Item no Report no Social Care Services Commissioning Strategy Consultation and Engagement Strategy September 2010 Council approach to communication and engagement 1 Recently the Council has re-stated its determination to ensure service user and carer engagement is at the centre of this work. Recent examples of this are: 1.2 The Chief Executive’s Review of the Care and Support Tender, which requires that the ‘lessons learned’ in respect of consultation and engagement is taken account of in the development of the new commissioning strategy. (Report to Policy and Strategy Committee 11 May 2010). 1.3 The Leader of the Council’s ‘Podium’ piece in Third Force News, (18 June 2010), the national voluntary sector newspaper, where she stated, ‘ we must ensure a more participatory approach’ and that ‘genuine two-way communication is required to secure the views, opinions, suggestions and concerns of users in order to take these into account in planning, designing and improving services’. 1.4 Furthermore, the Council wishes to build on the strong relationships it has with the voluntary and private Sectors and sees their involvement as crucial to the success of this engagement strategy, given the wealth of experience in engagement that exists between the Council and the independent sector. 1.5 The adoption by the Health and Social Care Department of the National Standards for Community Engagement as a basis for good practice in service user involvement. (This manual outlines methods and includes recommendations for the adoption of a number of behaviours to assist engagement work). 2 At a national level, the modernising government agenda, as expressed by bodies such as the Improvement and Development Agency, Department of Health, Scottish Government, and the Social Work Inspection Agency, emphasises the need to ensure engagement is a key component in the commissioning of care and support services and that it is a positive, inclusive and effective experience for all those involved. 3 Some expressions of this: Councils should ensure ‘key stakeholders are involved in the commissioning process. In particular, (they need to) be clear about how service users and carers will be involved.’ Executive bodies of partner agencies are ‘signed up’ to a common understanding of the commissioning process. Involvement should be considered for each phase of the the ‘analyse, plan, do and review’ cycle. The Improvement and Development Agency In order to make service user and carer involvement meaningful, local authorities will need to identify how to take service user and carer views into account and respond to these views. They also need to determine what resources they can make available to support this activity, which can involve significant levels of work. Service users and carers will often have different views. Local authorities will need to communicate their final decisions to service users and carers and explain why they have reached these decisions. The Scottish Government Commissioning must ensure personalised approaches to meeting people’s needs, must achieve best value and comply with equalities duties. Engaging people who use services and their carers is at the heart of effective commissioning. Commissioners also need to engage with citizens in the wider community to define outcomes that reflect needs, preferences and aspirations of people who will use services in the future, and their carers. ADSW What is engagement? 4 Engagement is about ensuring that people can participate in a variety of different ways to make their views heard. To achieve this, the City of Edinburgh Council wishes to work alongside and to listen to all stakeholders by ensuring: A variety of ways are used to enable service users and carers to get involved. All information is provided in formats tailored to the individual or group needs of service users and carers. Service users and carers have the support they need to express their views. The Council makes clear who will be listening, including both officers and councillors, to the record of views of all those who have participated in the engagement and what the response will be to those views. The record of the engagement includes areas of disagreement. There is clear communication to all stakeholders at the implementation stage of any changes arising from the proposals which have been the subject of the engagement. Improving Engagement 5 This strategy aims to build on collective experience and agree a joint approach for the future that has a focus on listening and responding to service users and carers on issues such as having choice and control in relation to care and support services. The aims of the engagement strategy are to: Ensure service users and carers can have a genuine influence on how services are provided and who provides them. Ensure that this engagement is a positive experience for all those involved. Bring together knowledge and information from engagement in service planning and development in other areas, such as the Joint Capacity Pan for Older People, Live Well In Later Life, the more recent Joint Capacity Plan for Services for People with Learning Disabilities and Home Care Modernisation, Youngedinburgh, Edinburgh Local Youth Issues Forum and the work in Neighbourhood Partnerships. Establish a ‘Checkpoint Group’ from the start of the work to provide advice of the approach to communication and engagement. (see appendix 1) Agree the best practical tools for this engagement strategy. For example, written, visual and/or face to face meetings in a range of different groupings of people. Evaluate this engagement strategy to ensure continuous improvement in the process of engagement. 6 We will do this by: 6.1 Following the Scottish Government draft guidance to: ensure the people who are involved understand the process and are clear about their role in it, and; are able to commit the necessary time and receive appropriate training and support. 6.2 Establishing a checkpoint group at the start of the work on developing a new commissioning strategy. (See appendix 1) 6.3 Developing an engagement toolkit, that is clear about what is being consulted on and on what has been already agreed or fixed. 6.4 Adopting the ‘analyse, plan, do and review model’ developed to support the National Standards for Community Engagement. Underlying Values/practical arrangements 7 The Council as far as possible, wants engagement to be a positive, inclusive and effective experience for all those involved, although it is acknowledged that the outcome may not always be one that all who participate are in agreement with. For this to happen there needs to be honesty, transparency and openness about how decisions are made by all those taking part. The Council is committed to using the findings to shape an approach to commissioning, including procurement, of services in the future. 7.1 The Council wishes to work alongside bodies which represent service users carers and providers. This relationship will be underpinned by the principles reflected in the Edinburgh Compact of equal respect between the Council and independent sector partners, of transparency, accountability, clear communication and equity. 