Managing healthcare at the local level

What we can do differently to deliver better outcomes and

save money

Erdington DistrictHealth and Wellbeing Plan

We must do MORE to tackle the root causes of ill health. The future health of millions of children, the sustainability of the NHS and the economic prosperity of Britain all now depend on a radical upgrade in prevention and public health. Simon Stevens NHS report 23/10/14

WILL WE STILL HAVE AN NHS IN 5 YEARS TIME?

Obesity bigger cost for Britain than war and terror-Britain spending £47bn a year dealing with the healthcare and social costs of an increasingly overweight population, study finds

THE SCALE OF THE PROBLEM

Key issues for Erdington District

• Smoking prevalence• Injuries due to falls 65+/ hip fractures 65+• Liver disease preventable• Respiratory diseases preventable• Obesity and poor diet• Mental health prevalence (QOF)http://www.birminghampublichealth.co.uk/page.php?

pid=198&mid=201

• Aspirations…

• A fit, active and HEALTHIER community• People look out for one another

• More RESPONSIVE and LOCAL services with increased take up and BETTER OUTCOMES

… will be achieved by…

better CO-ORDINATION between GPs and

COMMUNITY Health providers to develop a package of tailored services, managed by…

LOCAL GOVERNANCE arrangements and decision making

focus on PREVENTION and COMMUNITY support

SOCIAL PRESCRIPTION

the transfer of community ASSETS into

COMMUNITY OWNERSHIP

ERDINGTON HEALTH AND WELLBEING PLAN

2013/14 key achievements

•Established the HWB GroupIdentified health prioritiesDeveloped the Plan•Mapped current community based activities which have a positive health benefit

•Castle Vale – pilot ‘social prescription project Health benefits of arts activities

FAMILY KITCHEN

SINGING GROUP

KNITS AND PIECES GROUP

PHOTOGRAPHY GROUP

WALKING GROUP

COMMUNITY CAFE

IMPACT

Weight loss

Budgeting for healthy meals

Anxiety reduced

SOCIAL ISOLATION

REDUCED

Increased

confidence and

well-being

More energy and

motivation

Successful

employment

Improved understanding of food

properties

2014/15-Year 1 delivery plan Current health sub group contains local community health providers, Public Health, community groups, will expand to include Healthwatch, commissioners including CCGs

We will map the current range of contracts and commissioning cycle which have a health benefit for Erdington residents (NHS, Public Health, CCG, Adults and Communities etc) with a view to developing opportunities for locality based commissioning

Year 1 delivery plan contd..Tackling obesity:-We will increase physical activity through everyday actions and fun activities, through Active Parks-Coordinated action to provide the right sort of environment and opportunities to change behaviour and encourage healthy eating and exercise-tailored strategies for neighbourhoods

Year 1 delivery plan contd..Smoking cessation:-We will ensure that national campaigns feature strongly (eg Stoptober, New Years resolutions etc)

-We will provide local smoking cessation services that link with community ‘wrap around’ services that treat people in a holistic way -(Castle Vale ‘Our Place’ project will update CBA on effectiveness on community based holistic service).

Year 1 delivery plan contd..Improving mental health and wellbeing:

-We will use our social prescription model to provide arts and other community activities as an intervention for positive mental wellbeing, to tackle loneliness and depression

-Social prescription pilot in Castle Vale to be evaluated in the summer of 2014

-We will ensure that Erdington is well placed within the bid for Headstart, and that local schools are engaging with it

Year 1 delivery plan-We will engage with Healthy Villages and scope out what this means in the context of District priorities

-Local conference to be held to showcase local good practice in community based prevention services that target individuals better in an holistic way

What further help/ support do we need ?

• Secure commitment from Birmingham HWB Board and Cross City CCG to commission and deliver services differently in Erdington

• Meeting with local commissioners to develop a service based on co production and prevention for older people

• Evaluation of the ‘Our Place’ social prescription pilot in Castle Vale to be presented to Birmingham HWB Board