Seminar 7: Education, training and supervision for co-production – Programme

University of Huddersfield 27 October 2017

We warmly invite you to participate in the 7th seminar of the series.

Encouraging debate across boundaries between service users/survivors and carers, academics, and professionals from voluntary and public organisations.

This seminar will explore conceptual frameworks for a redefinition of professionalism based on coproduction and power-sharing, and how this might be fostered through educational experiences. REGISTER YOUR INTEREST HERE

To make enquiries or to apply for a travel bursary (available to service users, carers, and professionals in voluntary organisations, please email: j.m.callaghan@leedsbeckett.ac.uk 

Follow us on twitter @ESRCcopro

 

The programme 

09.30 Registration (with tea and coffee available)

10.00 Opening with Christine Rhodes and Pamela Fisher

10.15 Keynote: Professor John Wattis EDUCATION, TRAINING AND SUPERVISION FOR PROFESSIONALISM BASED ON CO-PRODUCTION: THE ELEPHANT IN THE ROOM The use and meanings of terms like professionalism, education, training and supervision will be discussed. A distinction between education and training will be made and a brief critical account of competency-based education will be presented. The need will be emphasised to combine competencies with personal professional development and situational factors to deliver co-production of mental health. Some possible competencies for professionals working to co-produce mental health will be presented for later discussion. These are based the International Coach Federation standards for professional coaches. Personal professional development will be considered in terms of socialisation into the professional role as a ‘limited expert’. As well as understanding professional standards and how to apply them, the methods of acquiring the attributes of the professional role will be considered. These involve interactive learning involving people who use services, group discussions of ethical issues, complex situations and professional dilemmas. In addition, the importance of role models, coaching and mentoring and compassionate motivation will be stressed. Resilience – the ability to sustain knowledge, skills and motivation in the face of adverse circumstances – is another important attribute. Situational factors that obstruct co-production of mental health will be considered as will factors that promote co-production. An example of NAViGO, a comprehensive adult mental health service that operates on co-operative lines, will be briefly discussed; but it will be emphasised that this kind of working is counter-cultural and we need to recognise the need to persist in seeking cultural change.

11.15 – 11.30 Discussion of arising themes (with tea and coffee available)

11.30 – 12.30 Julian Raffay and Nadine Crawford CO-PRODUCTION: EDUCATION, LEARNING OR TRANSFORMATION? Effective co-production benefits both people and organizations. This interactive seminar explores how insights from mental health services can serve education, learning, and supervision. We consider the interplay between education, learning, and transformation. We begin with our experiences of co-production. We then explore useful conceptual frameworks. We suggest a targeted approach to value everyone’s contribution. We close with practical suggestions. We expect this seminar will interest service users, carers, academics, and service managers.

12.30 – 1.30 LUNCH

1.30- 2.00 pm Paul Frazer, Heather McDonald and Leanne Winfield THE RISK TRAINING GROUP Paul, Heather and Leanne were instrumental in a Multi-Agency Clinical Risk Training project which was a good example of co-production. Firstly, we will give an introduction of our training project. One of the participants, Paul, will then provide a practical example of the training provided, by reading out an account of his personal experience. After a demonstration of the training, Leanne will then offer how she sees co-production, by providing her definition of co-production, and a comment on the term “professional”. (For Leanne, co-production means people from different areas coming together as equals to work towards a goal that has been decided in collaboration. There will be value to all experiences, whether “Experts by Experience” or “Experts by Learning”. Leanne also has a question of the term “professional” – and argues that it is an approach, rather than a status.) Once we have given thought to co-production, Heather will detail some of the benefits of co-production, and in particular provide some feedback from the participants of the training. Then Leanne will again offer a critique of co-production, and look at how some voices may be included despite offering a view which is factually incorrect. This leads into looking at the difficulties we may have faced with this training, and Heather will provide some suggestions as to how this could work better in future. Finally, Paul will look at how we think professional education and training could be reformed in order to facilitate co-production, with specific ideas of continuing future training, training specifically for service users, use of a steering group to share experiences, and the possibility of a newsletter.

