Nick Andrews: Co-production through Experience-Based Co-Design, Community of Enquiry and Most Significant Change techniques. Learning and development needs to connect with the way in which people already think, feel and go about their work. This requires making connections between people’s heads, hearts and each other. I will provide a bare-bones summary of three narrative and dialogue-based techniques we use in the Developing Evidence-Enriched Practice (DEEP) programme. All three start with the knowledge, thoughts and feelings of the people involved and builds on this through sharing and talking together in ways that allow different points of view to be expressed, explored and developed.

1. The Developing Evidence-
Enriched Practice (DEEP)
programme
Nick Andrews, Wales School for Social Care Research
Swansea University

2. The heart of the DEEP approach
Paulo Freire
suggests that the
key purpose of
learning is to
create 'a world in
which it will be
easier to love’
(Freire 1972, p6).

3. The principles of DEEP
• Appreciative
• Relationship-centred
• Values driven – with a
focus on social justice
• Valuing and including
diverse knowledges
• Democratic
• Use of narrative
• Emphasis on dialogue and
social pedagogy – starting
with ‘what matters’ to
participants
‘Responding to others as if
they really matter and
building dispositions to seek
out, value and learn from
the differences between us’
Rupert Higham, Cambridge
Educational Dialogue
Research Group

4. The five elements of the Developing
Evidence-Enriched Practice (DEEP)
approach
Value and
empower
people
Value and use
a range of
evidence
Present
evidence well
Sort things
that get in
the way
Talk and think
together well

5. Some of the techniques we use
• Experience-based Co-
design (Bate and Robert
2007)
• Exploratory talk and
Inter-think (Littleton
and Mercer 2007)
• Community of Enquiry
(Lipman 2004)
• Most Significant Change
(Davies and Dart 2007)

6. Magic moments and tragic moments

7. Supporting creativity and taking risks

8. References• Andrews, N., Gabbay, J., le May, A., Miller, E., O’Neill, M. and Petch, A. (2015) Developing Evidence Enriched Practice in Health and Social Care
with Older People, York, Joseph Rowntree Foundation
• Bate, P. and Robert. G. (2007) Bringing user experience to healthcare improvement: The concepts, methods and practices of experience-based
design, Abingdon, Radcliffe
• Blood, I. (2013) A Better Life: Valuing our later years, York, Joseph Rowntree Foundation
• Cahn, E. (2000) No More Throw-away People: The Co-production Imperative, Washington, Essential Book
• Davies, Hawkes, Irving, Lloyd, and Oliver (2010) Dr Davies, His Book Tales of a Country Doctor - Knighton Powys, Almeley, Logaston Press
• Dawes, L. (2012) Talking Points: Discussion Activities in the Primary Classroom, Abingdon, Routledge
• Flyvbjerg, B., Landman, T. and Schram, S. (2016) Tension Points: Learning to Make Social Science Matter, Critical Policy Studies, Forthcoming.
Available at SSRN: https://ssrn.com/abstract=2721321
• Flybjerg, B, Landmann, T. and Schram, S. (2016) Critical Social Policy (forthcoming)
• Freire, P. (1972) Pedagogy of the Oppressed, New York, Herder and Herder
• Gerrish, K., Guillaume, L., Kirshbaum, M., McDonnell, A., Tod, A. & Nolan, M. (2011), ‘Factors influencing the contribution of advanced practice
nurses to promoting evidence-based practice among front-line nurses: findings from a cross-sectional survey’, Journal of Advanced Nursing, 67(5),
1079-90
• Hill, L., Brandeau, G., Truelove, E. And Lineback, K. (2014) Collective Genius: The Art and Practice of Leading Innovation, Boston, Harvard Business
School Publishing
• Horton, M. and Freire,P. (1990) We Make the Road by Walking: Conversations on Education and Social Change, Philadelphia, Temple University
Press
• Kitwood, T. (1997) Dementia Reconsidered: The person comes first, Buckingham, Open University Press
• Locock L, Robert G, Boaz A, Vougioukalou S, Shuldham C, Fielden J, et al. Testing accelerated experience-based co-design: a qualitative study of
using a national archive of patient experience narrative interviews to promote rapid patient-centred service improvement. Health Serv Deliv
Res 2014;2(4)
• Nolan, M., Brown, J., Davies,S., Nolan, J. and Keady, J. (2006). The Senses Framework: improving care for older people through a relationship-
centred approach. Getting Research into Practice (GRiP) Report No 2. Project Report, Sheffield, University of Sheffield
• Mercer, N. & Littleton, K. (2007) Dialogue and the Development of Children's Thinking: a sociocultural approach, London, Routledge.
• Patterson, M, Nolan, M, Rick, J, Brown, J & Adams, R 2010, From Metrics to Meaning: Culture Change and Quality of Acute Hospital Care for Older
People. Report for the National CO-ordinating Centre for NHS Service Delivery & Organisation (NCCSDO), NCCSDO
• Post, S. (2000) The Moral Challenge of Alzheimer Disease: Ethical Issues from Diagnosis to Dying, Baltimore, John Hopkins University Press
• Rogers, C. (1961) On becoming a person, Boston, Houghton Mifflin
• Ryff, C. D., Singer, B. H., & Love, G. D. (2004). Positive health: Connecting well-being with biology. Philosophical Transactions of the Royal Society
of London, B Biological Sciences, 359, 1383-1394.
• Seddon, J. (2008) Systems Thinking in the Public Sector: The Failure of the Reform Regime... and a Manifesto for a Better Way, Axminster, Triarchy
Press
• Welsh Government (2011) Sustainable Social Services: A Framework for Action, Cardiff, Welsh Government
• Williams, R. (2016) Being Disciples: Essentials of the Christian Life, London, SPCK

9. Further information
Full report and 4-page summary:
http://www.jrf.org.uk/publications/developing-
evidence-enriched-practice-health-and-social-
care-older-people
DEEP project on-line resource:
http://deep-resources.chrismog.co.uk