Re-imagining professionalism: towards co-production

Lead Research Organisation: University of Leeds
Department Name: School of Healthcare

Abstract

The aim of this seminar series is to develop ideas on how to encourage and develop co-production in mental health. Co-production involves mental health service users being able to make decisions about their own treatment and care as equal partners alongside professionals. This application is timely because there is currently a strong policy emphasis encouraging the greater involvement of service users and carers in making decisions about the care they receive. It is widely recognised that new ways of working with service users (a new approach to professionalism) are needed in mental health care.
This seminar series was developed jointly by a research team which includes service users, carers, and people working in charitable/voluntary organisations, and in public and governmental organisations. Academics in the research team are from diverse disciplinary backgrounds: mental health nursing, philosophy, political science, psychiatry, social work and sociology.
The seminar series will bring people together from different stakeholder groups in order to develop ideas about new ways of working in mental health which are based on the principle of co-production. This will involve considering current practices, policies, approaches in different organisations, as well as education and training in mental health. Crucially, mental health service users and their family carers will fully participate in this process. We use the term 'professional' in a new way. A professional can (for us) belong to any occupational group. What makes someone professional is, in our view, their sense of commitment - not their occupational status. Importantly, we believe that service users and family carers should be considered professionals in this context because they are 'experts in experience'. Our speakers and participants include some people who are in positions where they can shape practice, education and policy. We believe though that it is important that all the participants have equal status. The idea is that sharing ideas across groups will be enable us to work out how professionalism in mental health can be based on co-production.
In healthcare a growing importance is being placed on respecting different people's values. This is known as Values Based Practice (VBP). But the problem is that VBP overlooks problems of power - that is the reality that some people's values and perspectives are more powerful and influential than other people's. This is why this seminar series will encourage people to think about co-production by considering some of the key ideas associated with 'democratic professionalism' (DP). DP is based on the idea that it is important that the voices of 'lay' people, particularly marginalised people, should be regarded as highly relevant when it comes to shaping professional practice and values. Another principle of DP is that professionals should be assessed according to the extent to which they support the involvement and enablement of people they work with, such as service users. In other words, professionalism should involve sharing power with others, not exercising power over them. We believe that our seminar series will contribute to the development of professional practice and values which are suited to the 21st century.
Each seminar will focus on a particular topic: the first two seminars set the scene with a focus on co-production and democratic professionalism and on people's lived experience of co-production. The seminars which follow consider how changes to practice, policy and education in mental health could be implemented to develop a new form of professionalism based on co-production.
We will make the video-recordings of the seminar series available on our website and we will have a blog to continue the discussions and conversations which take place in the seminars. All the groups represented at the seminars will contribute to future practical and research initiatives.

