Your voice where it matters most in NHS & care services Our draft strategy 2017 2020

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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
Your voice where it matters most in NHS & care services
  Our draft strategy 2017 - 2020

We’re listening to shape,
influence and improve services
in Suffolk

Published June 2017       Published March 2017
www.healthwatchsuffolk.co.uk
                     www.healthwatchsuffolk.co.uk
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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
Contents

     01      P3
             P3
                    Introduction
                         What is Healthwatch Suffolk?
              ...        Our responsibilities
             P4          What do we hope to achieve?
              ...        Our vision and values

     02      P6
             P6
                      Our governance
                         How are we governed?

     03
             P8       The team
             P8          Who delivers our services?
             P9          Staff structure

     04
             P10      Finance
             P10         How are we funded?

     05
             P11      Our core work
             P11         The national landscape
             P15        The Health and Wellbeing Board
              ...       Our stakeholder survey 2016

     06
             P18      Our priorities
             P18        Local Healthwatch priorities (National)
             P20         Our strategic priorities

     If you require this document in an alternative format please contact
              Healthwatch Suffolk on 01449 703949 or by email to
                        info@healthwatchsuffolk.co.uk.
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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
01                  Introduction

What is Healthwatch Suffolk?                  We aim to amplify the voice of patients,
                                              service users and the public, as an
We have been operating as a Community         independent consumer champion for
Interest Company and Social Enterprise        health and social care in Suffolk. Our 2015-
since April 2013. Local healthwatch           16 Annual Report captures much of what
provision was created in 2013 as part         we do and aim to achieve on behalf of
of widespread changes to the way in           and with the people of Suffolk.
which care is organised in England. The
obligations of a local healthwatch are set    We are responsible for gathering the
out in the Regulations subsequent to the      views of the people of Suffolk regarding
Health & Social Care Act 2012.                the health and social care they receive.

      Click to find out more...                            Watch a video
      Look out for these icons
      throughout this document. Click                      Web content
      them for more details about our
      work and how we can make a                           Document download
      difference.

We then bring such views to the attention     service, thereby giving advice to people
of commissioners and providers of health      looking for a health or social care
and social care and have statutory powers     service to meet their needs. We are also
to hold them to account.                      responsible for the requirements placed
                                              upon us by the 2012 Act and to exercise
Suffolk has three Clinical Commissioning      such powers as we have been granted
Groups (CCGs) with responsibility for         under that Act.
commissioning health services. The
responsibility for commissioning social       Our powers are that:
care lies with Suffolk County Council.
                                                •   We can ask providers for
What are our responsibilities?                      information which they must make
                                                    available to us.
We are responsible to Suffolk County            •   We can make recommendations to a
Council for realising the requirements of           local provider and they are required
the specification which they have agreed            to tell us within 20 days what action
with us. As a part of that agreement we are         they intend to take or why they
responsible for providing a signposting             intend not to take any action.

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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
•   We have the power to report on          Details of outcomes achieved to-date can
          health or social care matters to the    be found in our outcomes document
          local Health Overview and Scrutiny      2013-2016, an online document that we
          Committee. They are required to         will update roughly every 6 months (see
          have regard to any information we       additional content on page 5). Page 3
          have sent them.
                                                  What is our vision?              Page 6
      •   We have the power to Enter and
          View providers of publicly funded
                                                  Our vision, or purpose, is to:   Page 8
          health or social care services. Apart
          from where they concern social
                                                                                Page 18to
                                                  “Champion the views of local people
          care for people under 18 years of
          age (these are the responsibility of    achieve excellent health and social care
                                                  services in Suffolk”.         Page 20
          OFSTED).
      •   We can refer matters to the                                           Pagewe
                                                  In order to accomplish our vision, 24will:
          Care Quality Commission or to
          Healthwatch England if it is a matter     •   Aim to be representativePage
                                                                                  of the36
                                                                                         local
          that can best be dealt with on a              community we serve;
          national level.                                                         Page 48
                                                    •   Engage with health and social care
     What high level outcomes do we aspire              commissioners, service providers
                                                                                  Page 50
     to help bring about?                               and communities when changes
                                                        to service provision are planned or
      a. Health and social care services                public health issues addressed;
         shaped to meet people’s needs and          •   Engage and represent the
         are improved as a result of their              community we serve with
         experience.                                    particular emphasis on seldom
      b. Local people confident in the                  heard groups;
         validity and transparency of health        •   Commit to collaborate and
         and social care bodies’ decision               work in partnership with other
         making.                                        organisations to ensure maximum
      c. Suffolk citizens knowing about,                added value, and to avoid
         understanding and empowered                    duplicating each other’s work; and
         to access health and wellbeing             •   Actively listen to the public’s
         services that meet their needs.                concerns, highlight poor service
      d. Local people knowing of                        and what is working well.
         Healthwatch Suffolk and its role,
         trusting and respecting it as a          What are our values?
         credible local champion, making
         a difference to services and the         We Listen and we are Inclusive;
         health and wellbeing of the people       Transparent; Accessible; Accountable;
         of Suffolk.                              Responsive; and Proactive.
                                                  These are described in more detail
      e. Services readily accessible to           within Appendix C, Communications &
         Suffolk citizens, through wide           Engagement Strategy 2016-2019.
         ranging and appropriate avenues
         and opportunities that comply with
         all relevant disability and equality
         legislation.
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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
Additional content

