co-production of services with local people, the benefits, issues, and examples of success

Sam Palombella

Director of Northumbria

information

www.nesta.org.uk

background• Marginal choices – between almost identical systems

• Centralised decision-making – target regime

• Prioritising processes over outcomes – contractors paid by activity re-admissions

• Manufactured demand – focusing on needs disempowers users what can they contribute?

• Efficiency too narrow in focus – wider social and environmental benefits of service

• Birmingham Total Place pilot – 2% health funding spent on preventing ill-health

definitionCo-production means delivering publicservices in an equal and reciprocal relationshipbetween professionals, people using services,their families and their neighbours. Whereactivities are co-produced in this way, bothservices and neighbourhoods become farmore effective agents of change.THE CHALLENGE OF CO-PRODUCTION, David Boyle and Michael Harris, Dec 2009 (NESTA)

co productionCo-production:• shifts the balance of power,

responsibility and resources from professionals more to individuals, by involving people in the delivery of their own services.

• allows for innovation about how services are designed and delivered, by expecting professionals to work alongside their clients.

THE CHALLENGE OF CO-PRODUCTION, David Boyle and Michael Harris, Dec 2009 (NESTA)

e.g.Nurse-Family Partnerships – coaching by nurses

to 1st time mothers on low incomeKeyRing – supports people with LD to live in

own homes by embedding them in mutually supportive local networks

Taff Housing – volunteering credits earned by tenants (Rugby Club or Arts Centre)

how does it work?• Recognising people as assets• Building on people’s existing capabilities• Mutual and reciprocal• Peer support networks• Blurring distinctions• Facilitating rather than delivering

benefits• delivering better outcomes• preventing problems• bringing in more human resources• encouraging self-help and behaviour change• supporting better use of scarce resources• growing social networks to support resilience• improving well-being

Challenges/issues• Commissioning co-production activity –

broad and evolving service provision

• Generating evidence of value – who’s paying for what?

• Scaling up successful co-production - in-built bias to incumbent delivery model

• Developing professional skills – shift from a culture of “caring for” to enabling and facilitating

potential...• Adult social care & elderly care• Health care• Mental health care• Supported housing• Criminal Justice & Community policing• Education, EYFS, youth services, childcare• Welfare to work• Regeneration – ABCD (Bensham & Saltwell)

healthy parks healthy minds

• Working with an ‘assisted volunteering’ model, clients referred from local mental health services are encouraged to enjoy and benefit from nature and green spaces, learn new skills and increase their confidence whilst giving something back to their local community.

• ‘Pop-Up Allotments’ Provision of open-access growing spaces that challenge perceptions of the area and enable leadership from young people.

• ‘Make a change’ events – stimulate ideas, informal training and advice direct to local people who want to get involved.

• Walks and events to stimulate identification of ‘community assets’ Local champions will deliver walks and activities to get people thinking about the assets (both land and people) that the community has, countering the argument that Peat Carr and Moorsley ‘have nothing’.

• Reward those already making a difference in the community through Peat Carr and Moorsley Local Heroes awards.