This page includes citizen involvement reports (newest first) undertaken by partners either on behalf of the South Yorkshire Integrated Care Partnership or by the South Yorkshire Integrated Care System before the NHS South Yorkshire Integrated Care Board was established.
If you would like to read involvement reports by the NHS South Yorkshire Integrated Care Board click here.
Click here to view the Integrated Care Partnership Strategy What Matters To You involvement reports.
South Yorkshire and Bassetlaw Integrated Care System are in the process of establishing South Yorkshire’s first community diagnostic centres.
As part of the process, we commissioned independent engagement with local service users to understand their recent experiences of diagnostic services in the area and how they would like to see community diagnostic hubs delivered. The main body of this research took the form of an online survey, the results of which are summarised in this report alongside the results of an earlier survey and focus groups with hard-to-reach groups undertaken by South Yorkshire’s Community Foundation. Read the full report here.
SYB ICS secured funding for a maternal mental health service around birth trauma and loss, and we wished to build the service provision based on the experiences of local people. We commissioned South Yorkshire Community Foundation to ensure the views of hard-to-reach groups such as: BAME and marginalised women could be better understood and fed into the service provision review. The report of this work can be found here. Further work is now underway, following the recommendations in the original report, to better understand the experiences of the seldom heard communities throughout the whole maternity journey.
A recent evaluation of the Rotherham Social Prescribing Service (RSPS) managed by Voluntary Action Rotherham (VAR) highlighted that take-up of social prescriptions from the BAME community was under 3%. (Carried out by the Centre for Regional Economic Social Research in 2020) The more recent Primary Care Network Link Worker scheme, although only in existence for just a year has also highlighted lower access from BAME patients.
Funding was identified through the ICS to support work to dive deeper into the evaluation findings, and into the new PCN Link Worker Social Prescribing Scheme, to explore causes and offer solutions. The report can be found here. Work is now underway across the ICS places to co-design solutions to drive up social prescribing uptake in other under-represented communities.
Below is a table of comments on the IPMO programme tabled for SYB.
You can also find out more about the IPMO programme on the Medicine's Optimisation webpages.
| Respondent | Comment | Action taken |
|---|---|---|
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Age UK Rotherham |
I didn’t manage to get to the end as it was not user friendly to a lay person so on looking at the first bit and it boils down to too many drugs being prescribed without looking at the effects, people taking drugs and not knowing what condition they are treating, people not taking drugs correctly. The pharmacy that I use is within the doctors and they are very proactive in contacting and reviewing drugs. I was recently prescribed blood pressure medication, and the pharmacy rang after a week to see if the drug was helping and also if I was experiencing any side effects. I advised him no and he then said they would ring in another 2 weeks which he did but I had stopped taking the medication as the condition had righted itself, but he still gave me advice on that call about keeping an eye on it and what to look for and the options open to me (which the nurse in the GP’s had not) They also ring and review medication for people with LTC roughly every six months, questioning when I take it, what do I take it for and give you the opportunity to talk, prior to Covid if you picked your medication up they would use the interview room to go through things if you have the time at that point. I believe this works as it uses non digital interventions and gives people the chance to talk about their drug regime. We find in a lot of cases that clients have no idea what condition they are taking the drugs for and why. Which is very worrying, I have had to look up drugs to find out what condition they pertain to, to fully complete their AA claim. This has been happening a long time and I believe it has encouraged people to consult with the pharmacist before the doctor which I believe is the objective. I agree with the proposal to digitally connect with care homes and other care establishments to enable consistency throughout but not to rely on digital for non-supported individuals. Also in order for consistency around cycles of repeat prescriptions when a new drug is prescribed or a change in dose is prescribed then the new drug should be either initially prescribed for a longer/shorter period to have a common repeat order date. This would save time for both the prescriber/client and pharmacist. This is not currently done due to the 28 day limit on holding of drugs. None of this is highbrow but could make a big difference to all parties. |
Shared decision making with patient and carer involvement in the medicines that they are prescribed is one of the principles on our plan and one that will be the focus of the pharmacists in hospitals, primary care and community. This point illustrates how important it is to support patients with their medications.
