NORTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST HOLDING CONSTITUENCY PUBLIC MEETINGS: A GUIDE FOR GOVERNORS Version 2 – 4th June 2015 INTRODUCTION This is a guide to arranging and holding public meetings in the Trust’s public constituencies in accordance with the present division of responsibility for such meetings between Governors, the Trust Communications Team (“Comms Team” or “the Team” below), and Area management teams. Please discard Version 1 of this guide, issued in November 2014. This Version 2 supports the Trust’s Membership and Public Engagement Strategy 2015/2018, which was approved by the Council of Governors on 10th March 2015. Your comments and suggestions about this guide are welcome. Please send them to Martin Cresswell (Associate Director of Communications; Martin.Cresswell@nepft.nhs.uk) and Andrew Smith (smith.governor.eppingforest@googlemail.com). PART ONE: THE BASICS Why we hold public meetings Governors have a statutory duty to represent the interests of NEP’s members and of the public. Constituency meetings are one way for Governors to keep in touch with them. A well-run public meeting is a two-way exchange of information. NEP can use meetings to provide information about mental health issues, to fight stigma, to publicise the Trust and its achievements, to recruit new members, to interest people in volunteering as Governors, and to ask questions. People who attend our meetings can also ask questions, and tell Trust staff and Governors their experiences, and what they think about NEP’s and others’ services. They should always feel welcomed, and (we hope) entertained and informed. Governors should feed questions asked and comments made back to the Trust. How we arrange public meetings There are two methods of arranging public meetings. Firstly, one public meeting must be held each year in each of the Trust’s ten public constituencies, to meet the target set in the Membership and Public Engagement Strategy (“the MPE strategy” below). The approximate dates of these meetings are set by Comms Team and published in the public engagement calendar annexed to the MPE Strategy. Governors and Comms Team are jointly responsible for the arrangements. Part Two of this document specifies who does what. 2 Secondly, the MPE Strategy also encourages Governors and Area Directors and managers to hold additional meetings in their Area on any dates they find convenient. They are responsible for the arrangements. Part Three of this document gives more detail. The MPE Strategy also envisages that Governors and Area Directors may wish to take part in meetings and events staged by other organisations. This guide does not cover such activity, although some of the advice below may be adapted for it. Governors should take the initiative in organising meetings, in co-operation with Area Directors and the Comms Team. The easiest way to do this is for all the public Governors for an Area to plan all the meetings in the Area together. This shares our experience and expertise. While we should discuss plans at quarterly meetings with the Area Director, planning ought to be continuous, using email. Try to have as many Governors as possible at your meetings. Support your neighbours’ meetings if you can, especially if their constituency has few Governors. It’s the best way to learn how to run one. When to hold a meeting Comms Team chooses the weeks for the ten meetings required to meet the MPE Strategy target. Because of the Team’s workload, these meetings have to be spread across the year, about one a month. Governors and Area managers decide the exact day and time during the chosen week. If an Area contains two or three public constituencies, its Governors and Area management may swap the constituency in which Comms Team planned to hold a meeting in a given week for another constituency in the same Area, but they may not change the weeks in which the Area’s meetings will take place. Obviously, they should inform Comms Team as soon as possible, and ensure that a meeting takes place in both constituencies during the year. Governors and Area managers choose the date and time of any other public meetings. Bear in mind the following points about fixing the date, day of the week, or time of day of a public meeting. Good weather and long days encourage people to go out in the evening December and January are probably best avoided, because of short days, the likelihood of bad weather, and the festive season The summer holiday season may also reduce the likely attendance, and Trust staff may be less able to support the meeting It is best to spread meetings in your Area throughout the year, and across your Area and the main centres of your own constituency Don’t choose the dates on which the Trust’s Board of Directors or Council meet, or the date of the Annual Public Meeting. These dates are fixed in the New Year and advertised. If you don’t know them, ask the Trust Secretary or the Comms Team. You and your fellow Area Governors may have other commitments inside or outside the Trust. Share the dates to avoid 3 Trust meetings are subject to NHS purdah. This expression is shorthand for the principle that, during an election campaign, a public body such as the Trust must not say or do anything that could be interpreted as a political message. NHS purdah lasts