NHS Planning Guidance and Local Healthwatch

The assignment provided is a comprehensive analysis of NHS planning guidance and the role of local healthwatch in England. It draws on various sources including reports by Health Education England (HEE), National Institute of Health and Care Excellence (NICE), Public Health England (PHE), and others, as well as online resources such as District Profile: An Economic, Social and Environmental Summary Profile of Wolverhampton and What is Healthwatch? The assignment title captures the essence of the topic, which includes the planning guidance for the NHS and the local healthwatch initiative in England. The meta title is a concise representation of the document's content, prefixed with [PDF] to indicate its format. The meta description provides a brief summary of the document's purpose and content, highlighting its relevance to students looking for past papers and solved assignments on Desklib.

Inter-Agency Working

Table of Contents
SECTION 1: INTRODUCTION.....................................................................................................1
SECTION 2: BACKGROUND.......................................................................................................2
SECTION 3: Complex factors in multicultural communities of Wolverhampton and inter-agency
working............................................................................................................................................4
SECTION 4 Policies and engagement in meeting needs and philosophy of partnership models in
inter agency working........................................................................................................................6
SECTION 5: Leadership in Healthwatch Wolverhampton.............................................................8
SECTION 6: CONCLUSION........................................................................................................10
SECTION 7: REFERENCES........................................................................................................12

SECTION 1: INTRODUCTION
Inter agency working is defined as the collaborative approach followed by two or more
authorities who explore their variations and differences to work together so that expected goals can
be achieved (Tétreault and et.al., 2015). The participating agencies execute strategic and
operational activities together in planned way. In the health and social care sector inter agency
working is known as the vital and advance concept (Moberly, 2017). Inter agency collaborations
aims at exploring better approaches which can assist local authorities to deliver quality heath care
services. The key objectives of these agencies is to introduce new management tools so that
existing practices and routines can be changed and optimized quality services can be provided.
The report will discuss the factors which may affect the health care services in
multicultural communities. The study will consider a case study of Wolverhamptom city which is
situated in central England. The health care parameters of the city are not impressive as compare to
the other regions of England. The total population of Wolverhampton is around 259,900 and it
consists of multicultural groups. The population of the city consist of British origin in majority
(64.5%). The other minority communities include Asian, Chinese, African and people from mixed
race (Wolverhampton City, 2018). The percentage of black and minority ethnic group is increasing
in the city. The life expectancy for male and female in Wolverhampton is 77.4 and 81.4 years
respectively. These rates are lower than those of England. The unemployment rate is 8.4% in the
city. Health inequalities are clearly visible in Wolverhampton (Wolverhampton, 2017).
The local government are working on inter-agency collaborations with Healthwatch. This
agency analyses the health records and services so that health care quality is not compromised for
local communities. The findings of Healthwatch are considered as the significant outcomes for
developing health related policies and strategies (Hood, Gillespie and Davies, 2016). The report
will analyse the attributes and policies of Healthwatch which reflect the ethnic diversity of
Wolverhampton and improves the health care provisions. It will also discuss the importance of
leadership skills which enables this inter-agency collaboration to achieve its health care objectives
for the communities of Wolverhampton. A group and collaboration of various health care
organisations work together as inter-agency and is jointly known as Health and well being together
(Bown and Dekesel, 2017). This collaboration develops health strategies on the basis of its health
assessment on communities of Wolverhampton.

The board also review the health policies according to the health requirements of
communities. The main objective of this inter-agency working is to analyse the rationale for health
inequalities in Wolverhampton (Crawford and L'Hoiry, 2015). In order to address barriers of
quality health services the health and well being board also works in partnership with people. The
nutritional and health priorities of children and dependent adults can be best analysed by support of
their carers and families only (Dhanda and et.al., 2014). Thus, this inter-agency approach used by
the local health regulating authorities of Wolverhampton to eliminate the health inequalities can be
considered as highly effective. The report will also describe the various frameworks used by inter-
agencies like Healthwatch to accomplish health objectives of the city.
SECTION 2: BACKGROUND
Healthwatch Wolverhampton (HWW) is leading and independent consumer supporter
which was established in 2013. The key objective of this organisation is to represent the
perspective and opinions of communities in social and health care field. Healthwatch
Wolverhampton aims at developing itself as powerful consumer champion so that priorities and
requirements of people of Wolverhampton are taken into account in planning and health care
services (What is Healthwatch?, 2018). Local government and public involvement in health act
2007 was developed with the aim to enhance the role of public support in the services which
affects the communities. In response to this act National health service of England launched local
involvement network (LINKs) in 2008. These network work with the goal to improve the quality
of local services especially healthcare sector (Tétreault and et.al., 2015).
Wolverhampton LINk network later leads to the formation of Healthwatch Wolverhampton
(HWW). This organisation also receives funds from health department of Wolverhampton city
council and represents at national level along with the Healthwatch England (HWE) and other 151
local Healthwatches. Health and social care act 2012 laid the foundation of HWW (Wright, 2016).
It provides an opportunity to communities so that they can express their concerns over healthcare
services they are using. HWW also provide guidance to inhabitants of Wolverhampton regarding
details and quality standards of services available in their surroundings (Rogers and et.al., 2016).
The government has provided certain rights and authorities to representatives of HWW so
that they can enter the premises of healthcare centres and can observe and monitor the quality of
services provided. The objective of such approaches is to develop better understanding of the

