Communications and Engagement Strategy 2018 - 2021 Our Ambition: 'To be the best city for health and wellbeing'

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Communications and Engagement Strategy 2018 - 2021 Our Ambition: 'To be the best city for health and wellbeing'
and Engagement
2018 - 2021
Our Ambition: ‘To be the best city for health and wellbeing’
Communications and Engagement Strategy 2018 - 2021 Our Ambition: 'To be the best city for health and wellbeing'
Communications and
Engagement Strategy 2018 - 2021
Our Ambition: ‘To be the best city for health and wellbeing’

Introduction .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 1
Purpose of the strategic plan.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 2
Background and purpose. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 3
Co-production .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 4
Our vision.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 5
Our duties. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 6
Or responsibilities .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 7
Understanding our audience.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 8
Our guiding principles.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 9
Communications.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 10
Patient and public engagement.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 13
Equality and diversity. .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 16
Appendix - stakeholder map.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 17
Communications and Engagement Strategy 2018 - 2021 Our Ambition: 'To be the best city for health and wellbeing'
NHS Leeds Clinical Commissioning Group               It focuses on our communications and
(CCG) was established in April 2018, replacing       engagement aims and objectives to support
three previous three CCGs that were created          the CCG’s overall priorities. It outlines our
in 2013. CCGs use the clinical expertise of          desire to create new and innovative systems
locally-based doctors and nurses, supported          and processes to communicate and engage
by experienced managers, to commission               with all our audiences, as well as maintaining
(plan and fund) healthcare services.                 and improving those existing and effective
We want to have a real understanding of              methods we currently use.
what matters to our patients, our local              The strategy is aligned to the CCG’s Strategic
communities, our member practices and                Plan, People and Organisational Development
our partners. Good communications and                Strategy and the Leeds Health and Care
engagement are a priority for us, playing            Plan. The Leeds Plan also forms the local
a key role in making sure that our patients          ‘place’ plan as part of the West Yorkshire and
and communities are central to our decision-         Harrogate Health and Care Partnership Plan.
making.                                              Communications and engagement are
This communications and engagement                   hugely important to us and we want to be
strategy describes our approach to                   known as an organisation that is creative and
external and internal communications and             imaginative in its approach. We have invested
engagement.                                          and recruited to a new but highly qualified
                                                     and experienced team to meet the evolving
                                                     needs of the new, single Leeds CCG and its
                                                     changing operating environment.

Communications and Engagement Strategy 2018 - 2021 Our Ambition: 'To be the best city for health and wellbeing'
Background and purpose
Across the country, the landscape for health              This is to support the partnership to deliver
(and social) care is changing to create                   the regional level programmes, such as
integrated care systems, bringing providers               cancer, stroke, primary and community care
and commissioners together to manage the                  and urgent care.
health budgets for a population. Integrated               While the future may look very different, for
health and social care services will focus on             now the CCG continues to be the statutory
communities with similar needs, based on                  body accountable to the people of Leeds for
set population sizes. Typically this would                how it spends its money. We are determined
be collective registered GP lists of 35,000 -             to be a forward thinking organisation with
75,000 people. Changes in legislation are                 inspired and resourceful solutions that focus
anticipated to accelerate this process, but as            on improving health outcomes and reducing
yet (July 2018) are unknown.                              inequalities, and setting standards to ensure
Partners in the Leeds Health and Care System              that services are safe and consistently high
- NHS provider organisations, Leeds City                  quality.
Council, third sector organisations and the
CCG and its member practices - are working
together to develop and shape the future
system and its impacts. All partners are
unwavering in their commitment to close the
three gaps described in the NHS Five Year
Forward View: to improve health outcomes,
to improve care quality and to ensure future
The Leeds Health and Wellbeing Strategy,
developed following extensive engagement
with a wide range of stakeholders,
emphasises the determination of all partners
to put the best conditions in place for people
to live fulfilling lives - a healthy city with high
quality services that build on the strong assets
of Leeds. Partners have pledged to use their
resources differently to achieve this through
delivering the Leeds Health and Care Plan.
As well as making our commitment to use
resources differently within Leeds, we have
also begun to align our resources across the
region in our role as a member of the West
Yorkshire and Harrogate Health and Care

Communications and Engagement Strategy 2018 - 2021 Our Ambition: 'To be the best city for health and wellbeing'
Background and purpose

