/GHCCG_communi

Draft

Communications and Engagement Strategy 2012 - 2013

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Greater Huddersfield CCG – communications and engagement strategy

Version 0.1 0.2

Author DF and SL DF

Status Draft Draft

0.3 0.4 0.5

Date 19.04.12 20.04.12 and 04.05.12 09.05.12 14.05.12 15.05.12

SL and DF JB and JM DF and SL

Draft Draft Draft

0.6

16.05.12

DF

Draft

0.7

21.05.12

DF and SL

Draft

0.8

22.05.12

DF and SL

Draft

Comment First draft

Shared with GHCCG Patient and Public Engagement Operational Group on 16.05.12 Incorporating comments from the GHCCG Patient and Public Engagement Operational Group Incorporating comments from Kirklees Local Involvement Network Incorporating comments from the Authorisation and OD Group

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Contents 1. Executive summary

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2. The purpose of the strategy

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3. Definitions of ‘communications’ and ‘engagement’

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4. The context for this strategy

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5. Our principles for communications and engagement

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6. Our business objectives

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7. Our communication and engagement objectives

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8. Our key messages

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9. Our stakeholders

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10. Patient experience

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11. Governance

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12. Resources

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13. Evaluation

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Appendices List of stakeholders

Appendix one, 15

Stakeholder map

Appendix two, 17

Stakeholder analysis

Appendix three, 18

Preparation for authorisation - domain 2: engagement

Appendix four, 28

Glossary of terms

Appendix five, 29

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1. Executive Summary This strategy outlines how we, the Greater Huddersfield Clinical Commissioning Group (GHCCG) will engage and communicate with the various audiences and stakeholders with whom we have shared interests; both internal and external. It is based on our vision ‘that by being informed by our local population and clinicians, we will drive improvement of healthcare, services through leadership, innovation and excellence’.

The communication and engagement principles underpinning this strategy are linked to our organisational values, which are: Listening to health professionals, local people and those who support the CCG, in the commissioning of high quality healthcare in the most appropriate setting.

Learning from other CCGs, service providers, the local authority and the NHS Commissioning Board to inform a strategic long term vision for change.

Leading through enthusiasm and cohesiveness to reduce health inequalities in Greater Huddersfield.

Enabling local people and clinicians to transform and improve Greater Huddersfield’s health and healthcare.

It should be read in conjunction with other strategies including our Operating Plan and Patient Experience Strategy.

The strategy is based on an analysis of our stakeholders, prioritises actions that take us through the period of establishment and provides the foundations for productive relationships in the future. It outlines our values, objectives and the key areas of communications and engagement that we need to focus on if we are to become a successful and sustainable organisation.

Other key areas include the legislative, functional and local contexts which demand that we actively engage, work in partnership with and involve various stakeholders. This is with a particular focus on patients and the public.

By effectively communicating our aims and objectives, and the work we are doing to achieve them, our credibility and ability to act will be strengthened. Through engaging our stakeholders in a meaningful, balanced and timely way, the services we commission will be more effective.

2. The purpose of the strategy The purpose and scope of the strategy is to: Ensure that the views of patients, carers, staff, stakeholders, partners and the wider community are fully represented in decisions about how services are proposed, planned and delivered as well as how they can be improved.

Support the implementation of our Operating Plan.

Develop the CCG and contribute towards the achievement of authorisation. (The specific authorisation requirements for Domain 2 – Engagement, are outlined in Appendix 4.)

Lay the foundations for a credible, effective organisation that achieves its strategic objectives and delivers on its vision and values.

This strategy will be implemented in line with other CCG strategies, such as engagement of member practices, equality and diversity and PALS/Complaints. The overarching responsibility 4

for approval, delivery and monitoring of this strategy rests with the GHCCG Governing Body.

The delivery of the strategy will be outlined in an action plan.

Throughout this document the term ‘stakeholder’ has been used to mean any person or organisation whose interests are affected by, or can affect, our work to secure effective quality healthcare for the population of Greater Huddersfield. The term ‘partner’ refers to those we have professional relationships and alliances with through collaboration and joint working. A glossary of common terms used within this document can be found in Appendix 5.

3. Definitions of ‘communications’ and ‘engagement’ 3.1 Communications Effective communication is a two way process. Although it includes the simple dissemination of information, more often it will be a conversation. It is based on an understanding of our stakeholders: all those individuals and groups whose beliefs, views and interests overlap with ours. It includes internal and external audiences and will offer opportunities to listen, discuss and shape the work we are doing to improve healthcare for the people of Greater Huddersfield.

3.2 Patient and public engagement Patient and public engagement/involvement can be defined as the active participation of patients, including children and young people, carers, community representatives and the wider public in the development of health services and as partners in their own health care. It gives local people a say in how services are planned, commissioned, delivered and reviewed. It is important to recognise who to involve through our engagement activity and we will need to ensure that we provide opportunities for both individual and collective engagement.