Planned Impact

The beneficiaries include mental health service users, informal carers, people who work in the field of mental health (employed by third sector organisations and by public services), as well as educators, policy makers, and commissioners. Our seminar series will interrogate the concept of co-production from diverse perspectives in order to develop an understanding which can inform changes to practice, policy, commissioning and education in mental health which will support new forms of professionalism based on power-sharing. The seminar series format is based on an enactment of democratic professionalism, thereby bridging service user, practitioner, academic cultures, and policy and statutory boundaries for the purpose of knowledge transfer which benefits all stakeholder groups. This will support more creative and integrated ways of working across public services and third sector organisations whilst placing the values of service users at the centre. This is important in the contemporary context in which local authorities are tasked with implementing mental health strategies by enabling collaborations between third sector and public services. Through their participation in the seminar series the beneficiaries will gain from the guidance of one of our project partners COLLABORATE, a social enterprise which has a well established reputation for providing practical support on developing outcomes-focused collaborations across multiple stakeholders in civil society, academia government and business (see pathways to impact).
The capacity of the seminar series to impact on practices, policy and education will be significantly facilitated by project partners and collaborators, which include high profile organisations and individuals. Through our partnership with the Centre for Values Based Practice at St. Catherine's College, University of Oxford, we will have direct access to the Chief Executives of national organisations such as the Professionals Standards Authority (through its Chief Executive, Harry Cayton) and NICE (through its Chief Executive, Sir Andrew Dillon), and to other senior figures in health and social care such as Lord Adebowale (a presenter at the seminar series). Our NHS project partners (Leeds and York Foundation Partnership Trust, the South West Yorkshire Partnership Trust, and the Yorkshire and Humberside Leadership Academy) will enable us to reach multiple stakeholders.
Our seminar series will benefit academics in diverse fields: mental health nursing, philosophy, psychiatry, political science, social work, and sociology. Academics will engage in interdisciplinary discussions which are novel in that they apply a political perspective to the area of co-production in mental health, which has previously been limited to academic endeavour in health and nursing. The seminar series will benefit academics through the development of democratic professionalism across a wider range of disciplines, and equally by embedding democratic professionalism into UK scholarship. Research and scholarship arising from the seminar series will be disseminated in high quality publications, for instance, Philosophy, Psychiatry & Psychology, the British Journal of Social Work, Social Science and Medicine, Sociology of Health and Illness, and the International Journal of Mental Health Nursing. Speakers and participants include well established academics and early career researchers (ECRs) who will learn much from each other as well as from other stakeholder groups.
Our seminar series will have a societal impact by influencing public policies and professional practices at regional, national and international levels. It will improve the effectiveness of mental health services and will contribute to social justice, particularly for mental health service users who are amongst the most marginalised members of society. Finally, the seminar series will influence the shaping professionalism in the field of mental health.

Publications

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Bradley M (2017) Mentalhealthpractice.com in We are all cogs in the machine: The philosophy behind the co-production of services is to work with another person to share power

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Fisher P (2016) Narrative approaches in mental health: Preserving the emancipatory tradition. in Health (London, England : 1997)

 
Description The main achievement of the seminar series is that it has enabled discussions across stakeholder groups (service users, carers, pracitioners and academics).The seminar series was oversubscribed throughout because it responded to a need to overcome traditional boundaries between critical social science, health care research and experiential knowledge. The presentation and lively debates have resulted in 'findings' related to the implementation of co-production, education, and initiatives that support social recovery.
Debates across stakeholder groups have taken place.
The stakeholder groups are service users, professionals and academics. The notes of these discussions have been disseminated amongst seminar participants and made accessible via the project blog. In addition, the seminar has had an impact on the very diverse participants who have commented on its radical and innovative approach. As the examples below illustrate, the seminar series has impact on practices and activities of service users and professionals. Indicative results of the impact of the seminar series to date are discussed below:

1) Penny Morris, former Education Lead, Professional Support Unit, Health Education England and Dr Taiwo Ajayi, Specialist Registrar in Adult Psychiatry explainedi n their feedback:
"The ESRC seminar series has been a profound influence on the establishment of a continuing programme of professional support for trainee psychiatrists and other mental health practitioners, run in London and the South East by the Professional Support Unit of Health Education England. The seminars elaborated our notions of the power and resource of the patient voice and enabled us to navigate co-production within a health organisation which embraced co-production in principle, but whose members were working with great pressures and uncertainty that sometimes made listening and learning from service users harder.
Our brief was to produce a fit for purpose programme that identified and addressed particular communication challenges in mental health professional conversations, including those among colleagues and with patients. Professionals come to such programmes bringing often complex communication problems that can severely affect patient care, personal and team morale and progress in the workforce. Re-imagining personal professional development is our necessary focus and the seminars provided influential examples and experience of re-imagining professionalism through successful co-production, giving us the confidence to attempt full co-production of effective learning for professional transformation in the arena of mental health.
From the beginning we sought to apply the experience and insight of service users into how to improve these difficult conversations. Learning from the seminars was shared by email with a strategically assembled cohort of stakeholders who met to plan (followed up by email/telephone) as co-producers of the programme: facilitators from service user, psychiatrist, GP, linguist and community development roots, together with role players bringing the user perspective. From the outset, our principle was to emphasise learning from the service user voice, recognising leadership in addressing issues of power. From this, cultural self-awareness, self-care and issues of power and responsibility became the focus of group work and informed one-to-one attention. The learner experience is also co-designed, delivered and evaluated with the learners, tailored by their individual needs and led by service user feedback. Reflecting together throughout the delivery and evaluation of the programme is key."
Service user members of the group had previously worked together in a secure clinic, to improve communication between patients and nurses. Designed with patient representatives and lead ward nurses, this encouraged changes for individuals and their support structures. The work continues in another clinic and confidence to take forward co-producing learning in the workplace has been greatly strengthened by the experience of the ESRC seminars.

