As well as reporting on patient and public involvement to our Governing Body and to the Engagement Oversight Group, we are also accountable to the public and patients more generally through our Annual Report.
Our 2017/18 Annual Report has a section on how we engage with people and communities. On page 32 it details how patients and members of the public can provide feedback through involvement in public participation groups and the CCG’s Citizen Panel which has representation from different groups of stakeholders.
Even through the challenging times the NHS is experiencing, engagement is all important. and this is paying dividends with a significant increase in our social media channels (Facebook and Twitter,) involving many new groups within our community in the decisions about future health care. We don’t shy away from difficult conversations and this is especially important given the significant changes needed to continue our delivery of excellent health care to our community.
Our Annual Report describes some key examples of the work we have done throughout the year. For example working with children and young people through schools and youth clubs to reduce
the number of emergency admissions to hospital for children with respiratory problems and working with targeted groups such as asylum seekers to improve access into primary care.
It also describes working with a number of key stakeholders from groups such as Lancashire LGBT, diabetes groups, Fertility Matters and disability groups on the potential impacts of potential changes to the CCG’s commissioning policies on Procedures of Limited Clinical Value.
From page 9 to page 22 we describe how we have made a difference through local commissioning. Much of this has been achieved through the involvement of patients and the public. For example we describe how we led on a large piece of work of work on behalf of Lancashire to review the audiology service, engaging with a range of providers, stakeholders, commissioners, patient and carers. From this, a robust evaluation of learning was created which informed the development of a new service model and specification.
Similarly, commissioners are using the findings of a recent piece of work undertaken by young people in Pennine Lancashire, to inform service redesign. Healthwatch has undertaken research with children and young people across Pennine Lancashire to gather their views and experience on the issues that affect their health and wellbeing, as part of the Local Delivery Partnership consultation. The research was led by young people and engaged with 837 children and young people in total. The findings identified a number of key priorities for consideration by commissioners including: self-harm; mental health; Lesbian, Gay, Bisexual,Transgender (LGBT) issues, including substance misuse, family problems and bullying. Work will continue with young people to take forward plans to meet the needs highlighted.
The Children and Adolescent Mental Health Service (CAMHS) Transformation Plan has now commenced with a service redesign of CAMHS services across Lancashire and South Cumbria. The service redesign is based on the THRIVE framework and is a co-production between NHS services, the third sector and with the children and young people and their families. The service redesign will incorporate prevention and resilience and also ensure that our children and young people receive the right care and treatment as soon as they need it.
You can read more about the Children and Young People’s 2018–19 Transformation Plan alongside the proposed 2019–20 Transformation Plan:
Blackburn with Darwen has a dedicated Primary Mental Health Worker (PMHW) who supports children and young people with early intervention clinical assessments. The PMHW also works in collaboration with GPs providing consultation and training and they are a valuable resource who can sign post Primary Care and education to relevant services.
Our annual Equality and Inclusion Report demonstrates the CCG’s commitment to meeting the three aims of the Public Sector Equality Duty; through this we have set out how we do this whether it is for commissioning services, employing people, developing policies, communicating with, engaging and involving local people in our work. As a CCG we are keen to involve local people in the continuing development and monitoring of our Equality and Inclusion Strategy to ensure that we commission the right health care services, provide support to our staff and ensure that our providers meet the equality duties set out in the Public Sector Equality Duty and promote human rights.
Further information about the local population can be found via the following link: http://www.blackburnwithdarwenccg.nhs.uk/about-us/equality-diversity/
Finally, we are delighted to have received assurance that the CCG is performing well against our statutory duty under section 14Z2 (public involvement and consultation by clinical commissioning groups) through the work of Mersey Internal Audit Agency, which issued us a rating of “significant assurance” following the CCG’s Stakeholder Engagement audit in April 2018.