ENGAGEMENT REPORT 2019/20

Listening to our communities – and acting on what you tell us Foreword from our Contents Lay Board Member Why the CCG believes engagement is important ...... 5 – Patient and Public The NHS Constitution and you ...... 5 . . . Engagement Our population and how it shapes local NHS priorities . . . . . 7.

How we involve our communities in our work ...... 9

Regular meetings in the localities we serve ...... 9. . .

Formal meetings you can attend ...... 11 . . .

Public events ...... 12. . . . .

Community Champions ...... 13 . . . .

Social media, newsletters and the CCG website ...... 13. . . Welcome to our first Engagement Equality and diversity ...... 14 . . . . “ More ways of involving our communities in our work ...... 14 . . Report, a new publication that NHS Mid CCG has produced to share how we have involved our Key involvement programmes during 2019/20 ...... 15. . communities and partners in our Online access to psychological therapies ...... 15. work over the past financial year . Learning disability health checks ...... 1 . 5 New health centre for ...... 16. . . It has been a real pleasure to meet and talk with GP practice changes in Colne Valley ...... 16. . . .

residents and voluntary groups across the area we Your Medicines, Your NHS ...... 16. . . .

serve, covering , City Up Project ...... 17. . . . . and . I live locally myself, so the NHS Planning transport for families of hospital patients plans we have discussed are as relevant to me as transferred for care ...... 18. . . . .

they are to you . GP surgery branch changes in west Chelmsford ...... 18 Personal wheelchair budget leaflet co-design ...... 18. . .

I have seen from my role on its Board that the CCG Pride in Practice ...... 19 is committed to helping everyone in mid Essex to livewell . But the organisation can do that only with “ Reporting on our involvement work ...... 20 your help – and if you are confident it is representing “You Said, We Did” ...... 20 you . That’s why I want to make sure you are involved Annual Reports and summary ...... 20 . . . in CCG plans . Quarterly reports to Board ...... 21. . . .

360° Stakeholder Survey ...... 21. . . . Nathalie Wright, Lay Board Member Our engagement plans for 2020/21 ...... 22

2 3 Why the CCG believes engagement is important

Mid Essex Clinical Commissioning Demand for many NHS services is rising each year . Group (CCG) plans, buys and monitors So another important part of the CCG’s role is working with local partners and our residents to most local NHS services for the area we find ways we can support communities to livewell serve . There is a single overall outcome and stay well even if they have existing long-term we want for the populations of health conditions . Braintree District, Chelmsford City and By involving people in developing local NHS Maldon District in the way we fulfil our services, we can also build trust in what we do, role: We want everyone in mid Essex encourage our residents to seek help early if they have any health concerns and understand what to livewell. information they need to help them make the right This is a big task, for which the CCG receives nearly decisions about their wellbeing . £500m from the government each year . We have a duty to involve our residents in how we allocate this funding and plan health and care services . So The NHS Constitution we need the help of our partners and the people of mid Essex when making these plans . and you Public involvement is important to us because we These are the main reasons the CCG believes we have a duty to involve our residents in their care . must involve people from all three areas of mid We also believe that the people who receive the Essex in our work . But as well as being a good NHS care we fund know best how it works for them idea, it is a legal obligation for the NHS to engage and whether it meets their needs . with patients in planning healthcare, both for themselves and their communities . Patients using a health service can sometimes spot ways to improve it that the NHS has missed and those changes can really help others to livewell . But we cannot act on ideas if we do not know about them – and it is our responsibility to help people share them with us .

