As well as reporting on patient and public involvement to our Governing Body and to the Patient Partners Board, we are also accountable to the public and patients more generally, through our Annual Report.
Our pdf 2017/18 Annual Report (1.34 MB) has a detailed section on patient and public involvement and you can read the section here: pages 36-39. On page 12, we describe how patient involvement is a top priority and how we link and work with local communities. Our Accountable Officer also describes the value of patient and public involvement in his introduction on page 5.
In the section “How we involved patients and the public’ we describe difference that we have made as a result of involving the public and in addition we have a section which describes how we have made a difference in commissioning from page 20 to page 33.
It describes who we have engaged with. For example we have worked closely with all 53 GP practice PPG representatives and supported them to run health campaigns and contribute to care navigation, and healthy lifestyle activities. On page 38 we describe how we involved service users such as cervical cytology, diabetes and specific health intervention users (policy harmonisation). We describe how we worked with children and young people and used this information to create a system of broadcasts to schools to promote mental health awareness and asthma awareness as these were matters of concern to them. We also describe our engagement of BME, GRT, CAMHS service users, and audiology service users. All of this involvement has contributed to redesigned service specifications and commissioning arrangements.
Our vision on page 9 describes how we will use the available evidence and patient experiences to ensure that the right services are commissioned for patients, and how we will ensure that we will involve and engage patients in the local health system and support them to be co-producers of health and wellbeing.
On page 12 of the Annual Report we describe how we work with our local communities and community and voluntary networks, and on page 13 we describe our partnerships with Lancashire Healthwatch, and with the Lancashire Health and Wellbeing Board whose members are local community leaders, including councillors and community representatives.
From page 20 to page 33 we describe how we have made a difference through local commissioning. Much of this has been achieved through the involvement of patients and the public. For example we describe how we have invested in primary care, using feedback from the GP patient survey to guide us. In addition our work to introduce extended GP access has harnessed the views of patients to influence this. Furthermore we have worked with GP practices to introduce Care Navigation. Our approach to Care Navigation was agreed following coproduction with the Patient Participation Group (PPG) network in Hyndburn. We listened to patients and staff in the regulated care sector who told us that a the adoption of music therapy through playlists for patients could enhance the quality of life and improve the outcomes for those with dementia. Similarly we learned that patients often mislay personal effects when transferred from a care home to hospital so we introduced the Red Bag scheme. These two examples are included in the Annual Report on page 23. On page 25 of the Annual Report we talk about how a task and finish group which includes patient representatives and which met for a year developed a new service model for diabetes along with detailed service specifications. In response to patient feedback we invested in Empower – structured diabetes education, and in the Annual Report we describe how we have monitored patient views to provide assurance of the quality and effectiveness of this programme (page 27)
On page 28 we describe how we have worked with local voluntary and community networks under the auspices of Lancashire Women’s Centre to offer improved access to psychological therapies. We have worked with patient representatives to tell their story and improve awareness of the scheme.
We also describe how we have continued to coproduce our approach to social prescribing with Burnley, Pendle and Rossendale CVS, and Hyndburn and Ribble Valley CVS – our two voluntary, community, and faith sector agencies on page 30. We listened to community networks and patient representatives to ensure that we have invested in communities who offer social prescribing through a grant scheme that builds local resilience and reduces demand on services.