2.00 – 2.20 Matt Ellis Kirklees Recovery Colleges CO-PRODUCTION AND PROFESSIONALISM THE NEED TO REFOCUS What are the barriers to making co-production happen from a professional point of view? How do organisational culture and the ideas around “professionalism” hinder or help? What are the challenges that professionals need to own and face up to? Matt will contend that it is time for honest discussions that cut to the very heart of what it means to be a professional. Professionals need to locate themselves in the complex tapestry of society, communities and services, unpicking the threads that bind them to organisational and “professional” barriers that have warped reality and distanced them from the very people they seek to serve. There needs to be a refocus from improving services to improving lives. The only way to make and bring sustainable, enabling change is through co-production that allows influence not only on what professionals do but on how they do business and who with. How we as professionals work within our communities needs a radical re-think and that is challenging, inspiring and frightening!

2.20 – 3.00 Huddersfield University Public Partnership Group (PPG) SHARED SOLUTIONS TO SUPPORT EDUCATIONAL EXPERIENCES The involvement of service users/carers/ people with experience, in health and social care professional curricula is a central theme, and expectation, in government reviews, reports and policy directives. It is also a requirement of professional regulators approving and reviewing curricula, for example, the Nursing and Midwifery Council and the Health and Care Professions Council. However, there is significant evidence that the ability to develop such partnerships and collaborative working is still lacking in practice and is often, despite efforts from all parties, tokenistic. This session will include a specific focus on the approach that the PPG have adopted to support educational experiences. The discussion start with some consideration to the infrastructure required followed by examples of the challenges and opportunities the PPG have experienced in their quest to adopt a collaborative approach to find shared solutions to co-create meaningful involvement.

3.00 Tea and coffee and identification of the main points arising from presentations and discussions

3.30 Additional networking opportunity

 

Speaker Biographies

John Wattis was appointed visiting Professor of Psychiatry for Older Adults at Huddersfield University in 2000, John worked as an NHS consultant in the specialty until 2005. Before coming to Huddersfield, he was responsible for pioneering old age services in Leeds for nearly twenty years. He completed his training in Birmingham and Nottingham where he was Lecturer in the Department of Health Care of the Elderly which pioneered a holistic approach. He has experience of management as Medical Director of a large Community and Mental Health Trust and as Director of Research and Development for several NHS Trusts. After ‘retirement’ he provided part-time support to medical management in several NHS organisations, including the award-winning NAViGO care social enterprise. Until last year he also worked as a life and business coach, supporting people working in the NHS, Higher Education and Voluntary sectors. He has published research on the development of old age psychiatry services, alcohol abuse in old age, the prevalence of mental illness in geriatric medical patients, educational issues in old age psychiatry and outcomes of psychiatric care for older people. More recently he has focused on spiritual aspects of health care, co-supervising several research projects in this area. He has written or edited several books, the latest of which is the co-edited work Spiritually Competent Practice in Health Care*. At the University, he gives occasional lectures mostly on Spiritually Competent Practice. He is involved in the research supervision teams for several PhD students. He is a committee member of the School of Human and Health Sciences Spirituality Special Interest Group. This has been involved in several research projects concerning healthcare professionals can assess and support patients in this area and how educators can prepare them for the task. This seems to share a great deal with ideas about co-production of mental health.

*Wattis J, Curran S and Rogers M. Spiritually Competent Practice in Health Care.2017: Boca Raton; CRC Press.

