National and local policy & strategy - getting results

When developing a case for health awareness and support leading to potential investment for a particular group it is essential to know what policy and strategy (locally and nationally) is relevant and can be levered in to get results.  

In the case of Building Health Partnerships, the LGF being the case study organisation has helped to push equalities further up the political and commissioning agenda and this was an important feature for those partners attending the group sessions, to be a part of making this happen and then to consider how this could be replicated.

The following policies/strategy – local and national were pivotal to the Building Health Partnerships programme both for understanding the local architecture of the NHS, and for supporting the case for investment to join together common priorities from VCSE partners.

Manchester (local)

Joint Health & Well-Being strategy and the Health & Wellbeing Board’s strategic priorities

http://www.manchesterpartnership.org.uk/manchesterpartnership/downloads/file/
268/joint_health_and_wellbeing_strategy_2013

  • Getting the youngest people in our communities off to the best start
  • Educating, informing and involving the community in improving their own health and wellbeing
  • Moving more health provision into to the community
  • Providing the best treatment we can to people in the right place and at the right time
  • Turning round the lives of troubled families
  • Improving people's mental health and wellbeing
  • Bringing people into employment and leading productive lives
  • Enabling older people to keep well and live independently in their community

South Manchester Clinical Commissioning Group’s Strategic Commissioning Plan
http://www.manchester.nhs.uk/clinicalcommissioninggroups/southmanchesterccg/our_strategy.html

Manchester Clinical Commissioning Group’s Public Sector Equality Duty Equality Objectives
http://www.manchester.nhs.uk/clinicalcommissioninggroups/equality-and-diversity.html

South Manchester Clinical Commissioning Group Communication and Engagement Strategy
http://www.manchester.nhs.uk/document_uploads/south-ccg/Item%207a%20Communications%20and%20Engagement%20Strategy%20V10%2006%2009%2012%20FINAL.pdf

Manchester’s Joint Strategic Needs Assessment
http://www.manchester.gov.uk/info/500230/joint_strategic_needs_assessment/5665/about_the_jsna

Living longer, Living better - an integrated care blueprint for Manchester
http://www.manchester.gov.uk/download/downloads/id/20132/integrated_care_blueprint_for_manchester_2013

Manchester City Council’s State of the City report
http://www.manchester.gov.uk/news/article/6363/state_of_the_city_report_charts_manchester_s_progress

Community Safety: the state of the city for Manchester’s Lesbian, Gay and Bisexual Communities
http://www.lgf.or.uk/communitysafety

Manchester Community Strategy
http://www.manchesterpartnership.org.uk/downloads/file/208/community_strategy_refresh_2012-2015

National

NHS Mandate 2014-5
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/256406/Mandate_14_15.pdf

NHS belongs to the people – a call to action
http://www.england.nhs.uk/2013/07/11/call-to-action/

Better Care Fund
http://www.england.nhs.uk/ourwork/part-rel/transformation-fund/bcf-plan/

Making it Real
http://www.thinklocalactpersonal.org.uk/Browse/mir/

NHS Equality Delivery System
http://www.england.nhs.uk/ourwork/gov/edc/eds/

NICE Equality Objectives
http://www.nice.org.uk/media/F94/B5/NICEsEqualityObjectivesEqualityProgramme2013-2016.pdf

Equality Act
http://www.lgf.org.uk/evidence-exchange/

Public Sector Equality Duty
http://www.equalityhumanrights.com/news/2013/january/commission-publishes-guidance-on-the-public-sector-equality-duty/

Regional Voices
http://www.regionalvoices.org/

The LGB&T Partnership
http://nationallgbtpartnership.org/

From BHP Partners

Closing the Gap: Priorities for essential Change in Mental Health
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/273649/Closing_the_gap.pdf

Commissioning for Carers
http://www.rcgp.org.uk/~/media/Files/CIRC/Carers/RCGP-Commissioning-for-Carers-2013.ashx

Collaboration for Leadership in Applied Health Research and Care (CLAHRC)

CLAHRC Greater Manchester is a partnership between providers and commissioners from the National Health Service (NHS), industry and the third sector, as well as clinical and research staff from the University of Manchester. It aims to improve the health of people in Greater Manchester through carrying out research and putting it into practice.
http://clahrc-gm.nihr.ac.uk/#sthash.RYmdCNHB.dpuf

The National Stroke Strategy
http://www.nhs.uk/NHSEngland/NSF/Pages/Nationalstrokestrategy.aspx

Interim Gender Dysphoria Protocol and Service Guideline 2013-14
http://www.england.nhs.uk/wp-content/uploads/2013/10/int-gend-proto.pdf

It’s just good care – caring for trans people
https://www.unison.org.uk/news/it-is-just-good-care

Good practice guidelines for the assessment and treatment of adults with gender dysphoria
http://www.rcpsych.ac.uk/usefulresources/publications/collegereports/cr/cr181.aspx

The LGF’s Evidence Exchange – a free resource for LGB&T statistics
http://www.lgf.org.uk/evidence-exchange/

Discussion point

How involved is your organisation in shaping local or even national policy? Do you respond to Government consultations? Participate in forums/discussion groups/attend conferences/meetings etc? If so – what difference has it made?

Activity

Watch this video on the new health structures with your staff team http://www.kingsfund.org.uk/projects/nhs-65/alternative-guide-new-nhs-england

Example

1.      South Manchester CCG and GP contracts:

Through BHP conversations it was identified that all CCG contracts already have equality monitoring (including Sexual Orientation Monitoring - SOM) as a standard requirement and that all providers are currently monitored on this as part of their contract.

It is likely that these requirements will be monitored more closely as equality is a key feature of any procurement process and potential bidders need to demonstrate compliance with equality legislation, in particular the provision of sensitive and responsive service access and provision for all protected characteristic groups.  

This conversation led to the SOM that is happening now across South Manchester.

2.      Work with the National Cancer Screening Programmes around cervical screening:

In 2009, the NHS changed its guidance to say that all women, regardless of sexual orientation, should be invited to cervical screening. This reflected new research that proved women who have sex with women were still at risk of cervical cancer. However, we knew from anecdotal evidence that this information wasn’t known in the lesbian and bisexual women’s community, and even that some were still being turned away from screening by nurses.

The LGF successfully used this guidance to attain funding from the National Cancer Screening Programmes to conduct an information campaign for lesbian and bisexual women about screening, and provide training to NHS staff taking cervical screening samples.

This increased the number of lesbian and bisexual women accessing screening and increased awareness among NHS staff of the need to provide an inclusive service. More information on the campaign can be found at www.lgf.org.uk/screening.

Practical consideration

Consider your organisation’s capacity to engage in policy matters, it is the business of every team member so good policy officers will make sure everyone is involved.

If you do not have a policy officer (a luxury for many small organisations) keep up to date by receiving updates e.g. https://www.gov.uk/government/policies?keywords=Policy+updates&topics%5B%5D=national-health-service&departments%5B%5D=all

 By engaging in local partnerships and forums you will get to know the most useful opportunities to attend – keep yourself and your organisation plugged in where you can!

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