7.2 There will be a clear explanation for service users and carers about their roles in consultation and how their views will be used. Practical arrangements will include: The need to use venues preferred by service users and carers which are fully accessible. The recording and making public of all activities, using a multi channel approach to ensure widespread awareness. Recognition that large events may not encourage people to speak out and a range of opportunities to do so will be provided, including: o open access to making comments in person, by social workers or people’s existing providers; o by letter and/or response to other written or visual publications; o provision of advice from user and carer led organisations; o focus groups; o user and carer forums involving different interest groups; o surveys of service user and carer experience and views; o support from advocacy workers for service users and carers to present their views and protect their interests o user friendly meetings tailored to the specific preferences of service users carers, irrespective of age, capacity and ability o provision of expenses where necessary and refreshments. Communications Strategy 8 All communications will be, clear, succinct, relevant and written in plain language that avoids, wherever possible, the use of jargon and technical terms. Information will be accessible, and communications will be tested, timely, open and honest, and two way. 8.1 All communications will be consistent with the principles of Personalisation, which is a key Council strategy, to ensure there is choice for service users and carers about the ways in which they can speak up. 8.2 There will be no ‘one size fits all’ approach. Full use will be made of the range of accessible communication formats, appropriate to individual or group communication needs. Formats include symbol systems, audio, video, Braille, large print, sign language interpretation, and community language translation and interpretation. 8.3 Full recognition will be given to the fact that the interests of the different groups of people being consulted will not necessarily be the same. Support will be provided to ensure no-one is discriminated against or excluded. For example, for those with profound and multiple disabilities it may be appropriate for family or kinship carers to play a role. All of those who contribute their views will receive a response. 8.4 Adequate resources to support both the communications and engagement strategy will be made available. 9 The aims and objectives of the communications strategy are to: 10 Be focused on people, particularly service users and carers. Encourage the active involvement of everyone who has a stake in care and support services. Ensure the involvement of Council staff involved in commissioning of care and support services. Ensure service users and carers have the chance to give their views, particularly those whose voices are often not heard. Inform all stakeholders of the key stages, including the outcomes. Key message of the communications strategy The Council wants to listen and respond to what service users, carers, their representatives and providers have to say about the new commissioning strategy and to ensure everyone who wishes to, including our staff, have the opportunity to express their views. 11 Audiences Partners Service Users Carers, relatives and representatives of service users Voluntary sector providers of service Private sector providers of service Voluntary sector organisations which represent service users and carers Voluntary and private sector umbrella organisations which represent providers. Advocacy organisations Trades Unions Politicians Leader/Deputy Leader Convener Group spokespersons All Councillors MPs/MSPs Council Targeted Council staff Health and Social Care, Planning and Commissioning Heads of Service Frontline Social Workers Specialist teams e.g. Local Area Co-ordination Team Finance Procurement Children and Families, Planning and Commissioning Heads of Service Frontline Social Workers Services For Communities Planning and Commissioning Housing and Regeneration NHS Lothian staff. Planning and Commissioning Heads of Service Specialist teams e.g. Community Learning Disability Team Corporate Services Equalities staff. All other staff in the partner agencies 12 Tools 12.1 The Council will make best use of a combination of its own database of partner contacts combined with the Checkpoint Group’s networks for mailing (including emailing). 12.2 Particular attention will be paid to ensuring people with limited or impaired communications ability have information in a wide variety of accessible formats, tailored to individual or group needs, including, large print, Braille, ethnic community languages, interpretation and translation, sign languages and symbols. 12.3 Communications tools may include: 12.4 Face to Face sessions with key audiences and stakeholders. DVD and video clips – either on-line or on CD Rom A regular printed or electronic newsletter using symbols Partner and Council web sites Audio tape versions of printed materials Media releases and features in local, national, voluntary sector and professional media A communications log will be kept up to date, listing all engagement sessions. Appendices 1. Checkpoint Group Remit Contact/tel/Email Wards affected All Background Papers http://www.idea.gov.uk, ‘How do you know commissioning is effective? Consultation on draft Social Care Procurement Scotland Guidance, Scottish Government, 2010 Involving people who use services in the commissioning process, Nigel Walker, Department of Health, Health and Social Care Change Agent Team Framework for Engaging with people who use Care Services and Carers 2007-2010. Scottish Commission for the Regulation of Care, 2007 Guide to Strategic Commissioning, Social Work Inspection Agency, 2009 The City of Edinburgh Council, Service User Involvement Good Practice Guide Improving Community Engagement in Edinburgh - Strategy and Action Plan, 2006-08, The Edinburgh Partnership Appendix 1 Commissioning Strategy Checkpoint Group Remit To agree an engagement and communications strategy, which will be employed for the consultation on the commissioning strategy, reviewed and embedded within the final document as a model of best practice. To be aware of the key stages in the project plan To consider options drafted by the Project Executive for the commissioning approach To discuss options for implementation To be a contact point for future independent evaluation of the commissioning strategy To represent views to the commissioning strategy Project Executive This will be done by: Meetings of the Group at key stages in the project, built into the project plan Provision of short updates Seeking the views of representatives o Some of this will be around the table viewpoints to ensure everyone’s voice is heard o Where appropriate, wider audiences will be informed and views sought (particularly for hard to reach groups). Formation of the Group The Project Executive will agree a framework for the membership of the Group. Membership will include representation from service user and carer groups, advocacy groups, equalities groups and Council staff. The Group will have an independent chair.
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