Involving People
and Communities




For the people of Cheshire and the local NHS, 2020-21 was a year like no other – presenting unprecedented challenges that none of us could have envisaged.


Despite coming together as a new organisation during the early Coronavirus response and spending much of the year co-ordinating the county’s efforts to protect local people from COVID-19, NHS Cheshire Clinical Commissioning Group’s commitment to involving local residents remained undimmed.


Of course, almost overnight, the restrictions we all experienced during 2020-21 made traditional methods of face-to-face engagement nigh-on impossible. But it also presented opportunities for innovation, closer working with health and care system partners and the adoption of new technologies and ways of working – many of which have helped us reach new audiences.


Supported by our Governing Body Lay Members with a dedicated focus on engagement, our commitment to equality, inclusion and tackling health inequalities remains at the forefront of our work and our response to COVID-19.


At NHS Cheshire Clinical Commissioning Group we're really clear with all of our staff that engagement is everyone’s business. Our organisational values ensure that our standards of care, courage, compassion and challenge are met with every single interaction with NHS partners, local authorities, stakeholders, the people of Cheshire and those who access local health and care services.

But it’s also about engagement with a purpose to ensure that residents’ views are fundamental in shaping our work and decision-making. Involving people and communities in our work isn’t always easy and can take time but – done well – enables us to improve patient safety, patient experience and health outcomes as well as supporting people to live healthier lives.

Andrew Wilson.jpg

Dr Andrew Wilson    

Clinical Chair

Clare Watson.jpg

Clare Watson    

Accountable Officer


Reaching our communities in different ways

While there may be an understandable perception that the CCG has been limited in its ability to involve residents in 2020-21, our ongoing commitment to reaching communities across Cheshire in the most convenient way for them enabled us to adapt quickly when COVID-19 struck.

We quickly established daily briefings to support staff, GP colleagues and health and care system partners in their interactions with friends, family members and patients about COVID-19. We were also proud to be the first CCG in the North West in 2020-21 to broadcast our public Governing Body meetings, enabling interaction with attendees during dedicated public question and answer sessions.

Digital channels such as our website and social media platforms became increasingly important as sources of trusted information during lockdown and the COVID-19 response. In 2020-21 our channels achieved more than 1.3m Twitter impressions, 3.2m Facebook impressions and 50,000 LinkedIn impressions.

In May 2020 we became the first CCG in England to launch its own TikTok channel to help us reach new audiences and, to further diversify our engagement, we developed a range of “talking heads” videos for use both across CCG platforms and by health and care partners – supporting Cheshire to speak with one voice.

Traditional media coverage was also achieved, helping us to ensure that important mass communications – such as key COVID-19 updates – were as visible as possible to the people of Cheshire.

Media coverage


Ensuring your voice is heard

The people of Cheshire are right at the heart of everything NHS Cheshire Clinical Commissioning Group does. The only way we can plan and buy healthcare services that the people of Cheshire really need is to involve the people of Cheshire in our work.

That’s why, in 2020, we commissioned an independent audit of our approach to embedding the resident voice in the commissioning cycle – to scrutinise our approach to patient and public involvement, securing “substantial assurance”. This means the CCG has the right processes in place to consistently ensure that your views are central to our work.

In addition to the work of our dedicated Communications and Engagement Team, we work alongside people with lived experience via our programme teams who are right at the heart of a wide range of meetings and programmes of work involving people with lived experience.