In broad terms, our strategy will take account of three ‘sets’ of people: Those who have direct experience of services (patients, carers) Those who represent communities (community being defined by the common factor that brought people together e.g. shared geography, shared characteristics or issues).

Members of the wider public 4. The context for this strategy 4.1 Legislation 4.1.1 Health and Social Care Act 2012 The White Paper, ‘Equity and excellence: Liberating the NHS’, and the subsequent Health and Social Care Act 2012, set out the Government's long-term plans for the future of the NHS. It is built on the key principles of the NHS - a comprehensive service, available to all, free at the point of use, based on need, not ability to pay. It sets out how the National Health Service (NHS) will: put patients at the heart of everything it does focus on improving those things that really matter to patients

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empower and liberate clinicians to innovate, with the freedom to focus on improving healthcare services.

It makes provision for CCGs to establish appropriate collaborative arrangements with other CCGs, local authorities and other partners, and it also places a specific duty on CCGs to ensure that health services are provided in a way which promotes the NHS Constitution – and to promote awareness of the NHS Constitution.

Specifically, CCGs must involve and consult patients and the public: in their planning of commissioning arrangements in the development and consideration of proposals for changes in the commissioning arrangements where the implementation of the proposals would have an impact on the manner in which the services are delivered to the individuals or the range of health services available to them, and in decisions affecting the operation of the commissioning arrangements where the implementation of the decisions would (if made) have such an impact.

The Act also updates Section 244 of the consolidated NHS Act 2006 which requires NHS organisations to consult relevant Overview and Scrutiny Committees on any proposals for a substantial development of the health service in the area of the local authority, or a substantial variation in the provision of services.

4.1.2 The Equality Act 2010

Section 149 of the Equality Act 2010 states that a public authority must have due regard to the need to a) eliminate discrimination, harassment and victimisation, b) advance ‘Equality of Opportunity’, and c) foster good relations. It unifies and extends previous disparate equality legislation. Nine characteristics are protected by the Act, which are age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex and sexual orientation.

4.1.3

The NHS Constitution

The NHS Constitution came into force in January 2010 following the Health Act 2009. The constitution places a statutory duty on NHS bodies and explains a number of patient rights which are a legal entitlement protected by law. One of these rights is the right to be involved directly or through representatives: in the planning of healthcare services the development and consideration of proposals for changes in the way those services are provided, and in the decisions to be made affecting the operation of those services.

Apart from the legislative requirements, we will also be outlining our commitment to engagement as part of our Constitution.

4.2 Our responsibilities As part of the structure of the reformed NHS, CCGs will be responsible for: 6

building and protecting the reputation of the local NHS building relationships with the media, stakeholders, staff, public, patient, carers and partners NHS brand and identity, marketing and campaign management providing different ways in which patients, carers, stakeholders, staff and the public can share their views crisis communications planning and preparedness ensuring the provision of information for patients is appropriate and timely responding to parliamentary questions and other statutory requests for information ensuring patients and the public are involved in commissioning health services ensuring consultation and engagement around service changes and developments are carried out and reported within the legal requirements. criteria outlined in Domain 2 of the authorisation process.

4.3 Transforming health services Greater Huddersfield CCG recognises the importance of working collaboratively with other partners to achieve whole health economy service improvements. We are working with our partners across Calderdale and Huddersfield to transform health and social care services in the area. This is a key focus of work for the local health economy and aims to develop services that are integrated, effective and sustainable across acute, community and social care. It will require significant communications and engagement support, and will therefore be a major strand of our communications and engagement activity in the year ahead, also contributing to the delivery of the Calderdale and Huddersfield Health and Social Care Services Strategic Review.

4.4 Improved decision making Engagement with our stakeholders is not only a legislative requirement. If we are to make good decisions, improve outcomes and secure excellent quality services, meaningful engagement and communication has to be integral to all we do. This means that engagement has to be an active part of the commissioning cycle.

Engaging with local communities and using this knowledge to inform commissioning decisions will enable Greater Huddersfield CCG to offer services which are responsive and accountable.

Sharing information and striving for effective two-way communication will increase understanding of local services and the confidence others have in using these. We also need to ensure that we are able to evidence how the views and opinions of local people have informed and influenced our decision making.

5. Our principles for communication and engagement This strategy is underpinned by the following guiding principles for communication and engagement. We will: give clear, accurate and consistent messages, linked to our vision and values be open, honest and accountable 7

ensure that our communications and engagement activities are accessible to all: inclusive and supportive provide high quality yet cost effective information – maximising our resources promote and maintain effective two-way communication and engagement ensure planned, timely and targeted communication and engagement, being proactive in our approach

enable a range of opportunities for people to engage with us and inform our decisions work in partnership with other stakeholders including agencies, patients, patient representatives and carers work alongside service providers to ensure that they too engage with service users and the wider community ensure our members are aware that communication and engagement is everyone’s responsibility and that such skills are shared and developed

