Information and resources related to coproduction.
The importance of improving outcomes for people using services is now widely recognised across health and social care. In Scotland the Personal Outcomes Approach has been developed as a way of asking the person what matters to them. A Personal Outcomes Approach recognises the contribution of the person themselves and their own resources to achieving their outcomes, consistent with the principles of co-production
The Personal Outcomes and Quality Measures project published a series of five reports in 2013 entitled ‘We’ve Got To Talk About Outcomes’:
The Personal Outcomes approach:
- focuses on what matters to the person in their life and why
- builds on their strengths and capabilities
- supports people and practitioners to have good outcomes focused conversations that create meaningful engagement
- leads to enabling approaches to achieving outcomes and recovery in which the person, their family and support networks and all the professionals involved work together to achieve the outcomes.
The Personal Outcomes Partnership has developed a series of training opportunities around the approach. The training courses draw heavily on the Joint Improvement Team’s experience on delivering workshops on ‘Talking Points’, a Personal Outcomes Approach and Thistle Foundation’s experience in delivering training using outcomes approaches to support self management.
Members of the partnership team are working together to engage with local teams and health and care partnerships to identify how to support the learning needs of front line practitioners and offer facilitation support to services to address the organisational and cultural factors which can hinder outcomes based practice.
The Route Map to the 2020 Vision (this link will take you away from our website) reiterates the Scottish Government’s “commitment to shift the balance of power to, and build up and on the assets of, individuals and communities”.
Assets are the resources, including the skills, knowledge and networks which people and communities have to offer.
Asset-mapping is a co-production approach which identifies, and collects and shares information about resources within communities. The aim is to assist people and communities to achieve positive change using their own resources.
The People Powered Health and Wellbeing project worked in partnership with ALISS (this page will take you away from our website) to introduce health and care teams to asset mapping by producing an asset mapping briefing pack. The pack gives more information about using ALISS and asset mapping to discover, collect and share local community information.
Community Capacity Building
Community capacity building describes a particular way of working with and supporting communities – to build people’s skills and experience, increase opportunities, and enhance involvement in the decisions that affect them.
Building capacity is at the heart of community development and community empowerment. When communities are well organised, inclusive, influential and cohesive they create a positive environment for people to enjoy a good quality of life.
Codesign – Coproduction and ‘Keeping it Real’
This describes the process of inclusive working within a given locality, bringing together the following people to work in equal partnership:
- People accessing services
- Carers/family members
- Practitioners from health and social care- across public, private and third sectors
IRISS (this link will take you away from our website) have provided a framework of six facilitated sessions over a 12 month period to two partnership sites, providing them with the opportunity to trial and experience new ways of working together with the following aims:
- Learning together – to explore similarities and differences and build common understandings of person-centred care; to develop group members’ capacity to work in a co-produced way
- Improving together – to deliver more person-centred care locally, using the assets of all group members to find joint and innovative solutions to meet the needs of people
- Sharing the learning – to support the wider workforce to develop their understanding of person-centred care and to deliver it using the approaches modelled.
You can learn more about Keeping It Personal via their blog (this link will take you away from our website) which includes a film made in partnership with participants and the evaluation report.
- Valuing all participants – the ambition is to model this in all sessions, but we also reinforce this message by paying all unpaid contributors for their time (so the people who access services and unpaid carers/befrienders are paid just as professional staff are).
- Building on the strengths/assets of all individuals in the group – moving from a deficit approach by recognising and growing peoples’ capabilities to support themselves and others.
- Providing a framework that encourages peer support – with triangulation and exploration of different perspectives to build stronger understandings, networks and relationships that blur distinctions between professionals and non-professionals in the group.
- Mutuality and reciprocity – with all group members encouraged to contribute and share responsibility for driving forward the work of the group by providing content, taking decisions and implementing improvements.
Self management puts people living with long term conditions in ‘the driving seat’. It enables people to live full lives while dealing with the reality of living with a long term condition by supporting and encouraging them to access information and to develop skills that will enable them to live their lives on their terms and stay well for longer.
Self management supports people to make changes themselves, often alongside others, so that they can also take control of their lives.
The Scottish Recovery Network (this link will take you away from our website) explains that Peer Support is a way of sharing our common humanity, based on respect, responsibility and mutuality. Peer support harnesses the experience and expertise of people with lived experience to support people in similar circumstances. It can bring hope to those at an earlier stage of their journey, provide social support to increase resilience and is an opportunity for people to make a contribution to others through the skills and experience they have gained. People in recovery from mental health problems have always shared their experience of recovery and mental health to offer mutual support and learning and peer support.