July 2015 - Co-production papers


Taking co-production into the mainstream

David Boyle, Anna Coote, Chris Sherwood amd Julia Slay

see download


How equal partnerships between professionals and the public are crucial to improving public services

David Boyle and Michael Harris

see download


Putting co-production into practice

David Boyle, Julia Slay and Lucie Stephens

see download


At the end of 2014 the Health and Well-being Board, Integrated Health and Adult Social Care, Strategic Partnership Group (SPG) met.  This evolving initiative sits within the County Council’s ‘Well Connected’ programme.  Co-production was discussed and recorded under Agenda item 5.3: Communication, together with Appendix 1 (source: Health and Well-being Board, Integrated Health and Adult Social Care, Strategic Partnership Group).

See download: Agenda item 5.3

2 key areas under discussion were:

Principles of Co-production

1. The following 4 principles were proposed:

  • Patients/service users/carers and the public have an equal voice with the NHS and County Council professionals.
  • The involvement of patients/service users/carers is just as important as the involvement of professionals; nobody is more important than anyone else
  • Patients/service users/carers are involved from the start; that is the point at which the NHS and County Council start to:

1. provide a service to a patient, service user or care
2. think about changing an existing service
3. think about creating a new service

  • Patients/service users/carers and the public should be encouraged to share their valuable skills and experiences to help shape how services are planned, designed, developed and delivered.

Actions that organisations could take to make Co-Production work.

2. Patients/service users/carers who participated in the research  identified the following actions as critical success factors that organisations responsible for designing and delivering health and care services must do to make Co-Production work:

  • make a commitment to Co-Production with a clear set of values shared by all staff
  • those organisations responsible for designing and delivering health and care services commit the right resources.
  • share power with patients, service users, carers and the public, making an environment where their involvement happens all the time.
  • listen to and acknowledge the valuable skills and experiences of patients, service users, carers and the public.
  • monitor how successfully they involve patients, service users, carers and the public.

All health and care organisations need to carry out co-production in the same way.

A Co-production survey prepared from the proposals and explanatory narrative was sent out in December 2014 with an intended January 9, 2015 deadline. (link to our news item.)

Survey Results & the Young Foundation

The results will be available by 23 January 2014. These will inform the Young Foundation workshops where the key principles will be applied in practice through a patient centred, multi stakeholder discussions regarding service redesign for those individuals with multiple needs/long term conditions.

Engagement Workshops – The Young Foundation

“We rarely have an opportunity in single organisations to think beyond the challenge of the immediate. This is an opportunity to bring together people from a range of current organisations and together hear from citizens – an opportunity unlikely to arise again soon”. Anne Clarke, Head of Adult Social Care, Directorate of Adult Services and Health, Worcestershire County Council.



Comments following this event included:

Carole Cumino, Chief Officer, Worcestershire Association of Carers and Health and Well-being Board VCS Reflector: "The discussions at the workshops showed that patients, carers and the voluntary sector can work with health and social care professionals to reshape services to make them ‘person-centred’.  If we can maintain the interest and enthusiasm generated at the workshops, we stand a real chance of making changes which will benefit us all."

Susan Harris, Director of Strategy and Business Development, Worcestershire Health and Care NHS Trust:   “The contributions and reflections were thought provoking and it really did seem like a new way of working, learning from the stories from patients and working through what might be possible together”.

See Presentation



This workshop, repeated in the 3 CCG areas, is a practical workshop to put the needs and wants of patients/consumers at the centre of care, to shape a joint integrated health, social care and early intervention offer. The aims and objectives of the workshop:
• Identify the problem and opportunity for change
• Imagine a new future
• Design and craft a new joint integrated delivery model


Drawing on champions from the first phase of workshops we will explore and understand what a joint, integrated health and social care offer looks like on the ground; where we imagine that we are not constrained by the current world. By applying the insights and ideas generated in the first phase of workshops, we will test assumptions with ‘live’ situations across the health, care and prevention/early intervention areas to establish if the theory can work in practice and what new outcomes this can deliver. Those who attend the second stage, ideally need to have experienced the first stage of the process so they can champion the development of the application stage and make things happen at during and beyond stage two.

Following the workshops, the Provider Collaboration Board, with support from local CCGs, The Young Foundation and NHS Arden Commissioning Support will work through the proposed solutions to prioritise which ideas are unfeasible, which can be implemented quickly, which ideas require investment/resource and which need prototyping to test the viability and build an evidence base.


• Engage large groups of people to resolve complex challenges
• Give voice to patients and service users, carers, doctors, nurses, social care workers, clinicians and other professional service providers and commissioners
• Create a new shared vision and democratise the innovation process
• Design and craft a new joint integrated delivery model
• Explore and seek new ideas by instigating new conversations, gathering new insights
• Collaborate and uncover game changing ideas to trigger disruptive innovation in the field of Long Term  Conditions