Make better use of what we have Support local networks Mental health wellbeing and all wellbeing Build up local communities Have the will to get beyond red tape don’t make assumptions about what the communities want and need – get better understanding of local communities and what they want to achieve to set aside some sacred beliefs ‘very local – simple solutions – creative with a small amount of money Partnership across sectors Organisations contribution Reducing resources does not stop us doing the right thing – need to work together, smarter Bottom up approach Need to get more people involved 6.4 LIVING WELL AGEING WELL Views on the priority Prevention is key to this priority Prevention is a top priority as a means to prevent use of higher funds Emphasis on adults as well as older people Make it more proactive, rather than reactive Define older people Need to add – living well with a life long disability living well with dementia carers Common themes Transport Community support Involving volunteers Diversity of people Genuine joined up thinking - more holistic Dementia in the community –with less resources Social isolation – people with no family Impact of cuts – cross sector impact analysis Competitive nature of ‘personalisation ‘ – it is likely to inhibit collaborative working in some cases Empowerment of individuals
Barbara Crofton Hampshire-LINk, PEP, LD Partnership Board, Carers Partnership Board Liz Crouch Peter Symonds College Louise Cumberland First Wessex Alexandra Derben Brendoncare John Derben Brendoncare Neil Dhruev Hampshire County Council – Adult Services Ruth Dixon Hampshire County Council – Adult Services Tony Docker Rushmoor Healthy Living Robert Droy Hampshire Personalisation Expert Panel (SCIL) Mike Duff Raise Gill Duncan Hampshire County Council – Adult Services Helen Dunn Hampshire County Council – HR Sarah Elliott SHIP PCT Cluster Dr Olive Fairbairn North East Hampshire & Farnham CCG Debbie Fleming NHS Hampshire Caroline Ford Shedfield Reading Room Management Committee Martha Fowler-Dixon Hampshire County Council – Adult Services Michelle Gardner Trinity Winchester Colin Godfrey Basingstoke & Deane Borough Council; Calleva CCG Dr Simon Goodison West Hampshire CCG Di Gouldie West Hampshire CCG / Hampshire LINk Helen Gregory Hampshire County Council - Chief Executives Jill Guppy Winchester Youth Counselling Nicky Hall Disability Initiative Paddy Hillary Hampshire County Council - Chief Executives Susan Hird NHS Hampshire Jon Horne Sports England Dr Paul Howden Fareham & Gosport CCG Samantha Hudson Hampshire County Council – Adult Services Claire Hughes East Hants District Council Edwin Ingleton Brendoncare Clubs Christine Jackson NHS Hampshire
Need to take services to the communities not expect them to come to formal settings to access them and design offer around people actually want Sustainability rather than quick wins Inequalities and deprivation in geography housing/ homelessness Multi-factorial Needs to be tackled first to open the doors for other interventions Deprivations , inequalities CHANGING BEHAVIOURS – ORGANISATIONS, BUSINESS & POPULATIONS Long term pay off v short term investment More ambitious in our intentions for children (and families in child protection: in care – reduce the numbers by really changing the support that is available Do something different with resources You can challenge behaviour but you also need to drill down and enable the individual to recognise their behaviours and change it themselves. Seeing people as a whole / part of a family/ community Organisations have to ‘practice what they preach’ and move beyond words to actions – i.e. Genuinely move to combine resources and pooling budgets More care in the home The third sector can no longer just respond to need organically. Appropriate business and strategic planning is essential to ensure accountability and sustainability. However, there must be the ability to flex to individual need (consumers) within a professional realistic framework Need more strategic planning and operations Changing the current generation stopping the next How do we get people to own their own health Binge drinking in the young Attitude to alcohol – need to get drink rather than seeing alcohol as a social activity Most people aware of what is healthy – start early and follow through Tackling issues – drug and alcohol in young people
Organisations to provide care and support arranged for peoples ability and need to access rather than from organisations ability to provide Parochial approaches / silo mentality Inability of statutory sector to see beyond their narrow perspective Voluntary sector avoiding working in silo’s Tailor approaches to specific groups whether that sector is based on age, gender, location, needs More resources is not always the answer: Choice v lack of resources – how can this be reconciled? Genuinely move to combine resources and pooling budgets Reducing resources – implementing strategic direction Share learning – take the troubled families approach and apply to older people Challenge attitudes to more realistic attitudes Everyone is compartmentalised they are so fixed in their own area of expertise they don’t look at the full picture A little money goes along way – have the courage to change Use the voluntary sector to deliver health messages Address the wider issues or people will seek comfort in drugs Target young people Reframe messages How do you promote health choices How do we engage people who could most benefit We need to be more intelligent Encourage older people as well Alcohol associated with ‘happiness’ Move beyond disease specific Holistic solutions People choosing not to tackle their own health related problems – how do we persuade them to alter their unhealthy choices? Understand the perceived barriers – low income Understanding complex cultural
