healthwatch birmingham · resolutions are taken to exclude the public or news agencies from a...
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Healthwatch Birmingham: Our Legislative Duty – Information for health and social care system organisations
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This document overviews and references the legal requirements for Healthwatch Birmingham and sets out what we are doing and how, to discharge these duties.
• TheoverviewoflegalrequirementshasbeentakenfromtheHealthwatchEnglanddocument‘Interpreting the Arrangements to be made by relevant bodies in respect of local Healthwatch Organisations Directions 2013: Information for Local Healthwatch’.
• InformationabouthowHealthwatchBirminghamismeetingtheserequirementshasbeentakenfromtheHealthwatchBirminghamBusinessPlan.
1. What the legislation says Healthwatch Birmingham must do. Legislation sets out particular activities 1 which Healthwatch Birmingham must carry out and which are part of the contractual arrangements Birmingham City Council makes with us.
These duties are:
1.1HealthwatchBirminghamhasaseatonBirmingham’sHealthandWellbeingBoard2andwehaveavotewhendecisionsaremade.
Healthwatch Birmingham uses this seat to:
• Ensurethattheviewsandexperiencesofpatients,carers,thepublicandserviceusersaretakenintoaccountwhenlocalneedsassessmentsandJointStrategicNeedsAssessmentsarecarriedoutandwhentheHealthandWellbeingBoardmakesstrategicdecisions.Wecanrequestevidencetocheckthatthisishappeningandmakingadifference3.ThisensuresthatHealthwatchBirminghamhasaroleinpromotingpublichealth,healthimprovementsandintacklinghealthinequalities.
• GatherinformationthathelpsHealthwatchBirminghamunderstandwhatPatientandPublicParticipationandInvolvementactivityismakingadifferenceandenableustodisseminategoodpractice.
• Ensurethatcommissioning,providingandscrutinyorganisationstacklehealthinequalities.
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1.2HealthwatchBirminghammustenablepeopletosharetheirviewsandconcernsabouttheirhealthandsocialcareservicesandmakesuretheyunderstandthattheircontributionwillhelpbuildapictureofwhereservicesaredoingwellandwheretheycanbeimproved.
We do this in several ways:
• OnlinethroughanengagementtoolcalledtheFeedbackCentreontheHealthwatchBirminghamwebsite.Peoplecanpostcommentsabouttheirexperiencesofcare24hoursaday.
• Face-to-facethroughacommunityengagementprogrammewhichensuresserviceuserandcarerexperiencesandviewsarecollatedinall10districtsofBirmingham.
• Face-to-faceatafocusgroup.FocusgroupsarearrangedwhenHealthwatchBirminghamneedsinsightsintoaspecificaspectofhealthandsocialcare.
• Face-to-faceduringanEnterandViewvisit.ThesevisitsenableHealthwatchBirminghamtogathertheexperiencesofusersandcarersatthepointofexperience.
• BytelephoneviatheHealthwatchBirminghamInformationandSignpostingLine.
• Byencouragingpeopletocontributetoconsultationsorganisedbycommissionersorproviders.
• Byadvisingpeopleatpointofcontacthowtheirexperienceswillbeused.IftheywishtheycanjointheHealthwatchBirminghammailinglistandbecomeinvolvedwithourwork.
1.3HealthwatchBirminghammustprovidepeoplewithinformationabouttheirchoicesandwhattodowhenthingsgowrong.Thisincludessignpostingpeopletotherelevantproviderorprovidingsupportourselves(ifcommissionedbythelocalauthority)toindividualswhowanttocomplainaboutNHSservices.
We achieve this by:
• Publishingan‘InformationRoute’onourwebsiteoftheprovidersandchoicesavailabletopeopleinBirminghamregardingtheiroptionswhenthingsgowrong.
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• OurInformationandSignpostingLinewhichismannedbyvolunteerswhosignpostpeopletotherelevantproviderandprovidesupporttocommunityengagementworkerstoensureeffectivesignpostingandreferralhappens‘fromthefield’.
• Recordingallcontacts.Thisdata,andthereasonwhypeoplearecomplainingorseekinghelp,canbeusedasanindicatorofapotentiallyavoidablehealthinequitywhichmightpromptaninvestigationorfeedintoanongoinginvestigation.
