Lorn & Oban Healthy Options Ltd.

1. Extending health into the community a 2-year pilot project funded by: Lorn & Oban Healthy Options Ltd. Registered in Scotland No. SC383167 Registered Charity No. SC041998 www.lornhealthyoptions.co.uk

2. Welcome to the launch of our Report and guided conversation Extending Healthcare into the Community A HEALTHIER FUTURE for OBAN and LORN

3. Introducing Healthy Options Healthy Options WHY? Healthy Options WHAT DO WE DO AND HOW DO WE DO IT? Healthy Options WHAT DIFFERENCE DOES IT MAKE? Client stories Health Professional perspectives Healthy Options WHAT NEXT? for Healthy Options our community and our partners

4. OBAN Town population 8,120 Oban, Lorn & the Isles population 20,000 approx. Decades of direct community action delivering cross-sector community-led development:- Atlantis Leisure MS Centre Oban Phoenix Cinema H2O – Hope to Oban Oban Youth Café Stramash Plus many more Sport  health environment  leisure  history arts  education youth work outdoor pursuits  outdoor nurseries  hospice services  housing Atlantis Leisure & Oban – hosting the 1st SCOTTISH RURAL PARLIAMENT November 2014

5. Healthy Options & Oban – connecting to the national context • Connecting to national policy • A more Active Scotland • The Kerr Report • Shifting the Balance of care • Assets for Health • National Physical Activity Implementation Plan • 20:20 Vision (NHS) • Local Outcome Agreement • A & B HIT Strategic Priorities • Connecting to national bodies • Senscot health network • Senscot sport network • Social Enterprise Academy • Glasgow Caledonian University • CHEX • SportScotland • PAHA • Nesta • Carnegie UK Trust

6. HEALTHY OPTIONS WHY DO IT? • 40%of our population have a chronic medical condition/s. That is 4,000patients of the Lorn Medical Centre • These conditions can be improved or control managed by adopting an active healthy lifestyle • This is our challenge:- • “to improve the wellbeing of our ‘40%’ and for Oban and Lorn to become a more active, • fitter, healthier community” • ‘If there is a problem in the community • the solution is in the community’

7. HEALTHY OPTIONS WHY DO IT? • We start from a place of abundance, knowing that what we need we already have – • We live in a healthy environment • We have well developed community resources and valuable community assets • Strong social networks and inbuilt community resilience to ‘just do it’ • We have the active engagement of the Lorn Medical Centre • We have the full support of Atlantis Leisure • We have a modern regional hospital with all the attendant health professionals and departments • WE NO LONGER SEE A CHALLENGE, WE SEE A RESPONSIBILITY

8. HEALTHY OPTIONS WHY DO IT? • Who are our clients? • 61% had more than one chronic condition, of those 9% having four or more chronic conditions. • 20 conditions were identified, the top 6 being obesity, orthopaedic, mental health, high blood pressure, inactivity, respiratory problems. • 39% were on one or more welfare benefits and received their Healthy Options programmes completely free of charge.

9. HEALTHY OPTIONS WHY DO IT? • Who are our clients? • Age range 9% under 25 7% 25-34 17% 35-44 • 25% 45-54 20% 55-64 22% 65+ • 71% of clients were female and 29% male • 78% of clients were referred to us by their GP, 12% were referred by NHS health professionals and their departments.

10. A special DYNAMIC relationship Social entrepreneurs Health professionals Highly qualified staff Skilled, experienced, motivated Lorn Medical Centre + GP Surgeries Lorn & Oban Hospital 25 Health professionals involved with HO ‘programme & patients’ team Passionate about patients Community owned, community built, community run Nationally recognised exemplar for community sport ‘Be the best you can be in sport, health & wellbeing’ OUR 40% Our clients are an equal partner

11. What we do • An innovative approach: • Our relationship with clients • Our partnership with health professionals • Ourrelationship with Atlantis and delivery partners • Our wider role, education and awareness • How we operate Our clients Our volunteers Funding partners Delivery Partners

12. Our innovative relationship with clients • Our ‘40%’ (clients) are our concern, our focus and also our biggest asset • First contact at Lorn Medical Centre, co-design social prescriptions • Stage 1 high level support, stage 2 moving towards self-care • A full year of support • Social Prescriptions – centre based, community based, home based - available throughout the week to suit ALL clients • Opportunities for fellowship and to socialise ‘built in’ • Programme development is mostly client led • Clients willing to become volunteers – peer support, walk leaders, advocates Our clients Our volunteers Funding partners Delivery Partners

