By Richard
Field and Clive Miller – Independent consultants
Co-production is more than a practice innovation. It’s a
total shift in the way the world is understood to work. This is the bedrock on
which the new set of working relationships, with power-sharing at its centre, will be built.
Co-production understands that services do not produce outcomes.
Instead it is what people and communities do alongside organisations that together
produce outcomes. This has always been the case but has either not been recognised
or taken into account in conventional practice. Hence the opportunity for people
and community to be effective co-producers with practitioners continues to be missed.
The result has been both the ineffective and inefficient use of the collective
assets of people, communities and organisations.
What is now needed is large scale change that uses the learning
from the many examples of innovative co-productive practices to completely
transform all conventional practice to being co-production based. This is not a
theoretical musing. Wholesale ‘re-imagining of social care’ is already starting
to happen in places as diverse as Somerset,
Thurrock and Wigan.
It works by devolving power:
· A new relationship -
‘re-defining the relationship between councils and residents. For example, the
Wigan Deal.
· Community anchored support - ‘A
clear sighted commitment to foster development of services and support, often
small-scale, which is anchored in the community’.
· Permission - ‘Senior
managers creating a permissive framework that creates the expectation and
provides support for practitioners to work in imaginative person and
community-centred ways’.
At whatever scale co-production
is being introduced, if power sharing is to become a reality it will also require
a new ways of exercising power, including a new model of leadership with its
own unique set of terms and conditions. SCIE trustee Alex
Fox identifies some of them:
· What. Stop believing in
‘heroic leadership’ the ‘inspirational
leader who turns around a troubled organisation’. This is the opposite of the
power sharing culture that underpins co-production.
· Who. No diversity, no power
sharing
· What. ‘Co-production can only
work where there are people with lived experience in a position to co-produce’.
The context within which power sharing takes place has a
major impact on its outcomes. Hence the commissioning process also requires
wholesale change. The many different individual innovations
that comprise asset-based commissioning show what is needed.
Now is the time to bring them together as a connected set
to deliver the new model of power sharing, at scale.
Three key shifts will be:
Focus and how outcomes are perceived to be produced
Collaborate with people and communities as equal decision makers.
A fundamental shift in the relationship between commissioners, people, communities and suppliers.
None of the above will happen unless there is system-wide change in both practice and commissioning. True co-production.
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