use plain language appropriate for all audiences encourage member practices to adopt these principles, building a philosophy and culture of engagement within the CCG 6. Our business objectives Each of the key objectives set out in our operating plan will require a planned approach to communications and engagement. For 2012/13 these are to: 1. Take ownership of QIPP in our geographical area 2. Work with other health and social care professionals, to develop and pilot re-design ideas 3. Work more closely with Kirklees Council to deliver more integrated services 4. As a sub-committee of the PCT take on a delegated budget and commissioning responsibility for the population served 5. Work with other local GP commissioning groups and colleagues to form models based on collaboration, that will be more able to share the risks involved in commissioning 6. To work with other public health specialists to ensure we deliver high quality care which focuses on prevention, reduces inequalities and makes efficient use of available resources 7. To work with local NHS leads on public involvement and patient engagement and with the Health and Wellbeing Board to identify the best model for patient involvement and engagement with the commissioning group 8. For the CCG to continue to develop to attain full authorisation as a statutory body by April 2013 Greater Huddersfield CCG’s transformation areas are: 1.

2.

3.

4.

5.

6.

Long term conditions and intermediate care Urgent care Planned care Unscheduled care Mental health learning disabilities and continuing care Prevention

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This communications and engagement strategy has been designed to support these objectives.

As we implement service development programmes for our six transformation areas, we will prepare specific, targeted communications and engagement action plans.

7. Our communication and engagement objectives To support delivery of the strategy, objectives and aspirations set out in our operating plan, we have identified the following communications and engagement objectives.

7.1

Build our reputation and relationships

During 2011-12 we have concentrated on building relationships with those stakeholders with whom we have common interests and where our combined influence can contribute most. This is in order to ensure high quality care which focuses on prevention, reduces inequalities and makes efficient use of available resources. With key external stakeholders we have contributed to this through one to one meetings, board to board meetings, and active participation in developing new partnership structures. With our internal stakeholders we have developed working arrangements that encourage active participation in decision making. See Appendix 3.

In 2012-13 we will continue to strengthen these relationships, as we also look at how we engage effectively with other groups of stakeholders.

Specifically we want to: raise our profile and reputation as a credible, trusted and forward thinking organisation adopt a proactive and innovative approach to communicating and engaging with all stakeholders, internal and external communicate and celebrate achievements and successes To achieve this we will: continue to develop productive relationships with the NHS Commissioning Board, other local NHS bodies, Kirklees LINk/HealthWatch and the Health and Social Care Overview and Scrutiny Committee continue our active participation on Kirklees Health and Wellbeing Board participate in public events to raise the public’s awareness of the CCG and increase our presence within the community work closely with Kirklees Council and other local CCGs to avoid duplication and co-ordinate engagement and service development activity continue to build on our developing relationships with the voluntary and community sector, patient reference groups, private and independent providers seek out and share positive information concerning services, taking a proactive approach to media relations develop a media protocol which will provide guidelines for all CCG members and staff especially in handling reactive and negative issues, enabling us to reassure patients and the public, maintaining our overall credibility and reputation among all key stakeholders provide periodic briefings to stakeholders to keep them abreast of key issues relating to our work 9

develop a visual identity which is relevant to our vision and values, and which is applied consistently utilise social media to support communications and engagement activities 7.2

Develop robust processes for meaningful engagement

We want to ensure that our public and patient engagement is rigorous and inclusive and that it directly impacts on our commissioning decisions.

Specifically we want to: establish clear structures and processes to provide assurance and public accountability utilise current information and generate meaningful information and intelligence gathering that is fed into commissioning prioritisation provide timely, appropriate and proportionate opportunities for stakeholders to be engaged in engagement activities and our decision making ensure that engagement and consultation activity is recorded, analysed, reported and evaluated demonstrate how feedback from patients and the public has influenced change and improvement develop and evidence effective engagement with the nine protected characteristics and the diverse communities in Greater Huddersfield as set out in the Equality Act share the learning with our partners, working collaboratively where appropriate To achieve this we will: be guided by our principles for communications and engagement, ensuring that our organisational processes enable patient feedback to inform our decisions map the diversity of the local population, including seldom heard groups and key stakeholder groups within that population

continue to develop feedback mechanisms that support two way communication and engagement and provide feedback on our engagement activities and decisions utilising various channels develop protocols and mechanisms to support patient and public engagement within the whole commissioning cycle, including service specifications, contract development, tendering processes, service reviews and business cases monitoring ensure that reports of service design, business case reviews and other initiatives include details of the underpinning engagement activity undertaken, what changes were made as a result, what was not possible to do and how this was communicated to the public ensure that reports are submitted via the appropriate governance channels for consideration and approval, adapting as appropriate as the CCG develops communicate and engage with our stakeholders in the delivery of our six transformational programmes embed a culture of patient and public engagement across CCG members, supporting them to increase engagement at practice level 10

lead communications and engagement activity for the transformation programme which is being carried out across Calderdale and Huddersfield, ensuring that all stakeholders have opportunity for meaningful engagement.

