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The future means investing in people, patients and communities – Anu Singh

NHS England’s Director of Patient & Public Voice and Insight explains how the new era of health and social care involves giving people more control over their wellbeing:

It is great to work for an NHS that is ‘of the people, by the people and for the people’.

Increasingly now, we are delivering work that gives greater voice, choice and control to people. One of our ambitions is to give over even more control – to rebalance our health system so that it empowers and enables people to be in control of their own health.

The NHS Five Year Forward View has already set out our vision to develop a new relationship with people and communities. Translating this into a reality is now an everyday activity for us. We are working to embed a new operating model for the NHS, where professional staff work alongside individuals, carers, families, and social networks.

We are not there yet, but we know how to get there, and what good looks like.

NHS England is currently rolling out a programme of activity, with vanguard sites and other early adopters, that seeks to reposition the nation’s health on a social, rather than biomedical model.

We now know the approaches, interventions, and models that work.

The Realising the Value Programme has clarified the types of approaches and interventions that, if implemented at scale, are likely to have the greatest impact. Building on the strong platform of person centred care and support planning and helping people build their confidence, skills and knowledge, these approaches include:

  • Self-management education
  • Peer support
  • Health coaching
  • Group based activities to support health and wellbeing
  • Asset based approaches in the health and wellbeing context

We have key opportunities to implement such approaches at scale, and in a sustainable way, across the health and care system. These include through the new care models programme, and through the Sustainability Transformation Plans being developed locally.

In the coming months we will be strengthening NHS England’s ability to make this happen through two new ‘support offers’ to the system:

  • Supported self-management programme – this will create the right conditions for a sustainable health and care system; one that builds on people’s strengths and understands their ambitions.
  • New care models, empowering patients and communities workstream – this is designed to enable the new care model vanguards to implement key person and community centred approaches.  This will also drive wider system and workforce change.

In both of these areas we are advertising new posts over the next few weeks. If you want to be part of the most exciting developments in health and care for many years please visit NHS jobs. For current vacancies please follow the links below:


Image of Anu Singh, Director of Patient & Public Voice and Insight at NHS EnglandAnu Singh is Director of Patient & Public Voice and Insight at NHS England and takes the lead for ensuring that the voice of patients, service users, carers and the public is at the heart of the way NHS England works.

Central to implementing the Five Year Forward View vision, she is responsible for taking forward national programmes of work that not only embed patient and public voice, feedback and insight in the NHS commissioning system, but also actively promote patient-centred care and approaches to care that make the most of community and patient participation.

Anu has a long history of leading personalisation, empowerment, and placing communities at the heart of decision making.  She was previously Head of Business Improvement for Staffordshire County Council where she was responsible for the commissioning of mental health, social care, community safety and education.

For 12 years prior to that she was Head of Development and Improvement at the London Borough of Harrow and at Birmingham City Council, taking the lead on Place Shaping, Localisation of services, Community Empowerment  and Business Transformation.

Anu is passionate about the integration of public services around the customer. She has commissioned the largest integrated Health and Social Care Trust in the country, and is also a Non-Executive Director and Quality Chair of Whittington Hospital Integrated Care Trust.

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17 comments

  1. Anonymous says:

    Caroline Hayes, From Public Participation Team has not forward tickets for citizen workshop on Monday 12th 2016. As you are attending, can you please forward message on as I have no contact details

  2. Judith Riley says:

    I am a 66 year old patient with a long and complicated medical history.
    To improve health services:
    1) Merge health and social care. Rename the NHS the National Health and Care Service.
    2) Localise and improve mental health care.
    3) Go through every NHS job which does not have direct contact with patients. Ask: “How does this job improve patient care and outcomes?” If the question cannot be answered satisfactorily, offer to re-train that person in a care role and this will improve staffing ratios throughout the NHS.
    4) Reduce the number of committees by 75% in order to streamline and speed up improvements.

  3. Pete Moore says:

    I hope the jobs listed below to people who actually understand what selfcare/selfmgt is and not the useful people who ‘think’ they know what it is.

