Co-production and Commissioning Laura Able and Pete Fleischmann

Who we are

What we will talk about  Why is advocacy important?  What is co-production?  Why is it important to co-produce the commissioning of advocacy?

Why it is advocacy important?  We are all vulnerable at some points in our life  We all need support  We all have human rights  We live in a democracy

What is co-production “Co-production is a relationship where professionals and citizens share power to plan and deliver support together, recognising that both have vital contributions to make in order to improve quality of life for people and communities.” (Co-production critical friends group) “Co-production is about developing more equal partnerships between people who use services, carers and professionals.” (SCIE )

Some quotes from IMHA users On the system… “ it seems to be like a web these hospitals, once you get caught up in it it’s very hard to get back out of it.“ On being told they were on a section... “If they did, it didn’t go in anyway, it all went over my head. I just wasn’t with it." On understanding their right to IMHA... “I didn’t know I had the right and I wasn’t the type to pursue it anyway, I didn’t have the courage or the inclination or my sense of my rights to do that.”

SCIE’s Jigsaw Model

Culture (Organisations' cultures are the beliefs and values that shape them and the way they work)  develop their culture so that co-production runs through the whole organisation  build their culture on a shared understanding of what co-production means  make their culture risk-aware rather than risk-averse.

Structure (The way the organisation is arranged and the systems it has set up to carry out its work)  involve users and carers from the start  value and reward everyone who takes part in the co- production  ensure there are resources to cover the cost of co- production  have a plan to make sure that everyone is able to communicate with each other  build on existing structures and resources.

Practice (How the organisation and the people who work for it carry out their work)  making sure that everything in the co-production process is accessible to everyone taking part  ensuring everyone has the information they need to be part of co-production and decision-making  providing training for everyone in co-production and any other skills they will need  making sure that staff have time, resources and flexibility

Review  regularly reviewing to ensure that co- production is making a real difference  co-producing these reviews and evaluations  using the findings from review processes to refresh co-production and support continuous learning.

Why it’s important to co-produce commissioning of advocacy  Commissioning is central to service quality  Common sense to include service users  Incorporate service user’s perspective from the beginning of developing a service and throughout  Cost benefits  Service more likely to be well aligned with community

Good practice: Co-production in commissioning  Honesty  Ownership  Being open to challenge  Co-production at each stage  Paying people  Involvement in the tendering process  Monitoring