Download - Lorn & Oban Healthy Options Ltd
Lorn & Oban Healthy Options Ltd.Registered in Scotland No. SC383167 Registered Charity No. SC041998
www.lornhealthyoptions.co.uk
Extending health into the communitya 2-year pilot project funded by:
Welcometo the launch of our Report
and guided conversation
Extending Healthcareinto
the CommunityA HEALTHIER FUTUREfor OBAN and LORN
HEALTHY OPTIONS WHY?
HEALTHY OPTIONS WHAT DO WE DO AND HOW DO WE DO IT?
HEALTHY OPTIONS WHAT DIFFERENCE DOES IT MAKE? Client stories Health Professional perspectives
HEALTHY OPTIONS WHAT NEXT? for Healthy Options our community and our partners
Introducing Healthy Options
O B A NTown population 8,120Oban, Lorn & the Isles population 20,000 approx.
Decades of direct community action delivering cross-sector community-led development:-
Atlantis LeisureMS CentreOban Phoenix Cinema
H2O – Hope to ObanOban Youth CaféStramash
Sport health environment leisure history arts education youth work outdoor pursuits outdoor nurseries hospice services housing
Plus many more
Atlantis Leisure & Oban – hosting the
1st SCOTTISH RURAL PARLIAMENTNovember 2014
Healthy Options & Oban – connecting to the national context
Connecting to national bodies
• Senscot health network• Senscot sport network• Social Enterprise Academy• Glasgow Caledonian
University• CHEX• SportScotland• PAHA• Nesta• Carnegie UK Trust
Connecting to national policy
• A more Active Scotland• The Kerr Report• Shifting the Balance of
care• Assets for Health• National Physical Activity
Implementation Plan• 20:20 Vision (NHS)• Local Outcome Agreement• A & B HIT Strategic
Priorities
HEALTHY OPTIONSWHY DO IT?
• 40% of our population have a chronic medical condition/s. That is 4,000 patients of the Lorn Medical Centre
• These conditions can be improved or control managed by adopting an active healthy lifestyle
This is our challenge:- “to improve the wellbeing of our ‘40%’ and for
Oban and Lorn to become a more active,fitter, healthier community”
‘If there is a problem in the community the solution is in the community’
HEALTHY OPTIONSWHY DO IT?
We start from a place of abundance, knowing that what we need we already have –
• We live in a healthy environment• We have well developed community resources and valuable
community assets• Strong social networks and inbuilt community resilience to ‘just do it’
• We have the active engagement of the Lorn Medical Centre• We have the full support of Atlantis Leisure• We have a modern regional hospital with all the attendant health
professionals and departments
WE NO LONGER SEE A CHALLENGE, WE SEE A RESPONSIBILITY
HEALTHY OPTIONSWHY DO IT?
Who are our clients?
• 61% had more than one chronic condition, of those 9% having four or more chronic conditions.
• 20 conditions were identified, the top 6 being obesity, orthopaedic, mental health, high blood pressure, inactivity, respiratory problems.
• 39% were on one or more welfare benefits and received their Healthy Options programmes completely free of charge.
HEALTHY OPTIONSWHY DO IT?
Who are our clients?
• Age range 9% under 25 7% 25-34 17% 35-4425% 45-54 20% 55-64 22% 65+
• 71% of clients were female and 29% male
• 78% of clients were referred to us by their GP, 12% were referred by NHS health professionals and their departments.
