We Asked, You Said, We Did

Below are some of the issues we have recently consulted on and their outcomes.

We Asked

We asked for interested service users/carers to become involved in this multi agency bi-monthly mental health advisory group.

You Said

Two volunteers came forward and after further discussion regarding the nature of the group have joined and attended.

We Did

In the three meetings held since joining their contribution has been extremely valuable.  In particular in respect to suicide prevention and crisis pathway development.

We Asked

As Neighbourhood Clinical Commissioner, Steve Bradshaw has indicated an interest and wish to be involved in the development of social prescribing networks. 

You Said

TPA Community Connectors arrange periodic 'Team around the Place' meetings.  These offer the opportunity for local groups/residents to meet and share their values along with what their group can offer as a means of promoting greater local knowledge.

We Did

An example of a positive outcome was that at the Marple meeting it was noticed that there was a clash of meeting times between two groups both of whom would have benefited the same group of attendees.  Therefore one group agreed to change their meeting times.

The overall outcome of all meetings is a better local  knowledge between groups of what is already available and potential gaps.  This will hopefully also then lead to ongoing cooperation and signposting between groups.

We Asked

Overall aim of the engagement

The aim of the engagement was to learn from experiences of family carers what works well, what needs improvement, what is missing and what suggestions people might have to improve our local palliative care offer.

What we were asking

  • What support did you use and how useful was it for you & person you cared for?
          Prompt: support can be professionals, services, information such as leaflets etc.
  • What did you find challenging / gave you extra stress?
    Prompt: can be transport, I.T, lack of information, communication ect
  • What did you miss / what didn’t work well / what can we do better?
  • Were your needs assessed / what are your needs at the moment and what support do you receive / need?

 

You Said

What participants said

Strengths:

  • End of life team at home
  • End of Life assessment
  • Enhanced care team highly valued but only in last 2 weeks of life
  • Advanced care planning works especially well for dementia patients but not necessarily for other conditions

Weaknesses

  • Not a person-centred care plan, no choice provided
  • Not possible to book respite care
  • Variable support from GPs: some very supportive GPs and some carers reported not having received much support from their GP
  • Lack of conversations to discuss and plan end of life care
  • No bereavement support offered
  • Lack of training for staff; staff don’t know when / how to start conversations and what services are available
  • Treatment for pain was lacking

Challenges

  • Adapting home gave stress and had an impact financially; home environment felt less homely
  • Need to start conversations earlier
  • Skills of family carers not appreciated by care home staff when cared for moves into care home
  • Support for deaf people in end phase of life was lacking

Barriers

  • Disjointed services
  • Lack of training for family carers

We Did

What we did or will do as a result (ie how this will influence decision-making)

The feedback from the participants confirmed that the new model needs to have:

  • A single contact point for patients and family
  • More opportunities for respite for the carer
  • Right balance between peer support for carers based on condition and more generic; to create more opportunities to meet others in a similar situation for carers looking after someone with a less common condition
  • Clearer signposting on bereavement support offer
  • Continuity in contact with carers by services in days after person passed away to avoid abrupt ending of support on day person passed away

Based on the feedback we have now

  • Made a split between the palliative care and bereavement pathway to acknowledge the different needs
  • reviewed respite opportunities and are looking in creating more options for respite
  • looked at continuity in support for carers in first days after death
  • improved joint working between elements of the pathway
  • extended enhanced support team involvement
  • looked at training opportunities to upskills staff e.g. home care staff

We Asked

We asked Special Education Needs and Disability (SEND) parents and carers to look at the SEND review undertaken by Ofsted and CQC and give us their feedback

You Said

To see a full report of all the feedback and themes please go to the Local Offer page - https://stockport.fsd.org.uk/kb5/stockport/fsd/localoffer.page

We Did

There are a number of actions raised by parents for the Local Authority and CCG to work on.  This includes a number of workstreams which all have parent representatives on them  The full details of activity, plans and outcomes to date can be found on the 'Local Offer' page via this link - https://stockport.fsd.org.uk/kb5/stockport/fsd/localoffer.page 

We Asked

Colleagues were asked about challenges they faced day to day when dealing with clients.

You Said

TPA colleagues asked for training on a list of commonly encountered difficulties relating to clients mental health

We Did

To help improve competencies of non health staff in managing distressed patients within a social prescribing setting, a series of training sessions covering the list was developed and delivered in a small group interactive setting.

 

 

 

We Asked

The scheme is simply asking patients to participate once invited in order to improve their wellbeing by improving contact with GP surgery staff and

You Said

Feedback after the event from patients was excellent and it was enjoyed by all.

We Did

We are arranging a further event in this Neighbourhood and then approach the charity (Contact the Elderly) to gain permission/obtain funding for further Neighbourhoods.