NHS Leeds CCG commitments                           Our communications and
(to support delivery of the Leeds                   engagement commitments
Health and Wellbeing Strategy)                      This document is a guide to our work and is
We are building on the excellent legacies           supported by a detailed action plan.
left by the former CCGs, and have produced          It also recognises the communications and
a strategic plan that sets out our high level       engagement commitments we need to make
commitments. These are:                             alongside other organisations in Leeds to
We will focus resources to:                         support:
• Deliver better outcomes for people’s              • the Leeds Health and Care Plan
  health and well-being                             • Local Care Partnerships and system
• Reduce health inequalities across our city          integration work
We will work with our partners and the              • West Yorkshire and Harrogate Health
people of Leeds to:                                   and Care Partnership
• Support a greater focus on the wider              Day-to-day communication and engagement
  determinants of health                            with patients, carers, the public and our
• Increase their confidence to manage their         partners creates a lasting impression about
  own health and well-being                         our organisation. Everyone connected to the
                                                    organisation shares a responsibility to ensure
• Achieve better integrated care for the
                                                    that our communities have confidence that
  population of Leeds
                                                    their needs, both now and in the future, are
• Create the conditions for health and              integral to the decisions we make.
  care needs to be addressed around local
                                                    We have outlined our practical approach to
                                                    communications and engagement to help us
                                                    to deliver our CCG’s strategic commitments.
                                                    We have also included the functional,
                                                    legislative and local contexts we need to work
                                                    Getting communications and engagement
                                                    right will make it easier for stakeholders to
                                                    understand the CCG’s role in ensuring they
                                                    get the services they need, in the right place
                                                    and at the right time.

Communications and Engagement Strategy 2018 - 2021 Our Ambition: 'To be the best city for health and wellbeing'
Co-production is a way of working that
involves people who use health and care
services, carers and communities in equal
partnership. It engages with people at the
earliest stages of service design, development
and evaluation. Co-production acknowledges
that people with ‘lived experience’ of a
particular condition are often best placed
to advise on what support and services
will make a positive difference to their
lives. It forms part of our public and patient
involvement, participation, engagement and
consultation approach and is a cornerstone of
self-care and person-centred care.
By engaging with our stakeholders in a
meaningful way, the CCG will understand our
population’s differing needs.

                                                     We will be able to take their views, comments
                                                     and experiences to make informed decisions
                                                     so that we truly co-produce and commission
                                                     the most appropriate services, or provide the
                                                     right information to support people to live a
                                                     healthy life to keep themselves well.

                                                     Current context
                                                     The ‘Five Year Forward View’, first published
                                                     in 2014 and regularly updated by NHS
                                                     England, sets out the plan to transform the
                                                     NHS to meet future needs. Locally this will
                                                     be delivered through the Leeds Health and
                                                     Wellbeing Strategy, Leeds Plan and the West
                                                     Yorkshire and Harrogate Health and Care
                                                  It expects that commissioners and providers
                                                 - both NHS and local authority - will work
                                                  together in partnership across organisational
                                                  boundaries. In Leeds, we have a history of
                                                  partnership working, especially in health and
                                                  social care neighbourhood networks.

Communications and Engagement Strategy 2018 - 2021 Our Ambition: 'To be the best city for health and wellbeing'
Our vision
Vision, strategic objectives                          Our aims for communications
and ambitions                                         and engagement
NHS Leeds CCG has agreed that it shares the           Our aim is to:
Leeds Health and Wellbeing Strategy, Leeds            • Continue to embed a clear and consistent
Plan and the West Yorkshire and Harrogate               communications and engagement
Health and Care Partnership priorities, and so          approach that supports the CCG
has adopted the Leeds vision and outcomes.              towards achieving our vision, aims and
                                                      • Seek innovative ways to communicate and
‘Leeds will be a healthy and caring city for
                                                        engage with key stakeholders, members,
 all ages, where people who are the poorest
                                                        partners, patients, the public and local
 improve their health the fastest’
                                                        community groups and staff in ways that
Outcomes                                                most suit them, while maintaining and
• People will live longer and have healthier            improving those channels that are already
  lives                                                 shown to be effective.
• People will live full, active and independent       • Achieve the best representative views,
  lives                                                 comments and opinions from our diverse
                                                        communities that we can so that our work
• People’s quality of life will be improved by          is inspired and shaped by people’s views.
  access to quality services
                                                      • Make it easy for people to access
• People will be actively involved in their             information about health and healthcare as
  health and care                                       part of our role to support people to stay
• People will live in healthy, safe and                 well and make healthy choices, and ensure
  sustainable communities                               that this information can be made available
                                                        to everyone.
NHS values; our values
                                                      • To be leaders in promoting the positive
Patients, public and staff helped develop
                                                        developments in new health and care
the values that inspire passion in the NHS
                                                        models, and work with our colleagues
and that should underpin everything it does.
                                                        across the city in all our respective
These are:
                                                        organisations and beyond to share
•   Working together for patients                       communications and public engagement
•   Compassion                                          opportunities.
•   Respect and dignity                               • Develop marketing campaigns using real
•   Improving lives                                     insight from people to help them make
                                                        the right choices to access local services,
•   Commitment to quality of care
                                                        manage their own health and prevent
•   Everyone counts                                     illness where possible.

