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Putting peop le at the heart of services Francesca Cignola Health and Social Care Lead

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Putting peop le at the heart of services Francesca Cignola Health and Social Care Lead Innovation Unit. The principles of People Powered public services. Recognising people as assets Everybody has something to contribute

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Presentation Transcript
slide1

Putting people at the heart of services

Francesca Cignola

Health and Social Care Lead

Innovation Unit

slide3

Recognising people as assets

  • Everybody has something to contribute
  • In health, people are ‘experts by experience’ of living with their condition
  • Ex: Crafty Needles group in Stockport
  • http://vimeo.com/70933549
slide4

Mutuality and Reciprocity

  • Two way transactions. From ‘you need me’ to ‘we need each other’
  • Enable people to give back to the service and to their communities
  • Ex: Holy Cross Centre Trust timebank
  • http://www.hcct.org.uk/what-we-do/timebanking/
slide5

Blurring distinctions between consumers and providers of services

  • Creating new professional and non-professional roles
  • Redefining and revaluing work
  • Ex. Keyring
  • http://www.keyring.org/what-is-keyring
slide6

Social Networks

  • The power of people helping people
  • Peer support
  • Ex. Croydon Service User Network (S.U.N.)
  • http://www.hear-us.org/aboutthem/croydonsupportgroups/othersupportgroupssun.html
slide8

Power

  • Professionals handing over power
  • People taking responsibility
  • Services creating opportunities for people to take action
slide9

Looking for assets

  • Shifting from a deficit based approach to an asset based approach
  • Systematically map needs AND capabilities, from the system to the individual level
slide10

Commissioning for co-produced outcomes

  • Service specifications that include expectation of building resilience and involving people and communities in outcome delivery
  • Whole-life rather than silo approach to services
slide11

Measuring more things that matter

  • Developing and using new indicators to capture new resources at play, the connections that services make possible, the steps in people’s journeys towards greater wellbeing and people’s experience of services and of their community
slide13

The People Powered Health business case

  • 7 per cent reduction in A&E attendance, planned and unplanned admissions, and outpatient admissions.
  • The NHS could save £4.4 Billion a year by adopting People Powered health approaches
  • http://www.nesta.org.uk/sites/default/files/the_business_case_for_people_powered_health.pdf
slide14

Shared Lives

  • 10 new long term arrangements generate pa savings of between £23,400 (older people) and £517,400 (learning disabilities)
  • “There’s more to do where I am now. I like being part of a family and supporting a football team and going to the pub.” (service user)
  • “The whole village is contributing, but in a natural way.” (scheme worker)
  • http://www.sharedlivesplus.org.uk/why-use-shared-lives
slide15

Keyring

  • Savings of 24% compared to other services
  • Enables people to live independently
  • “before…I didn’t do nothing, never went out, had no social life. Now I do!”
  • www.keyring.org/DocumentDownload.axd?documentresourceid=81
slide16

Croydon Service User Network

  • 6 months after joining the SUN project people see an 18% reduction in planned appointments and 31% reduction in non planned appointments and admissions
  • “Never attended a group that is so completely non-judgemental”
  • “Sharing difficult things with people who have had similar experiences, means there is always a wealth of information (from \'lived experience rather than from text books) in the room at every meeting.”
slide18

Social Prescribing

Navigators and peer groups

Timebanking

Changing the consultation

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