Creating the Conditions for a More Powerful Relationship

Between Citizens and HealthRoz Davies and Lisa Cox

We are both Patients, Volunteers and Employed in Health, and… People

The Science Bit: The Health System conundrums we face

together A transformational Model of Participation for

health Our Stories

Altogether Better… Lisa’s Amazing Story

Learning to Share Our Call to Action

What we would like to share today..

The Health System Conundrums

Competent ConsumerIndustrialising the Local MagicResources and Capacity

Health and Well-beingAmbivalence/Resistance to ChangeLegitimacy of Decision-making

Empowered Citizen

Increase Confidence

More Informed

Better Connected

Culture of Co-production Better Health

and Well-being:LifestyleSelf Care

Self Management

Shared Ownershi

p of My Health and

My NHSShared Decision Making on an Individual Level

Collective Active Citizenship in My Community

Social Movement and Transformational Change in the Relationship Citizens have with Health and the Health System

Transformational ChangePrinciples of Empowerment Active Citizenship (individual –collective-social movement)

A Paradigm Shift in Participation:From consultation to co-production

Salutogenesis Empowerment Self Efficacy Co-Production

At national scale?

Altogether Better Case Study17,000

CHCs supportin

g 105,000 others

SROI Up to £112 saved for every

£1 GP Appt £25Walk In £63A&E <£117

Confidence Self EsteemKnowledge

Social Capital

Self management

Self CareLifestyleMental & Emotional

Many communiti

es and Health

Outcomes

+Clinician and Patient led Framework

+ Information &Technology

Lisa

What Does Great Participation Look Like?

What this model is Strength Based Approach Relationships Valued Shared Purpose and

Responsibility Issues, Ideas and Solutions can

come from anyone Create the conditions for

conversations where everyone feels powerful together

Reaching deeper into communities to bring in new voices/perspective

Individual and Collective A Well-being Model

What this model is not Tick Box Exercise Sending out closed/loaded question

surveys 1 Lay member who is ex professional

NHS in a room full of Staff Presenting draft plans for views Separate decision making with

reference to Patient Groups to tinkering around the edges

Paternalistic Only Existing Patients and Panel of

usual suspects Free Simply about accountability A medical model

How can we create the conditions for a new Powerful Relationship Between

Citizens and Health together? Individually and Collectively make people, values,

relationships and responsibility as or more important than system, policy, process and accountability

Joined Up Leadership from All who care and understand A clear co-produced ‘gold standard’ or frame for participation

owned by active citizens, clinicians and ‘enablers’ A ‘marketplace’ for connecting active citizens, clinicians,

enablers and pioneers with learners where ideas, knowledge, experience can be shared

Translate the value, purpose, methodologies into the languages of the many different stakeholders who can make a difference

Citizens, Patients, Public, PEOPLEWe already are (at) the heart of decision making

We are the shareholders, we are growing as competent consumers and beginning to co-produce the NHS

With the reforms, the global financial, social and political climate and the technology potential we have a window of opportunity to create the conditions for a powerful new relationship between

citizens and health

Without us, there is no NHS, with us there could be a

great NHS!