The programme for professionals at the most challenging front line of care was informed by those useful ward-based sessions where people in extremity were successfully encouraged to demonstrate their personal resources. That work increased our confidence to speak more directly with learners about how they could be at their best. Trainee doctors and nurses in mental health care are often internationally educated with further challenges around culture and language; we found that re-imagining their professional selves to integrate their experiences into a new appreciation of how to carry out their professional role - and, vitally, re-embodying this in rehearsal of fresh conversations - helped them to identify and demonstrate their strengths.
Our most important learning from the co-production seminars and this programme has been the importance of mutual learning and (collaborative) self-care for all. And that those are not unproblematic. We are all humans, only human after all.."
The above accounts illustrates that the seminar series has had a direct impact on continuing professional development in mental health care services.
2) John Melvyn Bradley attended each of the seminars and explained:
"In my day job I help to run a peer led mental health charity in Bolton, MhIST. MhIST stands for Mental Health Independent Support Team, pronounced 'mist'. The series has inspired me to try and get a couple of ideas going as follows:
The first idea was from the York event (the second seminar), this time last year, and was about story telling. I think story telling is a really helpful way for people who experience mental health problems to explain how things have been for them and how they got where they are. The people were Tricia Thorpe, Vanessa Findlay and Brendan Stone. I have subsequently made contact with a colleague at University of Bolton who is able to help. This is work in progress. Stories of local patients are something that Bolton CCG executive are apparently interested in.
The second idea was from the final event at Huddersfield. I really like the idea of a public partnership group being hosted by a university. Rob Moriarty subsequently sent me some ideas about how to get one started. I am a member of the University of Bolton, Psychology department industry advisory board. Although I don't have any power I am able to influence and have a good relationship with the department professor, Jerome Carson and one of the assistant VC's, Patrick McGhee. Again work in progress".

3) An edited edition (co-produced with seminar participants) has been accepted by Jessica Kingsley. The seminar series provided the opportunity to bring together service users, pactitioners and professionals who are contributing to the edited collection. The edition entitled 'Co-production in Mental Health: Lighting up Dark Places' is unique in the sense that most of the chapters are co-produced with service users. The co-production of the book is equallly embedded in the editing process with the book's 3 sections co-edited by service users. The book is s primarily aimed at undergraduates, mental health nurses, and allied health professionals but will of wider interest.Our approach is likely to interest social workers, community workers, social scientists and policymakers. We hope that it will be accessible to informed service users and carers.The book was conceptualised and is being steered by a co-production steering group comprised of service users, pracitioners and academics. The book is expected to be published in late 2019.