             What is Healthwatch Suffolk?               Our outcomes document

             About us

             Our Annual Report 2015/16

We are always striving to find new ways to engage people and obtain views about
local services. This includes the launch of new social media platforms, the continued
development of our online Feedback Centre (rate and review) and expanding our
networks to reach local communities.

In 2016/17, we used these networks to talk to people about important issues and
ensured that local views are heard as part of ongoing work to make our local services
sustainable for the future.

Find out more...
www.healthwatchsuffolk.co.uk

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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
02                       Our governance

     How are we governed?                           We also support two sub-groups, which
                                                    report to our Board of Directors. These
     Healthwatch Suffolk is a social enterprise     are:
     operating as a Community Interest
     Company and as such is governed by a             •   Mental Health Focus Group; and
     Board of Directors. The Board oversees           •   Black and Minority Ethnic (BME)
     the strategic and operational activities             and Diversity Focus Group
     of the Company, including the delivery
     of the requirements of Suffolk County          Our BME and Diversity sub-group is one
     Council’s service specification. The Board     of the most productive means through
     is also responsible to the membership          which we are able to engage diverse
     of Healthwatch Suffolk and is led by the       communities in Suffolk. It is a forum
     Chair of Healthwatch Suffolk, who is also      for sharing information, networking,
     our representative on the Suffolk Health       and gathering feedback from different
     & Wellbeing Board. Board documents are         communities about local health and care
     available online.                              services.
     We conducted a Director recruitment            A range of voluntary organisations are
     campaign between August and                    members as well as statutory partners
     November 2016, having consulted both           including acute hospitals, clinical
     staff and members as part of the process.      commissioning groups and the mental
                                                    health trust. The Group has taken the
     Our third Annual General Meeting               time to review its Terms of Reference,
     (AGM) took place on October 27th 2016.         aims and purpose in 2016. The revised
     Healthwatch Suffolk AGMs are intended          Terms will shape its work for the next
     to ensure that a proper representation of      couple of years.
     our activities is provided to Members. We
     currently have two levels of membership        Our Mental Health Focus Group
     (Friends and Members). Only Members            continues to attract a good mix of senior
     have voting rights within the organisation.    health and social care professionals,
     As of January 2017 we will be looking to       people who use mental health services,
     invite our Friends to become Members,          carers and support organisations. It
     prior to closing the Friends classification.   facilitates a dialogue between mental
                                                    health professionals and service users/
     Streamlining our governance structure in       carers as a means to bring about change
     2015/16 saw our Board take the decision        in the way mental health services are
     to close what was the Operational              provided. This Group has also reviewed
     Delivery Group. The Group had been             its Terms of Reference and agreed
     essential at the time that Healthwatch         priorities for 2016-17.
     Suffolk was being formed and had
     fulfilled its role.
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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
We bring people together to shape and improve local health
                      and social care services.

Additional content

      Videos filmed at our last AGM          About membership

      Meet the Board

      A summary of our last AGM

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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
03                       The team

                                                     Operations Manager
                                                      (Amanda Stevens)
                                                                                Fina
                                                                                 (Yvo
     Who delivers our services?

     We have a Team of dedicated and
     talented individuals who are all
     passionate about the work and aims of a     Business Development Officer
     local Healthwatch.                                  (Simon King)

     The Team of roughly 11 FTE (full time
     equivalent) staff are also supported by
     about 80 committed and knowledgeable
     volunteers and together offer broad and            Administrator
     accessible services; the quality of which          (Kevin Marsh)
     is enhanced because of our approach
     to collaborate and work in partnership
     whenever possible.