• Auditingeveryorganisationtowhichwehavemadedirectreferrals.Ourauditprogrammealsoinvolvescontactingpeoplewehavereferredforfeedbackabouttheirexperience.ThisdatamaybeusedtoinformorhelpshapefutureHealthwatchBirminghaminvestigations,reportsandrecommendations.
1.4HealthwatchBirminghammustprovideorsignpostpeopletoinformationaboutlocalhealthandcareservicesandhowtoaccessthem.
How we do this:
• Peoplecontactingusareeitherprovidedwithorsignpostedtotheappropriatesourceofinformation.
1.5HealthwatchBirminghammustprovideauthoritative,evidence-basedfeedbacktoorganisationsresponsibleforcommissioningordeliveringlocalhealthandcareservices.
We do this by:
• Ensuringthefeedbackwegatherabouttheexperiencesandviewsofpeopleisevidencebased,collectedinascientificallyrobustmannerandisgroundedinpoliciesandlegislation(particularlythepoliciesandlegislationwhichrequireustomeetequalitystandardsandinvolvethepublicincommissioning).
• ByscrutinisingtheQualityAccountsofouracutehealthcareprovidersandmonitoringwhetherBirminghamCityCouncilisachievingitsAdultSocialCareOutcomesFrameworkperformancemeasures.
• ByscrutinisingthecontentandprocessofpublicconsultationsandgivingthepublicanopportunitytocontributetoHealthwatchBirmingham’sresponsestothoseconsultations.
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• Byanalysingpatientexperiencedatasets.Ifthisdataraisesanyconcernswewilleitherraisetheissuedirectlywithaproviderorlaunchaninvestigationintoaproviderorsystem.WewillalsofeedthisdataintotheinvestigationsofotherorganisationsincludingtheWestMidlandsQualitySurveillanceGroup,ourlocalclinicalcommissioninggroups,theCareQualityCommission,HealthwatchEngland,childrenoradultSafeguardingBoardsorHealthOversightScrutinyCommittees.
• ByauditingthePatientandPublicInvolvement(PPI)arrangementsofourlocalprovidersandcommissioners.
1.6HealthwatchBirminghammusthelpandsupportourthreelocalclinicalcommissioninggroups(CCGs)tomakesurethatservicesreallyaredesignedtomeetcitizens’needs.
We do this by:
• Listeningtopatient,thepublic,serviceuserandcarerexperiencesofusingservices(throughcommunityengagement,ourFeedbackCentreandEnquiryLine)andbringanyevidenceofhealthinequitiestotheattentionofourCCGs.
• Usingthisexperiencedatatohighlightanyhealthinequitiesandensuringactionistakentoredressthem.
• PromotingopportunitiesforpatientandpublicinvolvementintheactivitiesofourCCGs.
• RespondingtoCCGconsultationsandenablingpatients,thepublic,serviceusers,carersandthirdsectororganisationstoinformourresponses.
• MakingouronlinefeedbackWidgetfreelyavailableandencouragingCCGstoadoptit.
• AuditingthePatientandPublicInvolvementactivitiesofourCCGsandreportingormakingrecommendationsonthemwhenappropriate.
• EnsuringCCGsaudittheirPPIqualityandmeettherequiredNHSEnglandstandards.
• AskingCCGPrimaryCareCommissioningBoardschallengingquestionsandseekingassurancethattheyareconductingeffectivePPIactivities.
• CarryingoutspecificPPIworkcommissionedbytheCCG.
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1.7HealthwatchBirminghammustbeinclusive,reflectthediversityofthecommunityitservesandmustrepresentlocalpeopleanddifferentusersofservices,includingcarers.
We do this by:
• EnsuringthemakeupofourBoard,volunteerandstaffteamscomplieswithourEqualityandDiversityPolicy.
• Developinganapproachtoourworkwhichensuresthattheneedsofourdiversecommunityareattheheartofeverythingwedo.
• Bringinganyverifiedevidenceofhealthinequitytotheattentionofcommissioners,providersandthewiderhealthandcaresystemandcallingforactiononthoseconcerns.
• Listeningtotheconcernsourpopulationraiseswithus.
• Helpingotherpeopletolistenby:
• Usingaqualitystandardandaudittoolwehavedevelopedwhichhelpscommissionersandproviderstomonitorhowwelltheyarelisteningtotheviewsoftheirpopulations.
• Encouragingcommissioningandprovidingorganisationstoadoptthepartnerversion(FeedbackWidget)ofourFeedbackCentre.
