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The information and insight you give us makes a huge difference to the work that we do. You give us a picture and understanding of what local patients, carers, the public and other stakeholders need from local services.

Here are some recent examples of how the engagement work we do with different communities and populations has helped shape local services and informed commissioning decisions:

Here is an archive of some of other projects where your input has made a big difference:

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Grassroots reporting

People share stories and feedback about health and care services in many different ways, such as:

Our Grassroots system brings together all this insight to help us build a better picture of what’s working well and where improvements need to be made.

Grassroots reports are discussed by our Joint Quality Committee to identify actions that need to be taken. Grassroots insight regularly informs our commissioning decisions.

For example a pattern of feedback relating to the experiences of deaf patients has resulted in us working with Bradford Talking Media to develop awareness training for primary care staff.

Flagging patient's needs in medical records

Using the feedback you give us that goes into our Grassroots reporting, we could see that we needed to improve the experiences of people who use health services and need accessible information. 

Some of the specific experiences we identified from Grassroots included:

  • appointment letters sent to people with visual impairments
  • translators for language or British Sign Language (BSL) not being arranged at clinics
  • information not provided in a way that can be used.

What we did

A project group was set up to look at this area. This group included four GP practices from Bradford City and Bradford Districts CCGs, CCG staff and patient groups. The outcome was that the group identified a way of flagging disabled patients’ access needs in SystmOne, the patient record system used by local GP practices. 

As a result, SystmOne has been updated so that if a patient has a need for accessible information, this can be flagged within their patient record. A questionnaire, developed by patients, acts as a guide for practice staff when talking to patients about their access needs and what reasonable support is needed.

This project has been shared with NHS England as a key way for practices and CCGs to ensure they meet the requirements of the new Accessible Information Standard introduced in 2016. We have now set up a new joint group with the local authority and NHS trusts to see how this can be implemented more widely. 

Mental health - Future in Mind

Feedback and insight from young people helped develop our strategy for young people’s mental health and wellbeing - Future in Mind. We listened and incorporated into the strategy some key areas of insight gained from children, young people and their families. These included: 

  • young people’s feedback on services through our voluntary and community partners
  • hearing and exploring young people’s voices and experiences
  • sharing good practice for youth engagement
  • working with schools – including parents and those responsible for child health
  • young women and use of health services – particularly focusing on experiences of self-harm and self-esteem
  • access to primary care services
  • use of urgent and emergency care services

You can read more about how children and young people contributed to the Future in Mind strategy here.

Thrive website

Young people in Bradford have helped developed the Thrive website which supports the mental health and wellbeing of young people. The idea came from consultation with young people who wanted more information and help regarding their emotional health and mental wellbeing. The Thrive Bradford website has been developed with specific content and information for young people. It also signposts to services and gives real stories and scenarios. 


Young people's engagement event

Getting young people interested and involved in shaping local health services was the key theme of our first young people’s event in October 2015, jointly hosted by local NHS organisations.  

In response to what young people told us they were most interested in, we created content for future events covering issues such as emotional health and wellbeing, sexual health and relationships, drug awareness, the effects of smoking and drinking, and NHS careers.

A similar event was run in October 2017, and another is planned for October 2019.

Having an engaged and active young population meant that Bradford was the perfect host city for Self Care Everywhere – an action packed day of workshops, supported by NHS England and partner organisations across the region but led and designed by young people themselves.

Patient and public voice in governance

So that our commissioning decisions are informed by listening to local people, we have embedded patient and public representatives in our governance structures, to make sure we hear the voices of patients and the public at all levels.

Involvement in governance includes:

  • the appointment of lay members to our governing body
  • representatives involved in clinical board meetings
  • representatives involved in our Involve group, which oversees communities, engagement and equalities activity
  • representatives involved in the network steering groups and advisory groups covering areas of strategic priorities such as improving patient experience, diabetes, heart disease; and
  • representatives involved in the recruitment of permanent staff to the CCG.

Lay members work closely with our People’s Board and Patient Network, to ensure they are closely connected with the views and experiences of patients and the public.

Individual participation

Our CCG learns from patients in a variety of ways. One of the main ways that we do this is through our governing body hearing first-hand from patients and their families about their experiences of NHS services and how they can be improved.

Recently, our governing body has heard about experiences including;

  • how cardiac rehabilitation was adapted for a patient with dementia
  • the impact of our Future in Mind programme on young people’s mental health and wellbeing.

You can read the patient experiences heard by our governing body in the governing body meeting minutes. These can all be found in our governing body papers

West Yorkshire and Harrogate stroke care

As one of the partners in the West Yorkshire and Harrogate Health and care partnership, we have been engaging and talking with with staff, partners and the public about stroke care since this project began in February 2017. We have kept people updated throughout to ensure everyone had the opportunity to have their say on the development of the work.

On 6 November 2018 a report was presented to the West Yorkshire and Harrogate Joint Committee of Clinical Commissioning Groups (meeting in public), to provide an overview of progress, conclusions, recommendations and next steps. You can read the report here. You can also read this letter sent to all stakeholders informing them of the decision made by the Joint Committee of Clinical Commissioning groups

The decision from the Joint Committee of Clinical Commissioning Groups concludes the West Yorkshire and Harrogate stroke programme work on hyper acute stroke services.

However, it is important to note that our conversations with people across the area have highlighted the importance of further improving care from prevention, hospital stroke care, community rehabilitation services, through to after care.

These conversations will continue as appropriate in the six local areas (Bradford District and Craven; Calderdale, Harrogate, Kirklees, Leeds and Wakefield) which make up West Yorkshire and Harrogate.

We would like to thank everyone for their involvement on the West Yorkshire and Harrogate stroke care work. You can find out how your views have shaped our work by reading 'You said, we did'. You can also find out about all the engagement that has taken place here

Find more ways to get involved.

Take part in our engagement activities and consultations.

Discover more details on what engagement work we are doing.

Or find out how you are also helping us make a difference to improve health services.