     For details on what our Team and
     volunteers do please see our 2016-17
     Annual Report. Our Communication &
     Engagement Strategy details what our
     Team does. The latter is available on
     request. As a reference, the chart right
     identifies the Staff Structure as of July
     2016.

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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
Chief Executive
               (Andy Yacoub)

ance Officer                        Information Services                Senior Community
 onne Hall)                               Manager                      Development Officer
                                       (Michael Ogden)                      (Gill Jones)

                                 Research and Development         Community Development
                                           Officer                         Officer
                                        (Sarah Jull)                 (Elizabeth Storer)

                                 Research and Development         Community Development
                                           Officer                       Officer
                                       (Tom Delaney)                 (Kerry Overton)

                                                                   Community Development
                                 Information Services Officer
                                                                         Officer
                                        (Jenny Ward)
                                                                      (Dan Pennock)

                                                        Mentor

                                        Apprentice

                  Additional content

                          Our Annual Report 2015/16

                          Our Communications and engagement strategy

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Your voice where it matters most in NHS & care services Our draft strategy 2017 2020
04                       Finance

      Health and Social Care Act 2012, Section   In addition to the funds agreed with
      182 placed a duty on local authorities     Suffolk County Council, Healthwatch
      such as Suffolk County Council to make     Suffolk will also endeavour to earn
      contractual arrangements with a Local      income which will be reinvested
      Healthwatch for the involvement of local   into local healthwatch projects and
      people in the commissioning, monitoring,   work programmes. We are therefore
      provision and scrutiny of health and       introducing a Business Development Plan
      social care services.                      and have in 2016 already begun to create
                                                 and benefit from new income streams.
      Suffolk County Council is also duty
      bound to ensure that adequate
      resources are provided to Healthwatch
      Suffolk, following Department of
      Health guidelines and other key local
      decision makers (e.g. the Health and
      Wellbeing Board). Healthwatch Suffolk
      demonstrates delivery of services
      using the principles of value for money;
      those being economy, efficiency and
      effectiveness.

                     We were established by an act of
                     Parliament in 2012, which means a
                     Local Healthwatch must be funded by
                     law in every area of England.

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05                        Our core work

Our primary role is to gather experiences    2. Health & Social Care Information and
and views and build an evidence base            Access: We will continue to provide
that we can use to help inform health and       advice and information about access
social care service improvement. Prior to       to local health and care services so
Healthwatch Suffolk CIC’s incorporation         choices can be made about how,
and following wide consultation, Suffolk        where and when those services are
County Council developed and agreed             accessed. Key themes are;
with us strategic outcomes (see page 3) to
support the achievement of our vision.             •   Signposting & Information
                                                       services in general and on the
Nine strategic objectives were identified;             Care Act specifically
our core work. We have a detailed                  •   Raising awareness of local
Communications & Engagement                            healthwatch
Strategy 2016-2019 (Appendix C) that
describes how it is we deliver this core           •   Suffolk Information Standard
work. We also believe that it is important
to communicate the difference we             3. Research & Analysis: Provides
make and we do this partly through our          direction for our activity and will
Key outcomes of our work 2013-2016              continue to use national and local
publication (Appendix D), a document we         intelligence/data to inform activity.
update roughly once every 6 months.             Key themes are;

The nine strategic objectives are:                 •   Research projects which meet
                                                       our priorities
1.   Community Engagement: We will                 •   Commissioned projects
     continue to develop individual and
     community relationships, promoting      4. Stakeholder Relationship
     and supporting the involvement             Management: Ensures the voice of
     of local people and listening to           local people is heard and that their
     individual stories. Key themes are;        views influence service provision. Key
                                                themes are;
       •   Children & Young People
       •   BME Communities County wide             •   Enter & View
       •   Enter & View                            •   20 day response requests
       •   Vulnerable Groups – including           •   Escalation
           homeless, looked after children         •   Partnership strategy e.g. private
           & veterans                                  sector & Congress/voluntary &
                                                       community sector
                                                   •   Commissioner relations and
                                                       influence

