This document summarizes the patient and public engagement efforts at NHS Oldham. It discusses establishing a new role to focus on engagement, with the goals of increasing accountability, reducing inequalities, and meeting legal obligations. It outlines a methodology focusing on culture change, a core engagement team, and engaging patients, communities, and gathering patient experience. It also describes a mandatory 23 question planning process to ensure engagement is well organized and that feedback is provided. The key outcomes are expected to be customers feeling listened to and seeing their input has impacted decisions, improved commissioning, and greater patient and community involvement in decision making.