Pre-election guidance: How to remain impartial

Everything you need to know about how to remain impartial during the pre-election period ahead of the general election.
Polling station sign

About this resource

In the run up to the national Government election, it is critical that all members of the Healthwatch network continue to act in a politically neutral way. This resource aims to give you the information you need to remain impartial during the pre-election period.

This resource includes:

  • Important points for you, your board and operational team to consider when it comes to the pre-election period.
  • The guidance covers publications, media and social media activity, as well as working in partnership.
  • Information on how we will be operating during this period.

Key things to remember

What is the ‘pre-election period of sensitivity’?

This is the period of time before an election when public authorities are limited in what they can do. This is to ensure that they are not seen to favour one political group or interest or seen to compete with election candidates for public attention. 

What this means for you

  • All members of the Healthwatch network continue to act in a politically neutral manner.
  • You should not undertake any activity that could call into question your politically impartiality or that could give rise to criticism that public resources are being used for political party purposes.
  • You will need to carefully consider and make a judgement about the work you have planned for this period. In particular, consider how activity may be perceived in light of campaigning taking place. You should continue to operate as usual and carry out day-to-day activities but be aware of the heightened sensitivity.
  • You must not engage in, or advocate for, any party-political activities during this period.
  • You should discuss with your board and operational team how you plan to conduct your communications and external engagement during this time. We would also urge your operational team to have a discussion with your local authority commissioner to establish if there will be any specific guidance during this period that the local authority will expect local Healthwatch to comply with.
  • There is a shared responsibility across the network to ensure all local Healthwatch act to uphold the reputation of the Healthwatch brand. Therefore, operating in the spirit of the official guidance will help you to avoid compromising your impartiality or reputation.

When does the period of sensitivity start?

The guidance for the general election on 4 July 2024 has been published and comes into effect from 00.01am on 25 May 2024.

This will remain in place until after the election is finished. 

Implications for staff and board members

  • Staff and / or board members may be involved in elections as supporters of political groups or as candidates. In these cases, it is important that they ensure that this is done in their own time and that they do not use any Healthwatch resources to support this activity.
  • Healthwatch will also need to ensure that they are not used in a way that might be seen as supporting any campaigning activity.
  • If any board members or staff are involved in canvassing, careful consideration should be given about their role in any public-facing activity during this period. You should consider whether a different person can take part in the activity or whether it can be postponed until after the election.

It will be important to remind your board members and staff about your code of conduct and / or your conflict of interest policy so that they are clear about their responsibilities.


Consultation and engagement

“Promoting, and supporting, the involvement of people in the commissioning, provision and scrutiny of local care services” is a statutory function of Healthwatch and can be continued during this period.

You will need to consider the implications of how this is carried out and may need to adapt your approach to assure that you maintain your impartiality.

Whatever work you are undertaking, it is expected that it should not draw attention away from the election, so you should be careful about how you publicise any engagement activity, even if the subject is not contentious.

Regular, continuous and on-going surveys may continue. Ad hoc surveys and other forms of research that are directly related to and in support of a continuing statistical series may also continue. Ad hoc surveys and other forms of research that may give rise to controversy or be related to an election issue should be postponed. 

Publications

During this period, you may still be undertaking Enter and View visits and you may want to continue to publish reports on those activities. Material that would normally be considered objective and impartial may well be seen as political and attract criticism in these highly sensitive periods, so you should consider each report separately and whether publication can be postponed until after the election.

Annual reports

The statutory requirement for your annual report is “provision requiring each such report to be prepared by 30th June after the end of the financial year concerned.” 

We therefore recommend that: 

  • You prepare and finish your annual report by the 30 June.
  • You do not publish, promote, or send out your annual report until after the general election. 

We recommend you get in touch with your local authority commissioners ahead of the deadline to inform them of your approach and let them know the annual report publication will be delayed due to the pre-election guidance and when they can expect to receive it from you. 

