Agenda Item Number 17
MEETING Health Board
DATE 2 November 2011
LEAD DIRECTOR Director of Planning TITLE OF REPORT
Stakeholder Reference Group – Annual Review SITUATION / PURPOSE OF REPORT
The purpose of this report is to provide Board Members with the Stakeholder Reference Group’s Annual Report (May 2010 – April 2011).
BACKGROUND / INTRODUCTION
Members will be aware that in May 2010, the Stakeholder Reference Group (SRG) was established. The Group is made up of a range of representatives from the Health Board and its partners to advise the Board on local health and well-being issues.
Annex 1 (Annual Report) provides an overview of the SRG work programme and Annex 2 (work programme) outlines the agenda for future meetings.
ASSESSMENT / GOVERNANCE AND RISK ISSUES
During its first year, the SRG met on six occasions (the first two in
‘Shadow’) and has been very well attended. The SRG work programme included a range of issues largely identified by its members; as well as other key themes/topics that emerged through national/local strategic direction, service redesign or community engagement. As the work programme is a ‘live’ document, the SRG will often return to an issue or theme as further progress is made in that area.
Members have a dual role in communicating to the Networks/Communities they represent. Firstly to communicate the business of the SRG and Board, and secondly to collate and bring back to the SRG the views/comments/concerns of the Networks/Communities they serve. As such, this ensures as far as possible that effective engagement takes place at all levels.
Agenda Item Number 17
CONCLUSION
The Annual Report illustrates that significant progress has been made in delivering aspects of the work programme. This has been achieved through a variety of means including a themed approach to meetings;
facilitated workshops; information briefings and more informal mechanisms. Members have agreed that there is a good platform from which to build over the next 12 months and they are also happy to share the Annual Report with other organisations to impart our experience and highlight work that has been done locally.
RECOMMENDATION
The Board is asked to note the content of the report.
ANNEX 1
STAKEHOLDER REFERENCE GROUP
ANNUAL REPORT
MAY 2010 - APRIL 2011
CONTENTS
1 INTRODUCTION ... 3
2 PROGRESS ... 3
2.1 Work Programme: Year 1 ... 3
2.2 Themes ... 4
2.3 Other Issues ... 4
2.4 Networking and Community Engagement ... 4
2.5 Citizen Stories ... 5
2.6 Newsletters ... 5
3 CONCLUSION ... 5
APPENDIX 1 ………6
APPENDIX 2 ………7
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INTRODUCTION
The Stakeholder Reference Group (SRG) is made up of a range of representatives from the Health Board and its partners to advise the Board on local health and well-being issues. First established in ‘Shadow’
form in May 2010, it became fully operational in October 2010 with the following purpose:
• Ensure that citizens are at the heart of issues relating to local health services
• Influence the planning, design and delivery of local health services
• Determining the LHB’s corporate stance within and contribution to local partnerships
• Channel progress, issues and performance from partnerships back into the LHB
• Reflect localism and local issues
• Build upon the LHB’s successful engagement mechanisms and practice
• Provide a sounding board for the new LHB
• Provide a forum for meaningful and genuine engagement with stakeholders
• Discuss the balance between and action against national priorities and competing local issues
The following section provides an update on the progress made by the SRG during the period May 2010 to April 2011
PROGRESS
During the period May 2010 to April 2011, the SRG met on six occasions (the first two in ‘Shadow’). Meetings are held quarterly in locations as close to public transport links as possible. This is particularly helpful for Members who do not have access to their own transport. In addition, meetings are held in either Merthyr Tydfil or Rhondda Cynon Taff and to date, every meeting has been very well attended.
Work Programme: Year 1
To guide the SRG, a work programme was developed to reflect the key issues identified by SRG members; as well as other emerging themes that surfaced either through national/local strategic direction, service redesign or community engagement.
Appendix 1 provides a summary the issues/themes, which are fairly broad in nature, e.g. transport, mental health etc. As such, the SRG will often return to an issue or theme as further progress is made in that area.
Therefore, whilst difficult to demonstrate the ‘completion’ of specific
themes, evidence of progress is continually updated and logged against each item within the work programme.
Themes
Meetings adopted a themed approach, merging similar topics into categories to enable members to have more in-depth discussions around the subjects highlighted. A summary of these themes can found in Appendix 2. This approach involved a brief presentation of the subject under discussion, followed by facilitated workshops sessions; all designed to elicit views on key questions pertinent to the subject matter. To maximise input and participation during the workshop sessions, members received advanced notice of these questions along with supporting papers. Moreover, this enabled members to share the discussion topics and gauge opinion within their own networks and bring these to the meeting as part of the feedback session.
Other Issues
From time to time, Members received updates/briefings on issues that either fell outside these themes or in response to queries raised directly by them. These topics included:
• Non-Emergency Transport Project
• Health Social Care and Well-being Strategies 2011-2014
• Children And Young Peoples Plans 2011-2014
• Anticipated Date of Discharge project
• Energy from Waste facility at Brig Y Cwm
• Formal Consultation: Proposals for the future development of Adult Mental Health Services
• Health Board Public Forum meetings
• Welsh Language Scheme – questionnaire requesting feedback
• Swine/Seasonal Flu briefing
• Autistic Spectrum Disorder (ASD) information Networking and Community Engagement
Members have an important role in feeding back the core business of the Group to the Networks/Communities they represent, thus ensuring as far as possible the work it undertakes is widely publicised.
