Co-production: an inconvenient truth? As chief executive officer of West London Collaborative (WLC), a community-led and owned community interest company, I was lucky enough to have a place in the first cohort of The King’s Fund programme Leading collaboratively with patients and communities, together with the chief pharmacist at West London Mental Health NHS trust, Michele Sie.
This gave us the opportunity to reflect on our working relationships and our personal styles of handling conflict and disagreement. We learnt about ‘appreciative enquiry’ – a model seeking to encourage self-determined change – and some useful theories around organisational politics. This has been really helpful, as WLC works in partnership with the NHS to co-produce with patients around complex and difficult issues. As such I regularly have to challenge very senior people and we often get stuck at some point during the process. This usually revolves around denial of one consistent and very inconvenient truth: patient involvement is not co-production. The King's Fund
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