Social media

As ever, in your capacity as a Healthwatch representative, be careful not to issue any personal opinions on social media platforms, for example Twitter and Facebook, or make any comments from your Healthwatch account that could lead you into a political debate.

Updating the public with essential factual information may continue but avoid offering additional comment or opinion. Candidates and supporters may ask directly about local Healthwatch’s work, and any comment you make should be purely factual rather than expressing an opinion.

Do not retweet tweets from a political or campaigning organisation that is advocating party political positions, or from a local figure who is standing for election.

Consider removing any applications that share content automatically to your social media channels during the election period.

Paid for social media

The guidance from the cabinet office is that all new campaigns must be postponed, and live campaigns are to be paused across all advertising and marketing channels. 

Media 

It is possible for comments made to the media to be taken out of context or misinterpreted and used in a way that could call into question your political impartiality or that of your local Healthwatch.

If you are contacted during the pre-election period of sensitivity, you should direct journalists to material already in the public domain – such as previous statements or reports that you have released on issues.

Avoid offering additional comment or opinion, and if a journalist asks questions directly about Healthwatch, any comment you make should reflect previously published materials. This will be important if the journalist is fact-checking something said by a candidate, as you may be perceived as being critical of that candidate.

Journalists will often be working on a short timescale and will want a quick response. Don’t be rushed into saying something before you have had time to think about your response. It can be better not to respond at all than being pushed into saying something that does not accurately reflect your views.

Any specific requests for new or unpublished materials should be handled in accordance with the requirements of the Freedom of Information Act.

Website content

Updating the public with essential factual information may continue, but blogs or website content that comment on Government policies or proposals should not be updated or published until after the general election. 

Websites and social media channels are likely to be scrutinised closely by news media during the election period. All content published much be carefully considered and stick to facts without offering an opinion, even on topics that are not considered controversial. 

Events

The guidance states that officials should decline invitations to events where they might be asked to respond on questions about future Government policy or matters of public controversy. 

We therefore recommend you carefully consider any speaking engagements your staff or board members attend during the pre-election period. 

Partnerships

Public sector organisations will be aware of the limitations imposed by the period of pre-election sensitivity, but partners from other sectors may not.

Check that any partnership activity that you are associated with takes account of the heightened sensitivity. For example, if a campaigning organisation wants to launch a report that you have collaborated on, you will need to be assured that it will not be seen as supporting a particular political group or candidate either directly or indirectly.

Our approach

We are subject to the guidance issued by the Cabinet Office which applies to all Government departments and arm’s length bodies. 

During this time, we will continue with our day-to-day business of supporting you and taking forward our projects. 

However, in line with Cabinet Office guidance, we will reduce our public-facing activities, including declining invitations to speak at events, pausing all paid digital marketing and media activity. 

We will carefully consider how the work we carry out may be perceived and think through potential implications before carrying out any activity.


Further advice

If you want further guidance, please consult the Cabinet Office guidance for public bodies. The Local Government Association also produces guidance on the pre-election period.

Do you have a question?

If you have a question or would like to discuss any concerns, you can talk to a member of our policy team

Email us

Resources and ideas to help you make the most of Volunteers' Week

We have brought together some of the great ways Volunteers’ Week is celebrated across the Healthwatch network in one handy document. Why not use it to help inspire your own ideas and activities?
An older female Healthwatch volunteer smiles at a patient in a hospital setting

Each year many Healthwatch deliver creative and inspirational activities to mark Volunteers’ Week and recognise their amazing volunteers. Following your suggestions, we've collated some of the best examples in one document.

While this resource focuses on Volunteers’ Week, it could also be applied to International Volunteers’ Day or other local celebrations for our volunteers. We have also included template certificates to recognise attendance or particular achievements/completion of training which you may find useful.  

We would like to say a massive thank you to all those Healthwatch colleagues who helped with suggestions, shared ideas and generally assisted in developing this resource. It's great being part of such a positive collaborative network dedicated to assisting one another!

