Coproduction in Research and Improvement Dr Danny Antebi WNA 2016 Who am I

Coproduction Research and the Model for Improvement Sharing the agenda

‘This is my truth, tell me yours’. Aneurin Bevan Coproduction ‘This is my truth, tell me yours’. Aneurin Bevan

Working with users of services (1) Consultation What do you think of the services we provide? Involvement Advise us on the design of our services Partnership What services should be provided? plymouth

Working with users of services (2) Acute illness or trauma vs long term condition Treat me as I wish to be treated (just ask!) Whole system, multi-agency approach 1:1 clinical meetings Multi-disciplinary care planning Personal budgets or real influence

Research or Improvement Research – effective interventions Improvement – redesigning services to deliver that effectiveness, efficiently and to an agreed high quality standard

Knowledge Knowledge as a commodity (transactional, factual) Knowledge as an emergent social process (creative, experiential) Don’t be afraid of dialogue

Model for Improvement What am I trying to achieve (outcomes) How will I know I have achieved it (measures) How do I know it is better (health improvements) Save our patients not our hospitals

Measures Outcome measures Process measures (outputs) Health improvements Process measures (outputs) Activity and work Both equally important and necessary e.g. stroke

Sharing the agenda What to research/whose research How to improve What matters to me? New technologies Better outcomes Changes in demand and need How to improve My experience Access, support and advice Technical and care

Strong voices Recruitment, training, planning and monitoring Patient forums and representation (independent funding) Long term conditions are about equality and diversity CHC Patient voice at steering groups Ability to lobby ministers/civil service

Thank you Any questions?