Co-design is a relationship where professionals and citizens share power to plan and deliver support together, recognising that both partners have vital contributions to make in order to improve quality of life for people and communities.
4. 3 WAYS TO DO
HEALTH CARE IMPROVEMENT
• Don’t listen very much to users and do
the designing for them
• Listen to users then go off and do the
designing for them
• Listen to users and then go off with
them to do the designing together
Paul Bate, 2007
7. Lived experience is equal to other forms of
knowledge, evidence and expertise
8. “Co-production is a relationship where
professionals and citizens share power to
plan and deliver support together,
recognising that both partners have vital
contributions to make in order to improve
quality of life for people and communities.”
Source: nef/NESTA (National Endowment for Science, Technology and the Arts UK)
Co-production Critical Friends
10. Edgar Cahn in his book No
More Throw-Away People
relates the parable of the
Blobs and Squares to explain
co-production.
THE PARABLE OF THE BLOBS AND SQUARES
25. use co-design when…
• Starting a new service improvement
project.
• Developing a new process, product or
service.
• Exploring a specific service issue, e.g.
reducing waiting times.
• Wanting to understand services from
the patient perspective.
• Implementing changes.
28. FOUR CO-DESIGN PRINCIPLES
1. Prioritise the patient experience
2. Trust the process
3. The ‘means’ is as important as
the ‘ends’
4. Acknowledge the patients’
contributions throughout the
process
31. #3 The ‘means’ is as important as the ‘ends’
What would this look like?
The social outcomes
of co-design work
are just as important
as the co-design outputs
OUTPUTS
33. some ideas…
• Assistance to attend meetings (travel
expenses, accommodation, etc)
• Personal thank you cards after
workshops or other events
• Celebratory events when improvements
have been made
• Written recognition in publications,
reports and website
37. PRINCIPLES OF GOOD PRACTICE
1. The improvement initiative should be designed and undertaken in a way
that ensures its integrity and quality
2.
All people who are involved, must be informed fully about the purpose,
methods and intended possible uses of any information they provide
3.
All participants must formally consent to the use of any information they
provide, including attribution of quotations, film extracts, etc
4.
All people involved participate on a strictly voluntary basis, free from any
coercion and able to withdraw at any time without need for explanation
5.
All people involved must not be knowingly exposed to harm or distress
6. Privacy and confidentially must be respected as requested
(Ethical Considerations for Experience Based Design: 2007)
www.institute.nhs.uk
39. some thoughts
• Lack of time
• Accessibility
• Entrenched thinking
• Reluctance to cede power
• Tokenism
• Balance of power
• Trust
40. STEP 2 PLAN
establish the goals of your
improvement work and how you might
go about achieving them
ensure you have adequate funding and
organisational commitment in place to see the
process through
map assets
41. ASSET MAPPING
• The resources, including
the skills, knowledge
and networks which
people and communities
have to offer
• Transforming the
perception of people
from passive recipients
to equal partners
42. STEP 3 EXPLORE
learn about patient experiences
how are they treated?
how would they like to be treated?
what outcomes do they want?