Live Well Greenwich Workshop In collaboration with the Health Foundation Q Members Date: 23 rd October 2019 Venue: Charlton Community Athletic Trust #QVisits Name of presentation
Aims and agenda of the workshop Name of presentation
Aims and agenda for the workshop By the end of the session you will: • Understand the approach to population health and prevention taken by agencies within Greenwich • Have met those involved in delivering social prescribing at scale and understand how this has been achieved • Reflect, with other Q members, on how social prescribing might be developed within your own area Name of presentation
Agenda 9.30 Coffee and networking Welcome and introduction to the day – Emma Adams; Peter Dudgeon – Health Foundation 10:00 Live Well in Action – hosted by Charlton Athletic Community Trust 10:15 Visit to the Extra Time Hub – Get involved! - - Live Well Line in action Welcome to Greenwich – Steve Whiteman, Director of Public Health; Royal Borough of Greenwich 11:30 11:45 Overview of Live Well Greenwich Approach, Prevention at Individual, Community and Population Level - Jackie Davidson, Assistant Director of Public Health & Wellbeing, Royal Borough Greenwich The CCG/GP/PCN perspective – Dr Debisi Olonloyo – CCG Lead for Live Well Greenwich 12:15 12: 45 Lunch with Live Well Coaches and Live Well Champions Live Well in the Community – facilitated by Kelly-Ann Ibrahim; Programme Manager, Live Well Greenwich- with Live Well Champions 13:30 Evaluation and demonstrating impact; leading into round table discussions and shared learning – Fiona Harris, Assistant Director of Public 14:30 Health, Royal Borough of Greenwich 16:00 Close Name of presentation
Welcome Steve Whiteman , Director of Public Health Name of presentation
Background • Planned since 2014, and launched in November 2017, Live Well Greenwich is our Prevention at Scale system • This programme is about innovation, it builds on the great services we have, supporting the whole system to work together. • It is about getting best value for our investments. • It was designed to address some of our biggest challenges Name of presentation
The Challenges Name of presentation
The challenges: Health needs and health inequalities Healthy Life Healthy Life Life Expectancy Life Expectancy Expectancy Expectancy 82.7 79.2 61 63.2 The number of 16 The number of 21.7 years lived in poor years years lived in poor years health health Name of presentation Source: PHE fingertips
The challenges: Increased levels of poor health and rising costs 1% End of Life Care 8% Complex Needs (3 or more LTC) 25% Moderate/ Substantial Needs (early stages of LTC) 51% Low Needs (at risk of poor health and inequalities) 15% Health and Wellbeing Group Name of presentation
What is ‘health’ and makes us healthy? Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. What makes us ill? Health Behaviours 40% Genetic predisposition Social 30% Circumstances 15% Environment 5% Health Care 10% Name of presentation McGinnis et al. (2002) The case for more active policy attention to health promotion. Health Affairs 21: 78-93.; Dahlgren G, Whitehead M (1993) Tackling inequalities in health: what can we learn from what has been tried
Live Well Greenwich The context and journey so far Jackie Davidson -Assistant Director of Public Health Name of presentation
There was lots of good work happening but the dots were not joined 1. There was a lack of system wide focus on prevention: 2. We needed to work more effectively at all levels 3. Prevention needed to be delivered at a larger scale and systematically 4. Services were sometimes fragmented 5. Focus on wider determinants needed to be strengthened Name of presentation
Local insight into what was influencing poor health? • Multiple visits to GPs in order for their "problems" to be addressed. • Less than half discussed their underlying issues with their GP, those that did were generally prompted by their GP. • Healthcare providers did not always know how to resolve the social problems. • The main underlying issues were money worries, social isolation and housing concerns. Name of presentation
Developing our prevention system Name of presentation
The prevention system works in different ways at different levels • The prevention system aims to deliver at scale and systematically • The system operates at different levels • Working in partnership to deliver shared outcomes is critical Community Level Individual Level Population Level • • • Supporting individual Healthy public policy Empowering • health behaviour Tackling the wider individuals & determinants of change communities • • health Increasing access to Building social • Social marketing, services & resources networks • • Improving navigation large scale Increasing participation • between services campaigns & Developing assets • • awareness raising Population effects can Building capacity to • Make Every be achieved if carried address determinants • Opportunity Count out at scale Increasing resilience Name of presentation
Live Well Live Well Infrastructure Prevention System Moving towards a whole system approach Population • Healthy public policy • Tackling the wider determinants of health Live Well in • Social marketing, large scale campaigns & Greenwich awareness raising (National and local) Universal engagement • Digital communication (Universal offer Brief Advice including Directories) • Make Every Opportunity Count – population Live Well in based training the Community Aim: Right support, Community Targeted engagement Brief Interventions at right time, in the • Empowering individuals and communities • Building social networks right way for the Live Well • Increasing participation Line • Developing assets right people • Building capacity Extended Brief • Interventions Increasing resilience Individual Live Well • Increasing access to services and resources Coaches • Tackling multiple barriers to behaviour Intensive Support change • Improving navigation between services • Supporting individual health behaviour change (e.g. stop smoking) Name of presentation
Social Prescribing in Greenwich - How does it work? Online Access Roadshows and Outreach Live Well Champions Live Well in the Community Live Well Line Telephone Support Live Well Coaches Face to Face Support Name of presentation
Live Well Infrastructure Online Access & Roadshows • free online resource • available 24 hours a day allowing individuals to access information about >800 services across the Borough • Integration work between Greenwich Community Directory and Children’s Directories. Name of presentation
Live Well Infrastructure The Live Well Telephone Line • Open 6 days a week • Includes signposting, triage for LW Coaches and LW Coaching on the telephone • Over 20,000 calls to or from the Live Well Line this year . Name of presentation
Live Well Infrastructure Live Well Coaches • Face-to-face intensive support, available 6 days a week for those with the highest level of need. • Capacity to support at least 1500 clients (started in 7 GP practices; 6 Community Settings) • New DHSC funding to expand to 10 further GP practices – 18 expressions of interest • New Primary Care Network funding means we can now expand to all GP Practices • New funding includes specific support to build VCS capacity Name of presentation
Live Well Infrastructure Live Well Champions • 100s of Royal Society for Public Health (RSPH Level 2) trained members of local communities • Act as community health ambassadors who can provide additional support within practices Name of presentation
Underpinning the Model • Universal Training – Making every opportunity count (over 600 MEOC Completers) • Live Well Champions – 1,000 RSPH Level 1; 135 RSPH Understanding Health Improvement Training (Level 2); 25 completed more intensive RSPH Improving the Public’s Health training (Level 3). Live Well Training Pathway Building Sustainability through the workforce • Developing a digital infrastructure that connects services & staff directly to infrastructure and track outcomes • Strengthening use of insight and engagement within local communities directly aligning this to the Live Well infrastructure. Name of presentation
Promotional MEOC video Make Every Opportunity Count (MEOC) https://vimeo.com/241665873 Name of presentation
Live Well Greenwich A Primary Care Perspective Dr Debisi Olunloyo GP, Primary Care Network Clinical Director & CCG Governing Body Member with responsibility for Live Well Greenwich Name of presentation
“The medical support keeps me alive, but it is the psychological and social support that enables me to live” Patient Blog, 2013 Name of presentation
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