social care and health services by their visual inspection (Oates, J., 2015). The prior objectives of
HWW are:
 To regularly monitor the quality of services which are delivered to local public of
Wolverhampton and to raise the concerns of citizens which are highlighted in their
feedbacks.
 To analyse the feedbacks of health and social care providers so that appropriate
improvements can be introduced.
 The HWW also ensure that it can challenge health commissioners on issues related to
quality and delivery of healthcare services (England, N.H.S. and Improvement, N.H.S.,
2016).
HWW believes that its priorities and goals can be achieved only with the support and partnership
of local people. In order to address the health inequalities of Wolverhampton its local Healthwatch
system works in partnership with several other forums which are directly involve in decision-
making related to healthcare issues of country (Hood, Gillespie and Davies, 2016). Few of the
partners of HWW are Health and well-being board, Local pharmaceutical network,
Wolverhampton health scrutiny, NHS England quality surveillance group and Wolverhampton
clinical commissioning group board. To execute its functions the key partnership of HWW is with
local residents of Wolverhampton, community organisations and voluntary groups who provide the
realistic details of the healthcare system (Carter and Martin, 2016).
In 2017-2018 the priority areas of HWW includes emergency departments, dental care and
hospital discharge process (Red 2 green) which aims to reduce the days spent by patients in
hospital. The most common framework used by HWW is the recruitment of HW advisory board
(Tétreault and et.al., 2015). This committee analyses the feedbacks from public and on the basis of
their evaluation defines the strategies and priorities for HWW. It also provides support to
community engagement activities and enter & view programs. Authorised representatives of
HWW conducts enter-view visits to healthcare and social service premises (Moberly, 2017).
Within premises they make their judgements regarding quality of services and areas which requires
further improvement.

The health and social care act of UK provides authority to execute such events. HWW can
arrange visits if people report any complain about the health organisation or if it performs excellent
(Oates, J., 2015). These efforts of Healthwatch can bring transformation in the structure of
healthcare services so that these care providers work for the people who uses them instead of mere
profit gaining. HWW uses following partnership frameworks for achieving its goals and
objectives:
 Developing strategies with common goals of improving health and social services.
 To ensure leadership in the form of community engagement officers and enter-view,
feedback collection and monitoring strategies.
 Special attention is paid to the demands and needs of community so that sustainable
personal relations can be developed and health inequality issues can be resolved (Wyatt,
Cook and McKevitt, 2018).
 The joint venture of HWW with service providers, community, national health standards
and Healthwatch England ensures that roles and responsibilities are predetermined so that
proper monitoring can be done for the actions of health organisation and quality health
services goals can be achieved.
Healthwatch Wolverhampton works in association and under control of care quality commission.
The proposals and strategies are in centred for improving the health status of Wolverhampton
citizens but these strategies are also in alignment with Healthwatch England (Rogers and et.al.,
2016). The organisation also appoints community engagement authorities who roam around
Wolverhampton to collect the reviews and opinions of service users, carers and community. The
strategies of HWW can be play crucial role in improving the living standards and health
parameters of Wolverhampton (England, 2014).
SECTION 3: Complex factors in multicultural communities of Wolverhampton
and inter-agency working
Multicultural communities comprises the beliefs and people from different cultural
backgrounds. These communities are integral part of Wolverhampton (Wolverhampton, 2017).
Healthwatch Wolverhampton is greatly affected by these cultural variations because it is essential
for the organisation to ensure that despite cultural diversity and other complex factors of