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•   Full membership engagement          9. Financial Management & Revenue
                                                      Generation: Key themes are;
      5. Statutory Power & Influence: Key
         themes are;                                     •   Prudent management of our
                                                             finances
           •   Healthwatch England                       •   Continuing to seek
           •   Suffolk Health & Wellbeing                    commissioned work
               Board                                     •   Investigate both grant funding
           •   Care Quality Commission                       and contract work
           •   Health Scrutiny & Overview
               Committee                           How are we and our local health and
                                                   care system influenced by the national
      6. Marketing & Promotion of                  and local landscape?
         Healthwatch Suffolk: Key themes are;
                                                   Both NHS and social care budgets are
           •   Communication & Engagement          under pressure nationally. Demand for
               Strategy                            such services continues to increase at a
                                                   rate that outstrips investment into them,
           •   Enhancing the Healthwatch           much of which is due to the combination
               Suffolk “Brand”                     of an ageing population whose life
           •   Raising our profile locally, with   expectancy is rising sharply, and
               commissioners/providers, the        advancements in medical care leading
               public and with Healthwatch         to a wider range of medical interventions
               England                             being available. NHS England issued its
                                                   Five Year Forward View in order to try
      7. People & Volunteer Management: Key        and address this situation.
         themes are;
                                                   This national Forward View will, in
           •   The provision of training           essence, aim to do the following:
               necessary for their roles
                                                     •   Bring about a radical upgrade in
           •   Role descriptions as required
                                                         prevention and public health;
           •   Support and guidance
                                                     •   When people need health services,
                                                         patients will gain far greater control
      8. Systems & Information Management:
                                                         of their own care;
         Key themes are;
                                                     •   The NHS will take steps to break
           •   Continued development of our              down the barriers in how care is
               signposting role                          provided between family doctors
                                                         and hospitals, between physical and
           •   Updating our Feedback centre
                                                         mental health and between health
           •   Source hardware suitable to our           and social care;
               needs
                                                     •   Local health communities will be
           •   Obtain software to meet our               supported by the NHS’ national
               growing ambitions e.g. advanced           leadership to choose from amongst
               statistical software and Adobe            a small number of new care delivery
               In-design                                 options;

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•   Across the NHS, urgent and             more awareness of their increasing
      emergency care services will be        emotional wellbeing and mental health
      redesigned to better integrate         needs, while cardiovascular and stroke
      between A&E departments, GP            remain the major causes of premature
      out-of-hours services, urgent care     death. The Clinical Commissioning
      centres, NHS 111, and ambulance        Groups monitor health statistics and also
      services.                              the performance of the system, such as
                                             Delayed Transfers of care from hospitals.
These priorities are now being rolled out
across the NHS through the Sustainability    National and local expectations of a local
and Transformation Plans (STPs).             healthwatch are therefore extremely
Healthwatch Suffolk is concerned with        wide ranging, with virtually every aspect
two of the 44 STPs:                          of publicly or part publicly funded health
                                             and social care in scope. In our formative
  •   North East Essex, West & East          years as Healthwatch Suffolk we have
      Suffolk, locally named “Local Plan     attempted to address most of the issues
      for Health & Care”; and                and concerns that have either been
  •   Norfolk & Waveney, locally named       raised with us, by service users/patients/
      “In Good Health”.                      carers/professionals, or by us through
                                             our own fact finding and analysis. Such
Healthwatch Suffolk is mindful of the        an approach was deemed important at a
strategic importance of these Plans,         time when we were a new organisation;
which rightly involve other sectors          this coincided with our efforts to establish
such as social care and housing, and is      ourselves as an independent watchdog
therefore prioritising every opportunity     and in marketing/publicising the services
to be engaged in the process of              we provide.
developing them. We are doing so from
the perspective of an independent            In preparation for the introduction of a
voice, amongst what are otherwise            three year strategy we have taken several
commissioners and the larger providers       steps in order to be as well informed as
of health and care services. We are          possible, before setting out the objectives,
working alongside and in collaboration       priorities and the outcomes we aspire to
with Healthwatch Essex and Healthwatch       achieve.
Norfolk.
                                             Information considered will be sourced
There is extensive information about         from the following:
the health and the health needs of local
people that is already known through           1.   Statutory requirements of a Local
for example the Joint Strategic Needs               Healthwatch (Care Act 2012);
Assessment (JSNA) and other sources            2. Suffolk County Council service
of published intelligence and data. The           specifications attributed to
growing numbers of older people locally           Healthwatch Suffolk;
and nationally mean the numbers                3. Healthwatch Suffolk Annual Report
of people living with long term and               2015-16;
increasingly complex conditions is rising.
There are also rises in the numbers of         4. Suffolk Health & Wellbeing Strategy
young people with learning difficulties,          2016-19 refresh;

