Scotland’s Open Government action plan 2021 to 2025: milestones
Milestones throughout Scotland's Open Government action plan for 2021 to 2025.
Part of
Health and social care commitment
Initial milestones
To identify the necessary skills and experience required by a person centred design team to drive forward our action plan. Recruit, induct and train the above individuals
Milestones:
- hire and on-board a person centred design team (start: Aug. ’21 – end: Jan. ’22)
- develop the programme plan to ensure that the person centred user design work is built into the programme management structure of all work around the re-design and remobilisation of service post-pandemic (start: Aug. ’21 – end: Feb ’22)
To ensure that we deliver a high quality programme of work that embeds person centred user-design, and that ensures we are held accountable to the commitment made we will invite civil society to work with us through the stages of the action plan’s implementation
Milestones:
- to establish a civil society group to work with Scottish Government officials over the period of the action plan to review work that is undertaken, feedback on progress and ensure actions are progressed as intended (winter 2021/22). We will work with partners to agree the group’s terms of reference and continue to keep the group up to date on developments and changes as the design work taking place across the Health and Social Care Programmes progresses
- review relevant good practice that has already been undertaken on this subject to learn lessons from existing and previous work
To develop a programme of work that systematically embeds good practice and the principles of co-design across the re-design of services and work, to support recovery from the pandemic in health and social care. The Principles of co-design that will guide service design across health and care service work are as follows.
Principles that will guide our action in this work (to be set as milestone once work in underway):
- we listen to what people have told us is the problem before we start designing a solution
- we design service journeys around people and not around how our health and care services are currently set-up
- we understand that people may enter at any stage of the journey and move between different services – and so we commit to coherence and consistency across our work
- we use inclusive and accessible design methods to allow people to participate fully and meaningfully
- health and care services should be co-designed with those who rely on them and those who deliver them. Health and care services will put the needs, rights and preferences of those who use the services at the heart of their decision making
- the work will focus on services being re-designed or strands of work related to recovery from the pandemic with the wider public sector, to ensure we are driving towards whole services that make sense to people and solve whole problems for them
To ensure future work can be progressed more widely, we will draw out learnings both in health and social care and across wider Scottish Government
Milestones:
- test and embed good practice in a local or small scale environment to test the developed approach on a different scale
Review and apply changes to our work as it progresses based on learning and feedback
Updated milestones 2023
This is a new commitment, focused on an innovative participative approach (co-design) that is being developed in key areas of health and social care policy. The focus on co-design is itself one that puts people at its heart. The civic society group, who play a role in supporting this work, offer a valuable additional layer of oversight.
The year 2 milestones intend to reflect a focus on progress of co-design work within government, including the role of the new lived experience and stakeholder panels that will take part in design activity. In year 2, we seek to further embed the civic society group into this commitment in a meaningful way, while also exploring what we are learning as design activity progresses.
Milestone 2021 to 2025 aim: To ensure that we deliver a high quality programme of work that embeds person centred user-design, and that ensures we are held accountable to the commitment made we will invite civil society to work with us through the stages of the action plan’s implementation
2023 milestone
Continue to develop the remit and role of the civic society group to play an active and ongoing role as a critical friend, supporting the development and progress of co-design activity across health and social care.
Update - A new civic society group was identified to support the delivery of the milestones and act as critical friends. An initial onboarding session was delivered for members and a workshop took place in May/June 2024.
Milestone 2021 to 2025 aim: To develop a programme of work that systematically embeds good practice and the principles of co-design across the re-design of services and work, to support recovery from the pandemic in health and social care. The Principles of co-design that will guide service design across health and care service work are as follows.
Principles that will guide our action in this work (to be set as milestone once work in underway):
- we listen to what people have told us is the problem before we start designing a solution
- we design service journeys around people and not around how our health and care services are currently set-up
- we understand that people may enter at any stage of the journey and move between different services – and so we commit to coherence and consistency across our work
- we use inclusive and accessible design methods to allow people to participate fully and meaningfully
- health and care services should be co-designed with those who rely on them and those who deliver them. Health and care services will put the needs, rights and preferences of those who use the services at the heart of their decision making
- the work will focus on services being re-designed or strands of work related to recovery from the pandemic with the wider public sector, to ensure we are driving towards whole services that make sense to people and solve whole problems for them
2023 milestone
Develop and deliver a first iteration of the ‘design school’ model in key health and social care areas, such as the delivery of the National Care Service.
