Measuring success in co-production
Co-production – where service providers and users work together as equals to develop and deliver services – is at the heart of the way I try to work. But how do we measure how effective it is for everyone involved? Put it another way, what does good look like?
In November I co-facilitated the last of a series of nine events with the Coalition for Collaborative Care, spending a day with each of the of the Integrated Personal Commissioning sites. With our support each site developed its strategic plan for care and support planning, and of course, co-production is key to this.
As part of these sessions a member of the co-production group, shared the graphic of ‘what good looks like’ and a checklist to help people evaluate how they are doing. We developed this checklist as part of the Think Local Act Personal (TLAP) guide to care and support planning and I wanted to share in this blog how we developed it and some ways people can use it.
The TLAP guide to care and support planning
I developed the TLAP guide with colleagues at NDTi, working with local authorities to explore what the Care Act (2014) would mean for councils. Here is a short film summary of this work.
The brief asked me to explore compliance and costs but I wanted to go further and look at whether care and support planning is happening in the way that people want. We need to be both compliant and moving towards what people want and expect from care and support planning. We need to know what good looks like from the perspective of the person using a service.
Setting the standard for co-production
In the guide are ten powerful statements that set the standard for what people want.
We developed these statements with members of the TLAP National Co-production Advisory Group and the emerging equivalent at the Coalition for Collaborative Care. The statements reflect how care and support planning must keep the person using a service at the centre of decision making in a way that maximises their choice and control over their life and services.
We shared stories of people’s best experiences of planning, and distilled the key elements of these experiences into the set of ten statements. I think they are appropriately ambitious and challenging, and set an agenda for what co-production at an individual level looks like.
“Really? I can have this? This is possible?” was the response from one carer when she read them.
A checklist for assessing co-production
From the statements I developed a checklist (please email me if you would like a copy) for both practitioners and people receiving support, with a potential rating of 1 to 5 against each statement.
Here are some of the ways that people can use the checklist:
- To show people what they should be able to expect from services – so that everyone has the same, shared understanding of what good looks like in relation to co-production.
- Within induction and training led by people who use services.
- To inform satisfaction surveys and evaluation – is this what people are experiencing?
- To gather stories of good practice to share across organisations. For example, ask teams to choose their top three stories that reflect the statements.
- For individual self-reflection for practitioners. Where are you doing well? Where could you improve? How can you do this?
- With managers, to agree goals within supervision. A manager could ask for specific examples of how colleagues worked towards these statements in developing care and support plans or in person-centred reviews.
- Within teams to agree team goals to improve co-production. For example: ask everyone to share an example of how they are working towards a particular statement; ask each team member to share their biggest success around another statement; ask each team member to think about what they do that is working/not working around each statement.
- With other managers, for example as a practice group or as part of an organisational development programme.
Please share your ideas: we’d like to work with the co-production groups again to produce a guide to how to implement the statements.