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5. Healthwatch Suffolk                          combined skills and competencies;
         Communication and Engagement           10. Healthwatch Suffolk Stakeholder
         Strategy;                                  Insight Survey 2016, incorporating
      6. National Healthwatch trends and            the views of both non-professional
         themes that are relevant to Suffolk;       and professional stakeholders;
      7. Sustainability & Transformation        11. Healthwatch Suffolk Annual
         Plans;                                     [financial] Accounts 2015-16 and
      8. Outcomes of Healthwatch                    forecasts for 2016-17. Suffolk County
         Suffolk’s use of business analysis         Council has to-date set the funding
         and self-reflection tools, namely          of its Local Healthwatch on a year-
         a SWOT (Strengths Weaknesses               to-year basis; and
         Opportunities Threats) and             12. Healthwatch Suffolk Risk Register
         PESTLE (Political Economic                 2016.
         Sociological Technological Legal
         Environmental);
      9. A recognition of developments and
         continued investment in the Team’s

          Additional content

                 The Suffolk and North East Essex STP

                 In Good Health: Norfolk and Waveney STP

                 The Suffolk Information Standard

                 Suffolk Information Standard video

                 Healthwatch England

                 Our Feedback Centre

                 Our Annual Report 2015/16

P14
What principle outcomes are being sought by Suffolk’s Health & Wellbeing Board?

All four outcomes are relevant to the work of a local healthwatch, as are the cross-
cutting themes of stronger/resilient communities, embedding prevention, addressing
inequalities, and health and care integration. The graphic below has been exported
from the Suffolk Health & Wellbeing Strategy 2016-19

What did our stakeholder Insight Survey      bodies involved in health and care. Most
2016 tell us?                                importantly, we wish to do all we can to
                                             deliver on our commitments, and the
We are by our very nature a listening        consumer value they offer, for the people
organisation. We therefore continuously      of Suffolk.
invite stakeholders, both organisations
and members of the public alike, to          It is a challenging time for the health and
offer views, observations, experiences,      social care, and for those who rely on
comments, compliments and complaints         us, but by working together towards a
to help us to use our variety of resources   shared future we see an opportunity for
efficiently.                                 Healthwatch Suffolk to promote the voice
                                             of the public and improve health and
The Stakeholder Insight Survey is about      social care services for all. Our survey
looking to the future i.e. to ensure that    reflected the following:
we are evolving in line with the views
of the public and other stakeholders. By       •   Almost three-quarters of
stakeholders we include patients, service          respondents agreed or strongly
users and carers, alongside health and             agreed that the work of Healthwatch
care professionals within commissioning            Suffolk is based on the views and
and provision organisations, and of                experiences of local people.
course voluntary & community sector
                                                                                           P15
•   Over two-thirds of health and            • Almost 9 in 10 respondents agreed
          social care professionals agreed or         or strongly agreed that Healthwatch
          strongly agreed that Healthwatch            Suffolk makes it clear that people
          Suffolk builds collaborative                can be involved in several ways.
          relationships with key local decision
          makers.                                Our stakeholder survey plans will be
      •   Three-quarters of respondents          expanded from 2017, incorporating
          agreed or strongly agreed that         further Healthwatch Suffolk member
          Healthwatch Suffolk challenges key engagement, and use of an increasingly
          health and care decision makers, if    beneficial relationship with voluntary
          they are not listening to local people and community sector organisations.
          or if care isn’t working the way it    We will naturally continue to use every
          should.                                media opportunity to raise awareness of
                                                 our work.
      •   6 in 10 of respondents agreed or
          strongly agreed that Healthwatch
          Suffolk has a clear approach to
          reaching all communities and
          involving them in its work.

          Additional content

                 Healthy Suffolk (Health and Wellbeing Board Information)

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This page is intentionally blank

If you require this document in an alternative format please contact
         Healthwatch Suffolk on 01449 703949 or by email to
                   info@healthwatchsuffolk.co.uk.

