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SRG 9 - Programme and Engagement Update

The ninth Stakeholder Reference Group (SRG) for the Moving Forward Together (MFT) Programme took place on Tuesday 19th of June 2018. The Group of 11 patient, service user and carer representatives (details at the end) heard a presentation and engaged in discussion about the status of the Programme and an update on engagement to date.

John Barber, Patient Experience and Public Involvement Manger and NHS Greater Glasgow and Clyde Engagement Lead for Programme, welcomed everyone and stated that today was an update for members on the current status of the Programme, the engagement undertaken on it to date and what the potential next steps were; including how the Group might continue to work alongside the Team if the Vision outlined in the Programme was approved by the Board for implementation.

He started the meeting by playing and asking for feedback on a core animation video about the Programme that was developed using feedback from the Group and explained that once finalised it will be used, subject to approval, to raise awareness of the Programme going forwards. The Group agreed that the animation was clear and easy to follow, the pacing was good and overall members thought it provided an excellent introductory overview of the Programme.

When asked what message they took from it Morag said that the for her it illustrated that health and social care services need to change and that some care will move from hospital settings closer to people’s homes. Aileen said that it sounds very positive and that people are working together to deliver improvements in health and social care; however did express caution that people might expect this e.g. new technology, but that this isn’t yet readily available.  

Margaret said that when viewed alongside the talking head videos people might wonder why we don’t just get on and do the things we are talking about. This led to discussion about how alongside any changes there will need to be education for the public and staff about new ways of working. Thomas said that he liked that it invited people to get involved and our ongoing commitment to engaging with people to transform services.

Barry Sillers, Head of Planning for Transformational Change, then provide an update on the status of the Programme. He explained that as the Group were aware the main aim was to develop a strategy that described new ways of working across health and social care for the whole population that could be taken forward over the next 5 to 10 years. In this regard the Core Team who was to deliver the Programme had succeeded and the Vision set out in the Strategy was to be presented to the Board of NHS Greater Glasgow and Clyde on June 26th.

He recapped that the Key Principles for the Programme and the processes described below:

 

He then went on to explain that overall the Vision was based on a system of health and social care that placed the person at the centre and wrapped services around them and described the following system in more detail:

 

Central to being able to deliver this is taking a whole system approach:

Barry explained that this would see services delivered by a network of integrated teams across primary, community and specialist and hospital based care. The majority of care will be delivered as close to home as possible but where care is highly specialised or complex this will be accessed via fewer dedicated centres. He said the main focus throughout the system is to anticipate needs and deliver the right care by the right person as locally as appropriate in order to support people to return to independent living at home whenever and as quickly as possible.

Barry stated that the next steps were for the Board to approve the Vision and for each Integration Joint Board to note it as the direction to travel for health and social care services across Greater Glasgow and Clyde. If approval was reached then they would all individually and more importantly collectively sponsor the work required to deliver the Vision. He thanked the Group for their input and said how valuable it had been to sense check the concepts with them and that their insights had helped shaped the Programme and hopefully they will be able to recognise this in the paper presented to the Board.

John Barber then described the engagement to date on the Programme and that this was just the start of a journey to connect with people about the Programme. He said that the materials and approach that had been developed via the group had been further tested in a series of public meetings organised by each Health and Social Care Partnership. Feedback from the wider public had aligned with that of the Group and people; did understand the rationale and drivers for change; that culture and expectation about how and when to use services was required; technology could be a way to help with this; and that people welcomed and wanted to be involved going forwards.

John also said that the approach, as advised by the Group, had focussed on digital media and the talking head videos developed with members and clinical staff had been a success in raising awareness with social media a way to reach tens of thousands of people. He then provided a brief overview of the staff engagement carried out to date and how their feedback mirrored or ran parallel to that of the wider public. He reiterated that this engagement across the public and staff was just for this phase of the Programme - the development of the Vision and stated that he hoped the Group had found the process of value and that they would continue to work alongside us if approval to proceed was given and how could we further shape engagement to meaningfully involve people.

Both Barry and John then answered any question and took part in the Group-led discussion. Ian said what the Strategy is proposing makes sense, but how do we now take it forward to deliver it. Anne said  that she could not fault the overall agenda and that she thought the Vision as described, wrapped around the person was superb; however both her and Betty thought that there was still a disconnect structurally between health and social care services and this would need to be addressed. The Group then discussed the opportunity to overcome this through health and social care integration, but that the resources will need to be made available to enable it.

The group agreed that having a template for how to improve services in a joined up way across the whole of health and social care gives people a common goal to work towards. Thomas stated that compared to the NHS in England we have something to aim for and that people are proud of the NHS and surely must be willing to work together to improve it. Anne said that a government led vision would be required and Anne Marie agreed as different localities and Health and Social Care Partnerships might interpret priorities differently. The Group discussed that we need to change culture and expectations and that we need to continue to engage with people and suggested community planning partners and schools as a good way of doing this.

They then discussed the need to support people through any changes we make -  Alison spoke about the example that some people might have to travel further for specialist services, but that this means much better outcomes. Anne-Marie said that to help people with centralisation need to think about how we provide appointments for those who are furthest away. They also discussed that the main changes would see more services move from hospital to be delivered in the community, but that we’d need to support people to understand new pathways. Anne said that the level of community services available will need to be standardised across the Board. Thomas said that providing most of what is needed closer surely must be better for people and also a better use of resources.

John closed the meeting by thanking everyone for their time, effort and assistance in developing the Strategy and their guidance on how we should communicate and engage on it. The Group said that they had welcomed being involved and looked forward to the next steps and being further involved in implementing the Vision set out in the strategy.

 

In Attendance

Presenting

Barry Sillers

NHSGGC

John Barber

NHSGGC - MFT Core Team – Engagement lead

 

Patient, Service User and Carer Representatives

Aileen Hills

 

Alison Stewart

 

Anne Marie Kennedy

 

Anne MacDougall

 

Barbara Barnes

 

Betty Graham

 

Ian Good

 

Alice Paul

 

Margaret Telfer

 

Morag Cullen

 

Thomas Cassidy

 

 

Others attending

Claire Primrose

NHSGGC – MFT Core Team – Admin Support