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Episode 1 Coproduction is Everywhere Paul is on the trail to discovering the knowledge, skills and habits that help coproduce healthcare. It begins by becoming better observers when coproduction occurs Listen to or download Episode 1, "Coproduction is everywhere" Running time: 18 minutes 31 seconds Episode 2 The person will see you now Understanding the lived reality of persons we sometimes call “patients” is useful if we seek insight into how they might take action for their own health, utilizing their own supports and resources Listen to or download Episode 2, "The person will see you now" Running time: 33 minutes 53 seconds Episode 3 Let's get real: the way things are Understanding the current “as is” system that must be navigated by the persons in their various roles and their experience of actually doing it is required if we seek to improve upon it Listen to or download Episode 3, "Let's get real: the way things are" Running time: 20 minuts 35 seconds Episode 4 Allow me to empower you: the wisdom of self-care Coproduced healthcare service involves self-care and the support that enables it. Professional-persons who help create or enable that support for the patient-person are bridge-builders for access to helpful information and resources Listen to or download Episode 4, "Allow me to empower you: the power of self-care" Running time: 27 minuts 50 seconds Episode 5 Stop talking! Equity begins by listening Designing services for pregnant women that address historic & racial inequity involves professional-persons willing to listen to those patient-persons before proposing new approaches Listen to or download Episode 5, "Stop talking! Equity begins by listening" Running time: 31 minuts 21 seconds Episode 6 The biology of it all Understanding of Cystic Fibrosis has transformed at a rapid pace. It’s a story that offers insight into how biologic knowledge contributes to the coproduction of healthcare services for people with this condition Listen to or download Episode 6, "The biology of it all" Running time: 27 minutes 14 seconds Episode 7 The web I tend Living and thriving with a long-term condition involves the integration and application of diverse resources to support the ever-changing needs of the patient-person and family Listen to or download Episode 7, "The web I tend" Running time: 33 minutes 4 seconds Episode 8 Am I allowed to cry here? Morten Södemann of Copenhagen describes how professional-persons and immigrant-persons have designed and co-created services for vulnerable people in a safe space, the Migrant Health Clinic Listen to or download Episode 8, "Am I allowed to cry here?" Running time: 21 minutes 34 seconds Episode 9 Stories clarify Kathryn Kirkland describes how stories can create a shared understanding of the distinct challenges people in different roles confront as patients, family members or professionals. This is especially evident when there’s serious illness. Storytelling helps everyone work together Listen to or download Episode 9, "Stories clarify" Running time: 27 minutes 55 seconds Episode 10 My work depends on the setting… Like many health professionals, John Brennan has had the opportunity to work in different settings which have influenced and enhanced his ability to co-create healthcare services with patient-persons Listen to or download Episode 10, "My work depends on the setting ..." Running time: 30 minutes 06 seconds Episode 11 From principles to practice Bill Lucas shares the story of a learning challenge and offers examples of the ways teachers address these types of challenges Listen to or download Episode 11, "From principles to practices" Running time: 31 minutes 24 seconds Episode 12 Coproduction and macrosystems of healthcare CEO April Kyle and CMO Doug Eby discuss how the indigenous community of Native Americans became the “customer-owners”and governing board of the SouthCentral Foundation which operates the Alaska Native Medical Center. They offer an example of what it’s like for a customer-owner to consult a professional-person Listen to or download Episode 12, "Coproduction and macrosystems of healthcare" Running time: 40 minutes 01 seconds Episode 13 Safer together Emeritus Professor Charles Vincent describes why and how he and Rene Amalberti wrote the pathfinding book, Safer Healthcare, and engages in a conversation with Maren Batalden as she describes the ways she and her colleagues at Cambridge Health Alliance have used those insights in their efforts to make healthcare safer Listen to or download Episode 13, "Safer together" Running time: 34 minutes 53 seconds Episode 14 Looking back and ahead Paul reviews the frame and the content of the podcasts in this series and together in conversation with Christian and Tina they open some possible future themes for the study of coproducing healthcare service Listen to or download Episode 14, "Looking back and ahead"

StopSIM calls on NHS England to: Halt the rollout and delivery of SIM with immediate effect, as well as interventions operating under a different name, which are associated with the High Intensity Network (HIN).Conduct an independent review and evaluation of SIM in regards to its evidence base, safety, legality, ethics, governance and acceptability to service users.Respond to this statement within 7 days to communicate the actions taken by NHS England.

