Co-production in the care market
We recognise that people using services and their carers and communities are experts in their own lives and are therefore essential partners in the design and development of services. We work to create meaningful opportunities for leadership and engagement with people, including carers and the wider community, in decisions that impact on the use of resources and the shape of services locally.
We also work with providers through our market dialogue processes and engage locally through our locality provider forums, as well as addressing the improvements identified through our market engagement process begun in 2016. We will co-produce new costing models to support new, more flexible contracts and introduce new frameworks to replace outdated accredited list systems.
We expect all our providers to co-produce both at an individual level, for example through planning person-centred care and innovating to get it right for individual needs, and at a service level, for example, by providers designing how their service works with the individuals who use it. Going forward we will anticipate seeing more evidence of co-production impacting on outcomes.
We already have some great examples of where co-production has had a positive impact on the care market in Norfolk:
In Norfolk there are around 94,000 unpaid carers, looking after a family member or friend. We are committed to supporting unpaid carers in Norfolk, to care confidently for family members or friends, and remain independent, resilient and well. Through co-production, a model has been developed that will focus on what matters to carers to enable those people who are unpaid carers to:
- Promote, maintain or increase independence
- Create and increase resilience
- Care with confidence to avoid crisis
- Achieve what matters to them
To develop our plan we listened to carers, people and providers working with carers and organisations that advocate on behalf of carers to put together these plans. This has included:
- We met with the Carer Council for Norfolk Board of Trustees and listened to carers at the five locality network meetings.
- We considered the Carer Council for Norfolk and Healthwatch survey looking at how outcomes from the Carer Strategy for Norfolk were being met.
- We co-produced a survey and asked members of Your Voice and carers to respond – 250 people did.
- We met with Norfolk Carers Support to listen to their experience of work with carers.
- We met with the Making It Real Board for Norfolk and listened to their views and experiences of being a carer.
The Making It Real Group said: ‘This work shows how co-production should be done. It should be written up as a best practice model.’
Norfolk County Council and NHS Clinical Commissioning Groups in Norfolk and Waveney have worked alongside people that use learning disability services and a wide range of stakeholders in leading the Transforming Care Partnership in Norfolk and Waveney.
Informing, involving and engaging with people who use learning disability services, carers and families is at the centre of Norfolk and Waveney’s Transforming Care Partnership, and co-production continues to underpin all design, decision-making and delivery over the next two years of the project.
An ‘Experts by Experience’ Panel steers co-production across the workstreams involved in Transforming Care, and provides representation of people who use learning disability services at the Transforming Care Implementation Steering Group.
We established the Co-production and Redesign group which was launched in November 2016 and many of its members have been involved in the process from the beginning. The group continues to be well attended by service users, family carers, housing association, NSFT, Norfolk County Council and Norwich City Council.
The group developed three key papers which form part of the service specification and will be discussed further within the competitive dialogue process:
- Outcomes have been developed by co-production and redesign
- Service outline for services for women only have been developed by woman only members of the Co-production and Redesign group
- What do you think is a good model of service in the following areas a) peer support, service user involvement and co-production; b) recovery?