1.
#sixprinciples
High impact actions:
Jeremy Taylor
Chair, People and Communities Board
@JeremyTaylorNV
November 2016
The next big push for person-centred,
community-focused approaches to
health and care

2.
#sixprinciples
The team today
Twitter monitor:
Olly Benson
@ollybenson
Chat room monitor:
Sarah Hutchinson
@SarahHutchDPhil
Presenter:
Don Redding
@MightyDredd
Virtual facilitator:
Helen Bevan
@helenbevan
Presenter:
Jeremy Taylor
@JeremyTaylorNV

3.
#sixprinciples
Purpose of this WebEx
To share information about the work being undertaken to develop a set
of high impact actions and to gather views and ideas from patients,
service users and carers and those working in the voluntary and social
enterprise sectors

4.
#sixprinciples
• Please use the chat box to contribute continuously during the discussion
• Please tweet using hashtag #sixprinciples
• Put your virtual hand up if you would like to speak
• We will send a link to the recording within 24 hours
• The slides are already on SlideShare at xxxxx
• Please send any further ideas or comments to Sarah Hutchinson
Sarah.Hutchinson@nationalvoices.org.uk by 8th November
Joining in today…and beyond

5.
#sixprinciples
Who is taking part today?
Expert by experience
I am primarily a patient or
family member
VCSE
I work or volunteer for an
organisation in the voluntary,
community or social
enterprise sector that
advocates for patients
Health and care
I am a health and care
professional
Other
I don’t fit in any of the above
categories
Researcher
I am primarily a researcher
Senior leader
I am a senior leader
#Copro16

6.
#sixprinciples
Where in the UK are you?

7.
#sixprinciples
On a scale of one to ten, how much
do you feel you know about high
impact changes?
1 is low (I know very little)
10 is high (I know a lot)

8.
#sixprinciples
A recap of the Five Year Forward View
Prevention gap: “A radical upgrade in prevention and public health”
Care quality gap: Quality of care is too variable
Finance gap: £22 billion of productivity improvements
(Chapter 2) “A new relationship with patients and communities”
(Chapter 3) New models of care which are more personalised, joined up and
which give people much greater control of their own care

9.
#sixprinciples
Six principles for
engaging people and
communities: Putting
them into practice
bit.ly/thesixprinciples

10.
#sixprinciples
The challenge from Simon Stevens
Propose a limited set of high impact actions which will deliver on the six principles by:
Solving key problems for patients, service-users and carers
Solving key problems, challenges and “pinch points” for the health and care system
Tackling issues of equality
Being concrete, practical and helpful to those driving system reform e.g. in the STP
footprints
Mainstreaming the most promising approaches
Being capable of drive and support from national bodies

11.
#sixprinciples
What are high impact actions?
We are likely to end up with a mixture of “the what” and “the how”. They could be:
Evidence-backed practices/interventions amenable to wider adoption
‘Road maps’ or delivery systems, where these are missing
National levers, incentives, signals
New investments – e.g. for innovations
Workforce development/capacity building
Offers from voluntary and community sector
Campaigns/pledges/social movements

12.
#sixprinciples
What would you propose?
What is your high impact action?
‘What is your justification/case/evidence?
Who would benefit?
How would the benefit be spread/rolled out?
What would it cost?
What is the impact on equality/health inequalities?
What are the risks and downsides?

13.
#sixprinciples
Care and
support
planning
System of
referral
(social
prescribing)
Planned,
community
based care
and support
Skilled commissioning for wellbeing
Wellbeing
(prevention,
promotion)
Reducing the social gradient in health

14.
#sixprinciples
Care and
support
planning
System of
referral
(social
prescribing)
Planned,
community
based care
and support
Skilled commissioning for wellbeing
Wellbeing
(prevention,
promotion)
Reducing the social gradient in health
Adopt and implement Carers Memorandum of Understanding
Carers prescriptionsAlign all systems
to support
carers
Work with VCSE on
menu of support

15.
#sixprinciples
Care and
support
planning
System of
referral
(social
prescribing)
Planned,
community
based care
and support
Skilled commissioning for wellbeing
Wellbeing
(prevention,
promotion)
Reducing the social gradient in health
Single Point of Contact for commissioning social prescribing
Models and measures for social prescribing

16.
#sixprinciples
Care and
support
planning
System of
referral
(social
prescribing)
Planned,
community
based care
and support
Skilled commissioning for wellbeing
Wellbeing
(prevention,
promotion)
Reducing the social gradient in health
Co-production between formal systems and VCSE sector
Mapping VCSE assets
into JSNAs
Identifying
those suffering
inequalities &
creating access
to the system
Outcome measures
based on what
matters
New Care Models (MCP, PACS, IPC, Pioneer)
STP

17.
#sixprinciples
Care and
support
planning
System of
referral
(social
prescribing)
Planned,
community
based care
and support
Skilled commissioning for wellbeing
Wellbeing
(prevention,
promotion)
Reducing the social gradient in health
ESCAPE – self management
education for people with
joint pain
Produces better clinical outcomes at lower cost than
physiotherapy. Reduces pain; improves physical function;
reduces depression, improves well-being and quality of life

18.
#sixprinciples
What would you propose?
What is your high impact action?
‘What is your justification/case/evidence?
Who would benefit?
How would the benefit be spread/rolled out?
What would it cost?
What is the impact on equality/health inequalities?
What are the risks and downsides?
Consider a mixture of:
• the what
• the how
• the design principles
Consider hard levers
AND
“social movement”

19.
#sixprinciples
On a scale of one to ten, how much
do you feel you know about high
impact changes?
1 is low (I know very little)
10 is high (I know a lot)

20.
#sixprinciples
Next steps
• We will circulate the link to the recording and the
slides within 24 hours
• Please send any further ideas or comments to Sarah
Hutchinson Sarah.Hutchinson@nationalvoices.org.uk
by 8th November