multicultural groups health services are accessible to everyone. The regulations and strategies
developed by Healthwatch must be in favour of every community. They must not discriminate or
centralised to any particular community group (Pantić, 2017).
However, if any particular cultural group requires more attention than others, in such cases
improvement strategies must not be developed at the cost of benefits of other social groups (Berlin,
2017). The Wolverhampton population consist of both White and Non-white community groups.
The 68.02% of country's total population is white. As compare to other regions of United
Kingdom, the Wolverhampton has very high percentage of mixed background community. Around
5.12% of citizens belongs to mix cultural background (District Profile: An Economic, Social and
Environmental Summary Profile of Wolverhampton, 2016). The city also provides shelter to
refugees from different parts of the world which later becomes citizen of Wolverhampton.
Thus, city is characterised by Black and minority ethnic group (BME) whose population is
rising considerably. Between 2001-2011 the population of BME groups increased by 10%. The
largest community in BME is of Indians which represents 12.9% of total population of BME
(Wolverhampton City, 2018). Caribbean community forms the major local group. In the same
duration the percentage of children of age 0-15 years in BME groups has increased by 40% while
at the same time the percentage for age group 35-59 years has been raised by 70%
(Wolverhampton, 2017). The strategies of Healthwatch Wolverhampton consider the consequences
of these cultural diversity.
The racial discrimination are commonly observed practices and can take the worst form if
not monitored properly. The 'share your experience' strategy by Healthwatch aims at dealing with
these situations as well. The BME groups can suffer from discrimination from nursing staff or
health service providers. Thus, through regular monitoring and communication HWW prohibits
such discrimination (Gilbert, Dunn and Foot, 2015). The religious and language factors can also
influence the health reviews given by the local public. Majority of the community in
Wolverhampton follows Christianity. The percentage is around 55%. The local community of the
regions also consist of Sikh, Muslim and Hindu followers in the percentage 9.1, 3.6 and 3.7%
respectively (District Profile: An Economic, Social and Environmental Summary Profile of
Wolverhampton, 2016).

The religious factors affect the perspective towards the medication and health care
practices. It can also be one of the reason for deteriorating performance of health organisation and
health of individuals (Dhanda and et.al., 2014). For example certain religious groups may not
adopt particular treatment and it can lead to conflicts between health and social care providers.
Hence, it is the responsibility of health regulating authorities that specific regulations must be
formulated to manager such situations. Healthwatch Wolverhampton can propose such strategies
by reviewing and discussing the issues with religious groups (Gilbert, Dunn and Foot, 2015). The
gender discrimination can also occur in providing health services. Healthwatch Wolverhampton
aims at considering this factor as well that people are not prohibited from receiving health services
on the basis of gender. The organisation can communicate with the groups so that it can analyse
the root cause behind the issue and possible solution.
Another multicultural factor which must be taken into account is the language barriers. In
Wolverhampton English is not the first language for 11% of the population. After English
language Punjabi and Polish are extensively used (Wolverhampton, 2017). Though these barriers
can be resolved by adults but children or dependent people may find it difficult to express their
concerns due to lack of understanding and language barrier to health professionals. It can lead to
decline in quality of health care services provided to them. Thus, it becomes necessary for
Healthwatch Wolverhampton to develop policies and priorities in a way that quality of care
services and health outcomes does not deteriorate due to communication barriers (Moberly, 2017).
During enter-view programs the authorities can monitor that how health organisations deals with
situation when they have to face communication barriers. The health care providers can use
interpreters or carers of the patient to properly explain the condition of patient.
The lack of ability to communicate with doctors and nursing staff is also one of the factors
which can increase the health risks. The genetic factors are also responsible for increasing the
vulnerability of the particular diseases (Rogers and et.al., 2016). Certain groups are more
vulnerable to particular diseases. For example one community can have higher possibility of being
affected by cardiovascular disease while the other community may not (Oates, J., 2015).
Healthwatch Wolverhampton also conducts researches for analysing the genital impacts on the
health of communal groups. The discussion and analysis for this issue can help health authorities
to develop effective treatment strategies which aims to eliminate the possible health risks. Thus,
Healthwatch Wolverhampton must address the cultural differences in their multicultural

