Parallel Session 4.5 Stronger Communities... Better Lives?


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  • Formed as an informal network in 2010 in collaboration with New Economics Foundation through Meeting the Shared Challenge. As interest in co-pro begins to take root in Scotland – policy context and response to e.g. Chrisitie Commission – looking for responses which look at how we approach public service design and delivery differently. Chaired jointly by NHS Tayside and Scottish Community Development Centre (SCDC) on a voluntary basis until nowApril 2012 – support recieved by Scottish Government Joint Improvement Team to be formally developed in 2012-13 via NHS Tayside and SCDC
  • It aims to beA locus for building on existing co-production activityA space for learning, debate and development of ideas and approaches around co-productionA forum for practice exchange, and sharing of information and resourcesAnd to supporting dialogue around emerging policy on delivering public services differently and advancing co-production approaches in Scotland
  • Many varied definitions of co-production and it is being used across sectors to refer to public service design and delivery. A useful working definition used by nef states that….So the emphasis is on power shift from service provider to an equal relationship between them and communities – where the assets, knowledge, resources and experiences of the communities are integral to developing approaches to achieving better outcomes….
  • The network is being supported by a part-time coordinator – the key activities of my role will be to organise:Network meetings – which will allow practice exchange, as above a place for ideas and information exchange – usually with someone form the network invited to speak or share a piece of workNational events/seminars – plan to have 1 or 2 in either conference or seminar format with demonstrations of co-production in practice and learning opportunitiesA series of learning events -invited practitioners talking on co-production in relation to a theme, e.g. older people, mental health, share practicePart of my role will be to support the development of local networks where there is demand – and over the next few months I will be contacting network members to find out about who is interested in identifying and developing networks locally.Developing a website and online space as a depository of resources, links – this should include a forum for members and will have a newsletter function etc. Promote the network across sectors and linking with relevant networks, consultations etc.
  • I will bring a sheet for contact details and email people with details of how to sign up.Emphasis on contributing TO the network – what can you offer?
  • Parallel Session 4.5 Stronger Communities... Better Lives?

    1. 1. Stronger Communities, Better Lives
    2. 2. Engaging Communities – Changing Lives Jackie DoeHealthy Communities Collaborative
    3. 3. Perth and Kinross Healthy Communities CollaborativeAims :-To help local people develop the skills and confidence towork in co-production with professionals from a range ofagencies and organisationsObjectives :-To use these partnerships to effect changes incommunities, which would result in improvements inhealth care and social well being
    4. 4. CONSULT Speaking to Asking them to local people identify issues to address ENGAGERESILIENCE Trying out ideas Helping them to to improve life come up with locally for ideas to try out themselves and their friends EMPOWER
    5. 5. The Community Action Model (NPDT 2001) TopicStimulatesDesire for Successful Actionothertopics Enhances Community Development
    6. 6. Focus Topic Progression• “Falls Awareness” - year 1  year 2• “Promoting an Active Lifestyle” - year 3  year 4• “Mental Wellbeing in Later Life” - year 5  year 6• “Leg Ulcers” - year 7 
    7. 7. Who Are The Teams Made Up Of ? Voluntary and Charitable Organisations  Community Members  Statutory Agencies
    8. 8. The Formula•Understand the need•Come up with some ideas•Test those ideas (PDSA)•Understand what works and do more of it!
    9. 9. The PDSA Cycle for Improvement Act Plan • Objective •Predictions • What changes • Carry out the are to be made? cycle • Next cycle? •Plan for data collection Study Do • Analysis data • Carry out plan •Compare to • Document predictions problems •Summarise • Record data learning
    10. 10. CONSULT• What exercise opportunities are available?• If this is a gap, how can we address it?• Day, time, venue, exercise density and cost• Suitably qualified instructor• Publicity• On going monitoring of numbers
    11. 11. Three Main Features of Exercise Programme• Strengthening• Balance Retraining• Walking
    12. 12. Video clip
    13. 13. CHAIR BASED EXERCISE the EVIDENCE• Strength and Power (Fiatarone 1990, 1994; Skelton 1995, 1996)• Flexability and Functional Ability (McMurdo 1993; Skelton 1995, 1996)• Arthritic Pain (Hochberg 1995) & Postural Hypotension (Millar 1999)• Depression (McMurdo 1993)• Rehabilitation following hip fracture (Nicholson 1997)
    14. 14. NUMBER CRUNCHING• Approximately 46 groups per month• An average of over 450 older people attending per month• Over 75% did not previously attend formal exercise group.• Approximately 80% report some form of health issue ranging from painful joints to acknowledged long term conditions
    15. 15. Benefits Reported by Attendees• My arms are looser, I can reach up behind my neck again• I‟m more flexible, and balance has improved, it‟s easier putting on socks• It gets me out of the house, we have a good laugh and it‟s good for us.• I‟m thinking of using the bus again, it would be good to be more independent.• My wife‟s concentration is better and she‟s more settled. We both really enjoyed coming to the class (Carer of dementia sufferer)
    16. 16. The Challenges• On going support• Transport• Sustainability• Community Referral / Social Prescribing
    17. 17. Recent Scottish Policy Drivers• Better Outcomes for Older People (2004)• The National Standards for Community Engagement (2005)• Better Health, Better Care ( 2007)• All Our Futures – Planning for a Scotland with an ageing population(2007)• Reshaping Care for Older People (2010)• The Quality Strategy (2010)
    18. 18. Some benefits from working this way• Gives Communities ownership• Maximises efficiency, people centred• Shares skills and workload• Releases community capacity• Helps build community resilience• Cost effective
    19. 19. Video clip
    20. 20. And finally, a word from Pat“The Healthy Communities Collaborative issuch a good idea. A small number ofprofessionals working in partnership withunlimited numbers of volunteers, so thatolder people can stay fitter and healthierfor longer, has to be good” user-and-carer-involvement/outcomes-enablement- and-an-assets-approach-to-health-and-wellbeing/
    21. 21. Time Banking in Perth and KinrossAn exiting new initiative for communities Lesley McLaren, PKAVS
    22. 22. OverviewWhat we aim to achievePeople in Perthshire communities will have opportunities tostrengthen and build their communities resilience and socialnetworks through the development and testing of TimeBanking models.
