Person Cantered Care/Service User Involvement.
Person Cantered Care/Service User Involvement.
To review
-
- structural arrangements of the NHS over the years.
-
- the NHS ambition in relation to person centered care/service user involvement
-
- Policy and its evaluation in relation to service user involvement
Structure of the NHS
| NHS Structure | Roles |
| The Secretary of State | Overall responsibility of the Department of Health. Provide leadership for public health, NHS and social care in England |
| Department of Health | Strategic leadership and funding for both health and social care in England. |
| NHS England | Independent body separate to the government. To set priorities and direction for the NHS on improving health and care outcomes. Have a duty to involve patients, carers and the public in decisions about services commissioned. |
| Clinical Commissioning Groups (CCGs) | Clinically led statutory regulatory bodies. Responsible for planning and commissioning of healthcare services for local areas. Have a duty to involve patients, carers and the public in decisions about services commissioned. |
ORDER CUSTOM, PLAGIARISM-FREE PAPER
Structure of the NHS
| NHS Structure | Roles |
| Health and Wellbeing Boards | Established by the local authorities to act as forum for local commissioners across NHS, social care, public health and other services. To increase democratic input into strategic decisions, strengthen working relationships between health and social care, encourage integrated commissioning of health and social care services |
| Public Health England (PHE) | Provides national leadership and expert services to support public health. Coordinates national public health services. |
| Vanguards | Introduced in 2015 as part of the NHS Five Year Forward View. The 50 chosen vanguards are tasked to develop new care models and potentially redesign the health and care system. It is envisaged that this could lead to better patient care, service access and a more simplified system. |
Structure of the NHS
| NHS Structure | Roles |
| Regulation – Safeguarding People’s Interest | Responsibility for regulating particular aspects of care is now shared across a number of different bodies, such as: CQC, Monitor, NHS Trust Development Authority, Patient Safety, the National Reporting and Learning System, the Advancing Change team and the Intensive Support Teams, the General Medical Council, Nursing and Midwifery Council, General Dental Council and the Health and Care Professions Council |
Focus of the structural arrangements
-
- To provide guidance on service user involvement and person centered care.
-
- To ensure there are clear regulatory bodies within the NHS guide and direct the affairs of the NHS in England
- There is still a strong and growing discourse that embeds service user participation in policy, regulations and strategies for the future within the NHS.
Despite the challenges the NHS has endured such as major re-structuring, staffing, finance and funding, regulation and access to treatment,
Structural arrangements / TRUST VALUES
-
- Each Foundation Trusts creates its set of values in terms of ethos of working with patients/service users
- Bolton NHS Foundation Trust – Trust Values
- (Bolton VOICE) – V=VISON ; O=OPENESS; I= INTEGRITY; C=COMPASSION; E=EXCELLENCE)
RATIONALE FOR THIS VISON (BOLTON NHS FT)
-
- To listen to the voices of staff, patients and stakeholders as a means to provide better care.
-
- The value statements are underpinned by a set of practices which staff and managers are expected to display on a day to day basis when dealing with our patients and each other.
- The Trust values form part of its recruitment, induction, appraisal and leadership development processes. (this is who we are)
RATIONALE FOR THIS VISON (BOLTON FT)
-
- By living the values every day it will encourage a culture where patients are treated, as healthcare professionals would like their family to be treated.
- We want all of our patients to be safe and receive the best possible care.
PUBLIC HEALTH POLICY
Person Cantered Care/Service User Involvement.
KEY QUESTION?
What is public policy and why is it important for public health practitioners to understand it?
Effective engagement with policy process is an increasingly important ROLE for those involved in health promotion and recognised as a core competency for PROFESSIONAL PRACTICE.
*
POLICY – SUI / PCA
SUI has had its share of debates, values and conflicts about the responsibility of the state and individuals in matters relating health and social care
Hence there is an ever increasing need to legitimise actions or create state intervention for service user involvement / person centred approaches in care
POLICY – SUI / PCA
Seen as a vehicle for creating supportive environments – to enable people have a say in their care delivery
Could be decisions made by individuals, communities or groups (e.g. access to care services)
This could be given in the form of legislation, regulation and guidance
To ensure that policies and the activities across different care sectors are aligned in relation to achieving person centered care goals.
Why is it important for health practitioners to be engaged with health policy process?
Policy set priorities and guides the allocation of resources
A CONSISTENT THEME GENERALLY RUNS THROUGH MAJOR POLICY DOCUMENTS – avoiding harm, protecting environment, promoting health.
PUBLIC HEALTH POLICY
Review Handout on the historical perspectives and development of service user involvement policies – (provided last week)
Discuss – What does this list portray?
Policy paper –The NHS White Paper – Equity and Excellence: Liberating the NHS
The National Institute for Health and Care Excellence – Patient and Public Involvement (PPI) Policy
https://www.nice.o rg. uk/media/default/About/NICE-Communities/Public-involvement/Patient-and-public-involvement-policy/Patient-and-public-involvement-policy-November-2013.pdf