7.3

Effective communication

Effective communication will be achieved through identifying our key audiences and adapting our communications to their needs and preferences.

Specifically we want to: ensure that key information, messages and plans are communicated to relevant target audiences in a timely and consistent manner.

To achieve this we will: ensure that the local population is kept aware of service developments and knows how it can influence healthcare provision in Greater Huddersfield help local people to understand the changing nature of healthcare, and explain the drivers which influence our decision making write in language and use methods appropriate to our audiences ensure that our key stakeholders are aware of our campaigns engagement plans and activities, seeking feedback on them in a timely manner raise awareness amongst staff and member practices of our vision and values, ensuring that they have opportunity to be well informed about decision making within the CCG. 7.4

Internal communication

We want all CCG staff, including our member practices, to feel ownership of our vision and values, and by their contribution to help ensure that we commission the best possible services for local people. We also want to ensure that we are all equipped to deal appropriately with the questions that will inevitably arise from stakeholders. This will also enable us to effectively deliver our communications and engagement objectives.

Specifically we want: CCG member practices, managers and staff to feel motivated and empowered to make a contribution to the work and direction of the CCG to develop a culture where communication and engagement are seen as a joint responsibility share good ideas and best practice with our member practices To achieve this we will: facilitate effective two-way internal communications (consistent, timely and relevant information) within the CCG ensure that our Governing Body, staff and member practices are informed and equipped to participate in service commissioning, and that they are able to deal with the scrutiny which accompanies decision making, including from the media

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develop and promote a media protocol, supported by awareness training, that ensures all members and staff are aware of how to ensure well-judged responses to enquiries and the proactive generation of positive news stories.

8. Our key messages A common thread running through our communications and engagement activity will be consistent messages, which encapsulate our vision, helping local people and all our stakeholders to understand what we want to achieve on their behalf: we are committed to securing high quality healthcare in the most appropriate setting we are committed to reducing health inequalities in Greater Huddersfield we will act on what we hear i.e. we will seek out and listen to the views of health professionals, local people and other stakeholders we will learn from other organisations who have similar objectives (including other CCGs, service providers, the local authority and the NHS Commissioning Board) And specifically for internal audiences: our staff are integral to the successful delivery of our practices and commissioning plans we are committed to working with member practices and their staff teams in order to unleash their potential we, our member practices and staff teams will deliver health services, commissioning in different ways, and in doing so, develop a clear record of success that will support our authorisation as a statutory organisation.

Key messages will be developed for specific marketing, communications and engagement initiatives, based on research and insights, and tailored to the target audience.

9. Our stakeholders To achieve our objectives, we need to develop effective relationships with all stakeholders. As stated previously, the term ‘stakeholder’ has been used to mean any person or organisation whose interests are affected by, or can affect, our work to secure effective quality healthcare for the population of Greater Huddersfield.

To make our intentions actionable, it is necessary to ensure we have identified all stakeholders, and that we have prioritised amongst those stakeholders.

We have used a simple planning model to achieve this.

Fig1: Stakeholder planning model 12

Appendix one shows the full range of stakeholders we have identified. These can be grouped into the following key broad categories: Internal – inc. member practices, CCG staff and, until April 2013, the staff of the PCT Cluster Patients, carers and communities (those with a common interest) Public Partners, such as the local authority Governance and regulators Political Providers Third sector Media Suppliers Professional bodies Education Other agencies Having identified our stakeholders we used our local knowledge to map them according to their relative interest, and the influence they can exert, whether this be positive or negative. The resulting matrix is shown in Appendix two.

To gain an understanding of what we currently know about our key stakeholders, what these relationships look like, what we want to achieve through our relationships with them and how we will achieve this, we have conducted an analysis of such stakeholders (please refer to Appendix three). This is in order to provide us with the knowledge to enable us to tailor our communications and marketing activities appropriately.

It should be noted that this is not a once only activity, as stakeholder interests vary according to circumstances and programme, and we will continue to keep this analysis under review.

10. Patient experience We are not starting our communications and engagement work from scratch. Through the long term commitment of the local NHS to patient and public engagement, valuable insight into the diverse communities within Greater Huddersfield has been gained.

To develop our knowledge we have engaged with a variety of people through patient surveys, consultation events, patient groups, patient panels and whole range of other activities. This knowledge has allowed commissioners and other staff to develop strong links with a range of people that has helped feed into commissioning and service delivery decisions.

Furthermore, through the Joint Strategic Needs Assessment (JSNA) and the Director of Public Health’s Report we have key insights into the health and behaviours of people living within Greater Huddersfield, including issues facing people, preferred methods of communication (such as language and alternative formats) and routes in to these groups.

11. Governance Greater Huddersfield CCG is built on the foundation of effective local relationships and good communications with member practices, and key stakeholders, including other shadow health and wellbeing board members, patients’ and carers’ groups.

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It is important that we continue to develop these relationships and improve how we collect and use patient and staff feedback. The channels identified through this strategy are the enablers for collecting and responding to patient feedback. It is also recognised that the work of our Quality and Safety Group will be informed by outcomes of our engagement activities.

