Draft Participation and
Engagement Strategy
Summary of Consultation Feedback
04/03/2016
Gillian Churms
Integration Programme Support Officer
Table of Contents
Executive Summary
Page 3
Survey Results
Page 6
Feedback Response Matrix
Page 15
Page 2 of 49
Executive Summary
The Draft Participation and Engagement Strategy (v8) was opened up to public
consultation during January and February 2016. The consultation period
commenced Monday 25th January and ended Friday 12th February 2016.
An email inviting people to read the draft Strategy and take part in the consultation
by answering a short survey was sent on behalf of Julie White to 1426 email
addresses.
Social Media accounts (Facebook and Twitter) along with the public and internal
websites of both Dumfries and Galloway Council and NHS Dumfries and Galloway
also carried messages to inform people that the consultation was underway, and
provided details of how they could view and feedback on the draft Strategy. This
message was also shared via the DG-change website.
A press release relating to the consultation was also provided to local press
organisations.
Further to the above, meetings with groups, organisations and members of the public
have also been undertaken.
Consultees were asked to peruse the draft Strategy and feedback via a Survey
Monkey hosted survey. Consultees were also given the opportunity to complete an
Equality and Diversity Monitoring Form. There were also alternative opportunities for
consultees to submit additional feedback regarding the draft Strategy.
The survey consisted of six questions. 58 people took part in the survey and a
snapshot of the responses is as follows:
Question 1
Our vision in the Participation and Engagement Strategy is: ‘The views, experiences
and ideas of all our stakeholders will design and deliver health and social care
services that meet the needs and aspirations of people in Dumfries and Galloway
now and in the future’. Do you agree that this is the right vision?
57 people answered this question and of these 82.4% responded with Strongly
Agree/Agree.
Question 2
There are four Objectives within the Strategy. Do you agree that these are the right
Objectives?
a) Objective One:
Page 3 of 49
To engage with all individuals, communities and organisations who have a
contribution to make to health and social care services in Dumfries and Galloway.
55 people answered this question and of these 85.4% responded with Strongly
Agree/Agree.
b) Objective Two:
To use a range of participation and engagement methods so that everyone can
contribute in the way that suits them.
56 people answered this question and of these 94.6% responded with Strongly
Agree/Agree.
c) Objective Three:
To maximise the resources available for participation and engagement activity.
55 people answered this question and of these 83.7% responded with Strongly
Agree/Agree.
d) Objective Four:
To monitor and report on the effectiveness of our participation and engagement
activity.
56 people answered this question and of these 91.0% responded with Strongly
Agree/Agree.
Question 3
Do you have any additional comments on the objectives in the Strategy?
21 people submitted additional comments in response to this question.
Question 4
Do you think that we have got the right balance between local activity and strategic
activity?
55 people answered this question and of these 45.5% responded ‘Yes’, 20% ‘No’
and 34.5% ‘Not Sure’. 22 additional comments were received from those who had
responded ‘No’ or ‘Not Sure’.
Question 5
Do you think that the reporting and monitoring arrangements for the strategy are
sufficient?
52 people answered this question and of these 53.8% responded ‘Yes’, 15.4% ‘No’
and 30.8% ‘Not Sure’. 15 additional comments were received from those who had
responded ‘No’ or ‘Not Sure’.
Question 6
Do you have any other comments or suggestions on the Participation and
Engagement Strategy?
15 people submitted comments in response to this question.
Page 4 of 49
Additional feedback received outwith the survey, were received from:
 4 organisations
 1 group
 3 individual people
All feedback received has been collated and presented in this report. Further to the
public consultation, a re-draft of the Strategy was made with the assistance of
representatives from Strategic Planning and also with the members of the
Participation and Engagement Strategy Action Group. The re-draft work was carried
out largely during the week following the end of the consultation period, resulting in
the Strategy being in a form that was suitable for submission to the Integration Joint
Board, for their approval and adoption, in March 2016.
Page 5 of 49
Survey
Results
Page 6 of 49
Question One
Our vision in the Participation and Engagement Strategy is: ‘The views, experiences
and ideas of all our stakeholders will design and deliver health and social care
services that meet the needs and aspirations of people in Dumfries and Galloway
now and in the future’. Do you agree that this is the right vision?
Answer Options
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Response
Percent
Response
Count
45.6%
36.8%
12.3%
3.5%
1.8%
26
21
7
2
1
answered question
skipped question
57
1
Our vision in the Participation and Engagement Strategy
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Page 7 of 49
Question 2
There are four Objectives within the Strategy. Do you agree that these are the right
Objectives?
Objective One:
To engage with all individuals, communities and organisations who have a
contribution to make to health and social care services in Dumfries and Galloway.
Answer Options
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Response
Percent
Response
Count
52.7%
32.7%
12.7%
0.0%
1.8%
29
18
7
0
1
answered question
skipped question
55
3
Objective One:
To engage with all individuals, communities and organisations who have a
contribution to make to health and social care services in Dumfries and
Galloway:
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Page 8 of 49
Objective Two:
To use a range of participation and engagement methods so that everyone can
contribute in the way that suits them.
Answer Options
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Response
Percent
Response
Count
58.9%
35.7%
5.4%
0.0%
0.0%
33
20
3
0
0
answered question
skipped question
56
2
Objective Two: To use a range of participation and engagement methods so
that everyone can contribute in the way that suits them:
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Page 9 of 49
Objective Three:
To maximise the resources available for participation and engagement activity.
Answer Options
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Response
Percent
Response
Count
47.3%
36.4%
12.7%
1.8%
1.8%
26
20
7
1
1
answered question
skipped question
55
3
Objective Three: To maximise the resources available for participation and
engagement activity:
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Page 10 of 49
Objective Four:
To monitor and report on the effectiveness of our participation and engagement
activity.
Answer Options
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Response
Percent
Response
Count
57.1%
33.9%
8.9%
0.0%
0.0%
32
19
5
0
0
answered question
skipped question
56
2
Objective Four: To monitor and report on the effectiveness of our
participation and engagement activity:
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
Question 3
Do you have any additional comments on the objectives in the Strategy?
Response
Count
Answer Options
21
answered question
skipped question
21
37
Page 11 of 49
Question 4
Do you think that we have got the right balance between local activity and strategic
activity?
Answer Options
Response
Percent
Response
Count
45.5%
Yes
20.0%
No
34.5%
Not Sure
If No or Not Sure, Please provide further comments why you think
the balance is not right:
25
11
19
22
answered question
skipped question
55
3
Do you think that we have got the right balance between local activity and
strategic activity?
Yes
No
Not Sure
Page 12 of 49
Question 5
Do you think that the reporting and monitoring arrangements for the strategy are
sufficient?
Answer Options
Response
Percent
53.8%
Yes
15.4%
No
30.8%
Not Sure
If No or Not Sure, Please provide further comments why you think
the balance is not right:
Response
Count
28
8
16
15
answered question
skipped question
52
6
Do you think that the reporting and monitoring arrangements for the strategy
are sufficient?
Yes
No
Not Sure
Page 13 of 49
Question 6
Do you have any other comments or suggestions on the Participation and
Engagement Strategy?
Response
Count
Answer Options
19
answered question
skipped question
19
39
Page 14 of 49
Feedback
Response
Matrix
Page 15 of 49
Draft Participation and Engagement Strategy Feedback Summary
Question 1
Our vision in the Participation and Engagement Strategy is: ‘The views, experiences and ideas of all our stakeholders will design and deliver health and social
care services that meet the needs and aspirations of people in Dumfries and Galloway now and in the future’. Do you agree that this is the right vision?
Question 2
There are four Objectives within the Strategy. Do you agree that these are the right Objectives?
a) Objective One:
To engage with all individuals, communities and organisations who have a contribution to make to health and social care services in Dumfries and Galloway.
b) Objective Two:
To use a range of participation and engagement methods so that everyone can contribute in the way that suits them.
c) Objective Three:
To maximise the resources available for participation and engagement activity.
d) Objective Four:
To monitor and report on the effectiveness of our participation and engagement activity.
Question 3
Do you have any additional comments on the objectives in the Strategy?
Question 4
Do you think that we have got the right balance between local activity and strategic activity?
Question 5
Do you think that the reporting and monitoring arrangements for the strategy are sufficient?
