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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. Welcome to the launch of our Report and guided conversation Extending Healthcare

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slide1

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

slide2
Welcome

to the launch of our Report

and guided conversation

Extending Healthcare

into

the Community

A HEALTHIER FUTURE

for OBAN and LORN

slide3

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

slide4

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

slide5

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
slide6

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’
slide7

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
slide8

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.
slide9

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.
slide10

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

slide11

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

slide12

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

slide13

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

slide15

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

slide16

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

slide17

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

slide18

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

slide19

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

slide20

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

slide21

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’

slide22

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