Keeping Well in CommunitiesBuilding Health Partnerships: self-care

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Designed to support local partners in health and care in delivering STPs by focusing on:

• strong engagement with the voluntary community and social enterprise (VCSE) sector and citizens

• activities and actions that promote wellbeing and self-care in the local community

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About Building Health Partnerships (BHP)

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Why we are here today

To explore ways to utilise community asset based and social prescribing approaches to address some key (costly) health problems, prevent ill health and promote wellbeing, and to see this better reflected in commissioning approaches and Sustainability & Transformation Plans across the North East.

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Core group

• Amanda Healy – Director of Public Health, Durham

• Catherine Parker - Health & Wellbeing Programme Lead, Public Health England North East

• Chris Drinkwater – Chair Ways to Wellness

• Guy Pilkington – Chair Newcastle Gateshead Clinical Commissioning Group

• Jane Hartley – Chief Executive, VONNE

• Jenni McAteer – Director Healthwatch North Tyneside

• Tom Hall – Director of Public Health, South Tyneside Council

https://vimeo.com/42332617

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Shared understanding of local priorities from last time• Whole place approaches to address problems such

as employability (recognising all contributions)

• Self-care training and workforce issues

• Use of technology and apps to support access to community assets

• How the money flows through the system to support self-care and how we can improve this

• Contracting arrangements including barriers to engaging the voluntary & community sector, what we measure and who this matters to

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Guy Pilkington Chair of STP Prevention Work streamChair of Newcastle Gateshead CCG

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www.england.nhs.uk

“ We will work collaboratively with the

voluntary sector and primary care to design

a common approach to self-care and social

prescribing, including how to make it

systematic and equitable”

(p.45 Next Steps for the Five Year Forward View)

NHS England Commitment:

8

www.england.nhs.uk

• We’re building a ‘social prescribing movement’ across the NHS –

great energy and potential to help make the NHS sustainable

• It requires an asset-based approach – what do we already have in

our community that we can build on?

• ‘Link worker’ connector model is key – they have time to find out

what really matters to people and connect them with community

support

• Build it together, all partners in a local area are important

• Can’t expect the voluntary sector to do everything for free!

What messages are coming from

NHSE

www.england.nhs.uk

We know that:

• Nearly half of all Clinical Commissioning Groups (CCGs) are

investing in social prescribing ‘Community navigator/link worker’

programmes.

• Social prescribing is included in 75% of Sustainable Transformation

Plans (STPs).

• 1in 5 GPs regularly refer patients to social prescribing. 40% would

refer if they had more information about available services (July

2017, GP Online Survey).

• In South Yorks & Bassetlaw STP area all GPs are able to refer to

social prescribing ‘community navigator/link workers’

Nationally what do we know ?

Catherine Parker, Public Health EnglandProfessor Chris Drinkwater, Ways to Wellness Indications of need: Anti-depressant prescribing across the North East and Cumbria STP footprints

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• What's happening nationally

• The local picture

• Looking at some related indicators

• Looking at our assets

National picture

• The number of antidepressants prescribed in England has risen sevenfold in the last 25 years according to one study of NHS England Data

• Driving the increase;

- Increase in need driven by social factors?

- More people coming forward, increased awareness, reduced stigma?

- Doctor and employer recognition?

- Access to (or lack of) psychological therapies?

North East and Cumbria STP footprints- anti depressant prescribing

Indices of Multiple Deprivation

Access to psychological therapies

Access to IAPT services: people entering IAPT services (monthly) as % of those estimated to have anxiety/depression (based on GP practice code)

And what about our assets?

Thoughts…..

• Difficult to draw any firm conclusions from a very brief look at a small number of indicators BUT

• Prescribing levels are high for anti-depressants in our area

• There are some (but not consistent) correlations with deprivation

• Associated costs mean even marginal improvement could potential result in real savings

• Access to therapies is comparatively good • Evidence tells us that social connectedness and tackling

isolation as well as medication and therapies are significant enablers for mental health improvement

What does the problem look like?

• What's driving the increase in your communities?

• How might it be tackled collaboratively (and differently)?

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Making it stick

• What are the big things we need to do next to make the change/tackle this problem?

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Break

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Jane Hartley, CEO VONNEWhat can help

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VCSE Health and Wellbeing Fund

• Theme for 2017-18 is social prescribing

• Aim of the Fund • To promote equalities and reduce health inequalities by building the evidence

base around good practice in social prescribing, sharing lessons and widening adoption of interventions with a proven track record.

• 3 years funding - Funding of up to £300,000 for the first year

• Musts:• Provide evidence of a commitment from local partners for resourcing of : 50%

in year 2, 80% in year 3, 100% year 4 onwards • Include the community navigator/link worker role within its social prescribing

scheme model. • Be able to demonstrate strong established links with local partners

• Deadline 21st Nov 2017

• https://www.gov.uk/government/publications/health-and-wellbeing-fund-2017-to-2018-application-form

Social Prescribing Network

• Health professionals, researchers, academics, social prescribing practitioners, representatives from the community and voluntary sector, commissioners and funders, patients and citizens.

• Sharing knowledge and best practice

• Social Prescription Network newsletters

• NE Yorks & Humber Social Prescribing Network established Summer 17. Next meeting in Newcastle Mon 15th January

• socialprescribing@outlook.com

Network’s new publication: ‘Making Sense of Social Prescribing’

• What is social prescribing

• Why do social prescribing

• What do different models look like

• What makes a good link worker

• What makes a good referral

• Governance and risk management

• Evaluation

https://www.westminster.ac.uk/patient-outcomes-in-health-research-group/projects/social-prescribing-network

Place Based Social Action

• Joint £4.5m programme between the Department for Digital, Culture, Media and Sport (DCMS) and Big Lottery Fund (the Fund) using National Lottery funding

• Aims to create positive change by enabling people, communities, local non-statutory organisations and the statutory sector to work collaboratively to create a shared vision for the future of their place, and address local priorities through social action

• 3 stage programme offering different levels of support and funding at each stage

• Phase 1 - Development - 5k available for 1 year for up to 20 places

• Phase 2 - Delivery - £240k over 3 years for up to 10 places

• Phase 3 – Scale and Sustain 5 partnerships awarded approximately £255,000 over 3 years

• one application from each lower or single tier Local Authority

• VCSE lead & must have evidence of partnership

• Deadline 28th November 2017

• https://www.biglotteryfund.org.uk/global-content/programmes/england/place-based-social-action

For the future from NHSE

• Common Framework for Measuring the Impact of Social Prescribing – initial scoping underway

Julie DaneshyarPublic Health EnglandThe Prevention Concordat

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Activate the ideas!

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Feedback and priorities

What next?

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Thank you.