4 5 Our population and

The NHS Constitution, established in 2012, says, Perhaps most importantly, the constitution also makes a guarantee to everyone that they have, how it shapes local “the right to be involved, directly or through “The NHS will actively representatives, in the planning of healthcare services commissioned by NHS bodies, the NHS priorities encourage feedback from development and consideration of proposals for the public, patients and staff, changes in the way those services are provided, and in decisions to be made affecting the welcome it and use it to operation of those services” . The population of mid In Braintree District, for example: improve its services ”. One of The report you are reading sets out how we Essex is just under the pledges made to patients have met these obligations and our own goal of developing services with input from the people 400,000, but the residents women aged 65 is to, “make decisions in a who use them . have the clear and transparent way, so This document offers more detail on and within the three local “ complements the information we share about joint that patients and the public community engagement in each year’s CCG Annual authority areas for which can understand how services Report and Accounts . You can read more about the CCG buys NHS lowest those later in this report, in the section called life expectancy are planned and delivered . “Reporting on our engagement work” . services experience a in Essex range of different health outcomes .

Maldon has among the highest male suicide rates nationally .

Chelmsford has a higher rate of hospital admissions for injuries to under-15s than the Essex and average .

6 7 There are increasing numbers of overweight or These form part of a wider five-year plan to obese children in early years schooling . And more improve public services across the Mid and South people in mid Essex die from cancer, heart disease Essex Health and Care Partnership . How we involve our and liver disease than expected . This is an umbrella organisation of local NHS, Maldon and Braintree have two of the lowest councils and voluntary groups formerly called communities in our work population densities in Essex . This can present the Mid and South Essex Sustainability and access challenges as shown by the two areas Transformation Partnership . It covers a total having among the longest journey times to key population of 1 .2 million people across nine Representatives from a wide range of health and health services whether travelling on foot or by district and city council areas . We are always looking to share our care partners and community groups are invited to public transport . To help involve residents of Braintree, Chelmsford plans with the residents of mid the new locality groups . Each area’s invitation list And in all three areas, the proportion of older and Maldon in addressing local health and care Essex and hearing their views . includes: people to working age people, the total priorities, including the ones outlined on this Chairs of all the local GP practices’ patient population and demand on NHS services are page, the CCG set out our Communications and We place a particular focus on community groups, groups rising . Engagement Strategic Priorities for 2019/20 that voluntary services and other partners who represent people more likely to use NHS services – you can find on our website . Chairs of local hospitals’ friends groups and The mid Essex area has only a small proportion or who might have difficulty doing so . patient council of black and minority ethnic (BAME) residents, There are a number of different ways we form which increases the risk of them encountering the Each locality’s umbrella organisation for these community links and offer people a chance barriers to healthcare access experienced by many voluntary groups and charities minority groups . to share their views, as set out in the next seven sections of this report . Representatives from local physical and You can find more data about these headline learning disability groups figures on Essex County Council’s District Profile Reports 2019 Faith and minority ethnic groups webpage . Regular meetings in Healthwatch Essex, the county’s A number of priorities set out by the localities we serve independent health and care watchdog the NHS Long Term Plan reflect the We run three main community involvement Youth Council members importance of improving access and forums, one for Braintree District, one for reducing health inequalities for our Resident and housing associations with an Chelmsford City and one for Maldon District . Each population . CCGs across England interest in healthcare offers our residents a regular opportunity to give focus on diabetes care, mental us their views on services the CCG buys as well as health services, support for people Local authority partners providing feedback on our plans . with learning disabilities, cancer and Representatives from Mid and South Essex maternity care, and health services Following discussions with our previous Patient Health and Care Partnership for people living with dementia . Reference Group, which brought people from across mid Essex together, in March 2019 we began a year’s We have developed further priorities trial of engaging with each locality individually . The groups each come together every three at a local level – most importantly months . This allows our Lay Board Member – helping people to avoid becoming ill Patient and Public Engagement, Nathalie Wright to so more NHS resources are available hear any views about local health-services ahead for those who need them most . of the CCG’s quarterly meetings of our governing body, known as the Board .Y ou can read more about those in the next section . Nathalie attends governing body meetings as a Lay Board Member . It is her role to represent our residents and hold the CCG to account for how we There were two main reasons for holding separate involve our communities in our plans and decisions . meetings for the three localities – to make sure discussions are more relevant to everyone who attends and to reflect the move within the NHS towards more locality-based service planning .

