Our framework for involvement

Our communications and engagement strategy illustrates our commitment to involving you, setting out our approach, our duties and our processes for doing this. It contributes to our wider decision making arrangements, in line with our CCG constitution and it plays an important role in our ladder of assurance for patient and public involvement.

Here’s how we embed involvement into our daily business:

Lay representative

We have a lay representative dedicated to patient and public involvement on our Governing Body, where our most important work is debated and approved.

Governing Body meetings

We hold bi-monthly Governing Body meetings in public, where residents are invited to hear Governing Body members discussing and making decisions about our work. Ahead of the start of these formal meeting, there is an opportunity for people to meet some of the doctors and other professionals who make up the committee. They are also welcome to ask any questions or queries they have during this session.

GP Practice localities

Our organisation works across four geographical GP practice localities. These are well established forums, chaired by doctors and where our member practices participate in and influence our work. Practices also use these forums to feedback service and patient experience issues for action. Quarterly wider group meetings provide a further forum for practices to get involved in CCG business.

Quality Committee

We have a Quality Committee and overseeing patient experience is one of its main areas of responsibility. The committee provides our Governing Body with direct assurance of the experience our patients receive from the services we commission, taking action when this falls below what we expect.

Engagement and Patient Experience Group (EPEG)

Our engagement and patient experience group, EPEG reports to our Governing Body via our Quality Committee. It is a Sefton wide group bringing us together with a range of partners from across health and care where we test our involvement plans and outcomes and review patient experience data. 

Involvement exercises

We design and carry out specific involvement exercises for different aspects of our work, particularly when we are planning changes to a service now or in the future, including pre and post equality impact assessments.

Sefton Council's Engagement and Consultation Standards Panel

We also test our involvement plans with Sefton Council's Engagement and Consultation Standards Panel, inviting comments and feedback from this well established partnership forum, which we are also members of.

Co-production - working with patient, public or carer representatives

Whenever appropriate, we invite patient, public or carer representatives to get directly involved in our day to day commissioning work, such as taking part in current exercises, procurement processes or joining our working groups to enable services and programmes to be ‘co-produced’.

Big Chat events

Our regular public Big Chat events where we bring people together to discuss our work, ask for their views about our plans and feedback how we have used their comments and experiences so far. We hold ‘Big Chat style’ annual general meetings to make these sessions as meaningful and useful as possible for our residents.

Patient Participating Groups (PPGs)

Many GP practices have patient participation groups. These enable patients to have greater participation in their local NHS.


Processes and systems for involvement are embedded in some of our most important committees such as our Corporate Governance and Clinical Quality, Innovation, Productivity and Prevention committees and the strategies, policies and protocols that underpin their work, including our disinvestment policy and procedures.

Annual reports

We report annually on our engagement and consultation activities and their outcomes to provide assurance against our duties to involve you.