The People’s Parliament in Sandwell: What good coproduction looks like to us 25th October, 2016 18th October 2016

Mental Health Parliament MP Lucy Dunstan Leon Blake Mental Health Parliament MP Lucy Dunstan Deputy CEO, Changing Our Lives Both

Sandwell’s Crisis Care Concordat Action Plan 52 people with lived experience of mental health crisis coproduced the action plan. The Peoples Parliament is currently working on the priorities which have emerged from the Crisis Care Concordat and updating the Crisis Care Concordat action plan in partnership with SMBC and CCG commissioners so that it reflects progress and work still to be achieved. The action plan will cross reference: The Quality of Life (mental health) standards 2016-2017 CCG Improvement and Assessment Framework The second version of national Crisis Care Concordat action plan The CCG 5 year Forward Plan Lucy

What is the People’s Parliament? The People’s Parliament is a strategic body led by MPs with lived experience of mental health difficulties. Its function is to hold decision makers to account for improvements in services and supports so that people who experience mental health difficulties can have an improved quality of life and be in greater control of their own wellbeing.  Leon

The Parliament is rooted in Changing Our Lives’ rights based approach; it is not a platform for consultation or a vehicle to hear ‘user views’. The Parliament takes key strategic issues that affect the lives of local people and working in coproduction with senior decision makers (e.g. Health and Wellbeing Board) and local commissioners, develops solutions that put people in greater control of their own lives. Leon

Changing Our Lives invest in local people through a leadership development training programme. MPs are the people that are successful within this programme and go on to lead the work of the Parliament. This means you may only ever see us! Further opportunities for leadership development enable MPs to strengthen skills, understanding and knowledge to enable us to fulfill our role. Leon

We take a community development approach We take a community development approach. This means we have and will continue to work with local people with recent lived experience of mental health difficulties to inform the strategic decisions that the Parliament makes. The nature of mental health means that MPs can sometimes be unwell or in crisis, so regular personal development sessions help to support us in our personal lives as well as our work. Leon – White Paper was developed and launched at the first Parliament

The Quality of Life (mental health) standards The Quality of Life (mental health) standards were developed in coproduction with people who have either current or recent lived experience of mental health problems. People themselves know their own situation best and it is only by working together with people on the basis of equality and trust that real solutions can be created that lead to positive change and meaningful outcomes for people. Leon – first bit of work to come out of the Parliament

The standards start from the principle that we are all able to live an independent, ordinary and full life with the right support. We all need support in our lives and we are all interdependent. Good mental health is everyone’s business and no one should have to face a mental health problem alone.   Leon

The standards are based on a human rights approach The standards talk about people being in control of their own lives, having the chance to take part in social and educational opportunities, training, volunteering and employment, as all of these things support the process of individual recovery. The standards focus on: prevention wellbeing recovery independence Leon

empowering people to lead the lives they want to lead The standards expect services and supports for people with mental health problems to have the overarching aim of: empowering people to lead the lives they want to lead to keep themselves and their families healthy to learn be able to work be active in safe and resilient communities   Leon

The standards are split into two areas: The basics Being in control of my own life My voice The way people work with me Mental Health Crisis Support Before a crisis During a crisis Recovery and staying well   Leon gives a personal overview of some of the areas that are important to him and why

Using the standards Lucy

The Quality of Life (mental health) standards have been coproduced with local people with current or recent lived experience of mental health problems because we believe that people themselves know what good recovery focused support should look like. Coproduction is a simple idea. It's about individuals, communities and organisations having the skills, knowledge and ability to work together, create opportunities and solve problems. People’s needs are better met when they are involved in an equal and reciprocal relationship with professionals and others, working together to get things done. This is the underlying principle of coproduction. It’s about co-designing, co-developing and co-delivering. The standards are a tool that can be used in a variety of ways to drive change. We want to use them in three key ways. Lucy

1. Person centred reviewing Quality of Life reviews are a person centred way of checking the quality of a service from the perspective of people who use the service. Reviews will be led by trained leaders from Changing Our Lives who have lived experience of mental health services. This is a paid role. Lucy

Each review will vary in methodology but all will have two key elements: investigation and exploration of patient experience and the development of best practice. Standards will be written into service specifications by the CCG and the Local Authority. The CCG are currently working on this and this will happen at the Local Authority as contracts come up for re-tender and as new services are developed. The standards will therefore become a contractual obligation. Lucy

2. Practice development Programmes of practice development co-led by people with lived experience will be delivered to teams of staff working in mental health services. The sessions will be crafted very carefully dependent on the needs and approaches of each team and sessions take a very developmental approach. The standards are used to inspire and stimulate recovery focused approaches, challenge assumptions, shape thinking and stimulate cultural change in working practices. The practice development sits hand in hand with the work of the reviews by tackling the issues that were identified. Lucy

3. Ideas Festivals An Ideas Festival is a tool for working in coproduction with a focus on people with lived experience of mental health problems and the community. They may also involve service providers and commissioners to generate ideas. These events are creative and will be used to bring the community together to develop new, exciting and innovative ideas and solutions to develop services and supports for local people. Some of the ways we want to use this approach include Developing community places of safety in Sandwell Creating a consortium of employers who are positive about employing people with mental health problems Lucy

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