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 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 P1
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. P2
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. P3
• 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. P4
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 P5
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. P6
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 P7
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. P8
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 P9
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. P10
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 P11
• 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; P12
• 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; P13
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) P16
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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. P20
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. P21
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. P22
Find out more... www.healthwatchsuffolk.co.uk P23
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 P24
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) P26
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
This document is available to download Healthwatch Suffolk uses the from the Healthwatch Suffolk website. It Healthwatch Trademark (which covers has been made available to the bodies the logo and Healthwatch brand) when responsible for arranging and delivering undertaking work on our statutory diabetic care services and anyone that activities as covered by the licence may be interested in our organisation. agreement. Report layout and infographics created by the Healthwatch Suffolk Information Team. For a free design quotation please contact 01449 703949. @HWSuffolk - Follow Healthwatch Suffolk If you require this document in an alternative format please contact Healthwatch Suffolk on 01449 703949 or by email to info@healthwatchsuffolk.co.uk. P28
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