herts third sector workshops outcomes

www.hertsdirect.orgThink Intelligence, Think Intelligently

Third Sector Public Health WorkshopsFeedback and next steps24th March 2014Jim McManus, Director of Public Health


Background

• Voluntary groups make an important contribution to improving and protecting the health of the population – from targeted work with vulnerable people to self-management and direct interventions. Public Health skills and capacity, joined with the voluntary sector’s connections and “can do” mindset could produce a major improvement in the health of Hertfordshire and also help integrate care for people across all sectors.

• The workshops will be an excellent opportunity for the voluntary sector to contribute to policy development, build relationships, and discuss new commissioning arrangements.


What we did

• Five workshops were held, one with the Sports and Physical Activity Partnership and Stakeholders and the other four on specific topics, arising from the Joint Strategic Needs Assessment, where the third sector and public health could explore working together

• Each workshop had a presentation on the theme (these are all on slideshare) followed by discussion and feedback

• Commissioners from NHS and County Council, along with Public Health, participated in the workshops with third sector colleagues

• This presentation has the feedback and next steps from this work


About the Sports and Physical Activity Partnership Workshop

• Around 60 stakeholders, brought together by the Sports and Physical Activity Partnership, came together to identify some ways of collaborating on shared public health and physical activity priorities

• The sports and physical activity partnership convened and organised this workshop

• 15th February 2014, Hertfordshire Sports Village


About the third sector themed workshops• four workshops to explore the role the voluntary

sector can play influencing the development of public health policy and delivering services.

• These workshops were organised jointly between Public Health and Watford and Three Rivers Trust, acting on behalf of all the CVSs in Hertfordshire

– Wednesday, 26 February, 14:00 – 16:30: Public Health and Younger People

– Thursday, 6 March, 09:30 – 12:00: Public Health and Older People

– Tuesday, 11 March, 14:00 – 16:30: Public Health and Long Term Conditions

– Tuesday, 18 March, 09:30 – 12:00: Public Health and Mental Health


Workshop Questions

• Each workshop considered four questions:– What is the scope of public health, and what contribution can

the voluntary sector make to service delivery, policy development, campaigning and tackling health inequalities?

– How can the voluntary sector help improve resilience, self-management and secondary prevention, and so help reduce unnecessary hospital admissions?

– How can the voluntary sector be better commissioned to deliver public health interventions? How can relationships between the voluntary sector and commissioners (DH, local public health commissioners, GPs, and others) be improved?

– What scope is there to apply commissioning innovations such as payment by results or a Total Place approach to public health commissioning?


Feedback – Young People 1

• Organise vol sector PH conference in partnership with vol sector please

• Vol sector Speed dating – one part of vcs finding out what another one does…maybe sport talking to young people. Maybe link this to commissioning opportunities – couple of hours.

– CVSs could do it would need a little money

• Also speed funding


Feedback -Young People 2• Try to make the processes as clear as possible – be

clear about what you want to commission. Some smaller contracts e.g. “we want to nail obesity in area y” makes it easy. Be clearer about what commissioning is trying to achieve

– Enabling the citizen cross-cutting workstream needs to take this on board please

– Break down big bids into smaller chunks• Need more clarity between pan herts projects and local

district needs (latter are where vol sectors come into their own)

• Revisit how useful the compact is please.


Feedback -Young People 3• Commissioners need to understand better how contracts enable vol sector

tendering and provision (e.g. biffa waste in derbyshire)• Use simple clear language please and remove jargon• Knowing what opportunities are available and knowing what vol sectors can

deliver on – share granular information on health topics and districts - HRBQ is broken down by district level.

• District funding – remind districts they need to work with vol sector• Connect scheme – club for business which want to show how community

friendly they are W3T connect – what promises can people make. Get employers and members to adopt some protocols on promoting good public health and good public health practices. An initiative which could be built up. Could be copied elsewhere or built in

• Make health profiles at county and district level available, district flavour really helpful

• Facilitate vol sector input into the JSNA please


Feedback -Young People 4• Would a vol sector alliance on public health be useful?