Working in Partnership

Examples of our partnership work in 2020-21 include:

  • Co-ordinating Cheshire’s system-wide communications and engagement response to COVID-19 and the COVID-19 Vaccination roll-out
  • Supporting the Cheshire East and Cheshire West Integrated Care Partnerships to deliver engagement at Care Community-level
  • Collaborative approach to engaging with marginalised and vulnerable groups across the sub-region
  • Leading role in the multi-agency Mental Health Partnership Board – chaired by our Executive Director for Strategy and Partnership
  • Supporting the development of the Cheshire East Place plan
  • Clinical involvement and engagement in Cheshire East Place acute models of care review
  • Overview and support of three Maternity Voice Partnerships across Cheshire
  • Oversight and management of a Cheshire system COVID-19 Co-ordination centre
  • Supporting the design of a green social prescribing approach across Cheshire
  • Founding the Live Well for Longer Engagement Group in Cheshire East to support joint commissioning and wider partnership strategy development

To maximise the impact of our work to involve local residents in 2020-21, we worked closely with health and care system partners including GP practices, NHS trusts, local authorities, Healthwatch Cheshire and community sector organisations.


Cheshire’s health and care partners have arguably never worked together as closely as they did through 2020-21 – brought together by the common aim of protecting people from COVID-19.

Click [+] to expand

Engaging with minority communities and our most vulnerable

Click [+] to expand

Ethnic communities

  • Cheshire, Halton and Warrington Race and Equality Centre (CHAWREC) recruitingcommunity connectors to share translated information and gather insight into vaccine hesitancy
  • Pathways CIC engaged in Cheshire East to reach out to Eastern European communities through a network of connectors and social media messages in their first language
  • Insight gathered from the work with Eastern Europeans has been used to inform national public health messaging
  • Working with large employers and recruitment agencies to encourage Eastern European workers to take the vaccine
  • Faith sector engaged to address vaccine-hesitant cultural concerns
  • Text messaging and letters to digitally-excluded communities

Marginalised communities

  • Healthwatch working in collaboration with the River Chaplaincy to engage with Cheshire’s boating community. GP Access cards used to support residents of no fixed abode to register with a GP
  • Cheshire’s Gypsy and Traveller Liaison Officers sharing key messages and videos via WhatsApp community groups, undertaking lateral flow tests and engaging with the community to discuss the vaccine. Clinical Directors working with Gypsy and Traveller Liaison Officers and community services teams to vaccinate traveller communities
  • Local Gypsy and Irish Traveller support group commissioned to work with the community to create videos and picture-book style information leaflets for those who find reading a challenge
  • Farming Community influencers identified to support messaging to this community
  • Working in partnership with Reaseheath Agricultural College to engage students from rural communities as local influencers

Learning disabilities or autism

  • National resources tested with people with learning disabilities or autism to determine the most appropriate assets to use
  • Cheshire Disability Access Forum providing information and reasonable adjustment care plan
  • Adjustments made at vaccination hubs to accommodate needs such as quiet spaces and numbing creams for needle phobia. This was supported by a video in simple language to explain what to expect at vaccination centres

Mental illness

  • Staff toolkit developed to support visits and online conversations
  • Messages shared from Clinical Director, lead nurse and pharmacist

Homelessness and rough sleepers

  • Health Protection and homelessness teams providing access to a COVID-19 vaccine for local people experiencing homelessness and rough sleeping – including “couch-surfers” and those in hostels
  • Foodbanks and homeless centres providing vaccination information
  • Community sector organisations helping to identify the most appropriate locations to vaccinate people

Asylum seekers

  • Worked with housing providers to identify additional locations where homeless people live to ensure they were offered a COVID-19 vaccination
  • Worked with the Asylum Seekers and Refugees Partnership Group to ensure key messages were shared about the COVID-19 vaccine

Young People

  • Pathways CIC engaged to recruit young people to develop messages and gather insight from people aged 18-30


  • Focus Group held in partnership with Healthwatch to understand concerns of women of childbearing age about pregnancy, fertility and contraception
  • Videos produced by clinicians to address concerns


COVID-19 brought into sharp focus the disproportionate impact of the pandemic on some of the most vulnerable people in our communities.

Ahead of the roll-out of the COVID-19 vaccination programme, a number of groups were identified as being especially vulnerable to serious illness, hospitalisation or death – including those who do not typically engage with mainstream health and care services.