Communication however is not ‘one-way’ and it is encouraging to report that members have on many occasions raised issues on behalf of individuals within their own Networks/Communities. This is a very positive step towards engaging with communities and the Group has embraced these informal mechanisms to ensure the experiences shared by individuals feed into the planning and delivery of services. Some of these issues have been raised in the meeting or directly with Officers within the Health Board. So whilst much work is taking place within the formal setting of a SRG meeting, an alternative method of communication
4
and information sharing has evolved ‘behind the scenes’, with Health Board Officers facilitating the gathering of responses and circulating appropriately. Indeed, Members who come to the Group with different backgrounds have found this helpful in supporting them in gaining an understanding of the range of services available.
Citizen Stories
Using DVDs, some meetings opened with a citizen story, which echoed the theme under discussion. Members found this beneficial as it provided a period of reflection and reinforced the commitment that citizens should be at the heart of all decision making.
Newsletters
For the first few meetings, Newsletters were published reporting the discussions held during the meeting. Members used the Newsletters for wider circulation within their Networks/Communities. This method promotes a consistent message and Members value this type of communication.
Plans are in place to resume this type of communication towards the end of 2011.
CONCLUSION
This report demonstrates that there has been significant progress made in delivering some aspects of the work programme and provides a good platform from which to build in the next 12 months.
Any outstanding issues in last year’s plan will automatically roll over and SRG Members have been asked to continue to identify key components for inclusion in the next work programme.
APPENDIX 1 WORK PROGRAMME: KEY ISSUES IDENTIFIED BY MEMBERS AND
ADDRESSED THROUGHOUT THE YEAR Health Board
How to protect the NHS ethos; Monitoring key issues identified by the Health Board; Key strategic themes; Improving awareness &
understanding between 3rd sector and Health Board.
Citizen Engagement:
Improving the overall patient experience; understanding roles and responsibilities; value of the Expert Patient Programme;
outcome/customer focused planning; Shared communications – what to communicate, to whom and when.
Joint Working
Health Social Care & Wellbeing Strategies; Children & Young People’s Plan.
Transport:
Non-emergency patient transport; Non-emergency transport – how will the 3rd sector delivery actually happen.
Primary Care and Locality Services
Out-of-hours doctors service; Locality Model – how will 3rd sector
contribute to planning and delivery; Community Based service responses;
Continuity of services between GP surgeries and health and community care services; Admission avoidance.
Mental Health
The manner in which people with mental health conditions can be reached and made to feel accepted as a member of the community; provision of a comprehensive list of resources/groups for mental health users; the new agenda for mental health and the delivery of services after the
implementation of the new mental health measure.
Older People
The treatment of older people in hospitals – e.g. those with dementia;
Monitoring care homes for the elderly; Independent living.
Carers
Carers - role & involvement and carers’ measure.
General Health Issues
Long term health conditions and gaining/maintaining employment;
Continuing care; Physiotherapy and re-ablement provision across RCT, particularly in relation to stroke victims; Impact of housing on health;
Hospital discharge – e.g. ADD project update
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APPENDIX 2 MEETING DATES AND AGENDA ITEMS DURING THE PERIOD MAY
2010 TO APRIL 2011 DATES AGENDA ITEMS
26 May 2010
[in Shadow] • Development of Terms of Reference
• SRG work programme developed and agreed 13 July 2010
[in Shadow] • Citizen Story: Public and Patient Involvement: The experience of member of the public who regularly attends the Health Board’s public meetings
• Discussion: The Health Board’s approach to public and patient involvement (PPI)
• Overview of the Service, Workforce & Financial Framework (SWaFF)
19 September
2010 • Citizen Story: Condition Management: The
experience of a patient who accessed the Condition Management Programme
• Discussion: The Health Board’s contribution to the Health Social Care and Well Being Strategies and Children and Young People’s Plan, including:
o Overview of the health profile of Cwm Taf Workshop session to influence the development of the strategies/plans
25 November
2010 • Citizen Story: Mental Health: The experience and benefits of individuals with mental health problems who accessed Mentro Allan day services
• SWaFF Theme: Mental Health
o Overview of Mental Health Services - current and future plans;
o Workshop session to engage and receive feedback on the proposals for the future 18 January
2011 • Citizen Engagement Update
• Overview of the Cwm Taf Health Board five year plan
• SWaFF Theme: Primary Care and Locality Services o Overview of Primary Care and Locality Services
– current and future plans;
o Workshop session to engage and receive feedback on proposals for the future 11 April 2011 • SWaFF Theme: Promotion and Prevention
o Overview of the Promotion and Prevention;
o Workshop session to engage and receive feedback on the Tobacco Control Action Plan
ANNEX 2
STAKEHOLDER REFERENCE GROUP WORK PROGRAMME 2011-2012
THEME MEETING DATE
Primary Care and Locality Services
Service developments and proposals October 2011
Mental Health
Reconfiguration of services, service developments and proposals Mental Health Measure
October 2011
Health Board
Key Strategic Themes, e.g. Service reviews
Improving awareness and understanding between third sector and the Health Board
Consultations in relation to service changes January 2012
SRG Terms of Reference review January 2012
Older People’s Issues Dignity in Care
Care homes for elderly Independent living
January 2012
Transport
Non-emergency patient transport Third Sector involvement
April 2012
Carers
Role and involvement Carer’s measure
April 2012
ANNEX 2
THEME MEETING DATE
Citizen Engagement
Improving patient experience
Understanding roles and responsibilities Expert Patient Programme
Shared communications – what to communicate; to whom and when
July 2012
Joint Working
Single Integrated Plan (HSCWB, C&YP and CSP) October 2012
General Health Issues
Long term health conditions and impact on employment Impact of housing on health
Continuing Health Care Therapies
TBA
