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July 2017 EdgeTalks - A new mandate to support community action

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Jeremy Taylor presents his slides from the #edgetalks in July 2017

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July 2017 EdgeTalks - A new mandate to support community action

  1. 1. Healthy communities, powerful patients – what can health and care professionals do? Jeremy Taylor 7th July 2017
  2. 2. National Voices • Insert pic of presenter Jeremy Taylor CEO, National Voices @NVTweeting @JeremyTaylorNV www.nationalvoices.org.uk
  3. 3. National Voices • The coalition of charities that stands for: • People being in control of their health and care • An integral role for the third sector
  4. 4. Why do we need people powered approaches? • Health creation is powerful… • Unfortunately it doesn’t eliminate sickness, disease, disability, frailty, and death! Millions of people live with long term conditions. • But “asset-based” – or people powered - approaches make a big difference • What is your role?
  5. 5. Questions for participants • How familiar are you with people powered approaches to health & wellbeing? • How important do you think they are? • How important is it for you to embrace these approaches in your own work? • How much difference can you make by doing so?
  6. 6. The basis in law • Health & Social Care Act 2012 – duties to involve patients & carers in care & treatment decisions – and public involvement in commissioning • Care Act 2014 – duty to promote individual’s wellbeing, with guidance on care planning and personal budgets etc • Social Value Act 2012 – duty on commissioners to consider wider social, economic, environmental benefits
  7. 7. The basis in evidence Partnering and enabling people delivers better results. Evidence-backed approaches for improving outcomes include: • Shared decision making • Personalised care and support planning • Education for self management • Peer support • Health coaching • Group activities • Asset based approaches in a health context
  8. 8. Primary care Living with long term condition/s I have a written care plan 3.2% 2016 (July) Inpatient care I was as involved as I wanted to be in decisions I was as involved as I wanted to be in decisions (learning disability) 56% (2016) definitely 49% (2015) yes definitely I was asked to give my views 19% yes 2016 Community mental health The person who coordinates my care does it well 60% 2016 I have definitely agreed with someone from the services what care I will receive 43% 2016 I was as involved as I wanted to be in decisions 56% yes definitely 36% yes to some extent 2016 Adult social care How I am helped or treated makes me think & feel better about myself 61% 2014-15 I feel in control of my daily life 77% 2015-16 End of life care Staff always treated the dying person with dignity and respect 60% (doctors) 2016 54% (nurses) Services definitely worked well together in the last 3 months – at home 41% 2015 Services definitely worked well together in the last 3 months – at hospital 31% 2015
  9. 9. Making it real: whole system responses • Act & invest in line with the evidence of what works – and the law. Make it a priority • Target the things that matter to people, measure what matters, hold people to account for it • Pay for outcomes that matter to people • Train the workforce in asset-based approaches
  10. 10. An engaging system
  11. 11. A power sharing system
  12. 12. What can I do? Values & mind-set • Wanting to improve things • Valuing what matters to people • Focusing on those with the most to gain (worst outcomes, least access etc) • Valuing what people can contribute • Being humble (“I don’t want a service, I want a life!”) • It’s about social leadership
  13. 13. What can I do? Some practices • Having better conversations • Collaborating • Setting shared goals and reviewing progress • Forming networks – team up with like minded colleagues • Making friends with your third sector (and 1st & 2nd)
  14. 14. Some resources Realising the Value Programme • https://improvement.nhs.uk/resources/realising-value-person-and- community-centred-approaches-healthcare/ NHS England guidance on involving people in health and care • www.england.nhs.uk/participation/involvementguidance/ Six principles for engaging people and communities • https://improvement.nhs.uk/resources/Six-principles-for-engaging- people-and-communities/ NSUN: National Involvement Standards • http://www.nsun.org.uk/assets/downloadableFiles/4pi.-ni-standards- for-web.pdf WOW Exchange – case examples of charities helping people live well https://www.nationalvoices.org.uk/wellbeing-our-way/wow-exchange
  15. 15. Questions for participants • How familiar are you with people powered approaches to health & wellbeing? • How important do you think they are? • How important is it for you to embrace these approaches in your own work? • How much difference can you make by doing so?

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