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Governance, service re-design and commissioning

Governance and service re-design

Overall accountability for effective engagement is retained by our Herts Valleys board; a lay member, together with our Patient and Public Involvement (PPI) Committee providing assurance that good involvement is considered and demonstrated at all stages and levels of our work.

We have a patient representative, with the lay member with responsibility for public engagement on our board together with independent patient champion, Healthwatch Hertfordshire.  Our meetings are open to the public as are other key decision-making meetings, such as our primary care commissioning committee which also has a patient member.  The patient representative  is also fully involved in board development sessions,

We have patient representatives on board decision making committees:         

  • Commissioning Executive
  • Quality Committee              
  • Primary Care Commissioning Committee              
  • Finance and Performance                
  • Patient and Public Involvement
  • We also have patient members at the following meetings and groups:
  • Serious Incident Panel         
  • Quality Assurance visits
  • Service re-design projects
  • Quality meeting with West Herts Hospitals NHS Trust
  • Primary Care Contracting Panel

Our patient representatives are local – a carer, patient or member of the public – who are actively involved in local health services.  They may be representing a group, a community or alternatively just involved as an individual, offering their views, experiences and bringing a patient perspective to all discussions.

Patient representatives are asked to contribute to discussions by offering their opinions in a constructive and informed way. 

For more information contact

Patient Involvement in locality commissioning groups

Two patient members attend the monthly Dacorum Commissioning Committee. The insight from the patient representatives is invaluable in terms of providing feedback to the board. In addition members are also significantly involved in projects, such as the Hemel Hempstead Hospital service redesign project and implementing changes to Hemel Hempstead urgent treatment centre.

The St Albans and Harpenden Patient Group (SAPG) is a very active group on behalf of the patients for St Albans and Harpenden both at local and individual level. Representatives from SAPG regularly attend monthly Locality Commissioning Committees (LCC) to ensure that the committee considers the patient journey during their discussions. The group also ensures strategic overviews and service redesigns and planning are brought into the public domain. For example at their last SAPG meeting held in March, discussions focussed on the urgent care approach for the Locality. The group were keen to hear from Herts Valleys CCG Executives, Herts Valleys CCG board GPs and West Hertfordshire Hospitals NHS Trust on how the urgent care approach could reduce pressure on other healthcare facilities as well as being appropriate and convenient for patients to access.

The Hertsmere patient participation group (PPG) is a subcommittee of our locality committee with two representatives invited to attend. Hertsmere locality provider board is currently implementing pathways relating to falls and frailty and medicine wastage which we have prioritised as two areas that could deliver most change.

In Watford and Three Rivers the patient network hosted an event that included presentations about dementia, diagnostic support services and NHS spending priorities. Several education sessions have been delivered to patient groups with topics nutrition and hydration, falls, urinary tract infections, sepsis. The locality is now developing their GP patient groups, to share good practice and broaden participation




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