Select Committee on Health Written Evidence


Further supplementary evidence from the Department of Health (PPI 01E)

PROJECT OBJECTIVES

Project aim

  To provide LINks and those organisations responsible for establishing, supporting or working alongside them with information, advice and guidance on how to maximise the effectiveness of LINks and relationships with them.

  This aim will be met by undertaking activities which deliver lessons and contribute to the achievement of the following objectives:

1.  ENGAGING PARTICIPANTS

  To enable activities to be assessed and evaluated we must attract participants from stakeholders, and in particular:

    (a)  local authority officers and members interested and involved in engagement and community development;

    (b)  officers and members involved in health and social care scrutiny;

    (c)  staff from NHS organisations, specifically commissioners and those involved in PPI-related activities;

    (d)  PPI forum members;

    (e)  VCS organisations involved in supporting and promoting user and public views in health and social care also third sector providers; and

    (f)  members of the public who wish to have a greater say in their health and social care services.

2.  LINK FUNCTIONS

  To test out and evaluate in a number of pilot settings how LINks can:

    (a)  promote the involvement and participation of people in the planning, design and improvement of local health and social care services—with a focus on diversity and inclusivity;

    (b)  Map local resources and build a community profile;

    (c)  collate and analyse the views and experiences of people about health and social care services;

    (d)  convey findings and recommendations to providers, commissioners, scrutineers, regulators; and

    (e)  act as a resource for the health and social care system to access views of people in their communities.

3.  LINKS AS ORGANISATIONS (FORM)

  To evaluate how LINks can:

    (a)  attract participation/contributions from individuals, groups, organisations and communities;

    (b)  what structures LINks might establish to best enable them to undertake their functions and for those structures to be able to take account of the configuration of health and social care in different areas and other significant local factors;

    (c)  determine their structures agreeing governance arrangements at all stages of their establishment that evolve over time to be fit for purpose;

    (d)  agree how they can best be "governed", ie To enable fair and transparent Decision-making, representation, etc;

    (e)  determine monitoring and reporting processes and arrangements; and

    (f)  build upon and reflect the best local practice unique to their area.

4.  LINK SUPPORT

  To evaluate:

    (a)  what activities the "host" must undertake to bring about the creation of LINks, eg promotion of opportunities, where best to advertise, what messages work and don't work etc;

    (b)  the nature of staffing support necessary for LINk effectiveness, eg Administrative resources, community development, analytical and facilitation skills etc;

    (c)  physical facilities including premises, equipment and their cost etc.

5.  LINK RELATIONSHIPS

  To evaluate the (I) nature of an effective relationship and (ii) how best to develop effective relationships with:

    (a)  providers of health and social care also foundation trusts—in particular the relationship with foundation governors;

    (b)  commissioners;

    (c)  scrutiny committees;

    (d)  regulators;

    (e)  SHA's eg submission of Annual Reports;

    (f)  other LINks, in particular how will LINks work together to be able to contribute to the mental health, and learning disability services agenda, ambulance services etc—what models of working are required;

    (g)  VCS organisations already involved in health and social care; and

    (h)  others? Eg the public, Local Media, MP's, individuals.

6.  LINK ACCOUNTABILITY

  To evaluate what kind of accountability systems support confidence in LINks among those involved in LINks and those who relate to LINKs. Including:

    (a)  accountability of the "host" to the local authority;

    (b)  the host's accountability to the LINk;

    (c)  the LINks accountability to the population; and

    (d)  the LINks accountability to the Secretary of State for Health and Parliament.

7.  RESOURCING

  The EAPs provide a useful opportunity to evaluate levels of resourcing, both financial and staffing necessary to support effective LINks.

8.  UNDERSTANDING EFFECTIVENESS

  To provide some insight into what represents success for LINks including:

    (a)  numbers, diversity and source of people involved and participating in LINk activity or through contact with LINks involved in service planning, design or decision-making;

    (b)  the extent to which people are and feel able to effectively influence services and evidence of where input has led to change;

    (c)  whether it is possible to measure outcomes resulting from LINk activity-what qualitative and quantitative outcome measures (metrics) might be developed to capture the benefit of LINk's;

    (d)  What best models can be identified in relation to how people communicate with LINks—ie through the web, texting, traditional meetings etc; and

    (e)  Whether people are influenced to become better, more educated, more informed citizens from their engagement with LINk's.

9.  PROCUREMENT OF LINK HOSTS

  A key area to be evaluated is the process of procuring the necessary support for LINks. EAPs should discuss with local authorities and VCS organisations how best this should work in practice including key issues such as the degree of flexibility in the contract.

10.  MISCELLANEOUS

  There are a number of areas which need detailed consideration and may emerge through the EAPs and include:

    (a)  training of LINk members and "host" staff and ongoing support eg organisational development, preparation of individuals for specific activities in health and social care settings;

    (b)  development and production of "constitutions", terms of reference and other protocols to underpin LINks and those involved in them; and

    (c)  processes for decision-making eg weighing up priorities for LINk activity.

Department of Health

March 2007





 
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