Intro Series No.1: What is Coproduction?

Sophie Chester-Glyn • Sep 27, 2019

Let's #CoproduceCare - Democratising the care debate & uncovering the hidden opportunities for people-led care.

This series of blogs will explain what coproduction is, what Coproduce Care plans to do and will explore some good examples of coproduction. This first blog will explore coproduction and what Coproduce Care aims to do to promote it. 
Coproduce Care is a not-for profit, community interested company (CIC) which aims to embed coproduction into the core of health and social care. We want to see the voices of those living, working, supporting and experiencing care leading the agenda on care law and policy not just being subjected to it.

Why care about coproduction?

Coproduction is a great way of identifying issues, respecting the view of those affected by care and providing support to ensure that those individuals can shape the systems designed to support them. This may appear as an obvious  way to work. However, poor systems, processes and cultures can become deep-rooted and prevent change. This requires engaged citizens and informed professionals to put coproduction firmly on the health and social care agenda. Coproduce Care aims to kick start this process from a grassroots, bottom up ethos and with a wider audience than normal. Our aim is to democratise the care debate. But we need everyone’s help! Please follow us and spread the word on Twitter and Facebook.
We believe that too many decisions in health and social care are conducted without true coproduction and usually with the same organisations and professionals (and more recently politicians), behind closed doors or at exclusive or inaccessible conferences (in terms of time and travel to attend).

In fact, we believe everyone involved in care should have a say – a son or daughter caring for their parent, a care worker working night shifts, a registered manager dealing with staffing issues....... We will be sharing care policy and news to support everyone’s awareness of the care debates which are set to change the industry and support people to influence the debate in a meaningful way.

We will bring social care policy and law to the people affected by it (which is basically everyone in some way).
Our focus is on the barely represented area of social care, but we will also be discussing health issues as they increasingly intersect with social care.

So, what even is ‘coproduction’? 

Warning – this bit gets a bit techy...Sorry! 
There are many definitions of the word ‘coproduction’. Back in 2013, the thinktank NEF (the New Economics Foundation), commissioned by the mental health charity MIND, wrote a report defining coproduction as:

“A relationship where professionals and citizens share power to plan and deliver support together, recognising that both partners have vital contributions to make in order to improve quality of life for people and communities.”
A leading organisation in promoting coproduction in care is the Social Care Institute of Excellence (SCIE). SCIE defines coproduction as:

“a key concept in the development of public services. It has the potential to make an important contribution to all of the big challenges that face social care services”. (SCIE)
The Care Act 2014 statutory guidance defines coproduction as:

“when an individual influences the support and services received, or when groups of people get together to influence the way that services are designed, commissioned and delivered. Such interventions can contribute to developing individual resilience and help promote self-reliance and independence, as well as ensuring that services reflect what the people who use them want.” (The Care Act 2014 statutory guidance)
Our favourite definition however, is by NHS England: 
“co-production is a way of working that involves people who use health and care services, carers and communities in equal partnership; and which engages groups of people at the earliest stages of service design, development and evaluation” 

and that coproduction:
“…acknowledges that people with ‘lived experience’ of a particular condition are often best placed to advise on what support and services will make a positive difference to their lives. Done well, co-production helps to ground discussions in reality, and to maintain a person-centred perspective. Co-production is part of a range of approaches that includes citizen involvement, participation, engagement and consultation. It is a cornerstone of self-care, of person-centred care and of health-coaching approaches.”
This definition from NHS England we feel really encompasses a good definition.

We hope that if we can reach a point where the idea of coproduction as a concept is fully understood by people at all levels, it then has the capacity to:

- become part of a recognised public vocabulary around care
- part of the agenda for health and care training and development and
- to democratise the provision and discussions around care

Where does the term originate from?

Coproduction aims to create better autonomy for people using services. It requires people in senior positions and positions of power to respect and act on the diversity of experiences, views and knowledges within care. Creating an equal playing field between those in positions of health and social care policy power and those experiencing, working, using or living in care.

What does it mean to us?

We would describe ‘coproduction in care’ as a values-based cultural change to care, where decisions are driven by people not process. This is a big ask, especially for institutions steeped in bureaucracy. In fact, coproduction in care has been driven by organisations working in social care, such as SCIE, Skills for Care and TLAP. SCIE has promoted coproduction through their annual coproduction week. TLAP have done some fantastic work around coproduction, not least promoting its Making It Real initiative which organisations can use as a person-centred quality mark to improve their services.

