Appendix 3 PPI strategy Bristol CCG Patient and Public Involvement (PPI) Action Plan 2014/15 To be read in conjunction with the CCG Equality and Diversity Action Plan, and Communications Action Plan Strategic Objectives Actions Responsible Officer Develop CCG PPI Action Prepare draft Action Patient and Plan for 2014/15 to Plan to be discussed Public continue to deliver aims at PEC Involvement and objectives set out in CCG PPI Strategy Revised action plan to be discussed at Quality and Governance sub committee Final draft to be discussed and approved by CCG Governing Body Deadline(s) PEC meeting 13.5.14 Quality and Governance meeting 20.5.14 Governing Body meeting 27.5.14 Date of Update Updates/Issues for PEC Progress on Action Plan to be reported quarterly to Quality and Governance Committee Quarterly from August 2014 Produce annual report on CCG PPI activity for Prepare draft Annual Report to be Patient and Public PEC meeting 13.5.14
2013/14 discussed at PEC Revised report to be discussed at Quality and Governance sub committee Final draft to be discussed and approved by CCG Governing Body Involvement Quality and Governance meeting 20.5.14 Governing Body meeting 27.5.14 To support commissioning colleagues, in both the CCG and the CSU, to develop an approach to commissioning which ensures that the outcomes from the various stages in the commissioning cycle are informed by PPI Continue to develop appropriate training and support for commissioning colleagues designed to develop their capacity and expertise to ensure that PPI informs the whole of the commissioning cycle Patient and Public Involvement with PEC colleagues To be delivered throughout 2014/15 Produce draft training/support plan for staff for discussion at May PEC. To be built on training and support delivered during 2013/14 and informed by staff 2 PEC meeting 13.5.14 On-going throughout May PEC decision taken to reschedule to future meeting
training needs analysis Support managerial and clinical leads of the Clinical Steering Groups to enable them to have a structured approach to PPI in their work, by building upon initial workshop 25/3/14 to: Support cancer steering group in their role as test bed for PPI in CCG Steering Groups Help managerial leads to identify appropriate lay representation on the groups eg Bristol Parent/Carers Group on Children s Steering Group Ensure PPI input in future steering group 3 2014/15 Date tbc but will be over summer Dates tbc
workshop Develop appropriate paperwork to support selection and involvement of lay representatives on steering groups where required Ensure that the CCG gets value from NHS E South initiative to provide PPI support and development to CCG s PPI on Advisory Panel overseeing initiative CHC team using initiative as they develop approach to PPI in the development of personal health budgets, 4 31.8.14 Initiative funded until end 2014/15 Paper describing CCG s approach to PPI and personal health budgets discussed by Clinical
Develop CCG policy on reward and recognition for lay people involved in supporting CCG commissioning Make best use of the contracting/performance management of local acute trust providers to maximise opportunities for PPI and improvement in patient experience including testing out proposals with Healthwatch and developing plans for service user reference group On hold pending publication of NHS E policy on reward and recognition Following publication of NHS E guidance, develop draft policy for initial discussion at PEC Appropriately challenge provider Friends and Family Test (FFT) results if they give rise to concerns about poor patient experience Develop regular opportunities to invite providers to demonstrate service improvement based on their PPI activities Patient and Public Involvement Provider management team (CSU) 5 Governance Committee 20.5.14 To be confirmed To be actioned at scheduled quarterly meetings with acute providers to start in July 2014 and quarterly thereafter
Make best use of the contracting/performance management of the local community provider to maximise opportunities for PPI and improvement in patient experience Ensure that results/outcomes from these two actions feed into CCG quality assurance process. Expansion of friends and family test to all clinic based services with a focus on developing written and pictorial feedback (FFT) which is monitored monthly Expansion of patient and carer involvement by provider in recruitment and service improvement. CCG Head of Community Commissioning National CQUIN requirements (October 2014 for all appropriate community services) Services to be agreed in year FFT results above average for score and response rate needs to be built upon to ensure that focus moves from response rate to quality of information Expansion of individual service feedback (12 month patient satisfaction survey) PPI survey outlines dates for 12 months of questionnaires. Monthly individual services plan from May/June 2014 March 2015 6
