Engaging Communities and the Workforce through Co-production Gerry Power National Lead – Coproduction and Community Capacity Building Shifting the Focus -

What is it? >The public sector and citizens making better use of (and developing) each others assets, resources and contributions to achieve better outcomes or improved efficiency. >(Governance International)

Why is it important? >‘... co-production is essentially about the delivery of public services being shared between the service provider and the recipient... co- production is nothing new... what makes... (it)... topical in the current financial crisis is the expectation that effective user and community involvement may help to improve outputs, service quality and outcomes and reduce costs...’ >Barker, Adrian., 2010, Co-production of Local Public Services, LARCI

Benefits and Risks (1) >Citizens/Communities/Third Sector know things Professionals and Managers don’t! >They have capabilities and assets they can contribute. >Greater service satisfaction is achieved when services are based on people’s needs. >More innovative ideas for service redesign >Savings by de-commissioning or redesigning services that citizens see as either failing or needing improvement.

Benefits and Risks (2) >Expectations! >‘… asking everyone what services should be developed (or cut) can lead to situations where people are encouraged to provide views on services about which they know little and care less…’ (Governance International)

The Challenge ‘… As policy places greater emphasis on individual choice and control through self directed support and person centred care, the role of public agencies as facilitators of service development. rather than only as direct purchasers or suppliers, will also be important. When commissioning is undertaken jointly …activities have to be redesigned to ensure they are fit for purpose in a new multi- agency environment…’ (Institute of Public Care, 2013)

Changing the culture Self-directed support Market Facilitation Co-production Service User Engagement Joint commissioning for better outcomes

ParticipantDevelopment A local authority social care leader responsible for planning and procuring community and residential care. How integrated commissioning of community health and social care services can be used to safely and effectively reduce demand for acute care. An NHS manger responsible for planning the distribution of local acute services. How social care services can be commissioned to reduce acute health demand through better planning and procurement with public, private and 3 rd Sector providers. A 3 rd Sector leader whose care and support services are funded by NHS and local authority grants. How those services can be developed in response to joint commissioning priorities as part of an integrated care network to better meet local needs. A service user in receipt of a complex package of health and social care. How they can play a full role in exercising choice and control to get the service needed, when wanted, and from the people best placed to provide it. A clinical professional responsible with colleagues for implementing locality health and care plans How they can work with specialist colleagues to plan together on the basis of systematic analysis of integrated service data, population profiles and user and community experience.

Engaging Communities >- Culture and Attitudes >- Involvement >- Capacity >- Training >- Education >- Leadership >- What Counts?

>Why - this is necessary. >What – it is we need to do. >Who – needs to be involved. >Barriers and Challenges >So... How?