A special DYNAMICrelationship
Healthy Options
Health Professionals
Atlantis Leisure
OUR
40%
Social entrepreneursHealth professionalsHighly qualified staff
Skilled, experienced, motivated
Lorn Medical Centre + GP
Surgeries
Lorn & Oban Hospital
25 Health
professionals involved with HO
‘programme & patients’ team
Passionate about patients
Community owned, community built, community run
Nationally recognised exemplar for community sport
‘Be the best you can be in sport, health & wellbeing’ Our clients are an equal partner
What we do
Funding partners
DeliveryPartners
Our clients
Our volunteers
An innovative approach:
• Our relationship with clients
• Our partnership with health professionals
• Our relationship with Atlantis and delivery partners
• Our wider role, education and awareness
• How we operate
Our innovative relationship with clients
Funding partners
DeliveryPartners
Our clients
Our volunteers
Our ‘40%’ (clients) are our concern, our focus and also our biggest asset• First contact at Lorn Medical Centre, co-design social prescriptions• Stage 1 high level support, stage 2 moving towards self-care • A full year of support• Social Prescriptions – centre based, community based, home based
- available throughout the week to suit ALL clients• Opportunities for fellowship and to socialise ‘built in’• Programme development is mostly client led• Clients willing to become volunteers – peer support, walk leaders,
advocates
Our innovative partnership with health professionals
Funding partners
DeliveryPartners
Our clients
Our volunteers
25 health professionals have participated in our ‘programme & patients’ team resulting in:• Changes to the cardiac and pulmonary community programmes• Establishing progressive programme from treatment to self-care• HO staff and volunteers participate in NHS training programmes• Establishing a (world class) exercise programme for individuals with
MS• Developing ‘Move Well’ classes• Developing ‘Perfect Posture’ classes• Falls prevention rural community pilot• Counterweight rural community pilot
Medical treatment to managing self-care
Our innovative relationship with Atlantis Leisure
Funding partners
DeliveryPartners
Our clients
Our volunteers
• Introducing a new client group to Atlantis
• Developing the gym, making it user friendly to Healthy Options clients
• Developing Atlantis staff, up-skilling and new qualifications
• Atlantis staff co-delivering Healthy Options programmes
• Atlantis staff volunteering with Healthy Options and now qualified walk leaders
• From an ‘over 50’s’ class once a week to an ‘Active Life’ programme 9 activities Mondays, 8 activities Wednesdays
• Specialised gym equipment being sourced for Healthy Options clients
Our wider role – Education and Awareness
Funding partners
DeliveryPartners
Our clients
Our volunteers
• Delivering activity sessions at Active Ageing event; U3A event; Housing Association tenants event, Breathe Easy group, • Advocacy programme, speaking to community groups• Oban Health Fair – 9 activities to take part in; Market Street
with 16 stalls of health related groups• Volunteer programme – A Healthier YOU a Healthier COMMUNITY• ‘Community Step Challenge’ ‘Pink Aerobics’• Delivering be-spoke programmes for company employees• Created Healthy Options zone - information on active healthy
lifestyle; ties in with national campaigns; diet/weight management;Recipes and healthy eating – being developed as a mobile resource for 2015
Healthy Options – How we operate - People
Funding partners
DeliveryPartners
Our clients
Our volunteers
If the problem is in the community, the solution is in the community
• Company limited by guarantee, having no share capital, registered charity
• Board of volunteer directors – social entrepreneurs, health professionals – range of skills, proven experience• Programme & Patients; Education & Awareness; Finance &
Management
• Professional staff, highly qualified
That is the legal and governance model, all fairly straightforward, however . . .
Healthy Options – How we operate - People
Funding partners
DeliveryPartners
Our clients
Our volunteers
If the problem is in the community, the solution is in the community
• Healthy Options is not a representative body, does not have elected committees• Healthy Options is not based on ‘strategic plans’ and ‘policies
based on standard outcomes and targets’ or driven by ‘process or misguided views based on ‘equity’’
• Healthy Options is built around people - successful, motivated, passionate people, people who can deliver – from Board, staff, Atlantis, and our fantastic health professionals. And increasingly volunteers and clients themselves
• 40% of our people have a problem, our people have the solutionLocal people, local needs, local solutions
National PolicyLOCAL ACTION
CATALYSTS FOR CHANGE DELIVERER OF CHANGE
JITPAHA20:20Service ChangeShifting the Balance of CareNational PhysicalActivity PlanSenscotCHEXVHSGCUetc
HealthyOptions
Funding partners
HealthProfessionals
DeliveryPartners
Clients
Volunteers
Making a Difference
HealthyOptions
Funding partners
DeliveryPartners
Our clients
Our volunteers
Key Learning:• Complexity of medical conditions• Health benefits to clients• Engagement and support of health professionals• Clients willingness to volunteer• Atlantis responding to client group and community
need• Less than 2 FTE employees can support 130+
clients per year• Qualified, motivated, dedicated staff are key
WHAT NEXT?
Reduce our impact based
on availability of grant funding
volunteersHealthyOptions
Close down at end March 2015
Continue
Develop locally
Develop geo-
graphically
Reduce Impact
Close down
Continue to provide current level of services in our local area
Develop additional services in our local area
Expand provision by assisting communities to develop their own ‘Healthy Options’
Lorn & Oban Healthy Options Ltd.Registered in Scotland No. SC383167 Registered Charity No. SC041998
www.lornhealthyoptions.co.uk
Extending health into the communitya 2-year pilot project funded by: