Date post: | 09-Jan-2017 |
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Healthcare |
Upload: | marie-ennis-oconnor |
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3 WAYS TO DO
HEALTH CARE IMPROVEMENT
• Don’t listen very much to users and do
the designing for them
• Listen to users then go off and do the
designing for them
• Listen to users and then go off with
them to do the designing together
Paul Bate, 2007
“Co-production is a relationship where professionals and citizens share power to
plan and deliver support together, recognising that both partners have vital
contributions to make in order to improve quality of life for people and communities.”
Source: nef/NESTA (National Endowment for Science, Technology and the Arts UK)
Co-production Critical Friends
Edgar Cahn in his book No More Throw-Away People relates the parable of the
Blobs and Squares to explain
co-production.
THE PARABLE OF THE BLOBS AND SQUARES
STAKEHOLDERS
patients
service users
carers
front line staff
communities
health professionals
researchers
industry
policy makers
#4 INNOVATION
seeing things from different points of view leads to new perspectives and greater innovation
use co-design when…
• Starting a new service improvement project.
• Developing a new process, product or service.
• Exploring a specific service issue, e.g. reducing waiting times.
• Wanting to understand services from the patient perspective.
• Implementing changes.
FOUR CO-DESIGN PRINCIPLES
1. Prioritise the patient experience
2. Trust the process
3. The ‘means’ is as important as the ‘ends’
4. Acknowledge the patients’ contributions throughout the process
#3 The ‘means’ is as important as the ‘ends’
What would this look like?
The social outcomes
of co-design work
are just as important
as the co-design outputs
OUTPUTS
some ideas…
• Assistance to attend meetings (travel expenses, accommodation, etc)
• Personal thank you cards after workshops or other events
• Celebratory events when improvements have been made
• Written recognition in publications, reports and website
STEP 1 ENGAGE
who needs to be involved?
engage them early in the process
ensure engagement is meaningful
PRINCIPLES OF GOOD PRACTICE
1. The improvement initiative should be designed and undertaken in a way that ensures its integrity and quality
2. All people who are involved, must be informed fully about the purpose, methods and intended possible uses of any information they provide
3. All participants must formally consent to the use of any information they provide, including attribution of quotations, film extracts, etc
4. All people involved participate on a strictly voluntary basis, free from any coercion and able to withdraw at any time without need for explanation
5. All people involved must not be knowingly exposed to harm or distress
6. Privacy and confidentially must be respected as requested
(Ethical Considerations for Experience Based Design: 2007)
www.institute.nhs.uk
some thoughts
• Lack of time
• Accessibility
• Entrenched thinking
• Reluctance to cede power
• Tokenism
• Balance of power
• Trust
STEP 2 PLAN
establish the goals of your
improvement work and how you might go about achieving them
ensure you have adequate funding and
organisational commitment in place to see the process through
map assets
ASSET MAPPING
• The resources, including the skills, knowledge and networks which people and communities have to offer
• Transforming the perception of people from passive recipients to equal partners
STEP 3 EXPLORE
learn about patient experiences
how are they treated?
how would they like to be treated?
what outcomes do they want?
STEP 4 DEVELOP
turn your ideas into specific improvements
what are the desired outcomes of this work
for patients and their communities?
STEP 5 DECIDE
brainstorm as many specific goals and ideas as
you wish, then narrow these down to two or
three key goals and ideas