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NHS Checklist QuestionsForum Central (initial notes)Reference Group comments
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System-wide engagementIs there VCSE sector involvement in:Need to give commentary for Leeds PBP team, and for WY on each aspectcapacity is a huge issue. Community Mental health is a good example also of partnership. Cross-system partnership eaxmaples of good practice: palliative/end of life care, where the hospice, Age UK and Carers UK are engaged (but still a struggle to get good engagement with PCN, resources, and capacity for engagement across so many different places/at scale). A good example of cross-sector working might be the inclusion of Third Sector domestic abuse agencies (e.g. LDVS) in the Domestic Abuse Partnership Board, which includes Council, Police, Education. Third Sector is often engaged, but not necessrily as an equal partner/equal voice. Dynamic between PCN and LCPs is problematic; LCP is often more innovative way of working for the benefit of the whole system; Capacity: often reliant on the interest/commitment/goodwill of individuals to act as reps; risk of LCP as they grow, that NHS become occasional guests and NHS-only debates going on in the PCNs which TS cannot influence.
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system-wide workstreamsD Dawtry (Forum Central): LDVS (3rd Sector) involvement in Safer Leeds Domestic Abuse Partnership Board
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service redesignTension between place-based services and Communities of Interest working approach
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place-based partnerships
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neighbourhood teams
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PCNsPCN or LCP - Should we protect the LCP work already underway by mentioning it as 'existing local neighbourhood structures'; the PCN/LCP dynamics can be problematic. Current weakness: LCPs very varied and goodwill of those able to contribute time to meetings and action between them.
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Provider collaboratives?The provider collaboratives would be an area where there is further distance to travel, particularly in Mental Health. There are some provider collaboratives in existence that are trust dominated.
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Asset mappingHave you mapped VCSE stakeholders and their contribution and resources by the VCSE sector to the ICS?Collective understanding is developing (e.g. State of the Sector and JSA); granular level mapping is the next stepMore understanding of Third Sector service contribution for areas like adult social care, its visibility and value, and to facilitate joined-up working/service integration
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Tackling Health InequalitiesAre you working with VCSE groups relevant to the priorities you are tackling, and the population groups you are trying to support?THIG, Third Sector involvement in placed-based networks, e.g. LCPs, NNs; Communities of Interest, with next step of putting toolkit into practice
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Board & network representationAre you building on existing structures and networks, such as VCSE representation on health & wellbeing boards and local VCSE infrastructure organisations?FC’s TS Advocacy & Relationships Representation programme is developing well: need to ensure it can scale to support new ICS; currently working on plans for greater micro & small org representationEnsure we're not just at the table, but also have voice and influence; capacity for systemic representation, so not reliant on committed individuals
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Data sharingCan data sharing agreements be made between health, care and VCSE partners?Concern that Danni Mistry’s Info Governance role has been discontinued (work completed with Forward Leeds & Touchstone, with others underway)Concern that we're involved in agreements from the outset, and not an afterthought; Data sharing has arisen in workforce addressing inequalities project and partners found the proposal of including the third sector a challenging capacity riskJoe Kent Barca-Leeds. The Barca Outreach Support Team works closely with A&E and emergency health services targetting frequent attenders for an upstream & prevention service. Information is shared between agencies. The WYFI project achieved high level protocols and service level information sharing agreements. There are precedents, it may require dedicated work and messages
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Social prescribingDo you have a co-ordinated system approach to developing and sustaining effective social prescribing, developed with input from VCSE sector leaders, local authority and health commissioners, primary care networks, referral agencies and the health & wellbeing board?TS consortiumLinking Leeds; ensuring clinicians understand the Third Sector services, how they complement medical services and how they can join together for better health outcomes (individuals and population health); Social prescribing has not yet resolved the national issue that funding is there for the brokers rather than the receiving organisations
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a) Wider/social determinants of health & b) NHS-LCC-VCSE partnershipsDo you actively support NHS anchor institutions to work in partnership with the VCSE sector and involve the sector in networks to take joint action on the social determinants of health?Concern there is interest, but only token action so far; need to continue to make the case for Third Sector to be seen as an anchor institution alongside the othersWYH have been talking about wider determinants of health. VCS can be an important part of bring different aspects together to achieve better rounded outcomes for the individual as some organisations commissioned from several "silos"; Anchor institutions - at TSP meetings, ongoing reuqest for Thrid Sector to be recognised as part of the anchor instituions network (health, LA, universities)
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ICS support for sustainable VCSEDoes the ICS support a sustainable VCSE sector through Not making strategic grants; People’s Commissioning – changes in procurement; Michelle Van Toop’s work on procurement and on social value
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·         market development
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·         strategic grants and
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·         investment in VCSE infrastructure and alliances,Include talent pipeline, recruitment, learning and development and pay such as full living wage etc
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·         including understanding where communities are not served or advocated for by the VCSE?
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Commissioning VCSEAre you being proactive in commissioning VCSE organisations to deliver services, including with innovative approaches to: Opportunity if LCC stops doing small grants and transfers the function to Forum Central (would involve re-designing to make more strategic grant-making, rather than ad hoc pots)
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·         population health management and
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·         service transforming? Opps for hosting shared posts, facilitating small organisation collaboration
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Non-financial supportCan you develop non-financial support for VCSE organisations, such as theirCould build on Allyship programme and expand to middle management; Opportunity to embed more in One Workforce; This should also be two-way: VCSE has non-financial support to offer to PBP partnersInclude recruitment into the Third Sector, especially with furlough ending, and the importance of a good recruitment & retention pipeline in the Third Sector
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·         inclusion in leadership and quality training
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·         workforce diversity andYesterday with the minister for disabled people there was clear signals for future policy linking between health and employment for people with disabilities and health conditions. Do we need to put workforce into this?
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·         wellbeing initiatives
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·         secondments and
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·         supported leadership opportunities on system workstreams?
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Measuring impact & social valueDo you have a consistent approach to measuring the impact of VCSE partnerships as part of a wider social value approach?No: Need to ensure it is not administratively onerous for Third Sector, and doesn't disadvantage micro/small group collaboration or measures only what can be counted, which excludes some of the Third Sector value/impact; Michelle Van Toop work; LCC Social Value PortalMinimise need for re-evaluating each funded TS "project", and using evidence base; risk of changes in the health sector means that some of the Third Sector's actual social value is lost by the measurement/bidding/tendering processes, especially small organisations; cf.LCC bidding process; new permissive regime should allow for more collaboration/less competition so need to make sure the processes enable this; also include story-telling approach to explain and support Third Sector impact/social value
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Volunteering strategy – public & VCSE sectorsDoes the ICS have a strategy to support and increase volunteering in both public and VCSE sectors?Weekly Bronze meeting; unclear where the city strategy is up to nowReality check that the Third Sector doesn’t work for free or is a cheap option, and the importance of volunteer development as part of workforce development; example of good practice with Children's Services training opened up for others; Volunteering, need for collaboration with the major NHS services which run their own independent volunteering, such as ambulance service
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More generally links with individual gps who know less about the changes than we do, also links with other voices such as unions in NHS
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