This is an example of consulting because those using the service are not involved in the decision-making for the design or delivery of the service and are only asked for feedback at the end.
A local charity provides a 'help at home' service for elderly people living in the area. It supports people with daily tasks such as cooking, cleaning, shopping and laundry. The charity seeks feedback from those receiving the service and sometimes runs mystery shopping exercises to gain insights on the effectiveness of the support it provides.
This is an example of informing since people using services are not involved in identifying gaps in service design. They are not even asked for feedback on how services are currently performing. Rather, commissioning is an activity taking place within the confines of the CCG and people are merely informed of their options.
A Clinical Commissioning Group compiled a list of services on offer and assessed need in the local population using local area statistics. Commissioners noticed a rise in demand for mental health recovery services but a lack of services to meet this. The CCG commissioned a number of extra recovery services from a trusted provider to fill this gap and notified a group of people who use services.
This is an example of co-production because the organisation blurs the boundaries between people receiving a service and people providing a service. Critically, the networks are not simply made up of vulnerable adults, but instead incorporate a wide range of people from the local community. Assets are identified from within the membership base and beyond and then mobilised to maximise the networks' scope and impact.
An organisation supports people to live in their own homes through sharing their skills and talents with each other and their communities. Building these networks is the role of the 'community living volunteer'.
The volunteer lives in the community. They help members make the most of where they live and support them to draw up personal and community maps of friends, acquaintances, amenities and assets. Members are involved in the recruitment of new staff and sit on the board of trustees.
This is an example of coercing since those involved in the scheme are not involved in its design or shaping delivery and are instead encouraged to take part through a coercive disincentive.
A new employment scheme for unemployed people will encourage job seekers who have worked for fewer than six months to take voluntary placements with local private and voluntary organisations that do good for the community. They will be asked to work for 30 hours a week for 3 months, and to be searching for other employment during that time, or they will no longer be entitled to their benefits. The programme is attempting to help people with very little work experience to get a foothold on the jobs ladder.
This is an example of co-design because those using services are involved in the design of a new service. In order for this example to move up the ladder to 'co-production', those using services would have to be involved in sharing strategic decision-making about policies as well as decisions about the best way to deliver services.
A project works with people to help them manage problems associated with Type 1 Diabetes. The aim is to generate ideas that can then be implemented through the NHS. During a series of workshops using 'body mapping' and 'blue sky ideas', people with diabetes and their family and carers share their experiences of how they could improve current services and turn them into practical proposals using Dragon's Den pitching.