Update to WOD Committee
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- Constance Barrett
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1 Update to WOD Committee July 2017 Communications and Engagement Highlights 1. Dementia Home Treatment Team development in North Powys Further to the May 2017 Update to the Committee, the Engagement and Communications Team has led, planned and delivered a comprehensive Consultation and equality impact programme during June and July 2017 on proposals to permanently establish the Dementia Home Treatment Team in North Powys. This has enabled the health board to develop a clear recommendation on the way forward based on a sound process in accordance with NHS Wales guidance on engagement and consultation. This follows the extensive period of engagement in February and March 2017, on the basis of which the Powys Community Health Council agreed to a four-week period of consultation (with the option to extend this period by mutual agreement if required). The purpose of the consultation was to: Build on the continuing engagement that has already taken place following the temporary closure of the Fan Gorau Unit in June Continue to raise awareness of the issues & challenges facing the sustainability of Fan Gorau in Newtown, and the positive experience of the interim Dementia Home Treatment Team model that has been put in place. Feed back on the insights gathered during the engagement that has taken place so far, including the period of structured engagement during February and March Propose that, based on the insights from local engagement, the Dementia Home Treatment Team in North Powys should be permanently established and the Fan Gorau Unit closed. Share information about the additional actions and assurances that would be put in place if this proposal is approved. Seek views on these actions and assurances, and on any new or different issues affecting this proposal that have not already been identified during engagement to date. Further strengthen the Equality Impact Assessment to supportive informed decisionmaking. Discuss the feedback from this process with the Powys Community Health Council in accordance with the NHS Wales Guidance on Engagement and Consultation, in order to agree a way forward.
2 The key milestones have included : 30 May 2017: Presentation of engagement feedback, and consultation plan, to Executive Committee of Montgomeryshire Community Health Council 31 May 2017: Presentation to PTHB Board (as part of the Strategic Change Update) 1 June 2017: Repatriation of adult mental health services in mid and south Powys from Aneurin Bevan University Health Board to Powys Teaching Health Board 12 June 2017: Launch of four week period of consultation on the proposal to establish the Dementia Home Treatment Team and close Fan Gorau Unit 10 July 2017: End of four week period of consultation 11 July 2017: Presentation to Powys Community Health Council Executive Committee to review feedback and discuss the next steps 19 July 2017: Outcome of consultation presented to meeting of Powys Teaching Health Board for decision The role of the Engagement and Communications team in relation to this consultation has included: Strategic leadership for the development and delivery of the consultation plan, including stakeholder analysis and event planning Development and distribution of the consultation materials through a wide variety of channels Direct delivery and/or support for a range of consultation events including drop-in events, health focus groups, presentations etc. Receipt and analysis of consultation feedback Development and authorship of the Equality Impact Assessment Report Development and authorship of the report on the outcome of consultation for presentation to Powys Community Health Council Executive Committee on 11 July 2017 and to PTHB Board on 17 July 2017 At the meeting of the Powys Community Health Council Executive Committee on 11 July 2017, a representative at that meeting described the process led by the Engagement and Communications Team as exemplary. Further information available includes: Consultation Plan and supporting materials Consultation Report Equality Impact Assessment Next Steps for the Engagement and Communication Team include: Communication of the decision at the Board Meeting to key stakeholders during August 2017 Consultancy & support to Adult Mental Health Services Team and Primary and Community Care Directorate for the delivery of recommendations relating to ongoing communication and engagement during August and September 2017 Develop the suite of materials produced for the Fan Gorau Engagement and Consultation into template materials, for use by teams across the organisation, enabling the Engagement and Communications Team to focus on capacity & capability building, consultancy and support suite of templates to be modelled for OOH care engagement during August and September 2017
3 Update to WOD Committee July 2017 Communications and Engagement Highlights 2. Health and Care Strategy for Powys During June and July the Engagement and Communication Team has successfully brought to fruition the first integrated Health and Care Strategy for Powys, which is also the first of its type in Wales. The Strategy was launched at a county-wide event on 5 July, aiming to engage people in the programme of work in the year ahead that will translate the Strategy into reality. This has included a full design refresh of the Strategy agreed by Board and Cabinet in March 2017, at the heart of which is a compelling visual Strategy On A Page which aims to continue to engage service users, communities, staff and stakeholders in the continued development and delivery of the Health and Care Strategy. Initial feedback on the updated Strategy has been incredibly positive, including Everyone can see how their role contributes, It speaks to people in a simple yet powerful way and I can see how my involvement has directly contributed to this. This builds on the previous programme of engagement, co-ordinated by the team, for which the health board received substantial assurance.