Question 6
Do you have any other comments or suggestions on the Participation and Engagement Strategy?
Section 1 - Comments and Feedback Received via Survey
Ref
1
2
3
4
Comments/Feedback/
Questions
While it is important to engage with everyone, it
would be wrong to spend a lot of money on this
which could be better used in actually providing the
care.
Part of DP&ES
comment relates to
Question Three
Public
Consultation
25.01.2016
It remains unclear as to how these objectives will be
supported operationally. How will the effectiveness
of participation and engagement be measured?
Question Three
Public
Consultation
25.01.2016
Public
Consultation
25.01.2016
Hard to achieve with so many diverse categories of
Groups.
Question Three
It is essential for GPs to be involved in Health and
Social care Integration but due to the recruitment
crisis and the way GPs are paid, there needs to be
funding available to pay for locums to allow GPs to
attend meetings.
This strategy is poorly constructed and conceived. It
would have benefitted from significant revision even
in this draft format. The strategy makes no attempt
to make visible the mechanisms by which ALL
individuals and stakeholders will be engaged and
how this commitment to being all things to all people
will be realised.
Question Three
Category
Public
Consultation
25.01.2016
Public
Consultation
25.01.2016
5
Question Three
Response
Involving users, their families and our local
communities in the design and planning of health
and social care will assist in making our
arrangements as efficient and effective as they can
be, therefore ensuring that the maximum amount of
money is available for providing care.
Participation and engagement activities will be part
of our service delivery. The effectiveness of these
activities will be measured and reported to the
management and the Integration Joint Board. The
detail of what will be measured and reported is in
development.
The plan is to use representative/umbrella bodies
as the way into hard to reach groups as much as
possible.
There are already arrangements in place to
reimburse GP Leads who attend meetings.
There is a list of the different mechanism that can
be used within the Strategy document. It is however
inappropriate to be definitive about the mechanisms
for any particular engagement because we will be
following the National Standards which require us to
use different mechanisms depending on the
purpose and objectives of the engagement.
Strategy has been fully reviewed and revised based
on comment and feedback received.
Page 17 of 49
Ref
Category
Public
Consultation
26.01.2016
6a
Public
Consultation
26.01.2016
6b
7
Public
Consultation
26.01.2016
Public
Consultation
26.01.2016
8a
Comments/Feedback/
Questions
Two primary comments:
The word 'gay' on page 12, should really read
'LGBT', or 'Lesbian, Gay, Bisexual, Transgender', or
LGBT Plus'. Using the word 'Gay' alone can appear
very male-orientated and quite patriarchal.
Part of DP&ES
comment relates to
Question Three
The identification of Dumfries & Galloway LGBT
Centre on page 22 is inaccurate and misleading as
there is no such place anymore. There are two
organisations in the county now - Dumfries &
Galloway LGBT YOUTH centre, for young people
only, and Dumfries & Galloway LGBT plus, who
engages with everyone over the age of 18. By using
the descriptor 'centre' it suggests that you are only
going to consult on LGBT issues with the youth
centre. If the integration is, as I understand, for
adults, it really should be D&G LGBT Plus that is
consulted.
I feel strongly that the outcome of this must be
reflected immediately in action to improve health
and social care within the region and not just
everyone attending meetings spouting all the
politically correct noises.
Objective 1.
Appendix 3 lists the Statutory consultees. In
addition there needs to be a list of non-statutory
consultees including both social and private housing
interests. These non-statutory interests would then
be represented on the PIP Steering Group.
Question Three
Response
This whole appendix has been removed from the
Strategy, being accessed instead through a
hyperlink. While we are unable to change this
wording (as this is contained within a Scottish
Government publication) but you will see that the
term LGBT is what we use throughout the
document.
The list was taken from the Integration Scheme and
was correct at that time. In light of other comments
we have amended the presentation of this list to
remove individual organisations.
Question Three
The urgency of getting all the arrangements in place
and improving health and social care for people in
our region is well understood and shared by IJB
Members and staff alike.
Question Three
The list in this Appendix had been lifted from the
Integration Scheme and was based on Scottish
Government Guidance.
The Appendix has however been revised in light of
this, and other comments and group/types of
organisations are referred to, rather than an
exhaustive list of individual organisations.
Page 18 of 49
Ref
Category
8b
9a
Public
Consultation
26.01.2016
9b
Public
Consultation
26.01.2016
10
Public
Consultation
27.01.2016
Public
Consultation
28.01.2016
11
12
Public
Consultation
29.01.2016
Comments/Feedback/
Questions
Appendix 3 gives the ToR for each of the Locality
Participation and Engagement Groups, membership
of which includes housing. In my view it will be
difficult to engage private housing interests at
locality level and believe this voice would be better
confined to the strategic level.
Part of DP&ES
comment relates to
Question Three
The grammar in your vision is rubbish....'views
experiences and ideas' are not actions so therefore
they cannot 'design and deliver' services.
They can influence the design, or support the
design or help the design and delivery....
Maximising resources for participation and
engagement activity makes it sound like an 'add on'
when actually it should be how we all work involving communities from the very beginning in
services development.
The ultimate objective is for people to be involved in
a way that positively influences health and social
care in Dumfries and Galloway. It is not enough to
say that they are involved but, in what ways their
involvement made a meaningful difference
I agree with the first objective but am concerned
about how to prioritise the information and ideas
which come out of the engagement process. With
so many consultees it may be difficult to reach a
valid consensus.
Question Three
It is vitally important that any engagement is
genuine and that we listen and respond to it rather
than just record it and then do what the strategists in
the centre think we should do instead.
Question Three
Question Three
Question Three
Question Three
Response
However we believe that consulting and involving
them is required to develop our communities at both
a local and strategic level. All 4 locality plans have
reference to housing in both their plans and ‘we
wills’. The list of members is however just a
suggestion and as such some localities may wish to
not have housing included.
This section has now been revised and the final
version will include advice from the Plain English
Campaign.
The section about resources describes how the
partners will use the money and staff and
technology they have available. It comes after the
Objectives that focus on the involvement of local
people and communities in service development.
The Strategy has been fully reviewed and revised
based on comment and feedback received.
The effectiveness of the Strategy is specifically
referred to in Objective 4 as that is indeed the key
issue.
How to deal with the responses to any engagement
activity is part of the planning stage and there are
various techniques, scoring systems etc. that can
assist in this – ultimately the accountable body has
to make a decision and it is important that the
reasons for the decision are explained so that the
process is transparent.
The adherence to the National Standards and using
a publicly accessible tool to set out the planning and
implementation of any engagement will ensure that
respondents can see what difference it made.
Page 19 of 49
Ref
13
14
15
16
17
Category
Public
Consultation
29.01.2016
Public
Consultation
30.01.2016
Public
Consultation
01.02.2016
Public
Consultation
03.02.2016
Public
Consultation
04.02.2016
Comments/Feedback/
Questions
The compilers of the document appear to have a
very poor grasp of the English language, I would
suggest they look up the dictionary definitions of
participation and engagement - very loosely they
mean the same thing so why use two words when
one would do perfectly well!
It is an extremely comprehensive document and
might just be too ambitious to achieve.
Part of DP&ES
comment relates to
Question Three
The strategy recognises the wide ranging gaps in
communication and acknowledges the difficulties
that may exist in under represented communities.
Several. As usual your "Objectives" are statements
which no one could deny are desirable outcomes.
But they're so obvious a child could have written
them.
Who wouldn't want to set up a service that "meets
aspirations", "engages with all individuals" or
"maximises resources"? How could anyone possibly
suggest these are not what we would wish? And
therefore what can you possibly gain from
canvassing people's opinions as to what they think?
It would be like asking football fans whether they
think it would be desirable that their team wins the
league. Totally pointless, you must know the answer
already.
We see the objectives as solid but the reporting one
as a bit thin, a full mention of feedback to all
involved with not only what is recorded but it made a
difference.
Question Three
Question Three
Question Three
Response
The requirement to produce a ‘Participation and
Engagement Strategy’ is part of the legislation.
However it is recognised that terms are very similar
and so definitions have been now included in the
document that set out what the partners mean by
these and other related terms.
There will be an action plan that sets out the specific
activities to be undertaken to deliver the Strategy.
The action plan will be prioritised to take into
account available resources.
Comment noted.
