North London Urgent Emergency Care Partnership Engagement Summary

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Summary of report content

This report summarises a year-long programme of engagement undertaken in 2017/18 by the five local Healthwatch in the North London Partners area. It is in three sections, summarising the local engagement on different topics, a co-design event on 7 day services and the input of a reference group of local citizens. There are individual reports for each specific topic. The North London Partners Urgent and Emergency Care Programme is focused around four broad work-streams: Integrated Urgent Care; Admissions Avoidance; Simplified Discharge; Last Phase of Life. The first of these, integrated urgent care, was the subject of a major programme of engagement in previous years, so was not included as a specific topic in the work for 2017/18. This work was done as part of a programme of engagement on the North London Partners Urgent and Emergency Care programme. North London Partners is the sustainability and transformation partnership for North London, formed of health and care organisations from the five London boroughs of Barnet, Camden, Enfield, Haringey and Islington. The five local Healthwatch in the North London area are collaborating to promote citizen engagement in the work of the partnership. This includes an extensive programme of engagement on urgent and emergency care, led by Healthwatch Camden. To support the engagement programme and to ensure that it has impact, a Citizen’s Reference Group was set up. The Reference Group brings together representatives from across Barnet, Camden, Enfield, Haringey and Islington, who have experience of using local urgent or emergency care services, including service users and carers, to offer feedback and input into the development of the North Central London (NCL) Urgent and Emergency Care programme, including having a representative sitting on the programme board. The group, who meet regularly, have commented in detail on project plans, and sought clarity on programme funding. They have raised concerns that the links between NHS and local authority partners need to be stronger. They have challenged the lack of progress in some areas. This includes challenging on the drawn out process for agreeing funding for some areas of work. They have advised on improving communication with local residents. They have sought assurance on improvements in mental health support, particularly in A&E. Mental health is covered by a different programme with the North London Partnership.

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General details

Report title 
North London Urgent Emergency Care Partnership Engagement Summary
Local Healthwatch 
Healthwatch Barnet
Healthwatch Camden
Healthwatch Enfield
Healthwatch Haringey
Healthwatch Islington
Date of publication 
Thursday, 10 May, 2018
Date evidence capture began 
Saturday, 1 April, 2017
Date evidence capture finished 
Saturday, 31 March, 2018
Type of report 
Report
Key themes 
Access
Administration
Admission
Booking appointments
Communication between staff and patients
Consent to care and treatment
Continuity of care
Cost of services
Devolution of services
Diagnosis
Discharge
Engagement
Health inequalities
Health promotion
Health protection
Holistic support
Information providing
Integration of services
Interpreters
Lifestyle and wellbeing
Medication
Public involvement
Quality of appointment
Quality of care
Quality of treatment
Referrals
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Waiting time to be seen once arrived at appointment
Waiting times and lists for treatment
Other information of note about this report 
BME
Healthwatch reference number 
Rep-6854

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Other (please specify)
If this work has been done in partnership, who is the partner? 
Healthy London Partnership
Primary research method used 
Engagement event
Survey
User stories
How was the information collected? 
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Primary care services 
Community pharmacy
Diagnostic and/or screening service - single handed sessional providers
GP practice
Urgent care services
Secondary care services 
Acute services with overnight beds
Appointments
End of life care
Community services 
Community healthcare and nursing services
Urgent and emergency care services 
Accident & emergency
Urgent care services

Details about conditions and diseases

Types of disabilities 
Multiple
Long term condition
Types of long term conditions 
Cancer in the last 5 years
Other
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
251
Age group 
Not known
Gender 
Not known
Ethnicity 
Mixed / multiple ethnic groups
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Administrative
All care professionals
Allied health care professionals
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
Not applicable
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
Yes
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.