Coproduction Principles:

It is important to remember that definitions of coproduction should ideally not be used by organisations as a simple rulebook or coproduction tick box. 

Coproduction means each organisation needs to internalise the processes and develop their own working models and charters to embed into their workplaces.

Let's #CoproduceCare

Coproduce Care has been created to open up the debates, support and discussions around social care.

Coproduce Care started out of frustration that a lot of decisions and plans around social care are carried out behind closed doors and from the top down, with very little effective involvement from the majority of people affected by social care – health and social care staff, families, people using services, registered managers, directors, carers, volunteers…..

What we'll do:

We aim to put the unheard voices of health and social care at the heart of care improvement and change. Initially, launching in the late Summer, we hope to create an interactive site and hub which will:

1. Connect Organisations

So that more integrated, financially supported and effective services will emerge

2. Connect volunteers and people with support needs

So more informal ways of helping people support each other within their community can develop

3. Knowledge Share

Where funding, blogs on social care rights and services will help spread positive and helpful knowledge about social care for everyone to access freely

4. respond to government and policy consultations

Provide a service that will help anyone involved in care or caring, to respond to government and policy consultations on social care - so that policies will be better informed and to encourage a coproductive approach to making effective social care laws and policies which people of all abilities can influence and engage with.

Coproduce Care will spread social care insights and information through

  • Regular blogs and information sharing through social media – twitter and Facebook and Webchats
  • A YouTube channel to discuss current social care issues and interview key decision-make
  • A dedicated grants and funding page where people and organisations can keep up-to-date with opportunities for them to apply for funding to co-create their own community initiatives.

Join us

We will be relying on a small but dedicated team and volunteers. 

So, if you would like to be involved, please get in touch at hi@coproducecare.com and help us open up the care debate, properly democratise care and please do join and share Coproduce Care:
Spread the word and uncover the hidden opportunities for people-led coproduced care

