– a second GM VCSE Assembly which sense checked the outcomes of the two design events and spent time on the detail within the Action Plans (see Section 4) The broad outcomes & proposals from the VCSE Assembly & the Co-design session: Key action Specific Steps By When 1. Governance / Assurance / VCSE voice in Governance system ‘hardwiring the system’ a) Core Board in place asap (by January) to scrutinise Action Plan and develop the remit and approach of a ‘Board’ and connection to GMH&SC system b) Other Boards / Committees? (Input into Transformation Board c) Director Led Assurance Scheme Develop Champions and leads in the system, level in organisation to affect change Role description and recruit/ identify 1st task oversee EIAs of each Taking Charge work stream – action plan d) VCSE Sponsors / Experts by Experience for work streams/ projects. Develop Role description and recruit/ identify resource e) Ensure Equality Panels/ VCSE representation at Locality Level – GM standards requirements by LCOs? a)Core group set up in Jan 18 b) Agree by Mid Feb – request to GM VCSE Ref Group to identify members c)Process to identify leads and draft role description (LS) d) VCSE sponsors identified – via GMVCSE ref Group / GMCVO / 24th Jan date Assembly Feb 26th or before via network 2. a. Develop Shared Vision and Values & Outcomes to contribute to the reduction of inequality Organise an accessible workshop to develop : Outcomes core principles Values Vision Measures to demonstrate change (KPIs) Methods – By end of March 2018
3b Design a GM commissioning process to overcome identified barriers and meet needs Compare current commissioning processes Utilise case study from GM LGBT study Develop plans to remove barriers from system How to influence LCO Commissioning processes? Minimum requirements? Social Value VCSE % commissioned as providers? Support / resource to facilitate consortium and partnerships at local level? 5. Support , facilitate and encourage at GM (& LCO level?) System to support citizen led reform Empowering people to challenge system Link to GM PCCA Work to date Test re equalities Tools Guidance Skilled workforce – see action 8 Workforce Scrutiny / assurance role over 10 GM and LCO Skill up local people – TLAP National Co-production model Strengthen VCSE work in this area to skill people up so they can actively challenge – encourage citizen leadership 7. a. Develop a GM Social Prescribing Strategy Mapping what exists Identify the gaps How to connect VCSE effectively June 2018
4.2.3: Design and Implement ‘Equalities Sponsors Scheme’ Equalities sponsors will be recruited from the VCSE - the sponsor role ensures that the VCSEs is supported to contribute to, shape and influence the implementation of the relevant strategies and work-streams. The role of the resourced VCSE Equalities sponsor would be to lead beyond their organisation attending appropriate GM meetings as VCSEs experts in their field, follow up work, reading, written contributions as appropriate, feeding back to colleagues across the VCSEs and across sectors, contributing to the system leadership required for the thematic area. This approach would be developed by GM VCSE Ref group and key H&SC colleagues for agreement at the Equalities Board and GM H&SC Partnership SMT. Methods Who should be involved? Who can help? Develop Role description VCSE Sponsors / Experts by Experience for work streams/ projects. Mental Health/ Carers leads who have recently conducted a similar exercise (Simone Spray / Lynne Stafford GM VCSE Ref Group) – Ensure that ‘experts by experience’ are connected with the community that they have been recruited to represent and that there are robust feedback mechanisms/regular opportunities for them to identify current issues facing that community. Also ensure that ‘experts by experience ‘represent the gender/faith of that community (in case of BME representatives) Champion agendas for the workplace e.g. trans, Gypsy, trafficked people. Peer support for participants Develop recruitment methods GM VCSE Ref Group Identify panel/ process/ timetable GM VCSE Ref Group VCSE Equality Groups, CAHN, Faith Network for Manchester, GMBME Network Confirm Resource – Equalities MOU Budget GM VCSE reference Group Ensure that the budget is spread equally across the GM VCSE Sector and make the fund easy to access. Access costs to be included e.g. interpreters.
