“Experience based co-design (EBCD) on Betts Ward, Oxleas NHS Foundation Trust” Betts Ward is an acute inpatient admission ward within Oxleas NHS Foundation Trust. Betts Ward Implemented the EBCD in July 2012. Experience based Co-design (EBCD) is a way of improving healthcare services with patients. The patient and the patient only has the privileged knowledge of experience of the services we provide. This knowledge is unique and precious and we must tap into this if we are to make our services more effective and efficient. The recognition of the user experience has been late in mental health and it has tended to be facilitated by separating the user voice from the provider.

1. Experience Based
Co-Design
Betts Ward,Oxleas NHS
Edward Kanu,Ward Manager

2. What is ‘Co-Design’?
• Designing services based on direct service user
feedback
• Nationally: Stressful for Staff & frightening for
Service users
• What ‘makes sense’ to professionals is not
always most helpful to service users.

3. Who’s Involved
ResearchNet & Neil Springham
Betts Ward staff
Edward Kanu ( Manager Betts Ward)

4. Background
• Kings Fund Project with Cancer Patients
• Concerns about in-patient mental health care
nationally
• Betts ward is first in-patient mental health
service to participate in Co-Design.

5. What Happens?
• Staff Focus Group – identified questions the service user
wished to ask:
• What does a ‘good admission’ look like?
• How can we manage conflict effectively?
• How can we best apply ‘blanket rules’?
• What makes a difference in first 24 hours of admission?

6. FILM
Film – People with lived experience talking about
their admission.
Made and edited by ResearchNet

8. FILM
• Event - film played back to staff and those with
lived experience at the next focus group.
• Smaller focus groups - service staff and those
with lived experience develop action plans.

9. Impact
• Films very positively received
• Touching
• ‘it’s the little things that matter’
• ‘obvious to us is not obvious to the average person
being admitted’
• ‘important to repeat things’

10. Action Plans
• Film of admission process
• Betts Patients Experience Group ( BPEG)
• ResearchNet to be part of Betts Reflective Practice
• Peer Support volunteers to ward (Now Substantive)
• ( BPEG) Linked to Supervision/Care Planning

11. OUTCOME
• 80% DROP IN COMPLAINS
• USER SATISFACTION

12. Question yes no unsure
Total
Responses
Do you know who your Primary Nurse is? 90% 7% 3% 131
Did you meet with you allocated nurse for a 1:1 ? 75% 21% 4% 131
Have you met with your PN to discuss your care plan? 75% 22% 3% 131
Have you felt unsafe on the ward in the last week? 19% 81% 0% 131
Have you received information on your care and treatment? 78% 20% 2.00% 131
Do you feel staff listen when you discuss any concerns? 82% 18% 0% 131
Has being on the ward helped with your diffciulties? 87% 11% 2% 131
Did you participate in any groups yesterday? 75% 25% 0% 131
Did you have a positive ward round experience? 72% 28% 0% 131
Are you aware of your discharge plan? 55% 25% 20% 131