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Engagement & Local Accountability NHS London EDS Workshop Thursday 6 th October 2011

Engagement & Local Accountability NHS London EDS Workshop Thursday 6 th October 2011. EDS. Linking the agenda. What is engagement?.

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Engagement & Local Accountability NHS London EDS Workshop Thursday 6 th October 2011

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  1. Engagement & Local AccountabilityNHS London EDS WorkshopThursday 6th October 2011

  2. EDS Linking the agenda

  3. What is engagement? Engagement refers to the process of getting people involved in decisions about them in a sustained way. It must go beyond consultation and be shown to make a difference

  4. ‘Protected Groups’ • Age • Disability • Gender (sex) • Gender Reassignment (Trans) • Marriage & Civil Partnership • Pregnancy & Maternity • Race/Ethnicity/Nationality • Religion and Beliefs • Sexual Orientation Inc other disadvantaged groups

  5. Using engagement to inform EDS • Planning & development of services • Management of services • Commissioning • Health improvement that can be measured • Overall reducing health inequalities FAIRNESS!!

  6. Outcome focused engagement • Better health outcomes for all • Improved patient access and experience • Empowered, engaged and included staff • Inclusive leadership

  7. Local Interests • Patients/service users (and reps) • Communities & the public • Governors & FT members • NHS Staff, staff networks & unions • Voluntary & community organisations

  8. Exercise 1 What does good engagement mean to you?

  9. Good engagement should… • Be sustained • Be meaningful • Cover all protected groups (or be able to identify gaps) • Include ‘new people’ - not only the ‘usual suspects’ • Be more than consultation • Be measurable in a way that benefits service planning • Should keep people informed of progress • Genuinely showed that people have been listened to

  10. Considerations • Compensating people’s time • Assisting people to access engagement opportunities E.g. transport, interpreters etc • Raising people’s expectations of what you will do for them • Method of engagement e.g. general feedback, grading etc • Using good practice examples to help plan activities

  11. Five steps to good engagement • Define the audience • Choose the method & resources • Develop capacity for engagement • Identify the relevant issues • Monitor & evaluate

  12. Methods

  13. Partnership workingthe key to good engagement • LINks/HealthWatch have a role in EDS implementation (which may need clarifying) • Community & voluntary sector can help with access to client groups • Community groups may wish to facilitate engagement activities for you (with external support) • NHS organisations should work together!

  14. Exercise 2 Choose a protected group that you would like to engage with on the EDS for the purpose of the exercise: • How would you approach them to get them interested? • What incentives can/should be offered for their involvement? • What resources will need to be considered to enable your engagement? • What issues do you expect to be identified through this engagement? • How do you plan to feedback progress to them?

  15. Grading & Accountability • Local interests should have already been engaged in general activities • Those involved in grading should be representative of the groups you have been working with on the EDS (and others) • All those engaged should be aware of reporting mechanisms where concerns exist E.g. LINks, PCT, CQC • Local interests should be equally supported to engage in leadership and grading decisions as with other engagement activities

  16. Do’s & Don’ts Don’t… • Approach engagement as a chore • Wait until decisions are made before you engage • Just go to the ‘usual suspects’ • Ignore groups that are seldom heard • Wait for people to come to you • Exclude local interests in the decision making process • Choose only one method • Use jargon • Swamp people with paperwork • Struggle with engagement work on your own Do… • Ensure clear leadership • Identify purpose, aims & objectives • Identify the level of involvement that you require • Identify appropriate structure and resource to implement • Identify the groups that need to be represented • Identify how to make contact with those groups • Use combination of methods • Ensure you identify what (if any) skills people will need to participate

  17. Good Practice Examples • ‘A Dialogue of Equals’ www.dh.gov.uk • Suffolk Community Conversations Model www.suffolk.nhs.uk/home/getinvolved/communityconversations.aspx • DRE Community Development Worker programme www.mentalhealthequalities.org.uk • ‘Good practice in community engagement’ www.equalityhumanrights.com

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