Future engagement with patients and vcse will be around specific projects and we will ensure that the language is more user friendly. |
|
Interested public – Barnsley CCG lay member |
Workforce will be the greatest challenge to delivery against the plan. Pharmacist and Technician recruitment ---- all fishing from the same pool and local workforce planning is absolutely critical There will be a gap year soon ( think its 2024) where no pharmacists will come out of university ( extending course length to include prescribing qualification) and recruitment and retention as well as skill mix needs to be spot on before that year. Regarding the Barnsley model - we have what we feel is an excellent model - a robust place-based team of CP's and Clinical Pharmacy technicians acting as a development pool ; developing and supporting recruitment and training of GP practice (PCN) pharmacists and technicians - which has enabled us to efficiently deliver a large amount of PCN DES work as well as delivering in line place based plans (levelling up SY wide and not down) may be valuable. I couldn't see any emphasis on patient voice and engagement - it is mentioned / included as a bubble : Big BUT? All of the attached is logical, makes sense, and has to be achieved. So, and I in favour? For sure. We as a SYB I.C.S. have a fantastic opportunity to save monies via medicine/prescribing etc. Only this week I read an article that said: My mother-in-law had just died, and on clearing out her home, we filled 13 plastic bags, of unused drugs, that she just accepted, month in and month out, on her repeat prescription. Took them to our local chemist and they said they would have to be destroyed!! comment was; what a waste of NHS monies. Happening throughout the land, millions sat in cupboards, untouched, and unable to be recycled, as you know. |
Greater emphasis on patient voice and engagement (which was always planned but not well articulated in the plan) has now been included in the plan. |
|
Interested public – via Cancer Alliance Advisory Board |
No issues, seems to tick the boxes |
|
|
Barnsley Healthwatch |
We welcome the themes of Medicine Safety, Quality and Value which will help us to address some of the enquiries/concerns that are raised with us by local residents, we know that medicines issued by different sources can cause confusion with people (same medication, different packaging can lead to residents taking a double dose of the same medication) and lead to a hospital admission. We also know that sometimes medication is not taken correctly due to residents not understanding instructions/labelling and we believe that integrating pharmacy services will help us to eliminate some of these problems. We have received comments from residents on the amount of supplies that can that can accumulate (especially for Stoma and incontinence products) that cannot be returned so we are pleased to see that waste reduction and pathway redesign are included in the plan. Our Vice Chair Mark Smith also made the following comment in support of the plan. “I know West Yorkshire and Harrogate had started a lot of work on this prior to the pandemic. The use of more shared care guidelines have been very beneficial to patients and allows their medications to be prescribed or prescribed and administered by their local GP instead of a community mental health team, so reducing system pressure on secondary care has been welcomed by service uses. This would be extremely welcome in Barnsley. There is a lot more that could be achieved by merging the work programmes across Yorkshire, to share the workload and ensure consistency, which would benefit patients, save money and speed up information and processes.” |
Discharge Medicines Service initiative particularly addresses this issue. By having a digital solution to make referrals into community pharmacies for discharge medication support identified for patients that meet the criteria, these patients will get the support from community pharmacists.
We have made some progress with Pathway redesign for stoma and continence products and will continue with it. |
|
Doncaster Healthwatch |
We have read this and our comments are purely representation of Healthwatch and not as a representative voice of local people as we have not engaged with local people to gain their views on this The model of integration makes sense for many of the reasons noted. There is little reference to actual engagement with local people and communities in the plan and this might be better carried out by the ICS engagement team because of the technical/clinical nature of the integration. Language and communication will be key to sharing the information with local people to avoid confusion and help them fully understand what the integration means Any integration runs the risk of dragging everything to the centre – there needs to be clarity in the plan and in the comms/engagement that there will still be a strong focus on each local Place and link in with GP surgeries and PCNs. |
Greater emphasis on patient voice and engagement (which was always planned but not well articulated in the plan) has now been included in the plan.
