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

2. Coproduction
Research and the Model for Improvement
Sharing the agenda

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

4. 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

5. 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

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

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

8. 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

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

10. 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

11. 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

12. Thank you
Any questions?