SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

ensure that the impact of changes to services accentuates the positives, as well as
minimises the impact on people as a result of their protected characteristics.
It has been important for the programme to link with existing networks and forums within the
eight boroughs. This has included working with local authority colleagues who support
voluntary and community sector networks, voluntary sector organisations, including the CVS
network, and small community organisations who work with the key target groups and
meeting with faith groups who are able to access a large number of community members
through the work they undertake.
3.6.5 Engagement with ‘hard to reach’ groups
We wanted to ensure engagement with stakeholders from „hard to reach‟ communities and
protected groups who may have specific healthcare needs and views on our proposals. This
was particularly important in cases where opinions would not be heard unless deliberative
pro-active engagement was undertaken. We engaged with „hard to reach‟ communities and
protected groups pre-consultation and during consultation. We recognised that NW London
Hammersmith and Fulham has the largest Polish community in the UK, Ealing has the
largest Somali community in the UK and Black and Minority Ethnic (BME) groups in Brent
now make up the majority of the population. Work enabled us to understand the wide range
of groups that would form part of our engagement and enabled us to engage them effectively
during consultation.
3.6.6 Political stakeholder engagement activities
There has been significant engagement with political stakeholders throughout the
programme. This has included meetings with councillors, cabinet members and Health and
Wellbeing Boards (H&WBs) in NW London. Greater London Assembly Members have been
sent the newsletter. A record of meetings with these groups can be found in Appendix C.
The Joint Health Overview and Scrutiny Committee (JHOSC) was formed by bringing
together representatives of each Health Overview and Scrutiny Committee (HOSC) in NW
London and other potentially affected neighbouring boroughs. It has responsibility for
scrutinising the programme and its proposals for service change. The JHOSC provided
formal feedback to the consultation and NW London presented a response to the Joint
Committee submission a November 2012. Engagement with individual HOSCs has been
ongoing in parallel with individual borough HOSCs. There has been regular attendance by
the programme at as many HOSC meetings as possible in every borough.
3.7 Purpose and scope of the decision making business case
The decision making business case (DMBC) is a technical and analytical document that sets
out the information necessary for the JCPCT to make informed decisions for the
reconfiguration of healthcare services in NW London. It sets out the robust process of
evaluation we have been through to identify our proposals for change, the findings from the
public consultation process and how the programme has responded, the final proposal and
the implications of this proposal. The document can be considered in two parts; the first part
describes the process to identify the recommendation and the second part outlines the
implications of that recommendation. The document includes:
Our vision, supported by clinical standards and proposed clinical service models
The decision making process we have been through including our response to the
consultation findings
3. Introduction to Shaping a healthier future and purpose of document 26