The objectives are intended to be simple and clear
as this is the first document that sets out what
commitments the new body of the Integration Joint
Board are making in relation to participation and
engagement activity.
The objectives are also there to give a framework
for detailed actions that can be measured and
reported on.
Question Three
The point about feedback is well made – and while it
is one of the ten National Standards and therefore a
key part of this work, the narrative about the
Objectives has been updated and gives a stronger
profile to feedback
.
Page 20 of 49
Ref
18
19
20
21
22
23
24
Category
Public
Consultation
06.02.2016
Public
Consultation
08.02.2016
Public
Consultation
10.02.2016
Public
Consultation
13.02.2016
Public
Consultation
25.01.2016
Public
Consultation
25.01.2016
Public
Consultation
25.01.2016
Comments/Feedback/
Questions
Why is it necessary to use such convoluted
language to ask simple questions?
Part of DP&ES
comment relates to
Question Three
They need not to diminish the core actual work of
services by using too much time and money and
other resource.
Question Three
As we have shown by our answers above we agree
with the objectives, but we are worried about what
will be done to make sure they will be achieved.
Most of them will need quite a lot of work to be
done.
Your view of local should be to a parish level
Question Three
Don't really understand the question
Question Four
Strategic activity does not always reflect what can
be achieved or what requires to be achieved locally.
Strategic activity can appear to happen in a
vacuum, not taking into account local
feelings/experiences or operational issues such as
delivering services in a rural area.
Not clear how one informs the other in practice
Question Four
Question Three
Question Four
Response
Comment noted – the final version will take into
account advice from the Plain English Campaign
Involving users, their families and our local
communities in the design and planning of health
and social care will assist in making our
arrangements as efficient and effective as they can
be, therefore ensuring that the maximum amount of
money is available for providing care.
There will be an action plan that sets out the specific
activities to be undertaken to deliver the Strategy.
The action plan will be prioritised to take into
account available resources.
The particular definition of ‘local’ will depend on the
nature of the subject matter and the purpose of the
engagement
We expect the locality participation and engagement
groups to link with local communities as a number of
levels.
Strategic is something that covers the whole region
or whole population; local is used to identify smaller
geographical areas or groups of people.
The strategic plan and locality plans have been
developed by talking to stakeholders across the
regions and taking account of the views highlighted.
Lessons have been learned from the engagement
activity for these plans and have informed this
participation and engagement strategy.
In this context strategic means regional level,
mirroring the strategic and locality plans.
Page 21 of 49
Ref
Comments/Feedback/
Questions
Since I missed entirely the first phase of the
exercise in consultation, perhaps the broad
message did not get to as many people as it needs
to do. It seems highly likely that many people will fail
to participate due to the length and complexity of the
information presented in one large serving.
Part of DP&ES
comment relates to
Question Four
Public
Consultation
25.01.2016
This has all the appearance of a paper exercise. I
see no real commitment to engage at strategic or
local level. The very time of the document snacks of
the dead hand of authority.
Question Four
Public
Consultation
26.01.2016
Public
Consultation
26.01.2016
Public
Consultation
26.01.2016
I don't understand what strategic means or how it
differs from local.
Question Four
You won't know if you have struck the right balance
until after the Plan gets under way
Question Four
document has a feel of something that 'needs' to be
produced rather an integral part of the way we work
Question Four
Public
Consultation
27.01.2016
I am unsure as to how many people have taken part
or to the general awareness of the public.
Question Four
Category
Public
Consultation
25.01.2016
25
26
27
28
29
30
Response
The public consultation period for this Draft
Participation and Engagement Strategy ran from
Monday 25th January to Friday 12th February 2016
and it is only one document that the Integration Joint
Board is required to have in place by 1 April 2016.
Extensive consultation has also taken place on the
Health and Social Care Strategic Plan.
It is recognised that there is a lot to take in, in a
short space of time however so it is important to
note that engagement will be ongoing – these
documents are only the start of the IJB’s work.
The requirement for this strategy is set out in
legislation. The consultation on the strategic plan
and associated documents has been extensive and
this strategy aims to carry on the dialogue.
The commitment of the IJB to engage is set out at
the very beginning of the document and in particular
the foreword.
Strategic is something that covers the whole region
or whole population; local is used to identify smaller
geographical areas or groups of people.
Regular monitoring of the action plan to deliver the
strategy will ensure that we assess its effectiveness
and any problems addressed.
The IJB’s commitment to participation and
engagement is very much integral to the way it will
work and this is so important it is set out at the very
beginning of the Strategy.
This detail is included in this report.
Page 22 of 49
Ref
Category
Public
Consultation
29.01.2016
Comments/Feedback/
Questions
Far too much strategic investment and employment
and not enough people supporting the local activity
Part of DP&ES
comment relates to
Question Four
What do you mean by local activity and strategic
activity I fail to see how you can have a 'balance'
between
them
The document is laughably heavy on what you want
to do, in short "do things better" but very light on
how you're going to do it, which is surely the crux of
the matter, not least given the lack of funding and
people to deliver change.
The focus should be more on the locality.
Question Four
Like many new approaches perhaps the balance
could be seen as work in progress so it can always
be reviewed and change on a constant basis.
I would be happier to see local activity having a
higher weighting.
Question Four
More access for frailer older people to participate,
i.e. local in house small focus group meetings - I
am happy to facilitate this at Abbeyfield
Question Four
31
32
33
34
35
36
37
Public
Consultation
29.01.2016
Public
Consultation
03.02.2016
Public
Consultation
04.02.2016
Public
Consultation
04.02.2016
Public
Consultation
04.02.2016
Public
Consultation
05.02.2016
Question Four
Question Four
Question Four
Response
The proposal to share resources between partners
(people, money and technology) will assist in
making our arrangements as efficient and effective
as they can be, therefore ensuring that the
maximum amount of money is available for
providing care and supporting local activity.
The P&E Strategy is a requirement of the scheme
and in providing the support and structure around
this in the form of a suggested Locality Participation
and Engagement Group, it will allow the locality to
shape and focus on the local work and people.
Strategic is something that covers the whole region
or whole population; local is used to identify smaller
geographical areas or groups of people.
As with the majority of long term Strategies, there
will be an action plan which details the activities to
be put in place and measured on a short and
medium term basis. The action plan will be
prioritised to take into account available resources
Revised Terms of Reference for the Locality
Participation and Engagement Groups have been
included. (page 17 of strategy)
The Participation and Engagement Strategy will be
subject to monitoring and reporting as part of the
Performance Management Framework.
Please refer to the revised Terms of Reference for
the Locality Participation and Engagement Groups
(page 17 of strategy)
This is exactly the kind of tailored engagement that
following the National Standards may suggest is
appropriate, depending on the subject matter. The
value of involving trusted people to facilitate
engagement with vulnerable people is highlighted in
the Strategy.
Page 23 of 49
Ref
Category
Public
Consultation
06.02.2016
Comments/Feedback/
Questions
This is the first information I have received on this
matter and have no idea what came before
Part of DP&ES
comment relates to
Question Four
38
Public
Consultation
07.02.2016
It has been used as a political football, whatever the
Scottish office has as a priority and supply extra
funding, we cannot trust this Council to deliver. We
have already seen funding for early year child care
delayed, flooding funding delayed to name but a
few.
Question Four
Public
Consultation
08.02.2016
The locality groups are mostly populated by medical
professionals - or so it seems to me.
Health and Social Care Integration will work best if
we can call on the advice of people who work with
communities but not necessarily on health matters.
Community Learning and Development officers for
example ought to be tapped into for help in reaching
young people becoming adults.
How can I tell?
Question Four
39
40
41
Public
Consultation
08.02.2016
Question Four
Response
The public consultation period for the Draft
Participation and Engagement Strategy ran from
Monday 25th January to Friday 12th February 2016.
It is only one document that the Integration Joint
Board is required to have in place by 1 April 2016.
Extensive consultation has also taken place on the
Health and Social Care Strategic Plan.
It is recognised that there is a lot to take in, in a
short space of time however so it is important to
note that engagement will be ongoing – these
documents are only the start of the IJB’s work.
The partners who support the Integration Joint
Board (the Council and NHS) along with third sector
have an important role to play in ensuring that local
people’s views and opinions are taken into account
and inform decisions at local and national level.
