Honouring the lived experience: Rape and Sexual Assault‎ Victims Taskforce option appraisal report

A report summarising the approach, methodology, findings and recommendations of the options appraisal exercise carried out in June 2018 as part of the Chief Medical Officer's Taskforce to Improve Services for Victims of Rape and Sexual Assault.

6 Option Appraisal Event

6.1 Pre - Work

As part of the pre-work for the event a set of event briefing papers were distributed 7 days in advance of the event to all participants.

All stakeholders were identified through the taskforce and short life working group and invited to the event with 6 week notice period. All attendees were allocated to one of seven groups pre-event to ensure equal representation. This ensured a mixed representation of expertise and knowledge across all groups. The participants remained in the same groups for both the morning and afternoon session. All groups were supported by a Taskforce member and a dedicated facilitator for the groupwork process. This enabled each proposed option and service configuration model to be discussed in turn in each of the seven mixed stakeholder groups at a suitable pace.

An explanation of the decision-making methodology and scoring process was presented at the event by the option appraisal lead.

6.2 Stakeholder event

Participants were welcomed to the event by Kate who described the process of development to date and expressed her thanks for the commitment of the SLWG members who had given their time in meetings and over the past 6 weeks to develop the options and the models as well as all of the materials for the event.

Kate described the stakeholder event as an opportunity to:

1) Consider the service delivery options with a view to appraising and recommending a preferred option.

2) Consider the service configuration model (scale - where and how many) and recommend a fit for purpose locations for the future service model.

The option appraisal event was attended by members of all agencies. In total there were 51scorers in the morning and 51 in the afternoon session.

6.3 Presentations

The participants listened to presentations from:

  • Professor Elizabeth Ireland describing why change was required (as set out by the CMO Taskforce),
  • Dr Deborah Wardle, Consultant, Sandyford Sexual Health Service/NHS Education Scotland presented the service delivery options as developed by the SLWG and Pauline McGough, Clinical Director at Sandyford Clinic.
  • George Laird, Manager West Of Scotland Sexual Health MCN & Child Protection MCN, presented how the options reflected on Children's services.
  • Sandy Brindley, Chief Executive of Rape Crisis Scotland provided the survivors' perspective.
  • Kate Bell, Head of Service Change & Transformation NHS Lanarkshire, described the option appraisal process including the scoring and voting approaches being utilised. Kate sign-posted participants' to the contents of pre reading pack which included a full options appraisal pack, the case for change and the event programme. The scoring ranking, weighting and process were described for the service delivery options. This was also repeated in the afternoon to describe the influencing factors methodology as a decision making technique to agree the service configuration model.

6.4 Honouring the Experience

It was explained that actual attendance by those with lived experience was pursued but was always going to be extremely challenging. To ensure the voices of people with lived experience could form part of the option appraisal and influence the decision making process a 10 minute audio recording was played, recorded by a person with lived experience and included in the presentation delivered by Sandy Brindley to represent survivors' views. The audio can be accessed via Sandy Brindley.

The participants' feedback noted the impact that this had on them and agreed this was representative of the variation in current Forensic Medical Services across Scotland.

As the lived experience was critical to the event and the future service options and locations, Sandy and members of the SLWG also developed and analysed a questionnaire for survivors and staff to share as part of the presentation.

6.5 Question and Answer session

The programme included a question and answer session am and pm to enable opportunities for the participants to raise questions for points of clarity with all presenters.



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