Julian Raffay works for Mersey Care NHS Foundation Trust as Specialist Chaplain (Research, Education and Development). He is co-producing an action research cycle to show that co-production delivers better mental health services, improves satisfaction, and is cost-effective. This is yielding deep insights into co-production and challenges superficial understandings. It is practical but draws on theoretical approaches to education, management, psychiatry, and ethics. He is also involved in research evaluating a recovery college. Julian is in his fifth year of a part-time Professional Doctorate at Durham University, focussing on relationships between mental health services and faith communities. He teaches ethics and professional practice to healthcare chaplains at Cardiff University and identifies himself as having experienced mental health problems.  Julian holds degrees in Psychology with Management Science, Theology, and Chaplaincy Studies. He has been a vicar, social worker, psychology technician, and support worker. He has published articles and book chapters and is co-producing an edited book.

Nadine Crawford works for Mersey Care NHS Foundation trust formerly as a Recovery College tutor now as a Pathways Advisor. Working in front-line services is a totally new career for Nadine. Previously she worked her way up in the Civil Service whilst studying a part-time Law degree. After qualifying in Law Nadine had a complete change of heart and mind and decided to take a career break. She left her home, job and family and travelled around 14 different countries across 3 continents in just over a year. Nadine found this a valuable experience, mixing with people from all walks of life and gaining insight into other cultures. During her varied career Nadine has experienced co-production in a variety of guises. Whether leading on a project or volunteering her time she has found the output and co-operation levels are far better when a model of co-production is used.

Paul Frazer is an active service user based in Leeds. He has made very positive contributions through his involvement with different services and organisations including; Leeds Involving People, Service User Network (SUN), Sunrays and Better Lives in Leeds. In addition he has contributed to mental health research at Leeds University and Bradford University.

Heather McDonald is a team leader of One-to-One services within Leeds Mind. After gaining an interest in psychology during her college studies, she went on to study Psychology with Nutrition and Health studies at Leeds Trinity University. Heather has also worked within the Voluntary and statutory sectors and within a range of services; from support worker within Intermediate hostels, Care coordinator within Rehab and Recovery services. She also has a great interest in “risk”; what this means, how this is managed and how individuals can be supported to take control of their own risk assessment and safety planning to encourage self-management. Heather had the great pleasure of working with Leanne and Paul on the Multi Agency Clinical Risk Training project as project lead; this was funded by the CCG and through Leeds and York Partnership Foundation Trust. It was through this project that they were able to coproduce a multi-agency attended Risk training package aimed at changing the culture of risk assessment and management and the practices associated with this.

Leanne Winfield is a Patient Champion with NHS Leeds CCG Partnership and has been involved in developing co-production training being delivered across Leeds. Leanne is also the co-ordinator of the monthly West Yorkshire ADHD Support Group meetings held at Pinderfields Hospital. In these roles Leanne has delivered training on a number of topics, including co-production, clinical risk, and dual diagnosis and is currently participating in an Advanced Health and Wellbeing Training Programme with Leeds City Council. In 2016 Leanne was part of a team of four service users awarded First Runners Up at the LYPFT awards, in the Developing People category, for our Multi Agency Clinical Risk Training.

Matt Ellis is Principal of Calderdale and Kirklees Recovery Colleges at part of South West Yorkshire Partnership NHS Foundation Trust (SWYPFT). He has worked in Social Care for over 25 years and in Mental Health as a qualified Social Worker, Approved Mental Health Professional and operational Manager. He is known for his innovation and leadership pioneering creative approaches. He managed the Garage Project, a Mental Health Service for Young People that won a NIMHE (National Institute for Mental Health) positive practice award in 2005. He also chaired the local Kirklees collective for Creative Minds winner of the HSJ award for ‘Compassionate Patient Care’ in 2014. More recently Matt was responsible for establishing a Recovery College in Kirklees and now has the additional responsibility in co-ordinating “Recovery” development and the 5 Recovery Colleges within SWYPFT. Matt is passionate about co-production, strengths based and creative approaches which value the contribution of those with a “lived” or “caring” experience.

