1 / 55

Welcome and scene setting Councillor Olwen Hamer, Chris Dawes and Professor Zafar Iqbal

Welcome and scene setting Councillor Olwen Hamer, Chris Dawes and Professor Zafar Iqbal . STOKE 2012 - 2020. SUCCESSFUL – WORKING CITY. Economy, Employment, Education, Housing, Security & Environment Council & Partners. HEALTHY CITY.

enan
Download Presentation

Welcome and scene setting Councillor Olwen Hamer, Chris Dawes and Professor Zafar Iqbal

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Welcome and scene settingCouncillor Olwen Hamer, Chris Dawes and Professor Zafar Iqbal

  2. STOKE 2012 - 2020 SUCCESSFUL – WORKING CITY Economy, Employment, Education, Housing, Security & Environment Council & Partners HEALTHY CITY Health Promotion, Improvement & Community Development Council, Public Health, Care System & Communities CARING CITY Care System NHS, Social Services, Third Sector & The Individual

  3. Professor Zafar Iqbal Acting Director of Public Health

  4. Why Now ? Eye of an economic storm Health of most vulnerable and poorest Evaluation of pioneering programmes Assets and community empowerment A City Council with a PH outlook Mandate for Change Opportunity for Refresh and Renew

  5. Charles Baby Born to affluent parents – will live 10 years longer than Mark Aged 10 Enjoying a good life, lots of opportunity to play sport Aged 20 At university with 10 x A* at GCSE. Plays rugby and eats a healthy diet Aged 45 Fit and healthy businessman, manages stress by playing squash Aged 60 Retired early to spend time with his grand-children and travel Mark Baby One of teenage conceptions. Will live 10 years less than Charles Aged 10 Growing up in poverty Aged 20 Left school with no qualifications, casual labourer, drinks, smokes and takes drugs Aged 45 Weighs 18 stone, has high cholesterol, type 2 diabetes Aged 60 Died from massive stroke

  6. Estimated impact on public’s health and well-being – role of the local authorities 25% Illness Care System 50% Social & economic environment 15% Genetic endowment 10% Physical Environment Source: Canadian Institute for Advanced Research

  7. “ Health-related behaviour is all about resolutions to give up the things you do not want to give up and to do the things you do not want to do. You cannot do that; you cannot make the resolutions and stick to them, unless you are feeling on top of life”. ( Richard Wilkinson giving evidence to the House of Commons Health Select Committee, 2008)

  8. “The Story So Far”

  9. Infant mortality in SOT between 1973 and 2000 Office for National Statistics 2007

  10. Interventions • Scale – visible from space • Intensity – improve the poorest fastest • Local needs – local intelligence • Ambitious - risks

  11. Cobridge Community Health Centre The new three storey community health centre will bring together three local GP practices with a combined patient list of 11,000. The building will also include a wide range of health services including: District nursing, health visiting, school nursing Adult physiotherapy, podiatry, occupational therapy and speech therapy Integrated sexual health unit including Genito-urinary medicine (GUM), contraception and Chlamydia screening A pharmacy A chest clinic and other outpatient services Specialist out-patients clinics X-ray

  12. Impact 15,000 health checks 5,000 more young people accessing sexual health 5,000 lifestyle programme Record numbers of smoking quitters 5,000 diabetics better blood sugar control Ambition to have 1000 community health champions

  13. Percentage improvement in health indicators in SOT NHS Stoke-on-Trent 2012

  14. 2011 Health2011 Health Profile for SOT (1) Profile for SOT (1) Association of Public Health Observatories 2011

  15. Vision Inspirational and ambitious Galvanise/empower communities to raise aspirations Grounded in JSNA and evidence Shift treatment to early intervention to prevention Cover all influences : place , communities and services Root causes – Mandate For Change

  16. The greatest danger for most of us is not that our aim is too high and we miss it, but that it is too low and we reach it.“ Michelangelo

  17. Appreciative InquiryIntroduction and the principles of the approach Trevor Hopkins Asset Based Consulting

  18. “Good organisations know how to preserve the core of what they do best. Preserving the right thing is key. Letting go of other things is the next step” David Cooperrider

  19. Definition Appreciate – Valuing, recognising the best in people or the world around us, affirming past and present strengths, successes and potentials Inquiry – The act of exploration or discovery or to ask questions and be open to seeing new potentials and possibilities.

  20. Principles Reflection – remembering times when our culture, values and identity made us proud. Affirmation - inquiring into those strengths and how we can use them to create the future Action – practical planning towards the future

  21. First some background • Traditional approaches to development: • Identify problems and barriers to progress • Maybe analyse why the problems exist • Propose solutions • Create an action plan • Also …assign fault or blame • Focus attention on what is missing, and the gaps • Can sap energy and motivation

  22. Characteristics • Appreciative - AI looks for the ‘positive core’ of the organisation and seeks to use it as a foundation for future growth • Applicable - AI is grounded in stories of what has actually taken place in the past and is therefore essentially practical. • Provocative - AI invites people to take some risks in the way they imagine the future and redesign their organisation to bring it about. • Collaborative - AI is a form of collaborative inquiry. It always involves the whole system or a representative cross-section of the whole system.