8 9 Alongside our locality involvement forums, the The Board also discuss health issues and public CCG also has access to a wider pool of patients, concerns, as well as making decisions on the future public and voluntary groups with whom it engages of local NHS services . on service plans and designs . hisT Livewell livewell engagement In addition to taking questions from the members network in Mid Essex Engagement Network is simple to sign up for using the form on our website .Y ou can read more of the public who attend, the Board will also Join in & about it on the opposite page . respond to questions submitted in writing ahead of its meetings . Livewell Engagement network members can be involved in online discussions as much or as little You can find all the papers and decisions the as they wish . They also: Board has taken on the CCG’s website, as well help shape as the date, time and venue of future meetings, at: Receive regular e-newsletters from the CCG midessexccg .nhs .uk/about-us/ccg-board- meetings . Have the chance to share ideas and views services about local health services Get updates on health and wellbeing topics Our Livewell Engagement Network of particular interest to them The CCG takes part in two other decision- is a virtual group of patients, public Take part in focus groups, consultations and making meetings held in public that you surveys about local healthcare . can attend: and voluntary groups who are • Our Primary Care Commissioning interested in getting more involved in Committee is held jointly every two months how services are planned and designed. Formal meetings you with NHS England and Improvement to agree plans and support for GP surgeries can attend and other front-line By becoming a member, you can NHS care, known collectively as Several decision-making meetings involving the take part as much or as little as you like. “primary care” . CCG are also held in public so people can see how local health and care plans are agreed . – Patient and Public Engagement, chairs the meetings and accepts questions from Many of these meetings also offer residents You will also: members of the public .Y ou can find out and community representatives a chance to ask • Receive our regular more, and check the dates of future questions and have their voices heard . e-newsletters and patient meetings, here: newsletter Engage The CCG’s governing body gathers every three midessexccg .nhs .uk/about-us/primary months for our Board meetings in public . The carecommissioning-committee • Share ideas and views CCG’s Chair, Dr Anna Davey, leads our Board • The five CCGs in mid and south Essex run a about local health services members in reviewing the CCG’s performance and how we are addressing the challenges we face . Joint Commissioning Committee for the services they plan together, including • Stay up-to-date with the hospital care, ambulance and patient health and wellbeing topics transport services and NHS 111 . that interest you The Joint Committee consists of the GP Chairs and Accountable Officers from each participating CCG . Further information, including future meeting’ venues and dates, Sign up today at: midessexccg.nhs.uk can be found on the CCG’s website: midessexccg .nhs .uk/about-us/mid-and southessex-joint-committee