Update - this work is ongoing. A large programme of co-design support is underway within two areas of work:
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the development of The National Care Service programme and;
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the Getting It Right For Everyone (GIRFE) pathfinders project with a focus on preventative and proactive care.
A co-design maturity assessment tool has been prototyped and will be further developed through adoption in two key work areas (The NCS Programme and the GIRFE project). A report with recommendations for further iterations of the assessment tool will be published in 2024/2025.
Milestone 2021 to 2025 aim: To ensure future work can be progressed more widely, we will draw out learnings both in health and social care and across wider Scottish Government
2023 milestones
Support the newly established Lived Experience Expert Panel and Stakeholder Register to meaningfully participate in decision-making within health and social care
Update - The LEEP and stakeholder Registers is live, with a support model in place. Best practice on how to work with participants on co-design projects is included in guidance and knowledge sharing contained within the 2024 to 2025 set of milestone activities.
Develop and agree an approach to assessing impact and learning from co-design activities across health and social care
Update - this work is ongoing and continues through a 2024 to 2025 milestone.
Activity will include looking at co-design impact reports, participation feedback loops and the co-design maturity assessment for organisations to baseline and improve practice. The approach is being developed and tested through the delivery of co-design projects and will be shared as part of the guidance, tools and methods.
Updated milestones 2024 to 2025
The updated milestones are reflective of the co-design activity underway across the landscape of health and social care since the commitment was initiated in 2021, specifically within key programmes of work where specialist resource is being directed. The milestone development shows progression against the original aims, starting with organisational readiness and capacity-building for co-design, to delivery within those priority areas. The next set of milestones demonstrate that delivery within programmes of work will continue, informing the evaluation phase, with an additional set of milestones to consolidate, capture and share learning across the system.
A large number of organisations and individuals with lived experience support the scrutiny of the co-design approach on an ongoing basis across projects to allow for learning and continuous improvement (for example the key stakeholder register and social covenant steering group for NCS). This increases the level of accountability around the breadth, depth and quality of participation.
The civil society group specifically looking at this Open Government Partnership (OGP) commitment has been updated to the Third Sector Health and Social Care Collaborative, a group of organisations who support, enable and catalyse the third sector’s contribution to the health and social care integration agenda. This group has very recently been onboarded to the OGP, and members are willing to use their collective expertise to support the identification, prioritisation and delivery of guidance, tools and methods that will support redesign and reform across the operating landscape of health and social care support. This is a positive development, with members already working strategically in key policy areas.
Milestone 2021 to 2025 aim: to ensure that we deliver a high quality programme of work that embeds person centred user-design, and that ensures we are held accountable to the commitment made we will invite civil society to work with us through the stages of the action plan’s implementation.
Milestone (2024 to 2025): To engage with the Third Sector Health and Social Care Collaborative to develop guidance, tools and materials to support the spread and scale of co-design approaches and evaluate impact.
Milestone 2021 to 2025 aim: to develop a programme of work that systematically embeds good practice and the principles of co-design across the re-design of services and work, to support recovery from the pandemic in health and social care.
Milestone (2024 to 2025): Co-design delivery within key health and social care areas, namely National Care Service and the Getting It Right For Everyone (GIRFE) pathfinders.
Milestone 2021 to 2025 aim: to ensure future work can be progressed more widely, we will draw out learnings both in health and social care and across wider Scottish Government.
Milestone (2024 to 2025): Consolidate learning for co-design and participative approaches. Prioritise guidance, materials, tools and methods to be published.
Milestone (ongoing from 2023): Develop and agree an approach to assessing impact and learning from co-design activities across health and social care.
This includes engaging and developing functions such as the lived experience expert panel (LEEP) and a range of civic society groups to support and scrutinise co-design approaches.