Public engagement summary A summary of the public and staff view of current health and social care services in Stockport

Contents Overview Sources Themes– general consensus across programmes (yellow stickies – public, pink stickies – staff) Feedback on Design Principles People Principles Other questions

Sources Experience based commissioning led design sessions (4) Engagement events with local groups (16) Citizens representation panel & patient panel meetings (4) Surveys (2) Other public events and engagement (4)

Theme – Signposting and service information

Theme – IM&T

Theme – Access

Theme – Coordinated care and Partnership working

Theme – Staff/training

Theme – Communication

Theme – Reactive system

Other/Miscellanous

Design Principles – Feedback Close the financial sustainability gap Being at the top of the list suggests this is more important than the other principles – is this correct? What is plan B? Focus should be efficiency and effectiveness – not cost saving Integration Of what – services, finances, organisations? This must include all sectors Could this lead to a loss of identity – professionals becoming generalists? Strong alignment and interrelationships What does this mean? How will barriers be removed to allow this working to happen? E.g., shared policies and governance? This needs to extend to commissioners when designing and contracting services

Design Principles – Feedback Designed around the individual This sounds very challenging Service users should be involved in this process This needs to be embedded within commissioning functions Empowered People This should be clarified to include patients and service users as well as professionals and staff More care delivered in a community setting Community services need to demonstrate that the right outcomes are being delivered before services are cut in secondary care Where is the funding coming from to expand community services? Will the savings from secondary care be moved in to the community?

Design Principles – Feedback Smaller, more specialist acute sector This sounds very ambitious What services would Stockport lose? How will this be achieved under the pressures that the hospital face in A&E? Increased proactive approach to reduce the need for reactive responses This needs to support the inappropriate use of A&E – where should patients otherwise go to be seen? Is it possible to be proactive with limited capacity and financial resource? Parity of physical and mental health Patients should and need to be supported through discharge Access to specialist services is required – for professionals and patients

People Led Principles Accessible Joined up High Quality Close to home Available when needed - little to no waiting times Joined up Only telling story once Professionals have skills or access to information to avoid being passed from one service to another High Quality Not disadvantaged based on geographical location (postcode lottery)

People Led Principles - Questions to ask during the design Is the approach proactive or reactive? Will it improve patient outcomes? What does success look like? How will it be measured? Has the public been involved in the design? Has there been consultation on changes? What is the plan to communicate planned changes? Will end user consider this a positive change?