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Putting people First

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Involving the public & patients in healthcare. Why:should we want to involve patients? ... CHC's abolished [?when] ACHCEW abolished ... – PowerPoint PPT presentation

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Title: Putting people First


1
Putting people First
  • Lance Gardner MBE
  • Development Manager
  • Citizen Involvement
  • The NHS Leadership Centre

2
Involving the public patients in healthcare
  • Whyshould we want to involve patients?
  • When should we involve them?
  • How do we involve them effectively?
  • Where is the right environment to do this?
  • What are the best methods to achieve this?

3
  Frontline staff within the NHS must embrace
change on an unprecedented scale if we are not to
lose the publics commitment to the NHS Alan
Milburn, Secretary of State for Health, January
2002.
4
there is no such thing as an in-appropriate
request only an in-appropriate response
5
The Commission for Patient Public Involvement
in Health
  • Advise the S.o.S. on arrangements for public
    involvement and consultation on health
  • Assist patients forums, facilitate their
    activities
  • Assist providers of independent advocacy
  • Set standards for patients forums and ICAS
  • Report any concerns about services/professionals
    to relevant bodies
  • Must exercise its functions according to areas of
    PCTs

6
Patients Forums
  • To be in established each NHS Trust
  • Monitor review services
  • Obtain the views of patients carers
  • Provide advice, make reports and recommendations
  • Provide information to the public
  • Inspect premises without prior notice

7
Other aspects of Bill pertaining to Public
Involvement
  • CHCs abolished ?when
  • ACHCEW abolished
  • All public involvement personnel employed by
    Commission
  • The Commission is not an agent of the Crown
  • Local Voices based in PCTs but employed by
    Commission

8
(No Transcript)
9
NHS Hierarchy
ICU Theatre
WARDS
Out-patients
Primary care
10
Public Partnership
community
Primary Care/OPD
in - patient
Theatre ICU
11
Putting People first
Citizens
Visitors
Guests
Patients
12
World Health Organisations Declarations of
Intent are based on the foundation that it is a
basic human right for an individual to self
determine their health and health
care. Declaration of Geneva, et al  
13
Whats in it for the Public?
  • Knowledge
  • Confidence
  • Self-esteem
  • Sense of importance
  • Sense of ownership
  • ?Better health

14
There now needs to be a shift in emphasis from
one of consumerism to one of participatory
democracy. The modern relationship between the
NHS and patients cannot be purely based on
patients as consumers. Instead it must be based
on patients as citizens. This should be seen as
providing an opportunity for the NHS and those
working in it - and not a threat. Excerpt from
S.o.S. IPPR address June 2001
15
Whats in it for the Staff?
  • Education
  • Support
  • Validation
  • Trust
  • Respect
  • Job satisfaction
  • ?safety

16
From Passive recipients to Active Participants
17
What Every Trust Can Do
  • Mapping current activity
  • Developing a patient involvement strategy
  • Creating a strategy for volunteers
  • walking the floor
  • patients on interview panels.
  • Effective PALs

18
Conclusions
  • Value your relationships they are priceless
  • You may find support from unlikely places
  • Management leadership are not the same
  • Natural teams often work better than carefully
    selected ones
  • Your natural allies are your patients not your
    peers
  • Public innovation needs to evolve in its own time

19
Bombay Hospital Mission Statement
  • A patient is the most important person in our
    Hospital. He is not an interruption to our work,
    he is the purpose of it. He is not an outsider in
    our Hospital, he is part of it. We are not doing
    a favour by serving him, he is doing us a favour
    by giving us an opportunity to do so.

  • Mahatma Gandhi

20
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21
When in doubt, seek forgiveness not pernmission
22
Civic Entrepreneurs
  • Networkers
  • Risk takers
  • Difficult to manage
  • Poor managers
  • Difficult personal history
  • Very stubborn
  • Have a particular value structure
  • Talk too much!

23
Civic Entrepeneurs
  • Civic entrepeneurs understand that they need to
    develop the cabability, skills and knowledge of
    the people around them and generate greater
    capacity that this is the amount of effective
    resources available to achieve their objectives.
  • Charles Leadbeater

24
We learn more from failure than we do from
success
25
What is in it for the NHS?
  • Confidence
  • Trust
  • Less dependence
  • Votes
  • support
  • Ownership

26
A new kind of Care
  • Called a care centre
  • Community care not practice list centred
  • More social networks than health ones
  • A governing body
  • The Partnership with the black economy

27
Commissioning for Wellbeing
  • 3 comparative studies
  • West Manchester PCT
  • Langworthy/Seedley - Salford
  • Daruzzaman Care Centre - Salford

28
What does it look like?
  • School governor model
  • Delegated budgets
  • - PMS
  • - PCT
  • -City Council
  • New accountability frameworks

29
D.C.C. Board
  • 8 patients
  • 2 team members
  • 1 PCT member
  • 2 Councillors
  • Co-opted members
  • A Lay Chair

30
Whats in it for the Trusts
  • Greater understanding
  • Reassurance
  • Support
  • Assistance with targets
  • Political protection
  • A Mandate

31
There are 3 potential levels of
interaction  Level 1 Undiscussable
undiscussability Problems, what
problems?.with me, with us, with our
process   Level 2 Discussing Undiscussability The
re are problems I/we are struggling to say what
I am/we are thinking and feeling Level
3 Everything is Discussable We clarify and
resolve problems..together! Bob Sang Sept
2001  
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