Both organisations recognise that improvement is
needed in participation and engagement and the
proposed sharing of resources and Centre of
Excellence (see Objective 3) are designed to do
this.
The membership and Terms of Reference for the
Locality Groups are in development and the
involvement of a wider group of partners e.g.
housing, is intended to give that wider perspective.
CLD staff and approaches will be the foundation of
the Centre of Excellence and so the Locality
Groups’ activities will have access to their expertise.
There are references throughout the Strategy to
strategic activity and local activity respectively – and
information about the Locality Groups.
Page 24 of 49
Ref
42
43
44
45
46
47
48
Category
Public
Consultation
10.02.2016
Public
Consultation
13.02.2016
Public
Consultation
25.01.2016
Public
Consultation
25.01.2016
Public
Consultation
25.01.2016
Public
Consultation
25.01.2016
Public
Consultation
26.01.2016
Comments/Feedback/
Questions
We think it is good that the strategy says things to
try to get the balance right, because we think it is
important to get it right. We do not have any
suggestions at present.
I do not think there is enough communication of the
services that are available and how the local
community can make best use of them
Never heard of project before this email
Part of DP&ES
comment relates to
Question Four
Too early to judge
Question 5
The Integration Joint Board has a number of
different pieces of work ongoing and improving
communication is one of them.
Health and Social Care Integration is a very new
initiative and there has been a short timetable for
getting all the different documents required by the
legislation in place. The public consultation period
for the Draft Participation and Engagement Strategy
ran from Monday 25th January to Friday 12th
February 2016.
It is recognised that there is a lot to take in, in a
short space of time however so it is important to
note that engagement will be ongoing – the
documents are only the start of the IJB’s work.
Comment noted.
Don't know yet
Question 5
Comment noted.
I see no evidence of the IJB being held accountable
for the success or failure of the strategy.
Question 5
Might be useful to include more granular detail although I appreciate that this is a strategic
document
Question 5
The narrative in Objective 4 details how the
performance information for the Strategy will be
monitored and reported, including to the IJB
As with the majority of long term Strategies, there
will be an action plan which details the activities to
be put in place and measured on a short and
medium term basis. The action plan will be
prioritised to take into account available resources
Question Four
Question 5
Response
Comment noted.
Page 25 of 49
Part of DP&ES
comment relates to
Question 5
Public
Consultation
26.01.2016
Comments/Feedback/
Questions
Improvements must somehow be made to happen
by stimulating a culture for change. A culture which
has a tendency to become bogged down in
repeating the same strategies which are not working
well.
Do not know who all the named boards etc. are and
don’t understand the table provided for this part of
the strategy
Public
Consultation
27.01.2016
More could be done to measure the effectiveness of
involvement i.e. the actual impact on health and
social care in the area
Question 5
52
Public
Consultation
28.01.2016
The arrangements do seem cumbersome but I have
only read the draft strategy document once and it is
difficult to work through the various reporting and
monitoring strands
Question 5
53
Public
Consultation
29.01.2016
Not sure what the reporting and monitoring
arrangements are so it would be unfair to comment
Question 5
Ref
Category
49
Public
Consultation
26.01.2016
Question 5
50
51
Response
The foreword and the Objectives indicate a
commitment to change, innovation and doing things
differently.
Health and Social Care Integration is a very new
initiative and there is a lot of work taking place to get
all aspects of the legislation in place by 1 April 2016.
The table referred to formed part of the draft Terms
of Reference for the Locality Participation and
Engagement Groups and has now been removed.
The Integration Joint Board has a number of
different pieces of work ongoing and improving
communication is one of them which will
complement the Participation and Engagement
Strategy.
As with the majority of long term Strategies, there
will be an action plan which details the activities to
be put in place and measured on a short and
medium term basis. Objective 4 highlights that
effectiveness is a key performance measure.
The final version of the Strategy will include advice
from the Plain English Campaign. The Integration
Joint Board has a number of different pieces of work
ongoing and improving communication is one of
them which will complement the Participation and
Engagement Strategy.
The narrative in Objective 4 sets out the
performance arrangements including reporting and
monitoring.
Page 26 of 49
Ref
54
55
56
57
58
Comments/Feedback/
Questions
Who knows? It's all management speak with no
substance.
Part of DP&ES
comment relates to
Question 5
Public
Consultation
04.02.2016
Public
Consultation
04.02.2016
Public
Consultation
07.02.2016
As already mentioned feedback and reporting has to
have a reason and an outcome of change.
Question 5
As effective monitoring and reporting arrangements
are crucial to the success of the project, I would like
to see more local input.
Lack of trust.
Question 5
Public
Consultation
10.02.2016
We think the arrangements in the strategy will help.
We are not sure that they make it easy enough for
members of the public to have their say.
Question 5
Category
Public
Consultation
03.02.2016
Question 5
Response
The purpose of the Strategy is to set out the aims
and the commitment of the IJB in this area of work.
As with the majority of long term Strategies, there
will be an action plan which details the activities to
be put in place and measured on a short and
medium term basis.
The narrative in Objective 4 sets out the
performance arrangements including reporting and
monitoring.
The narrative in Objective 4 sets out the
performance arrangements including reporting and
monitoring.
As with the majority of long term Strategies, there
will be an action plan which details the activities to
be put in place and measured on a short and
medium term basis. Objective 4 highlights that
effectiveness is a key performance measure and the
reporting and monitoring arrangements.
The range of methods detailed in Appendix give an
indication of the ways and means that partners will
use to ensure members of the public have their say.
The proposed Centre of Excellence will also have a
role to play in improving how we do this.
Page 27 of 49
Ref
Category
Public
Consultation
25.01.2016
61
Part of DP&ES
comment relates to
Question 6
The issue that I have with the engagement process
is that I can find little that refers to poverty and how
it impacts greatly on health but also the provision of
social care.
Of course there are many organisations in the SPG
that have an interest in poverty issues but none that
are totally dedicated to pursing those vital issues.
In fact, I am not even sure that there are any
organisations that are totally dedicated to poverty in
the region.
I am raising the issue of poverty factors with the
SNAP Health and Social Care Action Group. In
fact have asked for the recent report - "Shifting the
Curve" from Naomi Eisenstadt (Scottish
Government Adviser on Poverty and Inequalities)
that was published on 22nd January to be circulated
to members of the Action Group.
I would have liked to have seen much more input
on the effects of poverty throughout the consultation
process
59
60
Comments/Feedback/
Questions
I am one of the 15 members of SNAP (Scottish
National Action Plan Health and Social Care but
also a member of the SNAP Adequate Standard of
Living Reference Group.
Public
Consultation
25.01.2016
Public
Consultation
25.01.2016
Not fully appreciative of direct day to day feedback
from service users
Question 6
Just that it’s very important to include GPs in the
Integration meetings, and funding will need to be
available to allow them to attend as they are not
salaried employees like all the other professionals
involved.
Question 6
Response
Engaging with hard to reach groups, of which
people experiencing poverty, is one is indeed a
major challenge for this Strategy.
The reference to the Tackling Poverty Co-ordination
Group is key, as this Group will have a specific role
in getting these voices heard on an ongoing basis.
The use of trusted people and groups in this way is
an important principle in how we will work.
Increased use of the Monitoring Form will provide
information about their engagement; and working
with the Equality and Diversity Working Group will
allow us to pick up where Protected Characteristics’
Minority Communities mean that some people in
poverty have additional challenges in participation.
The commitment to ensuring that any support is
given e.g. payment of out of pocket expenses is
also in recognition that there is a cost of
engagement; and the focus on locality engagement
where appropriate minimises travel.
Following the National Standards will ensure that for
each individual piece of work, consideration is given
to the best method of engagement and how to
remove any barriers.
Other Strategies of the IJB (e.g. the Strategic Plan)
also have a part to play in this agenda and it is
important that they are all complementary and
support our most vulnerable people, including those
experiencing poverty.
This will be encompassed by the Locality Groups.
There are already arrangements in place to
reimburse GP Leads who attend meetings.
Page 28 of 49
Ref
Category
62
Public
Consultation
26.01.2016
Public
Consultation
27.01.2016
63
Comments/Feedback/
Questions
I think the principles and sentiments are all sound
but stimulating change is not easy and will have to
start from small beginnings by being clearly seen to
demonstrate real improvement in provision of
services to all users of health and social care which
are very obvious to everyone.