Internet based patient experience and PPI options being evaluated for the end of life test and learn service (PPI format for end of life care coordination centre activity) CCG undertakes, and can evidence, effective and consistent PPI in major recommissioning initiatives. First example, recommissioning adult community health services Develop approach and strategy for PPI in the re-commissioning of adult community health services Set up PPI working group, produce detailed involvement plan and deliver engagement events up to end July 2014 for this first phase of PPI. plus members of adults PPI working group PPI work group set up 14.4.14. Progress on delivery of involvement plan to be reported regularly to Board from 9.5.14 Developed following workshop with public stakeholders held on 29.1.14. PPI approach agreed by Community Services Recommissioning Steering Group meeting 28.2.14. CCG undertakes, and can evidence, effective and consistent PPI in major recommissioning initiatives. Second example, recommissioning children s community health services Develop approach and strategy for PPI in re-commissioning of children s community health services Set up PPI working PPI Project Support Officer for Children s recommissioning, and members of 7 PPI working group set up PPI approach, based upon model to be used for adult services recommissioning agreed by Community
and CAMHS group, produce detailed involvement plan and deliver engagement events up to start July 2014 for this first phase of PPI children s PPI working group 9.4.14. Progress on delivery of involvement plan to be reported regularly to Board from 9.5.14 Services Recommissioning Steering Group meeting 28.3.14 CCG undertakes, and can evidence, effective and consistent PPI in major recommissioning initiatives. Third example, mental health services modernisation programme Ensure that effective and consistent PPI continues in mental health modernisation programme (MHM) as it moves to implementation and on-going service monitoring MHM Team and PPI By October 2014 for some services and April 2015 for others Working with service users, design and develop evaluation for PPI in MHM programme as part of wider lessons learnt activity from programme Service Improvement Team Initial lessons learnt workshop planned for July 2014 8
CCG works in partnership with NHS England specialist commissioning colleagues to ensure that there is PPI in their commissioning decisions relevant to Bristol residents CCG develops, and can evidence, increasing PPI in the development of its commissioning intentions Joint working with PPI Lead for South West Specialist commissioning team on commissioning proposals relevant to Bristol residents to ensure that local people have the opportunity to comment on proposals, for example vascular services reconfiguration Deliver public stakeholder workshop on commissioning intentions 2014/15 Deliver inter-active web based opportunity for PPI to inform commissioning intentions (14/15) and South West specialist commissioning PPI Lead plus CSU Communications Team CSU Communications Team South West specialist commissioning team set timetable Bristol HOSC discussed, approved and commended proposals for reconfiguration of vascular services 15/4/14 Workshop delivered 09/10/13 Placed on CCG website 09/10/13 Action completed Include PPI section in work plan templates 9
for development of 14/15 commissioning actions Produce plan for PPI in the development of CCG s Five Year Strategic Plan to include CCG activity on NHS Call To Action and CSU Strategic Planning lead By end May 2014 Healthwatch workshop 19.5.14 VCS workshop 20.5.14 Opportunity for public comment via CCG website and Ask Bristol City Council portal Draft Plan approved by CCG leadership team on January 9 th 2014. PPI action plan drafted and agreed -comprising VCS and Bristol Healthwatch workshops and Ask Bristol public feedback Evaluate effectiveness of PPI in preparation of 14/15 commissioning intentions and Five Year Plan and develop PPI proposals for inclusion in CCG plans for commissioning intentions process for 2015/16 Manger By September 2014 10
Partnership Objectives Actions Responsible Officer CCG to support the development of an effective Healthwatch for the city CCG to support and encourage Health and Wellbeing Board to take a lead on joining up PPI on city wide involvement activity CCG to continue to maintain a constructive and professional relationship with Bristol City Council Health, Wellbeing and Adult Social Care Scrutiny CCG to remain an active member of Healthwatch Advisory Board Develop opportunities for co-working with Healthwatch H+WB Board to be invited to support city wide involvement activity on development of CCG Five Year Plan Ensure that PPI on Better Care Fund is integrated with PPI on community health services recommissioning Attend all agenda setting and scrutiny meetings Support colleagues to ensure that CCG CCG Governing Body Lay Member with responsibility for PPI and PEC colleagues and CSU strategic planning lead and PEC representative on H+WB Board to co- 11 Deadline Monthly meetings Quarterly liaison meetings to be established May 2014 September 2014 Meeting schedule for new municipal year will be available in June, following Date of Update Updates/Issues for PEC Seminar for PEC members and Health watch reps 8.4.14 As a consequence of extensive City Council internal reorganisation, the issue of H+WB Board s leadership role on city wide PPI needs revisiting City Council propose to restructure approach impact upon delivery of health scrutiny function