Huddersfield Public Partnership Group (PPG). The PPG is made up of a number of service users and carers and staff from the University that work together to take a lead role in shaping and delivering the public involvement strategy that includes education and research. The PPG was established as the School of Human and Health Sciences believes it is of great value to staff and students to involve a wide range of people who have experience of health and social care. The overall aim is that through a partnership approach service users and carers have the opportunity to make a difference and influence the work of the School and future health and social care services. Individual biographies of the people presenting will be provided in the seminar pack.

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Crisis Services Event

Everything You Need to Know about… Crisis Services

Thursday 18 May 2017

10am-12noon

St Chad’s Parish Centre, Otley Road, Headingley, Leeds, LS16 5JT

You are invited to a free engagement event aimed at helping Trust members to understand the role of our crisis team and what to do if you are, or someone you know is, experiencing a mental health crisis.

 Come along and find out about:

• How and when people should contact our Trust’s crisis service

• What other help is available

• Recent developments in how mental health teams are working in partnership with the police

Refreshments will be provided.

To book your place, please click on the Eventbrite link here .

Membership of our Trust is open to anyone over 16, with an interest in mental health and learning disabilities. To become a member, click on the link here.

For further information, contact Barbara Stewart:

Tel: 0113 855 5976

E-mail: ftmembership.lypft@nhs.net

Seminar 4: Contemporary Developments in Mental Health Policy and Commissioning Seminar Notes

Reimagining professionalism in mental health: towards co-production

Seminar 4: Contemporary Developments in Mental Health Policy and Commissioning: a help and/or hindrance to power-sharing

Hosted by the International Centre for Mental Health Social Researchesrc-big-logo

University of York, Friday 28 October

Many thanks to all the people who participated at seminar 4. Very lively and productive debates!

Below we have provided some written notes on the presentations, discussions and your concluding thoughts from seminar four.

The powerpoint presentations will be available on the blog shortly, and the ‘talking head’ videos and short videos of excerpts of presentations will be made available on the blog in due course, as will Adam’s poem. Please be reassured that if you have been filmed as a presenter or ‘talking head’, you will be able to see the video and decide whether or not you wish it to be made available on the blog.

Seminar 5 Reconciling regulatory knowledge with co-production will be on 3 March 2017 at the same venue (Research Centre for the Social Sciences, University of York).

 ESRC Co-production https://coproductionblog.wordpress.com/

Follow on twitter@ https://twitter.com/ESRCcopro

Best regards,

Martin & Pamela

 Anne Rogers: Commissioning of self-management support

There are social and economic drivers of meeting mental health needs – education, employment, housing and criminal justice services have to respond to the well-established impact of not being in work due to mental health problems. How does commissioning and mental health policy respond to this? There is a recognition that improvements are required, but there are many priorities for investment. Some commissioners have taken a more integrated, social approach such as in Nottingham which includes advocacy, open door project and other socially-oriented services. However, the hidden impact of bureaucracy prioritisation of risk management remains the ‘elephant in the room’.

There is a tension between local aspirations and those identified by NHS England for empowering people. There is a need to focus more on early strategic planning of lay involvement to provide an avenue for genuine engagement of individuals and communities in a meaningful way. A capability approach is required which focuses on what an individual values and can achieve.

Commissioning needs to be re-oriented towards understanding and enhancing the power of social networks. There is good evidence that behaviours within networks as a collective phenomena reinforce ‘unhealthy’ behaviours, but can be used positively for behavioural change. Self-management of our health and mental health involves weak ties within our networks (connections to people within communities such as shop keepers, taxi drivers, postman/woman). The power of these weak ties is under-estimated. In addition, there is evidence that participation in community organisations is associated with better physical and mental health, particularly among people on low incomes who are more physically active.

There has been a rise in non-medical aspects in NHS commissioning in mental health. For example, pets are valued for companionship and social engagement, but they are not routinely included on mental health care plans. There is good evidence that they support people’s well-being, but there are few opportunities for personal commissioning of pets.

