العمل مع الأشخاص والمجتمعات في الأنظمة الصحية المتكاملة
دورة شاملة حول كيفية بناء أنظمة صحية متكاملة قوية من خلال العمل الفعال مع الأشخاص والمجتمعات المحلية
وصول مدى الحياة • شهادة إتمام • دعم فني
القسم 1 Publications approval reference: PAR66 1
Building strong integrated care systems everywhere ICS implementation guidance on working with people and communities الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement may update or supplement this document during 2021/22. Elements of this guidance are subject to change until the legislation passes through Parliament and receives Royal Assent. We also welcome feedback from system and stake holders to help us continually improve our guidance and learn from implementation. The latest versions of all الخدمة الصحية الوطنية England and
القسم 2 They exist to achieve four aims:
- improve outcomes in population health and healthcare • tackle inequalities in outcomes, experience and access • enhance productivity and value for mon ey • help the الخدمة الصحية الوطنية support broader social and economic development . Following several years of locally -led development, and based on the recommendations of الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement, the government has set out plans to put ICSs on a statutory footing. To support this transition, الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement are publishing guidance and
القسم 3 This guidance sets out:
- 10 principles for ICBs to use when developing their arrangements for working with people and communities • practical steps to consider when working with people and communities , whether across the whole system, in places or in neighbourhoods • more detail on areas including ICS governance, tackling inequalities, co - production in ICSs and working with الصحةwatch and the voluntary, community and social enterprise (VCSE) sector , as requested by stakeholders in relation to work with people
القسم 4 1. Put the voices of people and communities at the centre of decision -making
and governance, at every level of the ICS.
القسم 5 2. Start engagement early when developing plans and feed back to people and
comm unities how their engagement has influenced activities and decisions.
القسم 6 3. Understand your community’s needs, experience and aspirations for health
and care, using engagement to find out if change is having the desired effect .
القسم 7 4. Build relationships with excluded groups, especially those affected by
inequalities.
القسم 8 5. Work with الصحةwatch and the voluntary, community and social enterprise
(VCSE) sector as key partners.
القسم 9 6. Provide clear and accessible public information about vision, plans and
progress , to build understanding and trust.
القسم 10 7. Use community development approaches that empower people and
communities, making connections to social action .
القسم 11 8. Use co -production, insight and engagement to achieve accountable health
and care services .
القسم 12 9. Co-produce and red esign services and tackle system priorities in partnership
with people and communities .
القسم 13 10. Learn from what works and build on the assets of all ICS partners –
networks, relationships, activity in local places . 10 | ICS implementation guidance on working with people and communities Core requirements and good practice for working with people and communities This section looks at how the 10 principles for how ICSs work with people and communities can be applied in practic e. It outlines the two core requirements we expect every system to achieve , followed by good practice areas for ICSs to consider as they develop their arrangements for working w
القسم 14 1. ICBs are expected to develop a system -wide strategy for engaging with
people and communities by April 2022, using the 10 principles in this document as the starting point.
القسم 15 The strategy should describe:
- the ICB’s principles and methods for working with people and communities • the ICB’s approach to working with partners across the ICS to develop arrangements for ensuring that ICPs and place -based partnerships have representation from local people and communities in priority -setting and decision -making foru ms • the ICB’s a rrangements for gathering intelligence about the experience and aspirations of people who use care and support and its approach to using these insights to inform decis
القسم 16 2. ICB constitutions are expected to inclu de principles and arrangements for how
the ICB will work with people and communities . The list below is intended to stimulate thinking by leaders and all those involved in developing the ICB ’s strategy for working with people and communities and put ting the 10 principles into practice throughout governance and decision -making. 11 | ICS implementation guidance on working with people and communities What good looks like Devising a clear plan for how system partners work together to engage people and communities, linked to ag
القسم 17 Case study: Understanding people’s experience and aspirations for health and care
at system level in Surrey Heartlands Surrey Heartlands ICS has set up an online citizens’ panel to carry out regular survey research online among people who live in Surrey. The panel is ‘demographically representative’ of the Surrey population and provides a robust and flexible way for the system as a whole to put resident aspirations and experience at the heart of its work; for example, in redesigning its digital, mental health and cardiovascular services. The panel is one of a range of approac
القسم 18 Case study: Making connections to social action in Morecambe Bay
