You said, we did

//You said, we did
You said, we did 2019-02-14T10:17:03+00:00

January 2018 – now (ongoing engagement)

Children and young people – reducing self-harm

Children and young people living in Richmond are more likely to self harm than most children in London. We spoke to 128 children and young people, 341 parents and carers and 20 teachers in Richmond about what we could do to reduce self-harm.

What we heard very clearly was that, whatever improvements are made, children and young people, their parents and carers and teachers need to be further involved.

You said – Parents told us

“We are desperate for help and we don’t know where to go.”

We are doing

We are developing an online list of services which shows the support available in our Borough.


You said – Parents told us

“We are desperate for help and we don’t know where to go.”

We are doing

We are developing an online list of services which shows the support available in our Borough.


Children and Young people told us

“Groups are great because they help you feel more accepted and less likely to take frustrations about loneliness out on yourself”

“You can focus on friendships within activities”

We are doing

We are developing a whole school approach which provides support to children outside of a medical environment


Teachers told us

“A lot of teachers are really lacking confidence when it comes to addressing or talking about mental health issues with children and young people. Improving their awareness and confidence (as well as their own wellbeing.”

We are doing

We are working closely with schools to develop a whole school approach and to deliver mental health and wellbeing training to teachers and other staff.


Parents of children with special educational needs and disabilities (SEND) living in North Barnes – Summer 2018

You said

“It’s really difficult for us to access support in this area, and we really need it.”

We did

Working with a local community centre and a local SEND charity, we have set up a parents co-production and information group to help us shape our services so they work for people living in this part of the borough.


IVF/ICSI consultation

We asked people for their views on the following:

  • Option 1 – No further change to existing service (women aged under 39 who do not have children and are in a long term relationship could continue to have one fresh and one frozen cycle of IVF on the NHS)
  • Option 2 – Change the access criteria for IVF so that it is funded in limited circumstances only (patients would need to meet the criteria in option 1 AND demonstrate exceptional clinical circumstances such as infertility following cancer treatment, or prevention of the transmission of chronic viral infections, such as HIV)

We listened to the views of patients, and also to the Assisted Conception Unit at Kingston Hospital who advised that access should be based on clinical evidence associated with successful outcomes of fertility.

The governing body supported a third option and added the following to the current policy:

  • No previous self funded cycles of IVF
  • Reduce access for women with an AMH level of <5.4pmol/l (this is an indicator of fertility and below this level there is Iess likelihood of success).

Choosing Wisely

The CCG has a substantial financial challenge and we have a duty to spend our funding wisely.

In 2017, we asked local people, patients, carers, local groups and organisations for their views on our proposals to fund wisely.

We asked: “Should we continue to prescribe gluten free food, vitamin D, baby milk and self-care medications which are now widely available at a reasonably low cost.”

“Should GPs in Richmond encourage patients who smoke or have excess weight to make some lifestyle changes before they have surgery?”

“Should we continue to allow one cycle of IVF or should we change the criteria to an ‘on exception’ only basis?”


You said

“There is a difference between lactose intolerance and cow’s milk protein allergy (CMPA). Children being mis-diagnosed or delayed diagnosis puts a huge strain on the child and on the whole family. Specialists formulas are very expensive and will have a huge impact on low income families or vulnerable mothers.”

“The NHS shouldn’t be prescribing medication which is easily available over the counter for low costs, however there should be some exemptions for some older people, children and those on low income if it makes it difficult for them to manage their condition.”

We did

The governing body decided to produce new prescribing guidelines for GPs and patients. Gluten free food, vitamin D and self-care medications such as antihistamines and paracetamol will no longer be routinely prescribed. We continue to support prescribing baby milk where appropriate.


You said

“GPs should offer support to people who want to lose weight and give up smoking and make sure they are in good health before they have surgery, but surgery shouldn’t be refused to people who find it hard to lose weight or stop smoking. No one should be treated as a second class citizen by the NHS and some health conditions make it hard to lose weight.”

We did

Rather than making it a condition of having surgery, governing body agreed that GPs should encourage and support patients to be in the best possible health before surgery so that they will have the best possible outcomes.


You said

These proposals could lead to longer term costs due to the emotional and mental health impact on individuals and the knock on effect onto primary care. Although this is only a small number of people, it has a significant impact on this group and their mental health can be impacted further by not being able to access NHS treatment. This will also impact more on people in lower income groups.”

We did

We decided to undertake an eight week consultation on specific proposals for IVF and ICSI services between February and April 2017.