Patient Engagement Programme Workshop/Meeting Date: Time: Venue: Chair: 15 November 2013 1400 to 1700 Large Meeting Room GPS Rebecca Rosen PRESENT: Carina Crawford-Rolt Nicola Havutcu Bridget Imeson Dilo Lalande Eugenia Lee Elena Lepore Rosaline Mitchell Rebecca Rosen Ash Sharma Senior Organiser Director of Integrated Governance AD, Public Health & Wellbeing AD, Communications & Engagement GP Governing Body Business Support Manager GP Health Organiser Citizens UK NHS Greenwich CCG Royal Borough of Greenwich NHS Greenwich CCG NHS Greenwich CCG NHS Greenwich CCG Healthwatch Greenwich NHS Greenwich CCG Citizens UK NOTES Item 1. Action Welcome and introductions Nicola Havutcu opened the meeting and explained that, unfortunately, Greg Ussher who was to have chaired the meeting was unable to attend and had sent his apologies. She explained that the meeting would take on the format of an informal meeting/workshop, rather than a Board. 2. Apologies for absence Apologies had also been received from Leceia Gordon MacKenzie. 3. Conflicts of Interest None noted. Chair: Dr Hany Wahba Chief Officer: Annabel Burn 4. Notes of Previous Meeting These were briefly reviewed. 5. Terms of Reference and Membership It was noted that Rebecca Rosen has contributed an amendment to the Terms of Reference which has been incorporated. The list of local duties is yet to be incorporated. Add the demographics of Greenwich to the TOR. Subject to the above being incorporated, it was agreed that the Terms of Reference could be signed off. 6. DL Next Steps for Patient Engagement Strategy Discuss and agree the organisation’s strategic aims and objectives Find ways to engage and build a relationship with the many constituencies within the local community Find different constituencies who live in Greenwich Include areas of deprivation Determine what we want the end to be Determine what message we want to send out Engage and create accountability Encourage people to sustain their own health and wellbeing. Consideration is to be given to financial constraints in the next decade, harnessing resources that are already available. In other words, develop existing assets then commission them appropriately, rather than just responding ad hoc to needs. This defines asset accountability. Determine what is it that we are aiming to change in terms of patient engagement. Discuss and agree the commissioning engagement cycle The group discussed and developed the Commissioning Cycle. There should be engagement at every point of the Commissioning Cycle. 2 Pertinent points: i. ii. iii. iv. v. Identify health needs Manage demand Identify supplies/resources Identify the process for managing supplies/resources responsibly Manage waste Ask service users how best can the CCG manage supplies/ resources that are available to best suit them. There never seems to be a finite number of resources yet there is considerable wastage in, for example, A&E. We need to develop the right branding, not just for the CCG’s workforce but also for the public. A patient charter, listing patients’ responsibilities, would say more about a responsible use of the NHS. Co-commitment needs to happen publically. Make the public and NHS commitment as open as possible in a public forum and at the same time devolve power to the people. The Council has a community engagement strategy, with a Communications Team, which may change after the borough elections. This could bring in a number of new councillors. The Council is interested in what the NHS is doing and seems to be ‘fixated’ on A&E pressures. There is a £10m integration fund (community asset) and the question is how to use it. Tactics: Carina Crawford-Rolt elaborated. How do we pose the right question? What do we have to offer? Everyone wants to build a healthy borough Many different activities Within this document (sic) will focus on how we “communicate and engage well” to 3 build healthy communities understand local determinants of health shape our commissioning/social services develop communities and individuals as “resources” for each other/for the CCG create resources for responding to the ITF build social responsibility and sustainability … and we commit to “explain the limits” and “be transparent”. Further, to: Develop the community of Greenwich in order to listen and identify issues affecting health within the borough Commit to act on and be held to account on recommendations which have been developed by the community in the CCG and RBG Work with partners and residents of the borough to support the development of informed and resilient communities who are empowered to look after their own health and wellbeing, who understand how health and social care services are resourced and how they can be used responsibly, and who can work with us to build and shape high quality services valued by local people. Meaningfully and creatively engage with the local community and partners to work together in shaping and sustaining health services that fit local needs within current financial constraints Engage with empowered communities as partners, adopting a philosophy of integration and accountability to build health and social resilient communities through the identification and investment in community assets Identify the resources to support the groups to function 4
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