4) As outlined, in the further section, the seminar series has resulted in the successful development and completion of bids made to the NIHR, Rape Crisis, and for PhD funding at Leeds Beckett University. The PhD studentship (Andrew Passey) is focused on investigating the implemenation of the policy 'Future in Mind' in Wakefield where there is an innovative initattive to develop co-productive working within Children and Young People's Mental Health services. In this respect, Wakefield is a trailblazer, and was identified by the seminar series PI (Pamela Fisher) through their involvement with the seminar series. Commissioners in Wakefield have been particularly support of the research. The PhD study is not an evaluation of local implementation, but seeks to identify how co-production in mental health is shaping understandings and enactments of professionalism within mental health services. The PhD researcher (Andrew Passey) is making is excellent progress and will complete the PhD in February 2020. The findings will be especially valuable to future initatives that seek to develop co-production with services users and across service providers (public and voluntary sector organisations).

5) The Seminar series PI (Pamela Fisher) submitted a bid to the AHRC (£448.855) in September 2018 with a colleague from the Built Environment at Leeds Beckett (Saheed Ajaxi: PI). The title of the application is 'Mental Health Support Analysis Tool (MESAT) for Building Design Proposal: A DQI for Assessing and Enhancing the Impacts of Building on Mental Health. Focusing on the design of care homes for people suffering from mental distress, the focus and methodology for the application has been developed in collaboration with service user and carer participants of the seminar series. In particular, participants accessed via the Leeds and Yorkshire Foundation Partnership Trust (LYFPT), South West Yorkshire FoundationaTrust (SWYFT), and Leeds Involving People. These organisations were all partners in the seminar series (please see original application to ERSC). If the bid is successful, a steering group will include seminar participants from these organistions. The research was therefore conceptualised and, if successful, will be enacted with seminar participants as an enactment of co-production. The service-user seminar participants will be involved in all stages of the research, thereby potentially influencing the future designs of buildings in order to promote good mental health.

The research objectives of our application are:

To investigate the mental stressors within the built space and identify measures for eliminating the stressors through co-production, by drawing on a range of expertise that has been developed professionally and through the lived experience of mental health problems;
To understand the mental healing effects of buildings and measures for integrating them into an indoor space design and refurbishment; To develop design quality indicators (Mental Health Maturity Model of design proposal) that are capable of measuring, evaluating and proposing measures for improved mental healing effects of buildings on the occupants;
To develop a multi-criteria decision support software system (Mental Health Support Analysis Tool - MESAT) for evaluating and improving building design proposal for its impacts on independent living and mental health recovery
Exploitation Route The findings will be applied within future applications for funding, and the PI is working with a seminar collaborator to produce an edited collection. A significant number of the contributors will be seminar participants. The findings of the seminar series have been useful beyond the named stakeholders in the bid. One of the findings related to the importance of environmental factors, and this has been taken forward by the PI with colleagues working in the disciplinary area of the Built Environment

The Seminar series PI (Pamela Fisher) submitted a bid to the AHRC (£448.855) in September 2018 with a colleague from the Built Environment at Leeds Beckett (Saheed Ajaxi: PI). The title of the application is 'Mental Health Support Analysis Tool (MESAT) for Building Design Proposal: A DQI for Assessing and Enhancing the Impacts of Building on Mental Health. Focusing on the design of care homes for people suffering from mental distress, the focus and methodology for the application has been developed in collaboration with service user and carer participants of the seminar series. In particular, participants accessed via the Leeds and Yorkshire Foundation Partnership Trust (LYFPT), South West Yorkshire FoundationaTrust (SWYFT), and Leeds Involving People. These organisations were all partners in the seminar series (please see original application to ERSC). If the bid is successful, a steering group will include seminar participants from these organistions. The research was therefore conceptualised and, if successful, will be enacted with seminar participants as an enactment of co-production. The service-user seminar participants will be involved in all stages of the research, thereby potentially influencing the future designs of buildings in order to promote good mental health.