Local insight led to a targeted engagement approach – co-ordinated by NHS Cheshire Clinical Commissioning Group – which included:



NHS Cheshire Clinical Commissioning Group developed, co-ordinated and supported a wide range of behaviour change campaigns throughout 2020-21 – aligned to our priorities – to support better health and better care for the people of Cheshire.

Examples include:

  • Help us Help You – Reassurance campaign during the first lockdown of 2020 to advise anyone who needed care to come forward as health and care services, including Cheshire’s GP practices, remained “open for business” (related infographic below).

  • NHS 111 First – Awareness-raising campaign around the introduction of NHS 111 First by Cheshire’s hospital Trusts. Timed appointment slots are now available at A&Es across Cheshire for people with urgent, but non-emergency, health issues.

  • Winter and flu – Multi-media campaign centred around encouraging people to get their flu vaccination. Of the nine CCG areas across Cheshire and Merseyside, Cheshire was top of the vaccination league table for 10 of the 12 cohorts of eligible people - and second in the other two.

  • #LetsGetVaccinated – High-profile regional COVID-19 vaccination campaign which spreads positive messages via ethnic community leaders.

  • International Nurse’s Day – We encouraged the people of Cheshire to "shine a light" to mark International Nurses Day to recognise the extraordinary work that nurses were doing in the fight against COVID-19.

  • Mental Health Awareness Week – Chris Lynch, one of our Governing Body Lay Members, fronted a powerful campaign themed around kindness.

Throughout the COVID-19 response Cheshire's GP practices responded to your healthcare needs.

From April 2020 - March 2021 there were:



Telephone and video appointments with General Practice



Prescriptions issued



Face-to-face appointments in General Practice



Appointments scheduled

or cancelled using an

online service



New patients registered



Prescriptions ordered using an online service



Fit notes issued



New 'online patients' registered for at least one online service



Referrals processed



Patients registered to access their records online


Case studies


Case study 1 - COVID-19 Vaccination Programme

From the moment it became clear that a viable COVID-19 vaccine was likely to be approved for use in England, intensive engagement and communication planning was led by NHS Cheshire Clinical Commissioning Group with a single core aim – to ensure the people of Cheshire had the information they needed to come forward for a vaccination with confidence when it was their turn. Working with colleagues across the health and care system, we developed and regularly updated a single central webpage of trusted information and co-ordinated weekly meetings with communications and engagement specialists from across the Cheshire health and care system. Together, we worked to ensure Cheshire spoke with one voice to help remove barriers to vaccination. Early highlights included high-profile media coverage of the first person to receive the vaccination in Cheshire – 92-year-old Mona Thomas at the Countess of Chester Hospital – the launch of Cheshire’s first GP-led vaccination services in Winsford and Frodsham and the vital role of volunteers. To support the significant expansion of the vaccination programme in early 2021, we co-ordinated video footage and patient testimonials from every one of Cheshire’s GP-led vaccination centres and established a regular rhythm of briefings to share progress updates. Less than 10 weeks after the first jab was administered in Cheshire, the county was confirmed as the best in the North West for vaccinating the top four priority groups. Our January 2021 Governing Body meeting included a dedicated interactive public question and answer session about Cheshire’s COVID-19 Vaccination Programme, with subsequent targeted webinars aimed at tackling barriers to vaccination. For example, local insight by Healthwatch Cheshire and local care homes revealed that concerns about fertility were particularly prevalent in local women of child-bearing age. To address these concerns, local clinicians and fertility experts supported “talking heads” videos targeting people aged 16-35, while we also engaged with specific targeted groups including Sure Start, Maternity Voices Partnership, Motherwell and online groups. Translated and easy read resources were used to reach into Cheshire’s minority and ethnic communities alongside “trusted voices” videos – led by clinicians and community leaders in multiple languages. In March 2021, this was built on via consistent support for the regional #LetsGetVaccinated campaign.

