Community Participation Action Plan 2014€¦ · NSW Consumer & Community Engagement Framework. Improve the level & quality of community engagement in 2014. Two major forums - to

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Community Participation Action Plan 2014 Updated July 2014

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Introduction This document is a composite Action Plan for both the Peak Community & Consumer Participation Council (PCCPC) and the Community Participation Unit of the NSLHD. The Terms of Reference for the Peak Community & Consumer Participation Council state that ‘the PCCPC will promote, monitor and report to the Board on how NSLHD is increasing ‘consumer and carer involvement in

decision making’ by engaging with community stakeholders and adopting care planning and service delivery models that engage the patient as integral to the care team’s planning and delivery of care’. The main guiding documents and plans that inform community participation in Northern Sydney Local Health District are the NSLHD Strategic Plan 2012-2016 and the Clinical Services Plan 2012-2016; National Safety & Quality Health Service Standards - Standard 2 -

Partnering with Consumers, and the Clinical Excellence Commission’s Patient Based Care Challenge. The Action Plan is organised around Standard 2 - Partnering with Consumers to reinforce the adoption of the national standards. The PCCPC is also keen to ensure that the situation described in the Francis Report in relation to Mid-Staffordshire Health Trust should not occur in NSLHD. The PCCPC supports and advocates for initiatives, infrastructure and models of care that enable community, consumer and carer participation in care processes and health service governance eg. In Safe Hands, health literacy, Carer Support, Between the Flags and REACH (Recognise, Engage, Act, Call, Help is on its way).

June 2014

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The National Safety & Quality Health Service (NSQHS) Standard 2

The Northern Sydney Local Health District (NSLHD) will -

The Peak Community & Consumer Participation Council (PCCPC) and local Community Participation Committees (CPCs) will -

Progress Indicators Progress

1. GOVERNANCE 1.1 Establish, maintain and publicise governance structures to facilitate partnerships with the community, consumers and carers

Ensure community members, consumers and carers are involved in the governance of the LHD. Establish participatory partnerships with individuals and community groups that reflect the diverse range of backgrounds in the population served by the LHD. Include patient experiences & stories at the beginning of senior service meetings (CEC 1.1)

Spend more than 25% of the board’s meeting on quality (CEC 1.2)

Involve patients, families and carers in governance through committee membership, including quality and risk

Provide community advice to CE and LHD Board via established links and the Board members who are on the PCCPC. Improve our capacity to engage effectively with vulnerable and disadvantaged groups (see 9.1) Collaborate with other community participation groups to improve community engagement –

CALD Community Advisory Committee

Aboriginal Advisory Committee

Health Consumers NSW

Medicare Locals Align PCCPC activity with directions identified in the NSLHD Strategic Plan

Maintain PCCPC; Maintain CPCs & Consumer Participation Network (CPN); Active Community representation on Board; Regular reporting between Board & PCCPC; Share minutes – Mental Health CPNs, CALD Community Advisory Committee (CCAC) Local CPCs Audit of Consumers on Committees; TORs reflect this engagement Action plan in alignment with Strategic Plan

Recruitment is ongoing. In the first 6 months all CPCs & PCCPC have required recruitment Patient & carer stories

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(CEC 3.1)

Promote and maintain community membership on committees. Publicise structures and processes for participation Report on engagement activities on the NSLHD website. Develop and promote an organisational mission statement that embodies patient based care values (CEC 2.1 ) Facilities are to display the Charter for Health Participation in public areas. Maintain and update NSLHD website to encourage participation.

Provide advice on publicising and reporting on NSLHD engagement activities. Monitor progress of Action Plan (see 2.1) Provide advice on the display of the NSW Charter for Health Participation in all NS LHD facilities.

Regular review & monitoring Community Participation included in LHD plans; Progress included in Annual Report; Audit of Charter placement; Web site

Reflected in Strategic Plan, Featured in AGM Rights & Responsibilities brochure (based on Charter) is widely distributed. Working group developing a standard format for information about

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Explore opportunities and develop capacity for promoting community engagement through website and use of social media. Develop intranet site for staff support.

physical access on the web site.