Or on another topic? A strand on obesity a strand on MH – use this as opportunity for CPD

– Could we use email lists?• Good to have a resource that documented what the

other groups did in themes. The database of Herts community solutions may be a solution for this but needs to be better accessible and used. Problem is the minute its up to date its out of date

• Better communication in general – need to think this one through. This is a big issue – ability to communicate electronically.


Feedback -Young People 5

• Use twitter and social media• Work with cvs• Funding to district councils needs to be

transparent in terms of what PH are expecting• Review and revise the compact at Herts level• Districts need to do their and lobby locally• Try and find out who is the member responsible

for the health portfolio


Contributions on Mental Health 1Third sector contributions

Working together PH, NHS, LA contributions

•Activities which improve self esteem and self worth, key skills – recovery, prevention and resilience agenda

•Cohort of people needing most support (complex needs)

•Improving public awareness

•Do more to encourage and enable volunteering – commissioning of services but no funding for volunteer centres. Cost of volunteer centres needs to be considered if volunteering is a proper strategy. Echo this for any frontline org with minimum staffing. Cost of keeping volunteer centres going versus return it brings – if volunteering is an outcome, the infrastructure to support it (vol mgt) needs supporting

•Training front line workers to understand and signpost better

•Evidence for funding (support vcs on getting funding)




•CAB transition services are a really good example of third sector working together

•CAB transitions service looking at how we do a referral process and have an activity plan. Sharing data on a small scale.

•Easy to connect with and access especially where there is a fear of accessing services

•Reducing isolation (flexible), trust in the sector, local knowledge, - third sector could promote itself more

•People expect too much from services – people need to be more resilience generally. Services need to promote resilience and taking responsibility for oneself

•Making every contact count is good

•Dealing with alcohol use for self medication – investment has happened but could do more

•Lifestyle prescriptions

•Clearer pathways and being able to move from formal statutory into third sector and less red tape

•Education – get into young people

•A piece of work to support the vol sector demontrate return on investment for their work.

•Commissioners to explain clearly and consistently what they are looking for in return on investment and how vcs reports ROI

•Feed this into terry please

•Training offered

•Services are reactive, not flexible enough – need to look at preventive agenda more widely

•Targets having a negative impact on service being delivered (time limited services) not person centred….need to be more user journey focused




•Innovation, new ideas and a place where we can try new things

•Checks and balances – lobbies, challenges and in a sense almost holds stat sector to account (critical friend)

•Addresses gaps in provision

•Offers value for money – outcome focused high level of professional

•Approachable

•Good at inreach

•Easly intervention

•Undertakes research

•Culture changes – awareness into local business etc

•Support people to access physical activity more to improve resilience

•Dementia friendly communities

•Provide messages

•Demand on formal services – need for navigators or signposters. Signposting is a big issue

•Shift to much more openness to enable people to say when they are struggling – change social norms

•Find a friend

•Co production to harness resilience agenda

•Get people engaged from beginning

•A process of co-production – stat sector brings info, use vol sectors links with ctyy to get in there and understand, and feedback – work together to get targeting and design right – so working in service design and commissioning together

•Make jsna etc data and tools available to third sector, GIS mapping to help third sector to focus their attentions

•Create an environment which allows third sector to challenge without taking away funding

•Work to ensure third sector can flag up changing issues and feed it back up the line (so how do we harness this in JSNA and JSAA processes…)

•The challenge by third sector needs to be seen as positive

•Provide info and data and back up for bids

•Parity of physical and mental health

•(underline this)

•We miss a lot of preventive work because we are not breaking MH down into component parts well enough – how do we conceptualise this

•Visit the space centres.


Long Term Conditions FeedbackWhat can 3rd sector do?

What can we do together?

What can PH do, What can CCGs, HCS?

