Learning from promising practice case studies to improve care

The Health and Care Bill is expected to pass in time for changes to come into effect in July 2022. This transformation will change health and social care decision making across 42 ICS footprints. In turn, the way that people's experiences inform these decisions will also need to change. 

Local Healthwatch, have a vital role in ensuring that the public continues to be heard. Whilst they already do this within Local Authority boundaries (at 'place' level), they will now need to work together with other Healthwatch to ensure the system acts on what they hear from communities across wider areas. 

Common themes for success

Although every case study is different based on population needs in each area, there are some common themes for success which you could consider when working with your ICS or local Healthwatch.

• A formalised working agreement between local Healthwatch, which defines how you will work together.
• Clear roles and responsibilities for local Healthwatch when representing on Integrated Care Boards, partnerships and committees.
• Clarity on the local Healthwatch resources currently available and a realistic expectation about what ICS involvement is possible within these limitations.
• The ICS resources local Healthwatch representation, engagement and insight gathering.
• Local Healthwatch are proactive in demonstrating the support they can offer the ICS.
• Local Healthwatch coordinate the sharing of insight and learning from engagement of people and communities and use this expertise to inform system decision making.
• An agreement between local Healthwatch and ICS guides the relationship, recognising the autonomy of local Healthwatch.
• The role of local Healthwatch in development, delivery and governance of ICS people and communities engagement is clearly defined and championed by the ICS.
• The independent role of Local Healthwatch is understood and valued by the system.
• The ICS utilises the strength of local Healthwatch to ensure that the voice of the public is heard.