Downloads

Volunteers' Week Ideas (PDF)
Certificate of award template to acknowledge achievements/training
Certificate of attendance template

Feel free to share further ideas with us so that we can add to the resource in future.

Please email Volunteering Manager André Benham via andre.benham@healthwatch.co.uk

Patient safety concerns - escalation process

After recent meetings allowed Healthwatch to share and reflect on patient safety concerns, we developed an escalation process. Read about it here.
""
During meetings with Healthwatch, the pressing need for a more robust escalation process to address patient safety issues became evident.
 
As a result, we worked with the Care Quality Commission (CQC) on a bespoke process for Healthwatch to escalate patient safety concerns. This feeds Healthwatch concerns directly into the CQC's new regulatory platform and will allow CQC colleagues to track issues and report back to Healthwatch at a local and national level on any actions taken. 
Escalation process
 
Definition and scope
 
The escalation process is to be used when your Healthwatch believes there are potential systematic safety concerns which are affecting several people rather than individual circumstances, including nearly never events.
 
Response timings
 
The escalation process involves several stages. Under s 224 of Health and Care Act, your Healthwatch should expect a response within 20-30 days. However, given the seriousness of your concerns, you should consider what is a reasonable period to expect a response for each stage of the process.
 
Initial steps:
 
  1. Your local Healthwatch identifies concerns about patient safety/the culture/governance of one or more health and/or care organisations that risks patient safety.
  2. Your local Healthwatch raises the matter with the organisation(s) in question directly unless there is a valid reason preventing this (such as the concern is about a CEO or senior leader). You should consider your local safeguarding policy and processes if appropriate.
  3. If this is unsatisfactory, your local Healthwatch raises the matter with the commissioner of the service and/or your integrated care board
     
Escalating to CQC:
 
  1. If the initial steps have proved unsatisfactory, you may wish to discuss the matter with your regional manager, who can raise the matter, if appropriate with Healthwatch England colleagues for a prompt response.
  2. You can then decide to share your concerns with the CQC via enquiries@cqc.org.uk using the template email below where the information will be recorded and triaged appropriately. In order for Healthwatch England to track and record issues escalated to the CQC we ask that you copy your regional manager into these communications.
Review:
 
  1. Healthwatch England will liaise with the CQC to gain an overview of the cases raised by local Healthwatch. Subsequently, we will share general findings with the quarterly Healthwatch Patient Safety Network for understanding and learning.

Downloads

Template email to use when escalating concerns to the CQC

Stakeholder Perceptions Survey: Template for local Healthwatch

We have created a stakeholder perceptions survey so you can find out what partners think your Healthwatch’s strengths and areas for development are.
Three women sitting around a table looking at paperwork

Healthwatch need strong working relationships and influence with key individuals within stakeholder organisations to make a difference for residents. 

This stakeholder perceptions survey allows you to evidence your Healthwatch’s strengths and areas for development in stakeholder relations with key health and social care, local authority, and non-profit sector professionals.

The survey template has been shared on SmartSurvey with all local Healthwatch accounts provided through Healthwatch England. 

The guidance on using the survey provided here includes a copy of all survey questions and accompanying text so you can create the survey on another platform if necessary.

The conclusions you reach from your survey can form the starting point for you to produce a stakeholder influencing plan. This plan can include a set of priority actions that you will take to ensure you:

  • maintain and build on the strengths you’ve identified where stakeholders agreed that statements applied to you;
  • address areas where stakeholders didn’t sufficiently often agree that the statement applied to you. 

Downloads

Stakeholder Perceptions Survey Template (Word document)

Healthwatch Greenwich and Healthwatch Rutland kindly supported this project by piloting the survey with their local stakeholders. Both found the process led to very useful findings.

How to make the most of your annual report content

Putting together your annual report can be challenging, but it can also give you some great content you can use to engage people with your work. Here's how you can make sure your hard work doesn't go unnoticed.