Good governance means engaging stakeholders and making accountability real, by: Having formal and informal accountability relationships Taking an active and planned approach to dialogue with, and accountability to, the public Taking an active and planned approach to responsibility to staff Engaging effectively with stakeholders.

As noted in our operating plan, to ensure that the patient voice is represented in the decisions made by the CCG, we have established a Patient and Public Engagement Operational Group, through which we aim to develop initial plans for engagement. In this year, we will also set up a Patient Reference Group Network in line with our principles for communications and engagement. This group will act as a network for members of our Practice Reference Groups, considering their work as well as wider engagement initiatives and opportunities.

12. Resources For 2012-13 we will implement this strategy through named individuals based within the Cluster’s shared communications and engagement team. They will provide local insight and management of this activity, drawing on the resources of the shared team for day to day media, marketing, communications and engagement activity.

We will review this decision as the format of both the local and national commissioning support services are confirmed.

The action plans which support this strategy will be developed in conjunction with the finance lead of the CCG to ensure that the plans are both effective and affordable within our overall budget.

13. Evaluation

Ongoing evaluation will help us to learn how well communication and engagement systems work and how they can be improved, monitor if the systems are functioning to an acceptable standard and hold ourselves up to scrutiny by internal and external stakeholders.

Evaluation will take place through a combination of quantitative measures, qualitative opinion and evidence/ local experience information. We will do this through: Ongoing media evaluation Patient surveys Website usage Internal communications audits Patient, staff and stakeholder feedback.

As part of our annual report we will prepare a report on consultations carried out or proposed to be carried out, and on the influence that the results of the consultations have had on our commissioning decisions.

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Appendix one: List of all stakeholders The list of stakeholders was developed by members of the CCG Board at their meeting on 31 January 2012. As part of the exercise, board members were asked to map who their stakeholders are.

Type Internal

Patients/Carers/ Communities Public Partners

Governance/ regulators

Who CCG members Member practices Non executive associates and directors PCT to CCG staff Practice staff including nurses, support and admin LINk / HealthWatch Patients Patient Groups inc. community groups/BME/carers Local residents inc hard to reach groups Health + Wellbeing Board Joint Director Public Health, Kirklees Neighbouring CCGs Local Authority, including directors Public Health England Monitor NHS Commissioning Board Strategic Health Authority Department of Health Overview and Scrutiny Committee for Health

Political

Providers

Third sector Media

Suppliers / other

Elected members MPs CHFT Membership Council SWYPFT Membership Council Calderdale and Huddersfield NHS Foundation Trust inc, clinicians and directors Neighbouring trusts Private/independent sector/ community interest providers incl. NHS Direct, Care UK, Local Care Direct and Locala South West Yorkshire Partnership Foundation Trust inc. clinicians and directors Yorkshire Ambulance Service Primary care contractors i.e. dentists, pharmacists, opticians Voluntary and Community Groups/ organisations BME media Huddersfield Examiner Reporter Series Local and national radio/television Professional publications Yorkshire Post Commissioning Support ServiceLarge local employers Independent providers Disenfranchised GPs 15

Trade unions Professional bodies Education

Other agencies

Royal College/professional organisations LMC, LPC, LDC, LOC Universities Deaneries inc. Yorkshire Deanery Research Registrars Schools VTS (Vocational Training Service) Police Housing Care homes

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Appendix two: CCG Stakeholder Map, February 2012 (please refer to appendix 5 for acronyms) HIGH

Keep satisfied

Key players – Partners

INTEREST

Members of Parliament Calderdale and Huddersfield NHS Foundation Trust Membership Council (CHFT) South West Yorkshire Partnership Foundation Trust Membership Council (SWYPFT) Local Pharmaceutical Committee Patient groups inc. community groups/BME/carers Local professional colleagues Overview and Scrutiny Committee Opticians Strategic Health Authority Department of Health

Media

Keep aware

LOW LOW

YAS LCD Care UK Hard to reach groups LDC Schools Police

Universities/Deaneries/ Research/VTS/Registrars Other secondary and tertiary providers Independent providers Large local employers Monitor Community and voluntary groups

General Practitioners PMs PCT/Cluster CCGs inc. NHS North Kirklees CCG, Calderdale LMC LA LA Directors HWB SWYPFT clinicians and directors

Elected Members CHFT – clinicians CHFT – directors Locala Public Health CSS NHS – CB Patients and the public HealthWatch/LINks PCT current employees

Involve Care homes Disenfranchised GPs Trade unions

H

INFLUENCE 17

Appendix three: CCG Priority Stakeholder Analysis Stakeholder

Calderdale CCG

What do we know about them?

What is our current relationship?

Current business CCG to CCG meetings plan/operational plan – we know their direction Separate cluster chair meetings

What do we want to achieve?

How will we do it?

