Realising the Value stakeholder event

15th July 2015

10.30: Overview of the day

10.35: Why Realising the Value? Giles Wilmore and Pritti Mehta

10.45: Empowering people, engaging communities – our collective vision. Richard Cross, Paula Fairweather and Johanna Ejbye

11.05: Introduction to the Programme, Halima Khan

11.30: Q&A with Realising the Value consortium

11.50: Introductions to workshops

- Lunch -

Agenda - morning

Agenda - afternoon1.00: Workshop session 1

Workshop a - How do we understand value?

Workshop b - Let’s think in terms of behaviour: What changes do we want to see?

- Break -

2.00: Workshop session 2

Workshop c - Prioritising our ‘long list’ of person and community centred approaches

Workshop d - How does the system support communities/individuals and how could we do it better?

- Break –

3.10: Discussion - Being involved, Johanna Ejbye

3.45: Next steps, Adrian Sieff

#realisingthevalue

Why Realising the Value?

Giles Wilmore, Director for Patient & Public Voice & Insight, NHS England

Pritti Mehta, Strategy Team Lead, Person Centred Care, NHS England

Vision for the future

Richard Cross, Member of the Coalition for Collaborative Care Co-Production Group

Paula Fairweather, Member of the Coalition for Collaborative Care Co-Production Group

Our collective vision

What does a future where person- and community centred approaches take centre stage mean to you?

Spend a couple of minutes formulating a newspaper headline that responds to the question:

‘ In ten years from now, how will we know that we have succeeded?’

Introduce yourself and your newspaper headline to your table (10 minutes in total)

Overview of the programme

Halima Khan, Executive Director, Health Lab, Nesta

Background

“One of the great strengths of this country is that we have an NHS that – at its best – is ‘of the people, by the people and for the people’.

Yet sometimes the health service has been prone to operating a ‘factory’ model of care and repair, with limited engagement with the wider community, a short-sighted approach to partnerships, and underdeveloped advocacy and action on the broader influencers of health and wellbeing.

As a result we have not fully harnessed the renewable energy represented by patients and communities”

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Background

Why?

People manage their health and care on their own or with support of their family and carers ‘99%’ of the time. Having the knowledge, skills and confidence to do so is key – and can have a positive impact on health and social outcomes, personal experience and approapriate use of services

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Why is it important?

Aim

The FYFV signals the need for significant investment in evidence-based approaches such as group based self-management education courses for people with specific conditions, as well as encouraging independent peer-to-peer communities to emerge.

Realising the Value aims to support this shift in a number of ways

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Aim

Key objectives

• Demonstrating the active role that individuals and communities can play

• Identifying and modelling the impact of key evidence-based approaches and developing tools to support implementation.

• Supporting culture change, by developing a range of cutting edge behaviour change approaches to impact on the relationships between professionals and people.

• Aligning the system by identifying relevant system change levers and drivers

• Providing an approach to affect change locally which has been developed and refined across a number of healthcare economies.

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Key objectives

Broad definition of value

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Individual

Mental and physical health and wellbeing

Community

Wider social value

System

NHS sustainability

Capturing and communicating the value of individuals and communities taking an active role is a key role in health is a key component of the work.

The definition of value is broad.

Engaging stakeholders at many different levels will therefore be an important success criteria for the work

Broad definition of value

Approaches we are looking at (1)

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Approaches we are looking at (1)

• Self-management support• Motivational interviewing• Health coaching• Peer support • Recovery colleges• Support to improve physical activity e.g. gardening, exercise programmes• Support to improve healthy eating e.g community cooking clubs dietician• Support to stop harmful behaviour e.g. quit smoking groups• Arts for health e.g. knitting groups• Befriending and mentoring• Welfare/housing support• Volunteering opportunities e.g. at local voluntary groups, through time banks• Group-based education• Health literacy support• Voluntary sector or volunteer support • Patient education and training• Personal health budgets and self-directed support

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Approaches we looking at (2)Approaches we are looking at (2)

• Care and support planning including care plans• Agenda setting, goal setting and goal follow up• Shared decision making• House of care• Group consultations• Health trainers• Health link workers e.g. voluntary sector professional in care planning session• Health champions• Care navigators• Advocacy and brokerage• Patient decision aids• Practitioner training • Experience-based co-design (EBCD)• Person and family-centred care• Social prescribing

Time lines

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Timelines

Assessing the potential for impact (Mar – Oct 15)Evidence reviewsInterviews ConsultationsStakeholder eventValue discussion paper‘Making the Case’ publicationProcesses to identify ‘short list of approaches’ and sites

Co-produce resources for impact (Oct 15 – June 16)Working with sites, networks of interest and wider stakeholders via events, support, webinars etc to develop: • Commissioning tool / economic

model• Guides and design principles –

change on the ground• System levers and barriers –

recommendations

Bringing the learning together (Summer 16)Stakeholder eventFinal set of resources and recommendations that can impact real change at scaleFinal publication

Programme outputs

We will develop programme outputs in ‘beta’ form and iterate these with sites and wider networks throughout the programme. Final programme outputs (Summer 2016) will include:

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Tools to support implementation of key approaches e.g. commissioning tool / economic model underpinned by a clear evidence base and a more refined understanding of value

A series innovative tools/training packages to support culture change

An overview and assessment of the levers, barriers and enablers of person-centred care – and a set of recommendations for the future

Programme outputs

Potential outcomes?

