Socialist Health Association Promoting Health through Socialism

Patient & Public Involvement: New Structures, New Attitudes?

Peter Walsh, Director, ACHCEW

NHS Reform Bill...
National Commission for Patient & Public Involvement
Special role for the Patients’ Forums for PCTs
Staff will be deployed to Patients’ Forums for PCTs
Staff based with PCT Forums to be core providers of the Independent Complaints Advocacy Service

Patients’ Forums
Funding from the national Commission - not the Trust
Restrictions on reporting lifted
Dedicated staff allocated to PCT Patients’ Forums - not reliant on Trusts
Power to refer issues of concern to the local OSC or the national Commission
Why was so much achieved?
The strong reputation of CHCs
People value the concept of a truly independent, local ‘watchdog’
A lot of hard work and campaigning!
The help of politicians of all backgrounds, especially David Hinchliffe MP!
BUT...
Department of Health planning on basis of just 28 offices/staff teams and 600-700 staff!
For all 600 Patients’ Forums, plus new statutory duties!
Compares with 184 CHCs with 700 staff
Do we have it all to do again?
So, where are we now?
One thing is certain - the government wants rid of CHCs and we accept we are going!
No date for abolition / start of new system - September/October at earliest
No clarity for CHC staff
National Commission starts in January 2003
Overview & Scrutiny Committees, Jan 2003
New Attitudes?
Patients on the ‘inside’
and the ‘outside’!
Reaching hard to reach groups
Performance management / accountability
Less adversarial?
NHS & DoH prepared to listen?
Approach thus far does not bode well!
Old Attitudes worth keeping?
Independent
Constructively challenging
Community led and owned
The legacy of CHCs to live on in the new system - blend of the old and the new?

5/12/02