Our duties
We have a range of statutory duties that we
must meet under the Health and Social Care            Equality Act 2010 Public Sector
Act 2012.                                             Equality Duty
Most relevant to this strategy is our statutory
duty to involve people whether directly or            advice-and-guidance/public-sector-
through representatives (whether by being             equality-duty
consulted or provided with information, or            NHS Constitution
other ways) in:
• planning the provision of services                  the-nhs-constitution-for-england/the-
• the development and consideration of                nhs-constitution-for-england
  proposals for changes in the way services
                                                      Patient Choice
  are provided, and
• decisions to be made affecting the
  operation of services
Additionally, NHS organisations have a duty           Freedom of Information Act
under Section 244 of the Act to consult the 
local Scrutiny Board (Health) on any proposal         guide-to-freedom-of-information/what-
for ‘substantial development or variation of          is-the-foi-act
the health services.’
                                                      Joint strategic needs assessment
The Health and Social Care Act 2012 also              (JSNA)
places specific duties on CCGs to reduce    
inequalities in respect of planning and               government/uploads/system/uploads/
commissioning, in the development and                 attachment_data/file/277012/Statutory-
consideration of service change proposals             Guidance-on-Joint-Strategic-Needs-
and in decisions affecting commissioning              Assessments-and-Joint-Health-and-
arrangements.                                         Wellbeing-Strategies-March-20131.pdf
There are other statutory duties that we
                                                      Accessible Information standards
must meet; some are listed below and more
information about these can be found by     
following the links.                                  accessibleinfo

Our responsibilities
Our communications and                               As well as helping us to meet our statutory
engagement responsibilities                          requirements, communications and
As a statutory NHS body, we are                      engagement are vital to our day to day work.
responsible for:                                     For example:

• building and protecting the reputation of          • Involving patients in decisions about their
  the local NHS                                        own health and care has the potential
                                                       for them to have better health outcomes,
• building relationships with stakeholders,            reduce unnecessary consultations and
  staff, public, patient, carers, partners and         improve their experience of services.
  the media
                                                     • By developing ideas and proposals with
• branding and identity                                patients and the public at the start, we
• ensuring patients and the public are                 can increase our ability to manage risk and
  involved in commissioning health services            deliver difficult service changes successfully
• ensuring consultation and engagement               • People’s views and feedback can help us
  around service changes and developments              decide how to make the best use of the
  is carried out and reported within the legal         money available
  requirements.                                      • Understanding patients’ experience can
• providing different ways in which patients,          help us to identify any inefficiencies or poor
  carers, stakeholders, staff and the public           service and so put plans in place to improve
  can share their views                                those services
• reporting on involvement in our annual             • Engaging with people to improve their
  report and hold a public annual meeting              lifestyle choices and encouraging them to
                                                       use services appropriately can help manage
• having due regard to the findings from our
                                                       demand for services.
  local Healthwatch
                                                     • Engaging with communities can help
• having regard to the NHS Constitution in
                                                       tackle health inequalities and support
  carrying out our functions, and promote
                                                       behaviour change. The more informed
  awareness of the NHS Constitution
                                                       people are means that they have more
• publishing information about who we have             realistic expectations and a more positive
  engaged with and what the outcomes                   perception of local services.
                                                     • Working with our communities when we
• ensuring that information for patients is            are looking to make changes to services
  appropriate and timely                               to ensure the changes we commission
• promoting patient choice                             continue to enhance and improve services
                                                       to patients
• promote each patient’s involvement in
  decisions about their care
• engaging our patients and public in
  planning and developing our annual
  business plan