There was very little mention of children and young
people and/or vulnerable groups who may need
additional support to reflect their views and be
meaningfully engaged and involved. What is the role
of advocacy? What about work with children and
youth groups and to promote inclusion and
involvement via schools? What particular things will
be done to involve disadvantaged groups - those
where English is not their first language;
poverty/disengaged; disability; isolated etc.
Part of DP&ES
comment relates to
Question 6
Question 6
Response
The case for change is strong; the status quo is not
sustainable.
Advocacy has now been included as a specific way
in which we will assist people to participate and
engage – the User and Care Involvement
organisation was mentioned but more explicit
reference to advocacy is helpful.
The reference to using representative Groups for
hard to reach groups is important (e.g. Looked After
Children and Care Leavers’ Champions Board) as
they will have a specific role in getting these voices
heard on an ongoing basis. The use of trusted
people and groups in this way is an important
principle in how we will work.
Increased use of the Equality Monitoring Form will
provide information about their engagement and
allow people to pick up any underrepresented
groups; and working with the Equality and Diversity
Working Group will allow us to pick up where
Protected Characteristics’ Minority Communities
mean that some people in have additional
challenges in participation.
The commitment to ensuring that any support is
given e.g. payment of out of pocket expenses is
also in recognition that there is a cost of
engagement; and the focus on locality engagement
and using new technology where appropriate
minimises travel which assists people in poverty,
those with mobility problems etc.
Following the National Standards will ensure that for
each individual piece of work, consideration is given
Page 29 of 49
to the best method of engagement and how to
remove any barriers.
Other Strategies of the IJB (e.g. the Strategic Plan)
also have a part to play in this agenda and it is
important that they are all complementary and
support our most vulnerable people.
Page 30 of 49
Ref
Category
64
Public
Consultation
28.01.2016
Public
Consultation
29.01.2016
65a
65b
65c
Public
Consultation
29.01.2016
66
67
Public
Consultation
29.01.2016
68
Public
Consultation
30.01.2016
Comments/Feedback/
Questions
I am pleased to see the proposal for a document so
committed to public engagement and consultation.
Part of DP&ES
comment relates to
Question 6
On page 22 the final sentence under the heading
Hard to reach groups is hanging in mid-air since it
concludes " ...useful in accessing" What one may
ask?
On page 25 under item 8. Members of the Group,
you have stated that the Carers Trust (a UK wide
charity) is a member. Is this a true statement or
should this read that The Dumfries and Galloway
Carers Centre is a member or at very least the
Carers Centre?
On page 29 under Participatory Appraisal methods I
believe the final four bullet point markers should be
removed as the third bullet point under this heading
"The "tools" include:" surely includes these four
points so they should not be listed separately.
More involvement at a local level particularly by
those at higher levels.
It doesn't seem particularly fair to expect workers
across the sectors out in the localities to be pushing
participation and engagement on behalf of the
various services and particularly those at senior
management level without any acknowledgement of
the work being done or involvement/engagement in
the process.
It needs to be re-written in plain English with the
correct use of vocabulary so that it can be
understood by the average person who is not
steeped in management/organisation speak
As with my previous remarks
Question 6
The Strategy has been fully reviewed and revised
based on comment and feedback received. This
has been addressed as a result of revisions.
Question 6
This Appendix has now been revised.
Question 6
The Strategy has been fully reviewed and revised
based on comment and feedback received. This
has been addressed as a result of revisions.
Question 6
The Locality Participation and Engagement Group
has a senior commitment in the form of a locality
manager and other senior roles within a locality.
However there will be within the framework, support
from a central function to move this agenda forward
at a local level.
Question 6
The revised, final version of this strategy will be
subjected to a Plain English review prior to
publication.
Question 6
Comment noted.
Response
Comment noted.
Page 31 of 49
Ref
Category
69a
Public
Consultation
02.02.2016
69b
69c
70
Public
Consultation
03.02.2016
Comments/Feedback/
Questions
The Working Together Standards are thought
provoking and highlight the huge amount of work to
be done. They mention the need to be innovative
and the need to tap into well established and
respected resources.
Perhaps the National Farmers Union could be
engaged in the integration process. They represent
a significant hard to reach community. They have
established lines of communication and could be
encouraged to disseminate articles interest in
newsletters. They could also assist in promoting
health messages at agricultural shows and auction
marts.
At page 16, under the heading; Enabling dialogue
about community needs.....
Second last line
assisted by mentors of advocates, should it perhaps
read assisted by mentors or advocates?
If you want us to take time to read 30 page
documents please make them worthwhile to read
and have some salient information and strategies
that we can actually debate, judge and comment
upon. Repeated surveys of this ilk only promote an
increasingly jaded response and lead to non
engagement in the whole process, which is the
exact opposite of your presumed goal.
Part of DP&ES
comment relates to
Question 6
Response
The Strategy has been fully reviewed and revised
based on comment and feedback received. This
has been addressed as a result of revisions.
Question 6
The use of representative groups for hard to reach
communities is an important principle and a specific
reference to the NFU in relation to reaching farmers
is a helpful suggestion which has been taken up in
the narrative in Objective 1.
Question 6
This whole Annex has been removed from the
Strategy, being accessed instead through a
hyperlink. We are unable to change this wording
anyway as this is a Scottish Government
publication.
Comment noted and will inform future consultations.
Health and Social Care Integration is a very new
initiative and there has been a short timetable for
getting all the different documents required by the
legislation in place. The public consultation period
for the Draft Participation and Engagement Strategy
ran from Monday 25th January to Friday 12th
February 2016.
It is recognised that there is a lot to take in, in a
short space of time however so it is important to
note that engagement will be ongoing – the
documents are only the start of the IJB’s work.
Question 6
Page 32 of 49
Ref
Category
Public
Consultation
04.02.2016
71
72
73
Public
Consultation
06.02.2016
Public
Consultation
07.02.2016
Comments/Feedback/
Questions
There is no mention of Mental Illness/Mental
Health. The draft appears to have been written with
The Equality Act 2010 in mind. This details people
with Protected Characteristics, the second of which
is, "Disability: The Act applies to a range of people
that have a condition (physical or mental)...", so
although it is using the characteristic as per the
letter of the law to our client group it may lack
transparency and not very inclusive of their needs.
A lot of our service users do not see themselves as
disabled.
The draft also states, "...people whose lifestyle is
distinctly different or whose circumstances could be
stigmatising within the dominant culture may be
excluded, for example teenage single parents, gay
people. Yet these are often populations
experiencing particular stresses. Engagement
needs to address who the 'hidden' populations,
(groups, communities), may be...", and again no
mention of Mental Illness/Mental Health.
Far too complex a series of question to be sent out
to the general public in such a dense format
Part of DP&ES
comment relates to
Question 6
Question 6
Comment noted and will inform future consultations.
More openness is paramount to gain the trust of the
ratepayer.
Question 6
The Strategy will be monitored and reported on to
the IJB with all papers available to the public online;
and meetings advertised and open to anyone to
attend.
Response
This is an important issue and the Strategy has
been amended to better reflect how we will engage
with people who have mental illness and poor
mental health and wellbeing.
The specific reference quoted is from a Scottish
Government document which has been removed
from the Strategy although is hyperlinked.
The issue of using trusted sources is an important
principle of the Strategy; and by following the
National Standards, appropriate methodologies and
supports will be put in place.
Individual engagement activities are to be recorded
on the VOiCE tool which is a web based application,
and available to anyone to view.
Page 33 of 49
Comments/Feedback/
Questions
When will this be reviewed?
Part of DP&ES
comment relates to
Question 6
Public
Consultation
08.02.2016
You need to give adequate for individuals and
groups (such as community councils which tend to
meet only once a month) to consider your reports
and consultations. There are national standards for
consultation you refer to, but you then fail to give
adequate time for responses.
Question 6
Public
Consultation
10.02.2016
We have quite a lot of comments and some
questions about the strategy. We will send these in
a separate email as we have them in a file and do
not find it easy to fit them into this Survey Monkey
format. Also many of the comments and questions
are more about what will be done to make the
strategy work.
We find the timescale of about a fortnight to reply is
not long enough. Reading the strategy,
understanding it, putting it into formats that people
in our groups can understand, then arranging and
holding sessions takes considerable time and effort.
