AUTHOR=Brooks Cindy Faith , Lund Susi , Kryl David , Lloyd Jones Sian , Myall Michelle 

TITLE=“We all see things through a different lens based on our life experiences”: co-production of a web-based implementation toolkit with stakeholders across the health and social care system

JOURNAL=Frontiers in Health Services

VOLUME=Volume 4 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/health-services/articles/10.3389/frhs.2024.1356961

DOI=10.3389/frhs.2024.1356961

ISSN=2813-0146

ABSTRACT=Background: Implementing new innovations across the health and social care system is complex, involving many factors that in recent years have been compounded by Covid-19. While a plethora of implementation tools and frameworks are available, there are limitations in terms of their design and accessibility. Co-production is a valuable mechanism for developing tools that have utility and accessibility for those tasked with using them in the health and social care system and there is growing acknowledgement of increasing the role of co-production in implementation science. This paper provides novel insight into co-production practices and relevance to implementation science by reporting findings from a study to co-produce a web-based implementation toolkit (WIT) that is accessible and usable and designed to support adaptive implementation across health and social care systems. Key themes relating to the process of co-production are outlined and the value of using co-production in implementation processes discussed. 
Methods: A web-based survey (n=36) was conducted with a range of stakeholders across health and social care. Findings identified a need for WIT. Survey respondents were invited to express interest in becoming part of a Co-production group and to take part in three online interactive workshops to co-produce WIT. Workshops took place with the group (n=12) and focused on key developmental stages of WIT.
Results: Online co-production workshops were integral to the development and refinement of WIT. Three interrelated themes were identified: 
i.	Co-designing key features of the toolkit 
ii.	Co-producing a toolkit with utility for users across health and social care settings
iii.	Co-producing a toolkit to support the implementation journey  
Our approach of undertaking co-production as a dialogic process enabled generation of these themes. To illuminate discussion of these themes we draw upon iterative co-development of key components of WIT. 
Conclusion: Using a co-production approach with a range of end-users across health and social care systems, highlights the benefits of understanding implementation processes for users in these settings. User-centred design and accessibility processes readily support the translation of implementation into rapidly changing health and social care systems to benefit outcomes for patients, their families, carers, service users and practitioners.