CIAL CAR D SO E R HE R K I N G TO G E T AN WO F U TU R E O F HE AL TH FO HE RT DUMFRIES AND GALLOWAY Health and Social Care Communication Strategy WORKING TOGETHER FOR THE FUTURE OF HEALTH AND SOCIAL CARE Introduction The Public Bodies (Joint Working) (Scotland) Act 2014 came into effect on 1 April 2014 and requires Health Boards and Local Authorities to integrate planning for, and delivery of, certain adult health and social care services.. Health and Social Care Partnerships provide the structure necessary for health and social care providers and professionals to work together to reduce fragmentation and delays and ensure service users receive care at the right time and in the right place to meet their individual care preferences and goals. There are nine health and wellbeing outcomes which apply to health and social care integration. These provide a national framework for measuring the impact of integrated health and social care on the health and wellbeing of individuals. Their aim is to improve the quality and consistency of services for individuals, carers and their families, and those who work within health and social care. Health and Social Care Partnerships are jointly responsible and accountable for delivering the nine nationally-agreed outcomes outlined below: • People are able to look after and improve their own health and wellbeing and live in good health for longer. • People, including those with disabilities or long term conditions or who are frail are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community. • People who use health and social care services have positive experiences of those services, and have their dignity respected. Communication Strategy • Health and social care services are centred on helping to maintain or improve the quality of life of people who use those services. • Health and social care services contribute to reducing health inequalities. • People who provide unpaid care are supported to look after their own health and wellbeing, including to reduce any negative impact of their caring role on their own health and wellbeing. • People using health and social care services are safe from harm. • People who work in health and social care services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide. • Resources are used effectively and efficiently in the provision of health and social care services. This communication strategy sets out a joint approach, agreed between NHS Dumfries and Galloway and Dumfries and Galloway Council, to communicating and engaging with service users, the public, staff and key stakeholders in plans for health and social care integration. The strategy will support health and social care integration by communicating what integration means and how it will affect the delivery of health and social care services in Dumfries and Galloway. This will be achieved by identifying and prioritising the communication aims and objectives, key messages, guiding principles, target audiences, and timing of communication activity. 3 Aims and Objectives Aims Objectives This communications strategy aims to ensure that: The communication objectives outlined below seek to support health and social care integration by: • People are provided with the right information about health and social care integration at the right time, using the right media. • There is an understanding of what this may mean for individuals, families and communities, and staff. • Key audiences understand that they are able to feed into the design and delivery of the services they want to see in their own communities. • Identifying and sharing key messages, milestones and outcomes. • Informing, engaging and involving key audiences and stakeholders in the integration process. • Ensuring key audiences and stakeholders are aware of the objectives of health and social care integration and their role in achieving them. • Creating opportunities for key audiences and stakeholders to feed into the design of integrated services in their local community. • Providing key audiences and stakeholders with appropriate information about what integration means for them. • Providing information in a format appropriate to the different needs of key audiences and stakeholders. • Ensuring mechanisms in place to inform and involve key audiences and stakeholders and that these are appropriately publicised. • Developing a protocol for media handling between the partners. • Reassuring all key audiences and stakeholders of continuity of care and improved quality of service. 4 Communication Strategy Communication Principles It is important to set standards that underpin the communication activities outlined in this strategy. The key principles below will underpin all communication activity: Open and Transparent Accessible and Inclusive It is essential that communication and engagement activity is open and transparent. Information on health and social care integration will be accurate and shared at the earliest opportunity. This includes instances where integration activities fall short of expectations as well as successes. Information will be provided that is accessible, inclusive and clear. People will also be given sufficient time and opportunity to express their views. Two Way The success of this communication strategy depends on it being adopted, supported and championed by a range of stakeholders within the partner organisations and in the wider community. The levels of commitment required to support the strategy are set out in section 5. Communication is a two-way process and is not just about providing information. To ensure good working relationships with staff, service users, the public and key stakeholders it is important to listen to and respond to feedback. Mechanisms will be put in place to demonstrate how people’s feedback has been taken into account and used to influence integration plans. Consistent We will strive to ensure any information we provide is accurate and consistent. Targeted The messages and methods of communication will be matched to meet the needs of different audiences. The information and the way in which it is provided will be clear and appropriate. The language used will avoid the use of jargon, technical terms, abbreviations and acronyms, thus making the information more readily accessible. Communication Strategy 5 Key Messages Many of the key messages outlined in this plan will be generic and common to all key audiences and stakeholders. It is also recognised that there is a need to customise key messages to ensure they are relevant and appropriate to the specific audiences and stakeholders involved whilst also maintaining continuity across the messages. Overarching Key Messages • The main purpose of integration is to improve the wellbeing of people who use health and social care services, particularly those whose needs are complex and involve support from health and social care at the same time. • Health and social care integration will transform the way in which health and social care services are provided and will go beyond simple organisational redesign. Key Messages for Service Users • Individuals who use health and social care services will not need to do anything differently - they will access services the same way as they currently do. • Integrated health and social care will be centred on the needs of the individual who will be listened to, to have choice and control and be involved in making their own decisions and feel in control about their care. • Those who use health and social care services are in the best position to say what works well for them. Staff from across health and social care will work with the individual to design a combined package of care and support which meets that person’s desired choices and outcomes. • Health and social care integration is about the whole person and designing joined-up services around an individual’s personal circumstances and outcomes. This will help to ensure that they experience the right care and support whatever their needs, at any point in their care journey. • Health and social care integration can help to minimise delays in care and give people the right support at an earlier stage, involving them to better manage their condition and ensuring that they are supported to live well and as independently as possible. 