The research objectives of our application are:

To investigate the mental stressors within the built space and identify measures for eliminating the stressors through co-production, by drawing on a range of expertise that has been developed professionally and through the lived experience of mental health problems;
To understand the mental healing effects of buildings and measures for integrating them into an indoor space design and refurbishment; To develop design quality indicators (Mental Health Maturity Model of design proposal) that are capable of measuring, evaluating and proposing measures for improved mental healing effects of buildings on the occupants;
To develop a multi-criteria decision support software system (Mental Health Support Analysis Tool - MESAT) for evaluating and improving building design proposal for its impacts on independent living and mental health recovery
Sectors Communities and Social Services/Policy,Education,Environment,Healthcare,Government, Democracy and Justice

URL https://coproductionblog.wordpress.com/
 
Description Debates across stakeholder groups have taken place. The stakeholder groups are service users, professionals and academics. The notes of these discussions have been disseminated amongst seminar participants and made accessible via the project blog. In addition, the seminar has had an impact on the very diverse participants who have commented on its radical and innovative approach. As the examples below illustrate, the seminar series has impact on practices and activities of service users and professionals. Indicative results of the impact of the seminar series to date are discussed below: 1) Penny Morris, former Education Lead, Professional Support Unit, Health Education England and Dr Taiwo Ajayi, Specialist Registrar in Adult Psychiatry explainedi n their feedback: "The ESRC seminar series has been a profound influence on the establishment of a continuing programme of professional support for trainee psychiatrists and other mental health practitioners, run in London and the South East by the Professional Support Unit of Health Education England. The seminars elaborated our notions of the power and resource of the patient voice and enabled us to navigate co-production within a health organisation which embraced co-production in principle, but whose members were working with great pressures and uncertainty that sometimes made listening and learning from service users harder. Our brief was to produce a fit for purpose programme that identified and addressed particular communication challenges in mental health professional conversations, including those among colleagues and with patients. Professionals come to such programmes bringing often complex communication problems that can severely affect patient care, personal and team morale and progress in the workforce. Re-imagining personal professional development is our necessary focus and the seminars provided influential examples and experience of re-imagining professionalism through successful co-production, giving us the confidence to attempt full co-production of effective learning for professional transformation in the arena of mental health. From the beginning we sought to apply the experience and insight of service users into how to improve these difficult conversations. Learning from the seminars was shared by email with a strategically assembled cohort of stakeholders who met to plan (followed up by email/telephone) as co-producers of the programme: facilitators from service user, psychiatrist, GP, linguist and community development roots, together with role players bringing the user perspective. From the outset, our principle was to emphasise learning from the service user voice, recognising leadership in addressing issues of power. From this, cultural self-awareness, self-care and issues of power and responsibility became the focus of group work and informed one-to-one attention. The learner experience is also co-designed, delivered and evaluated with the learners, tailored by their individual needs and led by service user feedback. Reflecting together throughout the delivery and evaluation of the programme is key." Service user members of the group had previously worked together in a secure clinic, to improve communication between patients and nurses. Designed with patient representatives and lead ward nurses, this encouraged changes for individuals and their support structures. The work continues in another clinic and confidence to take forward co-producing learning in the workplace has been greatly strengthened by the experience of the ESRC seminars. The programme for professionals at the most challenging front line of care was informed by those useful ward-based sessions where people