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Co – producing healthier outcomes
COMMUNITIES IN CONTROL Paul Ballard Deputy Director of Public Health Honorary Senior Lecturer Dundee University Medical School
 
 
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Medical Nemesis ,[object Object]
 
What   isn’t co-production? Consultation Informing people Co-designing services Representation on service boards and panels Evaluating services User led organisations Personal budgets Volunteering
What is co-production? ,[object Object]
Communities in Control ,[object Object]
Elements of co-production ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asset Approach  ,[object Object],[object Object]
Changing roles:    current service delivery model ,[object Object],[object Object],[object Object]
Changing roles:  co-production model ,[object Object],[object Object],[object Object],[object Object],[object Object]
Co-production in action ,[object Object],[object Object],[object Object],[object Object],[object Object],<mc type=&quot;items&quot; fid=&quot;LgAAAABcv+Fc8jqdSaD2tCvchQ9OAQDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAAAB&quot;><itm><id>RgAAAABcv+Fc8jqdSaD2tCvchQ9OBwDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAADCWDJzUFSOTbXRY0mGdBr3AHhuPeRbAAAJ</id><t>IPM.Note</t><urlid>RgAAAABcv%2bFc8jqdSaD2tCvchQ9OBwDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAADCWDJzUFSOTbXRY0mGdBr3AHhuPeRbAAAJ</urlid></itm><itm><id>RgAAAABcv+Fc8jqdSaD2tCvchQ9OBwDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAADCWDJzUFSOTbXRY0mGdBr3AHhuPeRDAAAX</id><t>REPORT.IPM.Note.NDR</t><urlid>RgAAAABcv%2bFc8jqdSaD2tCvchQ9OBwDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAADCWDJzUFSOTbXRY0mGdBr3AHhuPeRDAAAX</urlid></itm><itm><id>RgAAAABcv+Fc8jqdSaD2tCvchQ9OBwDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAADCWDJzUFSOTbXRY0mGdBr3AHhuPeREAAAX</id><t>REPORT.IPM.Note.NDR</t><urlid>RgAAAABcv%2bFc8jqdSaD2tCvchQ9OBwDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAADCWDJzUFSOTbXRY0mGdBr3AHhuPeREAAAX</urlid></itm><itm><id>RgAAAABcv+Fc8jqdSaD2tCvchQ9OBwDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAADCWDJzUFSOTbXRY0mGdBr3AHhuPeROAAAJ</id><t>IPM.Note</t><urlid>RgAAAABcv%2bFc8jqdSaD2tCvchQ9OBwDCWDJzUFSOTbXRY0mGdBr3ACakSkjvAADCWDJzUFSOTbXRY0mGdBr3AHhuPeROAAAJ</urlid></itm></mc>
HEALTH EQUITY STRATEGY Paul Ballard Deputy Director of Public Health Honorary Senior Lecturer Dundee University Medical School
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Key Elements of the Health Equity Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Design Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key areas for implementation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Remember ,[object Object]
Introduction to SHINE project Dr Margaret Hannah Deputy Director of Public Health NHS Fife
SUB HEADING
Micro market for highly tailored care packages for frail, elderly Personalised, humanistic care  Timely, preventative support Micro-enterprises  Fits with wider reshaping care agenda Family empowerment Co-production with communities Technology with a human face
WORKING WITH COMMUNITIES IN FIFE Heather Murray  Senior Policy Officer Fife Council
 
 
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ECONOMIC REALITIES OF CO-PRODUCTION Gerry Power  National Lead - Co-production and Community Capacity Joint Improvement Team Scottish Government
  ‘ ... co-production is essentially about the delivery of public services  being shared between the service provider and the recipient ... co- production 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. Local Authorities and Research Councils’ Initiative.  Available from < http://www.rcuk.ac.uk/document/innovation/larci/Larci.CoproductionSummary.pdf > (accessed 31 March 2011)
Governance International THE CO-PRODUCTION STAR TOOLKIT
1.Target it. maps what co-production is already taking place, the benefits its having and how this can be built on.  2.Focus it.  identifies the activities where there are likely to be big savings and/or service quality improvements in areas which are organisational priorities . 3.Incentivise it.   who wants to work with you in co-producing your services including service users and potential service users to find out.
4.Market it. encouraging behaviour change by people who use services, other citizens and by provider staff,   citizens, frontline staff and managers. 5.Grow it. focuses on scaling up the co-production activities that work, including spreading good practice to other services and other organisations http://www.jitscotland.org.uk/news-and-events/e-newsletter/
Gerry Power (Gerry.Power@scotland.gsi.gov.uk) National Lead - Co-production and Community Capacity Reshaping Care for Older People Programme Joint Improvement Team Scottish Government Area 2ES St Andrew's House Regent Road Edinburgh EH1 3DG 0131 244 2374