The IPMO leads will work with NHS communications teams to help ensure clarity of messages to the public on this work. |
|
SYB ICS Citizen’s Panel |
One of the areas I’ve noticed is the inconsistency of packaging for the same drugs, and that sometimes different drugs can be in identical foil packaging. When pharmacies cut up packets they can also get lost easily. When people are prescribed medicines you are given a leaflet full of text about side effects, and what always concerns me is that people with low levels of health literacy or reading, can this be factored in. It’s good to hear that patient experience is going into the strategy as that is a missing piece. Do we also need a communications marketing campaign running alongside this to raise the profile of pharmacists and their qualifications in order to increase patient trust in their services? It’s a fascinating subject. Over-prescribing may also be something to factor in. It would be good to see where the patient experience information goes to, and hear back about the interim reference group and the line from patient experience to the decision making. |
Campaign to raise the profile of Pharmacists is a very good idea, something that we will explore.
Reducing overprescribing is one of the key initiatives and a safety priority. |
Summary:
This report describes research with the public to explore acceptability and to co-design explanations of how data flows in the Yorkshire and Humber Care Record (YHCR) and Population Health Management (PHM) platform. The research took place to ensure that the public accept that their data must flow from NHS systems in order for the PHM platform to operate, and that the public understand at what point their data is de-identified, how they can be re-identified, and how they can opt out.
NHS partners across SYB are working together to ensure routine NHS care can get back to where it was before the pandemic as quickly and efficiently as possible, whilst continuing to provide high quality patient care. We commissioned an independent report to look at what patients and the public had already told us about their views on a number of solutions being pursued by partners of the South Yorkshire & Bassetlaw (SYB) Integrated Care System (ICS) to aid the current Accelerator Programme and speed up access to secondary care for patients.
Read the report here
Health and care professionals worked together to plan new rehabilitation services needed for the people who have had COVID-19 and as a result require ongoing health and care support.
In order to capture the views of patients to inform the service development, an engagement exercise took place. This included a wide-reaching survey, which received more than 60 responses, a focus group with patients and their carers and work with seldom heard communities. The work with seldom heard communities was overseen by the South Yorkshire Community Foundation (read their report here).
Feedback has helped to shape the development of the services, including ensuring mental health considerations are taken on board and broad communication about the service is undertaken. The full engagement report can be found here.
The Joint Committee of Clinical Commissioning Groups (JCCCG) is considering making changes to the way in which gluten free (GF) products are prescribed across South Yorkshire and Bassetlaw (SYB). The JCCCG has agreed to look at gluten free prescribing because currently it is different depending upon where you live in South Yorkshire and Bassetlaw and many people feel that there should be equity in the way gluten free products are prescribed. To help inform the decision-making process, the JCCCG sought the views of a range of stakeholder groups to better understand the range views on this issue. The October 2020 JCCCG report and an independent analysis of the responses gathered from patient and public involvement can be seen here in the report to the Joint Health Overview and Scrutiny Committee (JHOSC).
Read more about our work during COVID-19 to better understand patient and public voice during this period of time (March 2020 - onwards).
The Full Report is now available to view.
In June 2017 the Joint Committee for Clinical Commissioning Groups (JCCCG) for South Yorkshire and Bassetlaw took a decision to change the way some children’s surgery and anaesthesia services are provided in South and Mid Yorkshire, Bassetlaw and North Derbyshire. At that time, the JCCCG agreed to clinical recommendations that children needing an emergency operation for a small number of conditions, at night or at a weekend, would not be treated in hospitals in Barnsley, Chesterfield and Rotherham, and would instead have their surgery at Doncaster Royal Infirmary, Sheffield Children’s Hospital or Pinderfields General Hospital in Wakefield.
Since that decision, a number of factors have changed (as detailed in the report to the JHOSC) which mean that a new recommendation has been put forward by local clinical experts. The new recommendation is for surgery for three of the four conditions covered by the previous decision (post-tonsillectomy bleeding, foreign body in the airway, torsion of the testes) to continue being provided in the local District General Hospitals, i.e. with no change to the current provision. The recommendation for the fourth condition – suspected appendicitis – is that for children aged under 8, and for children with complex needs, appendicectomies should be conducted at Sheffield Children’s Hospital. This would affect around 45 children a year from across South Yorkshire and Bassetlaw. Arrangements for mid-Yorkshire children are now configured under their own local ICS.