from the start of the campaign until the election outcome is known. It is acceptable to hold meetings to discuss health conditions, services and stigma during purdah, but there is a risk that third parties may use them for political ends. How far ahead do you have to plan? The MPE Strategy requires that the exact date, timing, venue, subject matter, and speaker(s) for the ten meetings needed to meet the Strategy target shall be agreed between the local Governors, the Area Director, and Comms Team at least eight weeks before the meeting. The best approach is to plan all meetings across your whole Area for the next year or so. The earlier you make the detailed arrangements, the better chance you have of hiring the venue you want and booking the speakers you would like. As a rule you should start making detailed arrangements at least four months ahead of the meeting date. You should complete the detailed arrangements for a meeting at least six weeks ahead, the further ahead the better. This gives time for publicity. Where should you hold a meeting in your constituency? Choose local population centres with good access by public transport. Vary the town from meeting to meeting (unless the meeting’s in the Harlow constituency!). People in neighbouring constituencies might want to attend a meeting in yours, because of the theme, the speaker, etc., or simply because it’s easier to travel there. The basic requirements for a venue are that it should: Be accessible (easy to reach by public transport, and with disabled access) Seat 50 people in reasonable comfort for two to three hours Have functioning toilets The meeting room acoustics and any background noise (e.g. from other activity in the same building, or passing traffic) should be acceptable The room hire cost should be reasonable (Comms Team will check this) The meeting room layout and furniture should be suitable for the style of meeting you wish to hold. For example, do you want the audience in a block facing the chair and speakers, or seated around small tables? Check with the venue that you can rearrange furniture as you wish. Will it insist that its own staff arrange the furniture? Other requirements (desirable but not absolutely essential), include: Catering facilities A sound system (digital induction loop for the hard of hearing as well) A projection screen, or a well-placed light-coloured blank wall, if you wish to use slides. You should ask speakers about their projection requirements at an early stage of planning, before you book the venue 4 On-site free parking is desirable, but likely to be limited. What other local parking is available? How long may you park? How much does it cost? How far is it from the venue? Would you want to walk that far? If the meeting room is behind a door with security locks (for example, a conference room in the secure part of a public building), the venue is probably unsuitable. The reason is that people who attend your meeting have to be kept waiting in a public area until someone can escort them to the meeting room. This annoys both our guests and venue staff. If able-bodied guests and wheelchair users have to use different routes to the room, it’s even worse. Your Governor colleagues can advise about venues in your area. Comms Team’s local knowledge is limited. It welcomes suggestions and descriptions of new venues. What time of day? The best time of day for a meeting depends partly on the audience you wish to attract, partly on other circumstances. People in work probably won’t attend meetings in office hours, but may turn up on a fine evening. Service users suffering from disturbed sleep patterns (quite common) are unlikely to attend a meeting starting at 10.00 a.m., but may come at 2.00 p.m.. Anyone dependent on public transport won’t want to miss the last bus home. When darkness falls early, evening meetings may be poorly attended. Other circumstances include the availability of speakers and Trust staff. Support outside office hours depends on goodwill, and sometimes on flexible working hours. PART TWO: ARRANGING ONE OF THE TEN PUBLIC MEETINGS NEEDED TO MEET THE MPE STRATEGY TARGET In this case Comms Team has already chosen the week in which the meeting will be held. Selecting a subject and fixing the exact date The first two things you need to do are: To choose a subject as the “main attraction”, which means booking speakers To arrange for Trust staff to attend the meeting To do both, you have to fix the exact date and time. The subject might be generic, for example: A mental health condition such as depression, bipolar disorder, or dementia The role of carers Employment and mental health conditions A lifestyle subject such as “food and mood” If you can, pick something that has recently attracted a lot of media coverage, or that will interest the locality. Your Area Director may be able to help, and as a last resort Comms 5 Team can suggest a topic and a speaker. You could arrange two presentations on the same subject, for example one by a clinician, another by a service user. You may want to cover two subjects. If so, ask yourself whether you have sufficient time to do justice to both, and for a general question and answer session. You need to have Trust staff at the meeting to answer questions about health conditions and services that you, as a