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Putting people at the heart of services
Francesca CignolaHealth and Social Care Lead
Innovation Unit
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 Stockporthttp://vimeo.com/70933549
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 Stockporthttp://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 timebankhttp://www.hcct.org.uk/what-we-do/timebanking/
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 timebankhttp://www.hcct.org.uk/what-we-do/timebanking/
Blurring distinctions between consumers and providers of services
•Creating new professional and non-professional roles
•Redefining and revaluing work
Ex. Keyringhttp://www.keyring.org/what-is-keyring
Blurring distinctions between consumers and providers of services
•Creating new professional and non-professional roles
•Redefining and revaluing work
Ex. Keyringhttp://www.keyring.org/what-is-keyring
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
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
What it takes
Power
•Professionals handing over power
•People taking responsibility
•Services creating opportunities for people to take action
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
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
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
Why it pays
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
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
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
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.”
Some ideas
Social Prescribing
Timebanking
Navigators and peer groups
Changing the consultation
Thank [email protected]