We have a number of sources of information showing the views of patients, the public, parents and carers from across South Yorkshire and Bassetlaw on potential changes to children’s surgery. In total we have received over 3500 responses about this issue over the course of the last four years.
Autism is a key priority for the ICS across ‘all-ages’ and there is a clear commitment to becoming more autism friendly. To take this forward, and to ensure all stakeholders, including patients and their carers, are involved in developments a Workshop, co-produced by Speak Up, was held on the 10 October with representation from schools, health, voluntary sector organisations, social care, police, experts by experience, parents and carers. Patient stories, from people who weren’t able to be at the workshop but wanted their story told, were gathered by the ICS engagement team, and were heard at the workshop. Some of the outcomes include:
Sunflower Pledges here
What should the ICS work on first here
Postcards here
During the workshop areas of focus for the SYB wide autism work were agreed and these are now being taken forward by Task and Finish Groups for each of the themes. The ICS engagement team continues to work on behalf of the workstream, and with Speak Up to ensure patients and their carers are given the opportunity to share their views and help shape the direction of travel. This includes ensuring the voices of the seldom heard communities and those not directly involved with autism support services are heard.
The development of a South Yorkshire and Bassetlaw Healthier Together Website
Engagement Summary
The Care of the Acutely Ill Child workstream wanted to seek public opinion on the idea of developing a Healthier Together website (similar to one in Hampshire https://what0-18.nhs.uk/) for pregnant women, children, young people and their families to provide local up-to-date, evidenced patient information on a range of health issues including information about what to do when your child becomes unwell. The workstream lead and manager, supported by the ICS engagement team developed an online survey linked to the established Healthier Together Website in Hampshire to seek public opinion and views. While the website supports pregnant women, children and their families, it is also used by health professionals and practitioners to facilitate consistent advice and information given to families across primary and secondary care. The survey was circulated across system networks, parent carer forums, and maternity voice partnerships and through Clinical Commissioning Groups and Hospital Trusts. Sheffield Children’s Hospital also used a medical trainee to use the survey with families in outpatient clinics.
This report documents a summary of the key themes from patients.
The majority of people responded very positively to the website with most saying that they would be extremely/very likely to use the website if it was available locally (today). Views from health professionals including GPs and Paediatricians were similar. The availability of the website in a phone application (app) was considered a great feature by children and families, and health professionals were positive about the ability to text pages (via SMS) to patients and families to avoid printing costs and lost patient information.
More detailed comments from pregnant women, children, young people and families were made about the website being clear and easy to read. Many people commented about the traffic light system used t help support decision making and action to take in response to an acute illness e.g. high temperature/fever.
Over half of Health professionals and practitioners felt that a website like this was something that pregnant women, children and families definitely needed in providing easy and quick access to evidenced based health information. Many health professionals like the simple and clear layout and welcomed the aim of providing a web-based resource to support consistent health information being given across the system, between primary and secondary care.
The survey helped inform a business proposal for developing an SYB Healthier Together Website that was approved in principal in November 2019. Subject to transformation funding, the website will be developed from April 2020. Co-production and further engagement will form an integral part of the website development, implementation and review.
Reducing Emergency Admissions from Care Homes
Engagement Summary
The urgent care workstream wanted to look at how in SYB we might reduce the numbers of people who are taken to hospital when it isn’t clinically appropriate. The ICS engagement team visited three care homes in June 2019 and spoke to staff and residents to gain some insight into why they typically call ambulances and whether the residents would prefer to have the support they need to stay where they are living or would prefer to go to hospital or a hospice.
This report documents a summary of the key themes from staff and residents.
Some staff said they use the ambulance service when they feel the Emergency Care Practitioner hasn’t responded as quickly as they would like.
Some staff felt that often residents are taken to A&E and then straight back, demonstrating some unease that they are being taken unnecessarily, but they were also keen to highlight that isn’t always the case.
