Project blog - People Powered Health: Co-production for people with Long Term Health Conditions

Posted by :
Peter Baeck

This week saw the launch of NESTA’s People Powered Health programme.

People Powered Health is a new programme from NESTA, working with the Innovation Unit, to support the design and delivery of innovative services for people that are living with long term health conditions.

Over the next twenty months, it will provide investment and support to partnerships of commissioners, providers and consumers of health and social care services to develop innovative solutions that achieve better outcomes for people living with long term health conditions and reduce the pressure on health services.

The focus of the programme is the concept of coproduction – that people’s needs are better met when they are involved in an equal and reciprocal relationship with professionals, working together to get things done. 

The first stage is an open call for ideas where we hope to hear from innovative organisations that share our ambition and have ideas for how the concept of coproduction can be applied at scale. 

You can find more information about the programme and how to apply here

The number of people living with a long term health condition is rising rapidly, impacting on quality of life and adding to the significant pressure on health budgets. Some of the more compelling numbers on the impact of LTC’s highlight this:

  • 15.4 million people, or almost one in three of the population, in England suffer from a long-term health condition
  • Three out of every five people aged over 60 in England suffer from a long-term health condition
  • Due to the aging population the number of people in England with a long-term health condition is set to rise by 23% over the next 25 years
  • 5% of the patients, the majority of whom have one or more long-term health  condition account for 49% of all in-patient hospital bed days
  • Patients with long-term health conditions are very intensive users of health care services.  Those with Long-term health  conditions account for 31% of the population, but use 52% of all GP appointments and 65% of all outpatient appointments
  • It is estimated that the treatment and care of those with those with long-term health conditions accounts for 69% of the primary and acute care budget in England
  • The UK economy stands to lose £16 billion over the next 10 years through premature deaths due to heart disease, stroke and diabetes

 (Source: DoH)

We see strong evidence across different areas of public service that coproduction offers the potential for substantially better outcomes at lower costs. Building on this, our ambition is to demonstrate how coproduction can be applied at scale to transform the way that people living with long term health conditions are supported. Our goal is to deliver better outcomes for patients and help reduce costs for the NHS in a time where it is facing radical challenges.

Innovation Unit is really excited to be working with NESTA on this programme, as the concept of coproduction and its underlying principles sit at the core our work on innovation in public services. In Radical Efficiency we showed how a new and equal partnership between users and professionals helped deliver both better services while making significant reductions in costs at the same time. From Chicagos Citizen Law Enforcement Analysis and Reporting , that involved citizens in mapping crime and reduced violent crime by 16%, to Patient Hotels where families work with nurses and doctors in looking after their loved ones, with a 60% cost reduction pr. Patient hotel hospital bed as a result.  

Our work on Transforming Early Years, has shown how the lessons from Radical Efficiency on the benefits of coproduction can be harnessed in early years services. Indeed, each of the six pilots is looking to deliver better outcomes for users and reducing costs by 20 – 30%. Just as we are starting to see the benefits of coproduction in our work with GP’s and Chronic Obstruction Pulmonary Disorder patients in Outer North East London

With this excitement in hand, we now look forward to working with NESTA on coproduction for people with long term health conditions.



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