Tag Archive for: Local People Board

Local People Board Update – June

Title of Group
Local People Board
Date 23 June 2023
Reps name  Sharon Allen, Arthur Rank Hospice Charity
Summary of agenda items / key themes discussed
Leadership Compact, ICB wanting to ensure this is socialised and lived throughout the system to proposed we use a simple scoring mechanism to provide an on-going Meeting Assessment. At the end of the meeting we reviewed and scored each component of the compact and how we had evidenced this throughout the meeting – a useful exercise we may wish to replicate at Health Alliance meetings?
ICB Board Assurance Framework 2023/24, there was discussion around how dynamic this is eg able to respond to today’s announcement about extended industrial action
Enabler Group Update, Health and Wellbeing (HWB), Giles Wright gave a presentation. There was a lot of discussion about the Staff Mental Health service, which received very positive feedback from those NHS organisations that pay for and use it. There was discussion about how this valued service could be available to the system and also how the voluntary sector could potentially be part of provision of a service that has a wider focus. Also confirmation that the Staff Support Hub has been funded until March 2024 by the ICB now that NHS England has ceased funding all staff support hubs (although see next item on proposal for regional hub).  Helpful analysis of what needs to be done at national, regional, local and provider/employer level.
Regional Staff Support Hub Options 2024/25: the ICB level staff support hubs across East of England have been working on a proposal to set up a regional (online) staff support hub funded by NHS partners, available for all of the sector, including voluntary sector. This is an enhancement to not replacement of local provision. NHSE allocating £2m to hubs nationally, about 10% coming to this region to develop regional hub. It was agreed to ask the HWB enabler group to look at in detail and make recommendation.
Leadership Programme Update – Civility Saves Lives, looking to develop a programme to promote a just and civil culture throughout the system, with Toolbox talks and access to a range of programmes, more details to follow.
CPICS – A joint project between Anglia Ruskin University (who have been given funding from Health Education England) and CIP ICS.  Looking at a local system, encouraging health and care careers and accessibility into the sector, developing knowledge and skills and integrating settings. The work will be led through the R&R and SED groups and has to be developed by March 2024.
Workforce Productivity Agenda – data analysis shows that C&P is one of highest growth projections of all regions. The challenge is that whilst financial investment in the workforce has increased, productivity has decreased. The challenge for the system is to secure workforce supply and deliver productivity improvement in 23/24 and assess workforce requirements for future years and determine what levers and levels of investment in education and training are needed to secure supply.
Provisional Future Agenda Items
September – Efficient & Effective Ways of Working, Education Learning & Development
Implications for the VCS
How are we embedding the Leadership Compact into all of our work and through our organisations?
Ensure we are engaged with the Wellbeing work, supporting the continuation of the Staff Support Hub and any plans to develop a Regional Hub as well as discussions around possibility of extending mental health service to and from our sector.
Opportunity to engage with the Leadership Programme and Civility Saves Lives, look out for further details.
Engage with the joint project with ARU to support with our talent pipeline.
Actions
As above
Date, time and venue of next meeting and name of representative who will be attending
15 September, 13.30, face to face – venue tbc, Sharon will attend

VCS Rep Report : ICS Local People Board – April 2023

Meeting attended: Local People Board

VCS Representatives: Sharon Allen, Arthur Rank Hospice Charity, Deborah Katznelson, COPE

Date of meeting: 23 April 2023

Summary of agenda items / key themes discussed:

Leadership compact review and ICB delivery framework; how to ensure this is lived in working with partners. Developing programme of activity to ensure compact becomes second nature – links to work of Leadership & partnership sub-group. The Wall (included in Joint Forward Plan)

– each of the ‘bricks’ has been allocated to a member of ICB Exec Team.

BAF (Board Assurance Framework) to note

Industrial Action review, our system was disproportionately impacted due to number of organisations in our system who met the threshold for strike action. Lot of work undertaken to plan for and seek to mitigate impact on patients. Impact for patients on planned appointments, procedure, diagnostic, surgery as well as people seeking emergency care. Looking at learning and what can be taken forward into future ways of working. Discussion of impact on team dynamics, morale, moral injury etc.

Workforce planning review, NHS submission although does reference VSCE and Local Authority. Submitting breakeven financial plan (bringing down significant deficit but plan includes £50m unmitigated risk)

Doctors in primary care, opportunity to become an interested site for non GP medics to work in primary care (no additional funding). Lots of interesting discussion, early days, lots more debate to be had, particularly with Medical Directors and to risk assess implications and mitigations. Noted as a good opportunity to test the hypotheses through a system lens.