We've put together some top tips for how you can make the most of the content you've pulled together for your annual report.

1. Showcase it on your website

There are lots of ways that you can make the most of your annual report content on your website, such as:

  • Create space on the front page of your website whether that's in your homepage carousel or under 'News' to help make sure people will see it.
  • Share a snappy article to summarise the key messages from your report, and a clear call to action to hit 'Download' to see the full report.
  • Bring out some key stats by creating a graph or infographic to make it visually appealing. 
  • Create blogs to showcase the case studies from your report highlighting the difference you've made. 
  • Create an impact page to highlight the difference you're making to local services and communities. 

2. Social media

Reuse your annual report messages, stories and content on your social media in the few weeks following the launch of your annual report. You can showcase the work of your volunteers to encourage people to join your team, share the local impact your work has had to get people to speak up, and show how you help people access health and care services. 

3. Email marketing

Emails directly to those on your mailing list to make them aware of the publication will help to raise awareness that you have published your annual report. Include your key statistics and an overview of what they can expect to find in your report.  

4. Look for media opportunities 

All those great stats and case studies are ideal for media opportunities. Whether you're responding to a local event, or hoping to promote your work in the press, case studies will help bring it to life. 

Do you need help?

Join the Annual Report group on Workplace to share ideas and get feedback on the activity that you're planning.

Let the hub know if you haven't got a Workplace account so that this can be set up for you. 

Go to Workplace

Accessibility guidance

With more people seeking advice and information and sharing their views with Healthwatch online, it's important that we are all taking steps to ensure all our content is accessible.
""

What do we mean by accessibility? 

Accessibility means ensuring everyone can access your information, providing equal access and opportunities to people with diverse abilities.

The content you produce and upload must meet high standards to ensure you provide information that everyone can benefit from.   

The accessibility guide covers

  • New Web Content Accessibility rules, introduced in September 2023
  • How to provide accessible images, multimedia content and downloads
  • Event accessibility considerations

Accessibility policy template

Our template provides you with a suggested structure for the policy you should display on your website. 

This policy covers:

  • Digital accessibility
  • Online events
  • Face-to-face events

Downloads

Accessibility guidance
Accessibility policy template

How to resize images

This guidance explains how to resize images to use in your marketing and communications activities.
Close up of a laptop keyboard, keyboard and hand on a mouse

Resizing pictures with Canva

More Healthwatch are adding Canva to their creative toolkit to enhance their marketing output. The platform is free. All you need is an account. Here's a quick guide to using the platform to edit your images: 

  • From the top menu select Create  → Photo editor
  • You'll come to a workspace. In the top bar, you want to select Open  → Computer (or wherever the image you want to edit is saved.)
  • In the left-hand panel, you, will see multiple photo editing options, including Crop and Resize. Select the option you want and adjust your image accordingly depending on your needs. 
  • In the top bar you'll have the option to Save your work in a destination of your choice.  
  • You can name your file, and hit Save. This will automatically download your altered image to your chosen save destination - saving to your computer is the easiest option. 

Resizing pictures with BeFunky

BeFunky is a free image editing platform that allows you to crop and resize images. It is free to use and you don't need an account. Here's a quick guide to using the platform to edit your images: 

  • From the homepage , select Resize & Magic Switch, and look at the Resize section.
  • You can choose from common design sizes, browse by category and choose multiple sizes.
  • To use your own measurements, select Custom size
  • Select Continue, and choose how you want to resize. 

For more help mastering Canva, check out their Design Academy. It's full of useful tutorials. 

Microsoft Office Picture Manager and Microsoft Paint, both of which are free and may already installed on your PC by default.

Resizing pictures with Microsoft Paint

Microsoft Paint is a very basic picture editing program, so it has quite limited functionality. However, it does provide a simple and quick way of resizing images.

