Experience Based Co- Design Based on work from the NHS Institute for Innovation and Improvement
Experience Based Co- Design is….. A method of designing better experiences for patients, carers and staff. The approach captures the experiences of those involved in healthcare services. It involves looking at the care journey and the emotional journey people experience. Staff work together with patients and carers to firstly understand these experiences and then to improve them.
What amazed me is how much can be achieved with little or no money, simply because we are working as equals alongside staff, sharing ideas All the staff have impressed me with and finding common sense solutions their enthusiasm for improvement, its Sheelagh Wren, Patient almost as though there has been some sort of injection into the staff. June Edwards, Patient The difference between this approach and the past is that patients are involved right When we started I was concerned that there from the beginning. That’s why there has would be a lot of investment of time and been great progress and greater resource for no real benefit. However it has improvement. Before things just fizzled proved fundamental in allowing us to improve out. how we listen to and work alongside patients Elaine Hide, Nurse and Service Improvement Dr Simon Stacey, Consultant Physician Lead Quotations taken from NHSI resources www.institute.nhs.uk/ebd
Four steps to the EBCD approach • Capture the experience • Understand the experience • Improve the experience • Measure the improvement
Capture the experience Getting patients and staff involved, and helping people tell their stories through: • Filming interviews of people telling their stories • Experience logs • Observations
Understand the experience By: • Identifying emotions • Mapping emotional highs and lows • Finding touchpoints
Ways to do it • Experience events. Meetings where staff and patients you have been working with review the material gathered during the capture phase. Three events work well. 1 for staff to share listen and talk. 1 for patients and carers to share, listen and talk. A co-design event for patients, carers and staff to share and listen to each other’s experience, identify areas for next steps and develop project teams and plans.
• Emotional mapping A process through which patients and staff describe in detail the emotions (positive and negative) experienced along the patient journey. It helps to highlight emotional highs and lows of the service or pathway.
Improve the experience Using: • Ideas and action events • Experience improvement sheets • Individual and group action cards
Measure the improvement The resources available from the NHS Institute provide information about: • Tools • Principles • Sustainability model • Project newsletter • Celebration event
Tools and templates All the tools, templates you can customise for your own service, and other resources can be downloaded from the following website. www.institute.nhs.uk/ebd
For the rest of the afternoon we want to: • Capture the experience of the service users and carers working with us today • Have a go at emotional mapping • Try some co-designing and come up with some ideas for improvement
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