What is PPI Public Patient Involvement Name Title

What is PPI? (Public & Patient Involvement) Name Title Organisation Name Insert organisational logo here on master slide

So what is PPI ? • Public and patient involvement happens at two levels – Individual – Collective (group) • PPI key areas – Information – Feedback – Influence Insert organisational logo here on master slide

PPI – The Legislation • Health & Social Care Act • Disability Discrimination Act • Race Relations Amendment Act • Human Rights Act • Freedom of Information Insert organisational logo here on master slide

PPI – The Historical Context • Bristol Royal Infirmary Inquiry • Improving health in Wales • Signposts 2 Insert organisational logo here on master slide

PPI – The Media Context • Beverley Allit • Harold Shipman • Victoria Climbie • Kennedy Report Insert organisational logo here on master slide

PPI – Current Themes • Health Social Care & Wellbeing Strategies • Wanless Action Plans • Shaping Health Services Locally • Healthcare Standards • Designed for Life Insert organisational logo here on master slide

Signposts- in brief • A good practice guide on how to involve patients and the public in health • Includes how to develop a strategy and action plan • Examples of methods to involve patients and the public Insert organisational logo here on master slide

Signposts 2 - in brief (A self-assessment tool) • Strategy & planning • Results & impact • Resources • Engagement & inclusion • Staff training & development • Collaboration & Partnership Insert organisational logo here on master slide

Linking with Clinical Governance Education, Training & Continuous Professional & Personal Development Clinical Risk Management Pillars of Clinical Research & Effectiveness Strategy Clinical Public & Governance Information Management and Technology Patient Involvement Staffing & Staff Insert organisational logo here Management on master slide

Healthcare Standards for Wales First domain – the patient experience “The views of patients, service users, their carers and relatives and the public are sought and taken into account in the design, planning, delivery, review and improvement of health care services and their integration with social care services” Insert organisational logo here on master slide

Consulting with Stakeholders • PPI from start of process • Guidance for consulting on substantial changes to service • Minimum of 12 weeks • Consult as widely as possible Insert organisational logo here on master slide

Public & patient involvement in health services Insert organisational logo here on master slide

Overcoming the barriers to participation 1. It isn’t fair to burden people who may be disadvantaged or in difficulties 2. People want decent services rather than a say in them 3. It raises unrealistic expectations Insert organisational logo here on master slide

Overcoming the barriers to participation (2) 4. Not enough resources 5. People are too apathetic 6. Those who get involved are not representative Insert organisational logo here on master slide

Overcoming the barriers to participation (3) 7. PPI means criticising and checking up on staff 8. Involving people creates delays and inefficiencies 9. Its not really possible to involve children and young people Insert organisational logo here on master slide

Overcoming the barriers to participation (4) 10. How can you involve people whose rights have to be restricted? 11. Perceptions of health service staff 12. “We tried it one and it didn’t work !” Insert organisational logo here on master slide

Overcoming the barriers to participation (5) 13. Misunderstanding of what is being asked of people 14. Lack of ownership 15. Lack of skills Insert organisational logo here on master slide

Overcoming the barriers to participation (6) 16. What about the needs of participants ? 17. What about barriers between agencies ? Barnsley PCT Toolkit 2003 Insert organisational logo here on master slide

Check in the Baggage Insert organisational logo here on master slide

Why do PPI ? • It is everyone’s business • It is a statutory requirement ! • It is good practice • It means a better service for patients • Patients & the public are engaged with health Insert organisational logo here on master slide

Benefits to patients & the public • Improved communication between patients and staff • Improved understanding of conditions and treatments for patients, carers and their families = better outcomes • Improved understanding of health services for patients and the public Insert organisational logo here on master slide

Benefits to staff and the organisation • Builds trust between the patient and staff • Improves communication between the patient and staff • Patient experience informs planning and service improvement Insert organisational logo here on master slide

Benefits to staff and the organisation (2) • Accessible and responsive services based on local experience and need • Increased patient confidence in local NHS • Highlight local examples Insert organisational logo here on master slide

You have service changes in the pipeline, what should you consider? Insert organisational logo here on master slide

The Three T’s • Targeting • Techniques • Timescales Insert organisational logo here on master slide

Targeting High Influence Low Consequence High Influence High Consequence Low Influence Low Consequence Insert organisational logo here on master slide

Targeting (2) Highest priority High Influence Need to target! Lowest Priority Insert organisational logo here on master slide

Techniques • Surveys • Interviews • Focus Groups • Public meetings • User Groups • Citizens Panel • Special Interest Groups • Complaints / compliments Insert organisational logo here on master slide

Timescale • Planning • Consulting • Implementation Insert organisational logo here on master slide

Timescales (2) Traditional consultation timescale Make decision Consultation Insert organisational logo here on master slide Implement Ensure agreement Consultation Plan Make decision Implement Ensure agreement TIME Collaborative consultation timescale

Timescales (3) Insert organisational logo here on master slide

How long will these phases take? • Initiation. – The phase at which something triggers the need to involve people, and you start to think what that involves. • Preparation. – The period when you think through the process, make the first contacts, and agree an approach. • Participation – The phase in which you use participation methods with the main interests in the community. • Continuation – What happens in this phase will depend very much on the level of participation - you may be reporting back on consultation, or at another level setting up partnership organisations. Insert organisational logo here on master slide

BEAR IN MIND All projects should have – – specific aims, declared outcomes appropriate methods sufficient resources (money, people and time) resources And • should be evaluated at the end point. Insert organisational logo here on master slide

Contact details : Name Tel Email Insert organisational logo here on master slide