These points highlight some of the challenges of
participation and engagement.
Question 6
Ref
Category
74
Public
Consultation
08.02.2016
75
76a
76b
Question 6
Response
The Participation and Engagement Strategy is for
three years so it will be reviewed in 2019. However
it will be subject to monitoring and reporting as part
of the Performance Management Framework.
Details of the performance monitoring and reporting
arrangements are set out in Objective Four and in
the introduction.
The partners (the Council and NHS) are well aware
that arrangements require to be improved and this
Strategy is seen as a contribution to making that
happen. In particular, under Objective 3, there are
proposals for the sharing of resources and
improving the capacity and capability of those
undertaking engagement activities; and under
Objective 4 improved performance monitoring,
reporting and accountability for these activities.
Comment noted and additional comments received
and addressed can be found later in this document.
Comment noted and will inform future consultations.
Health and Social Care Integration is a very new
initiative and there has been a short timetable for
getting all the different documents required by the
legislation in place. The public consultation period
for the Draft Participation and Engagement Strategy
ran from Monday 25th January to Friday 12th
February 2016.
It is recognised that there is a lot to take in, in a
short space of time however so it is important to
note that engagement will be ongoing – the
documents are only the start of the IJB’s work.
Page 34 of 49
Ref
Category
Public
Consultation
13.02.2016
Comments/Feedback/
Questions
I think you should have more involvement with
Community Councils where they are strong
Part of DP&ES
comment relates to
Question 6
Response
The National Standards provides for detailed
assessment of who and how should be involved for
each individual engagement. Community Councils
as a tier of government are important.
77
The locality focus, particularly through the Locality
P& E Groups will take account of the strengths and
activity of all local groups, use and strengthen them
accordingly.
Page 35 of 49
Section 2 - Feedback Received Outwith Survey
Ref
Category
Public
Consultation
04.02.2016
1
Comments/Feedback/
Questions
It's a very good thing for the Council to be doing. especially now as
changes sometimes get made to services without any consultation
with the people who receive the services - especially in terms of
services being cut. However, it looks very complicated and not
easy to read (unless there is an easy read version, in which case
our apologies, as we are not aware of one) and we think it could put
people off looking at it.
Public
Consultation
04.02.2016
We think the timescale for comments is very short.
Public
Consultation
04.02.2016
We wonder if anyone who receives services has been involved in
putting it together or just staff?
2
3
Response
The final version of this Strategy will include advice from the
Plain English Campaign. An easy read version of the
Strategy and perhaps a summary has been discussed and
will be considered as part of the IJB Communications
Strategy.
In the meantime, the information in this Strategy, and all
other publications and work of the IJB is available in other
languages and formats.
Comment noted and will inform future consultations. Health
and Social Care Integration is a very new initiative and there
has been a short timetable for getting all the different
documents required by the legislation in place. The public
consultation period for the Draft Participation and
Engagement Strategy ran from Monday 25th January to
Friday 12th February 2016.
It is recognised that there is a lot to take in, in a short space
of time however so it is important to note that engagement
will be ongoing – the documents are only the start of the IJB’s
work.
The first draft of the strategy was developed by the
Participation and Engagement Strategy Development Group
and was circulated to 1426 email addresses covering
members of the public along with numerous community and
business organisations, partners and other key stakeholders.
The consultation was also publicised using social media and
the DG Change, NHS, Third Sector and Council websites.
Additional face-to-face consultation has also been
undertaken, importantly with the Community Planning
Equality and Diversity Working Group which includes
representatives from a number of Protected Characteristics’
Minority Communities.
Page 36 of 49
Ref
Category
4
Public
Consultation
04.02.2016
Public
Consultation
09.02.2016
Comments/Feedback/
Questions
We would very much like to invite someone to come and talk to GIG
members about the Strategy so that they can understand what it is
all about. Would this be possible?
It is a very lengthy document and as usual with this type of proposal
full of jargon which does not help as it hides most of what ought to
be done and highlights wishful thinking that would cost too must to
implement.
5a
Public
Consultation
09.02.2016
5b
6a
6b
Public
Consultation
10.02.2016
All the system needs is joined up writing, by this I mean all patient
information should be accessible anywhere in the UK.
I am able to quote an on-going case where my neighbour has been
held in Castle Douglas hospital when many requests for them to be
moved to Kirkcudbright have been ignored, they would be in a
better state of mind now as local could visit as and when. Because
they are in CD they only receives a maximum of 2 per week one is
to give them Holy Communion. Social Services do not link into any
other department and I can see they are unlikely to in the future.
The hospitals in Dumfries and Castle Douglas have telephoned me
on many occasions to locate my neighbour’s history over the past
year, social service have this too but fail the system.
Just a few of my thoughts, communication, communication,
communication.
Page 22 under the heading Hard to reach groups – the last
sentence seems to finish in mid air “..., will be particularly useful in
accessing” what is it useful in accessing??
Page 25 point 8. Members of the Group – do they really mean the
Carers Trust which is a UK wide charity or should this read Carers
Centre or D&G Carers Centre?
Response
This was arranged.
Comments noted. The final version of this Strategy will
include advice from the Plain English Campaign.
As with the majority of long term Strategies, there will be an
action plan which details the activities to be put in place and
measured on a short and medium term basis. The action
plan will be prioritised to take into account available
resources. The performance monitoring and reporting
arrangements are set out in Objective 4 and include reports
to the IJB – reports are publicly available and meetings are
open to the public to attend.
Extensive work is underway to identify and implement
innovative ways to utilise existing technology and systems
whilst a unified means of recording and sharing relevant
information across all partners is developed.
The Strategy has been fully reviewed and revised based on
comment and feedback received.
Please refer to the revised Terms of Reference for the
Locality Participation and Engagement Groups (page 17 of
strategy)
Page 37 of 49
Ref
Category
6c
7
Public
Consultation
10.02.2016
Public
Consultation
10.02.2016
8
Public
Consultation
10.02.2016
9
Comments/Feedback/
Questions
Page 29 under the heading Participatory Appraisal methods – the
third bullet point sets out the 4 items that the “tools” include and lists
them. So these items should not be designated as individual bullet
points.
The Compact – our Board agreed to disband the Compact at their
September meeting last year, as the TSI fulfils a lot of the Action
Plan as part of our core work. Perhaps this needs to be reflected in
the strategy. We would like to seek clarity on the financial element
cited in the document in relation to the Compact.
David has specifically asked that the role of the Interface have an
explicit mention with particular reference to the Scottish
Government Advice Note on the role of Third Sector Interfaces
(TSI) in Health & Social Care Integration, published in April 2015.
This would help to clarify our role as a strategic partner capable of
carrying out participation and engagement activity with the third
sector.
Comments we have received in relation to the Centre of Excellence
ask for clarity around what this will look like, and who the ‘we’ cited
in the document are exactly. Our interest is in how third sector
organisations will be involved in this.
Response
The Strategy has been fully reviewed and revised based on
comment and feedback received.
The Strategy has been fully reviewed and revised based on
comment and feedback received.
This specific reference has been added to the updated
Strategy – the role and contribution of the Third Sector is
recognised and referred to throughout the document.
The Centre of Excellence was introduced in the Council’s
Reshape Programme in December 2014 and its development
has been part of a Service Review on Empowering
Communities.
Research (individual and group interviews) was undertaken
by an external consultant (APSE) including with TSD&G and
a wide range of community groups in autumn 2015.
Reference has been made to the emerging partnership
model at the Community Planning Executive Group in
December 2015 and January 2016. The Review Report,
including reference to the Centre of Excellence is scheduled
for submission to the Executive Group on 2nd March and to
the Council’s Community and Customer Services Committee
on 8th March 2016.
If a partnership approach is agreed then the proposed CfE
will be developed with partners during 2016.
Page 38 of 49
Ref
Category
10
Public
Consultation
10.02.2016
Comments/Feedback/
Questions
Explanation of IJB Performance Framework - again we have been
asked for clarity on what this looks like so would recommend
perhaps including a more comprehensive explanation in an annex.
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Jargon – some of the questions we have been asked are in relation
to job titles which may need further explanation to allow for the
document to be more accessible.