SIP update:

R&R (please see separate updates provided from this sub-groups)

EDI – Staff survey results still show concerns re experience of colleagues from minoritized racial backgrounds, Regional Lead joining soon to support with actions, Beyond Difference programme will be developed, developing a toolkit to tackle institutional racism.

Leadership – changing culture and embedding compassionate leadership, reintroducing Stepping in to my shoes programme, interplay of culture of integrated team working (several programmes coming on stream including; Civility Saves Lives, Above Difference, Psychological Safety/Just Culture and Quality Improvement Approach), System relationships and collaboration and Leadership.

CPICS ARU collaboration, this work follows on from a workshop held in February, focused on innovation in R&R (lead Ade Tam, Deputy Chief People Officer), portability ED & Training. A symposium to develop ideas is being held 10 July.

Forward plan:

June – Health and Wellbeing and Efficient and Effective Ways of Working

Aug – Education Learning and Development

Oct – Creating Healthy Communities and Workforce aligned with service transformation

Implications for the VCS

Think about how we also embed the Leadership compact priorities within our organisations aligned to our own values and approaches and in our dealings with partners across the system.

Industrial action impact could then impact on voluntary sector organisations with increased demand?

What can we do to support more efficient working across the system to support with deficit reduction without impacting quality of support to our community?

Actions

  • Ensure Health Alliance meeting has workforce focus, invite Sam Carr, Claudia Iton and Rebecca Tuten
  • Familiarise selves with The Wall and where our activity aligns.
  • Ensure we are represented at symposium July 10th (Sharon attending)

Date, time and venue of next meeting and name of the representative who will be attending

23 June, 13.30 via Teams, Sharon attending

VCS Rep Report : ICS Local People Board 24 Feb 2023

Meeting attended: Local People Board

VCS Representatives: Sharon Allen

Date of meeting: 24/02/2023

Summary of agenda items / key themes discussed:

Board Assurance Framework – the main focus of discussion was the implications of industrial action

Voluntary sector presentation –   click here

Unfortunately there was very low attendance at the meeting so this presentation and discussion has been deferred to the next meeting

Implications for the VCS

Actions

Please advise if the industrial action across NHS is impacting on services

Date, time and venue of next meeting and name of the representative who will be attending

Friday 28th  April,  (via Teams), Sharon will be attending

VCS Rep Report : ICS Local People Board 13 Jan 2023

Meeting attended: Local People Board

VCS Representatives: Sharon Allen

Date of meeting: 13/01/2023

Summary of agenda items / key themes discussed:

Board Assurance Framework (BAF)

Recommendations from the Leadership and Culture Exercise

Priority 3 – Equality, Diversity, and Inclusion

BAF will be updated and go through committee cycle (this LPB meeting was rescheduled from December so we are out of sync, ICB met the morning that LPB was in the afternoon). A new risk has been added focused on recruitment and retention (R&R) . It was agreed to recommend to the board that this risk should be re-rated to red due to the pressures across the whole system.

In her introductory remarks, the chair acknowledged that much of the focus of the Board is still very NHS. She plans to speak with Local Authority colleagues and with me as the voluntary sector rep, we have a date set for an initial conversation.

There was an update on R&R: there is a sub-group focusing specifically on R&R (see separate update from this group which I also attend). Much of this is also NHS focused, eg looking at support for training for international recruits, concerns about accommodation provision for international recruits (although the cost of living crisis has meant this is now seen as a wider workforce issue). There is a new programme being funded on Legacy practitioner roles, experienced colleagues who may no longer wish to work in service providing roles but have lots of experience to support less experienced colleagues. Another new project is making use of Reservists, There is a further joint recruitment fair aimed at recruiting Healthcare Support Workers and ongoing discussion about data collection and analysis,

Oonagh Monkhouse is Director or Workforce at Royal Papworth Hospital and leads the system EDI group (Gemma Manning, Director of People and Operations at Arthur Rank Hospice Charity represents our sector on this group). The groups activity thus far has focused on anti-racism because racism is the biggest issue of concern identified from the NHS staff survey. The issue of data and lack of consistently available data across the system was raised again (the NHS has the Workforce Race Equality Standard – WRES, Workforce Disability Equality Standard – WDES and it’s staff survey) the Local Authority and VCSE do not have anything comparable (although I shared that Skills for Care and Local Government Association have been working to develop and social care workforce race equality standard, I am meeting with colleagues from Skills for Care to find out what the latest position on this is and whether this might a tool the voluntary sector can also use as we found the WRES not transferrable)

The East of England NHS has developed an anti racism strategy that our system has signed up to. The three priorities are: leadership and management, talent and career progression and tackling racist abuse toward colleagues from patients and the public.