    Th people who live with LTCs here in the UK have been short changed who talk-the-talk but don’t walk-the-walk

  4. Gordon Cairns says:

    I am one of the people who did interviews in London for Staff on New Models of Care Vanguard programme .I did 8 days 6 interviews a day and travelled 2hours every morning and 2 hours home at night 14 hours most days . That was as a Volunteer with just my train fares paid .I am a 69 year old Pensioner and have had Prostate Cancer had an eye shot out . I did the job because the NHS saved my life twice and I wanted to give back to them . Now though they wont give me any work because they are now paying and you have to send in application forms and go for interviews at your own expense so I have Asperger’s Syndrome and cant be interviewed myself as I go to pieces .I am still able to interview other people though . So I am now excluded from Patient Involvement because of a disability on the Autism Spectrum and I call it Discrimination against a patient who is well known as a good interviewer and has lots of other expertise but will not be even looked at now because I cant be interviewed in the normal way .NHS England PPV know me well and I do my work well I have done 3 years on a Clinical Reference Group as a patient rep and just finished 6 months on an External Clinical Assurance Group for Greater Manchester Combined CCG’s and NHS England North Specialised Commissioning on Urological Cancer Surgery Assuring Policies Standards and Pathways as a patient voice .But can get no more work now with NHS England because I am on the AUTISM SPECTRUM diagnosed at 69 years old

  5. Susan Bartlett says:

    I completely agree with Susan Raisbeck’s email below. One thing which concerns me greatly is that the hospital was kept open whilst legionella, but now it is legionella free (as the last flush through and treatment worked) they intend to close it. Our community desperately needs to keep facilities such as this. I hope you can help.

  6. Samantha Pike says:

    Dear Ms Singh
    The people of Wantage in Oxfordshire are trying to stop their local cottage hospital from closure before a consultation has been held. We believe the “temporary” closure on health grounds before a consultation is a ruse to force permanent closure. It is vital to our community that it remains open. Please help us. We need advice.Facebook page: Save Wantage Community Hospital.

  7. Susan Raisbeck says:

    Dear Angu Singh. The people of Wantage Oxfordshire are campaigning to keep our community hospital open. It is being closed for work on the plumbing due to legionella which has been historically mismanaged by the trust. As an expanding community we are in need of more services not less. We will lose a small midewife led maternity unit, a physiotherapy unit and 12 end of life and paliative care beds. We need this facility and we also want our minor injuries unit back which was temporarily closed years ago. Our nearest hospital is 10 miles away. We are a rural community and need to keep our hospital. We have a petition which at the last count had 7,500 signitures. We are a strong camppaign group backed up by the local community who feel strongly about their hospital. This is middle England angry and protesting!! Please help us to keep our hospital open. As the trust have treated the legionella and have a year to decide we want them to keep the hospiital open while the consultation takes place. The trust eants to close the hospital in 3 weeks time and then do the consultation. We know it will be a fait accompli if they drag it out. Please help us!

  8. Deborah says:

    Are all of these posts office based in Leeds or London or is there scope for home-based working to ensure that people based outside Leeds or London can apply?

    • NHS England says:

      Dear Deborah,
      We will be happy to consider flexible working on an individual basis.
      Kind regards,
      NHS England

  9. sheinaz stansfield says:

    We are implementing these approaches to engage patients as equal partners in self care and decision making through practice champions, social prescribing, supported self care (YoC) at practice level, all of which make a significant impact on managing demand and population based care in GP.

    In these times of austerity it makes absolute business sense to engage our communities in strategic and corporate business planning. Enabling co- production at the coal face and working with people as equals to help themselves and others to manage their long term conditions and other complex care needs.

