Ingredients for community codesign: a venue, some flipcharts, a bowl of soup and a lot of trust

Reflections from our first Rethinking Our Health codesign workshops.
Codesign events with communities and partners
July saw an important milestone in Rethinking Our Health, with our test site partners we held community codesign events to share back the findings of the engagement phase, and to discuss practical ideas to take forward in the autumn. These will be focused on our goal of community-designed, clinically backed support for people with or at risk of osteo-arthritis, cardiovascular disease and diabetes.
A mix of lived and professional experience

At both events we had a half and half mixture of community members and people who work in health, local government, and the voluntary community and social enterprise (VCSE) sector.
Designing the events with the community
Both events were planned with our test site partners and community members, and this is key to how they went. This meant focusing on the biggest things people told us about in the engagement phase – there were pain, access to services, understanding and confidence around your condition, practical social and financial barriers.
Two areas, two approaches
In one test site there has been a history of (and a funded infrastructure for) conversations and partnership working. Over the last ten years, many issues have been discussed, the progress both desired and created by all, the codesign event felt natural. It felt like we could ask things of each other.
In our other area leadership is more dispersed, local government takes a bigger role in leading and encouraging community health and engagement partnership working. Test site partners took a participatory appraisal approach to developing community engagement in our big question, and the pre-event work was important to building interest and confidence to take part.
Shared energy and commitment
One thing in common was that both events were buzzing with enthusiasm and commitment to neighbourhoods was clear. There is a real appetite for building on existing or previous work, ambition for better solutions and understanding that so much of this is built on relationships.

What we heard: Key themes from the codesigns
Key themes that came out of both events were
- desire for local, early, holistic support
- positive and ambitious views on the role of community and VCSE in this
- community engagement and mobilisation, patient leadership and voice is critical
- importance of being heard, and *feeling* heard – both in individual situations as well as a community
We heard a range of views about what kind of support could be given by clinicians versus non-clinicians, and creating different configurations of how community and clinician support could be offered together.
Clinical risk and collaboration
There’s an important discussion to be had about understanding and managing any clinical risk, which Here as a clinical and community-rooted organisation is well-placed to host.
Looking ahead

This way of working is how health care will be developed over the next ten years and beyond.
Dr Rowan

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Also of interest
Rethinking Our Health: co-designing better support for long-term health conditions in Sussex
Introducing Rethinking Our Health – a new way of working with communities to support people living with long-term conditions.
The Health Builder difference: Redefining patient involvement
At Here, we believe that designing exceptional care means working in true partnership with the people who use our services. In this blog, Health Builder Norman Webster shares how our unique approach puts lived experience at the heart of service design and delivery.
Beyond the Diagnosis: What better care looks like for people with multiple conditions
People living with multiple long-term conditions often experience fragmented care. In this blog, we reflect on The King’s Fund’s latest report and share what we’ve learned about building services that support the whole person, not just a list of diagnoses.