  23. The Appreciative Approach • Focuses on existing resources and capacity • Identifies what is desirable • Creates energy, interest and motivation

  24. The appreciative cycle

  25. Definition:“What would Stoke on Trent look like if it was a healthy city by 2020?”

  26. DiscoverAppreciative interviews Discussions in pairs

  27. Appreciative interviewing • Can you tell a story of a time when you made a positive change to improve your own health and wellbeing? • What do you believe is now the single most important thing that positively influences your own health and wellbeing? • Now turning to your work; can you tell a story of how you involved others as equal partners in bringing about real and sustainable change? • Imagine your community, your friends, your family, your colleagues and the wider community in Stoke on Trent telling stories about how you have worked together as equal partners to achieve your dreams of a healthy community. • What would these stories be?

  28. Sharing your stories

  29. VisionThe six Marmot Policy Objectives

  30. Delivering Together on the Social Determinants of Health in Stoke on Trent Visioning event5th March 2012 Dr Mike Grady. Principal Adviser Institute of Health Equity UCL

  31. Review of the Social Determinants of Health and the Health Divide in the WHO European Region The CSDH – closing the gap in a generation The Marmot Review – Fair Society Healthy Lives

  32. Male life expectancy at birth, local authorities 2008-10

  33. Female life expectancy at birth, local authorities 2008-10

  34. Areas of action Sustainable communities and places Healthy Standard of Living Early Years Skills Development Employment and Work Prevention Life course Accumulation of positive and negative effects on health and wellbeing Prenatal Pre-school School Training Employment Retirement Family building Life course stages

  35. Strategic Drivers. Fair Society: Healthy Lives: 6 key Policy Objectives • Give every child the best start in life • Enable all children, young people and adults to maximise their capabilities and have control over their lives • Create fair employment and good work for all • Ensure healthy standard of living for all • Create and develop healthy and sustainable places and communities • Strengthen the role and impact of ill health prevention

  36. Fair Society, Healthy Lives (Marmot Review) • Health inequalities are not inevitable or immutable • Health inequalities result from social inequalities - ‘causes of the causes’ – the social determinants • Focusing solely on most disadvantaged will not be sufficient - need ‘proportionate universalism’ • Reducing health inequalities vital to economy - cost of inaction

  37. Local Government Complex, disparate and diverse systems of Local Government . Focus on needs of local population and place. Differing capacities to orchestrate action to address the social determinants of health. Whole System Leadership Increasing participation and empowering communities.

  38. Health,Wellbeing and resilience • Evidence participation and improving life skills ameliorates impact of health inequalities through developing social support networks. (Bynner and Parsons 2006) • Learning and skill development impact positively and fosters community action. “I have learned ..I use my counselling skills with my family. I listen more and I know my daughter will say I am really proud of what you are doing ,Mum “ (Jane) • Social networks create the conditions in which people thrive “I would say that people in the group have more confidence. At one poInt they would have been sat at home doing nothing ,now they are out and are involved. Once you get there it ‘s amazing to see how far you can go.” (Joyce)

  39. Creating conditions in which individuals and communities have control over their health and lives and participate fully in society

  40. VisionWhat would things be like in Stoke if it was a healthy city in 2020......?

  41. Break

  42. Vision and outcomes Trevor Hopkins

  43. Definitions • Vision (Dream) • Outcome • Indicator • Performance Measure

  44. Vision Outlines what the organisation wants to be, or how it wants the world in which it operates to be (an "idealised" view of the world). It is a long-term view and concentrates on the future. It can be emotive and is a source of inspiration. For example, a charity working with the poor might have a vision which is "A World without Poverty."

  45. Outcome “A condition of well-being for children, adults, families or communities” • All babies born healthy • All people enjoy good mental health • All people live in safe communities • All people enjoy a clean environment • All people benefit from a prosperous economy Positive, jargon-free statements of well-being in plain language that people can understand “A condition of well-being for people in a place......”

  46. Indicator A measure which helps quantify the achievement of an outcome. • 16+ current smoking prevalence • Incidences of self harm • All age, all cause mortality rate • Adults with learning disabilities in employment • Rates of serious violent crime rate How would we recognise these outcomes in measurable terms if we tripped over them?

  47. Performance Measure A measure to evaluate how well a programme, agency or service system is working. • Three questions: • How much did we do? (quantity) • How well did we do it? (quality) • Is anyone better off as a result? (quantity and quality of effect or customer/client outcomes) Performance measures tell us how well service providers are working as opposed to the impact on whole populations

More Related