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Appendix A: Care group engagement onions

In order to compile these Engagement Onions, the project group worked with Patient Experience Leads in each care group to populate the diagram. It should be acknowledge that these ‘onions’ represent the snapshot taken in May 2019 and additional engagement activities will have taken place since the collation of this document.

These onion diagrams are displayed as tables for accessibility purposes.

Older peoples care group
Co-production	Collaboration	Informed decision making	Understanding thinking	Stimulating thinking	Information giving
Care planning leaflet Dementia allies Carer awareness training video Young onset dementia groups	Tree of life training Person centred care task and finish group Service user involvement in dementia training Triangle of Care conference Peer support task and finish group	Service user care on interview panels Surveys - crisis, dementia,resource packs Carer involvement in older adults bed remodelling Ward rounds Ward patient meetings	Carer involvement in carer champion workshop Meet the manager Research participation opportunities Discharge pathway survey Trust PREM Friends and family test	N/A	Patient and carer information pack Ward activity board Ward newsletter 'You said, we did' board Discharge letter Dementia envoys

Forensic and specialist care group
Co-production	Collaboration	Informed decision making	Understanding thinking	Stimulating thinking	Information giving
12 week placement Development f Rosewood mother and baby unit Joint projects with peer support workers TGU recovery regional meeting	Focused on service improvement together group Trevor Gibbens Unit induction TGU recovery meeting Service users in external review of services Ward rounds Risk assessments with patients Triangle of Care Chairing care programme approach meetings	Food meetings Patient experience reps Service users on interview panels Development of care plans Patient focus groups Service user groups - PAPAS groups Neuropsychology community brain injury team, disablement services centre OT magazine - enquirer	Inpatient community meetings Morning meetings Patient council Patient experience - Allington, learning disability service Therapeutic 12 week programme Buddy scheme	Surveys - PREM satisfaction survey, carers survey	Carers afteroon tea and chat Carer section on website Welcome pack for patients/staff Welcome pack for carers Leaflets Carers newsletter Therapeutic ward timetables

Acute care group
Co-production	Collaboration	Informed decision making	Understanding thinking	Stimulating thinking	Information giving
NA	Planned inclusion in out menu of interventions project Triangle of Care meetings	Working towards using people with lived experience at interviews	PREM and Friends and family test Acute inpatient survey collected by volunteers Meet the manager sessions 15 Steps challange Volunteers with lived experience working on the wards Community meetings on the wards	Carer drop in sessions offered at each inpatient locality Buzz boxes in A and E liaison Carer telephone consultations (North Kent)	Leaflets Information packs

Community recovery care group
Co-production	Collaboration	Informed decision making	Understanding thinking	Stimulating thinking	Information giving
Carers attending Triangle of Care meeting Service users involved in inspiring change projects including Clinical Care Pathways workstreams Peer support workers Co-production meetings run by rehabilitation services	Information booklet for carers developed by carers Carer champions Triangle of care Medway community mental health team learning event Rehabilitation carer events Early intervention for psychosis carer visit involvement EIP carer workshops	Service user and carer peer support workers on interview panels Trust PREM 'You said, we did'	Monthly meet the managers CMHTs	Recovery college	Carer board in reception areas Carer section in initial intervention pack Community mental health team information letters Carer information packs EIP psycho-educational programme for carers Personality disorder therapeutic community open evenings

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