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Jo Ward Change Maker [email protected] Scene Setting 1. 2. Austerity measures are with us for a while and we can’t continue to do what we did with what we don’t have (or worse still doing more with less) We have to do things differently but that doesn’t mean changing our core objectives-what we are about. If anything our values and USPs become more important. We can’t afford to be like Alice “Would you tell me, please, which way I ought to go from here?“ Alice "That depends a good deal on where you want to get to.“ Cat "I don't much care where –“ Alice "Then it doesn't matter which way you go.” Cat Alice In Wonderland Anchors are always useful Health and Wellbeing Adult learning provides a pathway for people to develop wellbeing. People with high levels of wellbeing are more resilient, self-confident and display self-efficacy. Individuals with high levels of wellbeing help create better functioning, healthier and more interactive society as a whole Democracy and Community Engagement People with high levels of wellbeing tend to be more engaged in social and civic life an dare more likely to behave in environmentally responsible ways, have better family and social relationships at home Leon Feinstein et al Appreciative Inquiry Key Concepts An asset based approach Problem Solving Appreciative inquiry Felt need, identification of problem(s) Appreciating, valuing the Best of What Is Analysis of Causes Envisioning what might be Analysis of possible solutions Engaging in dialogue about what should be Action Planning (treatment) Innovating, what will be More from Alice “Why, sometimes I've believed as many as six impossible things before breakfast.” To get you started on your journey A short animation from some experts http://vimeo.com/69224754 This will come in useful! Take note. Jargon Buster Having surveyed the territory now for a first step in acquiring the health and care lingo. An exercise in pooling collective knowledge AHSNs CCGs HWBs JSNA JHWBS SCNs CS HEE LETBs VSNW PHE NHS LGA NICE GPs What Do We Know ? CCGs Clinical Commissioning Groups Clinical Commissioning Groups CCGs • Responsible for £65 Billion per year(60% NHS budget) • 211 nationally accountable to the Secretary of State • Responsible for commissioning health care in a locality and for improving outcomes • Membership bodies made up of GPs and lay members • http://www.england.nhs.uk/ccg-details/ HWBs, JSNAs and JHWSs Health and Wellbeing Boards Health and Wellbeing Boards HWBs • Key to the modernisation agenda –joining up services to tackle health inequalities • Have a statutory duty to involve local people in the development of Joint Strategic Needs Assessments (JSNA) which underpin Joint Health and Wellbeing Strategies(JHWS) • Ensure stronger democracy, legitimacy and engagement in a locality-include local Healthwatch • Hosted by local authorities-include elected members http://www.kingsfund.org.uk/projects/health-andwellbeing-boards/hwb-map JSNAs and JHWS Joint Strategic Needs Assessments Joint Health and Wellbeing Strategies Joint Strategic Needs Assessments And Joint Health and Wellbeing Strategy • Joint Strategic Needs Assessments (JSNAs) analyse the health needs of populations to inform and guide commissioning of health, well-being and social care services within local authority areas. The JSNA underpins local health and wellbeing strategies and commissioning plans. • Joint Health and Wellbeing Strategy a high level visionary document which provides a framework as to how in a local authority area all key agencies work together to make best use of their collective resources to the wider benefit of the community. SCNS Strategic Clinical Networks Clinical Senate and Assembly Strategic Clinical Networks, Clinical Senates and the Assembly SCNs CSs • Clinical Senates are non-statutory bodies which give advice and recommendations to key decision makers like CCGs • Encourage innovation in how services are provided now and in the future • Promote patient ,carer engagement through an annual programme of activity Cheshire and Merseyside: http://www.cmscnsenate.nhs.uk/ Greater Manchester Lancashire and South Cumbria: http://www.gmlscscn.nhs.uk/ClinicalSenate/index.php HEE and LETBs Health Education England And Local Education Training Boards Health Education England (HEE) And Local Education Training Boards(LETBs) • HEE is described as the NHS engine that will deliver a better health and healthcare workforce for England • HEE ensure that the shape and skills of the future health and public health workforce evolve to sustain high quality outcomes for patients in the face of demographic and technological change-they commission • HENW work in partnership with the cultural sector to promote innovation • National mandate which includes a strong commitment to social justice http://hee.nhs.uk/about/our-letbs/ PHE Public Health England Public Health England-PHE An executive agency of the Dept of Health charged with : Helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health. Each local authority received a share of a two-year ringfenced budget of £5.45bn to spend on public health services. Local authorities are expected to champion health and wellbeing by promoting healthier lifestyles and scrutinising and challenging the NHS and other partners to drive improved health outcomes. The NHS Five Year Forward View “This important report makes crystal clear that the NHS cannot continue with ‘business as usual’ if it is to meet the needs of a diverse and ageing population. ” Nigel Edwards, Chief Executive, Nuffield Trust More Tips on Navigating Health Taking a thematic perspective –with an eye on policy! Wellbeing Wellbeing is often simply defined as feeling good and functioning well. This includes having a fair share of material resources, influence and control, a sense of meaning, belonging and connection with people and place and the capability to manage problems and change. There is abundant evidence to demonstrate that the skills and attributes associated with wellbeing are a core asset, protecting and enhancing the lives of individuals and communities. Improving your wellbeing not only leads to the prevention of disease, but can lead to outcomes that include: • better physical health • healthier lifestyles • improved recovery from illness • fewer limitations in daily living • higher educational attainment • greater productivity, employment and earnings • better relationships with adults and children • more social cohesion and engagement • improved quality of life (Friedli 2009) Social Prescribing Social Prescribing is about linking people up to activities in the community that they might benefit from. It’s about connecting people to non-medical sources of support. There is increasing evidence to support the use of social interventions for people experiencing a range of common physical and mental health problems. http://www.centreforwelfarereform.org/library/ by-az/social-prescribing-for-mental-health.html It is about doing what we do “Cultural participation does have a side-effect of improved well-being, but only because of its intrinsic qualities.”….” Thus, while promoting cultural attendance because it has a health impact is a perfectly reasonable, evidence-based public policy, to be effective the cultural provision has to be of a quality to compel attention and sustain engagement.” Mark O’Neill Glasgow Life Working Together Small group exercise: How would you respond to your local CCG if they asked you to put together a case for increased funding (real or imagined venue) because of your contribution to one or more of the following: Public Policy Agendas Wellbeing Social Prescribing Integrated Care Transformation Living Well Dying Well Connected Localism Engaged Universities Closing Remarks “Take some more tea," the March Hare said to Alice, very earnestly. "I've had nothing yet," Alice replied in an offended tone, "so I can't take more." "You mean you can't take less," said the Hatter: "it's very easy to take more than nothing.“