• ScrutinisingpublicconsultationsandtheQualityAccountsofcommissioningandprovidingorganisationstomakesuretheyarelisteningtotheirpopulations.
• Encouragingthepublictobecomeinvolvedinconsultations.
2. Healthwatch Birmingham must produce an annual report which includes details of its activities and expenditure at the end of each financial year 4.
Thereportispublishedonourwebsite,isdisseminatedviasocialmediaandissentto:HealthwatchEngland,BirminghamCityCouncil,NHSEngland,ourthreeCCGs,theCareQualityCommissionandtheOverviewandScrutinyCommitteeofBirminghamCityCouncil.
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3. Healthwatch Birmingham must have a procedure for making relevant decisions 5 which includes provision as to who may make such decisions and provision for involving lay persons or volunteers in such decisions.
Relevant decisions include:
• Howtoundertakeouractivities.
•Whichhealthandcareserviceswearelookingatcoveringwithouractivities.
• Theamountswewillspendonouractivities.
•Whethertorequestinformation.
•Whethertomakeareportorarecommendation.
•WhichpremisestoEnterandViewandwhenthosepremisesaretobevisited.
•Whethertoreferamattertooneofouroverviewandscrutinycommittees.
•Whethertoreportamatterconcerningouractivitiestoanotherperson.
• Anydecisionsaboutsubcontracting.
• Thisdocumentispublishedonourwebsiteandformspartofinductionofnewstaff,volunteersandBoardmembers.
4. Healthwatch Birmingham must open its meetings to the public 6.
Ourmeetingsareheldinpublicwithnotification,papersandagendaspublishedonourwebsiteatleastthreedaysinadvance.Resolutionsaretakentoexcludethepublicornewsagenciesfromameeting,orpartofameeting,wherepublicitywouldbeprejudicial.
5. Healthwatch Birmingham can subcontract the delivery of particular activities 7.
Wedonotcurrentlysubcontractanyofouractivities.
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6. Healthwatch Birmingham can ask providers for information which they must make available 3.
HealthwatchBirminghamasksprovidersforinformationforitsthreeworkareas:investigationsintopotentialhealthinequity,auditandscrutiny.
We do this:
• Usuallythroughexistingorreferredrelationshipsorbyjustasking.
• ThroughtheFreedomofInformationActwheninformationisrequiredforinvestigativework.
ThereisaseparaterequirementonNHSBodiesandLocalAuthoritiestoimplementthenecessaryarrangementstoensurethatindependentprovidersrespondtoHealthwatchBirminghamrequestforinformation8.
7. Healthwatch Birmingham can escalate matters relating to social care services to its two Health Oversight and Scrutiny Committees (HOSC) (Sandwell and West Birmingham HOSC and Birmingham HOSC).
TheHOSCmustacknowledgereceiptandkeepusinformedofanyactiontheytake9.
8. Healthwatch Birmingham has the power to ‘Enter and View’ providers 10, 11 so that we can observe matters relating to health and social care services.
Weusethispowertomakeannouncedorunannouncedvisitstohealthorsocialcareproviderswhenwehaveareasonablebeliefthatthisisthemostappropriatewaytocollectinformationandpeople’sexperiencesaboutapotentialhealthinequity.Volunteersarespeciallytrainedforthisprocedureandalistofourauthorisedrepresentativesispublishedonourwebsite.
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9. Healthwatch Birmingham covers health and care services.
Becauseourinvestigativeworkispromptedbyuserorcarerexperienceweproactivelyseekandcollectexperiencesfromallpartsofthehealthandcaresystemthroughcommunityengagement,marketingandcommunication,includingsocialmedia.
10. Healthwatch Birmingham cannot Enter and View premises where Birmingham City Council social services are provided for people under the age of 18.
HoweverifwehaveareasonablebeliefthatweneedtoEnterandViewsuchaserviceinordertocollectexperiencedatathisconcernisreferredtoHealthwatchEngland,theCareQualityCommissionoroneofourHealthandOversightScrutinyCommittees.