13. Our innovative partnership with health professionals • 25 health professionals have participated in our ‘programme & patients’ team resulting in: • Changes to the cardiac and pulmonary community programmes • Establishing progressive programme from treatment to self-care • HO staff and volunteers participate in NHS training programmes • Establishing a (world class) exercise programme for individuals with MS • Developing ‘Move Well’ classes • Developing ‘Perfect Posture’ classes • Falls prevention rural community pilot • Counterweight rural community pilot Our clients Our volunteers Funding partners Delivery Partners

14. Medical treatment to managing self-care

15. Our innovative relationship with Atlantis Leisure • Introducing a new client group to Atlantis • Developing the gym, making it user friendly to Healthy Options clients • Developing Atlantis staff, up-skilling and new qualifications • Atlantis staff co-delivering Healthy Options programmes • Atlantis staff volunteering with Healthy Options and now qualified walk leaders • From an ‘over 50’s’ class once a week to an ‘Active Life’ programme 9 activities Mondays, 8 activities Wednesdays • Specialised gym equipment being sourced for Healthy Options clients Our clients Our volunteers Funding partners Delivery Partners

16. Our wider role – Education and Awareness • Delivering activity sessions at Active Ageing event; U3A event; Housing Association tenants event, Breathe Easy group, • Advocacy programme, speaking to community groups • Oban Health Fair – 9 activities to take part in; Market Street with 16 stalls of health related groups • Volunteer programme – A Healthier YOU a Healthier COMMUNITY • ‘Community Step Challenge’ ‘Pink Aerobics’ • Delivering be-spoke programmes for company employees • Created Healthy Options zone - information on active healthy lifestyle; ties in with national campaigns; diet/weight management; • Recipes and healthy eating – being developed as a mobile resource for 2015 Our clients Our volunteers Funding partners Delivery Partners

17. Healthy Options – How we operate - People • If the problem is in the community, the solution is in the community • Company limited by guarantee, having no share capital, registered charity • Board of volunteer directors – social entrepreneurs, health professionals – range of skills, proven experience • Programme & Patients; Education & Awareness; Finance & Management • Professional staff, highly qualified • That is the legal and governance model, all fairly straightforward, however . . . Our clients Our volunteers Funding partners Delivery Partners

18. Healthy Options – How we operate - People • If the problem is in the community, the solution is in the community • Healthy Options is not a representative body, does not have elected committees • Healthy Options is not based on ‘strategic plans’ and ‘policies based on standard outcomes and targets’ or driven by ‘process or misguided views based on ‘equity’’ • Healthy Options is built around people - successful, motivated, passionate people, people who can deliver – from Board, staff, Atlantis, and our fantastic health professionals. And increasingly volunteers and clients themselves • 40% of our people have a problem, our people have the solution • Local people, local needs, local solutions Our clients Our volunteers Funding partners Delivery Partners

19. National Policy LOCAL ACTION JIT PAHA 20:20 Service Change Shifting the Balance of Care National Physical Activity Plan Senscot CHEX VHS GCU etc Funding partners Health Professionals Delivery Partners DELIVERER OF CHANGE CATALYSTS FOR CHANGE Clients Volunteers Healthy Options

20. Making a Difference • Key Learning: • Complexity of medical conditions • Health benefits to clients • Engagement and support of health professionals • Clients willingness to volunteer • Atlantis responding to client group and community need • Less than 2 FTE employees can support 130+ clients per year • Qualified, motivated, dedicated staff are key Our clients Our volunteers Funding partners Delivery Partners Healthy Options

21. Continue WHAT NEXT? Continue to provide current level of services in our local area Reduce our impact based on availability of grant funding volunteers Develop geo-graphically Develop locally Close down Reduce Impact Develop additional services in our local area Healthy Options Close down at end March 2015 Expand provision by assisting communities to develop their own ‘Healthy Options’

22. Extending health into the community a 2-year pilot project funded by: Lorn & Oban Healthy Options Ltd. Registered in Scotland No. SC383167 Registered Charity No. SC041998 www.lornhealthyoptions.co.uk