You said, we did

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Our engagement must always be meaningful. 

We ensure that what people tell us is responded to and acted upon. We always consider what impact people can have when we are planning our engagement activity to ensure we can feedback to the people we speak to and that real change and improvement happens.

We also have direct contact with patients and the public and we tell people how what they have shared with us has made a difference. This includes revisiting groups, emailing or calling people who have attended focus groups and events. As part of our Annual Commissioning cycle we review our plans and develop what is known as our commissioning intentions for the following year. Between July and October 2018, we met with voluntary and community groups that, where possible, reflected the diversity of the local community and the protected characteristics set out within the Equality Act (2010) to seek their views to inform the Commissioning Intentions.

You can read this report here: Commissioning intentions key themes feedback report 2018.pdf

You can read our You Said, We did report here: You Said We Did Report Wandsworth.pdf

The following demonstrates some of the work we have done to respond to what you tell us:  

You Said:We Did:

We need a better way to feedback in our GP surgeries. It is hard to find a way to feedback to my GP practices so they know how they can help me more.

We continue to work to introduce Productive PPI in all 40 of our GP practices in Wandsworth to gather patient experiences of their GP surgery. We also continue to introduce Productive PPI White Boards in our surgeries to publicise the latest questionnaires around healthcare issues that matter most to patients. This gives the practices a real opportunity to explore how best to work with and deliver care for those who find it more difficult to access care.

We need earlier diagnosis of Bowel Cancer. I was not aware of the signs and symptoms.

The Merton and Wandsworth CCG Cancer Steering Group is working to make continual improvements with all the partners.

We have commissioned community links to support all the surgeries in South West London to work with patients who were sent bowel screening kits aiming to increase coverage by 10%. A specialist nurse has made several visits to communities in the borough to promote cancer screening, symptoms awareness and prevention. So far, we have reached over 1100 patients and members of the public.

We need better support for bereavement.

We hosted a 'Death Cafe' format event in our GP practice in Wandsworth to open up discussions and offer a space for peer-support for loss and grief.

We need to ensure services are responsive to the needs of the Black and Minority Ethnic communities in Wandsworth.

During 2018/19, the Mental health clinical reference group (CRG) introduced a standard agenda item for the BME mental health forum and CCG representatives regularly attend the BME mental health forum to better engage with key issues for Wandsworth's BAME communities.

The Talk Wandsworth service has been developed to focus and reach out to those traditionally underrepresented in therapeutic services.

As a teenager it is very difficult to find services to support my wellbeing. Often information we are given is stigmatising too.

We commissioned a young-person friendly map of services was commissioned by Wandsworth CCG and created by staff and young people from Participation People, who run Wandsworth's Youth Council and mental health champions scheme in schools. The young leaders did a great job jargon-busting NHS language into straight forward descriptions, changing 'Tier 2 Early Intervention' into 'Getting Help'.  You can access it here: CAMHS Map 2018.pdf

Young people and their families told us that they felt frustrated having to tell us their stories repeatedly regarding their struggle to find support to stay mentally well.

We commissioned a review and a report called: See me, Hear me, Support Me was produced by by Generate and Paradigm. This provided a set of 7 coproduced recommendations, including the provision of system navigators, which we are implementing across South West London. You can read the report here: SWL_See Me Hear Me CYP TCP lived experience - phase 1 report - FINAL (2).pdf

The transition for teenagers from Child and Adolescent Mental Health services to Adult services has been extremely difficult for me.

Wandsworth is the first CCG in South West London to invest in a dedicated Transition Worker, who have supported multi-agency colleagues to plan for the Transition of a young person to adult mental health services, particularly in cases which are especially complex. This Transition Worker has also helped improve systems and guidance for all staff involved in planning transition from CAMHS to adults' services.

Cancer survivors told us that the Move More physical activity programme we commissioned could be promoted more and some of the timings of the classes prevented a barrier to attending.

We encouraged more healthcare professionals to refer patients onto the programme and have seen an increase in referral numbers as a result. Alternative timed exercise classes were found for Cancer survivors to attend to ensure they were enabled to stay active.

There is a lack of support for mental wellbeing in our most deprived schools.

Wandsworth CCG has worked closely with 'Participation People' to deliver a one-year Young Mental Health Champions project in a number of secondary schools, training young people who are interested in and concerned about mental health services. These young people have gone on to do presentations at school assemblies about mental health and emotional wellbeing, raising awareness and providing peer to peer support.

There are lower numbers of Black and Minority Ethnic accessing early intervention services for their mental health.

In the Spring of 2018 our Partnership helped fund and champion a Wandsworth Black and Asian Minority Ethnic (BAME) Young Person's Mental Health Conference.

We are struggling with poor mental health and more incidents of violence and aggression in our schools.

We jointly funded 'Promoting Alternative Thinking Skills' training (PATHS) in 12 of Wandsworth's most deprived Schools and will be rolled out to a further 3 schools in 2018-19. This has reduced exclusions and supported improved wellbeing.

We are working towards creating a Wandsworth model of emotional resilience through our Mental Health in Schools Trailblazer which will substantially expand current programmes of Mental Health First Aid and Emotional Resilience programmes in schools over the coming years. 

Some young people Wandsworth feel unheard, experience pressures and worry about the future.

We commissioned the Youth Climate Report to find out how young people's views, thoughts and feelings help improve Wandsworth's Mental Health services. This generated three key recommendations which informs our work with Young People and service improvement. 

This coproduced work helped us to produce our Mental Health and Young People Plan of Action for 2018-2021: Local Transformation Plan for Young People.pdf This co-created a clear vision by and for Children and Young people living in Wandsworth. You can see this here: Young People Mental Health Youth Climate Report 2018.pdf