The programme has evolved its approach to engagement and evidence gathering in a phased approach Evidence gathered & analysed PHASE 1 : Emergency response Process underway Engagement limited to on the ground Emergency Response intelligence gathering with partners to enable RBKC & NHS Planned Q1, Q2 2019 an emergency response PHASE 2: A more planned E.g. extended GP appts, Night approach to engagement service, MH Screening, health Initial Health Response together with initiation of events, respiratory clinics initial health response Community Multi- MH / Screen Intelligence Primary Care EQIA Gathered evidence all PHE data Group Agency and Treat sharing with intelligence Screening logged by CCG using assessments Forum Intelligence RBKC internal systems PHASE 3: Engagement stepped up in accordance with Clinical PHE / JSNA for Community Engagement Community community readiness. engagement to North conversations responses Group Reports Analysis of design care offer Kensington inequalities and early service development PHASE 4: A robust 10 Cultural Health planned approach to Health International Healthcare Competency Recovery delivering improved informatics Peer Review Themes Framework Plan outcomes and addressing inequalities PHASE 5: Commissioning, Commissioning Impact Assessment of Mitigation of Monitoring assessment of impact and culturally responsive services established negative impacts provision 1 monitoring service
Our approach Developing the Evidence Whole system change base – Health Informatics Asset based approach to International Review of PTSD health care Community conversations Social Value Act Patient conversations- GPs Outcomes Framework Health Recovery Strategy Commissioning Process Cultural Competence Framework NK Health Recovery Partnership Literature Review - 622 Accountability
CULTURAL COMPETENCY CONNECTORS Social Determinants Providers Community /Health Commissioners Behaviours Engagement/Health NHSE Literacy
Theory of change Health Insights • What is the populations • How patients and professionals understanding of the interact to begin to solve healthcare available to them challenges • How does the population • Essential to a positive response • Shared decision making respond to their medical need to healthcare and self care •Shared understanding of ‘What • What are the influencers on • Ability for people to engage matters to the patient’ their response with professionals • What are the health behaviours that we need to Patient change Health literacy engagement Getting the Theory of Change right enables: • Better Decision making for commissioners and providers on what and how services and delivered • Health behaviour change in communities through better mutual understanding of needs • Improved chronic disease management • Enable identification of the inputs that support desired change – and in turn drive better outcomes / reduced inequalities 4
CCF COMPRISE OF Engagement approach Health Insights Health Literacy Decision making Cultural Influences Health Behaviours/Information Role of Commissioner/Provider Role of Communities, patients, VCS/Faith Groups Outcomes to measure success – NK specific
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