Co-production in Community Led Health

Engaging Communities – Changing Lives

Jackie Doejackie.doe@nhs.net

Aims :- To give local people skills and confidence to work in co-production with professionals from a range of agencies and organisations

Objectives :-

To use these partnerships to effect changes in communities, which would result in improvements in health care and social well being

Perth and Kinross Healthy Communities Collaborative

Who Are The Teams Made Up Of ?

Community Members

Voluntary and Charitable Organisations

Health and Local Authorities

Action Period

Team building &

scoping4-6 weeks

Action Period

Team building,

Meeting with and

encouragingthose

interested

Feedback Event

The Collaborative Method

Learning Workshop

1day

Information Event

Consultation

Filling out

questionnaires

Community

Engagement

Social

Marketing

Improvement

Methodology

• Overall how satisfied are you with the services for older people in your area?

(Extremely Unsatisfied/Unsatisfied/Satisfied/Very satisfied/Extremely satisfied)

• What do you think are good about the current services (e.g. health, council, leisure, groups, clubs, local amenities etc.) for the older people in your area?

(Please give 3 examples)

• What would you like to be able to do in your area that you cannot currently do?

(Please give up to 3 examples)

• Would you be happy for us to contact you again if we need to seek further views on services within your area?

Sample of Questions from Questionnaires

Report findingsFive main areas of influence

• Discrimination

• Relationships

• Physical Health

• Poverty

• Participation in meaningful activity

The Formula

•Understand the need

•Come up with some ideas

•Test those ideas (PDSA)

•Understand what works and do more of it!

The PDSA Cycle for ImprovementThe PDSA Cycle for Improvement

Act

• What changesare to be made?

• Next cycle?

Plan• Objective• Questions/predictions • Plan to carry out the

cycle (who, what, where,when)

•Plan for data collection

Study• Complete the

analysis of the data• Compare data to

predictions• Summarize

what was learned

Do• Carry out the plan• Document

problems andunexpectedobservations

• Begin analysis of the data

Environmental Audits

Learning new skills

• Computer Classes

• 1:1 mobile phone help

• Digital photograph downloading

• Chair Based Exercise Instructors

• Walk Leaders

• 1St Aid Training

• Food hygiene training

Self sustaining groups

Alyth Lunch and Exercise Club

2 x ½ day staff

Hire of hall

Purchase of ingredients

Cooking equipment

Games equipment

Mobile phone

Lap top with remote internet

Partnership contributions =Stalls/info fromCare and Repair,Tayside Fire,Community PoliceSCARF, Pensions agency, DISIP

OUTPUTSINPUTS

ACTIVITIES

Indoor kurling,Wii interactive computer game

Information stalls with opportunity to get specialist individual advice

Monthly lunch club

PARTICIPATION

Staff x 2

Older people from local community

Partnership agencies

1:1 mobile phone tuition

1:1 support to browse the internet

Light lunch

SHORT-TERM/PROJECT

LOCAL/MEDIUM-TERM

NAT/LONG-TERM

Provide socialising opportunities in local community

Provide exercise opportunities

Provide an opportunity to build relationships

Improved confidence at using mobile phones

Improved confidence using computers

Increased knowledge of services and benefits available

Participation in Meaningful ActivitySomewhere to be, something to do

Physical HealthParticipants become more active

Older people in the project area have improved mental health and wellbeing in later life(Towards a Mentally Flourishing Scotland)

The gap in health inequalities in the project areas is reduced (NHS Tayside Health Equity Strategy)

Relationshipspeople look out for one another and become less isolated

Poverty People are more aware of support agencies and what they provide

Discrimination –reduce inequality about new technology

Appendix 2 Logic ModelProgram: Healthy Communities CollaborativeSituation: Lunch clubs

OUTCOMES / IMPACT

Gaining Confidence-

Presenting at Public events and conferences

Benefits of this work

• Reduce isolation

• Promote Mental Wellbeing • Promote active ageing

• Improve social capital

Joyce’s Story

The success of the HCC

Working in co-production

• reduces costs • maximises efficiency • shares skills and workload • builds community capacity • promotes community development.

And finally, a word from Pat

“The Healthy Communities Collaborative

is such a good idea. A small number of

professionals working in partnership

with unlimited numbers of volunteers,

so that older people can stay fitter and

healthier for longer, has to be good”