Experience-based co-design slides for EMLA

Experience Based Co- Design
Based on work from the NHS Institute
for Innovation and Improvement

Experience Based Co- Design is…..
A method of designing better experiences for patients,
carers and staff.
The approach captures the experiences of those
involved in healthcare services.
It involves looking at the care journey and the
emotional journey people experience.
Staff work together with patients and carers to firstly
understand these experiences and then to improve
them.

What amazed me is how much can be achieved
with little or no money, simply because we are
working as equals alongside staff, sharing ideas
and finding common sense solutions
Sheelagh Wren, Patient
All the staff have impressed me with
their enthusiasm for improvement, its
almost as though there has been some
sort of injection into the staff.
June Edwards, Patient
The difference between this approach and
the past is that patients are involved right
from the beginning. That’s why there has
been great progress and greater
improvement. Before things just fizzled
out.
Elaine Hide, Nurse and Service Improvement
Lead
When we started I was concerned that there
would be a lot of investment of time and
resource for no real benefit. However it has
proved fundamental in allowing us to improve
how we listen to and work alongside patients
Dr Simon Stacey, Consultant Physician
Quotations taken from NHSI resources
www.institute.nhs.uk/ebd

Four steps to the EBCD
approach
• Capture the experience
• Understand the experience
• Improve the experience
• Measure the improvement

Capture the experience
Getting patients and staff involved,
and helping people tell their stories
through:
• Filming interviews of people telling their stories
• Experience logs
• Observations

Understand the experience
By:
• Identifying emotions
• Mapping emotional highs and lows
• Finding touchpoints

Ways to do it
• Experience events.
Meetings where staff and patients you have been working
with review the material gathered during the capture phase.
Three events work well.
1 for staff to share listen and talk.
1 for patients and carers to share, listen and talk.
A co-design event for patients, carers and staff to share and
listen to each other’s experience, identify areas for next steps
and develop project teams and plans.

• Emotional mapping
A process through which patients
and staff describe in detail the
emotions (positive and negative)
experienced along the patient journey.
It helps to highlight emotional highs and lows of the
service
or pathway.

Improve the experience
Using:
• Ideas and action events
• Experience improvement sheets
• Individual and group action cards

Measure the
improvement
The resources available from the
NHS Institute provide information
about:
• Tools
• Principles
• Sustainability model
• Project newsletter
• Celebration event

Tools and templates
All the tools, templates you can customise for your own service, and other
resources can be downloaded from the following website.
www.institute.nhs.uk/ebd

For the rest of the afternoon we want to:
• Capture the experience of the service users and
carers working with us today
• Have a go at emotional mapping
• Try some co-designing and come up with some ideas
for improvement