                                                                       P17
06                        Our priorities

      Why do we need strategic priorities?          one for the second year running whilst
                                                    social care rises up the list, with particular
      April 1st 2017 will be our 4th anniversary.   focus on care in people’s homes.
      We are now an established and reputable
      independent health and social care            The full list of top five priorities nationally
      watchdog, with an ever-growing portfolio      are as follows (expressed by the number
      of positive outcomes (see Appendix D).        of local healthwatch that have raised each
      Our core work is still wide ranging but we    theme):
      now need to prioritise our efforts and the
      prudent use of our limited resources.           1.     Mental Health - including mental
                                                             health services for children and
      What are the views of patients, service                young people (101 local healthwatch)
      users and carers, as represented by local       2. Social care – including care homes
      healthwatch nationally?                            and services provided in peoples’
                                                         homes (78 local healthwatch)
      Analysis by Healthwatch England in
      December 2016, this being an annual             3. Primary care – including GP services
      survey involving all local healthwatch,            (51 local healthwatch)
      identified the key issues the public            4. Children and young people’s
      want to see policy makers and health               experiences of health and social
      professionals focus on over the next 12            care (42 local healthwatch)
      months. Mental health remains at number

                               This section is all about
                               our priorities. Please read
                               it and let us know if you
                               agree with our choices...
P18
5. The experiences of seldom heard            of concerns heard by local Healthwatch
      groups, including black & minority         include people not knowing which
      ethnic (BME) communities                   carer would visit them or at what time,
      communities (23 local healthwatch)         leaving them feeling vulnerable, and care
                                                 workers feeling rushed and without the
Access to, and the quality of, mental            right information, which meant they had
health services topped the list last year        insufficient knowledge of service user
and retains the top spot, with two thirds        needs.
of the Healthwatch network reporting
that their communities want it to be a           According to Healthwatch England,
core focus for improvement. Rising to            “Spending time in the community
second on 2017’s priority list is social care,   visiting users of these services, as well as
with almost half of local Healthwatch            working with carers, local Healthwatch
picking up on concerns, including                are uniquely placed to gather and share
questions around the quality of some             intelligence about people’s experiences
local care homes and issues concerning           and ensure concerns are addressed”.
access for some care home residents to
other health services, like NHS dentistry.       The fifth most common local
                                                 healthwatch priority (seldom heard
Digging deeper into the rise of social           groups such as black & minority ethnic
care, Healthwatch England found that             communities) is now a core area of work
concerns around care services delivered          at Healthwatch Suffolk, ostensibly led
in people’s homes, such as help with             via our BME & Diversity Focus Group.
washing, dressing and support to take            Marginalised and vulnerable people are
medication, contributed significantly            included within the scope of this Focus
with 1 in 5 local Healthwatch now citing         Group. The top four national priorities
domiciliary care as a priority, double the       are in fact all reflected in the Healthwatch
number who raised it last year. The sorts        Suffolk priorities we are proposing.

Are you onboard?

For them to be effective, our priorities must
be shaped by you. We need to know whether
the things we have chosen are the most important areas for you and your
community. Visit
www.surveymonkey.com/r/HWSStrategy or call 01449 703949

This survey will close on 30th April 2017.

After this, it is still possible to have your say on our work by becoming a member or
volunteer. Alternatively, you can leave feedback about local services. We will use it to
guide our activity and make choices about how we can improve local care.

Visit: www.healthwatchsuffolk.co.uk/services
                                                                                                P19
Our strategic priorities

      What are our proposed strategic               These priorities are to our mind all
      priorities?                                   interconnected to some degree and
                                                    would be reviewed on an annual basis.
      We have used our knowledge of national
      and local trends, data and research,
      alongside what people have been telling
      us over the past three years, in order to
      identify six proposed strategic priorities
      for the period 2017-20.

      Table A (see Appendix E) lists the sources
      of information that influence our choice
      of priorities; namely the strategies, legal
      requirements, plans, surveys, local
      intelligence, reports and the previously
      mentioned national priorities.

      Our ongoing commitment to the
      aforementioned Sustainability and
      Transformation Plan processs, as the local
      independent health and care advisor, will
      be informed by our core work and that
      concerning our strategic priorities.

                        Mental health and wellbeing:
                         In identifying mental health and emotional wellbeing as a
                        Suffolk priority, we have, in addition to the Healthwatch England
                        survey, taken into account two other key reasons. Parity of
                        esteem is a critical national issue that clearly impacts on the
                        local workforce, volunteers and in particular the experiences
                        of service users, patients and carers. We are also mindful of
                        the fact that the mental health trust delivering services in
                        Suffolk is rated as requiring improvement by CQC. Healthwatch
                        Suffolk continues to press for a co-production approach to the
                        development, monitoring, implementation and reviewing of the
                        mental health strategy, along the lines of learning disability co-
                        production in Suffolk.

