To ensure the voices of Merton people are fed into south west London wide projects allowing them to influence decisions at all levels within the NHS, we work with the South West London Health and Care Partnership team to deliver on projects. Reports are published on the SW London website, to view the reports of our partnership projects, click on the links below.
Grassroots Programme 2017/18
NHS England provided a grant to the south west London collaborative commissioning team in March 2016 to run a programme of engagement extending reach into seldom heard communities. With the success of the 2016/17 project, the grassroots funding was extended into 2017/18.
The project worked with Healthwatch organisations across south west London and provided small grants to local grassroots groups to run events/activities enjoyable to their population. We attended these sessions to speak to people about their experiences of local services.
By providing a pot of money to local Healthwatch organisations, we were not only able to capitalise on the extensive community connections that they had developed with local grassroots organisations, but we were also able to strengthen our own relationship with them as key stakeholders in health and care.
In Merton, through the grass roots engagement programme, we spoke to more than 270 people between August 2017 and September 2018. We visited nine different organisations who work with local people who:
- Have mental health issues
- Come from areas of socio-economic deprivation
- Are from different races and religions
- Are the oldest and youngest in the local area
- Have experienced domestic violence
- Have recently given birth
- Have a learning disability
We asked local people about their experiences of health and care in Merton. They spoke to us about issues ranging from how to make the best use of social media, right through to how to improve mental health services.
To support us to reach these diverse communities, we joined
forces to produce a survey with Unique Talent when asking young people
attending Limes College about gangs. We also developed easy read questions to support discussions with learning disabilty groups. Other sessions ranged from formal forum meetings to community fun days.
Feedback from each session was captured and shared with commissioners and providers, the organisers of the events and with Healthwatch Merton – to enable it to inform local developments.Feedback from the sessions was used to help determine our commisioning priorities and inform the commisioning intentions.
Feedback was used to enhance local plans as well as informing and shaping plans on a pan south west London and Surrey Downs basis. A "you said, we did" report is currently being drafted to demonstrate what has been done because of the feedback and we will be sharing this widely with those we spoke to, as well as linking to this on our website. You can read the "you said, we did" report from 2016/17 on the south west London website.
Children and young people - from addressing self-harm to developing emotional resilience
We know that across South West London (SWL) we have a high number of children who are self-harming, and we want both to address and prevent this by developing consistent wellbeing support and early intervention.
We aim to reduce the number of children self-harming in South West London through a ‘whole system’, multi-agency approach, using health, education and local authority resources to provide support in schools to parents and carers and children and young people.
Merton CCG, as part of the South West London Health and Care Partnership, works closely with a cluster of schools in the borough to introduce enhanced support for emotional wellbeing. We have also secured funding to establish an innovative ‘trailblazer’ programme to pilot new approaches to working with children and young people to support them to develop resilience and to get easy and rapid access to specialist help if they need it.
Our work is informed by the views and experiences of children, young people, parents and carers, and will continue to be built on this foundation as we take forward this important programme.
Aims of involvement and underpinning principles
The aim of partners is to go beyond statutory duties to involve patients, service users and the public and to embed co-productive ways of working at the heart of this programme. This means a commitment to working together and in partnership with children, young people, parents and carers in ways that value people as assets, build self-supporting networks and develop collectively owned solutions. The challenge is to create the right opportunities for young people, parents and carers to share their experiences, ideas and aspirations to shape future service design, delivery and review.
Partners' are committing to two key engagement principles in the shared Memorandum of Understanding:
'We will enable the students voice to influence decisions' and
'We commit to working with parents and carers to supporting emotional wellbeing of children and young persons'
The following sub-principles will support this:
|Involvement will be ||This would include (not an exhaustive list) |
|Purposeful||Focus of involvement clear|
Scope to influence plans, proposals or decisions
Target groups identified at outset
Building on existing information, data, insights and previous engagement
|Timely||People are involved early|
Adequate time for people to consider and contribute in informed way
Ongoing – focus of dialogue changes of time
|Transparent||Opportunities to participate promoted and publicised |
Sufficient information to enable people to participate
Limitations and constraints shared
|Inclusive||Information accessible and easy to understand |
Approaches tailored to participants
Effort to reach diverse groups
Barriers and support needs identified and addressed (eg training/access)
|Collaborative||Built on existing relationships|
Coordinated with partners and across partnerships where possible, jointly where possible
People who use services partners in service design
|Resourced||Staffing and other costs are identified and available |
Appropriate use of public funds (time and money)
Approach proportionate and affordable
|Accountable||Evidence of engagement informing decisions |
Reasons for decisions made clear
Feedback on results of involvement
Assurance and scrutiny
How have we involved children, young people, parents and carers?
In the summer of 2018 we engaged children and young people and parents and carers, as well as teachers and schools in Merton and across south west London to examine root causes of self-harm and poor emotional wellbeing, as well as to test a number of potential solutions. We accessed children and young people primarily through voluntary sector organisations and schools. We ran 2 meetings and had 256 responses to our online survey.
Read the ideas generated in the feedback report and summary easy read feedback report
How have we responded so far?
In response to what we heard we have:
- Narrowed down our long-list of possible interventions to a shorter list that children, young people, parents, carers and teachers told us would work for them.
- Developed a diverse model of support that is based outside of a medical environment – in schools – and that includes one-to-one and group sessions for children and young people, online self-help and counselling, an online directory of services and education/training programmes for parents and teachers
- Secured funding to deliver some innovative ways to deliver emotional wellbeing initiatives through schools, using newly trained mental health support workers who will be based in schools.
What happens next?
The involvement of children and young people will be critical as we put our plans into practice, and we have developed a framework for involvement to ensure that at every opportunity we take action to ensure that the voice of children, young people, parents and carers is built in to our work – in needs assessment, in service design, in service delivery, in monitoring the quality of the services we provide and in our assurance processes.