All the new Commissioning Groups in the South West

I was asked by a local charity whether I had details of all of the new Clinical Commissioning Groups (CCGs) in the south west and which LINk and PCT related to which CCG. The CCGs are the groups that are taking over responsibility for health commissioning as part of the ‘NHS Reforms’. (See my post here for a nice simple explanation of the reforms.)

Well I rummaged through the piles of paper on my desk but I couldn’t find all the information in one place, so I’ve put it together in a spreadsheet for you:

LINks and CCGs in the south west

LINks and CCGs in the south west

It’s worth remembering that the LINk that covers any area will also be the same as the Local Authority (council) that covers the area. That’s useful because of course, the Local Authorities host the Health & Wellbeing Boards, which are another part of the new landscape.

CCGs (and PCTs) in the south west all mapped nicely:

This is a useful picture which is handy for the wall in the office. It shows all the PCT “Clusters” (i.e. the ‘merged’ PCTs which cover larger areas, which are merging to save on resources i.e. staff as everything is handed over the new CCGs) and how they relate (in terms of areas that they cover) to the new CCGs. It is Quite Interesting and if you work in this area, you should jolly well know all about it (click for a larger image):

CCGs and 'Cluster' PCTs in the south west

CCGs and ‘Cluster’ PCTs in the south west

The Devon Picture:

The situation in some areas is nice and simple. For example, in Somerset, we have one PCT (which has ‘clustered with itself’ – don’t ask), one local authority (i.e. council), one Clinical Commissioning Group and one LINk.  See how smug and sensible we are?

However, in other areas, such as Devon, you have a bit of a spaghetti of clustered PCTs and CCGs and LINks drunkenly sprawled all over each other with no apparent coherence or co-terminosity whatsoever.  Caroline at the Devon LINk sent me this handy PDF which explains the Devon situation in five maps, so if you are a Devon person, you might like to study these maps so that you can attempt to give yourself a migraine memorising the whole thing:

The new health landscape in Devon

The new health landscape in Devon

What to do with this data:

  • Print it out and stick it on the wall: It’s colourful and USEFUL. Hoorah.
  • Read it: This is all useful background information, to give you a flavour of how the new NHS landscape is shaping up in the south west.
  • Use the contact details: If you need to plan any work across the south west, these contact details should come in handy.
  • Tell me if I’m wrong or send me more information:Let me know if you have any useful maps of your area, or indeed if Devon is actually really simple and I’m just a bit dim.

P.S. Thanks to Mark Woodcock at the Strategic Health Authority for helping me find some of this data!

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A Clinical Commissioning Group Patient Engagement Strategy

I posted back in November about the rather fun work we were doing here in Somerset putting together a Patient Engagement Strategy for the new interim Clinical Commissioning Group (CCG).

The Somerset CCG had been chosen by the Department of Health to do some work on developing Patient Engagement.  They’ve had two Patient Enagement Managers – Tony and Sue – who have worked with the Head of Patient Experience at the PCT (Margaret Grizzell) and an officer from the local LINk (that’s me). We’ve looked at current engagement structures, had feedback from patients and people within the county (including running a ‘PPI Conference’) and produced a Strategy and an Action Plan for the CCG to carry forwards.

>> Somerset Patient and Public Engagement Strategy and Action Plan 2012 (the Action Plan is at the back of the document by the way)

Somerset CCG Patient Engagement Strategy & Action Plan

It's more substance than style, I must admit...

We’ve also started to produce a draft structure for representating the ‘patient voice’ in Somerset.

Draft structure for representating the 'patient voice' in Somerset

Draft structure for representating the 'patient voice' in Somerset

We already have Health Forums (Fora innit?) emerging in the 9 Somerset Federations, so the plan is to base a formal structure around these fora so that messages and views and general engagement-type communciation can escalate from the top to the bottom and vice-versa.

It’s all quite draft-y at the moment and we’re asking people for their views and suggestions for what might be efficient and effective – and inclusive of as many voices as possible.

I’ve really enjoyed helping with this project and I hope that it will lead to a good foundation for patient engagement in the new world of clinical commissioning!

