Shifting the Focus Engaging Communities and the
Workforce through Co-production
Gerry Power
National Lead – Coproduction and Community Capacity Building
What is it?
> The public sector and citizens making
better use of (and developing) each
others assets, resources and
contributions to achieve better outcomes
or improved efficiency.
> (Governance International)
Why is it important?
> ‘... co-production is essentially about the delivery
of public services being shared between the
service provider and the recipient ... coproduction is nothing new ... what makes ... (it) ...
topical in the current financial crisis is the
expectation that effective user and community
involvement may help to improve outputs,
service quality and outcomes and reduce costs
...’
>
Barker, Adrian., 2010, Co-production of Local Public Services, LARCI
Benefits and Risks (1)
> Citizens/Communities/Third Sector know things
Professionals and Managers don’t!
> They have capabilities and assets they can
contribute.
> Greater service satisfaction is achieved when
services are based on people’s needs.
> More innovative ideas for service redesign
> Savings by de-commissioning or redesigning
services that citizens see as either failing or
needing improvement.
Benefits and Risks (2)
> Expectations!
> ‘… asking everyone what services
should be developed (or cut) can
lead to situations where people are
encouraged to provide views on
services about which they know little
and care less…’ (Governance International)
The Challenge
‘… As policy places greater emphasis on individual
choice and control through self directed support
and person centred care, the role of public
agencies as facilitators of service development.
rather than only as direct purchasers or suppliers,
will also be important. When commissioning is
undertaken jointly …activities have to be
redesigned to ensure they are fit for purpose in a
new multi- agency environment…’
(Institute of Public Care, 2013)
Changing the culture
Self-directed
support
Market
Facilitation
Joint commissioning
for better outcomes
Service User
Engagement
Co-production
Participant
Development
A local authority social care leader
responsible for planning and procuring
community and residential care.
How integrated commissioning of
community health and social care services
can be used to safely and effectively
reduce demand for acute care.
An NHS manger responsible for planning
the distribution of local acute services.
How social care services can be
commissioned to reduce acute health
demand through better planning and
procurement with public, private and 3rd
Sector providers.
A 3rd Sector leader whose care and
support services are funded by NHS and
local authority grants.
How those services can be developed in
response to joint commissioning priorities
as part of an integrated care network to
better meet local needs.
A service user in receipt of a complex
package of health and social care.
How they can play a full role in exercising
choice and control to get the service
needed, when wanted, and from the
people best placed to provide it.
A clinical professional responsible with
colleagues for implementing locality health
and care plans
How they can work with specialist
colleagues to plan together on the basis of
systematic analysis of integrated service
data, population profiles and user and
community experience.
Engaging Communities
> - Culture and Attitudes
> - Involvement
> - Capacity
> - Training
> - Education
> - Leadership
> - What Counts?
> Why - this is necessary.
> What – it is we need to do.
> Who – needs to be involved.
> Barriers and Challenges
>So... How?