10. Citizen engagement, the new Wales NHS
A citizen engagement (CE) strategy, which is operationally effective, provides some of the evidence that scrutiny, inspection, audit and regulation needs for evidence of good quality care provision; not just clinical outcomes and financial efficiency. What we experience is a piecemeal consideration of CE, whilst this is stated as being central to the reform process.
This requires a simple statement on:
* The value of cross organisational CE strategy;
* How this contributes to the new Wales NHS;
* Quality services, patient safety, public health and public protection;
* Clarity on the role and responsibility of each part of the whole; and
* Decent lines of accountability to assure public confidence.
The parts include: local government, the Public Health Wales NHS Trust, CVCs and local Health, Social Care and Wellbeing facilitators, CHCs, statutory regulators and professional social care and health regulators. In respect of audit, inspection and regulation, citizen engagement means involvement in both the inspection and the standard setting process. For example, pre and post registration education and training, professional revalidation and 'fitness to practice' machinery.
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