  • Open Paint – Start → Programmes → Accessories → Paint
  • Open the file you want to edit
  • Click Resize
  • This will bring up the Resize and Skew pop-up.
  • Select the pixels option
  • Untick maintain aspect ratio and put in the dimensions you need and click ‘Ok’

If doing this has distorted your image, then you will need to click undo and crop your image first. For example, if you have an image that is 246 x 246 pixels and you want it to be 200 x 74 pixels simply resizing it will distort the image.

Resizing pictures for social media

Landscape by Sprout Social is a free online tool that helps you resize, crop and scale images ready for use across multiple social media platforms.

Use this cheat sheet to to see all of the correct dimensions for pictures across the different channels. 

Don't forget

You will need to get consent from people that you take pictures of at events. Use our consent form.

Resizing pictures with Microsoft Office Picture Manager

Picture Manager is slightly more advanced than Microsoft Paint and has a few additional functions for editing pictures.

  • Find the picture you want to edit in your documents, right click and then go to Open with and select Microsoft Office.
  • To resize images, go to Picture → Resize

Top tip

When saving for web, always work from a copy of your original high-quality image. Keep the original in case you need it again. Once an image is compressed, the extra data (and image quality) is discarded.

Using the ‘Percentage of original width x height’ option in the right-hand menu, use the arrows to decrease the size. The ‘original size’ is the size the image was when you opened it and the ‘new size’ is the size that you’re changing it too. The ‘new size’ will change as you decrease the percentage.

Cropping images

If you need to crop the image go to Picture → Crop

Here you can either drag the corners of the image, or use the arrows in the right hand menu to trim your image down to a more precise size.

Top tip

When resizing an image, avoid stretching small images to a larger size, which creates pixelation. Large images can always be scaled down, but small images cannot be made larger without sacrificing image quality.

Downloads

Photography consent form

Additional resources

Working with your local Joint Strategic Needs Assessment

Find out more about how the benefits of effectively engaging with your local JSNA (updated February 2024 to reflect the Health and Care Act 2022)
Healthwatch staff member sitting at a desk reading papers

About this resource

The Joint Strategic Needs Assessment (JSNA) is a process by which local authorities and integrated care systems assess the current and future health, care and wellbeing needs of the local community to inform local decision making.

JSNAs make sure that health organisations and local authorities have a good understanding of their local populations, and the challenges services face in tackling health inequalities.

Many local Healthwatch regularly influence their local JSNA to share vital information about what people want from services. This resource aims to provide you with more information about how you can engage effectively with yours. It includes:

  • More about what a JSNA is and how they work
  • Case studies where Healthwatch across the country have worked effectively with their JSNA
  • Opportunities for Healthwatch to get involved in their local JSNA
  • How you can use JSNA to prioritise your future work and hold local systems to account on what they're doing

Downloads

Download the guidance.

National Reports Library upload guide

Download our guide to uploading your reports to the National Reports Library, our central repository of local Healthwatch and Healthwatch England reports.

About this resource

The National Reports Library is a repository of local Healthwatch and Healthwatch England reports on our website. To help you use it effectively, this guide covers: 

  • What the National Reports Library is 
  • How to create your account 
  • How to upload a report
  • Important next steps
  • Themes taxonomy options and its use 

This guide consists of: 

  1. A PDF of the main guide 
  2. A Word document of a checklist to use alongside the guide 
  3. A video demonstrating how reports are uploaded 

Downloads

Download the main guide
Download the checklist
Watch our video demonstration

Healthwatch campaign calendar 2024

Download the 2024 campaigns calendar to help you plan your engagement and communications strategy for the year ahead.
People chatting with each other around a table

About this resource

To help you plan your communications, we have created a calendar that provides you with:

  • Communication opportunities
  • Key Healthwatch dates
  • Religious dates you might want to mark

This calendar has 12 separate tabs, one for each month. Within each tab you'll find:

  1. A full month calendar view so you can see what's coming up at a glance.
  2. Suggested content for the campaign / a space for you to write more information about the campaign.
  3. Links of where you can go for more information about specific campaigns.

Downloads

Download the calendar