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

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

4. 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)

5. Theme – Signposting and service information

6. Theme – IM&T

7. Theme – Access

8. Theme – Coordinated care and Partnership working

9. Theme – Staff/training

10. Theme – Communication

11. Theme – Reactive system

12. Other/Miscellanous

13. 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

14. 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?

15. 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

16. 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)

17. 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?