4 The Health and Care Strategy for Powys has already been shared at Ministerial level, with Minister for Social Services and Public Health Rebecca Evans receiving a copy when she attended the official opening of the Integrated Autism Service in Powys on 12 July 2017 (pictured right with Professor Vivienne Harpwood, Cllr James Evans, Cllr Rachel Powell, Cllr Stephen Hayes and Adrian Osborne). The development of the Strategy has also been submitted as our good news story to the NHS Wales Executive Board for July 2017, and as an abstract for national conferences. The publication process demonstrated the resilience and tenacity that is sometimes needed from small engagement and communications teams, as sickness for our external visual artist had a major adverse impact on delivery totally beyond our control. This meant that the team were working through evenings and weekends to bring about the final version of the strategy, with the launch version completed at 4pm on 4 July 2017 and in-house printing completed at 8pm ready for the launch the following day. Despite these challenges, the team successful commissioned a comprehensive suite of launch materials including A4 40 page strategy documents (Cymraeg/English), A3 poster versions (Cymraeg/English), A1 poster versions (Cymraeg/English) and pull-up banner stands (Cymraeg/English). The role of the Engagement and Communication Team included: Production of the initial Health and Care Strategy in March and commissioning of updated visual and design product. Coproduction of maquette design proofs to guide the external designers. Full organisational support and fulfilment, including commissioning of translation, internal engagement on proofs, version control. Development and delivery of successful recovery plan in response to sickness by the external visual artist. In-house print production of materials for the launch event. Support for the design and delivery of the launch event as part of the Health and Care Strategy Programme Team. Next Steps for the Engagement and Communication Team include: Commissioning of the digital pack (e.g. jpeg, eps) to enable PCC and PTHB colleagues to feature the key elements of the Health and Care Strategy in their publications and presentations, so that it increasingly provides a visible and visual framework for all health and care development in Powys during July Commissioning of printed collateral for distribution and display (e.g. foamex boards of the Strategy On A Page for HQs, printed copies of the Strategy Cymraeg/English, A3 leaflet versions that enable staff and partners across Powys to display the Strategy On A Page in their organisations and workplaces) during July and August Design and delivery of the Phase 2 Engagement building on the integrated approach in 2016/17 that encompassed the Population Assessment (Social Services and Wellbeing Act) and Wellbeing Assessment (Well-being of Future Generations Act) to translate the Strategy into delivery across Powys through to March 2018.
5 Update to WOD Committee July 2017 Communications and Engagement Highlights 3. NHS Future Fit Integrated Impact Assessment During June and July the Engagement and Communication Team successfully designed, delivered and completed a programme of equality engagement to contribute to the NHS Future Fit review in Shropshire and Telford & Wrekin, compliant with Equality Act requirements and the NHS Wales Engagement and Consultation guidance. NHS Future Fit is a programme to agree the future configuration of acute and community hospital services in Shropshire and Telford & Wrekin. These hospitals are the main providers of acute services for communities in north east Powys and therefore any proposals to change these English services are a critical concern to those communities and to us as a commissioner. A recommendation made last year by the NHS Future Fit Programme Board that would see Royal Shrewsbury Hospital become the Emergency Centre and Women & Children s Centre and Princess Royal Hospital become the Planned Care Centre was not supported by a Joint Committee of Shropshire CCG and Telford & Wrekin CCG in December Several programmes of work were put in place, including additional integrated impact assessment work particularly relating to women and children s services. The engagement period set through the NHS Future Fit Programme Board was from 19 June 2017 to 30 June We note that information and materials were not shared by the NHS Future Fit Programme with Powys Teaching Health Board until 20 June 2017, but a solid and engaging preparatory approach (involving co-design with Powys Community Health Council, Powys Association of Voluntary Organisations and Powys County Council representatives) enabled the Engagement and Communication Team to take took prompt action to activate its plan for local delivery in order to reduce adverse impact on the ability of people in Powys to engage. Our local engagement has sought to consider issues such as: What do affected groups and the wider public think of the proposed changes? What, are the issues and what suggestions do they have to overcome these issues? Conversely, do they welcome the changes? How representative are the views we have heard? Our local engagement process involved a range of methods which targeted the following stakeholders: Service users and their families for example, by sharing information via frontline staff working in women and children s services in Powys. Local Councillors and Town & Community Councils e.g. via , and a presentation to Newtown and Llanllwchaiarn Town Council. General public - e.g. via drop-in sessions in Newtown and Welshpool, and via social media, and through a presentation to Newtown Health Forum Third sector organisations through distribution via Powys Association of Voluntary Organisations. Powys Community Health Council.