2. POLICY & PLANNING 2.1 Implement policies, procedures and/or protocols for partnering with patients, carers and consumers in:

strategic and operational/ services planning

decision making about safety and quality initiatives

quality improvement activities – see 2.3 (NSQHS)

Engage consumers and carers in strategic and operational and facility planning by seeking feedback via consultations, forums, workshops, working parties, committees, and surveys. Establish a procedure for monitoring, reporting and publicising progress against items identified in the Risk & Opportunity Register. Establish formal processes to actively involve consumers and carers in decision making

Provide advice on Policy Development and Clinical Service Redesign. Ensure consumers and carers are actively involved in decision making about safety and quality. Participate in forums held by services within NSLHD –

Mental health

Carer support

Aboriginal Health

Disability Have a program of forums for

Forums held; Community representatives on safety related committees; Specific service plans prioritised for consultation eg Disability Action;

Mosman Forum Reps on HCQC, local Clinical governance, Disability Action Plan, Clinical Services Plan, review of Northern Beaches Hospital tenders

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capital works planning & facility construction

about safety, quality, and service planning and design. Involve consumers in strategic planning processes (CEC 1.5) Develop a NSLHD Community Engagement Framework to be completed post release of NSW Consumer & Community Engagement Framework. Improve the level & quality of community engagement in facility planning & design. Involve patients, families and carers in process co‐design, design of new facilities and staff interview panels (CEC 3.2)

2014. Two major forums - to inform the community about changes & to gather feedback. Monitor progress of PCCPC Action plan every second meeting; Monitor progress of Risk – Opportunity Register every other meeting – alternate these items Advise on the implementation of the Community Engagement Framework by NSLHD. Ensure consumers and carers are actively involved in decision making about new facilities. Identify best timing for consumer & community engagement.

Final PCCPC Work plan endorsed by the Board; Progress reports submitted; Community Engagement Framework complete

NSW Framework in final draft. Hornsby Mental Health Unit, Northern Beaches Hospital

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2.2 Maintain full

accreditation against all NSQHS Standards relating to community & consumer participation

2.3 Monitor risks identified in

the Francis Report to ensure this doesn’t occur in NSLHD

Support Health Services & Clinical Networks to achieve & maintain accreditation.

The Board will have regular discussions on the progress of the implementation of the Standards. PCCPC to advise Board & Executive on Standard 2 Review progress reports from projects promoting patient centred care PCCPC to advise Board & Executive on risks identified in Francis Report

Successful Self Assessment & periodic reviews against Standard 2 for PACH, Northern Beaches, Hornsby In Safe Hands REACH – (Recognise, Engage, Act, Call, Help is on its way) BtF – (Between the Flags)

Support provided across all reviews Monitored at District Operational Clinical Governance Committee (DOCGC)

3. TRAINING 3.1 Community & Consumers - Facilitate access to relevant orientation and training for consumers and/or carers partnering with the organisation (NSQHS)

Provide orientation and ongoing training for consumers and carers to enable them to fulfil their partnership role. Provide presentations to PCCPC and CPC regarding

Monitor and provide advice about the orientation and ongoing training for consumers and carers that is provided by NS LHD. Ensure state and national training opportunities are accessed by

Consumers and community members receive orientation to the committees they join; Site visits; Program of updates & presentations; Update orientation kit

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3.2 Staff - Implementing training for clinical leaders, senior management and the workforce on the value of, and ways to facilitate consumer engagement and how to create, sustain and develop partnerships. (NSQHS)

service issues. Meet mandatory training requirements as per relevant policies eg the NSW Volunteer Policy. Provide relevant training and resources designed for all staff levels on the value of consumer engagement, and ways to facilitate such consumer engagement (CEC 7.1) Increase the involvement of patients and carers in staff education, including sharing stories of good and poor experiences of care. (CEC 7.2) Clinical leaders, senior managers and the workforce access training on patient centred care and the engagement of individuals in

community members & staff Attend training programs as appropriate. Advise and participate in training staff on community engagement, patient centred care and the engagement of individuals in their care. PCCPC members and consumers will provide orientation talks as requested. Eg OTs, Health professional students, Team mtgs, JMOs Community members on appropriate committees

Mandated programs attended; Provide consultation and advice to staff who are engaging with community members; Provide current and relevant information on community participation; No. of courses that include consumers as presenters. Access to HETI & CEC training

Fire Training at April PCCPC Now have a consumer on the Education Sub-Committee Orientation of Medical Students Online training – webinars & modules are available.

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their care (CEC 1.4)

4. IMPROVING INFORMATION SHARING 4.1 Consulting community and consumers on patient information distributed by the organisation. (NSQHS)

Incorporate consumer and carer feedback into –

patient and community publications prepared by NS LHD,

signage,

website design

social media

Develop a procedure and range of methods to gather consumer feedback about proposed publications

Monitor the quality and effectiveness of systems in place to gather consumer feedback about proposed information material. Ensure that NSLHD is keeping up with community expectations on the use of communication technology and social media.