Integration between health and social care

Home from hospital

Community interventions

Self management

Resilience and coping

Work with commissioners on integration and also on

Invest in skills for self-management and resilience

Invest in home from hospital


Feedback – Long Term Conditions and Older People (feedback which overlapped) 11.Big issues – mental health/resilience, physical

health, cardiovascular health, prevention2.The scheme on brief interventions on physical

activity in older people – e.g. doctor talking about can you walk and get the paper?

3.Some tools which ordinary people and clinicians can use on older peoples health – quick assessments?

4.Diverse range of opportunities for people5.Wish list for healthy older people in Herts6.Volunteering, befriending7.Range of activities8.Anti-poverty strategy


Feedback – Long Term Conditions and Older People (feedback which overlapped) 21. Re look at the policy on weight please

2. Integrated care – need to make one of the roles of the care co-ordinator to have links into health improvement

3. Working together on projects

4. Circulate tartan rug of health indicators

5. Herts Sports Partnership can offer a range of things

6. Third sector public health conference – continuing the conversation

7. Culture – older people are an asset not a problem

8. Build volunteering opportunities for older people

9. Five ways to wellbeing – send this round please


Feedback – Older People What 3rd Sector can do (bear in mind huge

diversity)

What we can do together

What can PH/HCS/CCGs do?

•How do we engage all third sector

•“coaching for health”

•Provide coaching

•Quality of what they provide

•Third sector think through their offer and quality standard on physical activity

•“low level” interventions and training for them

•Identify gaps in services

•“Coaching for health”

•How to engage old older people with five ways to wellbeing

•Conference or summit or piece of work on five ways to wellbeing and old older people

•Come back together in three months time

•How do we have this at a district level - or CCG footprint?

•Barriers of cost to individuals – e.g. free physical activity

•Brief interventions for older people in Primary Care

•Care navigators in West and their health improvement role

•Coaching for health course for third sector (day)

•Buddy people on the course up with each other

•Lifestyle pathway from GPs to services

•Health coaching

•How do we get exercise and health walks on prescription and then also follow them up with appointments and text messages


Next Steps – Physical Activity

1. We agreed we would revitalise the Physical Activity Alliance and feed this work into a strand of the Lifestyle and Legacy Partnership, which will replace the Olympic Legacy Partnership

2. We will develop a Physical Activity Strategy to improve uptake of and access to physical activity

3. Herts Sports and Physical Activity Partnership will co-ordinate

4. The role of the District Councils and leisure providers will be crucial

5. Work together with NHS and Public Health on behaviour change and lifestyle pathways for primary care


Next steps - Themes1. Write up and circulate the feedback to all participants2. Share email addresses so we can communicate with each other3. 5 projects have already been kicked off between participants at the day4. Co-produce a public health conference for the third sector5. Bob Jones and Jim McManus to meet and plan next steps on behalf of

the groups and then take back to the CVSs group6. Send report to LSPs too7. Feed outcomes of this into the County Council corprorate voluntary

sector workstreams, 1. We would like to see the revision of the compact hopefully2. There was a volunteering strategy produced two years ago, the

partners should revisit this, not strart again from scratch3. We need to join up HCC when it talks to the third sector 4. Join up HCC to tlk to third sector – CB

8. Public Health to write up a “third sector offer”9. Circulate the five ways to wellbeing (see next slide)10. Circulate the tartan rug of health indicators (see next slide)


Items for circulationTartan Rug of health indicators for hertfordshireThe latest version can be obtained from [email protected]

Double click on the icon to open

Five Ways to Wellbeing http://neweconomics.org/projects/five-ways-well-being

Health Challenges for HertfordshireThe latest version can be obtained from [email protected]

Double click on the icon to open

Herts Public Health Strategy

http://www.hertspublichealth.co.uk/files/Healthier%20Herts%20Public%20Health%20Strategy%202013-2017.pdf

Microsoft Word Document

Microsoft Excel Worksheet

herts third sector workshops outcomes

Health & Medicine

public health commissioning

think intelligence

scope of public health

public health interventions

shared public health

director of public health

public health skills

health of hertfordshire