commissioning with insight: devon healthy lifestyle service
TRANSCRIPT
Commissioning with Insight:Devon Healthy Lifestyle Service
Steven BrownAssistant Director of Public Health
Devon County Council
Plan• The Challenge• The Principles • The Approach• Where are we now?
The Challenge: To reduce premature death in Devon
The proportional contribution to premature death
Source: From evidence into action: opportunities to protect and improve the nation’s health. Public Health England. October 2014.
Main modifiable behaviours = Tobacco smoking, Physical Inactivity, Excess alcohol and poor diet
Burden of disease attributable to 20 leading risk factors for both sexes in 2010 (expressed as a % of UK DALYs)
The Challenge:
The Challenge!
• Overweight adults384,271
• Adults smoke111,400
• Physically inactive247,900
118,600Adults
drinking at harmful
levels
1,781Premature
Deaths in Devon
How do we reach/connect?
What is the offer they want?
Background• Existing Service:- - Stop Smoking Service supported 1,200 individuals (794 quits)
(3.1% smoking population reached)- Handles 3,000 Adult weight management referrals per year. - Works with around 400 ‘vulnerable’ individuals (Health Trainers)
= 4,600 individuals supported by the service• Current contract ceases April 2016.
• Increasing DEMAND on health and Social Care + LESS funding• Radically upgrade PREVENTION!..... …..More of the same is NOT the answer!
The Approach
A new Healthy Lifestyle Service
Development of Persona Profiles
Healthy lifestyle Insight
Healthcheck survey
HealthWatch Resident survey
Focus Groups
2011 Mosaic Analysis
Healthy Weight Service feedbackDiscovery Day
Devon Prevention Strategy
Digital Inclusion research (economy)
Devon Social Prescribing Evidence
review
HealthWatchSmoking survey
Persona Example
A Discovery DayKey purpose of the day
1. New perspective on the challenge: - Understanding the customer. - Understanding the problems and
market challenges.
Let’s challenge our assumptions!
2. New perspective on the solution:- Explore and develop solutions for Devon- Freedom to think the unthinkable
Let’s transform and innovate!
Focus Group Insight• What makes you happy?• What do you enjoy doing?• What gives you a sense of achievement?• Whose opinion do you value?• How do connect with them?• Who would you listen to about leading a healthy
lifestyle?• What positive changes have you made and what
prompted the change?• Thinking about the future?
Inform me: what people said
I will do it for myself with a
bit of self-help
I am happy to set my own goals
I’m so busy I struggle to
find the time to be active
I often use Apps as a
motivation
I often use google to get
advice and information
If my jeans are too tight I will try
and be good
Enable Me: what people saidIt’s just too hard, half an hour walk
there and back before you pay £5 to swim…I
couldn’t do it if I took the kids
I am self-motivated
I would listen to what my
Doctor had to say
It’s all about the kids and
my family
I usually use google to find
out information
There is already loads of information available (on the web). Coordinating an
easy to follow link would be the most effective way
Support Me: what people said
Don’t really trust ‘authority
figures’, my GP would be my last
resort
Being able to play with my
daughter…that’s just magic
I never know if I have enough time, or am too tired but if I can fit it in and just turn up, that
works
Unless I think it is a real immediate health problem
I’m not too worried
I prefer to talk over the phone or
meet face to face
I don’t want someone telling me what to do!
Money and access is a
barrier
Common Themes• Aspirations differ but all centre round the wellbeing
and happiness of loved ones.• Family and friends ….powerful enablers• The words ‘Healthy Lifestyle’ interpreted as sporting
activities. • Feeling of having a lifestyle imposed on you is
aggressively rejected.• Health is a motivator but future health problems are
not.
Market Warming Event
Devon Healthy Lifestyle Service Who are the customers, what are their needs and what is
the offer they want + how do they want to access it?
INSIGHT REACH OFFERSuccess Measures
The Service Offer include.…• Providing the right advice, information and support, focusing on: - Alcohol, Physical activity, Smoking, Alcohol + (Emotional Health and wellbeing)
• Empowering, enabling and motivating people who want to take control of their own health and wellbeing:- Taking a personal approach / building relationships with clients, referrers and providers- Have a presence in the community, identifying & mobilising community assets and resources
• Connecting people: - to local community assets
- to services (DCC commissioned e.g. Stop Smoking Service and non-commissioned)
• Targeting Health Inequalities: Proportionate Universalism• Continued service development: Changing technology, changing needs…
commitment to work collaboratively and co-design the service!
A new Devon Healthy Lifestyle Offer
Tender to be launched this week!