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Children and young people:
In identifying services related to children and young
people with a particular interest in emotional wellbeing (e.g.
EWB2020), we have, in addition to the Healthwatch England
survey, taken into account two other key reasons. The voice
of children and young people is seldom heard in consistent
and in large numbers, whilst the shortcomings of Suffolk
services such as those relating to Special Educational Needs
have also recently been highlighted by a joint Ofsted and CQC
report.

Primary care:
Primary Care is the first point of contact for health care
for most people. It is mainly provided by GPs (general
practitioners) who handle 90% of NHS patient contact. Other
primary care services include community pharmacists,
opticians, dentists, midwives, health visitors and a variety of
allied health professionals such as physiotherapists.

Changes to GP services are becoming the norm because of
increased demand, recruitment challenges and financial
pressures. For these reasons alone, and in recognition of the
national outlook, primary care is considered a priority by us.

            Social care (care homes/domiciliary care)
            Social care is the second most prevalent priority for the network.
            We use our power of Enter of View to address some home
            care matters, whilst also recognising good practice when it is
            brought to our notice. We do however struggle to reach service
            users of home based care, and we are also aware of the impact
            of diminishing resources that for example lead to delayed or
            unqualified assessments of service users. This is a challenge
            that is faced by almost every local Healthwatch and is therefore
            considered a priority for us until we discover more about the
            experiences of these vulnerable and often isolated service users.

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Co-Production
                       Co-production was first conceptualised by an academic team
                       at Indiana University in the 1970s and described the lack of
                       recognition of service users in service delivery. In the UK during
                       the 1980s, the then director of health policy at the King’s Fund,
                       introduced the concept of co-production as a way to understand
                       the relationship between clinicians and patients in health
                       services. At Healthwatch Suffolk we believe that Co-Production
                       (or Co-Design) should at times be considered as the best option
                       for engaging and consulting service users, patients and carers.
                       It does however require a significant cultural shift on the part
                       of commissioners and the agencies they represent, alongside a
                       commitment to and from the service users, patients and carers
                       involved.

                       Suffolk’s Learning Disability Strategy and Implementation Plan
                       remains the most prominent and true current co-production
                       example, where change is sought, maintained, monitored and
                       reviewed from a collective standpoint and from the earliest
                       possible stage. The term co-production is also too often used to
                       describe approaches that are actually about consultation and
                       engagement, which are in themselves sound ways of gaging the
                       views of the public. These are the reasons why Healthwatch
                       Suffolk has prioritised work on the subject of co-production.

      What was the consultation process for         A three year implementation plan that
      our Strategy?                                 will deliver against our core work and that
                                                    of our priorities will be published later in
      We consulted our stakeholders over the        2017.
      period February to April 2017. In doing so,
      we fine-tuned our commitments to the
      population of Suffolk for the period 2017-
      20.

      The key amendment made concerned
      our proposed strategic priorities was that
      our original six priorities were reduced
      to five, because we were advised that
      Sustainability and Transformation
      Plans actually cover a wide range of
      subject matters, already addressed by
      our commitments to core work and the
      remaining five priorities.

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Find out more...
www.healthwatchsuffolk.co.uk

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Appendix A:
      SWOT Analysis of Healthwatch Suffolk (revised December 2016)

                      Strengths                              Weaknesses

         •   Backed by Health and Social           •   Over reliance on a single
             Care Act 2012                             source of funding
         •   Cross party support both              •   The sheer size of the health
             Nationally and Locally                    and social care brings
         •   Increased statutory functions             challenges to prioritisation
             over LINk                             •   Growing number of calls to
         •   Reasonable level of funding               signposting with ever more
         •   Increasingly well integrated              complex cases
             with local health and social care     •   Need for more Directors and
             organisations                             greater diversity
         •   Able to refer to the Care Quality
             Commission and Healthwatch
             England
         •   Public accountability
         •   Communications team now
             reach over 130,000 households
             of Suffolk
         •   Credible research and reporting

