Agenda item

Healthwatch Dorset Update

To receive an update from the Manager of Healthwatch Dorset on the progress of the Workplan for 2021/2022, and a presentation from the Healthwatch Dorset Young Listener’s team.

Minutes:

The Manager of Healthwatch Dorset introduced the item and gave an overview of the projects undertaken over the last year.

  • Local interviews were undertaken with people using accident and emergency (A&E) services at Poole hospital. The report had been completed and was to be published in one week’s time.
  • 147 service users had been surveyed by the Healthwatch Dorset volunteers. Of these people, the overwhelming majority gave positive feedback of the A&E service based on their experience.
  • Recommendations were made following compilation of the survey data. These recommendations included: improved signage at A&E and improved information, support given to people waiting in A&E and support and aftercare following discharge from A&E. Healthwatch would continue to work with Poole hospital to implement the recommendations from their report.
  • Healthwatch had also surveyed dental practices across both BCP and Dorset, primarily to see if any practices were taking on new NHS patients. Out of the 97 dental practices that responded only 2 said they were accepting new patients (one in BCP and one in Swanage). There were another 25 dental practices yet to be surveyed.
  • Healthwatch would be able to share this data to Committee once it goes to the regional meetings in the near future.
  • Healthwatch Dorset would soon publish their report on homelessness; scheduled for publication in the coming weeks. This report included work conducted alongside the Care Quality Commission on the ways they contact people from different communities. This report included findings from the Dentaid charity for homeless people.
  • Work on the Think Big Project had – hospital pop up clinic based at the Dolphin Centre in Poole that was planned to open in the following links.
  • Healthwatch had conducted their Vaccine survey, receiving 900 responses. The data was currently being analysed and would be fed back to the Committee at a later date.

 

Members of Healthwatch Dorset’s Young Listeners’ Group gave a presentation on their Young Listener’s Project. The main points were as follows:

  • The Young Listeners’ Group was made up of a variety of 16-23 year olds across BCP and Dorset.
  • A lot of info had been gathered throughout the project, but the initial finding from the current data and surveys was that young people generally do not feel listened to. This was evident in the Your Mind Your Say project findings.
  • Of those that individuals that the Young Listener’s Project engaged with, 39 identified as female, 29 identified as male and 2 identified as non-binary. 19 respondents were residents of Bournemouth, 3 were residents of Christchurch, 9 were residents of Poole and 39 were residents of Dorset.
  • 86% of respondents were White British.
  • 40% of respondents considered themselves to have learning disabilities/difficulty.
  • 38% of respondents considered themselves to have a mental health condition.
  • 95% of young people felt that health services needed overall improvement.
  • Communication was seen as one of the areas identified for real improvement; with one main issue being that services were not joined up enough.
  • 51% of young people saw their requisite health services communicate with school but 70% found this communication to be unhelpful.
  • Trust was highlighted as another factor that impacted on young people’s access and experiences with health services.
  • Many young people found that they had to repeat their stories to multiple service providers.
  • Members acknowledged how young people felt frustrated and annoyed by the experiences. Frustration was the key word young people gave on their service experience and 92% had to repeat themselves to multiple services.
  • The transition between child and adult services was rated as very low, poorly planned and disjointed by the one person who gave feedback on this specific service.
  • Young people felt that there were numerous assessments that had to take place just to keep some consistency in their services they received.
  • Young people felt that there was not a person-centred approach and that services were impersonal and inflexible. Furthermore, services were not personalized/designed well enough for their own, specific needs.

 

The Young Listener’s, having assessed the feedback gathered from thei project, gave the following recommendations:

 

1) Improve communication between services to avoid needless repetition and poor comms experienced by so many young people.

2) Listen! Don’t make empty promises, summarise points from every meeting and communicate with the school to keep them up to date.

3) Personalise services (and speak to the young person rather than their parent).

4) Listen! Don’t ignore me or dismiss what I say.

5) Language – use simple, clear and concise language that everyone can understand, when talking to us and the information you share to be readable and understandable.

6) Information – make info available and accessible for all.

7) Listen! Re-emphasised.

8) Training – hire service providers who can relate to what young people are going through.

9) Funding/waiting times – more funding needs to be available so services can expand and reduce waiting times. Give longer appointments.

 

Overall, 70 young people were spoken to by the young listeners. The aim was to publish the report in October and to also share the findings with Dorset children’s services.

 

The Committee asked several questions following the presentation. Answers were provided by the Director of Commissioning for People. The questions and responses were:

 

  • The Director of Primary and Community Care at NHS Dorset Clinical Commissioning Group explained to the Committee that there were common themes from what the Young Listener’s had found and from how health professionals feel. Healthcare professionals find it hard to navigate the health offer and understand the young person’s needs. Members heard that there are a range of services other than CAHMS, and it was necessary to ensure that young people were directed to and seen at the right place on the first time of asking. There is a need to recognise across the entire NHS that too much is focused around diagnoses rather than what the individual’s immediate needs are.
  • A member asked the Young Listener’s Group for examples of communication that young people would prefer. The Engagement Officer explained that in the full report there is more detail on this subject, however the feedback showed that young people wanted was more readily accessible information on seeable advertisements or posters rather than a number to call. Communication could also be done and/or improved within schools.

 

It was agreed that once the full Young Listener’s Project report had been published, along with the dentistry findings, that this would be circulated to members. Furthermore, the Chair and the Committee requested that an update be given on the implementation of the Young Listener’s Project recommendations in a year’s time.

 

RESOLVED that the Committee noted the report.

 

Voting: Unanimous.