Shifts/changes in behaviour

Good relationships

Require a formal board to board and/or development time for joint training and Close working e.g. planning in OD session CSO

Configuration – same as LMC – conterminous and smaller than Partnership arrangement GHCCG and slow to move Planned Care Sub Group Joint service re-design – long term planning on clinical strategy refresh We do shared learning Transformation work –

Conterminous with local authority

primary/secondary care interface (shared main provider)

Ophthalmic – cluster.

Calderdale CCG. Developed local optical network x4

Challenge provider together

Achieve corporate/public governance together, especially for CHFT transformation to give a consistent view, to avoid CHFT playing rule and divide game

Respiratory CKW 18

Stakeholder

What do we know about them?

What is our current relationship?

network meeting x3/yearly

Mental health cluster joint working. Cluster network e.g. Mental Health Quality Board

What do we want to achieve?

How will we do it?

Shifts/changes in behaviour

Display close working relationship – Calderdale CCG in media (maintain a consistent and professional relationship)

Shared teams/posts e.g.

Choose and Book, cancer lead, quality and contract meeting

North Kirklees Health Alliance (NKHA)

Smaller than us

Mid Yorkshire is main agenda

Shared communities – very

Shared committees: Sharing good ideas Audit, Quality and Safety, Finance and Performance, Health and Kirklees-wide safeguarding Wellbeing Board needs to be done with them

Formalise regularity of meetings

Chair to chair meeting (regularly)

One to ones – non19

Stakeholder

What do we know about them?

different population

What is our current relationship?

What do we want to achieve?

executives and chairs meet

Joint commissioning e.g. social care

Perception that North Kirklees get more funding (public health).

NK get prioritised

To form a committee consisting of GHCCG, NKHA and LA

Once a month PCT has met with LMC across Kirklees

A collaborative relationship

Poor performing trust

Historically under spend

Currently Kirklees-wide

Strong voice of membership practices IT subgroup Strong links to General Practitioner Committee (national) and BMA

Shifts/changes in behaviour

Contracting teams to work together where relevant e.g. community services/ Locala and SWYPFT

Identify and recognise common development needs with a view to addressing them collaboratively

Organised practices into clusters

Local Medical Council (LMC)

How will we do it?

Formalise interface of CCG Chair with LMC rep

Consultation rather than approval about proposals and Send minutes of CCE to decisions LMC

To support and challenge constructively

Attend monthly interface meetings

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Stakeholder

GPs

What do we know about them?

Voting members of CCG

What is our current relationship?

Approximately 30% of GPs within CCG are involved

What do we want to achieve?

How will we do it?

Want to achieve approximately 90% active involvement

Delivering on promises

Very different in levels of involvement in commissioning

Very different sizes/demographics of practices

Apathy

40% are aware but not actively engaged with CCG

GPs to feel as though they have ownership of the CCG and are making positive contributions – thus creating motivation and enthusiasm

Shifts/changes in behaviour

GPs feeling a part of the process of change/redesign

Demonstrating positive outcomes for patients

Remaining 30% have relatively low and varying levels of engagement with CCG

Powerful and authoritative to patients, the public and the progress of change

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Stakeholder

What do we know about them?

Practice Managers Good conduit for information sharing in practice/with GPs

Variable skill mix

Varying degrees of experience and influence over colleagues

What is our current relationship?

Valued relationship

Practice Manager Reference Group

What do we want to achieve?

How will we do it?

Shifts/changes in behaviour

Strengthening commissioning Involve in system change principles discussions that affect their practices and practicalities of the implementation Engagement in practice level commissioning Regular updates: keep informed

PPT – x3 a year Increasing pro-activity where necessary Plenaries: quarterly

PCT/Cluster

Currently in transition – cease to Strong links exist in 2013

Maintenance of key skills and Regular meetings with key strong links PCT staff

Collaborative working Knowledge and skills which will be needed in the future and GHCCG do not want to lose Staff briefings: Kirklees

Numerous staff members – variable skill mix

Devolved responsibility/accountability from cluster board

Keep PCT/Cluster staff up to date with current/upcoming developments – two way communication

Board to Board meetings Commissioning Support Service – build relationships Continue current 22

Stakeholder

What do we know about them?

What is our current relationship?

What do we want to achieve?

via PCT/Cluster One to one: Chair and Cluster Director of Commissioning Local Authority (inc LA directors, HWB and Public Health)

Very large organisation: Kirklees Evolving relationship wide Health and Wellbeing Commission/provide a complex Board meetings range of services

Politically minded/different agendas

Powerful voice of the people

How will we do it?

Shifts/changes in behaviour communications streams with cluster

Further pooling of budgets ie. Regular meetings with LA intermediate care, social care representatives to forge etc stronger relationships and gain trust Closer and stronger working relationship

One to ones with Director of Adult Services, CE

Understanding each other’s ‘worlds’

Shared vision for Kirklees Leader of Council (Mehboob Khan) is non- Integrated health and social exec director on GHCCE care, leading to a reduction in duplication of activity

Public Health transfer: October 2012 Relationships with provider services

Strong community working

The potential for future joint budgetary management/accountability

Develop strong and active Health and Wellbeing Board

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Stakeholder

What do we know about them?