Realising the Value works on multiple levels to enable the system to work in partnership with patients and communities as a powerful ‘renewable resource’, leading to:

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• Improved support for self-management

• Much greater use of voluntary, community sector and peer support approaches

• Patients as partners in decision-making

Outcomes

How to get involved

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Being involved

SitesExpertise in one of our ‘deep dive’ areasWill lead wider networks of interestOpportunities to work with consortium partners to influence tools and recommendationsSharing data and approaches

Networks of interestSites and organisations with an interest in one of our ‘deep dive’ areasOpportunities to participate in webinars and eventsShaping tools and recommendationsSharing data and approaches

Wider stakeholdersEventsMailing listOpen ‘consultations’InterviewsRoundtables on systems levers and barriers

Exercise:

• Team up with someone else from your table. Discuss for five minutes any thoughts, reflections or questions to the consortium

• We’ll then open the floor for questions to the wider consortium

Programme Q&A

© frankieleon via Flickr

13.00 Workshop session 1

• Workshop a - How do we understand value? Jeremy Taylor , Chief Executive, National Voices and Bev Taylor, Head of Strategic Engagement, NAVCA

• Workshop b - Let’s think in terms of behaviour: What changes do we want to see? Hugo Harper, Behavioural Insights Team

- 13.50     Break –

14.00      Workshop Session 2

• Workshop c - Prioritising our ‘long list’ of person and community centred approaches. Joanne Dinning, Senior Lecturer of Health Economics, Northumbria University

• Workshop d - How does the system support communities/individuals and how could we do it better? Adrian Sieff, Assistant Director, The Health Foundation

Introductions to workshops

How to get involved

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Being involved

Sites• Expertise in one of our ‘deep dive’

areas• Will lead wider networks of interest• Opportunities to work with

consortium partners to influence tools and recommendations

• Sharing data and approaches

Networks of interest• Sites and organisations with an

interest in one of our ‘deep dive’ areas

• Opportunities to participate in webinars and events

• Shaping tools and recommendations

• Sharing data and approaches

Working with sites

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We assume that we will be working with approximately five sites from October 2015 - June 2016. The types of sites we will be working with will be determined by:

• Findings from our evidence reviews and the shortlist of ‘approaches’ that we will focus on

• Flowing from this, the types of data we will be looking for from sites

• The readiness and interest of sites in person-centred care - and appetite for working with us

• Strength of partnership

Working with sites

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• Leading/demonstrating the value of person/community-centred approaches.

• Actively testing, refining and contributing to the tools/outputs developed in RtV during the course of the project

• Act as sources for data collection of existing data which will inform the economic modelling

• Leadership of network of interest

Role of sites

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The offer to sites will be a combination of financial and non-financial support. The support offer will consist of:

• World-class support from BIT - support to understand and refine behavioural aspects of person-centred care approaches at the site

• Newcastle University - support to model the impact of person-centred care approaches at the site

• Voluntary Voices - designing and delivering support to establish a wider community of interest

• Connections to national stakeholders e.g. NHS England• Non-financial support e.g. business planning, person-centred care

expertise and advice, coaching.• Learning events• Small grant towards direct costs of involvement.• The permissions and profile that come as part of being involved in a

national project.

Offer to sites

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• Active engagement - data collection and case studies

• Participating in Realising the Value learning events

• Leading the design of community of interest events

• Commenting on and refining RtV outputs.

• Using and testing project tools in their local work and working with the Consortium to refine the tools based on this experience.

Ask of sites

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The main offer to the networks will be to:

• Share own practice and learn from others via events, webinars and online groups

• Input to the RtV tools developed as they are shaping

• Contribute data to Newcastle University’s economic modelling

Networks of interest

Exercise:

Do’s and don’t’s – write down three key recommendations for the offer to sites and networks

• You then have three minutes to pitch your offer to a neighbouring table

Shaping the offer

© John Spooner via Flickr

Closing remarks and next steps

Adrian Sieff, Assistant Director, The Health Foundation

Closing remarks and next steps

Thank you