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Staffordshire and Stoke-on-Trent Difficult Decisions Engagement survey

Tue 14 Sep 2021

The NHS Staffordshire and Stoke-on-Trent Clinical Commissioning Groups (CCGs) would like you to share your experiences and views about healthcare services in the area by inviting you to participate in the upcoming involvement survey.

The survey is about understanding your views on some restricted services (e.g. hearing aids, assisted conception) so that the CCGs can create an aligned approach for these services in Staffordshire and Stoke-on-Trent.

Please could you complete this survey as an organisation and distribute the survey to clients who may want to share their views about local healthcare services.

About the engagement

In January 2020, the six Staffordshire and Stoke-on-Trent Clinical Commissioning Groups (CCGs) began the first phase of engagement about five areas of care:

  • Assisted conception
  • Hearing aids for non-complex hearing loss
  • Male and female sterilisation
  • Breast augmentation and reconstruction
  • Removal of excess skin following significant weight loss.

The work was known as Difficult Decisions. Patient eligibility is not the same across all of the Staffordshire and Stoke-on-Trent CCGs and we want to make this the same for everyone.

In March 2020, all work paused to allow partners to respond to the COVID-19 pandemic.

Since then, there have been changes to the way the NHS has been able to deliver services and see patients. We know this may have affected the way people feel about or changed their experience of the services.

We now feel able to continue with the engagement work, using what people told us in early 2020 (before COVID-19) and adding any new information.

The eight-week engagement work ended on 1 March 2020. The report of findings can be found online via the links below:


          Cannock Chase

          East Staffordshire

          North Staffordshire

          South East Staffordshire and Seisdon Peninsula

          Stafford and Surrounds

For more information on the latest phase of engagement follow this link.


The survey

In this survey, we are going to ask a few questions which will explore the following: 

  • Views and experiences of our services and the five procedures mentioned above 
  • Views and experiences of the accessibility and availability of the five procedures  
  • Patients’ experiences of using these services since the pandemic and how they have changed.  


How to access the survey:

The online survey will be available on Monday 13th September via the web link below:



Alternatively, paper copies can be requested by contacting mlcsu.involvement@nhs.net or by calling 0333 150 2155.

Please complete the survey by 10 October 2021


Thank you for reading and we look forward to hearing your views.