lay Governor, cannot and should not answer. Contact your Area Director with your plan and agree the date, time, and place. You don’t have to agree the exact venue at this point, but you may want to ask your Area Director to arrange a speaker for the main topic. The Area Director or other staff can cover service developments or public question and answer sessions at the meeting. When booking speakers, ask them at the outset whether they want to use slides or any other visual aids, so that you can choose a suitable venue. As soon as you have agreed the date, tell Comms Team. Making detailed arrangements: the role of Governors Governors: Host, chair, and “own” the meeting. At least one Governor must be present, preferably several. If you are the only Governor for a constituency, enlist other local Governors, or the Lead Governors Agree between themselves which of them will chair the meeting, stand in for the chair if necessary, and look after any service user or carer speakers at the meeting Plan the agenda: what’s in it, time allocated to different sections. A sample agenda containing timing and brief notes about what to say is attached at the end Choose and book the venue and caterer (using your local knowledge) If necessary, check access issues (e.g. disabled access, portable hearing loop, parking), and tell Comms Team, so that details are in the publicity material Help with publicity material (see below under the role of Comms Team) Advertise the meeting to their own contacts Send the final agenda to speakers, staff and Comms Team before the meeting Contact the speaker(s) beforehand to get information about them to use to introduce them to the audience, and contact details for thank-you letters and emails. Ask service user and carer speakers if they will have any expenses, and agree the payment with the Trust Secretary (see further Part Four on service users and carers). Make sure that such speakers know what expenses are agreed Making detailed arrangements: the role of Comms Team Comms Team will handle most of the logistics and help with some other matters, as follows: Suggest a topic and a speaker if required (see above) Arrange for a service user to tell his/her personal story to the meeting (if requested). Area Directors can also do this, but the Team is more likely to know someone suitable who isn’t local (useful for anonymity) 6 Confirm to the venue and caterer that they will be paid, and pay the bills Keep a diary of forthcoming events Publicise events on the Trust website and social media once a firm date is fixed Send an email, or write, to local members telling them of the forthcoming event. Governors’ help is needed to stuff envelopes for letters to members whose email address is unknown Tell the local media about the forthcoming event. Unfortunately press releases do not guarantee publicity, so Governors should do whatever they can to advertise the event Produce a flyer or poster for the event for Governors to post up wherever possible, e.g. GP surgeries, libraries, churches, Jobcentres, and so on; posting flyers to these places is a waste of money, but personal approaches work Supply materials needed for the meeting (examples: membership forms, handouts). If a member of the Team can’t attend with them, they can be posted to you or collected from Trust HQ when convenient The Comms Team will NOT supply: o Projection equipment (see next section) o A portable hearing aid loop. Any suitable venue should have one o Flip charts. If required, ask the venue or Area management Where staffing allows, or where the subject matter or location is of particular importance to the Trust, a member of Comms Team may attend the meeting itself. This is not guaranteed, though the Comms Team will do its best to attend any meeting hosted by only one Governor. Making detailed arrangements: projection equipment Governors are advised to ask speakers and Trust staff at the outset whether they wish to use projection equipment for presentations. Note the following points: Governors should check that the venue has a suitable screen or blank wall to project on before agreeing to use projection Comms Team will NOT supply computers, projectors, spare projector bulbs, extension leads, screens, or light pens Usually the arrangement involves the Trust speaker and the Area Director supplying the equipment. If possible the combined hardware should be tested before the meeting, unless everyone knows that it will work together. If this cannot be done, for example because your speaker plans to download a slide presentation from a computer or memory stick into the venue’s projector, get both parties to discuss compatibility beforehand. Consider printing copies of the slides for emergency use Assume that you will need an extension lead for the projector, and tell whoever is bringing it to bring the lead If you plan to hand out paper copies of slides to the audience, get Trust staff to print them in advance (also for insurance against IT breakdown) 7 PART THREE: ARRANGING OTHER PUBLIC MEETINGS Governors and Area managers are responsible for making all arrangements for additional meetings, including room hire and catering. Anything involving payment by the Trust should be agreed in advance with Comms Team. Selecting a topic and fixing the date and time Making detailed arrangements: