Collaborative Model

If you want to go fast, go alone. If you want to go far, go together.

In 2017 a group of around 40 people began meeting with the aim of creating a model that could be used to for healthcare services when they are thinking about making a change. The group was made up of volunteers, people that used services, staff from housing and charitable organisation and staff from the healthcare Trust. It was facilitated by Mark Doughty and Tricia Boyle from the Kings’ Fund. The group worked over six months to produce the model and in doing so learnt a lot about tools and models that help keep a group collaborative. The model clearly outlines a process that can be taken if you’re thinking of working collaboratively, but it doesn’t really tell you ‘how’ to work together.  Keeping a Collaborative Partnership functioning can be the real challenge, have a look at our pages on the Tools and Theories of Collaboration for more information. 

The Collaborative Model

Click on areas of the model for more information.

The Collaborative Model
"The Big Idea" "Decision Time" "Building the Team" "Understand What's Around" "Gather Ideas" "Make the Change" "The Collaborative Partnership" "Keep the Conversation Going" "Checking the Impact"

"The Big Idea"

Big or small, the idea can come from an individual or team, a policy or service change or might be required due to finances.

 

See below for the model checklist for this area.

"Decision Time"

Assess if it can be a collaborative process. If it can't be, which parts of the project can?

 

See below for the model checklist for this area.

"Building the Team"

Build a diverse team with common purpose. Include service users and carers.

 

See below for the model checklist for this area.

"Understand What's Around"

Gather Information from as many sources as possible in order to understand the context.

 

See below for the model checklist for this area.

"Gather Ideas"

Seek out feedback and ideas, and listen to different communities.

 

See below for the model checklist for this area.

"Make the Change"

Design and implement the change together.

 

See below for the model checklist for this area.

"The Collaborative Partnership"

Learn to work collaboratively, agree what you're going to do and build understanding.

"Keep the Conversation Going"

From the start have an open and honest dialogue with all of your communities about challenged and changes and keep it going.

"Checking the Impact"

How are you going to measure the impact and capture the learning?

Download the model including the checklist that accompanies each of the steps or download just the checklist. Feel free to use it if you’re planning a change.


Model Checklists:

The Big Idea

Is the idea for service change from:

  • Commissioners
  • Staff
  • Service users/carers
  • Policy change
  • Investment/disinvestment

The idea can be about a specific service, a group of services, Trustwide or across an area.

Decision Panel

With a group of people (including service users and carers) decide if the idea can be done as a collaborative service change project or if not can you make it more collaborative. You will need to consider these questions:

  • Are you clear on the purpose and scale of the service change?
  • Is there the time and resources to build and sustain a collaborative partnership and work in partnership on the service change?
  • Will the collaborative partnership be able to influence the service change?
  • Will you be able to follow the collaborative service change principles?
  • Are you clear on who should be involved in the collaborative partnership – this should include patients, carers, staff, local statutory and voluntary organisations as appropriate?
  • If you are not able to undertake the service change collaboratively have you identified how you can involve service users, carers and other organisations in a meaningful way?
  • Have you identified a Collaborative Partnership co-ordinator or lead?
  • Is there a person who is ultimately responsible for the service change and approves the collaborative approach?

Building the Team

To build a diverse team with a common purpose you will need to consider:

  • Have you identified the skills, knowledge and experiences (including from different communities) that will be needed by the collaborative partnership?
  • Have you invited patients, carers, staff, local statutory and voluntary organisations that reflect the service and the communities it serves to be part of the partnership?
  • Will you spend time making sure the aims, purpose, timescales, decision making process etc are clear?
  • Will you spend time to build relationships, dialogue, agree principles and ways of working and skills needed to ensure the partnership can work effectively to a common purpose?
  • Have you ensured you are open to differing and challenging views?
  • Are you all clear about how you are going to work collaboratively?

Understand what's around

Gather information from as many sources as possible in order to understand the context.

  • Do you know plans for the service in the future?
  • Is the Partnership aware of what might impact on the service in the next 3 years?
  • Do you understand the needs of the community you serve?
  • Does the Partnership understand the service you provide?
  • Is the Partnership aware of the finances available in order to deliver a changed service?
  • Do you know feedback themes in the last year for staff?
  • Do you know the feedback themes in the last year from service users?
  • Does the Partnership understand national policy and guidance?

Gather Ideas

Seek out feedback and ideas, and listen to different communities.

  • Have you identified everybody you need to talk to?
  • Have you discovered where people are doing this type of change well?
  • Have you a clear plan of how you are going to talk and listen to people?
  • Do you know which teams might be able to support you with the change?

Make the change

Doing it! Co-produce the change in your service.

  • Have you worked collaboratively in the design of the service?
  • Have you worked collaboratively in the set-up and implementation of the service?
  • Have you continued to use an approach based on the dialogue model?
  • Are you including expert teams e.g. Quality Improvement, Learning
  • and Organisational Development, HR to help you make the change?

Keep the conversation going

From the start have an open mind and honest dialogue with all of your communities about challenges and changes and keep it going.

  • Have you a clear plan of how you are going to continually feedback and update the people you have listened and talked to?
  • Have you maintained a regular conversation with everybody you’ve talked to?
  • Have you provided regular updates on progress?
  • Have you provided regular updates on your thinking?
  • Have you provided further opportunities to be involved in the change?

Checking the impact

How are you going to measure the impact and capture the learning?

  • Have you agreed what is important to measure from the start?
  • Do you know what can stay the same and will be ok if it does?
  • Do you understand what hasn’t worked and why?
  • Have you shared the difference the change has made?
  • Are you continually capturing your own learning from the process?

Watch this short video to see Paul talk through each of the steps of the Collaborative Model.


What do you think about this model? Would it work for you? What would you change?

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