1. GP and Clinical Lead for Children and Young People
Welcome
Dr Bhumika Mittal
GP and Clinical Lead for Children and Young People

2. Voting Q1 How well do you understand co-production? (Scale 1 – 5)
Q2 How big a priority do you feel improving children and young people’s emotional wellbeing is?
(High, medium, low, don’t know)
Q3 As an individual, how interested are you in this work?
(Scale of 1 to 5)

3. Co-Production: An Appetite For Change Head of Integrated Commissioning
Daniel Taegtmeyer
Head of Integrated Commissioning
and Transformation
18 January 2018

4. Emotional Wellbeing, Mental Health Children and Young people
50% of all adult/lifetime mental illness first presents by age 14yrs, 75% by age of 24
A quarter (23.2%) of Bromley’s population is between 0-18 years (2014).
National prevalence rates suggest 1 in 10 children and young people will experience difficulties with their emotional wellbeing and/or mental health in Bromley

5. CAMHs Transformation Plans and “Future in Mind”
Future in Mind – Government commitment and strategy to improve emotional wellbeing and mental health of CYP populations
Theme
Promoting resilience, prevention and early intervention
Improving access to effective support – a system without tiers
Care for the most vulnerable
Accountability and transparency
Developing the workforce
Co-design future system and service models with CYP and communities

6. Bromley CAMHs Transformation Plans 2015 – 2018 : Principles
Increasing capacity across the system
Reducing waiting times
Increasing access to services
Offering the right support at the right time in the right place
Improving patient experience of services
Laying the ground work for system redesign – a proactive model
Leveraging in co-design and co-production principles.

7. We can only achieve change if we collaborate.
Transformation
We have made a start but there is much more for us to do:
We can only achieve change if we collaborate.

8. For Consideration today….
A system that supports children and young people to keep well
Citizens are assets to families, communities, providers and the system
No child or family is overlooked
Reducing crisis presentations and Deliberate Self Harm (OD)
Improving the crisis care offer
The role of peer to peer support
Developing consistent approaches to risk assessment, risk management and risk tolerance across all agencies
Reducing school based and social media stress
The role of digital assets to support communities
0 -25 years service model
Delivering care closer to home
Valuing a skilled, confident multi-disciplinary workforce

9. Design From Within
We care about the wellbeing and future of all our children and young people
Children and Young People are placed front and centre in all our reflections, planning and discussions.
Tackling stigma and genuine listening to children and young people
Co-Production and asset based approaches align with our values, facilitating a shift in approach to designing and delivering services
For sustainable change we need champions and partners who are keen to learn, engage, innovate, actively contribute, co-design and ultimately co-own the system with citizens

10. What is Co-production Juliana Ansah, Co-production Manager
Helen Sharp, New Economics Foundation  

11. Co-Production refers to an approach to service delivery that radically reimagines the traditional dynamic of expert service-deliverer working on behalf of the passive end-user. Instead the design, delivery and review of services are undertaken by both professionals and service-users/citizens.
A co-production approach envisages a relationship of mutuality between services and service user, at all stages of a service’s life. It recognises that all parties have vital contributions to make to improve the quality of life for people and communities

12. Six principles of co-production
1. See people as assets
2. Building on our capabilities
3. Developing mutuality and reciprocity
4. Blur distinctions between producers
& consumers
5. Grow people’s networks
6. Facilitating not delivering

13. Co-production in Bromley Co-production research in 2016 Outcomes

14. Co-production Project Co-production Manager
Juliana Ansah
Co-production Manager
What we plan to do
Where we are to date

15. Co-production Timeline
OCT
NOV
DEC
JAN
FEB
MAR
APR
MAY
JUN
Youth Forum
Core Steering Group
INSIGHT
DESIGN
TESTING
REPORT
Local
Event #1
INTERACTIVE Testing event
End of January—an event in each cluster
Quick
Win
Testing
-Create visual indicator
-Meet Community Services
-Develop Core Group
-Read Relevant Reports
-Create Monitoring Docs
-Develop surveys and
focus groups
Local Event #2
EVENT
Local Event #3

16. Co-production Project
Feedback so far
Analysis of responses
Feedback from AAC and Y13 focus group

17. Surveys
The CCG have received over 1200 completed surveys from CYP in Bromley in 5 week.
AAC survey
Easy read survey
Paper survey
Online Survey

18. 1. Who/what helps you to stay emotionally well?

19. Focus Groups

20. Who are you most likely to share news with when you are emotionally well?
A year 13 class at a grammar school (left) and a year 9 class in a girls school (above)

21. Who are you most likely to share news with when you are NOT emotionally well?
A year 13 class at a grammar school (left) and a year 9 class in a girls school (above)

22. Data is still being collected

23. Voting
Please use Mentimetre to vote for two outcomes from each section
Bromley CYP Outcomes Framework for Mental Health Services
External Factors
Good Functioning
Personal Resources
Supportive friends and peers
Relatedness peers and adults
Empathy
Confidential services
Autonomy
Self-esteem
Community belonging
Choice
Patience
Close family
Emotional intelligence
Accepting emotions
Wellbeing focused schools
Community connectedness
Directing emotions

24. Where in Bromley do the top six outcomes already exist?
Mapping
Where in Bromley do the top six outcomes already exist?
Using post-it notes, write down each of the top six outcomes and place each one on an area that is currently achieving that outcome. Service sheets are on your tables.

25. Reshaping the way we work
Please use the expertise and resource around your table to help build, draw or design a system which illustrates one of the top six outcomes.
35 minutes

26. Reshaping the way we work
Each table to explain the model for your outcome
1 min per table.

27. Challenges and pledges
What do you think are the challenges to this approach and what is needed to overcome these?
10 mins
How can you pledge to support this work? Please write your individual pledges on the cards provided and hand into your facilitator.

28. Voting Q1 How well do you understand co-production? (Scale 1 – 5)
Q2 How big a priority do you feel improving children and young people’s emotional wellbeing is?
(High, medium, low, don’t know)
Q3 As an individual, how interested are you in this work?
(Scale of 1 to 5)

29. Thank you all for your participation.
Finish
Thank you all for your participation.
What happens next?
Nazmin Mansuria, Senior Commissioning Manager (Children)

30. For more information about Co-production in Bromley and how you can get more involved email:

31. Details of the New Economic Foundation (NEF) CYP Emotional Health and Wellbeing Report can be accessed here:
Report