11. Reports and Recommendations.
Tohelpmaketheviewsofpeopleknowntothepeoplethatareresponsibleforthecommissioning,providing,managingorscrutinisingoflocalcareservices,HealthwatchBirminghamisrequiredtomakereportsandrecommendations.Thesecancoverhowlocalcareservicescouldoroughttobeimproved.Whenproducingareportwethinkhardaboutwhotheaudienceswillbesomostofthetimespecificpeoplefromcommissioners,providersorscrutinyknowwhatwearedoing.WemaintainactivemembershipofanumberofBoardsandCommitteeswithinourhealthandsocialcaresystemtoestablishandmaintaingoodrelationshipsand‘criticalfriendships’whichhelpusmakedecisionswhendevelopingrecommendationsandpublishingreports.Serviceprovidersmusthaveregardtoourviews,reportsandrecommendationsandrespondtoexplainwhatactiontheywilltake,orwhytheyarenottakingaction12.Wetakenoteoftheirresponsesandtrackprogress.ReportsandrecommendationsaresharedwithHealthwatchEnglandandsomearepublishedontheHealthwatchEnglandwebsite.
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12. Campaigning.
Regulations13allowustospeakoutandtocampaign(includingforpolicyorlegislativechange)asaconsumerchampion.Campaignsaremostlikelytoberelatedtothecontentorapplicationofanationalorlocalpolicyrelatingtoreducinghealthinequity,publicinvolvementoraccesstoservices.Wewillfirstseektoworkwithorreferthemattertooneormorethirdsectororotheragenciesifwethinktheyarebetterpositionedtoinfluencetherequiredchange.
13. Working with Healthwatch England.
HealthwatchBirminghammustshareitsviews,reportsorrecommendationswithHealthwatchEngland.HealthwatchEnglandareapartneroftheCareQualityCommission(CQC).Whenasked,wewillgetinvolvedintheworkofHealthwatchEnglandandshareourdataandviewswiththem.WearealsoabletoescalateissuesweareconcernedabouttoHealthwatchEnglandandsometimesweaskthemtopublishtheirownreportortoadvisetheCareQualityCommission(CQC)onaparticularcourseofaction14.
14. Lay people and volunteers.
HealthwatchBirminghamhasarrangementsinplacetoensurethatlaypeopleandvolunteersareproperlyinvolvedinourgovernanceandactivitiesasrequiredbytheregulations15.OurChairandBoardmembersarelaypeople.VolunteersareabletoinfluencetheBoardagendadirectlythroughtheChairorthroughvolunteermanagers.DirectorsandvolunteersmeetinformallyonaquarterlybasisandvolunteersareencouragedtoattendpublicBoardmeetings.VolunteersareintegraltorunningallouractivitiesincludingtheEnquiryLine,CommunityEngagement,AuditandScrutiny,EnterandViewandothermeansofcollectingpeople’sexperienceofusinghealthandcareservices.Theyinformourpolicyresponsesandhelptoshapeourinvestigations,theanalysisofdataanddevelopmentofrecommendationsandconclusions.
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15. Private sector services.
HealthwatchBirmingham’sactivitiescoverprivateandindependentproviderswhoareinreceiptofpublicfunding.Thismeansserviceswhichpeoplepayforprivately,forexampleanon-NHSdentist,orprivatehospitalwherethisispaidforbyamemberofthepublicortheirinsuranceprovider,arenotwithinthescopeofouractivities.WesignpostpeoplewhowantinformationaboutmakingacomplaintabouttheseservicesdirectlytotheOmbudsmanandtotheCQC.WedonottakeanyactionasalocalHealthwatch.
16. The role of Healthwatch Birmingham in relation to the CQC.
IfwebelievewehaveidentifiedaqualityorsafetyissuewithaservicethatneedsinvestigatingwemayaskHealthwatchEnglandtoadvisetheCQCaboutanyspecialreviewsorinvestigationsthatmayberequired.Howeverbeforewestartaninvestigationlikethiswewouldtakecaretoensurethatnootherorganisationisalreadyundertakinginvestigativeworkinthatareatoavoidduplication.Ifwebelievethatthereisaconcerne.g.wherethereisanimmediaterisktoanindividual(butitisnotasafeguardingissue)wewillescalatethemattertotheCQCandcopytheescalationtoHealthwatchEngland.
17. The role of Healthwatch Birmingham in relation to Monitor and Trust Special Administrators.
MonitorandtheNHSTrustDevelopmentAuthority(NHSTDA)arenowpartofNHSImprovement(from1stApril2016).TrustSpecialAdministratorscanbeappointedbyMonitorwhenaTrustisfoundtobefinanciallyunsustainable.OnceappointedtheTrustSpecialAdministratormustoffertomeetwithHealthwatchBirminghamandaskforawrittenresponsetoitsviews16.IfinvitedtomeetwithorprovideawrittenresponsetoMonitororTrustSpecialAdministratorswedoso,howeverwealsohaveinformationsharingproceduresinplaceaspartofourmembershipoftheWestMidlandsQualitySurveillanceGroup.