Understanding our audience
Stakeholders are people, groups or                  Our communications
organisations that are interested in or can         and engagement objectives
be affected by our work, for example local          • Build credibility and trust in NHS Leeds CCG
citizens, patients, member practices, public          so that we establish a reputation with key
figures and staff.                                    partners, members, stakeholders, patients
So that we communicate successfully and               and the public as a high performing,
efficiently, we need to understand who our            responsive organisation that works in the
stakeholders are, their influence and their           interests of our communities to deliver high
interests.                                            quality, value for money services
A stakeholder map identifies our stakeholder        • Build continuous and meaningful
groups and the current communications                 engagement with the public, patients
channels we use for each of these groups.             and carers, using robust, effective and
It sets out broad primary areas of interest,          imaginative mechanisms to gather their
although we will need to consider these on            opinions, feedback and experience to
a project by project basis. We will also look         influence and support us to make decisions
for other imaginative and creative options            and drive quality improvements
depending on the activity we are doing.             • Provide support, advice and deliver
For each communications and engagement                communications and engagement linked
activity, this list will be used to map their         to:
relative influence and interest to enable             - Leeds Plan
focused and targeted work.
                                                      - West Yorkshire and Harrogate Health
The generic stakeholder map can be found                 and Care Partnership
in the appendix on page 17.
                                                      - Leeds GP Confederation
                                                      - Local Care Partnerships
                                                    • Work with local, regional and national
                                                      colleagues to build innovation excellence
                                                      and create and share good practice
                                                    • Provide support for, and advise on,
                                                      communications and engagement for
                                                      CCG staff and member practices, with a
                                                      particular focus on the GP Forward View
                                                      for Leeds
                                                    • Provide accessible information and
                                                      guidance to assist local people to make
                                                      healthy choices and make effective and
                                                      efficient use of NHS resources.

Our guiding principles
Our work is shaped by a set of guiding principles.
Our communications should:

        be clear, open, honest, consistent and

        use plain language

        be equally accessible to all

        innovate and be responsive to change

        give clear, accurate and consistent
        messages, linked to our vision and values

        encourage and support good two-way
        communication and engagement with all
        audiences (internal and external)

        be planned, timely, targeted and

        provide cost effective, high quality
        information making the best use of our

        ensure everyone in the CCG is aware that
        good communication and engagement is
        everyone’s responsibility and skills will be
        shared and developed

        use best practice methods and share
        knowledge with other NHS organisations
        and partners

        build on existing insight and knowledge
        of communication and engagement

Outlined below is a range of systems               Social media
and channels that we currently use to              We have an active Twitter account and we
communicate and engage with people.                regularly tweet appropriate comments and
We constantly review these and search for          links to articles and sections of our website
innovative and effective ways to communicate       as any other sources of information locally or
with all our audiences.                            nationally.
Media relations                                    We aim to maintain a balance between social
                                                   tweets, such as public health messages,
We have good relationships with the local
                                                   campaigns and re-tweets and the more
media and will continue to develop these
                                                   strategic messages about our work. We will
by proactively sending updates and news
                                                   continue to evaluate our Twitter activity.
to local journalists, the trade press and local
community publications. We will keep them          As well as a Twitter profile, we have also
informed of developments and achievements.         set up a Facebook page and we will focus
                                                   on growing and developing a Facebook
Our spokespeople are clinicians and managers
                                                   following. We will make use of the inbuilt
who have had appropriate media training.
                                                   analytics in Facebook to maximise its use and
We monitor the press daily for national and
local health stories and should anything be
published which is incorrect we will issue a       Feedback provided by patients, the public and
rebuttal if, and when, appropriate                 stakeholders through social media channels
                                                   will be fed into the broader patient and public
Website                                            involvement work at the CCG and shared
Our website uses the latest responsive design      with commissioning teams.
principles; this makes it easier to access
information on tablet and mobile devices as        Video
well as desktop computers.                         We have launched a single new YouTube
                                                   channel and have carried forward some
It is an important communications tool for the
                                                   videos from the previous three CCGs. We are
CCG, and we will actively steer people to it
                                                   using videos for people to tell the CCG about
by making the best use of search engines and
                                                   their experiences as patients, and to support
links and referrals from other sites, including
                                                   our public engagement and involvement
Twitter and Facebook.
We will update and refresh the content
                                                   We also increasingly use videos to explain
regularly to encourage repeat visits and
                                                   more about some of our initiatives and to
ensure the content is relevant, informing and
                                                   support our campaign work.
up to date.


Face-to-face                                      All printed materials can be made available
We have good face-to-face communications          in other formats, including Braille, Easy Read
with stakeholders, patients and the public        and audio as well as translated into other
through engagement meetings, formal               languages where required and relevant.
partnership meetings, presentations to key
                                                  Campaigns and programmes
groups and attending relevant local public
events. We will seek to maintain and build        We create campaigns and communications
on this. We hold internal meetings with staff,    programmes to promote key messages or
and host meetings for key stakeholders such       major initiatives, such as developments in
as local councillors.                             primary care. We use insight from a range of
                                                  people to develop our campaigns.
Newsletters                                       We also promote opportunities for people to
We issue a weekly e-bulletin for staff and        have their say when we are looking to change
member practices, and a quarterly newsletter      or develop services.
sent to partners and people who have joined
our community network. The content is
targeted to the audiences.

