‘Respect, Responsible and Included’

1. ‘Respect, Responsible and Included’

3. Community Development Approach Community Health Exchange – CHEX Janet Muir Scottish Community Development Centre

4. What’s next! • Community Health Exchange – CHEX • Motivation – why should parents & health professionals work together? • Community development approach – values & principles • Stages – engagement/solidarity/transaction • Model & Examples • What are the barriers and how can we overcome them? • Who can help us do it well?

5. Community Health Exchange – CHEX • Part of the Scottish Community Development Centre, based in Glasgow • Born in 2000 • Support community-led health organisations & public sector partners • Small staff team & advisory committee • Functions: Training/practice development Networking & sharing practice Information Provision Connecting practice with national health & social policy development Frameworks & materials

6. Motivation Parents – needs, information, ideas, links with others. And....leading to different opportunities Health professionals – policy & practice directives. And...... achieving health impacts & outcomes along with job satisfaction

7. Community development approach – values & principles Community-led health is concerned with the community as the focus of, and mechanism for change, rather than the community as a setting for health practice. …This makes it fundamentally different from the provision of community-based health services, and different from the participation of communities in pre-determined health initiatives

8. Community Development – Values & Principles • Social Justice and wellbeing • Value of community • Liberation through empowerment • Commitment to diversity • Exploration of new, innovatory & solutions • Critical reflection – documentation of evidence

9. 3 stage model • Engagement • Solidarity • Transaction

10. Examples Gorbals/Govanhill (SEAL) – weaning group ‘Better Together’ – Shotts Healthy Living Centre ‘Health Issues in the Community’

11. What benefits does it bring for all involved? • Parents – listened to, participation, action, new services, co-produced services • Health professionals – building relationships new skills, expertise & ways of working, co-produced services, enhanced outcomes • Wider community – new services responsive to need & greater ownership • Policy makers – implementation of policies, preventative health care & saving money

12. Some of the challenges • New way of working with limited support & capacity building • Assumption of need • Different cultures of practice • Poor practice – going through the motions • Limited effort to reach and engage parents & children who are not so visible • Developmental process takes time • Limited thought & commitment to sustaining approach

13. Overcoming the barriers Building a total picture with informed understanding Investment in relevant & appropriate methods Securing buy-in from all relevant partners Supporting & sharing good practice Prioritising resources

14. Who can help us do it well? Scottish Co-production Network CHEX Network Scottish Communities for Health & Wellbeing Voluntary Sector Network – ‘Parenting Across Scotland’ Public & Third Sector Network – Community Development Alliance Scotland

15. Contacts www.chex.org.uk www.coproductionscotland.org.uk www.scdc.org.uk

17. Co-production in services to families with children Anne Macfarlane Carianne McRoberts Dumfries & Galloway Action for Children Stretch aim to which topic relates : Workstream 2

19. Themed breakout Day 1 Topic : Co-production in services to families with children Stretch aim to which topic relates : Workstream 2

20. Dumfries & Galloway

23. Streamline business processes Improve partnership working Child at the centre Whole systems Co-production with parents

24. Small tests of change… • Practitioner • Subject expert • Spot the flaw • Try it differently • Send findings up the way (recruit the policymakers) • Strategic • Start with the overview • Spot the flaw • Find someone to try it (recruit practitioners) • Try it differently

27. Focus of change Develop a standardised, evidence based recording template which captures the breadth of supports and interventions

28. Recording Template

30. Scaling up/ sharing learning Plan for implementation: Engaging staff/recognising obstacles Discuss at meetings/Prompts for staff Feedback from parents

31. Wins and challenges Martin Luther King said “I have a dream”, not “I have a plan”. “I have not failed. I've successfully found 10,000 ways that won't work.” Attributed to Thomas Edison (inventor of the light bulb) “What gets measured gets done” Tom Peters (Business writer)

32. Future action

33. I felt heard, understood and respected J I didn’t feel heard , understood or respected L Respect/ feeling heard What we did /talked about We did not work on or talk about what I wanted L We worked on and talked about exactly what I wanted J How it was overall Overall the play session was not at all useful for us (me and my child) L Overall, the play session was really useful for us (me and my child J

35. Table Discussion Who are the individuals and/or teams currently working on in this area? Are they currently using Quality Improvement methods/tests of change to guide their learning? What evidence based practice is being used? What learning can be shared between CPP areas?

36. Feedback One/two “headline” per table

37. Thank you! Please make your way back for coffee

38. Alsh (Ground Floor) National Partners Boisdale (Ground Floor) Falkirk East Dunbartonshire West Dunbartonshire Stirling

39. Dochart (First Floor) East Ayrshire West Ayrshire North Ayrshire South Ayrshire Carron (First Floor) Glasgow