in extremity were successfully encouraged to demonstrate their personal resources. That work increased our confidence to speak more directly with learners about how they could be at their best. Trainee doctors and nurses in mental health care are often internationally educated with further challenges around culture and language; we found that re-imagining their professional selves to integrate their experiences into a new appreciation of how to carry out their professional role - and, vitally, re-embodying this in rehearsal of fresh conversations - helped them to identify and demonstrate their strengths. Our most important learning from the co-production seminars and this programme has been the importance of mutual learning and (collaborative) self-care for all. And that those are not unproblematic. We are all humans, only human after all.." The above accounts illustrates that the seminar series has had a direct impact on continuing professional development in mental health care services. 2) John Melvyn Bradley attended each of the seminars and explained: "In my day job I help to run a peer led mental health charity in Bolton, MhIST. MhIST stands for Mental Health Independent Support Team, pronounced 'mist'. The series has inspired me to try and get a couple of ideas going as follows: The first idea was from the York event (the second seminar), this time last year, and was about story telling. I think story telling is a really helpful way for people who experience mental health problems to explain how things have been for them and how they got where they are. The people were Tricia Thorpe, Vanessa Findlay and Brendan Stone. I have subsequently made contact with a colleague at University of Bolton who is able to help. This is work in progress. Stories of local patients are something that Bolton CCG executive are apparently interested in. The second idea was from the final event at Huddersfield. I really like the idea of a public partnership group being hosted by a university. Rob Moriarty subsequently sent me some ideas about how to get one started. I am a member of the University of Bolton, Psychology department industry advisory board. Although I don't have any power I am able to influence and have a good relationship with the department professor, Jerome Carson and one of the assistant VC's, Patrick McGhee. Again work in progress". 3) An edited edition (co-produced with seminar participants) has been accepted by Jessica Kingsley. The seminar series provided the opportunity to bring together service users, pactitioners and professionals who are contributing to the edited collection. The edition entitled 'Co-production in Mental Health: Lighting up Dark Places' is unique in the sense that most of the chapters are co-produced with service users. The co-production of the book is equallly embedded in the editing process with the book's 3 sections co-edited by service users. The book is s primarily aimed at undergraduates, mental health nurses, and allied health professionals but will of wider interest.Our approach is likely to interest social workers, community workers, social scientists and policymakers. We hope that it will be accessible to informed service users and carers.The book was conceptualised and is being steered by a co-production steering group comprised of service users, pracitioners and academics. The book is expected to be published in late 2019. 4) As outlined, in the further section, the seminar series has resulted in the successful development and completion of bids made to the NIHR, Rape Crisis, and for PhD funding at Leeds Beckett University. The PhD studentship (Andrew Passey) is focused on investigating the implemenation of the policy 'Future in Mind' in Wakefield where there is an innovative initattive to develop co-productive working within Children and Young People's Mental Health services. In this respect, Wakefield is a trailblazer, and was identified by the seminar series PI (Pamela Fisher) through their involvement with the seminar series. Commissioners in Wakefield have been particularly support of the research. The PhD study is not an evaluation of local implementation, but seeks to identify how co-production in mental health is shaping understandings and enactments of professionalism within mental health services. The PhD researcher (Andrew Passey) is making is excellent progress and will complete the PhD in February 2020. The findings will be especially valuable to future initatives that seek to develop co-production with services users and across service providers (public and voluntary sector organisations).
First Year Of Impact 2018
Sector Communities and Social Services/Policy,Environment,Healthcare
Impact Types Cultural,Societal,Policy & public services