of service users and patients are captured and not just the providers of services. Equality input assessments – must make sure that these do not miss those with no voice Involve small & medium sized organisations not just ‘the usual suspects’ in the range of £1-5 million. b) Analyse GM Outcomes and Performance Dashboard - reflects measures to drive a step change in in-equality? Equalities Board GMCA & H&SC Partnership work stream/ performance leads VCSE Sponsors Must meet absolute equality standards and legal/lawful equality otherwise not paid/funded. Health inequality redress – quality of life is also essential to measure b) Review system data /fields – to ensure correct equality metrics are collected to measure outcomes. H&SC Partnership: Performance/ data analysts staff Work stream Leads Director led Equality Assurance Leads when in place Task finish group? VCSE Sponsors? Experts by experience Must meet absolute equality standards and legal/lawful equality otherwise not paid/funded. Health inequality redress – quality of life is also essential to measure Not just data 50% of what we collect must be qualitative and seldom heard voices, particularly of transient communities e.g. gypsy community, domestic violence survivors, must be included and heard. c) Propose any data metric collection changes to Equality Board Task finish Group Ensure proposals from VCSE sponsors & organisations Influence localities and their equality indicators – how?
leaders thinking Keep strengthening the systems leadership input Value everyone’s perspective and contribution Citizens and residents – are they involved/engaged Ensure engage with the correct people – service user input Define outcomes together – locality flexibility for delivery Strategy implementation coproduced - Plan – Act – Do - Study cycle – coproduction all through, Develop shared vision, values, resource risk Accountability Recognising peoples value as a role and financial empowerment Use existing materials that define values and principles of coproduction Creativity and TIME Stick with it – it wont all be plain sailing Be creative – keeping trying different things AND evaluate them. Inclusive and ongoing dialogue Benefitting from shared learning and lived experience RADICAL GM to be the champion of radical changes (not looking at organisation) Radical look at clinical pathways (*system configuration and funding) GM and Locality – clarity of strands of work Trial occasional RADICAL approach (something different) Safe, accessible and valued Make sure that people who use services/patients feel safe to make their concerns known – that there wont be any negative repercussions for them or their care. Accessible meetings – layout, format, assistive technologies and building accessibility. How to reach people in ways that work for THEM - eg the supermarket, screening successful pilots. Maximise opportunities to find out peoples views Build trust so we can have the difficult conversations Outcomes focussed Outcome focussed Know what matters TO communities Training and development. Equalities learning and training opportunities for ALL the workforce Main Workshop – Activity 1: Imagine yourself in the heart of the community – what are the skills, knowledge and values needed to address the equality issues in that community in relation to: Participants reflected on this in 4 groups each one in relation to the four key elements of the Taking Charge Together Strategy.
Care for the people around the patient. How can we best utilise the assets identified to enable us to reimagine how we engage with people in relation to equalities….? Transforming Community Based care and support: Ideas: Evidence and value the VCFSE and what they offer… Build on existing VCFSE (and business) strengths Creating evidence of VCFSE impact together Commissioning more VCFSE providers to deliver community services to new and emerging communities = act as gateway to NHS. Reduce access barriers and health inequalities Support from… TLAP Coproduction Pitch things at a level of people who are not ‘experts’ Widespread engagement with communities to talk about this agenda Community involvement – service users and providers (coproduction/co-design) – CHAMPIONS Multiple ways to bring carers, ‘champions’ and volunteers together – use existing networks and new ones. Develop self-care offer – using existing strengths eg peer support Multiple forums to invest in relationships – NOT just meeting agendas Vision and Values: Articulate values together and respect and vision Creative use of data: Barriers/Obstacles Even personalised care is still based on statutory systems and processes. Peoples lack of confidence to get involved and challenge Shared language needs work Different cultures Communication and Trust
Use date we have but share widely for understanding and to provoke creative responses Leadership training – across sectors, INCLUDING permission to do things differently Workforce training – together across sectors Key recommendations/actions Coproduction: Empower the public – draw on their experience; engagement Allowing people to use their lived experience to inform change We want to see people at the forefront of decisions Lived experience – ‘champions’, ‘hubs’, ‘reference groups’ (methods to support, volunteer and funded) Asset based conversation + formal coproduction + expertise from those with lived experience – ‘reference group’ Review policies and procedures REVIEW ALL POLICIES AND PROCEDURES against an asset based APPROACH Define the issues – language, data, vision, values Develop a common H&SC language Include the workforce in coproduction. Holistic workforce agenda – involved in conversation re change – space to test How can we best utilise the assets identified to enable us to reimagine how we engage with people in relation to equalities….? Clinical Support Ideas: Person Centred/Co-production Start with the person –don’t make assumptions based on the conditions, age etc Dependent on patient need/condition Upskilling people/patients to challenge decisions about their own care – shared decision making Engage young people Community engagement and involvement Empowered patients and public to ‘take charge’ with lots of support Barriers/Obstacles: Inequality in infrastructure Empowering people to challenge and take charge Social prescribing is more than signposting Interoperability of systems Resources (funding)