the role of Governors Making detailed arrangements: projection equipment The advice to Governors under these headings in Part Two above also applies to additional meetings. Making detailed arrangements: the role of Comms Team The Team will, within budget: Arrange for payment for agreed expenses of room hire and catering Publicise events in advance on the Trust website, through social media, by email to members, and by press releases to local media Supply materials needed for the meeting (examples: membership forms, handouts) which can be posted to you or collected by you from Trust HQ The Team will NOT: Pay for letters to members who have not given the Trust their email address Supply projection equipment Attend the meeting PART FOUR: RUNNING THE MEETING What to bring with you Your copy of the agenda or script. If you’re going to chair the meeting, or are the chair’s stand-in, bring a copy printed in bold in a font size big enough to read at a distance of two or three feet away (say 18 to 24 points), so that you can read it on a table when you’re standing up Your constituency’s “Meet your Governors” pull-up banner Anything you’ve borrowed in advance from, or supplied to you by, Comms Team Something to make notes on A few spare pens Some blank paper and sticky tape, in case you need to post notices to direct to the meeting rooms. Spare flyers for the meeting may be useful for this Sign-in sheets with columns for names, contact details and (if applicable) organisation. If Comms Team have taken bookings for the event, they should provide a sign-in sheet with the names of those booked PACE (Patient and Carer Experience) workstream feedback forms 8 It does no harm to bring things like an extension lead, if needed, just in case the person who should have brought something has forgotten to do so. If you plan to work the room recruiting new members, bring a clipboard with membership application forms and a couple of pens. If there’s no catering arranged, take some bottled water. However, it’s tactless to eat food if others can’t. When to arrive at the venue In most cases thirty minutes before the advertised “doors open” time should be early enough. That should give you and the Comms Team (if present) time to set up the meeting room to meet your needs. Agree the arrival time with the Team, the principal Trust Area representative, and any caterers. Tell the speakers when you will be there. Setting up the meeting room Some venues insist on setting up the room themselves, or simply won’t let you move furniture. If you can arrange the meeting room to suit your meeting, what to do depends on the floor plan, and functional points such as the size of the anticipated audience, the agenda, whether you are going to use projection, etc.. Probably you will need a speaker table or “top table” facing the audience to accommodate the speaker(s), the meeting chairman/chairwoman, and the Area Director. If this table is in front of the projection screen or wall, reserve a few seats in the audience so that the top table people can move to them quickly when the presentation begins. You may want a few more seats facing the audience, but offset to one side, for other Governors, so that the audience can see them as they are introduced at the start and in general discussion. You will probably want a separate sign-in table, unless you use clipboards for this. Do you have anything else to display, e.g. leaflets or membership application forms? Caterers will also need tables, preferably away from the speakers. If you are going to run a small group discussion, try to arrange chairs in a circle or U shape so that everyone can see the person speaking. Leave gaps between blocks of audience chairs if you can, so that people can move around during the meeting without disturbing too many others. Someone usually does. Power cables and extension leads at or above floor level are a hazard, both to people and attached equipment. Try to protect cable routes to wall sockets. Put Trust pull-up banners near the entrance to the meeting, which tells people that they’ve arrived. Check where the toilets are and where to rendezvous outside in the event of a fire alarm, so that you can direct guests. 9 Dealing with the venue owner and caterers If the owner is there to let you in, will he/she stay throughout the meeting? If not, agree when he/she should return to lock up, or where you should return the keys. Make contact with the caterers and show them where to set up if necessary. Tell them when you plan to have a comfort break and when they can pack up. Chairing the meeting This is a Governor’s job. You and your fellow constituency Governors should decide beforehand who’s going to chair the meeting. It’s wise to appoint a stand-in to cover lastminute problems. If you’re the chair, it’s your responsibility to start the meeting on time and keep it on schedule. You must: Welcome the audience at the start Introduce yourself, other Governors, and staff Explain the role of Governors (briefly) Make the housekeeping announcements Tell the audience what’s going to happen Do the links between parts of the meeting Wish the audience a safe journey home at the end “Housekeeping announcements” include the following: A reminder to sign in What to do in the event of a fire alarm or other emergency Where to find