Co-production is about organisations, groups and individuals sharing their skills, lived and professional experience and resources. In a group that uses co-production, people from a variety of backgrounds aim to work together in an equal partnership to achieve positive change. Co-production aims to shift the balance of power, enabling all people involved to have a voice.
“Co-production is about combining our mutual strengths and capacities so that we can work with one another on an equal basis to achieve positive change”
– Fiona Garvie (Director, Scottish Community Development Centre)
What is Co-Production?:
People Powered Health and Wellbeing
The People Powered Health and Wellbeing Programme at the ALLIANCE produced a range of resources prior to entering into its transitional phase. ‘Let’s Repower Scotland’s Health and Wellbeing’ is a set of four sources of inspiration. They share the learning that has come out through the evaluation of the programme, and demonstrate different ways of working that capitalise on the strengths and assets of individuals and communities. The four themes that came out strongly throughout the programme are:
- Conversations That Change Lives (This link will take you away from our website)
- Assets – A New Social Currency (This link will take you away from our website)
- The Power of Lived Experience (This link will take you away from our website)
- Creating the Conditions For Change (This link will take you away from our website)
The PPHW team felt that prioritising working in the ways illustrated within the resources would be to the benefit of individuals and professionals, help ensure the sustainability of health and social care services now and into the future, and create the conditions necessary for communities to have a stronger voice and empower themselves.
The programme is now in a transitional phase, and is currently putting together a proposal for Scottish Government which will focus on helping Health and Social Care Partnerships to embed co-production approaches in their work, at both a strategic and frontline level.
The Scottish Co-Production Network
The Scottish Co-Production Network (This link will take you away from our website) is open to all and facilitated by SCDC. The Network are involved in co-production at a national level, and put on a range of Co-Production learning events throughout the year.
Self management is about people living with long term conditions being in ‘the driving seat’. It supports people to live their lives better, on their terms. Self management supports and encourages people living with long term conditions to access information and to develop skills to find out what’s right for their condition and, most importantly, right for them. Together with health professionals and others who provide support, self management can help people to make decisions that are right for their life.
Scotland’s Self Management Strategy for Long Term Conditions, ‘Gaun Yersel’ (PDF Download), was launched by The ALLIANCE and the Scottish Government in September 2008. Self Management is part of the Person-centred Ambition of the NHS Scotland Quality Strategy (This link will take you away from our website).
Evaluation is the process of thinking about what impact you would like your project to have, devising indicators that would demonstrate that this has (or hasn’t) happened, collecting this information, analysing and reporting these findings (either internally or externally), and learning from the findings in order to inform future projects, research, services, etc. (of your own or others).
The Evaluation Pathway
- Setting outcomes & indicators
- Collecting evidence
- Analysing and Reporting
- Learning from and acting on your findings
As an example, an outcome might be that the quality of life and mental wellbeing of people using a service is improved; evidence might be baseline collection (i.e. before the intervention takes place) and 9 month follow-up of EQ5D (This link will take you away from our website) and WEMWBS (This link will take you away from our website); a statistical analysis can be carried out once enough data has been gathered (this could be as complicated as regression modelling or as simple as creating bar charts and tables), and then reported on; briefings may be created for different audiences and stakeholders, such as: GPs, health professionals, policy makers, MSPs, etc. and if any aspects of the intervention were not useful, then they may be removed from future services.
Quality Improvement in Scotland
This briefing outlines the approach to quality improvement implemented by NHS Scotland that has extended to the public service reform agenda more widely e.g. the Early Years Collaborative approach. Quality Improvement is a systematic approach to making change using tried and tested tools and techniques. Published July 2013.
Meaningful and Measurable
Meaningful and Measurable was a Collaborative Action Research project funded by the Economic and Social Research Council (ESRC).
The project brought together 3 academic organisations, 8 practice partners and 4 national stakeholder organisations with a shared interest: adopting a focus on personal outcomes in health, social care and other human services
Over the past decade, developing approaches to the recording, analysis and use of personal outcomes data has been found to pose challenges at all levels of organisations. Within this project, we explored the tension between:
Meaning: the need for detailed, contextualised information on individual experience to inform individual planning and service improvement.
Measurement: the need to aggregate information on personal outcomes to inform decision making at organisational and national levels.
Find Out More
Meaningful and Measurable Resources: Learning from the Meaningful and Measurable project –Strengthening links between identity, action and decision-making