1. WELCOME Introduce myself – intro’s in a moment
Why are we here – HPFT signed up to MiR and “I” statements so we can work together to improve peoples experience of personalised health, care and support.
Today is about bringing together people who use, work within or commission our services and our community partners to start our journey.

2. Our Journey So Far….

3. The Well-being PrincipleMy
Well- being
The individual's contribution to society
Suitability of living accommodation
Domestic, family and personal relationships
Social and economic wellbeing
Work, education, training or recreation
Individual control over day to day life
Protection from abuse and neglect
Physical and mental health & emotional wellbeing
Personal dignity
“The general duty of a local authority, … in the case of an individual, is to promote that individual’s wellbeing”
Influence and lobby

4. Building the case….
“The general duty of a local authority, … in the case of an individual, is to promote that individual’s wellbeing”
Influence and lobby

5. Great Care, Great Outcomes.….
Our vision for “Making it Real”
Great Care, Great Outcomes.….
….delivered through achieving the “I statements” throughout HPFT service delivery
The importance of valuing and improving peoples experience, journey and outcomes. Much talk about outcomes as if these are a separate goal but supporting people to improve their lives is intrinsicy linked to their experience of the process of assessment and care planning and support and relationship that they have with those who support them.

6. Getting ‘the voice of the person’ into improvements
If we are striving towards delivering services that deliver ‘Great Care, Great Outcomes’ we need to ensure that these are improved towards the needs of the people using the services and their carers
We can do this in a number of different ways that would range along a continuum:
The closer to integrated co-production we are, the more the improvement is likely to best meet peoples needs

7. HPFT Co-Production Statement
Co-analysis
Co-design
Co-creation
Co-delivery
‘Sharing planning and responsibility for positive change’
Co-produced service development
Recognises Service Users, Carers and staff as vital planning partners
Identifies areas of development, risk or concern; to meet a need, not just provide a service
Is based on mutual trust, honesty & transparency
Enables working together to follow and promote the Trust’s values
Promotes equality and diversity – challenging stigma and valuing different experiences
Encourages good communication and jointly co-produced work at all levels and on an ongoing basis
Provides education and awareness about good practice in co-production

8. How did we know what to do?
National Service User Survey (2014/2015)
Participation
Communication
Effectiveness
Quality
Having Your Say Carer Survey (2015)
Involvement
communication
Own wellbeing needs
Having a contingency plan
Professionals/staff and service users and carers are not all separate entities. Many people working within out trust have lived experience of mental ill health
Even if this is not the case nearly everyone has experienced health service themselves or support family friends and therefore can understand what is important to them i.e. information –
What did people using our services say we needed to improve…..
National Service User Survey
Participation - “agreed with someone what services you will receive” “do people help you with what is important to you”
Communication - “did you know who was organising your care” “information on peer support”
Effectiveness – “what impact have changes of care had on the services you receive” “support with physical health needs” “support with accommodation” “support with engaging in community”
Quality - did you get help when you tried to contact them” “do people help you feel hopeful about what is important to you”
57% of carers felt hopeful about the future
Nearly 40% of carers felt that their caring responsibilities impacted negatively on their own mental wellbeing
44% of carers felt that their caring responsibilities impacted negatively on their own physical wellbeing
Less than half of all carers were involved in the discharge planning and support of the person that they cared for
38% of carers had a crisis / contingency plan

9. Obstacles / problems to be overcome and opportunities to be realised
MiR Priorities – the interim steps to HPFT achieving the “I statements”
Obstacles / problems to be overcome and opportunities to be realised
Achieving the
“I statements”
We will move forward by setting our MiR priorities and the small steps that we need to take towards them.
We will not know how we will get there now but we will learn on our journey together.
Once we have reached that point and achieved the MiR priorities, we will define our next MiR priorities and head towards them continuously improving as we work towards achieving the “I statements”

10. Our Priorities

11. Why it is set up and what it does
MiR Board – structure
Why it is set up and what it does
Board purpose
To set priorities for the Making it Real action plan
To evaluate progress towards the identified priorities
To promote a co-productive approach to achieving the TLAP “I statements”
Communicate the Making it Real activities both internally and externally

12. Developing the action plan
Identified the priority leads
Set a timescale for producing drafts
Co-productive thinking together in small group to identify high level actions and expected improvements
Supported session in planning tasks and how to deliver through others
Aligned ongoing organisational improvement work with MiR so not all band new but improve and co-producing what is in progress
“you have to start somewhere, get on a moving bus as there is momentum. People involved welcome additional help, resource, profile that MiR bring and motivating and easier to embed MiR and get group together and delivering change.

13. NEXT STEPS 3 month monitoring checkpoint (14th July 2016)
Next board early November 2016 – evaluate progress towards the “I statements” and set new priorities