communities are truly involved in their health and social care. Together we can do this. Pauline Quinn and Jo Finn Lay members for patient and public involvement 5
The role and function of the Community Engagement Group The NHS West Suffolk Clinical Commissioning Group s Community Engagement Group (CEG) is a group of up to 20 local people who share a commitment for health and a passion for making a positive difference to the healthcare services delivered to local people. What is the purpose of the CEG? The CEG is a formal subcommittee of the West Suffolk CCG. The CEG advises the Clinical Commissioning Group on the development, implementation and effectiveness of its strategy. It also advises and leads work on involvement of patients, the public and carers in the whole commissioning process and promotes equality and diversity. The CEG supports engagement with the public and the voluntary and community sector organisations to assist them in understanding what the CCG is working towards and the principles of clinical commissioning. What are it s responsibilities? The remit of the Community Engagement Group is to: Advise and support West Suffolk CCG s lay member with lead responsibility for patient, carer and public involvement. Provide a mechanism for patient, carer and public representatives to have a voice in the development and implementation of the CCG s commissioning plans and decision-making Monitor the ways in which the views of patients and Suffolk s diverse communities are listened to by the CCG and influence the CCG s work. Work with the CCG to shape the future of patient, carer and public involvement. This will include marginalised groups; for example minority groups, carers, unemployed people and ex-offenders Encourage and support patient, public, community and voluntary sector community involvement as appropriate to different work streams Provide a forum for West Suffolk s communities to raise issues and concerns about service quality Advise on specific projects to support community and voluntary sector organisations in engaging in the delivery of health and wellbeing initiatives Oversee and advise on work on equality and diversity, including in developing, implementing and evaluating the CCGs Equality Delivery System2 Act as ambassadors of the work of West Suffolk CCG with external groups, when appropriate Who makes up the CEG? The Public and Patient Engagement group will comprise: Lay Member for Patient and Public Involvement 6
An elected chair drawn from members not including paid employees of the CCG. Chairship may be rotated if necessary. A senior officer of the CCG No more than 20 members, including the Chair and the Nominated Deputy A member will be affiliated with each of the CCG s four locality areas At least three members will be selected to provide a range of backgrounds and community expertise (e.g. services for Marginalised and Vulnerable Adults) One member of HealthWatch Suffolk, will have a place on the CEG. Members will have voting rights when voting is applicable. A simple majority is required to make a decision. If there is a tie, the chair will have the deciding vote. If the CEG is not quorate, a decision can be made between meetings by having a vote. All members should be able to participate in this vote before a set deadline. Where and how often are meetings? The CEG meetings are to be held in different locations across West Suffolk. The Meetings will take place every other month and will be open to the public. Meeting dates are published online to promote public awareness and attendance. Who attends from the CCG? A senior member of staff from the Chief Operating Office and the lay member of West Suffolk CCG with lead responsibility for patient and public engagement, will attend meetings of the CEG. If unable to attend, a senior member of staff will be asked to attend in their place. Other heads of service will be asked to report to the CEG as appropriate. NHS staff and officers from other statutory and voluntary sector agencies in attendance have speaking rights but not voting rights. Is there a code of conduct? Yes, the Partnership will review its effectiveness including running costs, membership and terms of reference on an annual basis. The Governing Body will be asked to approve any resulting changes to the terms of reference or membership. 7
Relationship with the Governing Body and Clinical Executive The Community Engagement Group will operate as a formal subcommittee of the Governing Body and therefore the CEGs considerations, conclusions and recommendations will be noted at each of the Governing Body meetings. The group will support the operation of the organisation by providing advice on involvement with the population of West Suffolk. The CEG sits within the CCG governance arrangements, supporting the Clinical Executive and Governing Body. The CEG is not intended to be a scrutiny group. Representatives of the CEG will attend the Clinical Executive meeting to report on Patient and Public Involvement. In addition, the Chief Operating Officer and Chair of the CCG, will attend the CEG meeting twice a year to report on patient, carer and public involvement progress within the CCG. What is The Governing Body? What is The Clinical Executive? The role of the Governing Body is to improve quality and outcomes for patients and ensure optimal use of the resources available for the people of West Suffolk. The Governing Body is made up of 13 members, 7 of which are GPs, who are also members of the Clinical Executive. The West Suffolk Clinical Commissioning Group has the following functions: Planning; to approve strategies and annual operating plans for health services. Co-operate and work in partnership with Suffolk County Council, the Health and Wellbeing Board and neighbouring CCGs Commissioning; to include acute, mental health, community and primary care services Working within financial limits and deliver a balanced budget Monitoring and reporting Governance 8 The Clinical Executive is the CCGs engine of innovation; providing active clinical leadership for the development and delivery of strategies and plans for continuous improvement in services for the people we serve. The functions of the Clinical Executive are: To provide clinical leadership alongside clinical partners To stimulate clinical innovation in redesigning care pathways To sustain and develop local GP engagement, working with individual GP practices and the Suffolk GO Federation To build and sustain clinical engagement across Suffolk and North-East Essex or within the West Suffolk area To assume GP leadership and accountability for quality, innovation, productivity and financial targets Individual Members of the Governing Body and Clinical Executive may have a focus on a sub-set of these responsibilities. The Chair will ensure clinical leadership is enabled and delivered for the whole set of responsibilities.
