Building Local HealthWatch

Eastern region parent carer forum

20 September 2011Claire Ogley, Regional Project Lead, HealthWatch Transition

Today

What is HealthWatch and how will it differ from LINks?

The 'bigger picture' – how it fits into the national and political agenda

What Local Authorities and LINks are doing now to prepare

What you can do to ensure you have a voice

The National Scene

Liberating the NHS: legislative framework and next steps set out a vision for NHS reforms and describes a system where:

a) patients and the public are at the heart of everything b) health and care outcomes in England are among the

best in the worldc) clinicians are empowered to deliver results

Local HealthWatch fits into a) to deliver b) Awaiting the legislation - Health and Social Care Bill

• October 2011- shadow NHS Commissioning Board, SHA and PCT clusters ( 7 in EOE )

• During 2012- developing and Clinical Commissioning Groups (CCGs), Health and Well-Being Boards, Public Health Transfer and PH England, shadow NHS Trust Development Authority and Health Education England .

• October 2012 Healthwatch England and Local Healthwatch established (LINks fully operational until this time)

• April 2013; New architecture but CCGs and NHSFTs not authorised until ready

The National Timetable

To ensure the reformed system:

1) is genuinely centred around patients

2) refuses to tolerate unsafe and substandard care

3) eliminates discrimination and inequalities

4) is transparent, with more accountability for results

5) gives citizens more say in how the NHS is run

6) works much better across boundaries

Why HealthWatch?

Strengthening the voice of patients and the public and to help achieve this:

Local Involvement Networks (LINks) provide the foundation for Local HealthWatch organisations to be the local collective voice

HealthWatch England will be a new independent consumer champion for the national collective voice

Local HealthWatch and HealthWatch England

‘Local champion voice’

Local HealthWatch

Community groups, Voluntary organisations

‘National champion voice’

Monitor

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health and well being board

Local authority

HealthWatch England

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HealthWatch England will: – provide leadership and support to Local HealthWatch

organisations i.e. set operational standards, standard protocols

– propose that CQC investigate poorly performing services

– advise Secretary of State, NHS Commissioning Board, English local authorities, Monitor and CQC itself

HealthWatch England

Local HealthWatch 'The consumer champion of health and adult social care'

(DH HW team is working on how children's services will fit in)

HW will be a 'Body corporate' commissioned by the Local Authority

3 main elements: 1) Decision-making – strong, independent local consumer voice. Presenting the collective community voice on Health and Well-Being Boards

2) Signposting – help individuals access information and thus exercise choice

3) NHS healthcare advocacy by 2013 – responsible for NHS complaints advocacy

LOCAL HEALTHWATCH‘local consumer voice for health and social care’

Influencing

Help shape the planning of health and social care services

signposting

Help people access and make choices about care

advisory

Advocacy for individuals making complaints about healthcare

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Joint Strategic Needs Assessment

and Joint Health and Wellbeing Strategy

scrutinising quality of service provision

empowering people - helping people understand

choice

providing local, evidence based information

representing the collective voice

Local HealthWatch

informing the commissioning

decision-making process

Key differences between LINk and HealthWatch

From To

Influence local services Participate in decision-making via Health and Well Being Boards

Focus on community voice Help and support for individuals as well

Local voice Local and national voice through HW England

Local HealthWatch needs to:

Be a 'network of networks' – tapping into the expertise of volunteers and community groups

Be inclusive and diverse – truly representative

Have an effective voice to influence CCGs, HWBBs, providers

Be trusted and respected

Be independent and accountable – complexities & challenges around LA arrangements

Strengthen relationships

Roles and responsibilities:

Retain and harness all the existing functions of LINk

Gather good intelligence and evidence which can be fed back into commissioning

Monitor health and social care services, make reports and recommendations, Enter & View (quality, safety and accessibility)

Provide information to support patient choice

Access centrally held information and data so people can exercise choice

'Responsible for' complaints advocacy (ICAS): from April 2013, for people with complaints about health and care services.

How do we get there?

Body corporate – what does a statutory organisation look like? Robust and credible governance structure Commissioned and funded by, and accountable to Local Authority – what does that mean for independence? Grant-aided or tender? Staff and volunteers – what are their roles?

Eastern Region – where are we at?

11 Local Authorities – 10 of them are HealthWatch pathfinders

Emerging work patterns – some moving faster than others

Themes

Engagement and involvement (community, CCGs, HWBBs)

Organisational model

Funding model

Skills gap

Identification and recruitment to HW

Supporting existing LINk

National Development

National Programme Board supported by Advisory group

Centre for Public Scrutiny report on LINKs best practice

'Task and finish' national workshops ('what a good LHW looks like‘, skills for LHW, Governance etc.)

National action learning sets – to come

Regional programme managers network being formed

National newsletter and online discussion forum – register now: healthwatch@nunwood.com

What can you do?

Ensure your voice is heard

Be involved now

Make contact with your local LINk and/or Local Authority

Contacts LA/LINk Contact

Bedford Borough George.hunt@bedford.gov.ukenquiries@bedfordlink.org.uk

Central Bedfordshire James.robinson-morley@centralbedfordshire.gov.ukCharlotte.bonser@valuton.org.uk

Cambridgeshire Geoff.hinkins@cambridgeshire.gov.ukoffice@cambridgeshirelink.org.uk

Essex Tim.hayward.smith@parkwoodhealthcare.co.ukDuncan.wood@essexcc.gov.uk

Hertfordshire hertslink@shaw-trust.org.uktim.anfilogoff@hertscc.org.uk

Luton www.lutonlink.org.ukHilary.bartle@luton.gov.uk

Peterborough Angela.burrows@shaw-trust.org.ukNick.blake@peterboroughpct.nhs.uk

Norfolk info@norfolk.link.org.ukMaureen.orr@norfolk.gov.uk

Southend Tim.hayward.smith@parkwoodhealthcare.co.ukmichellehill@southend.gov.uk

Suffolk info@suffolklink.org.ukliz.whitby@socserv.suffolkcc.gov.uk

Thurrock Kim.oconnell@cemvo.org.ukJforbes-burford@thurrock.org.uk

Thank You

Any Questions?

Claire Ogley – Regional HealthWatch Transition Lead

claire.ogley@enableeast.org.uk

07533 025751