Surveys and questionnaires
Among the most effective communications
systems that we use to gather feedback are
surveys or questionnaires, both online and
in printed format. We use these to gather
feedback during our engagement activities as
well as to gather information to help develop
marketing campaigns.
We will continue to seek support from
community organisations to help ensure that
any responses represent our local population.

Printed materials
We produce a range of information leaflets
and publicity posters which are widely
distributed to promote services, invite people
to give their feedback or explain ways in
which they can get involved.
We produce the annual report and accounts
and other documents to promote the CCG’s
achievements and future plans. These
are produced in summary form, where
appropriate to ensure they are accessible.


                                                   This will help everyone to:
                                                   • understand what our priorities and
                                                     ambitions are and the part they play in
                                                     achieving those priorities
                                                   • understand the impact of change or
                                                     development on patients and the public, as
                                                     well as their own roles
                                                   • understand the importance of patient
                                                     experience, and patient and public
                                                     involvement in helping to shape health
                                                   • inform the communications and
                                                     engagement team of any contact with
                                                     patient groups, the voluntary sector or any
                                                     other group with an interest in patients
                                                     to ensure that we capture all engagement
Reports                                              work
We publish reports to inform the public and        • share best practice examples including
our staff about our communications and               applying for national awards
engagement work.                                   • identify examples of success that could be
                                                     included in newsletters and/or the local
Staff and communications                             media as well as trade press
Everyone in the CCG - our clinicians, staff and    • raise media issues and refer media enquiries
support staff - has a key role in promoting          to the communications team.
the CCG, the services we commission and to
raise awareness of campaigns and initiatives.      Member communications and
Internal communications
                                                   We will have a separate strategy and action
For our staff, as we work across
                                                   plan to engage and communicate with our
organisational boundaries, we need to
make sure that we continue to work closely
together and that everyone is well informed.
We also need to carry on developing and
improving our two way communications
systems so that everyone understands that
we are all responsible for proactive and
positive communications and engagement.

Patient and public engagement
Involving people and the public in developing     • share and build on best practice across
and evaluating health services is integral to       Leeds and for ourselves and our partners
everything we do if we are to have excellent        so we have a comparable and consistent
services that meet local people’s needs. It’s       approach to involving people
our responsibility is to make sure that our
local communities have the opportunity to be      CCG volunteer programme
fully engaged in shaping services and decision    We have established a CCG volunteer
making.                                           programme work alongside the CCG, and
Communications activities, as outlined in the     other organisations in Leeds. The aim is
previous section, will support engagement so      to help improve people’s experiences and
that patient and public views are taken into      outcomes when using health and wellbeing
account in developing both the strategic plans    services across the city. The role was
and services.                                     previously known as a ‘patient champion’.
Our aims for patient, carer and public            It doesn’t require any formal training or
involvement are to:                               experience, just a commitment to promoting
                                                  engagement. CCG volunteers receive regular
• engage on things that are important to
                                                  support and mentoring to help them in this
• provide sufficient information in an easily
  accessible format                               Volunteer roles
• engage the right stakeholders                   Volunteers can become involved in a range of
                                                  different activities. These include:
• choose the right format and use channels
  and mechanisms that work                        • Carrying out surveys with members of
                                                    the public to understand their needs and
• treat as an equal partner
• build trust
                                                  • Representing the patient voice on steering
• agree terms of engagement and be clear            groups
• manage expectations                             • Attending the patient assurance group to
• ensure clear, supported and accountable           ensure that service changes are developed
  functions for our volunteers                      with sufficient patient and public
• provide support to overcome barriers to           engagement.
  people’s involvement                            • Supporting the development of patient
• listen, encourage feedback and act on it          participation groups in GP practices
• be accountable and feedback to                  • Co-producing engagement activities and
  stakeholders                                      training
• support the development of GP practice          • Engaging with wider networks and
  participation groups                              communities to better understand people’s
                                                    thoughts and experiences
• ensure that involvement represents all our
  communities, either directly or through

Patient and public engagement

Community Involvement Network                    This will help us to:
We have established a community                  • ensure we provide high quality services and
involvement network of local people who            a better patient experience;
want to become involved with the CCG,            • make difficult decisions and set priorities
understand more about our work, receive            for healthcare that are right first time;
regular information, and attend meetings and
focus groups to give their views.                • have a better understanding of the
                                                   challenges faced by patients and how we
Involving patients and the public                  can find solutions to these; and
We continue to involve people in a whole         • provide more support for people to
range of work from developing our strategic        manage their own health better.
plan and prioritising commissioning plans, to    We use a wide variety of means to ensure
making improvements to the care that people      patients and communities inform decisions at
may receive from their health services.          all stages of commissioning.