10 11 The CCG is a member of the Essex Health During 2019/20 we arranged events for national The presentations for our Marvels of Mid Awards and Wellbeing Board, a statutory committee and international health awareness days including take place during Annual General Meetings . We Social media, established by Essex County Council to promote Dying Matters Week and Mental Health seek nominations from our residents greater integration and partnership between the Awareness Week that have taken us out into the to recognise individuals, community newsletters and the NHS, public health and local government . community with stands in shopping centres, town groups and primary care professionals CCG website centres and supermarkets . who go above and beyond to help The CCG also regularly attends Essex County people in mid Essex to livewell . The CCG uses social media, our website and our Council’s Health Overview Policy and Scrutiny regular newsletter for all mid Essex residents Committee, which reviews the planning, provision to share messages about important local and and operation of health services within the county national campaigns . You can read about some council’s footprint . of the areas we have been focusing on during Both these meetings are generally open to the 2019/20 later in this report . public, so you can see your elected councillors Alongside this messaging, our presence on hold CCGs to account and ask questions yourself . Facebook, Twitter, Instagram, YouTube and You can find papers from previous meetings and LinkedIn allows us to connect directly with our the process for asking a question on the Essex communities . County Council website . We keep a note of conversations with passers-by during these events . This means that if someone asks a question we cannot immediately answer, or Public events makes a suggestion about the services we plan, we can share their comments with the most appropriate We frequently arrange public CCG member of staff later and, where necessary, In 2019, perhaps the most moving presentation ‘roadshows’ and attends events respond to the person who raised the point . was a posthumous award to a cancer patient for his voluntary work with the Cancer Patient Partner organised by our partners across It also helps us track the different members of our programme, which helps those affected by cancer the area . That way, people can speak community we are talking with and identify any to have input into planning new services . His to us in a less formal environment ‘gaps’ in our engagement . widow accepted the award on his behalf . and we can focus on particular We have also run public events with a specific groups we would like to engage . purpose during 2019/20, including a child health workshop on 26 November 2019 that offered new Community Champions For example, the CCG has a stand at each annual parents a chance to learn more about illnesses . Little Legs Festival run by Braintree District The workshops gave participants an opportunity Among the local volunteers whose work the CCG Council for pre-school children, so we can discuss to ask a GP or pharmacist questions about looking values so much are our Community Champions . child health issues and school readiness with after their youngsters’ health . They are five patient representatives who have a parents . particular interest in encouraging the localities We also held two drop-in sessions to answer where they live to engage with the CCG . questions from the residents of South Woodham Ferrers about the new health centre being built in In the past year our Community Champions have We have a policy of responding to direct messages their town and three GP practices’ plans to relocate supported the formation of a cluster of GP surgery on these channels within one working day of to this site . This was a major project for the CCG’s patient groups across an entire district, sign- receipt and can often signpost patients to a communications and engagement team and you can posted parents to NHS services by attending a service they need or share their comments with read more about it in the next section of this report . local mothers’ support group and supported CCG commissioners to help shape plans . campaigns by giving interviews on regional TV The main public showcase for the CCG’s work and news . This work will continue in 2020/21 – and you can opportunity to speak with our Board members is read more about our future plans later in this report . our Annual General Meeting and Community During 2019 the Community Champions Awards, which we hold each September . Along attended the CCG committee that makes policy with the legal requirement of presenting our recommendations to Board . Involving patients Annual Report and Accounts to our Board, these in CCG decisions at the planning stage is a key events allow us to share how we have worked part of our goal to improve the patient voice in for and engaged with our communities over the developing the services we buy for mid Essex . previous year .

