1. Self employed trainer and worker in mental health service development
Working together
Iola Davies
Emergence CIC-South West KUF (National personality disorder training) manager
Self employed trainer and worker in mental health service development

2. Theoretical approaches
Health Foundation Document 2010 (Realp and Wallace)‘What is co- production?’
‘In the 1970s,social policy recognised how users can make a difference to the quality of services they receive when they participate in the delivery of the public service themselves.’
‘One approach, which emphasises the importance of the collaboration between service providers and users, is co-production. It is also known as co-creating services, whereby service recipients are involved in different stages of the process, including planning, design, delivery and audit of a public service (Boyle,Clarke and Burns 2006a;Needham and Carr,2009).’

3. Working together in clinical settings
‘Collaborative co-production requires users to be experts in their own circumstances and capable of making decisions, while professionals must move from being fixers to facilitators.’
‘Patient centeredness describes the relationship between clinicians and patients as a meeting of two experts, each with their respective knowledge and skills.’
•Health Foundation Document 2010 (Realp and Wallace) ‘What is co-production?’
Working together in clinical settings

4. Why is working together important?
Many reasons?
Personal development of service users and staff.
At the organisational level
For services to respond to patient feedback so that services best meet the needs of the people in their area in terms of the variety, quality and quantity of services offered and do not waste money by providing inappropriate services that limit the recovery of patients.
For patients and staff to work together at all stages to develop services to help best fit the needs of their local population e.g. patients on service steering groups etc’.
‘Patient involvement in South West Talking Therapy (IAPT) services’(SWDC 2011)

5. Working together in Bristol
Crisis house - 20 year plus campaign led by service users , working with staff
Outcomes: two crisis houses, one for women, one for men funded by Bristol CCG
Very positive evaluation report from service users, staff and commissioners
Tender of mental health services in Bristol
Concerns expressed by service users,GPs,carers,etc
Outcomes: public engagement events, out to tender, joint working on service specifications, project and evaluation teams

6. Working together; what is important?
Some ideas?
Shared aims
Working together from the beginning
Time and perseverance
No ‘them and us’
Parity of esteem (really believe it!)
Recognition of strengths and different types of expertise
Respect and support for each other
We can make a positive difference together!