Co-production in local public services - a new partnership with citizens

1. Co-production in local public services- a new partnership with citizens Kim RyleyChief Executive

2. What drives demand? • Human factors – the values, attitudes and behaviours of the public, which form their expectations of the “social contract” • Our behaviours and relationships with the public • Our commissioning priorities • Our model of delivery

3. Types of demand • Excess demand: people asking for what they don’t need • Avoidable demand: arising from behaviours which create problems that need to be solved • Preventable demand: the result of not noticing or not acting earlier to prevent problems occurring • Failure demand: unnecessary demand caused by the failure of services • Co-dependent demand: a state of need or dependence which is unintentionally reinforced by the state

4. Engaging with our citizens – an evolutionary journey?

5. Co-production Co-production is a partnership between citizens and public services to achieve a valued outcome. Such partnerships empower citizens to contribute their own resources (time, will power, expertise and effort) and have greater control over decisions and resources. • What does co-production mean?

6. How could co-production in public service be accelerated? Choice and control- give citizens greater control over resources and decisions Peer Support- empower citizens to support one another Partnerships- strengthen partnerships between professionals and service users Professional Culture- ensure professionals value citizen empowerment and partnership working

7. Co-production is a partnership between citizens and public services to achieve a valued outcome. The most effective partnerships are based on four clear values Everyone has something to contributeEveryone has something to contribute, even though some have more resources than others to give Reciprocity is importantTwo-way mutual relationships where responsibility risk and power is shared and decisions are negotiated Social relationships matterSocial networks, especially families and communities, are vital for achieving some types of change Social contributions are encouragedRecognise the unpriced and often unvalued work of families and communities, not just people’s financial contributions

8. However, evidence suggests that co-production is higher in the UK than other countries and that people believe their contribution can make a difference An EU survey shows that people in Britain are more likely to believe that they can make a difference to public outcomes through doing more themselves. The same survey shows that levels of involvement in public services is highest in the UK How much do people believe they can make a difference in improving community safety, the local environment and health? Level of citizen participation in public services in EU countries Index of the belief in making a difference Index of co-production Equivalent to 56% saying they ‘often get involved’ None Maximum None Maximum

9. Evidence indicates that a high proportion of patients and parents want to be treated as partners and what to do more for themselves An EU survey shows that people in Britain are more likely to believe that they can make a difference to public outcomes through doing more themselves. The same survey shows that levels of involvement in public services is highest in the UK 90%+ patients interested in being more active self carers 50% patients said ‘not often’ encouraged by professionals to do self care 33% patients said they had never been encouraged by professionals to do self care 43% said the NHS could do more to support self care 65% of parents would like to be more involved in their child’s school life People often find themselves less involved in services than they would like Proportion of patients feeling uninvolved in decisions(%) %

10. A significant number of people are willing to spend more time each week and month improving their health, neighbourhood and environment An EU survey shows that large numbers of citizens are willing to spend more time trying to improve their health, neighbourhood and environment. Taking these three areas together: • 28% willing to spend a few hours more per week • 43% are prepared to spend a few more hours per month • Only 29% indicate that they are not willing to spend any time at all How much more time are citizens willing to spend in different sectors? About how much time are you willing to spend to… Few hours a week Few hours a month Few hours a year No time at all

11. Evidence suggests that citizens in the UK are more likely to participate in groups that improve their health, environment and neighbourhood An EU survey shows that citizen participation in groups and organisations that encourage a partnership between citizens and public services is highest in the UK. Particularly encouraging are the higher than average participation in health focused civic groups such as exercise groups, weight watchers, alcoholics anonymous and community safety groups such as residents associations, tenants groups and neighbourhood watch. Levels of regular participation in community safety, local environmental and health organisations/groups across countries How often do you participate in a group or organisation that works to improve… Percent “often”

12. Citizen empowerment Personalised services through empowered citizens and professionals working together Greater accountability and transparency enabling citizens to hold services to account Excellenceand fairness New professionalism Strategic leadership Government enabling change through incentives and support without micro-managing