12 13 In December 2019, the CCG asked for a place on Equality and diversity local mental health service user groups run by The CCG takes its legal duty to reduce local health Essex Partnership University NHS Foundation Trust Key involvement inequalities very seriously . That means we want to and the local Alzheimer’s Society branch . make sure the services we plan and buy are easy CCG staff have now attended both groups to for our residents to access regardless of their age, programmes during introduce themselves and the CCG’s work and to ethnicity, gender identification or any other personal form links that will support closer engagement in characteristic, and achieve the same outcomes the future . 2019/20 We meet this duty through our Equality and Diversity We are particularly proud of the work we have Committee, which meets regularly to review how been carrying out during 2019/20 to implement the well we are reflecting the diversity of our population Pride in Practice initiative in mid Essex GP surgeries . Online access to Learning disability in our policies and employment practice . Pride in Practice is a programme of quality Crucially, it also assesses whether we are fully psychological therapies health checks assurance, awareness training and service supporting our residents within the nine protected signposting that builds and strengthens GP In October 2019 one of the CCG’s mental health The CCG wants to encourage take-up of the annual characteristics defined by the Equality Act 2010 surgeries’ relationships with their lesbian, gay, providers asked for help raising awareness of the health checks for people aged 14 and over with (which you can read more about on the gov .uk bisexual and trans (LGBT) patients . online mental health tool we buy for our residents . learning disabilities (LD), as these can identify website): potentially serious conditions early to improve You can find out more about it in the nalfi part of The service, called SilverCloud, is a flexible self-help outcomes . age the “Key involvement programmes during 2019/20” programme available to anyone with an internet disability section later in this report . connection . They can access the programme To make sure communications materials genuinely gender reassignment without any need to speak to a GP first and follow address the LD community’s needs and concerns, marriage and civil partnership it at their own pace . commissioners and communications team pregnancy and maternity members have spoken to LD stakeholder groups race More ways of involving our The CCG co-designed a multi-faceted marketing and residents to co-design communications religion or belief campaign with service users and the provider, materials about health checks in the final quarter sex communities in our work which included Facebook advertising and other of 2019/20 . social media content, a poster campaign, events, sexual orientation . Other methods the CCG makes use of to engage radio and newspaper interviews, press, outdoor CCG staff ran lunchtime meetings hosted by City of with mid Essex residents include: The CCG has engaged with Eman Community and mobile advertising . Chelmsford Mencap, held discussions with a Interest Company, a multicultural group in quality visits to the providers from whom we young people’s group hosted by InterAct and took During the month-long campaign, referrals to mid Essex, to help ensure a broad range of buy NHS services for our residents – wherever part in two Sport for Confidence sessions for SilverCloud increased 125% compared to the communities are involved with CCG decisions . possible this includes talking to patients people with LD to share draft materials and seek previous month, the largest monthly uptake since Two members from the group have agreed to receiving the service people’s feedback . attend our quarterly locality involvement meetings the service launched in 2018 . discussions and meetings about new-build A number of design changes were made as a result Subsequently we have worked on creating links As well as inviting people who represent NHS premises serving mid Essex, for example and the feedback received on health checks will with particular seldom-heard groups who might communities with protected characteristics to the planned Maldon Health Hub be shared with those involved in the engagement our patient meetings, we work with our health benefit from accessing SilverCloud, such as LGBT sessions, primary care professionals and wider and care partners to ensure they can access meetings with individual patient groups or residents, university students and service users at stakeholders by February 2020 . wellbeing services without facing discrimination or clusters to address particular issues they have the local HIV clinic . marginalisation . raised with us The CCG has formed links with the local charity filming patient stories shown at our Board CHESS Homeless to seek better ways to engage meetings in public and posted on our website – with and support homeless people . An early action these share some of our residents’ individual for the CCG from this has been to help rough experience of the NHS services we plan and buy sleepers access flu vaccinations via arrangements supporting intergenerational projects with a local pharmacy, which CHESS signposted to bringing primary school children and care home their clients . The charity’s executive director now residents together to learn from one another . attends our locality involvement meetings . A fuller list of our engagements and their outcomes are in our quarterly “engagement logs”, all available on the CCG website .

14 15 The CCG was recognised for these achievements at New health centre for Your Medicines, the 2019 Health Business Awards, where we won Maldon Up Project the NHS Publicity Campaign of the Year category . The CCG has been engaging with All Saints’ CofE South Woodham Ferrers Your NHS Primary School in Maldon and Longfield Care In January 2019 the CCG promised to share We launched a campaign called Home to support an intergenerational scheme more information about the new health centre “Your Medicines, Your NHS” in they have been running for the past two years under construction in South Woodham Ferrers . March 2019 and have continued called the Maldon Up Project . Throughout the year, the CCG supported the three to promote the campaign throughout the past The school arranged with the care home for its GP practices planning to relocate to the health year . We are asking our local population ot ‘open Year six pupils to have regular lessons in the home centre to keep their patients informed of progress the bag’ and check that they need the medicines with any residents, including those living with through a newsletter and fact sheet . that have been dispensed before they leave dementia, who wanted to be involved . the pharmacy so that they can hand back any unwanted medication . The CCG arranged for representatives from the school and care home to speak with BBC Essex To support the campaign, the CCG has posted radio and ITV Anglia about the scheme to raise its more than 50 social media posts, which reached profile and publicise a crowdfunding scheme to nearly 250,000 people . We arranged for BBC Essex keep this voluntary project running . to speak to our Chief Pharmacist about the campaign . We also arranged for researchers from Anglia Ruskin University’s Positive Ageing Research And thanks to strong relationships we have built Institute to carrying out a year-long research with our patient representatives, two of our project into the project’s benefits . During the summer of 2019 the CCG arranged volunteer Community Champions agreed to be a public drop-in event exhibiting plans for the interviewed by ITV Anglia so they could share their Their interim results were shared at the new health centre . Representatives of most own views of the campaign and its goals . Festival of Ideas and the full outcome report is now available on the university’s website, with organisations involved in the project were Between April 2019 and October 2019 there were available at this session to answer public questions . national media coverage of it and the Maldon Up 3,302 more non dispensed items than between Project . A month before the new health centre’s planned April 2018 and October 2018 . While we do not opening date, the CCG arranged a second event know the cost of each individual item, assuming an hosted by a supermarket in South Woodham average cost per item of £7 .50 equates to £24,740 Ferrers Town Centre to share more detailed plans of avoided costs to date . for access to the medical centre and answer further questions . In total, the CCG and partners spoke with more than 500 residents about the health centre .

