#NVMembers @NVTweeting

National Voices AGM4 June 2015

Welcome to

Wifi User name: Bridewell Hall

Password: openpool

National Voices Annual General Meeting

Ordinary Business

Thursday 4 June 2015

chaired byHilary Newiss

Chair, National Voices

Agenda 2.00 to 2.45 pm

1. Welcome and introduction 2. Annual report and accounts for the year ending 31

March 2014; work and finances in the period since the AGM of 26 March 2014; and future plans.

3. Ordinary Resolutions– Resolution 1: to approve the minutes of the Annual General

Meeting held on 26 March 2014– Resolution 2: to reappoint the auditors and authorise the trustees

to approve their remuneration

4. Announcement of elections and appointments to the Board of Trustees

5. Any other business and questions and answers

Jeremy Taylor

Chief ExecutiveNational Voices

• Review of year ending 31 March 2014; • Review of period since the AGM of 26

March 2014; • Future plans.

Snapshot of 2013-141. Person centred care Narrative adopted by NHS England and national

system bodies2. Produced guide to care and support planning3. Helped found Coalition for Collaborative Care4. Began work on evidence for person centred care5. Helped design and deliver NHS leadership programmes6. Collaborated with NHS Confederation and AMRC on a guide to

reconfiguration7. Post Francis work: Keogh review8. Patient leadership: our programme, and joint event with King’s Fund9. High levels of engagement with members & member & satisfaction: 98

per cent “would recommend us to another charity”10. Modest growth in member numbers11. Income: £506,474 – of which member fees accounted for £96,000 (19%)12. Further diversification of funding: DH grant down to 39% of income13. Expenditure £491,894, of which 82% on staffing, running & governance

costs

Since March 2014Goals

1. Promoting more person-centred care 2. Being an excellent membership organisation3. Ensuring sustainability

Person centred care1. Person centred care 2020: “manifesto”2. NHS Confederation 2015 Challenge Manifesto3. Five Year Forward View4. 4 further narratives of coordinated care5. Person centred care: 5 evidence summaries6. King’s Fund/NV “State of Involvement”7. Trained 1500 NHS leaders by Feb8. ABPI/NV guide to charity/pharma collaboration9. Election health debate10. Evidence on peer support

Our membersWelcome to new joiners in 2014/15:

And a HUGE thank you to each and every one of our members – long-standing supporters and new joiners alike

Serving members – what you told us

Members’ survey 2014• NV effective in strengthening voice 95% (0%)• NV issues important to my org 86% (0%)• Satisfied with membership 76% (4%) • Would recommend to another charity 78% (0%)• Engaged as want to be in NV work 60% (18%)• Membership good value for money 58% (4%)

•Best things about NV membership: opportunities for networking and shared learning; collective influence; access to information (especially members’ update)•Key areas for improvement: clarify our forward plans; improve ways for members to engage and interact with each other, review - and raise awareness of - member benefits

1. Collective influence: Person centred care 2020, pre-election meetings with main parties, Five Year Forward View, NHS Leadership Academy programmes

2. Informing and sharing: members’ update, website/blog3. Connecting: long term conditions and public health

member groups, chairs’ and CEOs’ dinners, local influencing peer network, public affairs network; plus a programme of other member meetings and events

4. Building organisational capacity:1. Wellbeing Our Way programme2. Influencing commissioning

Serving members – what we’re doing

Join National Voices’ #PeerSupport twitter chat

7-8pm on Wednesday 27 May @NVTweeting

What is #PeerSupport? What works? How can we make #PeerSupport happen?