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Co-Producing Healthier Outcomes

  • 1. Co – producing healthier outcomes
  • 2. COMMUNITIES IN CONTROL Paul Ballard Deputy Director of Public Health Honorary Senior Lecturer Dundee University Medical School
  • 3.  
  • 4.  
  • 5.
  • 6.
  • 7.  
  • 8. What isn’t co-production? Consultation Informing people Co-designing services Representation on service boards and panels Evaluating services User led organisations Personal budgets Volunteering
  • 9.
  • 10.
  • 11.
  • 12.
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  • 15.
  • 16. HEALTH EQUITY STRATEGY Paul Ballard Deputy Director of Public Health Honorary Senior Lecturer Dundee University Medical School
  • 17.
  • 18.  
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. Introduction to SHINE project Dr Margaret Hannah Deputy Director of Public Health NHS Fife
  • 26. Micro market for highly tailored care packages for frail, elderly Personalised, humanistic care Timely, preventative support Micro-enterprises Fits with wider reshaping care agenda Family empowerment Co-production with communities Technology with a human face
  • 27. WORKING WITH COMMUNITIES IN FIFE Heather Murray Senior Policy Officer Fife Council
  • 28.  
  • 29.  
  • 30.
  • 31.  
  • 32. ECONOMIC REALITIES OF CO-PRODUCTION Gerry Power National Lead - Co-production and Community Capacity Joint Improvement Team Scottish Government
  • 33. ... co-production is essentially about the delivery of public services being shared between the service provider and the recipient ... co- production 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. Local Authorities and Research Councils’ Initiative. Available from < http://www.rcuk.ac.uk/document/innovation/larci/Larci.CoproductionSummary.pdf > (accessed 31 March 2011)
  • 34. Governance International THE CO-PRODUCTION STAR TOOLKIT
  • 35. 1.Target it. maps what co-production is already taking place, the benefits its having and how this can be built on. 2.Focus it. identifies the activities where there are likely to be big savings and/or service quality improvements in areas which are organisational priorities . 3.Incentivise it. who wants to work with you in co-producing your services including service users and potential service users to find out.
  • 36. 4.Market it. encouraging behaviour change by people who use services, other citizens and by provider staff, citizens, frontline staff and managers. 5.Grow it. focuses on scaling up the co-production activities that work, including spreading good practice to other services and other organisations http://www.jitscotland.org.uk/news-and-events/e-newsletter/
  • 37. Gerry Power (Gerry.Power@scotland.gsi.gov.uk) National Lead - Co-production and Community Capacity Reshaping Care for Older People Programme Joint Improvement Team Scottish Government Area 2ES St Andrew's House Regent Road Edinburgh EH1 3DG 0131 244 2374

Editor's Notes

  1. We have talked about the need to understand our audience and see things as they do not as we do = John Reid when health secretary said he could understand why a single mum would smoke – understood that the ten minutes she gets outside away form the kids is her only break – only chance she gets in the day for time for herself. How can we replace that benefit she gets from a cigarette break?
  2. Hierarchical model with sometimes token invovlement
  3. Much of the evidence available to policy makers to inform decisions about the most effective approaches to promoting health and to tackling health inequities is based on a deficit model and this has, inevitably, produced policies and practices which disempowered the populations and communities which are supposed to benefit from them. An assets approach to health and development embraces a positive notion of health creation and in doing so encourages the full participation of local communities in the health development process. E.g. community based interventions have huge impact -10% reduction in cost of LTC (using self care/expert pt etc ) could save NHS £6.9 billion/year that is £20.7 billion by 2014 ( ref Human Factor)
  4. Chest Heart and stroke Self management Champions -pilot in Perth proposal to work along side Health professionals Question how do we balance Self Managementnt/ Health input/Community involvement/ Self Management toolkit Sandra Gourlay Cancer be friending voluntary
  5. Glasgow cited at top and bottom of life expectancy - 28 years All other countries in between. Tayside 23 years. CLICK Aspiration - remove, not just reduce but remove.