What is our current relationship?

What do we want to achieve?

How will we do it?

Shifts/changes in behaviour

Partnership posts (safeguarding)

Pooled mental health budget Providers (inc SWYPFT, CHFT, Locala)

CHFT embarking on a CHFT: one to one’s with Strong working relationships reconfiguration of services over medical director, involved the next year in transformation work Improved outcomes for patients Locala are developing social enterprise organisation – seeking strong business/financial footprint

CHFT consultants feel as though engaging with primary care more than Service re-designs ever – strengthening information and knowledge Cost/efficiency savings with no loss to quality

Building of trust

Shared vision

Continue interface meetings

Primary and secondary care interface: CHFT Seamless and integrated pathways Locala: GP Reference Group, Contract Board 24

Stakeholder

What do we know about them?

What is our current relationship?

What do we want to achieve?

How will we do it?

Shifts/changes in behaviour

Meeting, Community Care Team Project Board, Intermediate Care Patients and the public

Varying demographics and socio-economic profiles

Strong degree of trust

Further participation

Varying needs - narrow outlook No active involvement in Stronger community links on healthcare driven by current decision making personal situation/experience

Heavily influenced perceptions of NHS via the media

Elected Members

Very politically minded

Patient involvement groups – 36 out of 40 practices with varying levels of participation

Health and Wellbeing Board

Augment patient involvement groups to increase their effectiveness

Transparency and honesty

Seek a broader picture in terms of contributions Patients to feel as though their views are being Strengthen relationships with listened to media regarding exactly what IS happening Informing media in plain English regarding current and future changes.

Greater understanding of roles and responsibilities

Relationship forming: introductions

Short-term appointment

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Stakeholder

What do we know about them?

What is our current relationship?

What do we want to achieve?

How will we do it?

Shifts/changes in behaviour

Aim: to please the people

High level of influence

NHS Commissioning Board

Forming organisation

Indirect communication No intervention required – via cluster/SHA – no satisfied with outputs current direct relationship

Communication of successes

Hold Primary Care contracts Potential: media collaborative working Oversee all commissioning/CCGs

Approve CCG authorisation

Become formal organisation in October 2012

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Stakeholder

What do we know about them?

HealthWatch/LINKs Current structure acting as the champion for effective patient engagement in Kirklees

The LINk is to evolve into the local HealthWatch as part of the Health and Social Care Bill 2011/Act 2012

What is our current relationship?

What do we want to achieve?

Cluster and CCG Maintain and build further representation at effective working steering group meetings relationships, both with the current LINk and with the future HealthWatch

LINK representatives directly involved in the devolvement of the CCG Communications and Engagement Strategy

Have an active role in the development of the model for local HealthWatch and develop productive relationship with the emerging CCG involvement in the organisation. devolvement in the local HealthWatch – both directly and via the shadow Health and Wellbeing Board

How will we do it?

Shifts/changes in behaviour

Continued proactive relationship with the LINK

Continued active participation in the devolvement of HealthWatch

Timely information sharing and appropriate involvement of lay representation.

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Appendix four – Preparation for Authorisation – Domain 2, Engagement 2.1 2.1a I II III 2.1b I II III 2.2 2.2a

I II 2.3 2.3a I II

2.4 2.4a I II 2.4b

I II

Ensure inclusion of patients, carers, public, communities of interest and geography, health and wellbeing boards, local authorities and other stakeholders.

Constituent communities and groups within the population served by the CCG identified.

Mapped and analysed CCG constituent communities and groups health needs is relected in CCTG commissioning plans.

Analysis of CCG constituent communities and groups health needs is relected in CCG commissioning plan.

CCG has outline plans in place to communicate and engage with strategic partners and diverse groups and communities.

Engaged in health and wellbeing boards, the refresh of the JSNA and the development of the joint health and wellbeing strategy.

CCG has engaged Local Authority/ties in establishing its organisational boundaries.

CCG is engaged in shadow health and wellbeing board, is participating in refresh of JSNAs and in development of the joint health and wellbeing strategy.

CCG commissioning plan aligns with joint health and wellbeing strategy and enables integrated commissioning, depending on local time frame.

Analysing and acting on information from engagement to translate into priorities for improvement.

Plans, systems, processes and resources are in place to measure, analyse and use feedback and insight from patients, carers, partners and stakeholders to improve services.

Systems and process for monitoring and acting on patient feedback, and particularly in identifying quality and patient safety issues.

Arrangements in place to ensure on-going patient and public involvement in CCG decision-making.

Voice of each practice population to be sought and acted on.

Arrangements in place for patient views to be sought at practice level to inform and receive feedback from CCG priority setting.

Two-way accountability between CCG and member practices is reflected in the Consitution and in the broader governance arrangements.