6 Staff of PTHB and Powys County Council via internal staff briefings. The engagement programme included: The NHS Future Fit Shaping healthcare together overview questionnaire was distributed directly to service users, their families, carers and the Powys Community Health Council. Events were advertised on the PTHB website, Twitter and Facebook (Our initial Facebook post had a reach of over 5000 including 51 shares. It was also posted into relevant local Facebook groups to encourage feedback. Partner organisations also posted the information via their channels e.g. Powys Youth, Powys Family Information Service, Powys Children and Young People s Partnership, PAVO, Newtown Health Forum, NPTC Newtown Health and Social Care Team, Credu). Patients had the opportunity to return their completed surveys directly to the health board or via during the engagement period. Information was published on the website of the Powys Teaching Health Board. Information was sent to Powys Association of Voluntary Organisations, Powys Teaching Health Board and Powys County Council for distribution through their organisations and networks. A dedicated address was also provided as a mechanism of providing feedback. Individuals were invited to contact the health board to offer depth interviews to discuss and share their own experiences. There have been added complexities for the engagement process given the wider context for maternity services in Shropshire and Telford & Wrekin, including quality and safety concerns and sustainability of midwife-led units. The role of the Engagement and Communication Team included: Co-production of the proposed engagement approach with colleagues from Powys Community Health Council, PAVO and Powys County Council Development and delivery of escalation plan in response to late receipt of materials from NHS Future Fit. Design, delivery and distribution of engagement events, materials and channels as outlined above. Face to face engagement at a range of local events including local drop-ins, Town Council, Health Forum and with staff. Analysis of responses against the equality protected characteristics. Development, agreement and submission of the Equality Impact report to the NHS Future Fit Programme. Next Steps for the Engagement and Communication Team include: Continuing to work with NHS Future Fit on the design and delivery of a comprehensive consultation programme once final proposals are agreed by the NHS Future Fit Programme Board and Joint Committee of Shropshire CCG and Telford & Wrekin CCG.
7 Update to WOD Committee July 2017 Communications and Engagement Highlights 4. Events Programme The Engagement and Communication Team supports a broad programme of events in PTHB. June and July have been a particularly busy time including the Marking Time Official Opening, Ministerial Launch of the Integrated Autism Service, Health and Care Strategy Launch, NHS69 Open Day at Newtown Hospital, Annual General Meeting, Royal Welsh Show and planning for Cabinet Connect sessions and Ministerial Visits in August. The Engagement and Communication Team was at the heart of planning for the Marking Time sculpture and Woodland Walk official launch on 22 June with around 100 representatives from local schools, veterans groups, local communities and partner organisations coming together to open this new facility at Bronllys Hospital. The role of the Engagement and Communication Team included: Direct involvement as part of the planning team Development of materials and publicity Development of event collateral including memento seed packets for school children and the event programme Designing and dressing the Concert Hall as an exhibition and reception space with hundreds of photos of the development journey Social media and other real-time comms during the event, on-site photography and video Post-event communication including newsletters and press releases to celebrate the day 5 July saw the Health and Care Strategy launch in the morning (see Section 2) followed by a special Open House event at Newtown Hospital to mark the 69 th anniversary of the NHS. The event was arranged to celebrate some of the recent developments at the Hospital including refurbished Birth Centre, enhanced x-ray and scanning, improved parking and access as well as a refresh to the hospital garden following a positive response to a social media appeal arranged by the Engagement and Communication Team. The role of the Engagement and Communication Team included: Direct support for planning and publicity
8 Arranging and issuing invitations Event collateral including posters, social media advertisement and edible NHS birthday cake toppers Support on the day including photography and real-time social media Post-event communication including press and social media The event had an excellent attendance by County and Town Councillors alike, including Chair of the Montgomeryshire Committee of Powys County Council Cllr Joy Jones (pictured front centre with fellow County and Town Councillors). The following week saw the official launch of the Integrated Autism Service for Powys on 12 July, led by a core planning team comprising Adrian Osborne from the Engagement and Communication Team and Rebecca James from the Integrated Autism Service (pictured rear left with Rebecca Evans AM and colleagues from the IAS). The event provided an opportunity to celebrate the development of our Integrated Autism Service which is the first in the whole of Wales. The role of the Engagement and Communication Team included: Direct support for planning and publicity Arranging and issuing invitations Ministerial briefing and liaison with Minister s office and policy teams at Welsh Government Briefing and logistical planning for PTHB and PCC representatives at the event Support on the day including photography and real-time social media Post-event communication including press and social media Key events taking place shortly after the submission of this report will include: The Annual General Meeting of Powys Teaching Health Board on 19 July 2017 for which the Engagement and Communication Team role has included event design, set-up and delivery; co-ordination of the overall agenda including commissioning of external presentations and production of a range of video content; document design and delivery including the Annual Quality Statement; invitations and publicity and much more besides. The Royal Welsh Show from July 2007 for which the Engagement and Communication Team has designed and delivered a full interactive experience downstairs in Twr Brycheiniog that aims to engage with parents and young people in a conversation about childhood and parental health as well as NHS Careers. The team has also co-ordinated the programme of reception events upstairs which includes a visit by the Chief Medical Officer for Wales, and a joint integration reception with Powys County Council. Planning is also underway for the Cabinet Connect sessions taking place on 17 August 2017, with Vaughan Gething AM and Rebecca Evans AM visiting the county for a Q&A session with frontline staff from health and social care. These sessions have traditionally taken place for NHS staff with the Cabinet Secretary only, but given that Powys is leading the way on integration the Engagement and Communication Team has successfully negotiated a joint event with both Ministers that will encompass both health and care staff. The Cabinet Connect session takes place at lunchtime, and a programme of visits for both Ministers is also currently being arranged.
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