GP practice changes in Colne Valley A local GP practice that had undergone considerable staff changes since its merger with a neighbouring surgery asked the CCG to support its engagement with local councillors and residents . The CCG attended meetings with local stakeholders to offer assurance about the transformation work underway at the practice . We also helped the staff to produce a newsletter fulfilling their commitment to inform patients of the progress in addressing their concerns . Courtesy of ITV Anglia News

16 17 Pride in Practice Planning transport Personal wheelchair for families of hospital budget leaflet co-design Since the local launch of Pride in Practice in May 2019, 14 local GP patients transferred In December 2019, personal wheelchair budgets (PWBs) became a legal right for people who have surgeries have received training for care NHS funded wheelchairs . To prepare for this, Mid in making primary care more Essex, and and Brentwood CCGs Following a consultation in 2017/18 on the future of worked together to develop a consistent offer . accessible to the LGBT community, mid and south Essex hospital services, the local NHS part of their work towards developed plans to focus certain specialist services The CCGs approached the lead officer of a for heart and lung conditions, cancer care, stroke, disability charity, Thurrock Coalition, who is also accreditation for the national Pride burns and plastics at specific Essex hospital sites . a wheelchair user, asking him and his network to in Practice scheme . This scheme is share their views on draft leaflets explaining PWBs . During NHS engagement sessions, some In this way the CCGs secured useful feedback from run by the LGBT Foundation, which residents told us they were worried about how wheelchair users that was incorporated into the the families and carers of people transferred to also delivered the training in mid leaflet design . a specialist centre could visit them if they did Essex . not live nearby and lacked a car . So the Mid and The three CCGs’ wheelchair services shared the South Essex Health and Care Partnership set up redrafted leaflet with the service users accessing a working group to find a solution with patient their clinics and asked for further feedback, In January 2020, two local GP practices received representatives involved from the start . allowing final changes to be made before the their Gold accreditation – the highest award leaflet was printed for general use across the area . The CCG sought volunteers from the mid Essex offered as part of the scheme . The CCG also area to bring their community’s concerns to these arranged with one of the practices for an LGBT meetings, ensuring ongoing local representation patient to discuss with local media and dignitaries on this working group . what such training meant to them . The CCG expects four more practices to complete their training during February 2020 and hopes this GP surgery branch will lead to further accreditations by the end of March . changes in west Chelmsford To support a request by a local GP practice to close its branch surgery, the CCG created an online survey for affected patients and developed other engagement materials for the practice including website information, a “frequently asked questions” list, posters and an engagement plan . More than 300 people shared their views on the plans, in response to which the practice was able to reassure patients how they would ensure that the impact of this change was minimised .

