Using patient and public feedback to shape the future of stoke services

The challenge

Current stroke services in Coventry and Warwickshire are providing a good standard of care, but they are not meeting national guidance. They can also offer different levels of care depending on where a person lives. Initial engagement around improving stroke services in the area had taken place previously, and some key themes had come out of that, such as the need for a greater focus on rehabilitation and to minimise any impact of changes to travel.

We want to improve stroke services for local people. To make this happen we know we need to change services and invest in specialist rehabilitation, ambulance transfers and medicines. We feel that it is important to make this investment in order to reduce the chances of people having a stroke and the disability resulting from a stroke.

Over the past five years we have listened to feedback from our extensive public engagement and taken this into account in our final proposals for public consultation. Our proposed options were developed with local clinicians, patients, carers, community groups and our dedicated patient and public advisory group. 

What we did

Our engagement focus on stroke services during 2019 has covered a number of topics including staff levels, the importance of rehabilitation and transport, all in response to public feedback at previous engagement opportunities.

On 9th October 2019 we launched a formal consultation with the public to have their say on our proposals, which had been changed and refined to reflect the feedback we’d been given and make sure they meet the needs of our population.

As part of the consultation process, we have offered stakeholders and members of the public a variety of ways to share their feedback and find further information. This has included an online and paper survey and a series of community events, held at various times and locations across Coventry and Warwickshire, to give people the chance to review, feedback on and ask questions about our proposals. Events have been publicised online via websites and social media, as well as through the local press and community and voluntary sector organisations.

We used a market-stall approach to the events, where each aspect of the proposal, such as clinical models and finance, had its own stand. We found this allowed people to pick and choose the aspects they were most interested in discussing, rather than adopting a more typical “town meeting” approach and presentation. It also gives more time for questions and feedback and gives those who might not feel comfortable asking a question in front of a large crowd an opportunity to have their say in smaller groups or one on one with the clinicians, stroke survivors and others involved in the transformation project.

We also publicised our stroke consultation document across the area, printing 5,000 copies for distribution across public libraries, community centres, local hospitals and GP surgeries, as well as via our colleagues in the community and voluntary sector.

Who we worked with

The key partners in this work are:

  • NHS Coventry and Warwickshire CCG
  • NHS South Warwickshire CCG
  • NHS Warwickshire North CCG
  • University Hospitals Coventry and Warwickshire NHS Trust
  • South Warwickshire NHS Foundation Trust
  • George Eliot NHS Trust
  • Coventry and Warwickshire Partnership Trust
  • Warwickshire County Council
  • Coventry City Council
  • West Midlands Ambulance NHS Foundation Trust

We have worked extensively with local patients, carers, clinicians, community groups and a dedicated Stroke Patient and Public Advisory Group.

The outcome

Our engagement work to date has led to the proposed options being reviewed as part of the consultation. The input we have received has made a real difference in the production of our plans and we would like to thank everyone that has contributed.

Next steps

The feedback gathered during the consultation will be collated and reviewed and presented to the CCG Governing Bodies following a period of reflection and due regard, after which a decision on the future of stroke services for Coventry and Warwickshire will be made.

To keep up to date with the latest news on our plans to develop stroke services in Coventry and Warwickshire, visit our website: https://www.strokecovwarks.nhs.uk/Home

To see our engagement roadmap, click here: Stroke consultation journey roadmap

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