Network Day Key dilemmas for the NHS (which are not about structure!) Consumerism v co-ownership

1. Network Day Key dilemmas for the NHS (which are not about structure!) Consumerism v co-ownership Ethical Organisational Decision Making

2. First an update • NESTA People Powered Health Programme • Care Plus and Leeds Community – social value and commercial skills • As well as continuing…. • North West Directors, Telehealth, Rotherham CDs Systems Change Work • The Change Lab • Yorkshire and Humber Transformational Leadership • Leeds Senate, CD and GP Leads programmes. • Leeds Shaping Health Systems – coproduction • Preston – co-designing alcohol services • Health Foundation – the Network Programme • Health & Wellbeing Boards • Mid Yorks and Cald/Hudd strategy for systems change

3. Change Lab Initiative Teams Prototype The purpose of the Change Lab project is to help stakeholder leader’s work together over the next twelve months to evolve an ecology of health service delivery organizations that better serves the local population. Prototyping Incubation: Construction Workshop Convening and strategy New Initiatives People Ideas Resources Build and maintain network of leaders Month 12

4. Prototyping

5. International Current Activity • Primary care governance – workshop in Indonesia • Masters in Health Systems Leadership • Leeds Hub

6. The experience – doing work differently… now and in the future “I am trying out the ideas with colleagues and peers and getting a lot of reinforcement for how I see the part we have to play in bringing about system change” “The module has helped me better understand my project by enabling me to think deeper about the question I want to ask. Also got me to consider use of language and understanding that the importance does not lie in trying to fix it as quickly as possible but to find shared understanding from finding the right question.” “ I went out to some of the user groups and to some of the LINks, local involvement networks, and I really enjoyed that and people were saying to me, this is a really new way of working for the Trust because nobody’s ever come out like this before.”

7. Co-producing Leeds We believe that where professionals and users co-design co- deliver and co-resource solutions, then people (we all) get a better deal (including better health outcomes for users and a better provider experience for professional)

8. Leeds Hub Network Event

9. How can we generate meaningful and useful feedback relationships with our communities and our professional staff?

10. So What?

11. Ethical decision-making In 3s (a)One person please tell a story of when you have been involved in an ethical decision at organisational level. (b) Second person ask questions to help illuminate the answers to the questions on the sheet (c) The third person to record all the detail Swap round!

13. Example questions • Carry out clear and honest consultation –what is the best way of building clear expectations into the consultation/ stakeholder processes Trusts are currently using? • Encourage challenge and debate – how do you ensure that those involved in decision-making feel comfortable challenging the prevailing view or that of the more senior decision-makers? • Ensure representation of viewpoints – how do you make sure that enough – and the right – voices are heard?  • Build time into the decision-making process – how can busy managers’ time be used more efficiently, e.g. by spending more time on more difficult decisions or those with far-reaching consequences?