 
Description British Lottery
Amount £12,000 (GBP)
Organisation Rape Crisis 
Sector Charity/Non Profit
Country United Kingdom
Start 03/2017 
End 09/2017
 
Description Funding for PhD studentship (Leeds Beckett)
Amount £60,000 (GBP)
Organisation Leeds Beckett University 
Sector Academic/University
Country United Kingdom
Start 02/2017 
End 02/2020
 
Description NIHR, School of Social Care
Amount £67,840 (GBP)
Funding ID CO88/Ti1-011/RHULFK-P83 
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 08/2017 
End 04/2018
 
Title Co-production tool 
Description A co-production tool was developed as part of the Co-production Weaving the Web project (see under funding) 
Type Of Material Improvements to research infrastructure 
Year Produced 2017 
Provided To Others? Yes  
Impact The tool is available to Rape Crisis England and Wales 
 
Description Worldwide University Network, Resilience in Service Providers in Public Health 
Organisation University of Cape Town
Department Percy FitzPatrick Institute of African Ornithology
Country South Africa 
Sector Academic/University 
PI Contribution The WUN Resilience working Group is led by Prof Steve Reid at the University of Cape Town. It is currently made up of 25 partner HEIs (UK and International) I am the coordinator of the Service Providers working group. The group are engaged in 5 linked research studies related to resilience and mental health
Collaborator Contribution The WUN collaboration provides opportunities for disseminating research, professional practice and expertise by experience which are shared in the ESRC seminar series. 1) The first is to present a paper as part of a symposium at the Pathways to Resilience IV conference which will be held at the University of Cape Town, South Africa (14-16 June). 2) At the Universities Network (WUN) Resilience Workshop (17th- 18th June), I shall present an invited paper.
Impact Potential for international applications for funding relating to mental health and resilience.
Start Year 2015
 
Description Conference presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Coan, S., Winfield, L., and Fisher, P. (2017) Co-production and mental health: patient 'champions' speak back to power, Iris International Conference 2017: global perspectives on research co-production with communities, University of Birmingham 14-15 September. A joint presentation with a service-user participant who attended the seminars.
Year(s) Of Engagement Activity 2017
 
Description Invitation to Round Table Discussion on co-production at the Social Care Institute for Excellence 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact Fisher, P. (2016) Invited participant at Roundtable discussion: The Challenge of Co-production. Social Care Institute for Excellence, London 19 May

Increased awareness of and interest in seminar series
Year(s) Of Engagement Activity 2016
 
Description Invited Presentation: Fisher, P. (2017) Re-imagining professionalism: towards co-production, Yorkshire and Humberside Leadership Academy, Health Education England Leeds 1 February 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This was an invited presentation for the Co-creation network which is part of Yorkshire and Humberside Leadership Academy.
The invited presentation was an opportunity to disseminate some of the debates arising from the ESRC seminar series.
The audience was around 100 people, comprised of professionals from public and third sector agencies
Year(s) Of Engagement Activity 2016
URL https://co-creationnetwork.com/docs/pamela-fisher-winter-basecamp-2017/
 
Description Invited presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Fisher, P. (2017) Co-production and community engagement, Police Community Engagement Showcase, N8 Policing Research Partnership, Knowledge Exchange Conference, The Studio, Riverside West, Leeds. This was an invited presentation on co-production and community engagement
Year(s) Of Engagement Activity 2017
URL https://n8prp.org.uk/event/n8-prp-police-community-engagement-showcase/
 
Description Invited talk by Pamela Fisher at a conference by the Social Care Strategic Network and National Survivor User Network 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Fisher, P. (invited presentation) Re-imagining professionalism in mental health: towards co-production, Co-produced Innovation in Mental Health, Conference by the Social Care Strategic Network and the National Survivor User Network, Indian YMCS, London, 15 June
Year(s) Of Engagement Activity 2016
URL https://lambethwellbeing.wordpress.com/2016/05/16/co-produced-innovation-in-mental-health-call-for-s...
 
Description Keynote by Pamela Fisher 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Fisher, P. (Keynote) (2016) Co-production and citizenship, Co-production Conference by Touchstone and Leeds Involving People, St Chad's, Leeds, 9 June 2016

Rose the profile of the ESRC seminar amongst regional stakeholder groups
Year(s) Of Engagement Activity 2016
URL http://www.volition.org.uk/co-production-conference-thursday-9th-june/
 
Description Seminar 2: Enacting co-production at St Catherine's College, University of Oxford, 17 February 2-16 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Patients, carers and/or patient groups
Results and Impact 46 participants attended the first seminar.
Consistent with the spirit and enactment of co-production, participants from the following groups were represented in approximately equal numbers: service users and informal carers, professionals from statutory and third sector organisations and acadaemics.

The introduction was delivered by Professor Fulford and Dr Fisher; main presentations were given by Dr Sarah Carr (NSUN and Middlesex University); Professor Peter Ryan (University of Middlesex); Dr Gemma Stacey and Dr Philip Houghton (both of the University of Nottingham) and Ms Keeble (service user of the Bristol Co-production group)

Similar to the first seminar, a great deal of discussion was generated. Discussions were held regarding the focus of future research.
Year(s) Of Engagement Activity 2016
URL http://medhealth.leeds.ac.uk/info/1164/esrc_seminar_series/2002/seminar_2_st_catherines_college_univ...
 
