The document discusses getting co-production right in health services. It describes a health and care voluntary sector program that aims to improve services and promote well-being. It also summarizes presentations on introducing co-production, a patient perspective on co-production, monitoring mental health services through user involvement, user-driven commissioning, and making disability an asset in the workplace. The document advocates for equal partnerships between organizations and service users.

1. 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

2. 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:

3. The partners
Working together for
better health and care
#vcspartners

4. Michael Turner:
Introduction to Co-production

5. SCIE’s model of co-production – change management using a jigsaw model

6. SCIE’s model of co-production – a sound set of principles

7. SCIE’s model of co-production –
the four pieces of the jigsaw model for change

8. 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

9. 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

10. The principles –
Equality
Diversity

11. The principles –
Accessibility
Reciprocity

12. Everything is connected

13. Becki Meakin:
Patient Perspective

14. • 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

15. 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

16. 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

17. Working for equal rights for all
people with learning disabilities
Claire Drake and Sarah James

18. Getting Co Production Right in
Health Services
Quality
Checkers

19. People with a learning disability
employed to inspect local NHS
services to provide advice on how they
can improve.

20. Tel: 0113 242 6619
Email: info@changepeople.org
Web: www.changepeople.org
For more information find us at Stand 16

21. Laura Able:
5 Minutes on Monitoring mental health
services by service users

22. • You tell me?
• Why monitor or evaluate?
Why involve service
users?

23. 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

24. Bernd Sass:
User Driven Commissioning

25. Access
Not being understoodService not
meeting needs
Dropping outEscalation of
problem
Lack of independence,
and inability to move on
Stuck in
services
We know why
we are here…
Why are
you here?

26. • 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

27. • 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

28. Checklist for Co-production

29. Becki Meakin
becki@shapingourlives.org.uk
07956 424511
www.shapingourlives.org.uk
Twitter: @Solnetwork1 #coproduction
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