Patient and public engagement

Patient, carer and public involvement          Some of the things we seek to do are:
should be embedded in the culture of           • engage the public in decisions about
the organisation so no service change or         priorities and strategies;
development is undertaken without the
appropriate level of involvement               • use information gathered about patient
                                                 experience to inform planning;
Commissioning services                         • involve a patient volunteer when specifying
Public involvement in commissioning is           outcomes and procuring services;
about enabling people to voice their views,    • engage patients in service design and
needs and wishes, and to contribute to           improvement;
plans, proposals and decisions about           • give patients a role in procurement and
services. Different approaches will be           contracting; and
appropriate, depending on the nature of
                                               • embed an open and transparent
the commissioning activity and the needs of
                                                 procurement process for wider audiences.
different groups of people.
                                               When managing demand and performance
                                               we will:
                                               • involve a patient volunteer in the process
                                               • actively seek patient feedback by including
                                                 it as a requirement in every contract;
                                               • monitor feedback on services through
                                                 our patient participation groups, social
                                                 networking sites, opinion-led services
                                                 such as NHS Choices and Patient Opinion,
                                                 surveys and other feedback mechanisms.
                                               As a city-wide partner, we will collaborate
                                               with our colleagues in other health and social
                                               care organisations, the local authority and
                                               the third sector to make the best use of our
                                               resources to share insight and information on
                                               patient views and preferences.
                                               Wherever possible, we will tap into existing
                                               networks and opportunities to involve local
                                               We will listen to community leaders and
                                               third sector representatives and act on their
                                               suggestions to increase involvement of people
                                               from a wide range of diverse cultures and

Equality and diversity
Equality and diversity for us is about putting           The NHS Equality Delivery System
people at the heart of the work we do.                   The NHS Equality Delivery System (EDS)
We are committed to being inclusive, fair                is a toolkit that helps NHS organisations
and equitable to all our patients, carers,               improve the services they commission
communities and staff.                                   or provide for their local communities,
Equality and diversity is about:                         consider health inequalities in their locality
                                                         and provide better working environments,
• how and what we procure and commission;
                                                         free of discrimination, for those who work
• how we engage, communicate with                        in the NHS. It is based on four goals, with
  and respond to our patients, carers and                18 specific outcomes.
                                                         We engage with patients, local voluntary
• how we communicate, listen to, treat and
                                                         organisations and staff in order to grade
  engage with our staff; and
                                                         equality performance, identify where
• how we hold our providers to account to                improvements can be made and act on
  ensure services are personal, fair and diverse.        their findings.
The Equality Act 2010 introduced Public
Sector Equality Duties for nine protected                Equality Impact Assessments
characteristics, often referred to as equality           So that we can show we have given ‘due
groups or protected groups.                              regard’ to the equality groups protected by
                                                         the Equality Act 2010, we have developed
The protected characteristics are:
                                                         an equality impact assessment toolkit and
•   Race                                                 produced guidance on when to carry one
•   Sex                                                  out.
•   Age                                                  Ongoing assistance, support and guidance
•   Disability                                           is provided to staff carrying out equality
•   Gender reassignment                                  impact assessments and regular briefing
                                                         sessions are delivered.
•   Religion or belief
•   Sexual orientation                                   Healthcare Providers Compliance
•   Pregnancy and maternity                              with Equality Act 2010
•   Marriage and civil partnership.                      We are keen to ensure our healthcare
In addition to the groups protected by the               providers are compliant with Equality Act
Equality Act 2010 we also proactively consider           2010 and have developed and established
other vulnerable groups and seldom heard                 a system to monitor their equality
groups.                                                  performance and provide assurance for us
                                                         that they are making progress each year.
We work with Third Sector providers in a
project called Engaging Voices; they either act
as advocates for some groups, or work directly
with them on our behalf, for example the new,
emerging migrant communities or the Gypsy
and Traveller community.