    23. 23. How will this be achieved?• Introduction of Time Banking into communities throughout the region.• Appointing Brokers – key local people to manage the Time Banks on the ground.• Engage with communities and networking with existing groups and organisations.• Delivering talks and presentations to existing groups in both communities.• Working with and supporting relevant collaborators– NHS Tayside, Perth and Kinross Council, Communities members.
    24. 24. How will we know we have made a difference?• People will share their talents and skills• Increased number of people volunteering in the local area• People will express they feel a positive difference in the area• Volunteering benefits the needs of the individual• Increased opportunities for volunteering• People will express a sense of belonging and connection to others and their community
    25. 25. The Project to Date This for That in Coupar Angus Deeds for Needs in AberfeldyWorking with additional Communities to introduce the initiative – Stanley, Dunkeld and Pitlochry Initiative to be developed throughout the region over next two years
    26. 26. This for That – Coupar AngusMembers 61 Individuals 14 organisationsHours Exchanged 1531Hours donated 500Actual number of 322exchanges
    27. 27. What is being Exchanged?Examples of Attending MeetingsExchanges Baking Painting/Decorating Companionship Community CaféSuccess Stories • Bob – Widow, Retired Chemistry Teacher • John – Wanting to get more involved in Community Life • Matilda – Youngest Member, donated over half her credits
    28. 28. Deeds for Needs - AberfeldyMembers 27 Individuals 1 organisationHours Exchanged 394Hours donated 121Actual number of 66exchanges
    29. 29. What is being Exchanged?Examples of Loft Clear OutExchanges Giving Lifts Advocacy Support at appointments Painting Selling items on eBay Cycle repairsSuccess Stories • Betty – 83 years old, first ever massage • Jennifer and Trish - Cared for and Carer • DIY Group – 24 „burly‟ men keen to support the community with DIY skills.
    30. 30. Logo Competition at SchoolCommunity Litter Pick Street Market
    31. 31. Health Benefits of Time Banking?Physical Social MedicalReduction on Intergenerational Social falls Prescribing Support for Bringing different social groups Reduction onactivities – eg early hospitalCutting Grass together admissions or building Making new Care Improved friends and Packages for activity – eg reconnecting Hospitalwalking groups with old ones Leavers
    32. 32. What our Members are saying…“ I wanted to join the Time Bank because I had becomesome what of a recluse – I didn‟t know my neighbours toeven say hello” John, This for That member since May 2012 4 exchanges to date“Having become a Carer for my husband over recent years,being a member of the Time Bank means I can get a bit ofextra support - with things I need doing and also withrespite support. Mary, This for That member since Dec 2011 13 exchanges to date
    33. 33. What our Members are saying…“This for That is bringing members of our communitytogether. All the Community Groups that have signed upare now supporting, and most importantly, talking to eachother” Saranne, This for That Broker since Oct 2011 38 exchanges to date“It‟s great to have one port of call to ask for help – I have somany things around the house that I would like help with” Pat, Deeds for Needs member since Mar 2012 7 exchanges to date
    34. 34. The potential of Time Banking is limitless. The health benefits to members - physically, socially and medically are wide and varied.The stronger the foundations we set now the greater the benefits to our friends,relatives and communities in the future.
    35. 35. Engaging and Transforming Communities Gary Malone Manager, Angus Volunteer Centre
    36. 36. Scottish Co-production Network Catriona Ness OD Consultant NHS Tayside
    37. 37. Background• Formed as an informal network in 2010• Chaired jointly by NHS Tayside and Scottish Community Development Centre (SCDC)• April 2012 – supported by Scottish Government Joint Improvement Team to be formally developed in 2012-13
    38. 38. What is the Scottish Co-production Network?• Building on existing co-production activity• Learning, debate and development of ideas• Practice & information exchange• Supporting dialogue and advancing co-production approaches in Scotland
    39. 39. What is co-production?New Economics Foundation:‘Co-production means delivering public services in an equaland reciprocal relationship between professionals, peopleusing services, their families and their neighbours. Whereactivities are co-produced in this way, both services andneighbourhoods become far more effective agents ofchange.’
    40. 40. Key activities• Network meetings• National events/seminars• Learning events• Support to local networks• Website/ online forum
    41. 41. Get involvedContact Olivia Hanley, the network!Website: watch this space!