Mapping social networks provides a positive disruption to what people focus on in their daily lives. Externalising away from the self is very valued. When people see their network they can see how they can mobilise it, or identify gaps to enhance their connectivity. Genie is a method of visualising networks and connecting people with local resources. It requires some resources locally to keep it up to date and live, but is a useful tool for people to use to enhance connectivity within local areas.

Karen Newbigging: Co-production in commissioning: Are we there yet?

The commissioning cycle is a process which involves assessing needs and assets; planning, which involves engaging with all sectors of the local population; securing provision of services through contracting and monitoring the services through measurement of outcomes. In reality, it is often more messy than this. What is crucial, though, is involving local communities in the process to ensure local needs are met.

Involved in commissioning for mental health, there are 209 Clinical Commissioning Groups, 152 Local Authorities, individuals with health and social care personal budgets and NHS England who commissioned specialised services. Commissioning is diverse, but social movements, activism and collective advocacy are important in the commissioning process.

Co-production in commissioning is an equal partnership throughout the commissioning cycle. It is a form of deliberative democracy and should be values-driven. It requires a move to asset-based approaches and a shift to a social model, which values the importance of social context, individual values and preferences. Decision-making should be transparent and accountable.

In practice, this requires:

  • Getting the foundations in place with proper resourcing and support
  • Framing the questions differently
  • Defining outcomes to commission against (‘I statements’)
  • Using a range of methods to co-design and co-assess services
  • Working with voluntary and community groups to engage seldom-heard groups
  • Confronting the ‘D’ (decommissioning) question

Where are local commissioners on the co-production journey? Looking at Arnstein’s ladder of participation, the impressions in the room are that commissioners are generally not. However, Lambeth Collaborative; UK’s first Mental Health Parliament in Sandwell; Making a Difference (MAD) Alliance in North West London; and Newcastle social prescribing scheme were cited as good examples.

Commissioners view commissioning as a rational process and emphasise getting the right structure and processes. Providers see it as a ‘fine-tuning’ process to get their services right or as a way of exerting leverage on commissioners. Service users and the public see the process as being a wide spectrum of activities ranging from direct involvement in care to more strategic purposes.

What do commissioners need to do to support co-production? Some of Karen’s suggestions:

  • do it together – deliberate purpose and methods
  • attend to organisational culture and build capacity for co-production
  • invest in and support user groups / patient forums / voluntary sector to build capacity
  • tolerance of ambiguity and understand and use a plurality of methods and approaches to engage all sections of the population
  • deliberate the limits – are there any?
  • build co-production into contracts
  • share and learn from successes and challenges

Joseph Alderdice & Danielle Barnes: From the street to the strategy

Joe introduced the Leeds Mental Health Strategic Partnership which includes the NHS, local authority and voluntary sector. This includes 150 people with lived experience and many identities, such as networkers, activists, artists, poets, peer supporters and researchers. Lived experience is essential to co-produced commissioning. In reality, this means connecting as humans not just in the boardroom but beyond this. Meeting in community cafes or neutral spaces helps to see commissioners as fellow human beings.

Based on shared values, it is possible to define priorities and competencies, and design and deliver training. “Community development is about working with people to find solutions, support them and then get out of the way”.

What’s in it for people who engage in the commissioning process. Reciprocity is really important – people must get something out of it rather than just contributing to it. Peer support is an important component of this, but also is validation of their perspective. Co-producing system change is like turning around an old ship getting blown away in the wind. We need to harness individual energies, but support them through the process.

It is difficult to influence change across whole systems where some people are very distant from co-produced activities or do not draw upon lived experience.

How genuine is co-production? Are the ideas / plans already in the heads of commissioners? How does co-production influence this?

