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Getting Co-production Right in Health Services
By the Win-Win Alliance (Shaping Our Lives, Disability Rights UK and Change) in partnership with SCIE and service users
Health and Care Voluntary Sector Strategic Partner Programme
The Health and Care Voluntary Sector Strategic Partner Programme brings the power of the voluntary sector together with the health and care system, to improve services and promote well-being for all.We do this by: Helping reach the most vulnerable,
excluded individuals and communities Supporting people to make their
diverse voices and needs heard Harnessing the expertise of the voluntary
sector to inform national policy development
Driving awareness of the role and potential of the voluntary sector
Working together for better health and care
Visit us at stand 105:
The partners
Working together for better health and care
#vcspartners
Michael Turner:Introduction to Co-production
SCIE’s model of co-production – change management using a jigsaw model
SCIE’s model of co-production – a sound set of principles
SCIE’s model of co-production – the four pieces of the jigsaw model for change
Four pieces of the jigsaw –
1. Culture – the beliefs and values that define an organisation and the way that it works
2. Structure – the way the organisation is arranged and the
systems it has set up to carry out its work
The jigsaw model –
3. Practice – how the organisation and the people who work
for it carry out their work
4. Review – monitoring how the work is carried out and the outcomes or impacts
The principles –
Equality
Diversity
The principles –Accessibility
Reciprocity
Everything is connected
Becki Meakin:Patient Perspective
• 24 years of care, 20 operations and 500
consultations• Clinical pathways done in partnership• However, no review of outcomes or
involvement in service delivery
People: ask the people who use the services
not just the usual suspects
The patient perspective on getting it right
Purpose: what is in it for me? Place and time: is it accessible? What can you do to make it convenient? Before starting ask the service users why, how and when barriers include physical, environmental, cultural, economic and communication
Other tips
Power: equal relationships with real impact for service users – bottom up change Need to demonstrate that management are engaged and supportive Outcomes: agree outcomes and feedback to service users Monitoring and evaluation: service users review outcomes in the short, medium and long term
If you are not sure how to do it ask an organisation who does
Other tips continued
Working for equal rights for all people with learning disabilities
Claire Drake and Sarah James
Getting Co Production Right in Health Services
Quality Checkers
People with a learning disability employed to inspect local NHS services to provide advice on how they can improve.
Tel: 0113 242 6619
Email: [email protected]
Web: www.changepeople.org
For more information find us at Stand 16
Laura Able:5 Minutes on Monitoring mental health services by service users
• You tell me?
• Why monitor or evaluate?
Why involve service users?
Monitoring Methods
Commissioning of monitoring and evaluation Consider influence, impact
• coproduce co-design co-monitor
• Trust Action Plan Strategy • User Reps on Board,
recruitment panels• Mystery shoppers• training• Reviews evidence base
• NSUN Four PIs- Principles, Presence,
Process Purpose, Involvement• Patients council/user• Forums• User groups• Healthwatch• Infrastructure to support groups• Personalised decision making
Bernd Sass:User Driven Commissioning
AccessNot being understoodService not
meeting needs Dropping outEscalation
ofproblem Lack of independence,
and inability to move on
Stuck in services
We know why we are here…
Why are you here?
• 20% stake upfront to Lived Experience team of CYP (& carers) – 14 sessions/8 months
• Inwards stage: shared life stories to map out risk and protective factors in feeling good • Explored current services / support – (peer) advocates• Vision for landscape of ideal services and (peer) support • Confident / independent / competent to step up / down• Outwards impact: trained up to inform service spec, co-produce ITT questions,
metrics, co-assess bids, co-conduct interviews (20%) a) refreshed service specifications and metrics (eg £5) b) from PQQ right through to contract award, mobilisation, outcomes-based payment
and annual contract variations
User-driven commissioning, e.g. 5 year CAMHS contract
• Full social action campaign: not just supporting disabled staff to ‘catch up’ (WDES) but getting the system to recognise disability as an asset (DAA)
• Co-production / peer modelling from disabled NHS staff groups to patients: • To obtain upfront commitment from NHS Trust employer on outcome/s• Improve self-declaration, accessibility, disability-related absence, Access to
Work, balanced ‘disclosure’, return to work (inwards) • Help break down boundaries with patients in planning and delivery• Build up trust and rapport with patients because patients relate to
staff/peers who have been through a similar experience in the past (outwards)
Making disability an asset to underpin Workforce Disability Equality Standard
Checklist for Co-production
Becki Meakin
[email protected] 424511www.shapingourlives.org.uk Twitter: @Solnetwork1 #coproduction
Contact Us