6 Communication Strategy Key Messages for the Workforce Key messages for the Public • Health and social care integration is all about improving people’s lives and ensuring that those working in health and social care are equipped to make best use of their collective skills and resources to improve outcomes. • Any person, their family members or someone that they are caring for will receive a coordinated, seamless system of care and support that recognises their individual needs and aspirations whenever they need it. • The workforce is vital to the successful delivery of health and social care integration and consistent support will be provided in terms of any new ways of working. • Individuals with disabilities, long term conditions or frailty can expect to receive the care and support that they require to live independently and at home or in a homely setting within their community, for as long as possible. • Those delivering services will be involved in the planning and improvement of those services and for their contribution to be valued, to ensure that policy and planning is informed by the reality of day to day practice. • As health and care services become more integrated new roles and career development opportunities are likely to emerge. These key messages are designed to promote a consistent and common understanding of health and social care integration. To ensure the audiences and stakeholders are at the centre of health and social care integration the key messages have been broken down into four discrete stages. It is also important that the different audiences and stakeholders receive the right information at the right time around what integration means for them. The key messages should be tailored to each audience or stakeholder group. To achieve this an Integration Involvement, Communication, and Engagement Action Plan has been developed and is attached as Appendix 1. The Integration Involvement, Communication and Engagement Action Plan has been designed to facilitate the delivery of different key messages as health and social care integration develops and evolves. It will be updated on a quarterly basis to reflect all involvement, communication and engagement activity. Communication Strategy 7 Audiences, Stakeholders and Level of Commitment Given the scale of the communications activity involved in health and social care integration and not forgetting the geography of Dumfries and Galloway, it is no surprise that there are a considerable number of audiences and stakeholders to consider. The list of audiences and stakeholders affected by or involved in health and social care integration are outlined as follows: Service user and carer reference groups Decision makers • MPs/MSPs/MSYPs • Integration Joint Board • Third sector partners • NHS Board members • Independent private sector • Elected Members • Community Councils • Corporate management teams (NHS and Council) • Independent contractors • NHS Health Steering Group • Senior management teams (NHS and Council) • Area Partnership Forum (NHS) • Area Clinical Forum (NHS) Staff • Staff in partnership services (NHS, Council and Third Sector) • Hospital Patients’ Council • Children’s Panel • Public Involvement Panel • Tenants and Residents’ Associations • Listen to Us Group • Stakeholders/influencers • Scottish Government • Scottish Ambulance Service Members of the public • Media • Local/national print and online media • Local/national broadcast media • Social media • Specialist publications • Directorate Partnership Fora (NHS) • Directorate management teams (NHS and Council) • Operational management teams (NHS and Council) • Wider staff groups (NHS and Council) • Trades unions 8 Communication Strategy Level of Commitment Audiences and Stakeholders The level of commitment required from each audience/stakeholder group can be plotted using Table 1 and ensures audiences/stakeholders are clear about what is expected of them. The communications activity outlined in the Communications Plan (Appendix 1) includes an indication of the level of commitment required for audience/stakeholder. This may change depending on the message, the target audience/stakeholder and timing of communication activities. Table 1 Level of Commitment Level of commitment to Communications activity Objectives in support of Communications Plan/ activity Awareness I know it is happening To create an awareness of the establishment, objectives and progress. Understanding I know what is happening Ongoing communication within and between health and social care services, other key partners, local communities and other stakeholders. Support I support what is happening Local people and health and social care staff take ownership of the key messages and help to spread these within their own departments/ communities. Involvement I am doing X to make it happen Buy-in from senior clinicians, managers, elected members, trades unions, staff, service users, communities and the public to take part in communications activity. Commitment I will do what it takes to make it happen Staff and other stakeholders are committed to the plan’s messages and objectives and take part in communication activities to support the objectives. Communication Strategy 9 F U TU R E O F HE AL WO CIAL CAR D SO E R K I N G TO G E T AN HE FO HE RT TH There are a number of different ways to communicate with the various key audiences and stakeholders, and each message has to be tailored for the right medium and the right audiences/stakeholders. A checklist of the different communication methods and the key audiences and stakeholders they can potentially reach is set out at Appendix 2. This will help determine the communications activities to be undertaken within each communication stage. The checklist will be further expanded and developed as each communication action plan is implemented. R Communication Methods DUMFRIES AND GALLOWAY Health and Social Care Branding Print guidelines • Logos are available in high res JPEG format for use in print and online. • Do not alter the colour of the logo or modify any of its elements. • Do not distort the logo proportions. • Do not rotate the logo. Communicating with the Media A joint media protocol has been agreed between NHS Dumfries and Galloway and Dumfries and Galloway Council. The protocol aims to ensure that all media handling is co-ordinated, clear and consistent and provides all stakeholders and partners with clear guidance on how to deal with the media. The protocol includes guidance and best practice for managing both proactive and reactive media activity including news releases, media enquiries, photo opportunities and out-of-hours media activity. 10 Communication Strategy Monitoring and Evaluation The aims and objectives of the Strategy will be continuously evaluated. Full consideration will be given, as part of the communication action planning, to how we can determine our baseline starting points in terms of awareness and understanding etc and then reevaluate. Monitoring and evaluation will include: Conclusion It is recognised that creating and sustaining effective two-way communication channels with a wide variety of stakeholders at different levels, in different organisations and community groups and in different locations across Dumfries and Galloway is a major task. The need to communicate with these stakeholders is central to the successful integration of health and social care services. • Media coverage • Website hits • Social media reach • Service user/client enquiries/ complaints etc. It is anticipated there will be regular reporting regarding communication activities to the Integration Joint Board, as appropriate. All communications activities will be evaluated continually to ensure they meet the needs of the target audiences. Any improvements identified will be incorporated into subsequent versions of both this strategy and related action plans/ schedules. Communication Strategy 11
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