In conversation with Danielle Barnes, Joe discusses the (West Yorkshire Finding Independence) WY-FI project which involves people who have lived experience of mental health issues, substance use issues, offending or homelessness. This includes peer mentoring. Co-production is about finding the problems and developing the solutions together. WF-FI project is an example of meeting people where they are rather than expecting them to ‘come in’ and receive a service. Trust and reciprocity are key to this process.

Where do we go from here? What can we take away from today?
Take co-production beyond this forum It’s all in the language, we’re all people! The term service user perpetuates traditional (not co-productive) services
Need to move beyond principles and work out more detailed strategies for co-production. ‘The devil is in the detail’ A buzz and sense of excitement that should enable us to spread the word – maybe even into ‘hostile’ territory…
Develop master class on co-production for commissioners. Karen Newbigging may have resources available Think about the financial implications of participation in co-production, especially for people with mental distress
Build alliances across stakeholder groups  
Shift focus from ‘mental’ health to optimal health. Question mental/physical health divide  

Seminar 4: Co-Production in mental health policy & commissioning

Seminar 4 entitled Contemporary developments in mental health policy and commissioning: a help and/or hindrance to co-production and power-sharing will take place at the University of York on the 28 October 2016. 

REGISTER HERE

We warmly invite you to participate in the 4th seminar which focuses on co-production in mental health policy and commissioning. The aim is to encourage debate across boundaries between service users/survivors and carers, academics, and professionals from voluntary and public organisations.

To make enquiries or to apply for a travel bursary (available to service users, carers, and professionals in voluntary organisations), please email esrc-co@leeds.ac.uk

For more details on the seminar, please contact the principal investigator Pamela Fisher (pamela.l.fisher@leedsbeckett.ac.uk)

 

The programme

9.30 – Registration (with tea and coffee available)

10.00 – Opening with Martin Webber and Pamela Fisher

10.30 – Keynote by Anne Rogers, Professor of Health Systems and Implementation, University of Southampton ‘Commissioning of self-management support: an exploration of commissioner aspirations and processes in the context of moving towards co-produced and socially connected interventions’

11.15 – Discussion of arising themes (with tea and coffee available)

11.45 – Presentation by Karen Newbigging, Senior Lecturer in Health Policy and Management at the Health Services Management Centre, University of Birmingham. ‘Co-commissioning: Are we there yet?’

12.30 – LUNCH

1.30 – Joseph Alderdice and Danielle Barnes will present and lead around table discussion. Joseph (formerly of Involving People) is the Development and Engagement Lead for West Yorkshire Finding Independence (WY-FI). Danielle, originally part of a group of experts by experience, is one of WY-FI’s Engagement and Co-Production Workers. ‘From the street to the strategy: Co-producing system change in the real world’

3.00 – Tea and coffee and identification of the main points arising from presentations and discussions

3.30 – Adam Montgomery is a Dual Diagnosis Peer Support Development & Group Worker employed by Leeds Mind. However, it will be in his capacity as a spoken work artist and poet that Adam will close the seminar.

3.45 – Additional networking opportunity

Advances Studies Seminar – St Catherine’s College, Oxford

vbpThe Collaborating Centre for Values-based Practice in Health and Social Care is hosting an Advanced Studies Seminar on the 9th November 2016 at St Catherine’s College, Oxford.

We are pleased to announce a call for papers for the forthcoming Advanced Studies Seminar entitled “The Montgomery Ruling: Impacts on Philosophy of Medicine and Bioethics”. The seminar will be 9 November 2016 at St Catherine’s College, Oxford.

Invited speakers include Anna Bergqvist (Manchester Metropolitan University), Rob Heywood (University of East Anglia), and Tim Thornton (University of Central Lancashire).

We are hoping to gather interested scholars to discuss the philosophical issues implicit in the relatively recent Montgomery ruling and to plan future collaborative work. Given this goal, innovative or non-traditional proposals will be preferred.

Please visit valuesbasedpractice.org for more information.

Organising Committee
Sarah Wieten
Bill Fulford