The Big Conversation - #oursaycounts

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Summary of report content

Throughout July and August 2017, Healthwatch Bradford and District worked on behalf of local partners to create a conversation with local people about the future of health and social care. The project objectives were: to open up conversations with members of the public in the Bradford District and Craven (local Sustainability and Transformation Partnership footprint) about the place based plan; to raise awareness of challenges facing the health and care system and the need for change; to give the public a chance to contribute ideas and help shape future plans; to understand what matters most to local people; to explore boundaries and “red lines” in any system development: to understand what local people feel could be done differently, what is felt to be “untouchable” and what the “pay-offs” could be. A number of different engagement activities took place over a six week period. The online survey went live on 26th June 2017, and was linked from the partners websites and the Healthwatch website. Links to the survey were distributed through email mailing lists, posted on social media accounts and promoted via Facebook and twitter. Three public events took place in early July 2017, where local people were given a brief overview of the case for change in health and social care, and took part in facilitated, deliberative discussions. Senior management and clinicians from the CCGs, alongside colleagues from local authority and the Voluntary and Community Sector (VCS), answered questions and listened to the discussions. The report findings have been spilt into 4 areas: Protect; what are the services that matter most ? What’s ‘too good to lose’? Where are our ‘red lines’ for change? Grow: what is working well that could be done more of? Create: what are the new ways of working, or new services that would meet local needs for health and wellbeing? Reduce: what can we stop doing, or do less of? What can they compromise on in order to protect/grow/create the things that matter most? Throughout this project and the report, it’s been made very clear from the local health and care leaders that lots more conversation will follow and reassurances have been given that no changes will be made without further engagement and consultation.

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General details

Report title 
The Big Conversation - #oursaycounts
Local Healthwatch 
Healthwatch Bradford
Date of publication 
Wednesday, 13 December, 2017
Date evidence capture began 
Monday, 26 June, 2017
Date evidence capture finished 
Monday, 7 August, 2017
Type of report 
Key themes 
Health inequalities
Health promotion
Health protection
Information providing
Public involvement
Other information of note about this report 
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
If this work has been done in partnership, who is the partner? 
Bradford City and Districts Clinical Commissioning Group, Airedale Wharfedale and Craven Clinical Commissioning Group
Primary research method used 
Focus group
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Primary care services 
Dentist (non-hospital)
GP practice
Secondary care services 
Acute services with overnight beds
Acute services without overnight beds / listed acute services with or without overnight beds
Social care services 
Adult social care
Community services 
Continuing care
Urgent and emergency care services 
Accident & emergency

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Types of health and care professionals engaged 
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
What type of impact was determined? 
Implied Impact
Tangible impact (not cost related)

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.