no more throwaway people Ruth Dineen Coproduction Wales ruth coproductiontrainingcom Coproduction one of the most exciting opportunities we have ID: 249080
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Slide1
Co-production… 'no more throw-away people'
Ruth Dineen
|
Co-production Wales
|
ruth
@coproductiontraining.comSlide2
Co-production…
'one of the most exciting opportunities we have
to
bring together the knowledge, experience and contributions of
those
who work in our public services and those who use them…
recalibrating
power through new relationships
based on trust'
Health & Social Services Minister
Mark
DrakefordSlide3
Co-production - what?an approach to public services which
enables citizens and professionals to share power &
work together
in equal and reciprocal relationships Slide4
Co-production principlesfacilitation not delivery
value participants as equals and assets
build on strengths
develop peer-support networks
relationships of trust & reciprocitySlide5
outcomes-focus relationship-centred asset-basedstrengths-based personalisation
citizen-directed shared decision-makingfreda principles
so what's
new?Slide6
levels of co-production
intermediate
recognises what service users can offer servicespower imbalance between citizens & professionals remains in place
transformative
citizens are equal partners in all aspects of commissioning, design, delivery, evaluation
transforms power and control
basic
acknowledges people's action is essential
to the desired outcomeSlide7
1. economic theorymoney economytransactions
core economy
relationships
St
Mungos
BroadwaySlide8
family, neighbourhood and civil society. It runs on a thin stream of money – but it is primarily powered by our minds, our spirits, our hearts. It runs on psychological energy: love and kindness, caring and compassion, encouragement and moral duty… the core economy consists of…Slide9
It provides care to infants, children, teenagers, families, seniors.It provides safe, vibrant neighbourhoods, community, democracy, civil society.It produces love and caring and coming to each other’s rescue and sharing. That's all…what does it produce…Slide10
equal and reciprocal relationships
2
.
all systems model
co-commissioning
co-design
co-delivery
co-evaluation of outcomes Slide11
W
hat
services are you eligible for?
What are your needs?
H
ow
do you want to live your life?
W
hat
strengths can you bring?
How can we work together to achieve
your goals?
3. processSlide12
4. radical aim
vibrant & confident
core
economy
shared power
|
shared responsibility
social justiceSlide13
Co-production – why?Slide14
because we have to…
Prudent
Healthcare
Co-production
– principle 1 of
Prudent
Healthcare
SS&W Act
Co
-production principles to be embedded in regulations & code of practice Co-produced commissioning (& decommissioning): social value - service-recipients, staff & communitiesCo-produced Assessment:
National Outcomes FrameworkCo-produced evaluation: from KPIs to personal outcomesCitizen-led scrutiny: permanent citizen panelsSlide15
decreasing budgetsfewer staffincreasing demand
because there's a
problem…Slide16
and an even bigger problem…
The world of helping others is built around one-way transactions which send two unintentional messages:
W
e
have something you
need,
but you have nothing we need or want or
value.
The way to get more help is by coming back with more problems. Edgar Cahn Slide17
we understand ourselves, our identities, through our relationships with
others…
Nunkoosing & Haydon-Laurelut, 2013
Dimensions
Cymru
Slide18
one-way transactions >
reciprocal relationships
shared power | shared responsibilitySlide19
from a task-based 'hotel' model to…
"
good places to live, love, dream, laugh, learn
and connect with others…a true community"
My
Home
Life
Cymru
security . continuity . belonging . purpose . fulfilment . significanceSlide20
S.U.N. Service Users Network
A&E use
down 30%
planned hospital admissions
down from 725 > 596
unplanned
hospital admissions
down from
414 > 286
hospital bed day use down by 50% Slide21
The Good Life Group, Scotland
'brilliant, enlightening & humbling'
'a revelation'
'the best course I've ever been on
'Slide22
Del's story…I'd picked a wall to drive in to. My body and mind were destroyed.Slide23
I'm a rock for my family now.It's my mind that has changed – having a purpose and living a life.Slide24
Impact
more relevant and effective services
improved
health &
well-
being
happier, more fulfilled staff
increased engagement & social capital
stronger, more cohesive communities
genuine empowerment & ownership
sustainability & value for moneySlide25
co-production will… "restore warm humanity as the driving force for public services,
rather than compliance with increasingly centralised and de-personalised processes and systems"
Nick Andrews, Swansea University