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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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Putting people at the heart of services

Francesca Cignola

Health and Social Care Lead

Innovation Unit


The principles of people powered public services
The principles ofPeople Poweredpublic services


  • 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


  • 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/



  • Social Networks services

  • 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


What it takes
What it takes services


  • Power services

  • Professionals handing over power

  • People taking responsibility

  • Services creating opportunities for people to take action


  • Looking for assets services

  • Shifting from a deficit based approach to an asset based approach

  • Systematically map needs AND capabilities, from the system to the individual level


  • Commissioning for co-produced outcomes services

  • Service specifications that include expectation of building resilience and involving people and communities in outcome delivery

  • Whole-life rather than silo approach to services


  • Measuring more things that matter services

  • 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


Why it pays
Why it pays services


  • The People Powered Health business case services

  • 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


  • Shared Lives services

  • 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


  • Keyring services

  • 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


  • Croydon Service User Network services

  • 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.”


Some ideas
Some ideas services


Social Prescribing services

Navigators and peer groups

Timebanking

Changing the consultation


Thank you services

[email protected]


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