(1) The Quality Network has steadily increased the number of Service User Experts involved over the past 7 years, with 13 experts currently working for the network. (2) Service User Experts play important roles in the peer review process through service user telephone conferences and attending peer review visits. (3) Involving service users provides benefits both for the individuals, such as feeling valued and gaining skills, and for services through the unique perspective service users provide. (4) The Quality Network is committed to reviewing and developing service user involvement at all levels of the project.
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3. SU%A0Contribution to QNFMHS_SM and RS WEBSITE(1)
1. Service User Contribution to SecureService User Contribution to Secure
Service Quality ImprovementService Quality Improvement
Sarah Markham and Roger Sharp
Service User Experts
3. What does service user
involvement mean in the
Quality Network, to date?
4. The Service User Expert Team
At the start of Cycle 8, 13 SUEs working for the
network
How did we find out about the role?
Staff at service recommended applying
From an existing SUE visiting service
Quality Network member of staff
Seeking out role with Quality Network
Cycle 2
2007/08
Cycle 3
2008/09
Cycle 4
2009/10
Cycle 5
2010/11
Cycle 6
2011/12
Cycle 7
2012/13
Cycle 8
2013/14
No. Of
SUEs
3 SU
Experts
2 SU
Experts
4 SU
Experts
6 SU
Experts
9 SU
Experts
12 SU
Experts
13 SU
Experts
SU Tele
Conf.
- 83% 94% 97% 100% 97% 91%
Peer-
reviews
- 13% 23% 30% 43% 77% 82%
5. Involvement in the QN
Recruitment
o Job description and personal specification -
applicants are shortlisted on this basis
o Interview with Quality Network Team and the
Advisory Group Service User Advisor
Induction
o Formal induction session with all of the newly
recruited and existing SUE
o Training on all aspects of the job role
Support
o Project Link Person
o Annual Contingency Planning
o Quarterly peer-support meetings
o Annual feedback and work review meeting
6. Roles and Responsibilities of Service
User Experts
Service User Telephone Conference
o SUTCs form a vital part of the Self-Review
stage
o Service User to Service User
o Each service user expert has a script and a list
of questions specific to the service
Peer-review Visits
o Approximately one per month or roughly 3-10
per cycle
o Now able to attend each day of the review
o Integral part of the Peer-Review Team
o Chair service user meeting
7. Roles and Responsibilities of Service
User Experts
Advisory Group Representation
o Two representatives to provide input and
feedback from SUE and review experiences
Presenting at Events
o Workshops are held to focus on areas of
challenge from the previous year
o Annual Forums
Newsletter Contributions
Consulting on standards development
8. Developments for the future
Consultancy for Service User Involvement:
oReviewing the purpose and role of service user experts in the
context of the QNFMHS
oProviding a full specification of training needs of project team
and SUE team
oReporting back to the Network at the end of March and
presenting the findings at the Annual Forums
Providing extended training; for example, group facilitation
9. How can we involve service
users at member services?
10. How the QN involve service users at
member sites
Engagement within the peer-review process
o Encourage services to work with patients when
filling out the service user meeting section of the
self-review workbook
o SUTCs provides peer-review team with patient
opinions prior to the day
o Encourage patient guides on the peer-review days
o Meeting with service users
Newsletters and Events
o Regular patient contributions from member
services
o Attending workshops or Annual Forums
o Submitting artwork for use on reports
11. How units could involve service users
in the process
Member services supporting the network
o Designating a patient for calls and is
available at the scheduled time
o Giving patients the questions beforehand
o Ensuring that staff and patients know in
advance that the process is not an
inspection
o Filling in information for all of the standards
in the self-review workbook
Ensuring that involvement is meaningful and
not tokenistic
13. The Benefits of Being Involved
Sharing and gaining experiences while on review visits
Feeling valued staff seek your opinion, part of the
team
Learn something new from each review
Supported in role by SU training
Social inclusion
Gives you a real experience of work and as part of team
Great way to get on a pathway to recovery
Gives you confidence leading meetings and interviewing
staff
Gain life skills
Great opportunity for paid employment and use
experiences
For the Service Users:
14. The Benefits of Being Involved
SU involvement has provides a global experience and provides a
unique view point
Feedback from people who have a good idea of what can work
and what cant
In SU meeting and the telephone conference, there is a lot of
value for patients in speaking to somebody who was once in
their position
For the Member Units and other services:
15. What should SU involvement mean in
the future?
