Transcript 

ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Our changing context
 Local plans and priorities (your task)
 Exploring the evidence (why bother?)
 Risk Analysis and Performance and
Involvement
 “Interventions that build dialogue”

Choice into Action
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
(How?)
Can/will the new policies (Choice/PPIH)
enable PCTs to work with local people to
improve health and services
?
(It’s O.K. to ask –
“What’s in it for us…..?)
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Some Initial Ground Rules
• Local improvement focus
• Equal time – one at a time
• Confidentiality: non-attribution
• Seeking clarification (validity of
perspectives
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Expectations
• Need for radical reconfiguring
• Joined up dialogue into focussed action
• PCTs engage public in practical solutions
• Take PPI systems into positive change
• Non-political honesty, trust and respect
• Making the connections: practically and
meaningfully
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Reflections on Harry’s Session
• Imagination and Innovation
Changing
Expectations
Goodwill
Information
(multi-media)
Purposes
Roles
Relationships –
dialogues
Attitudes (Institutions)
Skills/Knowledge
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
• Business case ?? - Evidence
• Co-producing improvement from the bottom up
• Language and meaning
- with
Going beyond the obvious
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Session 2: Jim, Jane, Bob
Co-creating the Change
The facts and figures
Attitudes/energy
Incremental change in local systems

Deploy and use the evidence: why and how
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Reflections on the Morning Session
• Self management is crucial, mainstreaming is key
• “Forget me not” (2000/2)  “Sans Everything”
(1964)
• (Why do reports appear not to change things for
the better?)
• Dialogues about radical reconfiguration:
multiple conversations
• Equity balance must be maintained and sustained
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
• Choice is very much about primary care and the
day-to-day practical
• Respect and recognition of value of people
 focus on “How” we do and share
• Bottom-up local innovation can work
• Honest dialogue about what is possible and
what is good right now
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Use of patient narratives closing the loop/
learning from patient experience –
Negotiation – takes confidence and courage
Ethical – issue – re-asking patient – feedback –
purpose v process –
Three tiers PPI – 1. Market reserved
- good practice
2. Genuine research
3. Discovery interviews
Agendas Communication and evidence base –
impact – car parking/access/practical solutions!
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Maria and Jeff’s Session
• The underlying principles apply to all processes
of involvement and engagement
• All change is negotiated
• It is real, hard work …
• The costs of not listening are considerable
• “Trust is the glue”
• Anger can become positive if we learn to learn
together
(Beware of “Keeping up Appearances”)
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Maria and Jeff
Gave less information
Frustration
Wasting time – no point
Didn’t care
Don’t bother
_____________________________________
Appearing to listen –
Body language – reflecting back – engaging
Integrity
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
Key Points
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Opportunism
- Bespoke EPP into new service
- Involve managers in listening and supporting service
change – internalise culture change
- Apply principles to public consultation
- Develop potential of C.D.S.M. and extend
Strategy
- Develop sound information for planning change
- Work with people where they are (physically and
emotionally
- Define our information needs
“If you are not bewildered and confused by change; you
are not in touch with reality”
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel
ENGAGING COMMUNITIES LEARNING NETWORK EC
LN
Support
- “Choice” from a primary care base? How to work with
professions
- Capture and share more of learning and knowledge
- Reflection on “starting points”: D.H. to recognise
importance
- Raise profile of C.D.S.M. and bring in local partners
housing, employment etc.
Choice, Risk and Accountability Event 15th January 2004 Bristol Marriott Royal Hotel