dose not actually stop innovation and targeting work on prevent and early intervention Is it possible to more for less? Third sector operating in silo expectations and attitudes Overcoming public perception COMMUNICATION, ENGAGEMENT INFORMATION & ADVICE Clear about the interface between ‘family’, children and young people Capture the voice of the family Provide information and communication opportunities in an environment amenable to deprived groups e.g. bingo and social clubs. Share best practice across sectors to enable change Communication network to ensure ‘real time’ discussion Information share – knowledge of what help/support is already available and when new support becomes available – a live database Ability to access information Networking at every Communicate with older people Knowing what each other does Information sharing - clear pathway to resolve issues Mapping what is going on before wasting public money on services that duplicate existing third sector or district services Engagement of children and adults Do people really know what choices are available Remember to ask people - don’t presume How do we engage parents
Use of volunteers and voluntary services will support and …healthy communities. However voluntary services are not free and at times facing challenging times Working together – we need to understand what we each do EARLY INTERVENTION AND PREVENTION Start pre-birth Early intervention is key Age related restraints – is it possible to provide across age ‘barriers’ and provide what the young person needs? Long term change Quick wins Volunteers can help Start in schools and through out life Long term intervention – but our political structures often result in short term approaches Prevention to be the mantra of the future Prevention and early intervention Voluntary sector best placed The environment Ensure funding is provided Enabling healthy lifestyles Voluntary sector has a role Need to work with ‘younger older people’ Get them best prepared for old age Early diagnosis for arthritis Makes a difference in preventing a crisis Easier access without referral Education For older people as well – they are not passed it Make every contact count Access to open space – exercise, escapism, mental and physical well-being Tackling young smokers Education Influence peer pressure Getting people to understand need for prevention – there is help available Long term How to raise partners awareness of many services
Dementia awareness communities – early intervention diagnosis Better education for professionals Have a wider public health work force Investing in prevention not just chronic disease Have the confidence to move funding in to prevention IMPROVING QUALITY OF LIFE FOR VULNERABLE PEOPLE WITH DISABILITIES AND LONG TERM CONDITIONS Children with disabilities More choice and control Wrap services around the young person - Change culture to how people access support and care when it fits with their lives rather than how care and support is provided to … the organisation What is well being – lack of definition Breaking cycles of deprivation Until we identify the most vulnerable in our communities an determine what services they need/want will never get to the root cause of health inequalities How do we identify vulnerable people We want to do more prevention an dearly intervention but how do we move resources Chronic conditions affect people of all ages, not just older people Increasing numbers of people with dementia Arthritis is an issue Support people with dementia Dementia awareness
Involve ALL organisations so that skills are shared and outputs co-ordinated How to develop approach where partners take collective responsibility for the health and wellbeing of the child/children and families – children and families everyone business Join up CYPP and JHWS – join up strategy should not just look at health benefits as often a health input can often have a social care benefit Different organisations need to recognise the wider benefits of resource input May be painful for some organisations and needs strong leadership Joined up delivery Joined up approaches …..key to healthy life choices. Development of trust between people, organisations, voluntary sector and statutory authorities What is the point of For bringing together different services (health, education housing?) to offer more responsive accessible services at community level which will make a