Priorities for 2015-16Make person centred care happen:

•Improve national policy and system design – new govt; Parliament; 5YFV; building evidence & tools, eg RTV•Promote powerful role for our sector – esp through enhancing our membership offer; VCSE review; building WOW•Improve practice - raising awareness of and demand for PCC; doing more to disseminate our work; influencing professional devpt; embedding PCC in some local services•Sustain NV – diverse income sources; strong governance & management; clarify model of impact and metrics

Jean Appleyard

TreasurerNational Voices

NATIONAL VOICESStatement of Financial Activities

(incorporating an income and expenditure account)For the year ended 31 March 2014

NATIONAL VOICESStatement of Financial Activities - draft

(incorporating an income and expenditure account)For the year ended 31 March 2015

NATIONAL VOICESReserves

Policy:● Hold unrestricted reserves equivalent to four to five months unrestricted

expenditure as a contingency in case of wind down or to replace lost income● A proportion of reserves can also be designated for essential investment in

infrastructure, mainly information and communications technology

Current position end March 2015:● Draft unrestricted reserves at 31 March 2015 of £145k

NATIONAL VOICESBudget 2015-16 - extract

Expenditure ● Personnel, depreciation and direct costs of activities ● Capital: Website development (£25k) and new server (£15k)

Ordinary Resolutions1. Resolution 1: to approve the minutes

of the Annual General Meeting held on 26th March 2014

2. Resolution 2: to re-appoint the auditors and authorise the trustees to approve their remuneration

Changes to Board of Trustees

Welcome to our new independent trustees:

Joy Warmington Ricardo Borges

Welcome to our new elected trustees

Judi RhysSally Hughes

With thanks to trustees who stood down during the year:

• Ruth Bravery• Alison Cook• Caroline HackerAnd thanks to Zoe Matthews for coming back!

National Voices Board June 2015Jean Appleyard (independent)Ricardo Borges (independent)Simon Chapman (member)Sophie Corlett (member)Angela Coulter (independent)Renata Drinkwater (member)Jane Dunnage (member)

Sally Hughes (member)Zoe Matthews (member)Hilary Newiss (independent)Julia Oliver (independent)Judi Rhys (member)Joy Warmington (independent)

Questions and answersAny other business

#NVMembers @NVTweeting

National Voices AGM4 June 2015

Welcome to

Wifi User name: Bridewell Hall

Password: openpool

Agenda 2.45 to 5.00pm

2.45pm: Person centred care 2020: assessing the post-election context Member discussion

3.35pm: BREAK3.50pm: Person centred care 2020: making it work for people with multiple

long term conditions and needswith

Dr Martin McShane, National Director for Patients with Long Term Conditions, NHS England. Harold Bodmer, Vice President, Association of Directors of Adult Social Services (ADASS).

5.00pm: Close

Please join us in the bar of the St Bride’s Foundation to continue your conversations over drinks (5 – 7pm)

After the election:implications for health, care, well-being

and National Voices members

Department of Health•Secretary of State for Health – Rt Hon Jeremy Hunt MP•Minister of State – Rt Hon Alistair Burt MP•Parliamentary Under Secretary of State – Jane Ellison MP•Parliamentary Under Secretary of State – George Freeman MP (jointly with the Department for Business, Innovation and Skills)•Parliamentary Under Secretary of State – Ben Gummer MP•Parliamentary Under Secretary of State - David Prior

Conservative manifesto:General approach to health reform:• Back the 5YFV• Protect NHS budget and fill the £8bn funding gap• Integrate health & social care, building on Better Care

Fund and DevoManc• Invest more in primary care• 7 day NHS• Continue focus on safety, quality, standards,

inspection, good experience of care, transparency, sufficient staff

• Increase choice and access – right to named GP, 8 to 8 gp appointments, same day appts for over 75s

• More online – appointments, repeat prescriptions, access to records

Conservative manifesto:Health specifics:• Public health: action on child obesity and food information, • Tobacco plain packaging• Diabetes prevention programme• Cancer: implement taskforce (working with charities and

patient groups), continue CDF• Mental health: increase funding, new access & waiting times,

enough therapists. More maternal and perinatal mental health support

• Dementia: deliver on PM challenge – everyone with a diagnosis gets meaningful care plan;

• Rare diseases and cancers: continue research• Long term conditions: a review to get obese people and

addicts back to work• Social care: cap charges and allow deferred payments for

residential care.