Description Seminar 3: Contemporary Developments in Healthcare Practice: a help and/or hindrance to power-sharing 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Patients, carers and/or patient groups
Results and Impact As with previous workshops, this was heavily over-subscribed. Our aim in our application was to recruit approx 35 people to each event, but, again, at this one there were 45 people present and a waiting list. The participant groups were service users, carer, professionals in public and third sector organisations, academic, PhD students, and representatives of professiona bodies.

The speakers included Tina Coldham and Pete Fleischmann from the SCIE, David Crepaz-Keay, Head of Inclusion at the Mental Health Foundation, Professor Martin Webber of York Univeristy and Rebecca Hutten (PhD student, Sheffield)

Much lively discussion generated
Year(s) Of Engagement Activity 2016
URL https://coproductionblog.wordpress.com/tag/seminar-3/
 
Description Seminar 4: Contemporary developments in mental health policy and commissioning: a help and/or hindrance to co-production and power-sharing 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Patients, carers and/or patient groups
Results and Impact As with previous seminars, the aim was to encourage debate across boundaries between service users, carers, academics, professionals, VCS, and representatives of professional bodies.
The seminar was held in Yok on 28 October 2016. Speakers included Anne Rogers, Professor of Health Systemens and Implementation at the University of Southhampton; Dr Karen Newbigging, Senior Lecturer in Health Policy and Management`at the Health Services Management Centre, University of Birmingham; and Joseph Alderdice and Danielle Barnes form West Yorkshire Finding Independence (WY-FI). Joseph Alderdice is the the Development and Engagement Lead for WY-FI and Danielle Barnes is a service user and one of WY-FI's Engagement and and Co-Production workers.
Year(s) Of Engagement Activity 2016
URL https://coproductionblog.wordpress.com/
 
Description Seminar 5: Narrative and regulatory knowledge in co-produciton 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Patients, carers and/or patient groups
Results and Impact This was the fifth seminar in the ESRC seminar series. Speakers were: Tricia Thorpe - Anti-stigma coordinator at Leeds and York Foundation Partnership Trust, and facilitator fo Real voice and unheard voice: Vanessa Findlay, service user and volunteer in the anti-stigma team; Mick McKeown, Reader in Democratic Mental Health (Uclan); Helen Spandler, Reader in Mental Health; Professor Brendan Stone and Dr Shirin Teifouri, School of English at the University of Sheffield.

This seminar was highly oversubscribed. It is encouraging to not that there are a core of about 30 people who keep returning to the seminars. In total there were about 50 people (service users, acadaemics and professionals) participating. There was a waiting list of over 30 people.
Year(s) Of Engagement Activity 2016
URL https://coproductionblog.wordpress.com/tag/seminar-5/
 
Description Seminar at Leeds: Applying the concept of democratic professionalism in mental health 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Patients, carers and/or patient groups
Results and Impact 45 participants attended the first seminar.
Consistent with the spirit and enactment of co-production, participants from the following groups were represented in approximately equal numbers: service users and informal carers, professionals from statutory and third sector organisations and acadaemics.

Presentations were made by Professor Dzur Political Science, Bowling Green University; Michael Guthrie, Director of Policy and Standards at the Health and Social Care Professions Council; Anne Dransfied, carer; and Scott Bell, service user and employee of Kirklees Lifeline.

The talks engendered lively and prolonged debate which have continued via social media: blog and twitter
Year(s) Of Engagement Activity 2016
URL http://medhealth.leeds.ac.uk/info/1164/esrc_seminar_series/1971/seminar_1_university_of_leeds_5_janu...