Coproduction: Core Concepts of Quality Workshop 4 Darzi Blue Cohort

Day 1

The opening of the workshop gave guidance to consider over the following days "Think about application" "Think about what sense this makes" "Think about your assignment"

The group were then introduced to three citizens with experience in co production. Sandi Smith, Lyn Burling and IIrenie Ekkeshis

Plato got a mention...

The language of "co-production" was discussed as to perspectives from as to what this should be named as depending on who is talking about this "whole systems view", "systematic perspective" and "patient perspective" were suggestions depending on which of our professors you asked.

The key to this principle is to ensure that the citizen voice is heard ensuring that Co-production is not mistaken for engagement, that system needs are not framed as citizen needs. There was then time to discuss in groups our experiences of being part of co-production in practice with the guest speakers able to give their perspectives. Feedback from the groups was then taken for the themes that came to light during the discussion:

Our Lived Experience Principles Underlying Co-Production:

  • Everyone was there.
  • A level playing field.
  • Everyone has a voice.
  • Power share- sharing/believing/balance.
  • Where ideas are generated from.
  • Shift understanding about what is important.
  • Bring in assets.
  • Fit for purpose-feedback.
  • Co producing care (Ideology of responsibility).
  • Expectations

Further discussion led to some suggested reading:

Our next guest speaker David Boyle challenged the group to disagree with his talk on Localism, Choice and Co-production.

Numbers NEVER tell you what causes what

The Careless Society: Community and Its Counterfeits: "Often Productive, Sometimes Destructive, Always Creative" John Mcknight 1995

Inhuman Systems- You Cant Put Targets and Data on People

After lunch our next guest speaker Gill Phillips creator of "Whose Shoes" took her through her game. She also spoke of her work which can be found on twitter @WhoseShoes

Before the game is afoot, thou still let'st slip

In the final hour of the session: Shared decision making...

  1. Preferences
  2. Options
  3. Decision Talk
  4. Time and Space

Having watched the above video in the group on Bethlam Hospital we then had time to check in and reflect on the day as a group. 

End of Day 1


Day 2 Systems: Human and Natural. Exhibition in Clarence Center @LSBU

Day 2 began with a learning circle reflection of the previous days session and then a feedback of the individual circles to the whole group. The focus was to consider how the 6 dimensions of co-production sat with what was observed:

  1. Build on peoples capacity
  2. Provide services which depend on reciprocal relationships
  3. Encourage mutual support networks among users
  4. Blur distinctions between professionals and users
  5. Organising services as catalysts for broader services
  6. Recognising users as assets to the service

The session then moved onto whole system redesign looking at Nuka: Healthcare for the 21st century

The NHS principles were brought in and then the Nuka principles followed


  • Can do, Should do
  • Intervention = Treatment
  • I take responsibilty for you
  • Treatment will fix it


  • Shared Responsibility
  • Commitment to Quality
  • Family (system) Wellness

The importance of relationships in Nuka were highlighted

  1. Building and maintaining relationships
  2. Trusting, long term, accountable relationships
  3. Relationship style is considered key

We then moved more locally to a system design in NHS Newcastle

Further information to read and view was also given

After lunch the group split into three for external visits to South London and Maudsley Recovery College, West London Collaborative and Bromley By Bow Centre: The purpose to consider what we learned from our previous visits and to test our hypothesis of co-production

Bromley By Bow
SLaM where even the litter is Co-something!
West London Collaborative

After returning to the university the groups provided a 5 minute presentation on which to be reflected on tomorrow as to how we successfully or unsuccessfully proved or disproved the hypothesis

End of Day 2


The day began in the learning circles to reflect on the events from the day before and the vists that the group undertook, to ask where was co-production present or not in the places that were seen.

Guest speakers arrived; David Boyle, Zoe Reed, Nicola Thomas and Samira Ben Omar to talk about "How to evaluate co-production" in a musical tables style to allow for maximum exposure and inquiry to occur in the time available.

David Boyle: " Ask Not What the NHS can do for you, but what you can do for the NHS"
Samir Ben Omar: "Give ordinary people the space, let them set the agenda and they'll be motivated to make real change"

Videos from Samira Ben Omar's Community Champions

Zoe Reed: "Co-Production; Just Do It!"
Nicola Thomas: "Start by putting yourself in patient's shoes"

After these talks the group were invited to present some project related problems of co-production for the group to work on. Assignments were then discussed and the deadline of 23rd January 2017 given.

In group reflection time questions of group dynamics and an evaluation of this weeks workshop was undertaken. The group were then presented with personalised feedback "with love" from Lesley Perkins, in the form of origami, with words of how Lesley views each of us from the interactions that we have experienced since the program began in September.

Words hand written on other side

The day came to a close with the Co-Consultation events where each student was able to speak about the project, co-production and seek guidance from the faculty

End of Day 3
Created By
Austin Booth & Peter Sommerville

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