Conservative manifesto: Other relevant commitments:• £12 billion welfare cuts• Major spending cuts outside protected areas• More disabled people into work• Replace Human Rights Act with British bill of rights• Restrict immigration• Tackle “health tourism” – reclaim £500m pa by 2017-18• Boost home ownership, promote house building, keep council tax

low• Pro free trade deals, incl TTIP• Scaling up social impact bonds and payment by results in

unemployment, mental health, homelessness• LGBT equality including new Turing law• Prioritise tackling violence against women and girls• More govt business for SMEs• Greater government transparency

Less said on…. Difficult choices in NHS Social care Disabled people (other than in relation to work) Equality (other than LGBT) Public health Voluntary and community sector Human rights (other than HRA), liberty and freedom Poverty reduction Housing Local government funding

What are the Government’s biggest priorities?

• Europe• State of the UK• Economy• Spending cuts• Human Rights Act (?)• Health and care likely to be “steady as she

goes” (?)

Jeremy Hunt’s post election priorities:

• Safe, high quality, compassionate care• Transform out of hospital care• Prevention, especially child obesity/diabetes• Productivity: the £22bn gap

“I am humbled to be reappointed Health Secretary....

“I want the NHS to be the safest, most caring and highest quality healthcare system in the world. After Mid Staffs we have started a journey to get there - but if we are honest there is still further to go.

“My biggest priority now is to transform care outside hospitals - just as we have dramatically improved the quality of care inside hospitals in the last few years. All of us want every single older and vulnerable person to be treated with the highest standards of care - so we need a step change in services offered through GP surgeries, community care and social care….”

What have we called for?• shared decisions about treatments, • care and support planning, using the principles and stages outlined

by National Voices and others.• information, education and support for self-management,

including peer support, for people living with long term conditions and disabilities

• coordinating care, following the narratives co-created by National Voices and partners

• access to personal records – proven to support self management, shared decisions and people’s commitment to courses of prevention and treatment

• personal budgets to give people greater control over the way they maintain their health and wellbeing

• training and development in the skills required for person centred care for large cohorts of practitioners – such as health coaching, motivational interviewing, risk communication and eliciting people’s values and preferences

www.nationalvoices.org.uk/evidence

What have we called for?• valuing and supporting carers and families• ‘social prescribing’, where statutory professionals have access to,

and refer people into, local community sector provision of health-supporting activities

• use of the Social Value Act 2012, which makes building social capital a key criterion in contracts and tenders, and which was intended to open up more opportunities for social enterprises

• community development approaches, such as those piloted in Croydon and Halton, which involve the community in identifying their needs and demands, and determining how these can be met

• investment in voluntary and community sector (VCS) infrastructure capacity to ensure that a full range of groups and organisations can play their part in developing and providing care and support locally

• investment in patient and lay leadership to help coproduce local strategies, plans and services and ensure a more powerful citizen voice in the governance of provider trusts, clinical commissioning groups, health and wellbeing boards and Healthwatch.

Opportunities • Continuity – good relationships etc• Personal choice and control, volunteering etc,

Conservative themes• Health/care integration, out of hospital care

major planks of policy• Dementia, mental health, cancer• Simon Stevens, 5YFV• The £22bn gap means: you can’t do without

us!

Risks• NHS funding• social care funding • Voluntary sector funding• Cuts to benefits and other public spending• Know what they want to do already….• “protect” still trumps “empower”• Insufficient focus on equality, health

inequalities, wider determinants of health, rights, children & young people?

Imponderables • What kind of Conservative govt will it be?• Will the manifesto be delivered?• What will happen that is not in the manifesto?• The state of NHS and social care – eg winter?• The role of Parliament• Events, dear boy• Personalities • And governments have limited leverage!

For table discussions

1. What are the biggest two or three issues?2. What should NV continue to do?3. How should NV adapt to the new context?

#NVMembers @NVTweeting

National Voices AGM4 June 2015

Welcome to

Wifi User name: Bridewell Hall

Password: openpool

Agenda 2.45 to 5.00pm

2.45pm: Person centred care 2020: assessing the post-election context Member discussion

3.35pm: BREAK3.50pm: Person centred care 2020: making it work for people with multiple

long term conditions and needswith

Dr Martin McShane, National Director for Patients with Long Term Conditions, NHS England. Harold Bodmer, Vice President, Association of Directors of Adult Social Services (ADASS).

5.00pm: Close

Please join us in the bar of the St Bride’s Foundation to continue your conversations over drinks (5 – 7pm)