Delivering quality health care for Hertfordshire

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Delivering quality health care for Hertfordshire
A presentation for the Hertfordshire Health
Scrutiny Committee 12 June 2007
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Introduction
Stuart BloomChair, West Hertfordshire Primary
Care Trust
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Context and consultation proposals

• Anne WalkerChief ExecutiveEast North and West
  Hertfordshire PCTs

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Investing in your Health
Key principles agreed in consultation (2003)

• No change was not an option
• Support for two acute hospitals in Hertfordshire
  (from four)
• Support for local care, more investment
• Support for concentration of specialist services

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Consultation proposals acute hospitals

• For East and North Hertfordshire NHS TrustThe
  centralisation of acute services at either the
  QEII Hospital in Welwyn Garden City or the Lister
  Hospital in Stevenage. The NHS preferred option
  is consolidation at the Lister Hospital.
• For West Hertfordshire Hospitals NHS Trust
• The long-term location of an NHS Surgicentre at
  either St Albans City Hospital or Hemel Hempstead
  General Hospital. The NHS preferred option is St
  Albans.
• The centralisation of paediatric emergency
  services and paediatric day surgery services at
  Watford General Hospital.

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Consultation proposals primary care
For East and North Hertfordshire West
Hertfordshire Primary Care Trusts

• The commissioning of two local general hospitals
  to provide substantial centres of care for local
  communities in Hemel Hempstead and either Welwyn
  Garden City or Stevenage.
• The establishment of urgent care centres to
  provide emergency care access for about two
  thirds of patients who currently attend an AE
  department.

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The consultation process

• Lynda DentPublic Engagement LeadEast North
  and West Hertfordshire PCTsSarah
  BrierleyDeputy Director -Strategic
  DevelopmentEast North Hertfordshire NHS Trust

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Consultation has been designed in line with the
Cabinet Office Code of Practice on consultation

• Consult widely throughout the process, allowing a
  minimum of 12 weeks for written consultation at
  least once during the development of the policy
• Be clear about what your proposals are, who may
  be affected, what questions are being asked and
  the timescale for responses
• Ensure that your consultation is clear, concise
  and widely accessible
• Give feedback regarding the responses received
  and how the consultation process influenced the
  policy
• Monitor your organisations effectiveness at
  consultation, including the use of a designated
  consultation co-coordinator
• Ensure your consultation follows better
  regulation best practice, including carrying out
  a Regulatory Impact Assessment if appropriate

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1. Consult widely throughout the process,
allowing a minimum of 12 weeks for written
consultation at least once during the development
of the policy

• Pre-consultation engagement (November 2006 to
  January 2007)
• Consideration of feedback and development of
  consultation options
• Consultation over 16 weeks ( 12 June to 1
  October 2007)
• Allowance made for August but engagement
  activities will continue throughout
• Wide-ranging consultation activities planned
• Highly inclusive range of locations,
  communities and stakeholders
• Variety of engagement methods to raise
  awareness, inform and encourage involvement

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Examples of engagement groups and activities
planned

• PPI Forum Panel Hearing
• Transport Summit
• Best of Hertfordshire event
• Community lunches
• Stands at community locations gatherings eg
  leisure centres, Kaleidoscope Festival
• Support/Interest Groups
• Schools
• Voluntary sector
• Public meetings

• Children and young people
• Travellers
• People with long term conditions
• Carers
• Elderly people
• Young mothers/families
• People from minority ethnic communities
• People with sensory impairment
• Youth MPs

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2. Be clear about what your proposals are, who
may be affected, what questions are being asked
and the timescale for responses

• Explicit proposals and timescales
• Proposals are clinically led and supported
• Dedicated consultation questionnaire on line
  and paper form
• Clarity about relationship with previous IIYH
  decisions
• Information about potential impact gleaned from
  pre-engagement phase influenced the
  consultation stakeholder plan
• Deadline for responses (1 October 2007)

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3. Ensure that your consultation is clear,
concise and widely accessible

• Consultation materials include Summary Leaflet
  and a full consultation document with Executive
  Summary available in different formats
• Range of supporting material available including
  presentations and technical papers
• Easy read leaflet, door to door leaflet drop,
  website, consultation activities, podcasts,
  consultation helpline

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4. Give feedback regarding the responses received
and how the consultation process influenced the
policy

• Summary of responses will be available on
  website and in paper form
• Quantitative and qualitative analysis of
  questionnaire
• Feedback on themes not covered by questionnaire
  will also be included
• Identified respondents will be informed of the
  outcome of consultation
• Website will be updated to provide answers to
  frequently asked questions

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5. Monitor your organisations effectiveness at
consultation, including the use of a designated
consultation co-coordinator

• Responsive and flexible consultation
• Monitoring of engagement and feedback on ongoing
  basis to evaluate effectiveness
• Designated consultation co-ordinator
• Both the consultation process and responses will
  be independently analysed
• An independent consultation report will be
  produced for consideration by boards and OSC

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Cabinet Office consultation guidance

• When analysing responses remember that
  consultation is not a public vote you should
  afford most weight to the most cogent ideas and
  arguments.

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6.    Ensure your consultation follows better
regulation best practice, including carrying out
a Regulatory Impact Assessment if appropriate

• Our aim is to do the very best we can
• Intend to make use of the consultation expertise
  of colleagues in local authorities particularly
  in respect of new consortium established for
  market and social research
• Welcome ideas and suggestions from the Committee

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Outline timetable
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Areas for further guidance from the committee

• Adequacy of consultation process
• Identification of particular stakeholders that
  the committee would wish to engaged
• Confirmation of scrutiny process