World Class Commissioning How was it for us?

Julia Holding – Learning from the WCC Assurance process, a regional viewEsther Peapell – Getting ready for WCC, and the use of the E-Cycle.

The Role of the Strategic Health Authority

• Co-ordination of the assurance process • Support for PCTs to prepare• Sharing of information and best practice • Production and publication of reports • Lead regional development

Key Findings

Scores for competency 3 Category 1’s 2’s

3a (Influence on local health opinions and aspirations)

5 12

3b (Patient and public engagement)

4 12

3c (Improvement of patient experience)

13 4

Most PCTs have some good practice around….

• Influencing health opinion and aspiration by communicating with local populations, shaping health opinion, and promoting health and well being.

• Patient and Public Involvement by demonstrating effective engagement with patients, the public and other stakeholders, dissemination of information and some agreement from within the local population that the PCT takes notice of feedback

Generally PCTs faired less well in….

• Demonstrating improvements in the experience of patients

Key themes emerging from a review of the reports

• Engagement – Organisations which are open to using a variety of views from a variety of sources to influence their decision making and culture (not just about competency 3)

• Synergy between Communications and engagement teams

• Social marketing capacity and capability • Systems – Challenges around how PCTs collect,

analyse, theme and use data (including Patient and public views)

Processing

Information in

Information outto inform

Process - on going

Responding to requests for support

• Collection and dissemination of areas of highlighted best practice

• Thinking about how engagement and communications influences overall performance of an organisation

• Learning opportunities - Master classes, communities of learning practice

• Support for individual PCTs

Approach to development

Principle of subsidiarity (devolving responsibility for development to the source of the problem)

• Work within individual PCTs • Collaboration between PCTs • Regional learning and development

opportunities • National initiatives (role of the NHS Institute

and the Department of Health )

Compare the Meerkat….

Always on the look out so they know and understand their community

Systematic and collaborative working, and great communication

Local testing of the e-cycle – NHS Coventry

• Responsible population of around 320,000 people.

• Budget 2009/10 of £500 Million.

• Coventry is a relatively deprived city overall, ranking in the bottom 15% of English local authorities.

• A significantly greater proportion of the population were born outside the EU than the average for England.

• Variations between electoral wards:- fifteen fold variation in infant mortality

Local testing of the e-cycle – NHS Coventry

- three fold variation in Circulatory and Coronary Heart Disease

- two fold variation in death rates from cancer

- mean age of death is from 63.7 to 72.2 years for men, i.e. a gap of 13.5 years and 72.2 to 82.2 years for women, i.e. a gap of 10 years

- Over 100 languages used in some primary schools

What is the e-cycle?

• Provided a framework showing the links between PPE and commissioning.

• Clearly identified the PPE opportunities at each stage of commissioning.

• Allowed us to better understand how patient experience and feedback could feed into commissioning intentions.• Shared acknowledgement of the importance of PPI across the organisation and stakeholders including the public, patients and carers.

How using the e-cycle helped us in this work

What difference has it made?

• Evaluated our community engagement and public and patient involvement activities.

• Launched a new branded “Healthcare in Coventry – Join the conversation”. Over 1,500 people have had their say in more innovative ways.

• A free text message service to give patients, carers and local people the opportunity to share their views and experiences.

What difference it has made

• Adverts on buses and taxies across the city.

• A new branded website plus page on Face book.

• Monthly public drop in “Coffee and Conversation” events.

• This has meant that more people have been able to give their views and get involved in our work

which is resulting in a much broader