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How could it work or more reasons why it hasn’t happened? Collaborative Economy Co-produce JSNA Co-produce commissioning intentions Co-produce Pathways Co-produce Standards Co-produce Training Co-assess 4Es Co- implement Co-determine Outcomes
Levels of Co Production – why it hasn’t happened Macro Meso Micro What are our priorities for older people in Birmingham? What do we do about older people at higher risk of seasonal death? How does Mrs X choose and buy her care packages? Some work on JSNA Not a lot…better on falls Who does better
Getting to making it happen role distinction - Public Health Roles Macro Meso Micro What are our priorities for older people in Birmingham? What do we do about older people at higher risk of seasonal death? How does Mrs X choose and buy her care packages? Accessible information presented with clear priorities Evidence of what works Case finding Information to users about choosing their care
Why a 3 rd sector based offer doesn’t engage with LA/NHS
We each take a deficit model to the other’s capabilities
3 rd sector doesn’t have all the answers or the capabilities
Poor negotiation positioning
Access to decision making
Different styles and foci
Policy document fatigue – vs – showing clearly the links
Mapping capabilities across a pathway Low Increasing levels of need High Residential care and supported living (St John of God, Don Orione, and many others) for those at high levels of need. Currently have specialist experience in this across age, learning disability, mental health, behavioural problems and some drug misuse CURRENT PROVISION SPECTRUM Low level support which can keep people self-managing and functioning. Currently not well systematised but does exist POSSIBLE FUTURE PROVISION SPECTRUM Spiritual Care which evidence shows can and does bring psychological and other benefits to service users and carers A more formal offer for carers using church resources of support etc Practical support e.g St Vincent de Paul Society More systematised programmes of low level self management support across psychological wellbeing, physical conditions, elderly etc More systematised enablement work to help people get back on their feet after a crisis Home from hospital packages Continue residential care and supported living Informal care groups providing support around people coming out of hospital etc Spiritual Care which evidence shows can and does bring psychological and other benefits to service users and carers Practical support e.g St Vincent de Paul Society
Which Stakeholders Influence Money DsPH HWBB GP Consortia LA PHE NHSCB Scrutiny Healthwatch?
Timeframes of impact/yield Years 0 1 5 10 15 Planning Frameworks and Core Strategies Education Vitamin Supplements Decent Homes Air Pollution Primary Care Air Pollution Decent Homes Reducing Worklessness Primary Care