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Review of Primary Care Interpreting and Translation Service in Lambeth, Southwark and Lewisham CCGs Presenter: Rosemary Watts Date: 7 December 2018 Meeting: Engagement and Patient Experience Committee A joint review by: NHS Lambeth,

  1. Review of Primary Care Interpreting and Translation Service in Lambeth, Southwark and Lewisham CCGs Presenter: Rosemary Watts Date: 7 December 2018 Meeting: Engagement and Patient Experience Committee A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  2. AGENDA Session 1 Background Information 2 Service Review 3 Population Profile 4 Engagement Approach 5 Timeline 2 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  3. BACKGROUND INFORMATION ➢ July 2015: NHS England transferred the management and administration of primary care interpreting services across Lambeth, Southwark and Lewisham (LSL) to NHS Lewisham CCG. ➢ The contract covers Lewisham, Lambeth and Southwark (LSL). ➢ Lewisham CCG is the lead commissioner and manages it on behalf of all three CCGs* ➢ The service is for primary care health care services (GPs, Dentists, Optometrists) as well as BPAS and Marie Stopes *CCGs buy, monitor and plan health services for local people. This is known as commissioning. They are responsible for making sure that local people get the most accessible and effective healthcare services possible. The CCGs need to make sure that the services we commission meet the needs of our patients, are good quality and offer value for money. 3 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  4. BACKGROUND INFORMATION ➢ The interpreting and translation service helps people communicate with their doctor or nurse if they do not speak English. ➢ We know that lot of other languages are spoken across Lambeth, Southwark and Lewisham ➢ All languages requested in the last two years have been met by the current service ➢ The service is not a health advocacy service 4 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  5. BACKGROUND INFORMATION NATIONAL FRAMEWORK EQUALITY IMPACT ASSESSMENT (EIA) ➢ NHS England published ➢ An EIA of the current service has guidance for commissioning identified areas of inequality interpreting and translation with regards to access for services in health care different groups of users that (September 2018) access the service. ➢ Commissioners aim to ➢ Commissioners wish to ensure that the interpreting understand these areas of and translation service it inequalities in more detail commissions meets the national requirements 5 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  6. Population profile across LSL (JSNA) ➢ LSL is a richly diverse area, with patients from numerous cultural mobile and Diverse & and ethnic backgrounds who rely ethnically mobile on this support to access diverse population healthcare. population ➢ The growth in population across ranked in the LSL means extra demand for 15% most extremes of deprived local health services. deprivation authority and wealth. areas in the ➢ Commissioners need to be aware UK of any changing demand for over 100 younger languages to keep services different population accessible. languages than the spoken in national ➢ To make services increasingly each average. borough equitable it is crucial to be aware of any inequalities that currently exist. 6 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  7. SERVICE REVIEW ➢ Commissioners plan to review the service Service GP Users ➢ We want to hear the Practices & Primary Patients & views of people who use Care Staff public the service, particularly those who speak the most Current used languages. Providers / ➢ We want to understand Interpreters / Staff people’s experience of the service and whether it meets their need. 7 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  8. SERVICE REVIEW ➢ The most requested languages across LSL Rank LAMBETH SOUTHWARK LEWISHAM 1 SPANISH SPANISH SPANISH Top 5 Languages 2 PORTUGUESE MANDARIN MANDARIN 3 POLISH PORTUGUESE VIETNAMESE To Engage with 4 ARABIC CANTONESE TURKISH 5 SOMALI VIETNAMESE PORTUGUESE Rank LAMBETH SOUTHWARK LEWISHAM Top 6-10 6 MANDARIN TURKISH ARABIC Languages 7 TIGRINYA ARABIC POLISH 8 FRENCH POLISH ROMANIAN To Inform 9 CANTONESE ALBANIAN CANTONESE 10 ITALIAN FARSI ALBANIAN 8 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  9. SERVICE REVIEW ➢ The Healthwatch organisations in Lambeth, Southwark and Lewisham have provided useful patient feedback on the service over the last two years ➢ The CCGs across LSL will continue to work with them as part of this review. ➢ We will also be meeting with community groups and other organisations to help understand people’s views and experiences of the service. ➢ We will also be engaging with service providers and staff members. 9 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  10. ENGAGEMENT Community Groups Patient Groups Staff (Top languages*) GP Surgeries Dentists Opticians Service Wider Healthwatch Providers Stakeholders * Includes British Sign Language (BSL) and top 5-10 languages across each borough 10 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  11. ENGAGEMENT We will be asking service users for their views on; ➢ Information made available to them about the service ➢ The booking process ➢ Challenges they may have experienced ➢ Waiting times ➢ What is good about the service ➢ How the service could be improved ➢ Views on how technology might improve access 11 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  12. TIMELINES September October November December January February March 2018 2018 2018 2018 2019 2019 2019 Agree Engagement Plan & approach Engagement Engagement materials/ report resources Online / Feedback to website groups and uploaded stakeholders Se rvice Users (GPs, Dentists, Opticians) about Locality meetings, letters, surveys, outcomes of Options analysis engagement Patient and public engagement (Face to Face and surveys) Paper Wider Stakeholder (Briefings, presentation, reports) The review will run until January 2019 and a report will be written in February 2019 making recommendations for future service delivery 12 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  13. HAVE YOUR SAY! Patients / Public GP Practice Survey Please visit one of the following webpages for more https://www.surveymonke about the review and how to have your say and get y.co.uk/r/ITSreview. involved. Lambeth: The survey is for all practice https://www.lambethccg.nhs.uk/get-involved/Pages/Review- of-interpreting-and-translation-service.aspx staff (clinical and non- clinical) that may use or be Southwark: responsible for booking https://www.southwarkccg.nhs.uk/get-involved/Shaping- interpreters services/Pages/Review-of-interpreting-and-translation- service.aspx Lewisham: http://www.lewishamccg.nhs.uk/get-involved/Pages/Review- of-interpreting-and-translation-service.aspx *Please note that the webpages also have translated materials available including British Sign Language 13 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  14. QUESTIONS 14 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

  15. CONTACT US For further information please contact your relevant CCG lead LAMBETH SOUTHWARK LEWISHAM Commissioning leads Commissioning lead Commissioning lead Garry Money Jean Young Ashley O’Shaughnessy garry.money2@nhs.net jean.young4@nhs.net ashley.oshaughnessy@nhs.net Yvonne Davies Antoinette Scott, ydavies@nhs.net antoinettescott@nhs.net Engagement Lead Engagement Lead Engagement Lead Antonia Knifton Rosemary Watts, Dorothy Muir antoniaknifton@nhs.net rosemary.watts@nhs.net dorothymuir@nhs.net Project Lead: Yvonne Davies, Commissioning Manager, NHS Lewisham CCG, ydavies@nhs.net 15 A joint review by: NHS Lambeth, Lewisham and Southwark Clinical Commissioning Groups

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