Co-creating health in Abertawe Bro Morgannwg

Our Associate Director Andy Phillips is also Director of Therapies and Health Sciences in ABMU, he’s just about to finish his PhD, he’s in the middle of packing for a move to New Zealand, AND he has found time to pilot a ‘Co-creating Health Framework’ which is based on co-pro principles of equality and assets.

The Framework consists of nine elements that can be used by clinicians in establishing a co-creating health interaction with patients.  The framework supports clinicians to use all or few of the elements within the interaction and is intended to be iterative rather than prescriptive.  Here’s the poster that goes with the Framework, which outlines a very specific role for the clinician:

Within the co-creating health framework, the role of the clinician is to:

    • Prepare self and patient for interaction
    • Assess the ability of the patient to manage their own health and well being
    • Acknowledge patient expertise
    • Work collaboratively with both the patient and clinician agenda
    • Understand potential outcomes for patient according a number of ‘care aims’
    • Ensure patient understands their condition
    • Ensure patient understands benefit and dis-benefit of potential options
    • Support patient to make decisions about options available to them
    • Support the patient in managing their condition
    • Provide effective treatment or ensure these are put in place
    • Support patient to change their health behaviours where appropriate
    • Review patient outcomes and discuss further options as necessary
    • Ensure that the patient understands when no further progress towards goals is possible and then discharge or refer on as appropriate
    • Understand the likely outcomes for patients by undertaking routine clinical audit and review of the evidence base and findings of clinical research.
    • Continuous engagement in service improvement to offer new interactions
    • Report outcomes of clinical audit to service designers, engage in service redesign activities-particularly to prioritise prevention

So how on earth do we measure it?…
Evaluating co-production: pragmatic approaches to building the evidence base

Catherine Durose, Catherine Mangan, Catherine Needham, James Rees, University of Birmingham 

The authors of this 2014 paper suggest that co-production is ‘one of the few positive storylines in the public service narrative of long-term austerity’. They also acknowledge that we still lack compelling evidence base and suggest two reasons: ‘first, the breadth of the term, its lack of programmatic consistency and its focus on relational aspects of process in an era when performance measures focus on outcomes and impact; and second, the shifting parameters of what constitutes evidence-based policy within government, with conflicting messages about the value of qualitative and case study approaches making it hard for people working in co-productive ways to understand what kinds of evidence are required.’ The authors go on to discuss three potential responses to these limitations, with major implications for traditional approaches to the meaning and purpose of ‘evidence’.


Can a complementary currency help end poverty? A Q&A with John Boik on Shareable

What role do complementary currencies play in alleviating poverty, creating income equality, and building sustainable communities? According to John Boik, a vital one. Founder of the Principled Societies Projectand author of the book Economic Direct Democracy: A Framework to End Poverty and Maximize Well-Being, Boik designed a multi-faceted framework for local democratic systems of which a complementary currency is a key element. A computer simulation model that describes the book’s proposed local-national currency system saw median and mean take-home family income more than double, income inequality nearly eliminated, and the unemployment rate drop to 1 percent over the 28-year simulation period. Shareable connected with Boik to learn more about his framework, the role that the complementary currency plays in it, and what needs to happen for real-world application of the model.

Why the NHS is the greatest social leveller deaf and disabled people have

By Rebecca Atkinson
“Growing up with the NHS also fed into a sense of identity, one where I was not reliant on the charitable benevolence of others to give me access to sound, but one where I just received it without question, the same as the next person or the one after that, regardless of who we were or what we had in our pocket. And for a child growing up deaf or disabled what more important message is there than to tell them they are equal to others. That their financial or social position won’t impact on their medical chances, they won’t have to stand cap in hand, or watch a richer person hear the world with hearing aids or a cochlear implant whilst they can’t afford to try out anything but the deafness nature gave them. Harry Smith told the Manchester conference that Britain ‘must never let the NHS free from our grasp’. I can only agree.”

Only the compassionate will survive

Only the compassionate will survive
“We need models which foster greater equality, greater participation and can give employees and the wider public a sense of control over their lives – all actions identified as contributing to wellbeing.” (Steve Mandel)
We now know that if we were all selfish, all of the time, we would be extinct. Co-operation pays in a vast range of scenarios: world peace, boosting business, shrinking the gap between rich and poor, increasing self-worth and personal wellbeing, and benefiting the global environment. Science is showing that co-operation is key to our survival, and intrinsic to our nature, and for co-operation to thrive at any societal level, communication is imperative. Selflessness really does pay.

Quote: Co-production and Social Care Assessment

Co-production and Social Care Assessment

‘In my view the current social care assessment is person-centred in that it takes into account the views of the people who use the service and family who support them. However it is questionable if this is true co-production. Are these views taken at equal value to those of the social worker? If not, than this is not real co-production. For real co-production to take place within the social care assessment framework, there will have to be a real chance for people who use services to have an equal say in the outcome of the assessment’. Martin Yates, Chief Executive, Northern Independent Living Ltd