Parallel Session 4.5 Stronger Communities... Better Lives?
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Stronger Communities, Better Lives
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Transcript of Parallel Session 4.5 Stronger Communities... Better Lives?
Stronger Communities, Better Lives
Aims :-
To help local people develop the skills and confidence to
work in co-production with professionals from a range of
agencies and organisations
Objectives :-
To use these partnerships to effect changes in
communities, which would result in improvements in
health care and social well being
Perth and Kinross Healthy Communities Collaborative
Speaking to local people
Asking them to identify issues to
address
Trying out ideas to improve life
locally for themselves and
their friends
Helping them to come up with
ideas to try out
CONSULTE
NG
AG
E
EMPOWER
RE
SIL
IEN
CE
The Community Action Model(NPDT 2001)
Topic
Successful Action
Enhances Community Development
StimulatesDesire for othertopics
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
Who Are The Teams Made Up Of ?
Community Members
Voluntary and Charitable Organisations
Statutory Agencies
The Formula
• Understand the need
• Come up with some ideas
• Test those ideas (PDSA)
• Understand what works and do more of it!
The PDSA Cycle for ImprovementThe PDSA Cycle for Improvement
Act
• What changes are to be made?• Next cycle?
Plan• Objective•Predictions • Carry out the
cycle •Plan for data collection
Study
• Analysis data•Compare topredictions
•Summariselearning
Do
• Carry out plan• Document
problems• Record data
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
Three Main Features
of Exercise Programme
• Strengthening
• Balance Retraining
• Walking
Video clip
• 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)
CHAIR BASED EXERCISE
the EVIDENCE
• 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
NUMBER CRUNCHING
• 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)
Benefits Reported by Attendees
• On going support
• Transport
• Sustainability
• Community Referral / Social Prescribing
The Challenges
• 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)
Recent Scottish Policy Drivers
• Gives Communities ownership
• Maximises efficiency, people centred
• Shares skills and workload
• Releases community capacity
• Helps build community resilience
• Cost effective
Some benefits from working this way
Video clip
And finally, a word from Pat
“The Healthy Communities Collaborative is
such a good idea. A small number of
professionals working in partnership with
unlimited numbers of volunteers, so that
older people can stay fitter and healthier
for longer, has to be good”
http://www.jitscotland.org.uk/action-areas/talking-points-user-and-carer-involvement/outcomes-enablement-and-an-assets-approach-to-health-and-wellbeing/
Time Banking in Perth and Kinross
An exiting new initiative for communities
Lesley McLaren, [email protected]
Overview
What we aim to achieve
People in Perthshire communities will have opportunities to strengthen and build their communities resilience and social networks through the development and testing of Time Banking models.
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.
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
The Project to Date
Working with additional Communities to introduce the initiative – Stanley, Dunkeld and Pitlochry
Initiative to be developed throughout the region over next two years
This for That in Coupar Angus
Deeds for Needs in Aberfeldy
This for That – Coupar Angus
Members 61 Individuals14 organisations
Hours Exchanged 1531
Hours donated 500
Actual number of exchanges
322
What is being Exchanged?
Examples of Exchanges
Attending MeetingsBaking
Painting/DecoratingCompanionshipCommunity Café
Success Stories • Bob – Widow, Retired Chemistry Teacher
• John – Wanting to get more involved in Community Life
• Matilda – Youngest Member, donated over half her credits
Deeds for Needs - Aberfeldy
Members 27 Individuals1 organisation
Hours Exchanged 394
Hours donated 121
Actual number of exchanges
66
What is being Exchanged?
Examples of Exchanges
Loft Clear OutGiving Lifts
Advocacy Support at appointmentsPainting
Selling items on eBayCycle repairs
Success 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.
Logo Competition at School
Community Litter Pick
Street Market
Health Benefits of Time Banking?
• Social Prescribing
• Reduction on early hospital
admissions
• Care Packages for Hospital
Leavers
• Medical
• Intergenerational
• Bringing different social
groups together
• Making new friends and
reconnecting with old ones
• Social
• Reduction on falls
• Support for activities – eg Cutting Grass
or building
• Improved activity – eg
walking groups
•Physical
What our Members are saying…
“ I wanted to join the Time Bank because I had become some what of a recluse – I didn’t know my neighbours to even 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 of extra support - with things I need doing and also with respite support.
Mary, This for That member since Dec 201113 exchanges to date
What our Members are saying…
“This for That is bringing members of our community together. All the Community Groups that have signed up are now supporting, and most importantly, talking to each other”
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 so many things around the house that I would like help with”
Pat, Deeds for Needs member since Mar 20127 exchanges to date
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.
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
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
What is co-production?
New Economics Foundation:
‘Co-production means delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours. Where activities are co-produced in this way, both services and neighbourhoods become far more effective agents of change.’
Key activities
• Network meetings
• National events/seminars
• Learning events
• Support to local networks
• Website/ online forum
