Over the last 2 years the Hospital Outreach Project has been involved with the Service User and Carer Participation Group held in Cefn Coed chaired by Maria Anderton Head of Mental Health and Learning Disability Nursing Swansea Locality. Its purpose to involve service users and carers meaningfully in all aspects of service provision, improve communication and involvement of families and improve person centred care. Carers have already contributed to scrutinizing the usefulness of literature given to families of patients admitted to Ysbryd Y Coed and made some very valid changes. Challenging practices or actions related to poor cultures of care was going to be a harder nut to crack! However, Swansea Bay University Health Board (SBUHB) was committed to doing a Listening Event with Staff, people and carers who use services. This commitment followed on from work in 2018 supported by the NHS Delivery unit that looked at making better use of feedback regarding NHS services. So in collaboration with ourselves and HAFAL a ‘Listening Event’ took place on 26th April 2019 at the YMCA. Over fifty people attended including Carers , people who used services, service reps and Swansea Bay Health Board Staff.