Appendix - stakeholder map
     Audience       Sub groups                      Key messages / objectives           Method of communication & engagement

     Partners and   Leeds City Council              Raising profile: our vision and     Our website
     providers      Neighbouring CCGs               values, what we do, how we plan     1:1 meetings
                                                    / work together
                    Officers at the Local                                               CCG newsletter
                    Authority                       Our vision for health services
                                                                                        Healthwatch meetings
                    Leeds Teaching Hospitals        What are our priorities and aims
                                                                                        LMC meetings
                    NHS Trust                       Informing people what we have
                                                                                        Board meetings
                    Leeds Community                 done already
                                                                                        Annual report
                    Healthcare NHS Trust            Our plans to support our staff,
                                                    local people and the wider public   Health and Wellbeing Board Meetings
                    Leeds and York Partnerships
                    Foundation NHS Trust            Supporting people and involving     Social media

                    Neighbouring trusts / other     them in shaping health services     Project communications
                     NHS organisations              Working together                    Articles for internal publications
                    Private/independent                                                 Links on partner websites
                    sector/ community interest                                          Articles for partner publications
                    providers                                                           Arranging updates for partner publications
                    Yorkshire Ambulance Trust                                           Providing information materials for internal and external audiences
                    Health and Wellbeing Board                                          Active involvement in campaigns
                    Primary care contractors                                            Social networking
                    Healthwatch                                                         Attending / speaking at partner events
                    Staff at provider and partner                                       Annual review of consultation and engagement activity
Audience     Sub groups                       Key messages / objectives            Method of communication & engagement

                  Existing patients                Raising profile: our vision and      Our website
     Patients     General public                   values, what we do, how we           Media coverage
     and public                                    plan / work together
                  Relatives                                                             Public meetings
                                                   Our vision for health services
                  Carers private / paid                                                 Board meetings / reports
                                                   What are our priorities and aims
                  Patient groups                                                        Third sector advocates
                                                   Informing people what we have
                  Voluntary, community and                                              Public health campaigns
                                                   done already
                  faith sector organisations                                            Social marketing campaigns
                                                   Our plans to support our staff,
                  Communities of interest:                                              Patient networks
                                                   local people and the wider public.
                  (BME communities, carers
                                                   Supporting people and involving      Events - eg AGM
                  children and young people,
                  older people, people with        them in shaping health services      Information materials - (brochures, posters, leaflets, flyers etc
                  disabilities, users of mental    Working together                     accessible for all audiences)
                  health services, lesbian, gay,                                        Our website
                  bisexual and transgendered                                            Links on external websites
                  people, gypsies and

                                                                                        Community newsletters / articles in existing partner publications
                  travellers and homeless
                                                                                        Social media
                                                                                        Marketing communication campaigns
                  Voluntary, community and
                  faith sector organisations                                            Public engagement events
                                                                                        Partner briefing - verbal or written
                                                                                        Attendance at public meetings / patient participation groups
                                                                                        Patient surveys and questionnaires
                                                                                        Insight into patient and public behaviour including focus groups and
                                                                                        desktop research
                                                                                        Articles for internal publications
                                                                                        Supporting Freedom of Information
                                                                                        Engage magazine
                                                                                        E-engage bulletin
                                                                                        Annual review of consultation and engagement activity
Audience       Sub groups                    Key messages / objectives            Method of communication & engagement

     Internal       Governing body                Raising profile: our vision and      Team meetings
     stakeholders   Member practices              values, what we do, how we           Locality meetings
     / staff                                      plan / work together                 E-bulletin
                    GP practice staff
                                                  Our vision for health services       Workplace by Facebook
                    CCG staff
                                                  What are our priorities and aims     Team Brief
                    Executive management
                    team                          Informing people what we have        Our website
                                                  done already                         TARGET
                    Staff in other NHS
                    organisations                 Our plans to support our staff,      PPI toolkit
                                                  local people and the wider public    Locality development programme meetings
                    Local authority staff
                                                  Supporting people and involving      Practice manager meetings
                    Staff side representatives
                                                  them in shaping health services      Practice nurse meetings
                    Practice staff including
                                                  Working together                     Staff briefings (face to face or written)
                    nurses, support and admin                                          All staff emails
                    New employees                                                      Board meetings
                                                                                       Staff / board development sessions

                                                                                       Noticeboards (this is one of the least effective means of
                                                                                       Branding and style guide