Lancashire and South Cumbria ICS seeks to share and spread grass roots community empowerment work across its system, whil e recognising that such initiatives need to be locally driven and reflect the assets and concerns of people at a ‘micro’ level. One such initiative in Morecambe Bay supported a diverse range of local people, including members of the public and health profe ssionals, to build their skills together in areas like dialogue, facilitation and co -creation. Projects that have devel
القسم 19 This section looks at key areas where we know people often have questions:
involving people and communities in ICS governanc e; working with people and communities to tackle health inequalities; co -production in ICSs; and working with الصحةwatch and the VCSE sector . Involving people and communities in ICS governance Involv ing people and communities in governance is about more than membership of different committees . It concerns how decision -making in the ICS tak es account of people’s experience and aspirations. Transparent decision -making , with people and comm
القسم 20 Case study: Co -opted members in West Yorkshire and Harrogate الصحة and الرعاية
الشراكة Board The ICS’s partnership board includes four co -opted members whose role is to be an independent ‘critical friend’ to the board , rather than representing a personal healthcare condition or interest. The c o-opted members are transparently recruited to an agreed role specification, bringing significant expertise and experience , and provide strategic, impartial input to decision -making. They also play an important role in providing assurance that the views of the public have bee
القسم 21 Case study: Supporting accountability through transparent governance and clear
communication in West Yorkshire and Harrogate West Yorkshire and Harrogate الصحة and الرعاية الشراكة regularly communicates about the positive difference the partnership is making, including through a series of public -facing case studies and weekly public -facing bulletins. Governance of the ICS is transparent, with partners hip board meetings held in public and live streamed. The ICS recognises that many local people want to know what impact the partnership is having locally rather than th
القسم 22 Case study: Building relationships with excluded groups in South Yorkshire and
Bassetlaw Working with local partners is essential for community outreach. South Yorkshire and Bassetlaw ICS worked with its local المجتمع Foundat ion and the South Yorkshire Housing Association to help it speak to communities likely to be under -represented in engagement , eg black and minority ethnic groups, LGBT groups, young carers and prisoners. Co-production in integrated care systems By co-production, we mean people, family members, carers, organisations and commissioners work ing toge
القسم 23 Case study: Working with الصحةwatch and VCSE in Suffolk and North East Essex
Suffolk and North East Essex ICS has representatives from the voluntary sector and الصحةwatch on its partnership board , and reports that “conversations, tone, decision - making are all visibly changed due to the make -up of the board” . The ICS recognised that it could not deliver on its ambitions for agreed priorities such as child poverty, obesity and loneliness without engaging the voluntary sector and local people. It has worked w ith two المجتمع Foundations to channel funding to the VC
القسم 24 Integrated care: www.england.nhs.uk/integratedcare/
ICS design framework الخدمة الصحية الوطنية Confederation: Building common purpose; engagement and communications in ICS التعلم on the role engagement and communications play in partnership working and developing thriving ICSs . الخدمة الصحية الوطنية England: Integrated care systems and the voluntary, community and social enterprise sector
القسم 25 Understanding integration: How to listen to and learn from people and communities
King’s Fund/Picker guide supporting ICSs to understand and act on user experience of services as part of population health management and service improvement and redesign . الصحةwatch الصحة and الرعاية Experience Profiles A qualitative methodology giving insight into the needs and experience of specific groups in an ICS population, supporting work to improve services and reduce inequalities. Profiles can be commissioned by ICSs from local الصحةwatch partners .
القسم 26 المريض and public participat ion in commissioning health and care: statutory
guidance for CCGs and الخدمة الصحية الوطنية England Contains useful information about public participation principles and approaches. Explains the legal duties on public involvement that apply to CCGs and are expected to trans fer to الخدمة الصحية الوطنية IC Bs. Resources for people involved in health and care الخدمة الصحية الوطنية England : Peer Leadership Development Programme https://www.futurelearn.com/courses/peer -leadership -foundation -step-1 PLDP Promo Film 24 | ICS implementation guidan ce on working with people and communities الخدمة الصحية الوطنية En
القسم 27 For more information on integrated care systems visit:
www.england.nhs.uk/integratedcare/ Find us on LinkedIn: www.linkedin.com/showcase/futurehealthandcare/ Sign up to the Integrated الرعاية bulletin: www.england.nhs.uk/email - bulletins/integrated -care-bulletin/ الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement Skipton House 80 London R oad London SE1 6LH This publication can be made available in a number of other formats on request. © الخدمة الصحية الوطنية England and الخدمة الصحية الوطنية Improvement 2021