Case study 2 - Cheshire Chat

Cheshire Chat is the name for our public engagement events in which senior leaders and members of our programme teams engage with members of the public around specific issues or areas of commissioning work. In 2020-21, we moved quickly to switch these events to an online platform to ensure we continued to hear from our local people and communities and continued to offer them the opportunity to help shape the future of local healthcare. We were one of the first CCGs nationally to engage with local communities online following the start of the COVID-19 pandemic – which was reported on by the Consultation Institute, NHS England Engagement Practitioners and the Future Focused Finance journal. Open to anyone and everyone, in 2020-21 our Cheshire Chat events covered topics including COVID-19, Primary Care, Cancer, Mental Health, Community Services, Care Homes, Prescribing and NHS 111 First with panelists including members of our executive team, medical directors, clinical leads, programme teams and our Head of Urgent Care. We follow up every Cheshire Chat event by circulating resources including presentations, detailed question and answer documents and bitesize recordings of the event, as well as publishing them on our dedicated Cheshire Chat webpage. Cheshire Chat sessions throughout 2020-21 have been invaluable and have enabled us to continue to understand how the work we do across Cheshire impacts on our communities.

Case study 3 - Insight and Intelligence

In order to plan and buy the healthcare services that the people of Cheshire need, we constantly evaluate patient feedback from a wide range of sources – cross-referencing feedback received via our Patient Experience and Communications and Engagement teams with data shared by fellow NHS organisations, Healthwatch Cheshire and others. Since April 2020 NHS Cheshire Clinical Commissioning Group has produced comprehensive Insight and Intelligence Reports on a trimester basis to ensure patient feedback is systematically collated and shared with senior leaders and clinical leads. This rich source of real-time patient feedback is also shared with our commissioning teams across the CCG to ensure the patient voice remains right at the centre of our decision-making. Designed to reflect the diversity of the local population, the reports are used to influence every stage of the commissioning cycle. Crucially, there is also a clear process for feeding back to people about the difference their input has made via You Said, We Did.


A Year Like No Other

  • Launch of NHS Cheshire Clinical Commissioning Group

  • Launched virtual Cheshire Chat public engagement sessions 

  • Worked quickly to ensure all meetings in public remained in public - via online platforms

  • Launched NHS is "open for business" campaign

  • Co-ordinated survey of health and care partners to learn lessons from initial COVID-19 response

  • Became first CCG in England to launch its own TikTok channel to help us reach new audiences

  • Engaged with patients in Northwich around a change to the Wound Care Service

  • Marked NHS Birthday

  • Held virtual Maternity Focus Groups involving hospital Heads of Midwifery and Maternity Voice Partnership Chairs to speak to local families about their experiences of maternity services across Cheshire

  • Cheshire Chat event including hints and tips around face coverings

  • Public engagement focused on our Engagement and Communications strategy

  • Worked with partners on digital inclusion and literacy

  • Staged virtual Annual General Meeting including public question and answer session

  • Cheshire Chat event covering Primary Care, a day in the life of a GP and the winter campaign including Flu and NHS 111 First

  • Service design engagement focused on head and neck cancer services for patients referred into East Cheshire NHS Trust

  • Led stakeholder and primary care NHS 111 First webinars

  • Re-established CCG reader’s panel

  • Co-ordinated communications and engagement approach around Cheshire’s COVID-19 Vaccination Programme

  • Supported Local Authority colleagues with communications support following flooding in Northwich

  • Promoted vaccine confidence via unique films for each of Cheshire’s GP-led COVID-19 vaccination centres

  • Held public COVID-19 vaccination programme question and answer session as part on January 2021 Governing Body

  • Raised the profile of the vital role of volunteers in Cheshire’s COVID-19 vaccination programme

  • Supported high-profile #LetsGetVaccinated campaign to help increase vaccine uptake among ethnic and minority communities

  • Supported webinar aimed at creating local care community steering groups in Cheshire West

  • Supported Healthwatch Cheshire at focus group with young women regarding the COVID-19 vaccine and fertility concerns


You said, we did

It is crucial for us to be open and transparent about how your opinion and feedback helps to inform our work, plans and commissioning decisions.

