Under section 13Q of the National Health Service Act 2006 (as amended by the Health and Social Care Act 2012), NHS England has a statutory duty to ‘make arrangements’ to involve the public in commissioning services for NHS patients. The Statement of Arrangements and Guidance on Patient and Public Participation in Commissioning sets out the 13Q duty for CCGs in more detail.
Consultation and Engagement
Differences between engagement and consultation
Involving local patients, members of the public, carers and patient representative groups is important to the CCG so that we can be assured of commissioning the best possible services that meet the needs of local patients and that represent the best possible value for money.
What is engagement?
Engagement describes the continuing and on-going process of developing relationships and partnerships so that the voice of local people and partners is heard and that our plans are shared at the earliest possible stages. Examples of this type of engagement would include our patient participation groups and membership schemes where we ask members to get involved in various pieces of work.
It also describes activity that happens early on in an involvement process, including holding extensive discussions with a wide range of people to develop a robust case for change.
What is a ‘formal consultation’?
‘Formal consultation’ describes the statutory requirement imposed on NHS bodies to consult with overview and scrutiny committees (OSCs), patients, the public and stakeholders when considering a proposal for a substantial development of the health service, or for a substantial variation in the provision of a service.
Formal consultation is carried out if a change is ‘significant’. This is determined where the proposal or plan is likely to have a substantial impact on one or more of the following:
- Access (e.g. reduction or increase in service due to change of location or opening times)
- Wider community (e.g. economic impact, transport, regeneration)
- Patients or users (either current or future)
- Service delivery (e.g. methods of delivery or relocation of services)
The outcome of a formal consultation must be reported to the CCG Governing Body, together with the feedback received, and must show how this has been taken into account in any recommendations and decision making.
Who we engage with
The diagram below gives examples of the methods and key audiences included in CCG engagement.
The diagram below gives an example of our stakeholder map:
NHS England involvement opportunities
To become involved in the work of NHS England and their Patient and Public Voice programme please visit https://www.england.nhs.uk/participation/resources/patientpartners/
Here you will find information on the Patient and Public Voice (PPV) Partners Policy which sets out how NHS England supports PPV partners to be involved in its work. PPV partners include patients, service users, carers, families and other members of the public who are involved in NHS England’s work in different ways. The policy sets out the support and governance arrangements in place to enable PPV partners to be effective in their roles.
How we engage and communicate with members of the public is set out in our communication and engagement strategy.
We’re very keen to engage and involve the public in our work. We want you to have the opportunity to be fully involved in the decisions we take and want to make sure that the idea of ‘no decision about me, without me’ becomes the way we routinely work.
We do this in the following ways:
- Listening and learning about your own experiences as a patient or a carer
- Asking you what you think about local health services
- Listening to what you think works well, and what doesn’t
- Informing you about current developments
- Involving you in the decisions we have to make
- Showing you how your views have helped shape local health services
We want to know how people would like to be involved in the development and work of the clinical commissioning group and how they can influence decisions in the future.
Ways to get involved:
- Regular meetings that you can attend – watch our news post section
- Join in engagement or public consultation sessions on changes to services
- Attend our regular Governing Body meetings
- Attend the CCG AGM
- Volunteer for the CCGs Community Council
- Have your say by contacting us.
These can include topic-specific focus groups, workshops and online surveys alongside stands and activities and events throughout Darlington.
The CCG is committed to ensuring that any public involvement event it holds caters for the needs of all local people and therefore provides:
- British Sign Language (BSL) interpreters on request
- Hearing loops within event venues
- Wheelchair accessible venues
- Halal / vegetarian catering where possible/ required
- Language interpreters on request
- Papers/ agendas in accessible formats including large print on request