  10. Francesco says:

    Anu

    Please find time to go to the NHS Citizen Gather discussion site,( link below) your blog to-day does not fit with the Five Year Forward View or NHS England business plan 2016/2017 & 2017/2018.Time to deliver on STP plans with patients and public involved and in the room at the same time please.

    https://gather.nhscitizen.org.uk/topics/nhs-citizen-learning-eventprogramme-2016/forum/topic/nhs-citizen-learning-report-now-available/

  11. Kevin S. Riley Solicitor. says:

    All these initiatives are concealing the reality that the NHS is now no longer “national” since the removal of the NHS from democratic control as a result of the fundamental changes introduced by the last Conservative led Government in 2013.
    Even NHS England (As confirmed by Sir David Nicholson) cannot guarantee that any identified “improvements” are actually implemented by the now “independent” NHS Foundation trusts and Clinical Commissioning Groups – neither can Jeremy Hunt or the Department of Health.
    The most immediate necessity is for everyone to realise is that no improvements to the way patients are treated can be guaranteed by anyone since the removal of the NHS from democratic control as a result of the last Government’s changes which took effect in 2013.

    The result of the above is that every NHS Foundation Trust is independent, not only from the Government and the Department of Health, but also NHS England (and it’s numerous off shoots) itself.

    None of the above can now direct NHS Trusts to behave in a particular way, they can only “ask and/or recommend” but can do nothing effective if the various independent Trusts choose to ignore that request and/or recommendation.

    Since 2103 we therefore no longer have a truly “national” Health Service – instead of which we now have 150 or so “independent” separate health services providers, each one of which can make their own decisions about how they provide health services and there is nothing NHS England, Jeremey Hunt or the Department of Health can do to alter this fundamental “legal” reality..

    Given the above and the fact that the NHS as a whole is desperately short of money to meet “patient demand” leads to the inescapable conclusion that the billions of pounds each year spent funding the Department of Health, NHS England and it’s numerous and seemingly ever increasing “off shoots” really represents value for money to the tax payer.

    Kevin S. Riley Solicitor.

  12. Mark Duman says:

    Any secondments/ advisory roles?
    If NCM program has 17 Clinical Advisors, surely some Patient Advisors won’t got amiss? 😉

    • NHS England says:

      Dear Mark,

      Thank you for your comment. The new care models programme does indeed have roles for patients and members of the public. These roles range up and down the ladder of participation; some are advisory but many are actively collaborative as well.

      Patient and public voice partners have helped recruit staff to the new care models programme, draft the engagement plan for the national support team, evaluate value propositions, and work with vanguards to consider their organisational structures and planning.

      We have around 75 members of the public who have taken part so far from a variety of backgrounds. While we are happy with the diversity of volunteers we have so far, we are looking for more people to get involved. If anybody would like to take part in the new care models programme and help design and implement the #futurenhs, please email josephfraser@nhs.net for an application form.
      Kind regards,
      NHS England

      • Kassander says:

        NHS ENGLAND
        is an organization, NOT a person.

        If you are going to post what I know to be overblown and unsubstantiated claims such as these, thew very least you can do is to state:
        ## Who you are;
        ## In which capacity you write;
        ## Where one may check the claims you have made, with particular emphasis on your lacking in evidence :
        ## ”Patient and public voice partners… ”
        ?? Where might one access the list of these, please
        ### ”We have around 75 members of the public who have taken part so far … ”
        ?? For a P&P base of ~ 50 000 000 this seems a rather low number – how long has this project been running;

        ### ”from a variety of backgrounds. While we are happy with the diversity of volunteers we have so far …”
        ?? Please supply a link to your statistical analysis which supports this claim.
        [Modern medicine is said to be EVIDENCE based.]

        One feels certain that from the wealth of knowledge available within OUR=NHS
        you could have sourced the help and guidance to enable you to to include Hypertext / Hot, links in your text so that my email would have been unnecessary?
        ————
        Failure to supply this information will, of course, result in an FoI Act 2000 request – an unnecessary expense, and possibly a complaint.

        • NHS England says:

          We are not able to provide additional information at this time. NHS England must locate information you have asked to be made available and assess its appropriateness for release. We would encourage you to make a Freedom of Information by writing to england.foi@nhs.net. Please ensure your name is included as part of this request.
          Kind regards,
          NHS England