One resident with a long term condition reported having to go to hospital in an ambulance often but always being sent back to the home without a stay, however the same resident thought they were probably safer being cared for in that scenario in hospital as they ‘have more equipment and are more used to dealing with my condition’.
Some staff felt that the key to reducing the number of 999 calls would be training - giving staff the confidence to manage the situation in-house. Suggestions included providing a higher level of first aid training, more training around end of life care, extended eat. It was also suggested that working in partnership with other care homes could mean staff could access more training or things like working with St Lukes around end of life care.
Some staff felt that nurses in care homes weren’t utilised as well as they could be – for example could they deliver the flu vaccine rather than a different nurse having to come in to deliver it, and the same with venepuncture and diabetic screening.
Staff felt that retaining staff is difficult and that solutions to that could include having more students visiting the homes, and more access to training for all staff to give them an incentive to stay.
Some staff reported that staff don’t feel confident to make judgements and that having an ambulance crew or paramedic on site to make a decision takes the onus off them.
Residents had mixed opinions on whether it was better to be cared for in hospital or in the care home. Some felt they would be safer in a medical setting, others felt they wanted to keep the familiarity of the place and staff they knew.
Staff felt that most of their residents would prefer to stay in the home to pass away and that more training would enable them to make sure it is as dignified at the end of life as possible. They said that for staff who hadn’t seen anyone at the end of life before it could be very upsetting and cause worry that they don’t know if they are doing everything the right way.
Virtual appointments for hip and knee patients
Engagement Summary
The elective and diagnostics workstream wanted to get views from patients to a proposal that hip and knee replacement follow up appointments would continue to be provided in each hospital, however where a patient is in agreement the one year follow up appointment would be virtual, meaning the patient doesn’t need to attend a clinic and be seen in person. The ICS engagement team visited hip and knee outpatient clinics in Bassetlaw, Mexborough and Doncaster hospitals in June 2019 and spoke to patients waiting for their appointment.
This report documents a summary of the key themes from patients.
Nearly all patients agreed that they would be happy with the proposal, reasons stated included:
- Not wanting to make unnecessary visits
- Having caring responsibilities
- Difficulty getting to hospitals
- Not wanting to take up unnecessary appointments
- Feeling like they spend more time at hospital than home
- Reliance/impact on family members for journeys to hospital
Patients did stress the importance of clear explanations for them and reassurance.
One patient had experience of a friend outside SYB who had been followed up in a different way and therefore saw the proposal as positive.
One patient said they valued having the follow-up appointment if they were having problems so that they could talk to someone. However they also said they use technology so would be happy if the virtual appointment still offered the opportunity to ask questions.
Some patients said their support for the virtual follow-ups was dependent on the technology being easy enough for patients to use.
One patient would prefer face to face but could see that it would be helpful for other people to have the virtual option. This was the only patient who suggested that digital wouldn’t work for them.
When asked if there were other areas of their follow up care that could be improved the majority of respondents said no, that they had been happy with their follow up care, some people were particularly complimentary about follow up physio. However a couple of people said they felt it was very important that there was easy access to someone to speak to after the procedure should they have concerns/ questions.
When asked about the kind of information that would be helpful for patients to understand their follow up care many said that they were happy with the information they had been provided, however other suggestions included:
- Including an explanation of how, when and where they would be followed up in the existing patient information, which was seen as excellent
- Pictures of physio and xrays and other elements that would happen after the procedure
- One patient said a booklet/ leaflet would be better than the card, which they reported having been too easy to lose, however another felt the card gave exactly the information they needed
- Reminder letters
- A phone number to ring with any worries
- Many respondents wanted appointment letters to give more information about what the appointment was for
- It was overwhelmingly felt that paper letters/ leaflets would be better than digital for sharing important information about their follow up as it would be easier for people to keep and refer to if they needed
The respondents interviewed travelled to their appointment via a range of methods including, being driven by a friend/ relative, driving themselves, waking, and public transport.
Localising repeat echo scans
Engagement Summary
The elective and diagnostic workstream wanted to seek patient opinion on the idea of offering for patients’ repeat Echo scans to be undertaken locally. The ICS engagement team visited the Northern General in May 2019 and spoke to patients waiting to go into echo clinic.