18 19 Quarterly reports 360° Stakeholder Survey Reporting on our to Board In previous years, NHS England commissioned polling company Ipsos MORI to seek feedback Our governing body, the CCG Board, meets from health and care partners and patients about involvement work four times a year to monitor the performance how CCGs involve them in our work . of the CCG across a variety of areas, including communications and engagement . Some This independent survey is conducted across a range of stakeholders, including GP practices, This is the first year that Mid Essex CCG meetings also involve planning decisions based on Annual Reports recommendations from the CCG and engagement patient representatives and local authorities . In has produced a report focusing on our with the patients who use the services we will be mid Essex, 62% of the people invited to take part engagement with the communities we and summary buying . completed the survey, 2% above the national average . serve and the other stakeholders with The CCG has a legal duty to report our governance, Every three months, our communications and whom we work . But there are other financial and clinical performance in our Annual engagement ream produces a report to Board As the questions in the survey have remained ways to follow how we involve people Report and Accounts . As well as the core reporting setting out what they have done, how involving largely the same each year, the CCG can track requirements, the CCG also takes the opportunity what our partners think about our engagement in planning local healthcare through communities has made an impact on the CCG’s to share how we have communicated our key aims work and outlining future communications with them . Once the 2019 survey results were each year . and campaigns to the residents of mid Essex . priorities for consideration . published, our communications and engagement team produced a report setting out how we A separate report to Board is also produced by planned to improve our stakeholder engagement our Patient Advice and Liaison Service, explaining in the coming year . “You Said, We Did” the input we have received about patients’ individual care, how many complaints and You can find the full report for 2019 on our The CCG has made a commitment to all the website but positive results included: residents of mid Essex that we will share the compliments we have received and how we have outcomes of feedback we have received, so addressed enquiries from our residents’ elected • 86% of people and groups who responded community representatives and our own Lay representatives . saying they had an effective working Member – Patient and Public Engagement can Board members review these papers and discuss relationship with the CCG hold us to account for acting on the input we them at each Board meeting in public, as outlined receive . • 81% saying the CCG works collaboratively with earlier in this report .Y ou can read the reports our partners on improving the population’s yourself a week before the Board meetings in health . public by downloading them from our website . The reports remain available online afterwards . Less positive results included: • 59% saying that the CCG involves the right individuals and organisations when planning services, 7% below the national average (but an improvement on our scores in previous years) • 55% saying that the CCG engages effectively with patients and the public when planning The CCG publishes requests and comments from services, 6% below the national average our residents and the actions we have taken as a result of that feedback .Y ou can find this Actions the CCG has been working on to information on the You Said, We Did page of our The Annual Report also provides a summary of address issues raised by the results include: website and on our social media pages where we the engagement we have undertaken with our • a refreshed Communications and Engagement regularly shared feedback we have received and communities . All our annual reports are on our Strategy (now complete and in use) setting out what changes we have made as a result . website . how we will engage with more seldom-heard As the Annual Report is a large document, and minority groups comprising nearly 100 pages plus the Annual • a quality update to be produced for Accounts, the CCG also produces a summarised stakeholders to raise awareness of version, which we call the Annual Review (also improvements the CCG is overseeing in local available on our website) . NHS services .

20 21 Our engagement plans for 2020/21

The CCG has a communications and • Arrange a “patient summit” for the first engagement strategy that is refreshed quarter of 2020/21 so our various patient and community groups can share best practice and periodically to make sure we are build local networks . involving our patients in our work in • Work with colleagues across mid and south the best possible way . The following are Essex to engage with the area’s 1.2m highlights of how we intend to involve population about the five CCGs’ future in line our residents during the 2020/21 with the NHS Long Term Plan . This engagement financial year . programme will run until April 2020 . • Continue to support development of the Mid and South Essex Health and Care • Survey our patient representative locality Partnership’s Citizens’ Panel. This group of groups, locality groups and other stakeholders 1,000 residents, intended to reflect the local so they have an opportunity to tell us what population’s mix of ages, ethnicities, health they think about our engagement with them . conditions and other characteristics, will feed back on the health and care partnership‘s • Review the effectiveness and accessibility plans . for our residents of our new locality-based involvement groups . We promised patient Our communications and engagement strategy representatives we would do this 12 months is available from our website and you can find after the groups started meeting, in March out more about the health and care partnership 2019 . at msehealthandcarepartnership .co .uk

22 23 We hope you have found this report of Our contact details are below. interest. If you have any comments or 01245 398750 questions about it, please get in touch. [email protected] midessexccg.nhs.uk/contact-us @midessexccg /CCGMidEssex NHS Mid Essex Clinical Commissioning Group Wren House Hedgerows Business Park Chelmsford Essex CM2 5PF

24