How the CEG helps us to shape the NHS Here are a few examples of what the CEG have achieved in terms of helping the CCG shape NHS services. There are lots of opportunities to get involved with decision-making, transformation projects and supporting us with patient/public involvement. Who can see my health record? Health Record sharing - Across Suffolk we re doing a lot of work at the moment to help patients understand the options they have when it comes to sharing their Health Record. Sharing makes your record available to health and social care staff outside of your GP surgery. Record sharing like this only happens with your permission, so it s important that you let your GP surgery know if you are happy to do this. Our CEG members have been heavily involved in this campaign from the very beginning, and so far we ve reached over 160,00 people across Suffolk. 100 Day Challenge The 100 Day Challenge is an NHS England rapid testing programme. In west Suffolk the focus is on three health specialisms urology, ENT (ear, nose and throat) and cardiology. Using a multi-disciplinary approach, opportunities to improve the performance of primary and secondary care services were identified and tested with the aim of improving efficiency within the system and providing better outcomes for patients. Patients from each specialism and members of the CEG were invited to be involved in this piece of work from the outset and have helped to influence discussions and shape the work in each specialism Perfect Week Emergency Department (ED) West Suffolk Hospital A sample review of ED attendances was conducted to understand the reasons why people chose to attend WSFT emergency department rather than seeking advice and help from any other alternative provision. A number of CEG members took part in this piece of work and as a result a number of recommendation have been made to improve the systems approach to managing Emergency Department demand To meet our current CEG members please visit the West Suffolk CCG website. 9
The recruitment and selection process There are 20 membership spaces on the CEG so we may be recruiting for multiple positions at any time. We welcome anyone with particular interest or experience in the Health sector, along with those who possess lived-experience of service use. All expressions of interest received before the closing date will be reviewed by a panel and shortlisted. After considering all applications, we will contacted you to agree a convenient time to meet to have an informal discussion about the Community Engagement Group in more depth. These meeting will take place the week of 28 th May 2018. After these meetings have taken place we will make a decision about any new members to join the group. If I m successful, will I be inducted? Yes, we will pair you up with an existing CEG member to learn and shadow. As an equal opportunities provider, the NHS will provide you with any training you may need to fulfil your role as a CEG member. During your time as a member there will also be opportunities for you to get involved with various projects and campaign work should you wish to, as well as training for specific needs. Can I claim back expenses? Mileage will be reimbursed at the published HMRC Mileage Allowance Payments rate for actual miles travelled to and from the destination. No extra is paid for passengers. Bus and train travel will be reimbursed on receipt of tickets for standard class travel only. Other eligible expenses and arrangements will be agreed by prior arrangement. The reimbursement of taxi fares are appropriate when someone has a mobility issue (i.e. is a Blue Badge holder) which precludes the use of public transport and is without access to a car. In circumstances where no public transport is available due to issues of rurality or breakdown of public transport arrangements, people should be encouraged to take lifts with others attending events etc or use community transport options. 10
NHS West Suffolk Clinical Commissioning Group Endeavour House, 8 Russell Road, Ipswich, Suffolk IP1 2BX Tel. 01473 770000 www.westsuffolkccg.nhs.uk 11