LRP’s – it is our understanding that all but the Nithsdale LRP have
disbanded, and are currently under review. This may be something
to consider going forward.
11
12
Response
As with the majority of long term Strategies (and consistent
with other documents e.g. the CLD Partners’ Strategic Plan)
there will be an action plan which details the activities to be
put in place and indicators and projects to be measured on a
short and medium term basis. Objective 4 sets out the
reporting and monitoring arrangements.
The final version of this Strategy will include advice from the
Plain English Campaign
The Dumfries and Galloway Strategic Partnership is
responsible for the community planning structures and it has
not been asked to, or agreed to, disband any of the four
LRPs. A review of Locality Structures was agreed in
December 2014 by the Community Planning Executive
Group, to take account of new Health and Social Care
Locality Teams, Third Sector Locality Forums and the recent
experience of LRPs. This Review is due to report in summer
2016 and is related to the Empowering Communities Review
referred to in Q9 above.
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13d
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Comments/Feedback/
Questions
We think the strategy talks about the important things and should
mean that lots of people we be able to have their say.
It is good that the Strategy is built on the National Standards for
Community Engagement. Many of us remember having our say
about the standards when they were being written.
The strategy also fits in with the “Charter for Involvement” written by
members of the National Involvement Network which is supported
by ARC Scotland. The charter is made up of 12 statements which
aim to ensure people who use services are at the heart of any plans
about their lives, are able to have their say, are fully involved in any
policies and decisions and can be fully involved in their
communities.
We think it is good that the strategy says there are lots of different
ways you can find out what people think about things, and that you
need to use these different ways because they suit different people.
The 11 Participation and Engagement Principles are good. They
say the things we think are important. They will help make sure lots
of people can have their say.
The 9 Key Areas to Consider will help make the strategy work well,
but we think that it should also include easy-to-read, visual and
audio methods. Maybe they could be added to the “Communication
Routes”.
The strategy says definitions will be developed for the 6 bullet
pointed terms. Does this mean that definitions will appear in the
final document? We think they should.
Following on from the previous comment, we think there should be
a glossary added to the strategy document, and even terms and
abbreviations that are explained in the document should be
included in the glossary.
“Our Voice” looks as if it will be a great way to help empower people
to have their say.
Response
Comment noted.
The reference to other formats and related activity is very
helpful and appreciated for ongoing work.
Revised definitions are now included that provide further
detail in reference to these terms.
Comment noted.
Comment noted.
Page 40 of 49
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13h
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13i
Comments/Feedback/
Questions
Appendix 1 National Standards for Community Engagement
Issues and Responses for Rural Communities
Everyone involved in participation and engagement should be
strongly encouraged to read and take in all the things that are said
in the Issues and Responses for Rural Communities given under
each National Standard in the Advice Note for Rural Practice. The
issues covered highlight the challenges presented and should make
us all consider how we can make participation and engagement
more effective.
Appendix 2 Stakeholders
The list of Stakeholders seems to cover most of the organisations
and groups that should be involved in participation and
engagement. But it does not include Staff Associations, which are
mentioned together with Trade Unions elsewhere in the document.
Also, as a matter of general interest, can you tell us why in the list
of stakeholders, some organisations are specifically mentioned by
name (e.g. UCI, Capability Scotland, The Food Train etc.) whilst
hundreds of other organisations are just included under several
general headings?
Appendix 3
Locality Participation and Engagement Group (LP&E Group)
Section 2 Purpose. This says “A local group will be set up …… to
ensure co-ordinated activity …..” How will this local group be
chosen?
Section 6 Chair. Why is the chair of the LP&E Group to be a Public
Health Practitioner?
Section 10 Quorum. This says a quorum will exist when at least 3
representatives are present. We think this is a small number for
such an important group and could be very unrepresentative. Also
does the word representative mean any member or any
representative as shown in the list of members?
Response
Comment noted. The Advice Note will be hyperlinked from
the Strategy.
The list in this Appendix had been lifted from the Integration
Scheme and was based on Scottish Government Guidance.
The Appendix has however been revised in light of this, and
other comments and group/types of organisations are
referred to, rather than an exhaustive list of individual
organisations.
The Locality Manager and others within the Locality will
formulate and review the membership as the group matures
ensuring that everybody required is involved.
This has been changed in the Terms of Reference to enable
each locality the chance to pick a chair they feel is most
appropriate
This has been reviewed to include at least 5 members.
Page 41 of 49
Comments/Feedback/
Questions
Table about Monitoring Compliance with Terms of Reference. This
talks about reporting arrangements to the Primary and Community
Senior Management Team, but section 3 of the Terms of Reference
says that the LP&E Group reports to the Locality Management
Team. We find this puzzling.
This Strategy should complement the SP.
Use of specific terminology consistent with that used within the SP.
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Vision stated within the DP&E Strategy is not reflective/consistent
with that stated within the Scheme.
14c
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14d
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Principles:
a) Should specifically include and reference the National Standards
for Community Engagement
The VOiCE structure:
Specifically reference terminology and phrases used within the
SP/LP
Specific Points:
1 – Include definitions of list on page 6
2 – avoid duplication
Engage with people NOT individuals
Objective 1:
 People who have a view or opinion rather than contribution
 Suggest splitting into the groups you mention on page 5?
 Use terminology from Legislation – about engagement with
public and SPG – ‘reviewing strategic plan and any
decision (outwith the strategic planning cycle) that would
have significant effect on an integrated service
 Unsure of meaning of understanding participation and
engagement activity
 PIP section – talk about locality participation and
engagement groups
Response
The table referred to formed part of the draft Terms of
Reference for the Locality Participation and Engagement
Groups. Please refer to the revised Terms of Reference for
the Locality Participation and Engagement Groups (page 17
of strategy)
There are a number of documents that the IJB has to
produce, including this Strategy and the Strategic Plan. Work
has been undertaken to improve the language and
consistency. The final version will include advice from the
Plain English Campaign which also reviewed the Strategic
Plan.
The vision in the Scheme is for health and social care
integration. The vision in this Strategy was for the Strategy
alone. To avoid confusion, the Strategy vision has been
incorporated into the aims.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
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15a
15b
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Comments/Feedback/
Questions
Objective 2:
Contribute? – what does this mean?
Expand what? – what does this mean?
Objective 3:
Remove first sentence
Add ‘other resources such as buildings’
Add ‘staff communication and engagement skills’
What gaps?
Add sub-headings – VoiCE; Equality Monitoring: best practice and
building on good practice
Inclusion guidelines as an appendix?
Objective 4
Suggestions about first two paras – not sure of meaning in second
para Website
Supporting, monitoring and reviewing the SP – we’re not clear what
monitoring talking about – SP or Participation and Engagement
Strategy
What is Our Voice?
Appendices
National Standards – remove Scottish Executive branding
Don’t need whole remote and rural advice note – just a hyperlink
Page 3, Para’s 5 & 6
Perhaps a summary here or elsewhere in the document of the key
themes emerging from this as they are crucial to understanding the
diversity needs of the population
Page 3, Para 8
Remove the word ‘ever’, 'first' is explanatory enough.
Response
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The specific information about ‘Our Voice’ is included in the
Introductory section.
The Strategy has been fully reviewed and revised based on
comment and feedback received – the specific proposal here
to make the advice note a hyperlink has been actioned. This
has been addressed as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
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15f
15g
15h
15i
15j
15k
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Comments/Feedback/
Questions
Page 5.
This section also needs to highlight the three public sector equality
duty outcomes and demonstrate how they will be fundamental to
both the work of the IJB and this strategy. Meeting the needs of our
diverse population in line with the nine protected characteristics
from the public sector equality duty.
Page 6, Para 2. This needs rewording as it feels very jargony and
not plain. Perhaps a diagram would help demonstrate the different
levels of information both the reasons for providing and outcomes of
receiving
Page 7, Objective 1, Para 1. Any or each?
Page 7 Objective 1, Para 2. This section feels like it needs to be
more explicit in particular for this outcome. It requires written more
around partnership principles than a 'role' and expanded so it is
fundamental to the approaches and not a bolt on
Page 7, Objective 1, Para 4. Insert (PIP). Insert ‘as well as’ before
‘offer the best route’
Page 7, Objective 2, Para 1. Remove ‘huge’
Explain what they will be contributing to and end the sentence.
Start new sentence - Examples...