This report documents a summary of the key themes from patients.
Most people felt that it made sense for patients to be followed up in a local hospital rather than having to travel. They said that ease of getting to your local hospital, easier parking, and familiarity with your local hospital were reasons for that choice.
One person said they felt in principle it would be an excellent idea to have the service in their local hospitals but they would still value patient choice.
Some of the respondents had had experience of scans in their local hospitals, but the majority had always had to travel to Sheffield.
When asked about their experiences in Sheffield most had not had bad experiences, although parking issues was raised by a number of respondents. One patient reported waiting a long time for results, and one would like more of their care to take place in the same place at the same time.
The respondents interviewed travelled to their appointment via a range of methods including, being driven by a friend/ relative, driving themselves, taxi, patient transport services and public transport.
This summary of SYB ICS engagement activity was provided to partner CCGs for their annual reports covering the period April 2018-April 2019. Copy for the period April 2019-April 2020 will be provided in April 2020.
In 2018-19 the ICS involved patients, the public, staff and stakeholders on the Hospital Services Review, NHS 111 procurement, over the counter medicines and ophthalmology services and transport and travel with regard to accessing services. The Citizens’ Panel continued to develop with members offering feedback on engagement planning and direct involvement in working groups.
Hospital Services Review
In August 2017 the ICS commenced a piece of work looking at hospital services in the region. Patient, public and clinical involvement was key to this work. A number of methods were employed in order to discuss with and gather the thoughts of staff, stakeholders, patients and the public to help inform the independent report. The engagement which took place during the review included: public events; an online survey, which was made available in an easy ready version; paper surveys at a range of events, by request and in hospital out-patient department waiting areas, main entrances, and areas convenient for staff; a telephone survey with 1000 members of the public who were selected to be as representative as possible of the demographic makeup of South Yorkshire and Bassetlaw; discussions with the Youth Forum of Sheffield Children’s NHS Foundation Trust; discussions with GP Practice Patient Participation Networks ; sessions with a wide selection of seldom heard groups including: young mothers, asylum seekers and refugees, members of ESOL (non-english speaking) groups, members of the deaf and mute community, Pakistani and Somali women, members of the Roma community, members of the LGBT community, young people’s groups, elderly people’s groups, recovering addicts, current drug and alcohol addicts, members of a support group for people with physical and/ or mental health conditions, and young people from the autistic community.
Findings from the engagement that took place before May 2018 can be found here:
https://syics.co.uk/download_file/view/574/838
Recommendations from the review, which were published in a report (including an easy read version) in May 2018, proposed that to continue providing high quality services, hospitals in Barnsley, Bassetlaw, Chesterfield, Doncaster, Rotherham and Sheffield must work together even more closely in a variety of different ways. This included ways for the hospitals to work together better with the development of hosted networks. It also included transforming the way we use our workforce, to make the best use of the staff we have at the moment, and to ensure that people receive care as close to their own homes as possible. The report, which can be found here: https://syics.co.uk/download_file/view/574/838 details how patient and public involvement has influenced the report findings.
Following the publication of the Hospital Services Review report on the 9th May 2018 (and subsequent easy read version of the report), the partners involved in the HSR were invited to consider their response to the Review and its recommendations. Stakeholders including patients and the public were invited to respond with their views on the full report by 12th July.
The specific written responses to the Hospital Services Review final report have been included in Annex A of the Strategic Outline Case and have, along with the wide range of public views collected during 2017-18, helped to shape the drafting of the Strategic Outline Case. The public feedback received, as well as the review team’s response, is detailed in Annex A of the Strategic Outline Case, which can be found on our website here: https://syics.co.uk/download_file/view/585/838 .
In order to ensure patients and the public were given enough time to give their responses, engagement did not cease on the 12th July and continued until the end of September. In recognition of the length and complexity of the Hospital Services Review Report materials which highlight the recommendations and key points in the report, and an accompanying easy-read survey were developed.