Background In 2018, SIM was selected for national scaling and spread across the Academic Health Science Networks (AHSNs). The High Intensity Network (HIN) has been working with the three south London Secondary Mental Health Trusts: The South London and Maudsley NHS Foundation Trust, Oxleas NHS Foundation Trust and South West London and St George’s Mental Health NHS Trust, and the Metropolitan Police, London Ambulance Service, A&E, CCG commissioners, and the innovator and Network Director of the High Intensity Network. The model can be summarised as: A more integrated, informed, calm approach in the way we respond to individuals that have unique needs during a crisis and A better form of multi-skilled, personalised support after the crisis event is over. So in July 2013 the Serenity Integrated Mentoring (SIM) model of care was proposed. This is how it works: SIM brings together all the key urgent care agencies involved in responding to high-intensity crisis service users around the table, once a month. This multi-agency panel selects each individual based on demand/risk data and professional referrals. They use a national 5-point assessment process to ensure that the right clients are chosen and in a way where we can ensure a delicate balance between their rights as an individual but our need to safeguard. Selected individuals are then allocated to a SIM intervention team. The SIM team is led principally by a mental health professional (who leads clinically) and a police officer (who leads on behaviour, community safety, risk and impact). The team supports each patient, to better understand their crises and to identify healthier and safer ways to cope. In the most intensive, harmful or impactive cases, the team also does everything it can to prevent the need for criminal justice intervention. Together, the mental health clinician, the police officer and the service user together create a safer crisis plan that 999 responders can find and use 24 hours day. The crisis plan is then disseminated across the emergency services. The SIM team reinforces these plans by training, briefing and advising front line responders in how to use the plans and how to make confident, consistent, higher quality decisions. What are the benefits and risks of this approach? Benefits: It is claimed that this is a more integrated, calm and informed approach to responding to individuals in crisis and the HIN provides "better multi-skilled, personalised support after a crisis event was over". The HIN website states: "Across the UK, emergency and healthcare services respond every minute to people in mental health crisis and calls of this nature are increasing each year. But did you know that as much as 70% of this demand is caused by a small number of ‘high-intensity users’ who struggle with complex trauma and behavioural disorders? These disorders often expose the patient to higher levels of risk and harm and can simultaneously cause intensive demand on police, ambulance, A&E departments, and mental health crisis teams." Risks: This approach has been subject to strong criticism from some users of mental health services, mental health clinicians and mental health support organisations. Concerns have been raised about whether the HIN/SIM approach is safe, effective or appropriate. I believe we need an open and inclusive discussion about High Intensity Networks, with users of mental services leading the debate. As a former mental health nurse in an Assertive Outreach team I'm keen to learn: How users of services were involved in the initial development of the model? What are the similarities and differences between High Intensity Networks and an Assertive Outreach model? How this approach compares with approaches in other countries? How users of services are involved in evaluating and adapting the model? What the specific benefits are for users of services and are there any risks to this approach? Does this lead to a long term improvements for users of services? I hope people will feel able to contribute openly to this discussion, so we can learn together. #HighIntensityNetwork #mentalhealth

The National Institute for Health Research (NIHR), Chief Scientist Office (CSO) Scotland, Health and Care Research Wales, and the Public Health Agency Northern Ireland invites people to use the UK Standards for Public Involvement in all types of research activity. People, teams and organisations in health research often ask "What does good public involvement in research look like?". High quality public involvement can make a real difference to research and healthcare; however, it needs to evolve and improve over time. The UK Standards for Public Involvement provide clear, concise statements of effective public involvement against which improvement can be assessed.

The NICE 2010 guidance (CG92) requires that all adult hospital inpatients undergo a VTE risk assessment (RA) using a standardised national VTE RA template – upon admission, again 48 hours later, and whenever the patient’s clinical condition changes. Based on the national template, clinicians at Colchester Hospital University NHS Foundation Trust (CHUFT) pioneered an electronic VTE RA tool that enables the assessment to be completed in 30 seconds. This tool has the added benefits of calculating the risk of VTE and recommending appropriate prophylaxis using a pharmacological and/or mechanical agent. This decision support tool is web-based and is now available to any organisation across the globe. The tool and the VTE prevention programme at Colchester Hospital won the 2010 NHS Innovation Award for Patient Safety.

This web page addresses some of the myths around eating disorders and includes videos of patients with eating disorders talking about their experiences.

'Gathering feedback from families and carers when a child or young person dies' is a resource designed to help support professionals in their work with bereaved families and carers. It sets out the key principles of ideal bereavement care, provides guidance as to how and when feedback may be collected and by whom. Importantly, it includes the Childhood Bereavement Experience Measure, a suite of questions to inform local questionnaires. Commissioned by NHS England (London Region) and supported by Sands, the Stillbirth and Neonatal Death Charity, this resource has been informed by the experiences and expertise of a wide range of families, healthcare professionals, charities and third sector organisations. It builds on the success of 'Gathering feedback from families following the death of their baby' and the 'Maternity Bereavement Experience Measure'. This resource does not seek to redefine bereavement care, rather consolidate the principles and themes outlined within existing published literature, much of which has been co-developed with bereaved families. It has been tested with bereaved families and bereavement support staff to ensure that it effectively and sensitively captures the experiences of bereaved parents and carers. It is hoped that this resource will inform the development of any new, and the review of existing, feedback mechanisms. It is hoped that local bereavement support teams, clinical teams, patient experience teams, patient advice and liaison services, third sector organisations, and charities find it useful in supporting local improvement in bereavement care.

This document has been developed to support trusts that are developing or updating their supportive observation/engagement policy. The policy should guide a consistent and auditable approach to: meeting individualised needs of service users agreeing an appropriate level of observation based on the individual’s needs reviewing the level of supportive observation engaging with service users where enhanced observation is required.

This video is 2 minutes long and gives a brief overview of what social prescribing is and its benefits.

What will I learn? How you should be involved in decisions about your care What an advocate is The needs assessment The conversations you should expect About the care and support plan Personal budgets