Guided by You

Healthwatch Sandwell was commissioned by the ICB to run a series of “Guided by You” public workshops held across six towns in Sandwell to understand residents’ views on health, social care, and wider determinants of health. The engagement aimed to inform the priorities of the Sandwell Health and Care Partnership, whose overall goal is to improve health outcomes and reduce inequalities in a diverse and often disadvantaged population. They spoke to over 300 people. 

Across all towns, residents consistently reported difficulties accessing GP services, including long waiting times, limited appointments, and challenges with digital booking systems, particularly for older people and those with limited digital skills. Communication between services was widely seen as poor, with patients often having to repeat information and experiencing weak coordination between GPs, hospitals, and social care. 

A recurring theme throughout the report was that many services already exist but are not well publicised or easy to navigate. Residents highlighted the need for a clear, accessible directory of services, available in multiple formats and languages, as well as better promotion of community-based support such as social prescribing and voluntary sector services. 

Mental health emerged as a major concern across all areas, with participants describing long waiting times, insufficient local provision, and stigma in some communities. There were particular concerns about unmet needs among children and young people, as well as hidden mental health issues in ethnic minority groups. 

The cost-of-living crisis was identified as having a significant impact on health and wellbeing. Residents linked rising costs of food, energy, and transport to poorer diets, increased stress, and reduced ability to access services. Poverty was also seen as a root cause of many health issues, including unhealthy lifestyles and substance use.

Lifestyle-related health challenges such as obesity, smoking, alcohol use, and lack of physical activity were widely recognised, but participants emphasised the need for stronger preventative approaches. Suggestions included better access to affordable healthy food, more community activities, and education on cooking, budgeting, and life skills. 

Housing and environmental conditions were also highlighted as key determinants of health. Residents raised concerns about poor-quality housing, damp and overcrowded properties, and inadequate regulation of private landlords. Issues such as litter, fly-tipping, and lack of safe green spaces were reported to negatively affect both physical and mental wellbeing. 

There were widespread concerns about inequalities, including language barriers, digital exclusion, and the accessibility of services for people with disabilities. Participants stressed the importance of culturally appropriate support and more inclusive communication to ensure that all groups can access care. 

Community and voluntary organisations were recognised as vital sources of support, but attendees felt they require more funding, better coordination, and stronger integration into the wider health system. Social prescribing was seen as valuable but inconsistent in availability and quality across different areas. 

Residents also highlighted gaps in services for young people, including limited youth activities, lack of safe spaces, and insufficient support for education and life skills. At the same time, growing needs among older people, carers, and those with long-term conditions or dementia were noted, with demand often exceeding available services. 

The report concludes that improving communication, increasing awareness of services, investing in prevention, and strengthening community-based support are critical to addressing health inequalities in Sandwell. It recommends better coordination between organisations, clearer information for residents, and continued engagement with local communities to shape future service delivery.