SU involvement should mean involving users in every aspect
of the service being provided to them
SU involvement is a marker of a patient centred approach
Reviews have shown that involvement in the CPA process and care
planning is increasing
It should occur on a number of levels: individual care,
community/ward level, service level and in wider structures
An opportunity to give something back and provides services with
a different perspective to use for improvement
The real question is:
Why shouldnt service users be involved?
16. In Summary...
In terms of the Quality Network, it is
committed to involving service users at every
level of the project and are currently
reviewing the work with the aim to further
develop and improve involvement.
The Team also welcomes any ideas on how
we can engage member services in
supporting their own service users further.
#5: Service User Experts have been employed with the Quality Network since the second Cycle in 2007
There has been a considerable amount of development and growth over the years
This year stated with 13 SUE, however this has decreased to 9 due to changes in personal circumstances
Cycle 8
Although SUE were scheduled on to 100% of reviews and SUTCs, there have been a absences or calls that could not be facilitated
SUTC: Failed to meet 100% because of units not being prepared at the time of the call and not being able to provide a patient to participate
Peer-reviews: Absences are due to sickness and change of leave status of SUE at short notice.
#6: RECRUITMENT
- SUE is a job role, therefore we have a full JD and PS, we shortlist, interview and there is a contract
- Each year the Quality Network has advertised across member services for SU experts to apply for the role.
- Recruitment of service user experts has been inclusive. We have taken applications and accepted service users who are at different points in their recovery. Some service users need to be escorted, others have been discharged from hospital and are living in the community and some have been recalled to hospital whilst being service user experts. In the recruitment for 2013-2014 we required an ability to travel without escort for the first time.
INDUCTION
As above, and role plays and presentations from existing SUE
SUPPORT
Annual contingency planning by 4 way conversations
Yearly reviews, see how it is going on both sides, give feedback and suggestions
#7: SUTC
- SUEs ask the questions and there is a member of the project team on the line to take the notes.
- The standards were developed into questions by the SUE Team to make the calls more patient focused and more conversational
REVIEWS- Form part of the review team just like any of the other team members there
- Chair the service user meeting so that again it is service user to service user
Team are very responsive and are able and eager to cover reviews if needed
#8: ADVISORY
- Two standing SUE Representatives and a back up representative
- Report on reviews and SU Experts work
- Feedback any information from the SU support
meetings
Offer SU Expert opinion on the advisory group and advise on new projects, standard consultations and any future plans.
EVENTS
-The Quality Network holds a number of workshops each year, based on an area of challenge
-Service User Experts can attend to give their opinion during the discussions and/or they are able to present on the topic
-The Quality Network holds an Annual Forum for each of the networks
-Service User Presentation initiatives from the year
NEWSLETTERS
-
STANDARDS
-
#9: CONSULTANCY
-In close consultation with project team, advisory group and service user experts to review and provide recommendations in the form of a written report on specific aspects of the service user expert involvement in the Quality Network s. Key responsibilities of the consultant will be to:
-Review the purpose and role of service user experts, job description, recruitment procedure, contingency planning policies and procedures, provide full specification of training needs of project team, and to develop a proposal for role specification and job description of a service user expert coordinator.
Report back end march
TRAINING
-trying to provide more training to help with the job
#11: Units themselves have a range of ways that they can involve service users: from food forums, to patients council, to voluntary decorating of ward areas.
These are some of the ways the QN tries to involve service users..
This is an area in need of improvement and the Network would welcome any ideas to further increase this.
#12: -SUTCs no designated patient ready and not ready at the time that was planned.
Discuss how it affects you as SUEs (e.g, have to prepare and be ready for it, might have to rearrange the call and move other commitments to do this.
#14: The benefits of involving service users for service users
Although this focuses on involvement within the QN, the benefits will be similar in any organisation
#15: If for any reason service users are not able to attend a review, the Project Team always receive feedback that the SUE was missed and their presence is seen as a vital part of the day.
#16: No decision about me without me
What do you think service user involvement is and where do you think it needs to be improved? (within the project or globally)
Discuss that the real question is why shouldnt service users be involved? and the answer is that there is no answer reason why they shouldnt be
#17: The Quality Network is committed to involving Service Users at every level of the project, however we are aware that there is always room for improvement.
The Team are eagerly awaiting any recommendations made from the consultancy report and welcome any suggestions on ways we can further develop our service user work.