the toilets, refreshments, etc. Please silence mobile phones, pagers, etc. Please complete feedback forms before they leave (if applicable) It is your responsibility to introduce speakers to the audience. Greet them as they arrive, tell them you’re the chair, and get any personal details you need for the introduction (but it’s better to ask for the details beforehand, so that they’re already written on your agenda). See that they have water handy. Ask speakers how they would like to handle questions from the audience. Some prefer questions at the end. Others will take them at any time. A good compromise is to take brief questions for clarification, but put off everything else. As chair, you may have to intervene to keep things moving. A prolonged dialogue in mid-presentation between the speaker and one or two people in the audience may bore everyone else. While they’re speaking, try to think of a question to ask them when they finish, if no-one else does. Thank them afterwards. 10 As chair, you will start and moderate questions following presentations and also any general discussions. Don’t let anyone monopolise these. Do try to ensure that everyone who wants to speaks. If it’s a small meeting, give those who haven’t said anything a chance to do so at the end of the session. Relax – you can pass audience questions to whoever can best answer them. Members of the audience may disclose sensitive personal information in discussion. It is amazing – sometimes humbling – what people will tell an audience made up of sympathetic strangers. As chair, you should remind the audience tactfully before a general discussion that: No-one should say anything likely to offend or distress others Before you mention sensitive personal information, you should ask yourself if you need to. Can you generalise the point instead? Is it better to speak to staff afterwards? (If you think that someone’s question is too specific to his/her case, tell him/her to speak to staff afterwards.) The audience shouldn’t repeat sensitive personal information outside the meeting. The acid test is this: ask yourself if you would want other people to know that about you. Participants can talk about issues raised, but must not identify the people concerned, either by name or in any other way that would help to recognise them. (The last sentence is often referred to as “Chatham House rules”. Don’t use that phrase as shorthand; most people won’t understand it.) At the close of the meeting, thank everyone for coming, especially the staff and speakers. If applicable, say that anyone who wants to speak to staff can do so in a few moments. Remind the audience to fill out feedback forms (if appropriate), and wish them a safe journey home. After the meeting, you are responsible for writing to speakers to thank them. Finally, if you’re very inexperienced, or not very confident, there are two things you might do. One is to ask a more experienced Governor to sit with you as co-chair and help out if needed. The other is to expand the agenda into a full script containing everything you need to say, from your introduction, through the links between parts of the meeting, to your closing words. You can bring in other Governors and even rehearse it in advance if you like. Working with service user and carer speakers Service users and carers who speak at meetings should be supported. They need to feel confident if they are to give their best presentation. They are likely to be talking about subjects that are difficult for them emotionally, even if this is not apparent to outsiders. They may also be suffering from illnesses, side-effects of medication, or sleep disturbance. This means that Governors need to look after them from the moment that they arrive at the meeting. They should be greeted, introduced to the chair, and told about the room arrangement, catering, and the toilets. The chair should check that they know the agenda and when they are to speak. The chair should also check exactly how they wish to be introduced, or to introduce themselves if they prefer. The chair should ask whether the service user or carer needs any help with props or visual aids. 11 Some service users and carers like to talk to someone while waiting for the meeting to begin, others don’t. The easiest way to break the ice is to offer to bring them some refreshments and see how they respond to some casual chat. When the meeting ends, the chair should thank such speakers personally, explaining why their contribution is valued. Ask if they felt supported enough, and pass on any comments. If the speaker says that he or she is happy with the experience and would be pleased to do it again, you’ve done well. The chair of the meeting will probably be too busy to look after a service user or carer speaker continuously from the moment of his or her arrival. Governors should agree beforehand who will look after the speaker throughout if necessary. If the speaker arrives accompanied by a friend, relative, or member of Trust staff, the assigned Governor should still introduce himself and the chair, and offer to help if required. Service user and carer speakers are entitled to reasonable travelling expenses. They should be asked if they have incurred any. Governors are responsible for ensuring that arrangements exist to pay these expenses. If