North West Anglia Foundation Trust is piloting a Fair Recruitment Practice approach which will set minimum standards, this is in early days and we will receive a fuller report in due course.

A proposal to sponsor a new programme, Above Difference, which will support the development of a cultural intelligence framework to support leaders and staff to become more culturally aware through the use of personal analysis andeconomic modelling was approved. It was explicitly stated that this is aimed at leaders from across the whole system and applications from voluntary sector organisations will be welcomed.

We had an update from the Leadership & culture strategic session at the previous Local People Board. Anita Pisani who chairs the Leadership and OD sub-group reported back on a number of programmes and plans for programmes in the coming year. Anita is going to speak with me about opportunities for our sector to participate.

Implications for the VCS

How can the data project that Healthwatch and CAB have undertaken contribute to this wider EDI work?

Sorry for being a broken record on this – how do we ensure that voluntary sector workforce data and therefore recruitment and retention challenges are part of the system picture?

Ensure that recruitment and retention issues are reported back so that our issues and any solutions we have identified are part of the system response.

We should try and ensure we have good representation on the Above Difference programme once this is launched.

Actions

No specific actions from this meeting.

Date, time and venue of next meeting and name of the representative who will be attending

Friday 24th  February,  13.30  (via Teams), Sharon will be attending

VCS Rep Report : ICS Local People Board 25/11/22

Meeting attended: Local People Board

VCS Representatives: Sharon Allen

Date of meeting: 25/11/2022

Summary of agenda items / key themes discussed:

The Terms of Reference were signed off following feedback provided at the previous meeting.

An Action Plan was shared capturing the points from the substantive part of the previous meeting which focused on recruitment and retention

Seven KPIs have been suggested, focusing on: joiners by profession, time to recruit, turnover, length of time in role, use of bank and agency, vacancy rates and leaver data. I raised a question about how these can be made meaningful across the system when there is such divergence of systems within organisations and capacity to capture and report – this is being looked at.

A number of actions, some of which will sit with the Enabler (previously known as sub-groups) groups (Supply and Information, EDI etc) and some of which will remain at Board level. Some of these are very NHS focused, eg International Recruitment, others are more system wide.

The substantive discussion in this meeting was on the second priority area of System Leadership and Culture. The information pack provided detail on the differing ways elements of the system capture feedback from colleagues; the NHS completes an annual staff survey and comparator information can be provided on the main NHS providers in C&P. The Local Authority isn’t able to do this as most social care is provided in the independent sector. The Council does carry out pulse surveys, the most recent focus was on EDI. Arthur Rank Hospice Charity was asked to provide detail of our approach, we shared highlights from our most recent staff survey in respect of leadership and culture and aspects of our most recent CQC inspections in the domain of Well-Led. The Training Hub for GP’s reported on their approach and we were reminded of learning and development programmes available to system partners: Mary Seacole Programme, Springboard (personal development for women) Leading Beyond Boundaries and a proposed new programme: Above Difference. This will support the development of a cultural intelligence framework to support leaders and staff become more culturally aware through the use of personal analysis and economic modelling. We were also reminded of Michael West’s work on Compassionate Leadership and an NHS programme Civility Saves Lives which is being rolled out in February 2023 and hopefully will have opportunities for voluntary sector engagement.

Implications for the VCS

We should engage with the various programmes available (some ARHC colleagues have undertaken Leading Beyond Boundaries and find it incredibly valuable). Leadership and Development Opportunities will be launched on the https://itsallcomingtogether.co.uk/ website (we can also advertise vacancies on this website)

We should seek to engage with the ‘Stepping into my shoes’ programme which supports local leaders to work together, learn and share knowledge from across the system and create public services that are more integrated based on the needs of the local population.

Actions

No specific actions from this meeting.

 

Date, time and venue of next meeting and name of the representative who will be attending

Friday 13 January, 13.30  (via Teams), Sharon will be attending