Recent Posts

24 Aug, 2023
We are pleased to provide an update our involvement in new projects currently being undertaken by Coproduce Care (CIC) in collaboration with Care and Support West. We will be contributing to local initiatives in Social Care Workforce Redesign, and we are excited to share the project with you. This project is running from June 2023 to June 2024. We will be working on three areas for the next 10 months all in the BNSSG region which are as follows: 1: Investigation of the Trusted Assessor Approach in Health and Social Care Systems In this project, we are investigating the Trusted Assessor Approach in health and social care systems. The objective is to demonstrate the value of Trusted Assessors in streamlining care needs assessment, while also addressing data protection and consent concerns. Case studies will be created from local regions that have implemented this approach, to provide insights into the benefits of Trusted Assessors of reducing delays in accessing required care. 2: BNSSG Opportunities for Levy Sharing and Increasing Apprenticeships in Social Care This project aims to identify opportunities for levy sharing in social care and increase the use of apprenticeships. The project will engage social care providers, training organizations, authorities, and other stakeholders to develop strategies, guidelines, and an implementation plan for utilizing the levy effectively and increasing the use of apprenticeships. 3: Integrated Health and Social Care: Enhancing Collaboration, Improving Quality, Shaping Models of Care, and the Future Social Care Workforce In this project, we are evidencing the enhanced collaboration between social care providers, health services, and local authorities. By mapping existing interfaces and collaborations, we seek to identify opportunities for cross-system benefits and improved outcomes, creating recommendations for integration for BNSSG. Our research will provide valuable insights to integration and collaboration between social care and health. At Coproduce Care (CIC), we believe that collaboration and innovation are vital for transforming social care. Through these projects, we aim to contribute to a more efficient and compassionate system. We extend our gratitude to all stakeholders, providers, commissioners, and policymakers for their invaluable support. Thank you for your continued interest in our endeavours. We will keep you updated as the projects progresses! In the meantime, if you are doing any work in any of these key areas, please get in touch with us using the below form. Thank you!
18 Oct, 2022
Dear Thérèse Coffey, We wish you the best of luck on your appointment as Secretary of State for Health and Social Care. Coproduce Care (CIC) is a non-profit organisation set up to democratise the social care debate. We support the voices of those working and involved in social care to influence wider decision making in the sector. Through our continued work in this area, we are writing to address some of the urgent needs of our social care workforce. We welcome your plans to set out ‘ Our plans for patients ’ to ensure our population have easier access to NHS and social care services through winter, putting the needs of patients as priority. To ensure we prioritise the health and wellbeing of our populations, and deliver the best, high-quality care possible, we need to ensure we prioritise the needs of our workforce who are at the front of delivering health and social care . To ensure both the health and wellbeing of our population and our social care workforce, we recommend the following: 1. Improving pay for social care workers, in real terms The Kings Fund published a report which compared the pay of social care workers to ten of the largest supermarkets. It found that nine out of ten supermarkets paid more than most social care roles. An example used is that if care worker left their role for a supermarket position at Tesco, they would see a 6.3% pay increase instantly. We have conducted many surveys, webinars, and connected with our audience on what is crucial to improving care workers working conditions and we have found that increasing pay is consistently the most crucial factor in reflecting the value of the work and high stress and responsibilities of the role . With the current cost of living crisis, this need for increasing pay is only getting more urgent. The sector currently has 100,000 vacancies , with extremely high levels of staff shortages. This affects the capacity to deliver services and the quality of care provided . Providers are struggling to recruit staff as they are competing with supermarkets and hospitality, sectors of which offer less stress and responsibility and more pay. We believe care workers are an invaluable part of our society and therefore should be paid accordingly. We recommend: · Introduce national pay scales that ensure care workers meet a real national living wage as a minimum . This will recognise the full contribution of social care workers make to the health of our population, and that their contribution is a real investment into our population. By increasing pay, we further increase recruitment and retention in the sector, and improve the perception of social care being a highly valuable and promising career choice. · Facilitate efforts to develop appropriate distribution of funds. Ensuring the integration and professionalisation of care is fully realised will allow better distribution of funds resulting in higher wages which better reflects the level of skill, qualifications, responsibilities and selflessness required to work within this sector. 2. Professionalising the care system Health and social care should be professionalised to encourage staff retention, career progression and further skill development. Professionalising care work would ensure that those working in the sector are valued and are provided with the necessary tools to provide high quality care. Currently, there is no accredited qualification for social care workers, without a standardised training process. We hosted a live stream with Gillian Keegan , who mentioned the government’s intention to create a voluntary digital care workforce hub, as well as a skill passport for all Health & Social Care workers. This is understood to allow easier identification of the workforce, including the possibility to share resources and opportunities to encourage the workforce to up-skill and develop. The skills passport would help keep track of the skills care workers have demonstrated over time, meaning career progression would be easier to identify . Whilst individual action is very important, to improve the quality of care, we urge for a standardised career and training development program for all care staff that results in an accredited qualification . We recommend: · Adequate pay to restore and recognise social care work as a valued profession . Extensive skills are involved in care work, and if standardised training and qualifications are implemented, security of applicable income is appropriate to these expectations. By increasing pay, care work has higher professional footing as a recognised career and role. · Ensuring the integration of social care is fully realised . The high fragmentation of the care sector and its lack of integration with NHS services makes it challenging to implement standardised training . The governments white paper ‘ Health and social care integration: joining up care for people, places and population ’ seeks the ambition to join up social care services. We welcome this white paper and its integration policy to achieve higher quality of care and better health outcomes. This ambition requires effort and commitment to the integration at all levels, and we hope that as health secretary, fully putting this policy into practice and reaching its scope, goals, and purpose is your focus in your new role. · Implementing standardised training, improved learning outcomes for workers, including IT, literacy, and numeracy training are addressed with sensitivity and with the voices of the workers at heart . Implementing standardised training would ensure a level of professionalism across the sector, however, must go in line with the security of increased income and security of hours of work. We must protect the wellbeing of our workforce, of which is already experiencing burn-out and exhaustion from the high pressures the sector is facing. We cannot have higher expectations of our workers undertaking standardised training without adequate pay . We hope you agree with our recommendations and seek to ensure we continue to improve the working conditions for our social care workforce. We hope that within your post as the new Health and Social Care Secretary, you prioritise the voices of those most impacted by decision making regarding the sector. Thank you for taking the time to read this letter, CoProduce Care Written by: Gabriella Neal
14 Oct, 2022
We wanted to investigate the issues around recruiting male care workers...
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