Transcript Document
Co-Production in Tayside Paul Ballard Deputy Director of Public Health NHS Tayside Honorary Senior Lecturer Dundee University Medical School Tayside • Dundee Poverty and Health Stress Lack of Direction Loss of Hope Learned Helplessness Health tends to decline in communities where levels of interaction are low and where people feel insecure (Smith Institute – 2008) Ladder of Participation 5 Citizen Control 4 Delegated Power 3 Partnership 2 Consultation 1 Informing (Source: Adapted from Sherry Arnstein -1969) Partnership Processes Local Communities Health Equity Strategy (HES) Communities in Control • 2009: Continuous evidence from Public Health persuaded NHS Tayside of the need to create a multiagency Health Equity Strategy HES Process • • • • April-June 2009 September 2009 October 2009 March 2010 - Community Engagement HES endorsed by Health Board Formal Consultation Final HES endorsed by Board HES – Key Elements • Utilise co-production and assets based approach • Focus energy and resources on early years • Focus greater effort on behavioural change What is Co-Production? Co-production means delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours. The challenge is to work with communities, not to find out what they want and then provide it, but to enable them to take control and provide their own solutions. Elements of Co-Production • • • • • • Building on people’s existing capabilities Recognising people as assets Reciprocity and mutuality Peer support networks Blurring distinctions between people and professionals Facilitating rather than delivering Assets Approach • Assets are concerned with bringing people and communities together to achieve positive change using their own knowledge, skills and lived experience around the issues that are important to them • In terms of community assets … evidence supports the positive role of social relationships and social networks on … mortality and morbidity (Holt-Lunstad et al – 2010) An Asset includes any of the following: • the practical skills, capacity and knowledge of local residents • the passions and interests of local residents that give them energy for change • the networks and connections – known as ‘social capital’ – in a community, including friendships and neighbourliness • the effectiveness of local community and voluntary associations • the resources of public, private and third sector • organisations that are available to support a community • the physical and economic resources of a place that enhances well-being Other Key Drivers to Co-production in Tayside • Christie Commission • Sir Harry Burns CMO • Inspirational examples (e.g. Beacon Hill) Developing our Expertise • Healthy Communities Learning Events (2005-12) • Connecting Communities C2 - Masterclass and Residential training (2011) - 2 day training Angus/Perth (2012) • Governance International – JIT sponsored CoProduction Toolkit training x2 Tayside Workshops (2012) • Community Capacity Building – local training with Local Authority partners • NHST Co-production Workshops – Public Health Public Health Directorate Training The Co-Production Star (Source: Governance International) Project Example: The Family Nurse Partnership (FNP) Changing the World One Baby at a Time Remit •To share talents and skills in a mutually beneficial way. •To make a positive difference in the local area. •To promote community spirit. •To establish and strengthen neighbourliness. •To build bridges across social groups. •To build trust in the community. • 30 members • 9 organisational members • 132.5 hours exchanged Dundee Healthy Living Initiative Healthy Communities Collaborative Community-led Health Equal and reciprocal partnership comprising local people and professionals to effect changes in communities and improve health care and well-being Pupil-driven Programmes Delivering pupil-driven educational programmes derived from what is of value and importance to 19 disadvantaged 13/14 year olds Equally Well Test Site StobsWELLbeing • Promote mental wellbeing and address influences acting as a catalyst for change • Community engagement • SOS: Sources of support – pilot social prescribing scheme • Mental Health Literacy Programme including Mind Yer Heid • Outreach Activity • Picnics in the Park • Others: Logic Modelling, Local Community Plan, SOA etc. Leading by Example Cash4Communities Innovation Fund £2M • Innovation • Foundation • Partnership • Outcome/Change