     Government     Department of Health          Raising profile: our vision and      One to one contact with named individuals / leads
     and            Other government              values, what we do, how we plan      Meetings
     regulators                                   / work together                      Our website
                    departments (eg Treasury)
                                                  Our vision for health services       Annual report
                                                  What are our priorities and aims     Briefing documents
                    NHS England
                                                  Informing people what we have        Written and verbal feedback / correspondence
                    NHS Business Authority
                                                  done already                         Responding to Parliamentary enquiries including ministerial
                    NHS Improvement                                                    questions
                                                  Our plans to support our staff,
                    NICE                          local people and the wider public.   Arranging VIP visits
                    Public Health England         Supporting people and involving      Ensuring internal and external communication of any key
                    Health and Safety Executive   them in shaping health services      announcements or changes to NHS structure or service provision
                    Equality and Human Rights     Working together                     Involving stakeholders in any service change processes
                    Commission                                                         Annual review of consultation and engagement activity
Audience       Sub groups                     Key messages / objectives           Method of communication & engagement

     Political      Members of Parliament          Raising profile: our vision and     MP briefings with Chair/ Chief Operating Officer
                    (MPs) for Leeds                values, what we do, how we plan     Ministerial and VIP visits
                    Leader of Leeds City Council   / work together
                                                                                       Our website
                    Councillors (Leeds City        Our vision for health services
                                                                                       Email updates and information to MPs and councillors
                    Council wards)                 What are our priorities and aims
                                                                                       Scrutiny Board meetings
                    Leeds Scrutiny Board, Adults   Informing people what we have
                                                                                       Health Service Development Group (Scrutiny sub-committee)
                    & Health                       done already
                                                                                       Councillor briefings - local issues
                    Leeds Scrutiny Board           Our plans to support our staff,
                    (Children)                     local people and the wider public   Review form Governing Body meetings
                    Local Community                Supporting people and involving     Local forums
                    Committees (Health &           them in shaping health services     Local community committees
                    Wellbeing partnerships)        Working together
                    Community Forums
                    Leader of Leeds City

                    Councillors (Leeds City
                     Council wards)
                    Parish / Town Councils

     Third sector   Community forums               Raising profile: our vision and     Arranging updates for partner publications
                    Voluntary organisations as     values, what we do, how we plan     Providing information materials for internal and external audiences
                                                   / work together                     Active involvement in campaigns
                                                   Our vision for health services      Our website
                    Religious groups
                                                   What are our priorities and aims    Social media
                    Third Sector alliances (eg
                    Volition, Voluntary Action     Informing people what we have       Involvement in patient engagement events
                    Leeds                          done already                        Attendance at community events and meetings
                                                   Our plans to support our staff,     Verbal or written briefings
                                                   local people and the wider public   Annual review of consultation and engagement activity
                                                   Supporting people and involving
                                                   them in shaping health services
                                                   Working together
Audience    Sub groups                   Key messages / objectives            Method of communication & engagement

     Media       Local newspapers and         Raising profile: our vision and      Proactive press releases
                 broadcast                    values, what we do, how we           Features / interviews
                 Regional newspapers and      plan / work together                 Board meetings / papers
                 broadcast                    Our vision for health services       Photocalls and event invitations
                 Trade journals               What are our priorities and aims     Reactive responses to enquiries
                 National media               Informing people what we have        Press releases
                 Community media /            done already                         Statements and letters to editor
                 websites                     Supporting people and involving      Media training for spokespeople to respond proactively or reactively
                 Information websites (e.g.   them in shaping health services      Case studies
                  NHS Choices                 Working together                     Meeting with key correspondents / editors
                                                                                   Developing videos to be used on media sites as well as in-house
                 Pre-recorded video media
                                                                                   communication channels
                  (eg TVs in GP surgeries)

     Education   Schools / school clusters    Raising profile: what we do, how     Arranging updates for partner publications
                 Training organisations       we plan to work together, our        Providing information materials for internal and external audiences
                                              vision and values and our plans      Opportunities to engage with internal and external audiences
                 Further education colleges

                                              to support our staff, local people   Our website
                 University of Leeds          and the wider public.
                                                                                   Social networking
                 Leeds Metropolitan
                 University                                                        Media relations
                 Trinity and All Saints
                 VTS (Vocational Training

     Other       Police                       Raising profile: what we do, how     Arranging updates for partner
     agencies    Fire Service                 we plan to work together, our         publications
                                              vision and values and our plans      Providing information materials for
                 Local businesses / trade
                                              to support our staff, local people    internal and external audiences
                  bodies (eg Leeds            and the wider public.
                                                                                   Opportunities to engage with internal
                  Chamber)                    Our vision for health services        and external audiences
                                              Working together                     Our website
                                                                                   Social media
                                                                                   Media relations
                                                                                   Supporting any crisis management
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