BHCA has been working to lift lived experience voice, expose homeless healthcare system challenges and co-produce improvements, through this journey we have co-developed processes, tools, maps and prototypes.
These resources are intended to support people who are currently experiencing homelessness, those designing, managing and working within homelessness services, organisations and communities who would like to co-produce change.
Please do contact us with any questions or feedback or if you'd like to use our resources.
How We Work
Since our first steering group session in June 2021, we have gradually developed ways of working that are unique to the project and in line with our co-production and trauma-informed practices. These were created to ensure everyone feels safe and comfortable working as a group.
The following co-produced documents specify the practices we have developed for the group to work well and safely together. This has been an organic process that has grown out of conversations and reflections in the group.
Documents:
Toolboxes
This booklet describes group processes and resources co-created by the BHCA lived experience steering group after our first year working together. During this time we worked to build our steering group and review the local system.
We group these processes into four toolboxes:
- Bringing people with experience together
- Collecting and analysing experiences
- Mapping the system
- Identifying challenges
Group Agreement
The first co-produced piece of work we completed together was the group agreement, these are the ways in which we have all agreed to work together during sessions.
We advise all groups who are coming together to co-produce, co-create or co-design service and system change to co-develop a group agreement.
Boundaries
In line with our co-production values, we aim for an equal voice between members in the space between all members, be them people with lived experience or staff from partner organisations.
As such, we have co-developed a set of boundaries we all follow.
Welcoming Visitors
As per our Goal Number 3, we “encourage collaboration & allyship” and welcome visitors to the group.
We have built ways of working together to feel confident and safe in the space. We ask that visitors help us to do this. This document sheds light on how we work together and how we would like others to work with us.
System Maps
From May 2022, we spent a lot of time discussing and analysing experiences and feedback as well as listening to guest speakers talk about different parts of the homeless healthcare system.
From there we started to develop the four maps which we hope will be useful in supporting those experiencing homelessness.
Documents:
Services Map
We mapped and categorised the local support services in Brighton and Hove.
Last updated 7 November 2022.
Multi-agency Working Map
We mapped the various multi-agency meetings, forums and working groups across the city.
These were sorted according to the same categories of our services map.
Last updated 7 November 2022.
Homeless Healthcare Pathways
We mapped the homeless healthcare pathways, with the patient experiencing homelessness at the centre.
This was also categorised - see key.
Last updated 7 November 2022.
Co-produced Guidance Documents
Brighton and Hove Common Ambition and co-produced a set of guidance documents that can be used to ensure safe practice. We have utilised our experience of best practice, but also from times when as a group we have experienced meetings and events where it has not felt safe.
The following co-produced guidance documents have been developed by BHCA for use in meetings, events and teaching.
Documents:
Co-production Workshop and Meeting Guidance
Raising lived experience voice and enabling effective co-production is key to systems change and service improvement.
BHCA has developed this guidance for services and commissioners, to enable safe, equal and effective discussions and collaborative workshops in co-production spaces. We urge you to use this guidance when bringing commissioners, organisations and people with lived experience together for co-production workshops.
Event Participant Wellbeing Guide
In October 2023, we coproduced a guidance to ensure safety and wellbeing at the Brighton and Hove Homeless Health conference.
This is to highlight best practice when delivering an inclusive event (for example conferences) where people with lived experience and services and/or commissioners are coming together to learn
Using Case Studies Guidance
See the person not just the health problem. Is a co-produced guidance for collecting, creating and presenting case studies using a trauma-informed approach.
For the context of this guidance, when we say case studies we mean presentations or studies of someone’s personal experience, story or narrative. These are often used to show learning or service impact, or used as a teaching aid. We have attended many events where case studies have been presented. We have also discussed in detail how and when we should use case studies to support our work, particularly when designing training for medical students. We wanted to create this guidance to share our perspectives on their creation and use.
Homeless Healthcare Hub
Homeless Healthcare Hub Specification
We feel that a solution, or part of the solution to the challenges we identified in April 2022 is a homeless healthcare hub. A safe space where people experiencing homelessness can come and access the services they need under one roof.
In Autumn 2023 we carried out a design sprint to gather our ideas and put them into a specification. This is an overview document, highlighting our key ideas.
Route to Roof
Route to Roof Prototype
From April 2022, from our list of identified challenges, we chose to work on ‘Making information about all services easier to find’.
From this, we co-designed a prototype ‘Route to Roof’; an easy to use online and paper directory of services supporting people experiencing homelessness in Brighton. This is still a work in progress.
Housing Pathway Map
Pathway Map
In September 2022, we started to map the Brighton and Hove City Council Pathway.
This is from the perspective of a single adult with recourse to public funds and is not demonstrative for all journeys, for example families or asylum seekers and refugees with no recourse to public funds.
Last updated 18 November 2022.
Change Spaces
In November 2022, we reflected on our pathway map findings and further divided the stages into ‘change spaces’.
This enables us to pinpoint exactly on the pathway what needs to change and how.
Co-produced Comic
The Comic
We co-produced this comic alongside Tom Roberts, a PhD student at the University of Brighton, over the summer of 2023. While the medium is light-hearted, the message is important: The voices of people with lived experience need to be heard.
This comic illustrates three of our key themes, barriers to accessing care and support, facing stigma and judgement and why co-production is key in addressing system and service improvement.
Evaluation
Work carried out by Brighton and Hove Common Ambition over the three years, where funding has been provided by The Health Foundation, will be evaluated by Dr Mary Darking (Academic and Evaluation Lead for the project)
The final evaluation will be published in April 2024. However there has been initial evaluation work carried out, you can find this below.
Documents:
Initial Evaluation Executive Summary
In November 2023, Dr Mary Darking carried out an initial evaluation of Brighton and Hove Common Ambition. Here is the executive summary from this report
This summary gives an overview to the key points in the initial evaluation. The full report will be published in January 2024.
Initial Evaluation Presentation Slides
In November 2023, Dr Mary Darking presented her findings from an initial evaluation at a celebration event hosted by the BHCA Steering Group.
These slides show the barriers that this project has overcome, how it is different to other work in this field, how it has developed service design capabilities, it's system value and the logic of sustaining it.