At this stage engagement was carried out with over 400 patients, the public, staff and stakeholders, again using range of methods to gather peoples’ views. Face to face workshops were held with organisations and groups of people including Sheffield Futures young people’s groups, the prisons service, SAVTE (charity for people for whom English isn’t a first language), mother and baby groups, dementia groups, groups for people with physical and mental disabilities, groups for vulnerable women, groups for people with alcohol dependencies, people from a traveller background, asylum seekers, ROMA communities, children and families affected by deprivation, carers, young carers, victims of domestic violence, sex workers, people who live in isolated rural communities, deaf community and armed forces/veterans. Survey responses on the review recommendations were also obtained from workplaces including Stagecoach, South Yorkshire Fire & Rescue, Distinction Doors Ltd Barnsley, GP practices, Patient Participation Group Network meetings and National Citizenship Service events. Work was also carried out to communicate to wider audiences at public events such as NHS 70th Birthday celebrations, Annual General Meetings of NHS organisations, Sheffield University Health and Social Care nursing students lecture. Flyers were handed out and conversations held at local events and leaflets were also sent to local community centres and libraries. A report on this stage of the engagement can be found here: https://syics.co.uk/download_file/view/589/838
In January 2019 focus groups with pregnant women, new mothers and groups most affected by gastroenterology conditions were conducted to help understand what is most important to the population, in particular current or recent service users, should there be any reconfiguration of services. The report is currently being pulled together and will be given to the maternity, paediatric and gastroenterology workstream leads to inform their thinking and development of business cases, should the decision be made to further explore potential reconfigurations in these services.
Citizen’s Panel
In January 2018 the ICS launched a Citizens’ Panel in recognition that as its work develops, it is vital that the voice of local people is at the heart of what it does. The Panel brings together people from across South Yorkshire and Bassetlaw to provider an independent view and critical friendship on matters relating to the work of the Integrated Care System. There are currently 13 volunteers who sit on the Panel with all areas of the region represented. The Citizen’s Panel has been speaking to different communities about the Hospital Services Review, contributed to the 569 million reasons medicines campaign shared their views on the orthopaedics pathway for hip and knee replacements as well as the NHS 111 procurement.
Transport and Travel Panel
Following the formulation of the recommendations from the Hospital Services Review a transport panel comprising of patients and members of the public from each area of South Yorkshire and Bassetlaw was set up in November 2018. The panel looks at the potential impact changes to services would have on patients, the public, carers and families with regard to travel including testing journey times where possible to provide realistic insight into the impact of any service change. The panel looks at how to improve transport and travel planning and infrastructure around NHS services.
NHS 111/ Integrated Urgent Care Service Procurement
The Citizen’s Panel has also taken a role in the procurement of a £17.6 million contract which will see the Yorkshire Ambulance Service provide an Integrated Urgent Care Service to the people of Yorkshire and the Humber. The Yorkshire Ambulance Service will continue to provide the NHS 111 call handling service which provides patients with core clinical advice but now patients will benefit from a number of enhancements. The new enhanced service has been procured in partnership by Yorkshire and Humber’s CCGs and will commence in April 2019. The Citizen’s Panel were involved throughout this procurement work providing the patient representative voice.
Long Term Plan
The NHS Long Term Plan was published by NHS England in January 2019 and sets out how the NHS will improve the quality of patient care and health outcomes. It also explains how the £20.5 billion budget settlement for the NHS, announced by the Prime Minister in summer 2018, will be spent over the next 5 years.
The South Yorkshire and Bassetlaw Integrated Care System (ICS) has been tasked with working with their local partners to develop their local response by producing an ICS five-year strategic plan by the Autumn of 2019. As an essential part of this process wide engagement with health and care staff, patients, the public and other stakeholders across South Yorkshire and Bassetlaw about the ambitions the Long Term Plan sets out, as well as the process by which we will translate it into local action is underway.
Discovery Days
In November 2018 the ICS worked with NHS England and all South Yorkshire and Bassetlaw partners to develop a co-designed communications and engagement approach. In January 2019 the organisations came together again to develop a co-designed action plan for clinical engagement and leadership.