environment in order to achieve its objectives of creating highly qualitative health services
(Gilbert, Dunn and Foot, 2015).
SECTION 4 Policies and engagement in meeting needs and philosophy of
partnership models in inter agency working
In order to work with inter agencies in health care sector every organization has to work
with each other in accordance with policies developed. The policies are framework that guides in
working effectively to collect data of people in health sector. In this it is important for Health
watch Wolverhamption to follow some guidelines (Hood, Gillespie and Davies, 2016). This is
because data collected can be misused by third parties. Also, policies are developed under the
amendment of government. Health watch Wolverhamption is engaged in collecting data in health
sector so that lower society needs are identified and fulfilled. The attribute of organization is to
ensure that people gets equal and high quality of services. With this it will be easy to enhance
lifestyle of society (Oates, J., 2015). The policies developed by company are as follows :
 Code of conduct- It is applied to all volunteers and members that are engaged with
company. The data collected by them has not to be disclosed. Also, training provided to
them has not been shared with any other person (Crawford and L'Hoiry, 2015). Volunteers
have not to undertake any activity that can cause harm or distress to public.
 Complaints procedure- The complaint should be related to staff, services, actions, etc.
there should be proper investigation done before filing a complaint. In this a proper and
systematic procedure must be followed. In case of any data breach it must be discussed
with any authority and then complaint must be filled (Tétreault and et.al., 2015). Moreover,
a copy of registered complaint must be secured. It should not be disclosed in public.
 Data protection policy- it is the most important policy developed by Health watch
Wolverhamption. Here, volunteers must maintain dignity and trust of user and their data.
Also, they can not share and disclose any information to others. Here, data protection act
1998 is applied (Dhanda and et.al., 2014). Directors, staff, volunteers, etc. has to follow it
while analyzing or collecting data.

 Volunteer policy – this is applied on volunteer who are led by local people. Here, they
have to maintain diversity of community, caste, etc. also, volunteers recruited or hired
should be done properly (England, 2014). No discrimination activities must be followed.
In health sector a new concept has emerged. Now organization works with inter agencies to
provide equal services. Here, one agency works with another in formal way. Health watch
Wolverhamption engagement with local communities, health sector, etc. helps in determining the
benefits of people. They have done partnership with some local NGO who are operating in
different rural areas (Rogers and et.al., 2016). The organization work in philosophy of partnership
to gather data so that needs can be determined. Interlink between inter agency and company has
enabled in determining needs. Also, more precise data related to minor caste is gathered (Gilbert,
Dunn and Foot, 2015). Health watch Wolverhampton engagement work with following agencies
described below:
Children centers – these centers can include education, preschool, etc. here, volunteers work
together to improve early life and provide healthy environment.
NGO- they are organization that are engaged in working in different areas. The main aim of NGO
is to provide basic amenities to poor people.
Health watch Wolverhampton engagement work on philosophy of consulting and training.
In these professionals and volunteers work together on common concept (Carter and Martin,
2016). This is done at operational level. Through this, they are able to collect data of services in
various area. Also, volunteers train each other on how to identify needs (Pantić, 2017). Apart from
this, it is consulted with government officials and authorities on how needs can be fulfilled.
By working in partnership, Health watch Wolverhampton engagement are able to analyze
and collect data of all societies. Here, culture and ethics of communities are taken into
consideration (Bown and Dekesel, 2017). Through this, firm is able to identify what are the
differences that occur in providing health care services. Moreover, standards are been created by
company to measure health needs. Thus, by comparing quality of services in different hospitals
deficiencies are found (Carter and Martin, 2016).
Yes, company has been able to meet needs. This can be identified by comparing data in
Wolves area (Rogers and et.al., 2016). This is done by evaluating living standard and life

