Patient and public involvement encompasses a wide range of different activities.
This can include:
- Providing information to patients and the public to help them access services and make informed choices
- Providing opportunities for patients to feed back on their personal experiences or share their views.
- Engaging with or consulting patients, carers and the public on plans to change or develop local health services. The ICB has a ‘duty to involve’ people and communities when making changes that affect them.
- Actively involving patients in developing services, for example by including them in working groups.
Involvement and engagement with patients should be a continuous process that builds relationships with our patients, the public, and our communities and stakeholders.
Co-producing service changes
Co-production is central to our work of designing and evaluating health and care services. But what exactly does co-production mean?
Co-production is based on the principle of working with patients and the public as partners, who have knowledge and skills to share and to shape what we do.
People who use health and care services or who have ‘lived experience’ of a particular condition are often best placed to shape the support and services they and others receive.
Co-production means involving groups of people at the earliest stages of designing services and in developing and evaluating them. Patients and the public become more than recipients of health and care services: they become active in making changes and ensuring services are effective in making a positive difference to people’s lives.
00:00:00.000 as we grow up we learn that doing things
00:00:02.100 with other people is usually better than
00:00:03.899 doing things on our own more effective
00:00:06.299 more meaningful more efficient more
00:00:09.510 satisfying it’s the same idea at the
00:00:13.500 heart of co-production co-production is
00:00:16.049 a way of thinking about public services
00:00:17.730 it believes it’s better for
00:00:19.740 professionals to design services with
00:00:21.390 communities then provide services to
00:00:23.460 them that way people in the community
00:00:26.340 turn from passive recipients into active
00:00:28.650 partners with professional supporting
00:00:31.289 change not delivering it now here’s the
00:00:35.880 thing co-produce services have been
00:00:37.950 around for a while
00:00:38.940 one example neighborhood watch a service
00:00:42.180 designed by the community run by the
00:00:44.520 community answering needs defined by the
00:00:47.340 community and supported by the
00:00:49.350 professionals in blue co-production in
00:00:52.440 action there’s practical common sense to
00:00:56.340 co-production but co-produce services
00:00:58.800 are also based on principles that
00:01:00.469 services should be co-owned between
00:01:02.550 states and citizen
00:01:03.719 that all people have something of value
00:01:06.060 to contribute and that the process of
00:01:09.299 designing a service should start by
00:01:10.830 tapping into these things looking for
00:01:13.290 ways to use them and help people
00:01:14.700 flourish now what people can contribute
00:01:18.240 might not have monetary value they could
00:01:21.720 be kindness or willingness to care for
00:01:23.610 someone for example but that’s one of
00:01:26.070 the great things about co-production it
00:01:27.750 assigns value to these fundamental human
00:01:30.450 gifts not valued in the money economy
00:01:32.939 but essential for all of us to coexist
00:01:35.270 the core economy co-production is
00:01:39.240 important now more than ever public
00:01:41.729 services are under huge strain
00:01:44.030 co-production is the best way to make
00:01:46.049 these services more economical in the
00:01:47.610 long run and better for the people they
00:01:49.740 serve more effective and relevant since
00:01:53.130 service users help design their own
00:01:54.600 services more sustainable – since
00:01:58.290 engaging communities to plan their own
00:02:00.090 services encourages buy-in and ownership
00:02:02.130 and that’s before the knock-on effect in
00:02:05.000 co-produce services people participate
00:02:07.950 confidence grows networks strengthened
00:02:11.038 taking all the boxes for community
00:02:13.019 resilience and a greater sense of
00:02:14.670 well-being the impact is massive in
00:02:20.159 Falmouth Cornwall co-produced community
00:02:23.189 programs reduced unemployment by 71
00:02:25.500 percent and reduced postnatal depression
00:02:27.659 by 70 percent in Glynco
00:02:31.049 South Wales a co-produced strategy for
00:02:33.900 community safety reduced crime rates
00:02:35.970 from the highest in the area to the
00:02:37.920 lowest in Elian Kyra Cardiff time
00:02:41.939 credits have had such an energizing
00:02:43.590 effect that 600 people have contributed
00:02:46.370 12,000 hours of time in one year we can
00:02:50.819 start making these results more common
00:02:52.670 the first step building the principles
00:02:56.190 of co-production into our organisations
00:02:58.109 visions so when faced with a new
00:03:00.720 challenge our first question is no
00:03:02.459 longer what do people need from us it’s
00:03:05.340 what can everybody give how can we plug
00:03:07.980 this gap together a small change for now
00:03:11.549 a huge step for the future