Our You Said, We Did Framework, developed following a series of public discussions and workshops, simply illustrates the many ways feedback is received and how it helps to inform and influence our work.


By working with health and care partners to bring together a ‘network of networks’, the CCG is able to make an even bigger difference to health and care.


You Said

We Did

You wanted an increased focus on person centred care

More virtual consultations where appropriate. Dedicated social prescribing in place to support carers.

You wanted shorter waits for hospital appointments

Implemented NHS 111 First, enabling access to timed appointments in A&E. Temporary blood testing community hub models implemented from October 2020 to March 2021. Established ophthalmology services in the community.

You wanted to reduce the reliance on emergency and urgent care

Set up a dedicated Care Home Practice in Chester, providing consistent support to 927 residents in 15 care homes.

Worked with providers to develop integrated hubs to help coordinate sourcing of care. Development of NHS First services to support sign posting to the most appropriate service.

You would like to see more promotion of  self-care to manage the health needs of the local population

Continued to progress the roll out of  the Self Care Awards across schools, colleges and workplaces in Cheshire

You would like to see more to support carers, particularly young carers

Worked with local authorities to develop an integrated All-Age Carers Strategy to ensure joined-up support from health, social care and community sector providers.

You wanted continued focus on stopping smoking

Commissioned a joint provider (Brio and One You) across Cheshire to improve access to services. Changed delivery of Stop Smoking Services to telephone and online.

You would like to see improved support for people living with serious mental illness care in the community

24/7 mental health crisis helpline introduced in April 2020. Supported more people with severe mental illness to receive regular health checks.

You wanted to ensure there was access to support for children and younger people who need help

Mental Health Support Teams established in selected schools across Crewe and Ellesmere Port.

You wanted to see an increase in Breastfeeding rates

Connections with infant breastfeeding leads are in place.

You want to see better health outcomes for people with learning disabilities and / or autism 

National target for health checks for Cheshire CCGs (75%) achieved.

You wanted end of life care to be better supported

Online education programme delivered to Cheshire workforce around end of life care. Additional bereavement support commissioned in response to COVID-19.

You would like to see improved quality of life for those with long term conditions

Increased access to structured education and self-management tools for patients with diabetes. Rolled out Blood Pressure monitors to support GPs with early detection.

That Maternity Voices Partnerships were key to supporting maternity services in Cheshire

Funding secured to continue the three successful and vibrant Cheshire Maternity Voice Partnerships.

You wanted to ensure the needs of children and young people with SEND are met 

Continued a Support and Training Working Group. Established a Cheshire Autism Clinical Network group.

You want to see Autism Awareness training to support care home staff

Enhanced training in place across the health and care workforce, with particular focus on GP practices.

You want an increased focus on person centred care for individuals and their carers

We have a Care and Accommodation Board that proactively plans for the care and accommodation needs for those with learning disabilities and/or mental health issues.

View More >




Looking ahead

In 2021-22 we will build on our strong relationships and engagement links with health and care system partners to connect with more community groups and forums. This is initially about getting in touch, listening, understanding what they do and how we can help each other with engagement.

This is not about developing additional forums or groups but reinforcing our strengths in managing a ‘network of networks’.

Harnessing digital engagement 

The move to online platforms necessitated by COVID-19 has brought many benefits in terms of public engagement. We plan to develop further options that support engagement to run alongside Cheshire Chat.

Working alongside health and care partners and commissioning colleagues, we will ensure we engage on meaningful topics that support our priorities and commissioning intentions.

Supporting our two “places” – Cheshire East and Cheshire West 

We will continue to support the two “places” in Cheshire and be a driving forcing in ensuring that all partners are working to a common purpose. Through collaborative communications and engagement we can continue to involve residents in shaping the future of health and care.