Page 7, Objective 2, Para 2. Approaches using technology
, providing the opportunity to reach a wide range of people in their
own homes or on the move. We will develop...
Page 8, Objective 3, Para 5. What about using existing evidence
to enable w wide initial targeting spread so as not to make
approaches inequitable and less timely for those with diversity
needs?
Page 8, Objective 4. This section needs to highlight the
responsibility to meet the equality act public duty outcomes
Response
The IJB is to produce a number of policies and documents
including Equality Outcomes and Mainstreaming Reports.
This Strategy is therefore complementary to that work and
will be presented alongside the first set of proposed Equality
Outcomes in March 2016.
The final version of the Strategy will include advice from the
Plain English Campaign.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The Strategy has been fully reviewed and revised based on
comment and feedback received. This has been addressed
as a result of revisions.
The IJB is to produce a number of policies and documents
including Equality Outcomes and Mainstreaming Reports.
This Strategy is therefore complementary to that work and
will be presented alongside the first set of proposed Equality
Outcomes in March 2016..
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Comments/Feedback/
Questions
Page 9, Supporting, Monitoring and Reviewing the Strategy,
Para 2. This might be clearer if presented in a timeline/ flowchart
Page 9, Supporting, Monitoring and Reviewing the Strategy,
Para 3 Our VOICE. This should be mentioned much earlier in the
document as a key collaboration and learning tool
Response
The proposal for a diagram is helpful and will be taken up as
part of the IJB Performance Management Framework. .
‘Our Voice’ is a Scottish Health Council initiative and detailed
in the background section, separate to Visioning Outcomes In
Community Engagement (VOiCE) which is a tool that flows
from the National Standards and therefore referred to there. .
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16a
Key Word
Comments/Feedback/
Questions
We feel that there could be a disconnect between the objectives
and the written strategy. To emphasise the disconnect a simple
‘word search’ was conducted of the Participation and Engagement
Strategy document and the results are shown in the table below:
Literacy
Frequency of
Occurrence
0
Digital
0
Broadband
Internet
Exclusion
0
0
3
Digital Exclusion
Website
Telephone
0
2
1
Online
3
Response
The National Standards include one which is about
overcoming barriers and issues such as literacy, access to
broadband etc. would be addressed at that point. This
Strategy/the IJB does not have responsibility for addressing
these issues. There will be a clear connection between the
Objectives and the action being taken to deliver the Strategy
through the Action Plan and indicators and projects for issues
that the IJB is responsible for will feature in here.
Comment
D&G is one of the highest literacy problem areas in Scotland and with 57.57% of adults with no qualifications
and/or no level 1 qualification.
(Source: https://www.go-on.co.uk/resources/heatmap/#details-container)
We would question how objectives 1 & 2 can be achieved without mentioning strategies to overcome the
literacy issues.
D&G scores the highest level of digital exclusion in Scotland
Source:
(Source: https://www.go-on.co.uk/resources/heatmap/#details-container)
We would query how a 3 year participation and engagement strategy doesn’t mention or address this
issue?
We feel that objectives 1 & 2 can’t be achieved without addressing the issues of digital exclusion.
See Digital above
See Digital and Broadband above
Specific types of exclusion are mentioned but there doesn’t appear to be any strategies detailed on how to
address them
See Digital above
‘Telephone’ appears in appendix 4 the final page of the document.
We would query why a 3 year participation and engagement strategy would not show a fully developed
telephone interaction strategy to help overcome the aspects of digital exclusion and poor literacy?
2 references to online occur in the final 2 pages of the document.
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16c
16d
Comments/Feedback/
Questions
Concern is expressed with Objective 3 as it would be appropriate
not to ‘maximise’ but to ‘optimise’ to generate the best value for
money resources available.
Objective 3, as written, appears to give a large amount of budgetary
freedom to the IJB in a time of fiscal restraint which is inappropriate.
There is a fear that resources from the IJB could be transferred to
fund the Council’s Centre of Excellence for Community Participation
and Engagement as detailed on page 8, which is not a transferring
function, at the expense of IJB front line services such as Care &
Repair (a transferring function). Objective 3 could be re-written, and
a suggestion is:
To optimise the resources available for participation and
engagement activity to achieve the most appropriate value for
money outcomes.
We also feel that there is poor use of the Joint Strategic Needs
Assessment (JSNA) information which highlights “At Risk”
Populations in section 9 and those with disabilities in section 7 & 8.
This valuable and validated information should have been used to
prepare H&SCI Locality Specific appendices for Participation and
Engagement Strategic. This could have been used to help inform
the Locality Plans and the Locality Delivery Plans.
Question 4
We feel that an opportunity has been missed. As detailed above,
the JSNA data could have been used to create H&SCI Locality
specific Participation and Engagement Strategy annexes that reflect
the particular profiles and needs of them. For example JSNA page
140 states:
“Literacy problems lead to communication difficulties and mistrust of
service providers using medical jargon.”
Whilst the extract is taken from the Gypsy & Traveller section, it is
applicable to all members of the local community who may
experience literacy problems, and some Localities have a higher
incidence than others and therefore appropriate plans should be put
in place to prevent this mistrust.
Response
Wording of the Objective changed to ‘optimise’
The purpose of this Objective is to ensure that the available,
limited resources from the Council and NHS are shared to
achieve any economies of scale, minimise any duplication
and build expertise and support.
Agreement for a partnership Centre for Excellence has not
yet not been reached although there has been very positive
reception to initial discussions in the Community Planning
Executive Group and in other forums
The strategic needs assessment information has been the
basis for developing strategic plan and locality plans. Plans
and activity will be forthcoming from newly formed locality
participation and engagement groups
The strategic needs assessment information has been the
basis for developing strategic plan and locality plans. Plans
and activity will be forthcoming from newly formed locality
participation and engagement groups.
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Questions
Question 5
“Our Voice” is a web based portal and therefore those without
internet access owing to the high levels of digital exclusion in
Dumfries & Galloway, as detailed above, will not be able to engage
with the process. Therefore other methods must be devised in order
to promote inclusiveness.
In the stakeholders’ list page 21 and the hard to reach groups
section on page 22, Care & Repair should be added. Care & Repair
provides a home based service to private home owners and private
tenants for the delivery of grant supported adaptations to support
independent living.
We feel that the following should be added to ‘hard to reach’
groups:
 Those with literacy problems
 People who are digitally excluded
 Young People
 Homeless people
In addition, Dumfries & Galloway is about to start receiving Syrian
Refugee families as part of the national resettlement programme.
No mention of this has been made in the Strategy.
Response
Explanation of ‘Our Voice’:
Our Voice is based on a vision where people who use health
and care services, carers and the public will be enabled to
engage purposefully with health and social care providers to
continuously improve and transform services. Our Voice will
operate at individual, local and national levels to support
improvement and to empower people to be equal partners in
their care.
Our Voice has been developed in partnership involving the
Scottish Health Council, Healthcare Improvement Scotland
public partners, COSLA, the Scottish Government, The
Alliance and other third sector partners. More information
can be found at the Our Voice website http://ourvoice.scot/
This Appendix has now been revised.
The Strategy has been updated to include these examples
All people from other countries and races are covered by the
reference to Protected Characteristics’ Minority Groups.
In addition, the number of Syrians coming to the region is
very small and as the aim is that they resettle as local
residents it is inappropriate to highlight them in a strategic
document.
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Comments/Feedback/
Questions
Concern is expressed that valuable funding may be used for such
proposed activities as detailed on page 30 such as song writing,
dance and theatre and visual art which may not offer value for
money, or provide appropriate levels of participation and
engagement.
We feel that overall the Participation and Engagement Strategy
appears quite weak, and has missed some key opportunities to use
JSNA data and linkages to the Localities, and the Locality Planning
and Locality Delivery Plan processes.
Response
The National Standards requires consideration to be given to
the most appropriate method for the engagement to be
undertaken. The inclusion of a wide range of methodologies
in this Appendix is to demonstrate the willingness to use
innovative and creative approaches. As other National
Standards are focussed on resources and an assessment at
the end, there are safeguards built in to any inappropriate
activity or not valuable.
The strategic needs assessment information has been the
basis for developing strategic plan and locality plans. Plans
and activity will be forthcoming from newly formed locality
participation and engagement groups.
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