You said, we did

Collecting the views of local people and community groups is important, but ensuring that these views are listened to and acted upon is at the heart of what we do.

This involves informing the public about how their views and opinions have influenced change. We call this approach a 'you said, we did' model of engagement.

See below for the difference your feedback has made to health and care services across BSW.

Transforming Maternity Services Together

Learn more about our Transforming Maternity Services Together project.


You said

We did

“We are not always getting the right kind of breastfeeding support.”

We have already standardised advice across the Local Maternity System.

We have increased the number of peer supporters available in the community.

We plan to enhance the level of support by:

  • Improving access to support closer to home
  • Holding group support sessions and clinics in the community involving the wider team, e.g. health visitors and breastfeeding supporters
  • Having a 24-hour telephone triage advice line
  • Having community on call staff who will be able to provide breastfeeding support either via the telephone or through home visits/support in community settings

“We want more information to make the right choices about hospital and home births.”

We plan to create an Alongside Midwifery Unit at Royal United Hospital and Salisbury District Hospital and enhancing the home birth service.

We plan to increase the choice of midwife-led care across the Local Maternity System (LMS).

We will shortly be launching an electronic app containing information for pregnancy women in the BSW area along with a personalised care planning booklet for women to help support choice conversation and shared decision making.

“What is an Alongside Midwifery Unit?”

An Alongside Midwifery Unit (AMU) is a unit on the hospital site, right next to an Obstetric Unit, and means women can chose midwife-led care but have immediate access to medical care on the same site should they need it.

Great Western Hospital in Swindon already has a successful AMU and we plan to have the same for women across Bath and North East Somerset and Wiltshire. This will provide more birthing choices for women.

“We want joined up services with consistent professional advice throughout pregnancy and the early weeks of our baby’s life.”

Offering births at two rather than four Freestanding Midwifery Unit (FMU) will free up staff to better support continuity of care – so women and families can be cared for by a team of professionals they can know and trust throughout their pregnancy, birth and post-natal journey.

“We value having the Freestanding Midwifery Units.”

We will continue to provide Freestanding Midwifery Units (FMU) in two locations rather than four.

We want the FMUs as an option for antenatal and post-natal care.

“We want home births promoted and you to consider providing a dedicated home birth service.”

We plan to enhance the home birth service with more consistent support and better resourcing.

We will improve the information provided about having a home birth to help inform a mother’s choice.

We plan for midwives to have more capacity to fully promote and support a home birth service.

“We want more time with a midwife and continuity of care is important to us, particularly antenatal and post-natal care.”

We have already improved our appointment systems by standardising them across the service.

We have improved access to booking appointments with the same midwife for both antenatal and post-natal care.

We have increased the length of appointments to between 20 and 30 minutes.

We plan to increase time to care and time to listen, helping to improve mental and physical wellbeing through pregnancy.

We plan to improve the flexibility of staffing to support continuity of care during labour.

We plan to develop continuity of care plans (as set out in the wider Local Maternity System Transformation Plan).

We plan to improve the support for vulnerable groups.



Our Health, Our Future

Learn more about the Our Health, Our Future project.

You said

We did

“Mental health services should be more accessible to younger people and doctors should provide more information for young vulnerable people affected by mental health issues.”

The Trailblazer scheme underway across BSW offers onsite support for school children for mild to moderate mental health issues, such as exam stress, low mood or friendship difficulties, with the aim of intervening early to avoid these problems getting worse.

TheTrailblazer team will offer support to school staff and a link with local specialist services to help pupils access support if required.

“Being listened to and to have health professionals understand that I should have some influence over the type of treatment I receive. They are the experts, but I am the expert on myself and my symptoms so let’s work together to solve problems.”

There is an increased focus in BSW on shared decision making - a collaborative process through which a clinician supports a patient to reach a decision about treatment. The conversation brings together the clinician’s expertise, such as treatment options, evidence, risks and benefits, and what the patient know best, such as preferences, circumstances, values and beliefs.

“It would be great if there were more services for people affected by autism and their families to offer more help.”

The Sunflower lanyard scheme currently being rolled out across BSW offers children and adults with hidden disabilities such as autism, bipolar disorder and epilepsy a special lanyard so that colleagues working in healthcare settings can be made aware of their disability.

Our Five Year Plan highlights work to improve the quality of life for individuals with learning disabilities and autism by reducing preventable crises and improving access to health and care as a priority. This will involve professionals and volunteers across health, social care and education working even more closely to improve learning disability services and outcomes.

“I think it should be easier to access mental health support, particularly for young people.”

As a priority, BSW wants everyone to be able to access the most appropriate support for mental health within their local communities, and more timely access to specialist help if required. In particular we want to help people avoid crisis and ensure more people with a serious mental illness receive regular physical health checks.