expectancy of people in that area. There has been high improvement in life expectancy of lower
class people. It has created a better and healthy environment (England, 2014).
SECTION 5: Leadership in Healthwatch Wolverhampton
The success of any organisation depends on the leadership approach followed by the senior
authorities of the company. Especially when organisation works for public welfare and interacts
with multicultural community then it becomes necessary that suitable leadership style must be
selected so that all communities can be grouped together as a single unit (Oates, J., 2015). Health
and social care act has provided effective support and leadership authority to Healthwatch
Wolverhampton. The leadership attributes of HWW ensures that suitable environment is available
for executing their plans and actions (Dhanda and et.al., 2014).
For instance before framing any healthcare strategy the Healthwatch must ensure that the
communities are ready to accept and how the strategy can be implemented. The regulating officials
of HWW who use their leadership skills have ability to empower and stimulate their partners
which have common vision and commitment to accomplish the goals (Berlin, 2017). It is the major
responsibility of Healthwatch members to understand the issues of people in receiving health and
social care services (Bown and Dekesel, 2017). Thus, they will be able to make good and effective
decisions only when they have leadership attribute to understand the needs of their partners which
includes people as well as other health monitoring and regulation authorities.
The Wolverhampton has diversified culture thus it is possible that policies of health care
can create conflicts between the interests of these cultural groups. If Healthwatch will have
leadership skills then, it will be able to find the ways which can establish balance between interests
of all cultural groups. The team work and objectives cannot be achieved without suitable guidance
from the team leaders (Berlin, 2017). If Healthwatch officials of Wolverhampton will lack the
communication and understanding then people will find it difficult to share their experience with
them (Carter and Martin, 2016). Without any feedback and reviews from the local people health
objectives cannot be achieved. There are number of types of leadership styles which can be used
by HWW.
The organisation has to work in align with at both national and local level agencies. At
national level they have to meet the national health standards of UK while at local level the

company has to address the interests of the community of Wolverhampton (Wright, 2016). This
cab be achieved only when leaders have clear vision and directions to follow. Since Healthwatch
Wolverhampton works for the welfare of public it uses collaborative and democratic approach. It
provides equal opportunity to all members working for Healthwatch so that they can achieve their
personal development as well as can put forward their unique strategies for the welfare of
community (Pantić, 2017). Since organisation follows the democratic approach involving the
opinions and ideas of all partners is mandatory and key principle of HWW.
It is also reflected in working strategy of the organisation. For example while receiving
negative feedbacks or complains against any health organisation from public HWW first
investigate the issues by visiting health organisation before taking any direct action (Rogers and
et.al., 2016). It demonstrates that all partners including health service providers and customers are
equally important for Healthwatch but its priority is to make services effective for public (England,
N.H.S. and Improvement, N.H.S., 2016). The joint ventures and democratic leadership style of
Healthwatch Wolverhampton helps to collect realistic data and thus better policies are developed.
These policies have played a great role in increasing life expectancy rate of the city. For example
currently the life expectancy rate of Wolverhampton is lower than England.
Thus, leaders of HWW continuously motivate the team members and aims at increasing
life expectancy so that Wolverhampton can challenge the title of most deprived city. It is the
characteristic of good leader to work as a team and to adopt the innovative and useful information
given by other team members (Crawford and L'Hoiry, 2015). HWW leaders always welcome the
reviews and suggestions provided by the community. Along with the democratic and collaborative
leadership style in certain situations the organisation also follows the autocratic leadership style
which is essential for generating quality outputs (Berlin, 2017). When Healthwatch
Wolverhampton has to strongly represent the views and interest of community in front of health
organisation or other government officials then it does not compromise with the interest of public
welfare instead like an effective leader it firmly presents their opinions.
For working as a team the leaders of Healthwatch Wolverhampton follows a 360 degree
approach for reviewing its board committee. Instead of imposing the decision forcefully on team
members the leaders of HWW share all information with other board members as well. The
leadership structure of Healthwatch has sufficient transparency and flexibility (Learmonth,

Henderson and Hunter, 2017). All team members can share their opinions freely so that joint
decisions can be taken in the welfare of community. Wolverhampton multicultural community has
diversified interest and healthcare needs. Board members of HWW also consist members from
these communities it gives an opportunity to team leader to first convince the members of different
community. The mutual agreement of all members gives confidence to leaders that their policies
are acceptable to all communities and does not compromise with the welfare of anyone. Thus,
leadership plays significant role in achieving the goals of Healthwatch (Henderson, 2017).
SECTION 6: CONCLUSION
As per discuss, it concludes that inter agency working is a process for sharing information
between services and also improving services regarding the children and young people. This report
also discuss the various type of framework in which police support to the inter agency in UK. Furt
her, there are different complex factors in the multi cultural communities like ethnic,
cultural background that impact on the inter agency discuss in the above report. In next task, the
policies and engagement is required in the meeting because this is creating connection and link
between the partnership model of inter agency. In another task, it also evaluates the leadership
significance in the health watch and this process also linked with the Wolverhampton population.
This is also described the process to improve the health and link with the life expectancy. This
assignment addressing all the current challenges, main objective and aim of inter agency. This
agency provides the priorities to the health or well-being people to work proper manner. In this wa
y, they also meet all the need and requirement of local communities.

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