Engaging Patients and the Public for better health and health services April 2005

1
Engaging Patients and the Public for better
health and health servicesApril 2005

2
What are we trying to achieve?

• Better health and health care for patients and
  the public
• Actively engage patients and the public in all
  our work
• Improve the way healthcare organisations engage
  with patients and the public

3
Background to these commitments

• Healthcare Commission Strategic Plan, Priority
  One
• Actively engage patients and the public in all
  our work.
• Core Standard 17
• The views of patients, their carers and
  others are sought and taken into account in
  designing, planning, delivering and improving
  healthcare services
• Section 11 of the Health and Social Care Act 2001
• places a duty on NHS trusts, Primary Care
  Trusts and Strategic Health Authorities - to make
  arrangements to involve and consult patients and
  the public in service planning and operation, and
  in the development of proposals for changes.
•  

4
Whats the point of engaging patients and the
public?

• Valuable expertise
• Shared decisions are usually the best
• Health care gets better results when patients
  participate
• NHS is owned by the public

5
Our assessments 2005/2006
Meeting core standards
Meeting existing targets
Use of resources
Annual review and performance rating
Improvement reviews
Meeting new national targets
6
Getting the basics right the annual health check

• How good are services?
• Check against 24 core standards
• Award ratings to healthcare organisations each
  year

7
Input from patients and the public

• Comments from PPI Forums and OSCs included in
  draft and final declarations
• Both declarations cross-checked against patient
  surveys and views of Forums and OSCs
• Questions to Forums and OSCs specified by
  Commission
• Answers must be unedited
• Its an invitation, not an obligation!
• Wider and closer involvement encouraged

8
Making sustaining progressImprovement reviews

• In-depth review to identify and measure the steps
  trusts can take to progress towards meeting
  developmental targets.
• Focusing on an aspect of the patients pathway
• a service, e.g. adult community mental health
• a population group, e.g. children
• a condition, e.g. heart failure

9
Patient and public engagement in improvement
reviews

• Development phase
• Patients and public asked to help identify best
  practice and factors likely to improve service
• Review stage
• Reviewers seek views of patients/users
• Patients/users may be included in review teams
• PPI Forums and OSCs plus wider involvement

10
The Patient and Public Engagement Team

• Builds relationships
• Influences behaviour
• Supports changed ways of working
• Helps to build knowledge and skills

11
A common set of requirements

• All engagement should be
• Fit for purpose
• Inclusive
• Transparent
• Informed
• Reciprocal
• Influential
• Proportionate

12
Where are we heading?

• A Patient-Centred NHS
• Towards a fully engaged scenario
• More commitment to PPI in NHS
• More independent provision
• More local control
• Convergence with social care

13
Dilemmas

• Choice, voice and equity
• Individual or shared responsibility?
• Quantity v quality of information
• Flexibility v certainty
• Insider v outsider
• Building appropriate knowledge and skills
• Tackling passive resistance

14
Where next for PPI?

• What arrangements will suit the health sector of
  the future?
• What do we want to achieve?
• How can we get there?

15
(No Transcript)