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18. The role of Healthwatch Birmingham in relation to Quality Accounts.
ThenineNHSFoundationTrustsinBirminghamarerequiredtosendusareportonthequalityofcaretheyprovide(the‘QualityAccount’)withintheiroverallannualreportandmaketheseavailabletothepublicbyApril3017,18.WeaimtoprovideanevidencebasedchallengetothecontentofallTrustQualityAccountsbyanalysingthefeedbackwehavereceivedfrompeopleusingthoseservices.ThisstatementmuststatewhetherornotwethinkthereportisafairreflectionofthefullrangeofservicesprovidedandthenhastobeincludedintheAppendixoftheQualityAccount.
19. Requirements relating to the Public Sector Equality Duty.
HealthwatchBirminghamissubjecttoageneralequalitydutywhichrequiresushave‘dueregard’totherelevantstatutoryneeds19ofourwork.BirminghamisoneofthemostdiversecitiesinEuropeandHealthwatchBirminghamtakesitsgeneralequalitydutyveryseriously.OurEqualityandDiversityPolicyoutlineshowthesedutiesaremet.
20. Requirements of Healthwatch Birmingham relating to Freedom of Information 20.
WehaveagreedFreedomofInformationArrangementswithBirminghamCityCouncil.
This means that
• FreedomofInformationrequestsabouttheactivities,strategyorgovernanceofHealthwatchBirminghamcometousandwenotifytheCouncil.
• FreedomofinformationrequestsaboutthecommissioningorperformanceofHealthwatchBirminghamgototheCouncilwhonotifyourChair.
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References:1. Section221(2)ofTheLocalGovernmentandPublicInvolvementin
HealthAct(2007
2. Section194oftheHealthandSocialCareAct2012
3. Section224oftheLocalGovernmentandPublicInvolvementinHealthAct2007
4. Section227ofTheLocalGovernmentandPublicInvolvementinHealthAct(2007)
5. Regulation40,TheNHSBodiesandLocalAuthorities(PartnershipArrangements,CareTrusts,PublichealthandLocalHealthwatch)Regulations2012
6. ThePublicBodies(AdmissionstoMeetings)Act1960,asamendedbySection189oftheHealthandSocialCareAct2012.
7. Section222oftheLocalGovernmentandPublicInvolvementinHealthAct2007
8. ThearrangementstobemadebyRelevantBodiesinRespectofLocalHealthwatchRegulations2013
9. TheLocalAuthority(PublicHealth,HealthandWellbeingBoardandHealthScrutiny)Regulations2013
10. Section226oftheLocalGovernmentandPublicInvolvementinHealthAct2007
11. TheLocalAuthorities(PublicHealthFunctionsandentrytoPremisesbyLocalHealthwatchRepresentatives)Regulations2013
12. Section221[3a]andSection224oftheLocalGovernmentandPublicInvolvementinHealthAct2007andimplementedby“ThearrangementstobemadebyRelevantBodiesinRespectofLocalHealthwatchRegulations2013”
13. Regulation36,TheNHSBodiesandLocalAuthorities(PartnershipArrangements,careTrusts,PublichealthandLocalHealthwatch)Regulations2012
14. Section221(2)andSection227(4)ofTheLocalGovernmentandPublicInvolvementinHealthAct2007
15. Regulation38andRegulation40(g),theNHSBodiesandLocalAuthorities(PartnershipArrangements,careTrusts,PublichealthandLocalHealthwatch)Regulations2012
16. Section65H(e)(8)and(9)oftheNationalHealthServiceAct2006
17. TheNationalHealthService(QualityAccounts)Regulations2010
18. TheNationalhealthService(QualityAccounts)AmendmentRegulations2010
19. Section149oftheEqualityAct2010
20. Part2ofSchedule1oftheFreedomofInformationAct2000
Healthwatch Birmingham CobaltSquare,83HagleyRoad,Birmingham,B168QG
www.healthwatchbirmingham.co.ukIinfo@healthwatchbirmingham.co.ukI01216360990Companyregistrationnumber:08440757