What to do with this information:

  • Be inspired, of course! Lots of people will be working on this sort of thing at the moment, so this info is really here to give you some ideas of what’s been going on in Somerset in terms of early CCG engagement plans.
  • Get involved with your local CCG’s plans: This is obviously ideal work for LINks to get involved in. In order to be authorised (i.e. allowed to take over commissioning properly – a good summary of authorisation here from NHS Hampshire) CCGs will have to demonstrate that they are engaging patients and the public in commissioning decisions. So get involved locally now – whether at the planning stage, bouncing ideas about, or distributing info to your local groups and enthusiastic PPI people.
  • Tell me what you’ve been up to: Let me know if you’re working on similar stuff – I’d love to see how things are working (or not working) in other places!

LINk-HealthWatch Representative Role Descriptions

This is just the sort of thing that we occasionally need to trawl the web for, so I thought I’d upload these LINk Representative Role Descriptions that I’ve written. Hopefully they will be of use to you, if you are starting to draft these sorts of things for your own LINk Reps.

In the new NHS landscape there are two new boards where LINk or HealthWatch Representatives are likely to be required: the Health and Wellbeing Board and the Clinical Commissioning Group. (In Somerset we have two very lovely LINk Reps who have already plunged into the deep end with these roles: Eilleen Tipper on our CCG and Diane Jepson on our H&WBB.)

The question of how the jiggerty we actually make these public representative roles work is something that I think everyone is struggling to get their heads around, and seems to be the main bit of work that lots of HealthWatch Pathfinders are focusing on. I’m not sure about the answer to that one just yet… but in the meantime, here are the role descriptions (in Word format) that we’ve got as a starter for ten here in Somerset.

How to use this information:

Hopefully these will be of use for anyone who is starting to draft their own role descriptions. Please let me know what you think, and if you think it’s utter drivel and have some suggestions for improvement, please let me know!

 

 


Patient Engagement and Clinical Commissioning Groups: Where to start…

Here’s a good paper for CCGs…

This handy NHS Confederation discussion paper has been doing the rounds recently. I think it’s a nice paper summarising engagement suggestions for Clinical Commissioning Groups (CCGs). CCGs need to get their heads around this stuff because, as this paper reminds us:

CCGs will be expected to have put an approach to enagement in place in order to achieve authorisation by the NHS Commissioning Board.

If your LINk is working with your local CCG, this would be a good paper to hand around. This paper is nice and concise – even I can manage to read 7 pages without getting distracted…

It's good. Read it.

Useful info for CCGs

It doesn’t do exactly what it says on the tin, as it really focuses on Clinical Commissioning Groups, and doesn’t focus on the new commissioning system in its entirity (i.e. it doesn’t mention Health and Wellbeing Boards). But it’s a good discussion paper and gives an honest view about some of the problems and difficulties of engagement.

It includes a handy one-page summary of “Common techniques used in engagement work” which lists engagement techniques, their advantages and disadvantages, and when they might be used.

LINks – are you working with your local Clinical Commissioning Group?

You really should be working with your local CCG as they develop their engagement work, because, again to quote from this paper:

CCGs will achieve most benefit by undertaking a thorough evaluation of existing PPE mechanisms before embarking on new approaches.

And obviously, being a keen LINk person you already have drawers stuffed full of this sort of information and mapping that you’ve been playing with for the last three years at least… So now’s the time to get it out and share.

What we’re doing in Somerset (as you asked)

In Somerset, we are lucky because the PCT is a cluster of one and we just have one Clinical Commissioning Group. (My sympathies to those LINks who have four…) The Somerset CCG was selected by the Department of Health to do some pilot work on patient engagement, so the Clinical Commissioning Group has two Patient Engagement Managers, Tony Hampson and Susan Harris. Tony and Susan have been working with the PCT’s Head of Patient Engagement, Margaret Grizzell, to pull together an Engagement Strategy for the CCG. Along with this, a 12-month Action Plan has been put together for developing and embedding patient engagement in the CCG’s processes. This is in its final stages, and once this has been finished, the documents will be made public (in the next couple of weeks) and then put out for feedback from the public and from Patient Participation Groups, patient groups etc.

I’ve been helping along the way with suggestions and facilitation and sharing any info that I have that might feed into this work. A conference is planned for December when a selection of groups and individuals will have the chance to look at the plan in more detail and feed back more ideas and suggestions. All in all, it seems to be developing well and is proving a great opportunity to draw together what we know about engagement locally and come up with new ideas for the future. I’ll keep you informed…

What to do with this data:

  • Email it to all your chums in CCGs who are working on Engagement with you.
  • Give it to Patient Reps who are keen on This Sort Of Thing as it gives a good basic overview of Engagement techniques.
  • Read it yourself!