Table 5: engagement and co-production’ ‘Increased National survey of DPH and CCG members of HWBs 7 (first survey) National survey of DPH and CCG members of HWBs 7 (second survey) National survey of VCSE sector organisations involved 8 in health promotion and prevention National survey of Healthwatch and VCSE sector 5 members of HWBs Total references 27 Achieving increased engagement and co-production with communities of interest or of place, developing solutions to common problems’ and also promoting ‘shared local resilience, were frequently mentioned dimensions of innovation and contrasted with top-down modelling of preventive services. Sometimes this was in relation to the planning of services, as new to get people involved’ (VCSE sector ‘something survey), or: working together to deliver something that works and is sustainable and that includes local people and communities at the heart of it. (Healthwatch/VCSE sector survey) One CE emphasised the importance of community engagement in developing innovative solutions: It’s a general understanding over time here that if you’re going to find … creative solutions to some of the issues we’ve got, the answers aren’t in the town hall are they? We need to work with people in order to get them. …. innovation might be defined as things differently’, one respondent ‘doing emphasised that a process of and error needed to involve users throughout the process, identifying what worked (Healthwatch and VCSE sector survey). A further respondent noted that as: health and social care works in a constantly evolving innovative environment. Innovation for me is where we really listen to the local residents to see how they view their needs and priorities then translate that into service delivery to achieve that outcome together. There is still a culture of standardised services fitting around people not a more personalised approach which may be more costly initially but will be the only way to create the behaviour change required in the longer term. For others, innovation would also lead to communities taking responsibility for their own health. One service director believed that innovation was about newness and about improved outcomes, but it was also about achieving shared responsibility:
Table 5: ‘Increased engagement and co-production’ National survey of DPH and CCG members of HWBs (first survey) 7 National survey of DPH and CCG members of HWBs (second survey) 7 National survey of VCSE sector organisations involved in health promotion and prevention 8 National survey of Healthwatch and VCSE sector members of HWBs 5 Total references 27 Achieving increased engagement and co-production with communities of interest or of place, developing ‘shared solutions to common problems’ and also promoting local resilience, were frequently mentioned dimensions of innovation and contrasted with top-down modelling of preventive services. Sometimes this was in relation to the planning of services, as ‘something new to get people involved’ (VCSE sector survey), or: working together to deliver something that works and is sustainable and that includes local people and communities at the heart of it. (Healthwatch/VCSE sector survey) One CE emphasised the importance of community engagement in developing innovative solutions: It’s a general understanding over time here that … if you’re going to find creative solutions to some of the issues we’ve got, the answers aren’t in the town hall are they? …. We need to work with people in order to get them. innovation might be defined as ‘doing things differently’, one respondent emphasised that a process of and error needed to involve users throughout the process, identifying what worked (Healthwatch and VCSE sector survey). A further respondent noted that as: health and social care works in a constantly evolving innovative environment. Innovation for me is where we really listen to the local residents to see how they view their needs and priorities then translate that into service delivery to achieve that outcome together. There is still a culture of standardised services fitting around people not a more personalised approach which may be more costly initially but will be the only way to create the behaviour change required in the longer term. For others, innovation would also lead to communities taking responsibility for their own health. One service director believed that innovation was about newness and about improved outcomes, but it was also about achieving shared responsibility:
ResearchReport6AninnovationframeworkforpublichealthcommissioningSeptember2016.docx