                    Opportunities                              Threats

         •   Potential for increasing income       •   Political change as a result of
             generation                                elections to Government –
         •   Need to engage with other local           this could lead to changes in
             healthwatch to share learning             legislation and funding
         •   Greater partnership/                  •   Greater call on signposting as
             collaboration with other                  a result of the Care Act, and
             agencies e.g. Voluntary &                 service integration
             Community Sector                      •   Many of the public not clear
         •   Partnerships/collaboration with           about our role and call on
             statutory stakeholders                    us for health care not just
         •   Increasing involvement in                 signposting
             contracting and selection
             activities with partners
         •   Potential engagement with MPs
             and Councillors
         •   Improving credibility with the
             public and stakeholders

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4.
Appendix B:
PESTLE analysis of Healthwatch Suffolk (completed January 2016)

         Factor                                 Key influences                                      Team
                                                                                                    rating
Political          Suffolk County Council (SCC) i.e. commissioning changes,                     22
                   relationship and finance
                   Health & Wellbeing Board                                                     9

                   National policy influencing Healthwatch England                              9

Economic           Diversification i.e. due to more expected of Healthwatch for less            20

                   Working smarter because of potential cuts in public expenditure              20

Social             Reliance on health & social care integration (neighbourhood teams 15
                   and networks)
                   Challenging providers and commissioners                                      14

                   Ensuring Healthwatch services are accessible to all communities              10

Technological      Information sharing between organisations                                    24

                   Data security sharing/confidentiality                                        9

                   Intellectual property                                                        7

                   Application of technology to Healthwatch processes                           7

Legal              Implications of Care Act on signposting, engagement and SCC com- 21
                   missioning priorities
                   Growing integration of health & social care e.g. Suffolk Connect and         9
                   funding to follow service users
                   Gaining research approval via partnerships with hospitals, SCC and 8
                   academic establishments
Environmental      Rurality of Suffolk i.e. isolation, lack of service reach, transport, cost   19
                   of travel, fuel poverty & employment
                   Office environment i.e. facilities, lighting and policies/procedures         18

                   Working from home i.e. benefits, drawbacks and cost                          14

                                                                                                             P25
Appendix C

      We have presented how our choice of priorities is influenced in a simple matrix table
      (see overleaf). This matrix does not include an exhaustive list of strategic influences
      and so we naturally also pay a great deal of attention to ‘live’ sources of information
      emanating from our own diverse list of Members, service user and carer forums, the
      Care Quality Commission, nearby local healthwatch colleagues, health and care com-
      missioners and local providers.

      Table A; Rationale behind proposed strategic priorities; presented as a matrix

          Strategic influence        Mental          Children      Primary      Social care          Co-
                                    health and      and young        care                         production
                                    emotional         people
                                    wellbeing
      Care act                          x                x             x             x
      Service specs                     x                x             x             x                x
      HWS annual report                 x                x             x             x                x
      Suffolk H&WB strategy             x                x             x             x
      HWS C&E strategy                  x                x             x             x                x
      National LHW priorities ‘16       x                x             x             x
      STPs                              x                x             x             x
      HWS Team skillset                 x                x             x             x                x
      HWS survey 2016                   x                x             x             x                x
      HWS finances
      HWS risk register                          Limits what HWS can take on, deliver & achieve

      Index: HWS (Healthwatch Suffolk); H&WB (Health & Wellbeing Board); LHW (local
      healthwatch); CDO (Community Development Officers)

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Getting in touch

The Healthwatch Suffolk office is locted in Claydon (Mid Suffolk). You can contact us
8.30am until 5pm (Monday to Friday). Emails, letters and voice messages will be
responded to as soon as possible (generally within 24 to 48 hours).

Address              Freepost RTTY-CEUT-LCRH
                     Healthwatch Suffolk
                     Unit 14, Hill View Business Park
                     Old Ipswich Road
                     Claydon
                     Ipswich
                     IP6 0AJ
Telephone            01449 703949 / 08004488234 (Freephone for Signposting Ser-
                     vice)
Email                info@healthwatchsuffolk.co.uk
Website              www.healthwatchsuffolk.co.uk
Twitter              @HWSuffolk
Facebook             www.facebook.com/HealthwatchSuffolk

To share views on our priorities...

Visit www.surveymonkey.com/r/HWSStrategy or call 01449 703949

This survey will close on 30th April 2017. After this, it is still possible to have your
say on our work by becoming a member or volunteer. Alternatively, you can leave
feedback about local services. We will use it to guide our activity and make choices
about how we can improve local care.

Visit: www.healthwatchsuffolk.co.uk/services

                                                                                           P27
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