Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event. Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development. This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being. More information is available online: www.expo.nhs.uk

1. Communicating and engaging in a new
environment
Claire Norman: Headof Communications and Engagement, GM
Health and Social Care Devolution
Nicola Onley: Head of Communications and Engagement, Bolton
CCG
Alan Higgins: Director of Public Health, Oldham Council

2. 2
Greater Manchester: a snapshot picture

3. Vision
To ensure the greatest and fastest possible improvement to the health
and wellbeing of the 2.7 million citizens of Greater Manchester (GM)
By:
- Integrated governance: binding on all the partners, being decisive and bold
- Integrated planning: 10 aligned local plans feeding one GM strategic plan setting out
transformational ambitions
- Integrated delivery: best practice at pace and scale, locally sensitive but of regional
significance

4. This isn’t just about health
The health outcomes forGM residents are worse than those in other parts of the country. This
significance and complexity of the issues faces by our residents are wider ranging than just health
and therefore requires integration of not just health and care, but contributing wider public services.

5. The communications and engagement challenge
• Eyes of the world
• Pace
• Newness
• Complexity of stakeholders (not just about health)
• Politics and “politics”
• Wrangling the (different) narratives
• Making the devolution link
• Telling the human story
• Point B unknown
• Resource

6. The opportunity
• To get behind a commonvision
• To use the expertise and experience in the system - not a central
approach
• To use the partnerships we’ve got and work together
• To have a greater impact by doing things once
• To focus on people and place – not organisations
• To accept different approaches, mistakesand contribution
• To share and celebrate each other’s success to benefit GM

7. The solution - the how

8. Amsterdam - the bicycle capital of the world
• The Netherlands boasts 22,000 miles of cycle paths.
• More than a quarter of all trips are made by bicycle,
compared with 2% in the UK – and this rises to 38% in
Amsterdam and 59% in the university city of Groningen.
• All major Dutch cities have designated “bicycle civil
servants”, tasked to maintain and improve the network.
• And the popularity of the bike is still growing, thanks
partly to the development of electric bicycles.

13. • Public health, reform and growth – making the most powerful case yet for the ‘economics
of prevention’ demonstrating the link between public health, employment and early
intervention outcomes
• Nurturing a social movement for change - enabling people to make their own informed
life-style choices and creating new platforms for full engagement of GM residents
• Starting well (early years) - the scaled implementation of the GM early years model to
improve school readiness and addressing long term determinants of public service demand
• Living well (work and health) - aligning public health intervention to wider public service
reform tackling complex dependency and supporting residents to be in sustainable and good
quality work
• Ageing well - setting up a Greater Manchester Ageing Hub to support age-friendly
communities and environments, and scaling work on dementia friendly communities,
supporting those with dementia to remain connected to their communities and in control of
their lives for as long as possible.
Public Health Memorandum of Understanding: five major
transformational programmes

14. Nurturing a social movement for change
• Intention - to nurture self-sustaining cultural change in favour of better
health and wellbeing.
• Social movement - individuals being drawn into public debate over matters
of common concern, a source of creativity and they tend to create
identities, ideas and ideals.
• What are the characteristics of social movements?

15. Eight core characteristics of social movements
Radical actions: Public protest and the use of radical and unconventional means of
political persuasion; belief that change cannot be achieved within the
system, the system itself has to be changed; incremental change is not
enough
Transformative events: Major changes result from social movements rather than planned
programmes
Collective: Collective action driven by shared goals and/or common grievance
Voluntary: Spontaneous and self-organising
Organisation: Explode into life without being organised but if they are to stay in
existence they need central coordinating and resourcing
Political: Movement participants are invariably protestors seeking to influence
those in power to bring about change
Conflict and resistance: Polarisation can have a strong impact on bringing participants together;
resistance helps change happen, it is energising and points to the need
for something new
Durable: The kind of change movements pursue require some measure of
sustained, organised activity

16. Developing thoughts and discussion
• Nurturing a social movement - emphasise the creativity required from
communities but we do want to retain the ability to shape the development of
a social movement so that the outcome is a cultural change on health and
wellbeing.
• Do we understand how to create a social movement for health and wellbeing?
• Could we better define what it would look like?
• Is it something that we should seek to control or better understand as a social
phenomenon to which authorities can respond positively or negatively?

17. “How do we get a population
hungry for health and
actively participating in their
own health?”

18. Thank you for listening
Any questions?