'Co-production is a relationship where professionals and citizens share power to co-design and co-deliver support together, recognising that both have vital contributions to make in order to improve quality of life for people and communities.' National Co-production Critical Friends Group
Earlier this year, NHS Bromley CCG agreed to support a co-production programme to improve emotional wellbeing services for children and young people in Bromley. This was agreed following the publication of outcomes gathered by the New Economics Foundation (NEF). The CCG had commissioned NEF to test out this approach in Bromley to get a better understanding of the needs of young people and the appetite of local organisations to commit to delivering services that would meet these needs.
At the end of September 2017, Juliana Ansah was appointed as Co-production Manager and is responsible for managing this programme of work. Juliana is part of the Organisational Development Directorate but works very closely with the Integrated Commissioning Team on this programme of work. The focus is on the emotional and mental wellbeing of children and young people. However, the learning from this process will also be integrated into other programmes of work and the engagement we do with local people in Bromley.
Below is an outline of the work that has already started and an update on progress.
Co-Production refers to an approach to service delivery that radically reimagines the traditional dynamic of expert service-deliverer working on behalf of the passive end-user. Instead the design, delivery and review of services are undertaken by both professionals and service-users/citizens.
A co-production approach envisages a relationship of mutuality between services and service user, at all stages of a service’s life. It recognises that all parties have vital contributions to make to improve the quality of life for people and communities.
There are other service models such as Participation and Consultation which we will utilise during the mapping and capacity building stage of the project; these models are essential in promoting the initial engagement with professionals and service users. In saying this, it is also very important that as the project develops we are able to clearly distinguish co-Production from other models.
Ultimately the project aims to come up with a model of service delivery for emotional and mental wellbeing for children and young people that will meet their needs and which is designed and produced by young people, citizens and statutory organisations. We already know from the NEF report that young people want more focus on support, early intervention and reduce the risk of them going into crisis and needing more intensive support.
The project will consist of two forums; one (monthly) specifically for young people where they will be further informed of the current climate in terms of wellbeing and services available in Bromley, as well as commissioning and how the NHS is funded. The second core forum will take place bi-monthly and will include the young people, professionals and citizens. The core group will work to create wellbeing outcomes which will essentially be used to measure the Co-Production Process and Project.
Three co-design events will take place early 2018, in each cluster of Bromley. Shortly after, the services who participated in the project will test these outcomes with the community.
After a review of the community testing by the forum, a larger interactive testing event will be held in the early summer of 2018. Following this a new co-produced model of care will be proposed.
We are still in the very early stages of the project but following on from the work that the CCG commissioned NEF to do last year; we have been able to expand on the contacts made with voluntary and community sector organisations as well as faith groups. This includes Mosques, Churches and youth groups. Two focus groups were held with young people at a youth club and school. The young people were able to provide advice on what type of measures would need to be in place to ensure their engagement.
The CCG are currently running focus groups in schools and community service to test outcomes which were published in the NEF report.
More information about how to sign up for a focus group or receive copies of the survey is available here
The CCG will be holding a stakeholder event on Thursday 18th January 2018 from 3.30pm-5.30pm.
This will be an opportunity for service providers and professionals to ask questions and discuss how best we can move forward together with this project.
Please note that although this event is by invitation only we would like to encourage professionals to bring colleagues and associates from local Bromley services. If you would like to attend this event please send your name and details to BROCCG.PatientQuery@nhs.net with a subject heading of Co-production.