Examples of CCG engaging different groups and communities through a range of communications channels in the development of its vision, commissioning plan, or in broader CCG decision-making processes.

Views of individual patients are reflected in shared decision-making and translated into commissioning decisions.

Arrangements in place to promote the involvement of patients and carers in decisions about their own care and treatment, including exercising choice.

CCG aware of its statutory duties in relation to promoting choice.

Systems in place to convert insights and patient choice/s in practice consultations into commissioning plans and decision-making.

Plans in place to manage and respond to concerns raised about its own operations or the services it commissions, to monitor patient/public perceptions of its responsiveness as a NHS organisation, and to learn from concerns raised to improve its performance.

Arrangements for handling complaints and concerns raised with the CCG deliver outcomes equivalent to those set out in the statutory framework for complaints handling.

Clear line of accountability for patient safety including regular reporting to the NHS Commissioning Board patient safety function.

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Appendix five – Glossary of terms Term Calderdale and Huddersfield Foundation Trust CCG

Definition NHS hospital trust covering the Calderdale and Huddersfield areas See Clinical Commissioning Group See Calderdale and Huddersfield CHFT Foundation Trust New local NHS commissioning organisation consisting of clinical management and a Clinical Commissioning Group membership of constituent GP practices Process for effective commissioning including assessing needs, reviewing services, contract implementation and managing provider performance. To be commissioning cycle treated as a constant cyclical process.

New organisations that will provide commissioning support commissioning and administrative support services for Clincial Commissioning Groups The individual GP Practices that fall within a constituent practices Clinical Commissioning Group's membership A set of fundamental principles stating how Constitution the organisation will be governed.

The deaneries are responsible for the management and delivery of postgraduate medical education and for the continuing professional development of all doctors and Deaneries dentists See Greater Huddersfield Clinical GHCCG Commissioning Group Greater Huddersfield Clinical The Clinical Commissioning Group covering Commissioning Group the Greater Huddersfield area Forum for local commissioners across the NHS, public health and social care, elected representatives, and representatives of HealthWatch to discuss how to work together to better the health and wellbeing Health and Wellbeing Board outcomes of the people in their area.

Health Strategy Refresh HealthWatch will be the new consumer champion for both health and adult social care, superseding Local Involvement HealthWatch Networks at a local level LA See Local Authority LDC See Local Dental Committee LINk Local Involvement Network 29

LMC LOC

Local Dental Committee

Local Involvement Network

Local Medical Committee

Local Optical Committee Local Pharmaceutical Committee LPC

Monitor NHS brand

NHS Commissioning Board NHS Constitution

Overview and Scrutiny Committee PALS

Patient Advice and Liaison Service

Patient Reference Group PCT Primary Care Trust

See Local Medical Committee See Local Optical Committee Statutory Body that represents contractors and performers providing general dental services in a defined locality Network run by local individuals and groups and independently supported. The role of LINks is to find out what people want, monitor local services and to use their powers to hold them to account.

Statutory Body that represents contractors and performers providing general medical services in a defined locality Statutory Body that represents contractors and performers providing general ophthalmic services in a defined locality Statutory Body that represents all NHS pharmacy contractors and performers in a defined locality See Local Pharmaceutical Committee Non-departmental public body with a duty to protect and promote patients' interests as well as continuing role to authorise and regulate NHS foundation trusts Guidelines protecting the use and placement of the NHS logo and colours.

An independent, statutory body from October 2012 with overall responsibility for the NHS budget, allocating the majority directly to Clinical Commissioning Groups Document which sets out rights and pledges for patients, public and NHS staff Committee which is composed of councillors who are not on the Executive Committee of the local authority, which looks into issues that affect local people and services See Patient Advice and Liaison Service Service within current Primary Care Trusts and hospital trusts which offers confidential advice, support and information on healthrelated matters An official group of registered patients which offers feedback to GP practices about their services See Primary Care Trust Current NHS commissioning organisation to be abolished in April 2012 30

Primary Care Trust (PCT) Cluster

Public Health England

QIPP SHA

social media

stakeholder

Strategic Health Authority Vocational Training Scheme VTS

White Paper

Group of Primary Care Trusts sharing staff, management and resources in order to meet recent NHS guidance. Locally, this consists of NHS Calderdale, Kirklees and Wakefield District.

National body within the Department of Health responsible for Public Health functions and campaigns Quality, Innovation, Productivity and Prevention. A large scale transformational programme for the NHS involving all NHS staff, clinicians, patients and the voluntary sector See Strategic Health Authority Web-based and mobile based technologies which are used to turn communication into interactive dialogue between organizations, communities, and individuals.

Any person or organisation whose interests are affected by, or can affect, the organisation's work.

Regional NHS structures responsible for enacting directives and implementing fiscal policy from Department of Health. To be abolished in April 2012 Provider of Care and Childcare Apprenticeship and NVQ programmes See Vocational Training Scheme Authoritative report or guide that helps solve a problem, usually linked with formal consultation about its content

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