Governing Body report
Paper: 5.2
Date
1st July 2014
Title of paper
Patient and Public Engagement Report
Presenter
Dr Puvana Rajakulendran, Public and Patient Engagement Lead - WLCCG
Author
Kalwant Sahota, Public and Patient Engagement Officer
Dr Puvana Rajakulendran, Clinical lead
Responsible Director
Jayne Liddle, Assistant Director Of Strategy
Clinical Lead
Dr Puvana Rajakulendran
Confidential
No
The Governing body is asked to:
Approve PPE Committee Terms of Reference
Note the report
Summary of purpose and scope of report
This paper reports to the governing body on the current and proposed work under patient and public engagement
for period of May and June 2014. The Committee has delegated responsibility to ensure that the CCG is fulfilling its
statutory duties to engage and consult with the local population, and is accountable to the governing body.
PPE Committee Terms of Reference
Governing Body is asked to approve the reviewed Terms of Reference agreed by the PPE Committee, which also
incorporates recommendations from PPE internal audit undertaken in April and May.
PPE Internal Audit
Key recommendations have been addressed as identified by the PPE internal audit, undertaken as part of the
periodic internal audit review. This addresses the objective to manage and deliver improved quality of services to
patients. The risk being poor patient care and quality of service if patients are not fully engaged and their views
taken into consideration.
Local Priorities:
St Charles
Business Integrated Workshop 11th April
A full report with key themes has been completed and sent to all participants with key actions:

Central function at St Charles – partnership development with current service providers on site.

St Charles Champions – to continue on from the community day and maintain a visual presence on site as
navigators to services and functions.

Improved pathways – mapping of current services and identify operating and clinical model workshop.
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Paper: 5.2

Reconfiguration for reception and canteen area.

Pop up facilities at St Charles – providing short term one off space for pop up, to encourage a variety of
services to be delivered on site, e.g. African dancing workshop
PPE Investment 13/14 – outcomes
PPE projects were aligned to the CCG commissioning intentions, out of hospital strategy and care closer to home.
PPE work underpins key policy and ensures that the CCG is enabling the local population to feed into service
redesign and change and reflecting local need.
A summary of project outcomes is attached (appendix A) and includes the following:

PPE toolkit

PPE training

Patient Participation Group Project (PPG)

Community Research Project

Primary Care Navigators Programme

PPE Grant Programme
The outcomes of the various projects have been forwarded to the relevant commissioner for action. They are
expected to feed into our service redesign plans for the current year and commissioning intentions for the following
year, where appropriate. Some projects are to be taken forward by the PPE committee. These have been sighted and
agreed by the operational and Finance and Performance committees.
PPE Investment 14/15

Patient Participation Group Project – looking at improving membership, twice yearly joint PPG events, and
patient signposting at GP practices, additional funding to support practices to deliver their PPGs has been
requested by the CCG with the reduced payment per patient as part of the revised PPG DES for 14/15.

PPE Training – CWHHE PPE training on improving patient representation, training includes the NHS
landscape, how to be a better patient rep, procurement. Jointly with CLCCG patient seminars are being
delivered, with recent seminar on Care Quality Commission in May and June will feature NICE.

Primary Care Navigators (PCN) Programme – roll out of PCNs across the 54 practices to support patients over
55 to better manage their health and social care needs.

Co-production project – to reinforce meaningful engagement with patients, carers and communities, beyond
one off pieces of work in order to create change throughout the commissioning cycle. Specific coproduction areas will be identified from the key areas of service development within the CCG.

PPE Toolkit – capture PPE throughout the commissioning cycle. Ongoing support work.