Policy developed Number of publications reviewed; Signage Web sites Social media REACH

Health Publications Committee developing procedures & guidelines. Physical Access Committee designing user friendly web pages. Pre-admission material for Surgery Network

5.REDESIGNING MODELS OF CARE 5.1 Partnering with community, consumers and carers to re-design how care is delivered to better meet patient needs and

Develop consultative partnerships for seeking advice and input from community and consumers to be included in the design

Promote mechanisms for consumers and carers to participate in the design and redesign of health services. eg: forums, workshops, working

In Safe Hands Between the Flags REACH

RNS Partnering with Patients Working Group set up to strengthen adoption of Standard 2

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preferences. (NSQHS)

of patient focussed health services. (see 2.1) Participate in the CEC’s Patient Based Care Challenge Implement an open visitation policy (CEC 3.3) Encourage staff to view patients, family and carers as care team members. (CEC 4.1) Implement processes to support patient / family activated escalation of care for deteriorating patients (CEC 4.2) Work with local Medicare Locals to develop their capacity to promote community & consumer engagement.

parties, etc. Support local Medicare Locals develop their capacity to promote community & consumer engagement.

In Safe Hands – rollout Joint activities

In Safe Hands – rollout at Mona Vale & RNSH REACH up take & expansion across the LHD Joint activities

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6. REPORTING & ANALYSING QUALITY & SAFETY 6.1 Inform community, consumers and carers about the NSLHD’s safety and quality performance in a format that can be understood and interpreted independently. (NSQHS)

Request PCCPC and CPC advice on methods for distributing information to community, consumers and carers regarding safety and quality performance. Provide Health Service performance data at each CPC meeting. Develop a consumer friendly method (dashboard) to share performance information about quality & safety with our community. (CEC 5.2) Support PCCPC and/or community member attendance at Safety and Quality Committees for input into the analysis and development of action plans.

Contribute to improving user friendliness and accessibility of the information for the community. Participate in relevant committees including Safety and Quality Committee. Support and monitor community involvement in planning and implementation of quality improvements.

Performance reporting to CPCs; Presentations to address issues emerging from discussion of performance. Audit range of involvement by PCCPC (& CPC) members in related committees eg quality & safety.

Planned

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6.2 Community, consumers and carers participate in the analysis of safety and quality performance information and data, and the development and implementation of action plans. (NSQHS) 6.3 Community, consumers and carers participating in the formulation and conduct of research priorities

Ensure consumers and carers are provided with opportunities to participate in the planning and implementation of service improvements. Use patient feedback from a range of sources (surveys, focus groups, anonymous shoppers) to gauge service quality and inform all staff (CEC 5.1) Involve community, consumers and carers in the planning and conduct of health research

Promote community involvement in how quality & safety are defined. Promote the adoption of community based definitions of quality & safety across the LHD. Contribute to the research program of NSLHD. Promote greater community participation

List Quality & safety committees that have consumers on them

Community members on committees

7. FEEDBACK ON PATIENT EXPERIENCE 7.1 Community, consumers and carers participate in the evaluation of patient feedback data and development of action plans.

Provide formal and structured opportunities for community, consumers and carers to participate in the evaluation of patient

Review patient feedback data and action plans as early as possible.

Patient experience reports presented to PCCPC & CPCs

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(NSQHS)

feedback data and development of action plans. Present the patient survey data to each CPC annually.

Support the implementation of MH-CoPES (Mental Health – Consumers Perceptions & Experiences of Services) framework.

8. INCLUDING VULNERABLE GROUPS 8.1 Prioritise the use of strategies to reduce social exclusion when engaging with the community.

Identify vulnerable groups. Monitor implementation of policies relating to the participation of such groups eg disability. Identify appropriate mechanisms to connect with vulnerable groups.

Provide advocacy for vulnerable groups. Provide advice to NS LHD on how to reach vulnerable groups and encourage their participation.

Youth Collaborate with Youth Health Service. Support Youth initiatives to engage with young people. Monitor quality & extent of youth consultation.

Aboriginal & Torres Strait Islander

Support Aboriginal Health in training suitable community members in committee and

Explicit plans & strategies in place for vulnerable groups

Youth

Aboriginal & Torres Strait Islander

People with Disabilities

CALD communities – recently arrived refugees & migrants

Carers

People with Mental Illness

Homeless people

Older people

Aboriginal & Torres Strait Islander – supporting health outpost People with Disabilities – active response to DAP. Carers – joint forum. Older people – Ageing Forums

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engagement processes (3.1)

People with Disabilities Monitor implementation of Disability Action Plan.

CALD communities Continue collaboration with CCAC

Carers Support NS LHD Carer Support initiatives

People with Mental Illness Support MH consumer engagement initiatives Support MH Forums MH PCCPC reps to identify further activities.

Homeless people Initiate program to develop PCCPC and LHD awareness of this issue.

Older people Ageing Issues Forum

Documents

Community Participation Action Plan 2014€¦ · NSW Consumer & Community Engagement Framework. Improve the level & quality of community engagement in 2014. Two major forums - to