RCGP Quick guide: Experience-Based Co-Design (EBCD)Published: 11th January 2017
This is an approach that allows patients and staff to analyse and design services together.
It involves in-depth interviews, observations and group discussions, and is a proven method of enhancing patient experience. The use of videos helps the group to achieve a shared understanding of your service improvement needs.
The King’s Fund has developed a toolkit for using this technique. The toolkit identifies the following stages:
A project steering group is formed and meets at critical times:
- Before the project starts
- Before feedback events
- After fist co-design
- After celebration event
One member of the group is appointed lead and will need protected time to organise the project. Organisation will need to consider the following elements:
- The stages can be adapted to reduce expense.
- Need to get buy in from the whole primary care team. One way is to pick an area that the team feel needs improvement.
- Observation is done from the patient’s perspective.
- Interviews are conducted with a range of team members.
- At least five patients who are representative of your practice list are recruited. Consent for filming is required.
- Filming is powerful as patients say things to camera that they may not otherwise reveal.
- Filming equipment may be available through training or be owned by team members.
- Editing of the films is required and the length ideally is be less than ten minutes per patient/carer.
- The films are shown and the observations shared at a meeting of the whole team.
- The patients who were filmed are invited to a meeting where:
- The films are shown.
- Their response to the viewing is requested.
- They can prepare for meeting with the team.
- At the joint meeting of patients and members of the team:
- Show the films again.
- Give feedback on the previous meetings.
- Jointly decide the areas for improvement
- Form groups to take them forward.
- The co-design group meetings will need:
- To have a clear agenda.
- To spend time monitoring the actions from previous meetings
- Hold an informal celebration event for all participants at the end of the project.