PPE Grant Programme – to focus on key areas of integrated care as identified by WLCCG CI strategy, better
care fund and whole systems.
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Governing Body report
Paper: 5.2
Equalities Objectives Update
A workshop was delivered to Hear Women Now Group (targeting women whose first language is not English, people
who do not normally engage with services) on primary care mental health issues, which has started to address the
need to improve access for BME groups to primary care mental health services. The workshop was in response to
feedback from the group.
Patient Led Redesign
Patient Experience Feedback
The current form has being re-designed following feedback from GPs and patients. It is now clearer and easier to
complete, and is structured to provide clearer information for the CCG. The PPE committee, Patient Reference
Group and Patient Participation Groups have reviewed the form to be introduced at the next CLS to practices.
Patient Reference Group (PRG)
The PRG has been instrumental in highlighting the need for a female GP at the Garway medical practice. A full time
GP position for a female GP is to be advertised shortly, in order to address the needs of the Arabic female
population.
Expanding the Reach of the CCG:
Partnerships with key stakeholders
We continue to be represented at Kensington and Chelsea Social Council Health and Well Being Forum, Kensington
and Chelsea Social Council Third Sector Stakeholder Forum – links with QPP with attendance from Paddington
Development Trust and Black Monitory Ethnic Health Forum.
Collaborative Work:
Wheelchair Procurement
To ensure service user and carers voices have been consulted in the process, the CCG with H & F and CCL CCG
commissioned Healthwatch to undertake three focus groups. The feedback will directly feed into the procurement
process and development of the service specification.
Expert Patient Service
Working with CL CCG as the lead commissioner to identify any possible gaps in the current service specification. A
number of areas have been highlighted such as language specific courses, better links with primary care to improve
referral rates from GPs, support post course completion. These will be feedback into the procurement process.
Carers Navigator Project
Assist GP practice staff to embed the Royal College of General Practitioners supporting carers guide within their
practice. Work with Golborne and Emperors Gate have been completed and navigators are currently working with
Earls Court Medical, Kings Road, Knightsbridge and New Elgin medical centres.
Patient Experience
Continuing to link in with the collaborative Patient Experience Strategy and linking practice patient level feedback
questions to those relating to a good patient experience identified in collaborative patient experience strategy.
Mental Health Service User Group Review
The Commissioning Support Unit is reviewing mental health service user groups; the CCG has given input to the
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Paper: 5.2
process and highlighted good practice models. A member of the Patient Reference Group continues to attend the
service user group meetings.
Diabetes Service User Group
The Diabetes Service User Group continues to meet and is a joint venture with Central London and Hammersmith
and Fulham CCG. The group is a clear mechanism for direct patient feedback on NHS providers around diabetes care
and management. The group is now managed by DESTA with a clear link with diabetes champions and Expert
Patient Programme.
Next Steps for Board:
1. Mandatory Equalities training for CCG governing boarding and staff, to be scheduled for 2014.
Quality & Safety/ Patient Engagement/ Impact on patient services:
Equality objectives strategy is based around ensuring equal access to local services for patients. The Equalities
Reference Group established to support peer advice and review of progress includes Lay Members.
Feedback from patients is a vital part of the CCG’s remit in managing and commissioning services. It is used in the
CCG’s management and quality assurance structure to ensure improved services for patients.
Patient representative sits on the Patient Reference Group; Public and Patient Engagement Committee and the
Quality, Patient Safety and Risk Committee.
Stakeholder engagement has been as set out in the diverse membership of the PPE committee and Patient
Reference Group. Engagement has been undertaken with key third sector providers Kensington and Chelsea Social
Council; Black and Ethnic Minority Health Forum; Kensington and Chelsea Health and Well Being Forum,
Healthwatch, Paddington Development Trust – North Westminster Network; Older People Tri Borough Event;
Kensington and Chelsea Carers Forum; Westminster Community Forum, Hear Women Now, Midaye and The Forum.
Financial and resource implications
Equality Objectives
Nearly all of the objectives fall within existing resource and projects/programmes in terms of delivery. Some
resource will be required to support delivery of some of the objectives but approval will be sought as needed from
the relevant person or committee where it does not sit within existing budgets. Some objectives are shared with
neighbouring CCGs to make a greater impact for patients and better utilise resources.
Primary Care Navigators Programme
Finance and Performance Committee have approved patient Navigators project roll out.
PPE Projects 14/15
Finance and Performance Committee have approved continuation of the Patient Participation Project; Co-production
project and support for the PPE toolkit.
Equality / Human Rights / Privacy impact analysis
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Paper: 5.2
Equality objectives, equality implications have been considered in the work, especially in terms of the stakeholder
engagement. The prime focus of the strategy is to ensure equal access to services that is shaped using effective
patient engagement. It will be reviewed on an annual basis to identify any new concerns to be included or
prioritised.
Equality implications for PPE work have been considered in the work, especially in terms of the membership of the
PPE Committee and Patient Reference Group – furthermore an Equality and Diversity lead sits on the PPE
Committee.
Risk
n/a
Supporting documents
Summary of Patient Participation and Engagement Projects – Outcomes 2013/14
PPE Committee Terms of Reference
Governance and reporting (list committees, groups, or other bodies that have discussed the paper)
Committee name
Date discussed
Outcome
PPE Committee
3rd June 2014
Key areas discussed, including amendments to
the terms of reference.
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