appropriate, Governors should pay the expenses direct to the speaker at the meeting and ask for a receipt; they can be reclaimed as Governor expenses. A service user or carer speaker who becomes nervous or unwell during the meeting should never be pressured to speak (or continue speaking). If possible they should not be identified to anyone else as the missing speaker. They are still entitled to travelling expenses (see above). Other Governor roles during and after the meeting Being chair is the most demanding role, but there is a lot that other Governors (and the chair) can and should do at a meeting. Before the formal start of the meeting: Mingle with the audience as they arrive. Try to greet everyone personally. Without being too pushy, see if you can find out why they decided to come. Help with refreshments Sign people in Distribute handouts Recruit members Get the audience seated before the formal start During the meeting: Make sure that the audience recognise you as a Governor when the chair introduces you Make notes of what the audience says. The PACE (Patient and Carer Experience) workstream has a standard form for recording public comments about NEP’s services Be prepared to ask speakers questions, in case the audience doesn’t Get the audience seated again after the comfort break (if any) 12 After the meeting: Be ready to chat Help to clear up. This includes picking up litter and washing up any crockery and cutlery supplied by the venue, unless its owners have agreed that they will do it Lock up the venue if the owners are not present, and return the keys to them Give feedback to Comms Team and staff generally (best done by email). If the audience raises questions about services that you ought to discuss at your next Area Director meeting, make a note for later use before you forget Thank-you letters: Speakers and presenters should receive a thank-you letter or email from the chair as soon as possible after the meeting. This need not be too long, but should explain what you felt was interesting, important, or relevant locally. One way of doing this is by discussing the audience’s response When writing to service user and carer speakers, compliment their delivery and openness to the greatest extent that you can If the speaker has offered to give the presentation to another meeting, take this up, and put the speaker in touch with Comms Team or anyone else interested Writing prompt thank-you messages immediately after the meeting can be difficult. One way to minimise delay is to write a rough draft on computer before the meeting, and add details after it. Save copies to be adapted to thank others Style points There is no dress code, but look presentable. When you speak to the audience as a Governor, you need to be visible and audible. People have complained about Governors speaking while seated at the back of the audience. Better to sit at the front of the audience to one side, so you can stand up and turn to face the audience, and/or the chair or speaker. Or you can use Governor seats at the front (see Setting up). The chair should be visible at all times. It is best to stand when speaking formally, unless the meeting is a small one with everyone sitting around a table. 4th June 2015 (v.2.3 draft) APPENDIX AGENDA FOR NEP PUBLIC MEETING, LOUGHTON, 9TH JULY 2014 3.30 p.m. onward Set up 4.00 p.m. Doors open for refreshments and informal chat. Sign in guests. 4.30 p.m. Formal meeting begins. Introduction by chair to cover: 13 Introduce self by name and as Governor and chair Housekeeping and need to sign in (need details of emergency assembly point) Phones on silent NEP and role of Governors (introduce other Governors, apologies if appropriate, mention that we’ll need replacements in Epping Forest in 2015-2016) Reasons for meeting: dialogue with public, fight stigma Agenda outline (introduce Trust staff for personal chat afterwards) Introduce Janis Briedis to present on depression. Counselling psychologist, with NEP nine years, works in complex case psychology in Harlow. Previously in Epping CMHT, Epping Forest PCT. Specialises in complex cases including childhood trauma, complex PTSD, personality disorders. Has delivered training on depression and many talks and lectures. 4.40 p.m. Presentation on depression by Janis Briedis (30-40 minutes) 5.15 p.m. approx. Questions on presentation (20 minutes?). Thank Janis Briedis at close. 5.35 p.m. approx. Comfort break 5.45 p.m. approx. Chair to introduce and moderate general service discussion session. Chair to mention rules of discussion (don’t breach personal confidentiality by identifying participants afterwards) and remind audience that staff will be available at close for one-to-one discussion about personal cases. If appropriate, Area Director to start discussion with any current local news, e.g. state of Journeys consultation, Derwent Centre. General discussion (public Q&A) follows. 6.20 p.m. approx. Close general discussion. Chair to remind audience of rules of discussion (don’t identify participants). Please complete feedback forms. Thanks for coming, safe journey home. Close meeting. 6.25 p.m. approx. Trust staff available for one-to-one personal discussion with service users and carers. Governors to collect feedback. Comms Team and Governors to clear up. 6.45 p.m. approx. Leave premises.