8 February 2024

The clinical co-dependencies of acute hospitals

The first edition of this document was produced in response to a major focus on the future role of acute hospitals. That focus has not diminished over the intervening time period and the acceleration of new and different ways of working driven by the COVID-19 pandemic has prompted a fresh look at what services we provide from acute hospitals, how we provide those services, and how they might be provided differently in the future.

Putting people at the heart of service change

Co-production is becoming increasingly relevant and manifest within healthcare; planning, design, implementation, review, evaluation and of course research.  It has been positioned as the gold standard for patient and public involvement; requiring equitable power-sharing in decision making and other processes related to planning and assessing options for service change.  This report provides many valuable and informative cases of co-production in action and what has been achieved as a consequence of enabling people with lived experience to be equitable team members.  We hope it will be a valuable resource to systems undergoing service reconfiguration.