Commission (HOSC) responds appropriately to requests for information and agenda items Contribute to the development of the committees work programme for forthcoming year ordinate CCG colleagues May s local elections Throughout the year To be advised locally yet to be clarified. This may impact on CCG s ability to discuss relevant issues with HOSC in a timely fashion Ensure that the HOSC is offered the opportunity for early engagement in the development of CCG commissioning intentions CCG colleagues September 2014 but will depend on HOSC reorganisation Ensure that the CCG complies with its statutory duty to consult the HOSC on any commissioning proposals that would represent a significant variation in service for Bristol residents CCG colleagues Subject to HOSC reorganisation but ideally during September and October 2014 for the recommissioning of both children s and adults community health services 12
Contribute to the successful delivery of the NHS E funded Building Health Partnerships (BHP). This is a programme designed to build effective and productive partnership working between CCG s and the voluntary and community sector Maintain active CCG involvement in both project team and steering groups and PEC member responsible for this initiative Local BHP to report on outcomes September 2014 Internal and Practice Objectives Provide specific support and encouragement to Practices to enable them to use their contacts with patients to gain valuable commissioning insight to inform CCG commissioning intentions, and to build relationships with local voluntary and community organisations Actions As part of the Memorandum of Agreement (MoA) with member practices (for non-clinical services), Practices have four options for involvement work in 2014/15 Host a focus group for patients who have recently used either children s or adults community health services Responsible Officer Locality Team plus PPI 13 Deadline By September 30 th Date of Update Progress/ Issues for PEC
so that their views can inform the recommissioning process (43 Practices opted in) Attend a locality meeting to promote joint understanding and collaboration with voluntary and community sector organisations (50 Practices opted in) Attend a community or support group local to the Practice to discuss their experiences of a particular health service or issue (38 Practices opted in) Use Practice mechanisms eg 14 Dates for the three workshops agreed as ICE May 21 st South June 17 th North and West July 2nd By March 2015 May to
waiting room screens to promote opportunities for their patients to get involved in the recommissioning of adult and children s health services (51 Practices opted in) December 2014 Ensure that all CCG staff have access to timely and effective specialist advice on PPI and commissioning Ensure that the CCG has access to best practice information and advice on PPI to help to make sure that it fulfils relevant legal duties and good practice obligations One to one support delivered both as and when needed and through PPI training and support to be offered to staff based upon results of training needs analysis Active participation in the NHS E South of England PPI best practice network attend quarterly meetings Continue to promote joint PPI work across 15 Training plan to be discussed at future PEC Meetings as follows 2.7.14; 20.10.14; 12.1.15 Bi- monthly Current example - joint work with S Glos CCG to ensure that Bristol
BNSSG where appropriate - meet with PPI colleagues in neighbouring CCGs every two months. Active participation in the NHS E specialist commissioning Impact Assessment Network attend quarterly meetings Ensure that CCG makes best use of new NHS E South initiative to provide PPI support and development to CCG s Develop an evaluation tool to ensure that aims, objectives and outputs from PPI events/actions are clearly identified Meetings as follows 16.7.14; 21.10.14; 21.1.15 September 30 th 2014 stakeholders can inform discussions on future urgent care provision at Cossham Hospital. First public stakeholder event 29.4.14 CHC Personal Health budget lead investigating potential for support with development of local work Review effectiveness of CCG website as a mechanism for individual members of the public and Review to follow conclusion of consultation period for re-commissioning 16 November 28 th 2014
patients to be involved in the commissioning process adult community health services Results of review to be used in next iteration of CCG website development 17