We Asked

Citizens Representation Panel

You Said

A number of issues were discussed as can be seen in the attached paper

We Did

The attached paper provides an outline of activity for the CCG and partners to complete on behalf of the CRP

We Asked

Whilst attending a Public Health led discussion with colleagues from Stockport Homes,  ABL, CGL, and START  it became clear that they frequently work with distressed or challenging residents.

The Clinical Commissioner for Neighbourhoods, Steve Bradshaw, offered to deliver bespoke training sessions to these colleagues to help with these challenges.

 

 

 

You Said

Each of the four organisations took up the offer.  Training for START and ABL was completed during 20017/18.  Stockport Homes and CGL training was completed during 2018/19.

Feedback during follow up question and answer sessions reflected better confidence and knowledge subsequent to the training.

We Did

Colleagues now have a better understanding of communicating with mentally distressed clients and social prescribing to compliment their area of expertise.

 

 

 

 

We Asked

We asked Special Education Needs and Disability (SEND) parents and carers to look at the SEND review undertaken by Ofsted and CQC and give us their feedback

You Said

To see a full report of all the feedback and themes please go to the Local Offer page - https://stockport.fsd.org.uk/kb5/stockport/fsd/localoffer.page

We Did

There are a number of actions raised by parents for the Local Authority and CCG to work on.  This includes a number of workstreams which all have parent representatives on them.  The full details of activity, plans and outcomes to date can be found on the 'Local Offer' page via this link - https://stockport.fsd.org.uk/kb5/stockport/fsd/localoffer.page 

We Asked

  • What is being done well?
  • Where are the gaps?
  • What could be done better?
  • What are our aspirations?

You Said

During the disucssion a number of themes emerged for example:

  • How Stockport Mind is involved in GM wide developments
  • Challenges of being a small single borough provider
  • The activities led through SPARC
  • Challenges for Carers

We Did

All the information from the workshops were considered and discussed.  The Local Authority is using this to redraught contracts and nuance aspiration.

These contracts are out for competitive tender at the time of writing this.

We Asked

This survey formed part of the 100 day Rapid Testing programme where new ways of working were trialled.  Patients were asked if they would be happy to be contact again to take part in possible further research.

You Said

The majority of patients confirmed they would be happy to be contacted to take part in further research. 

We Did

Feedback from the survey helped to structure the newly formatted public workshops.

We Asked

Patients attending an education session on Osteoarthritis of the Knee.

You Said

We asked patients to feedback on a pre/post questionnaire regarding the osteoarthritis of the knee workshop. 

We Did

Comments from the survey aided professionals to make any improvements needed to the format of the workshop.

We Asked

The Citizen's Representation Panel (CRP)

You Said

Please see notes below from the meeting.

We Did

The attached paper provides an outline of activity for the CCG and partners to complete on behalf of the CRP

We Asked

We would like The Stockport Red Bag Pathway to be known as one of the most successful in GM and have great partnership working across CCG, NHS Trust, NWAS, ASC and our care providers. We would like the Residents and families from the Residential and Nursing homes to give continual feedback that it has supported their transition into hospital and the safe discharge back home again.

You Said

A number of positives have been received about the scheme:
Staff at the hospital are engaging with the scheme and service users are coming home quicker.
Families are happy (not losing glasses etc)
Reduced phone calls to the care home
Protects providers – evidence that information has been sent to the hospital- check list
Positive feedback and support from NWAS and ED
 
However there are still some area that require improvement:
 
Notes not always returned -Paperwork needs to stay in the bag.
More promotion in the hospital so all staff are aware, due to high turnover of care and nursing staff.
Person Centred info poor quality or not always read
DNACPR not always returned even with EOLC patients operationally

We Did

A Pathway Development Plan has been developed with actions for each of the providers such as Nursing, Residential, Extra Care Homes, NWAS and  Hospitals to ensure Champions have been identified and the necessary staff are well trained and fully aware of the scheme.
 
 

We Asked

The Citizens Representation Panel

You Said

Please see notes of the meeting below

We Did

The attached paper provides an outline of activity for the CCG and Partners to complete on behalf of the CRP.

We Asked

Citizens Representation Panel

You Said

A range of details were discussed as can be seen by the attached document.

We Did

The attached paper provides an outline of activity for the CCG and partners to complete on behalf of the CRP.

We Asked

Citizens Representation Panel

You Said

A range of details were discussed as can be seen by the attached document.

We Did

The attached paper provides an outline of activity for the CCG and partners to complete on behalf of the CRP.

We Asked

Citizens Representation Panel

You Said

A range of details were discussed as can be seen by the attached document.

We Did

The attached paper provides an outline of activity for the CCG and partners to complete on behalf of the CRP.

We Asked

Walthew House Deaf Group

You Said

A range of details were discussed as can be seen by the attached document.

We Did

The impact of public engagement enabled the CCG to reflect and review the proposals for Stockport Together.

We Asked

Walthew House - Visually Impaired group

You Said

A range of details were discussed as can be seen by the attached document.

We Did

The impact of public engagement enabled the CCG to reflect and review the proposals for Stockport Together.