Welcome! [] S… · shaping ambassador training programmes David Pencheon, ALL ... A summary of the last 12 months •NHS regional changes •Local Ambassadors assigned to STPs •System

www.england.nhs.uk

• Please sit on the table that matches the area you usually work in:

1. North

2. Midlands & East

3. South

4. London

5. National/international

• WiFi: ClaytonWifi

• Have a look at www.slido.com – our live feedback and polling tool

Welcome!

1 #sdlocal

http://www.slido.com/

www.england.nhs.uk

Welcome

#sdlocal

www.england.nhs.uk

• Fire alarms and exits

• Toilets

• Food

• Video case studies or interviews tomorrow

• WiFi and social media

Housekeeping

3 #sdlocal

www.england.nhs.uk

• Go to www.slido.com

• Use #sdlocal

• Ask questions

• Take part in polls

Live feedback

4 #sdlocal

http://www.slido.com/

www.england.nhs.uk

Core

“To showcase regional progress and plan prospects for 2018 at a regional and sub-regional level, with particular focus on ambassador development”

Additional

1. Working together to develop ambassador training programmes

2. Developing identities, principles and philosophies for the networks

3. Creating the skeleton of regional and local network strategies and deliverables for 2018

4. Reviewing the SDU business plan and Health Check for 2018

5. Finding out about the ‘open doors’

6. Finding out about current and emerging national and global drivers

Objectives

5 #sdlocal

www.england.nhs.uk 6

12:15 Table exercise – who are you and why are you here? ALL

12:45 South update Aimee Stimpson, Michael Baker

13:15 Feedback from Cross-System Group David Pencheon

13:30 Comfort break

13:45 Table exercise – in 12 months, what do you hope

people will think you’ve done well?

ALL

14:00 Portrait or landscape? Framing the message Paul Davison

14:15 Midlands & East update Sarah Webb, Linda Cox, Jane Jobarteh,

Nigel Smith

14:45 STPs – learnings from Northampton City Council Stephen Marks, Yulia Omer

15:00 Comfort break

15:15 Table exercise – who are you and what are you

doing?

ALL

15:45 North update Mike Gent, Janet King

16:15 Health Check scorecard Rick Lomax

16:30 Comfort break

16:45 Table exercise – how do you talk about what you do?

17:15 London update Marc Beveridge, Kathie Binysh

17:45 Roundup of the day ALL, David Pencheon

18:00 Drinks and free time (dinner at 19:30) Rick Lomax available for tool advice


8:30 Recap day 1 and identify feedback or gaps ALL

8:45 Converting concern and values into collaborative action

– marketing the movement

David Pencheon, Kim Croasdale

9:30 SDU Business Plan Jerome Baddley

9:45 Comfort break (and more ambassadors arriving)

10:00 Network and ambassador identities, principles,

philosophies

Network leads

10:30 Update on NHS and PHE support of sustainability,

regional networks and ambassador development

Emily Hough, Graham Bickler

11:00 Local, regional and national organisations where

alignment is happening or possible

ALL, Ruth Speare, Viivi Erkkila,

Sarah Williams

11:15 New SDU tools and resources to help unlock doors and

overcome barriers

Rick Lomax + others

11:45 Feeling credible when you don’t know everything:

shaping ambassador training programmes

David Pencheon, ALL

12:15 How can we help politicians and political processes Helen Ross

12:30 Other local to global drivers (from STPs to SDGs) ALL, David Pencheon

12:40 A view of sustainable health and care in England – from

policy to practice (or the other way around)

Fiona Miller

12:50 Next steps and concluding remarks ALL, David Pencheon

13:00 Networking lunch and close Rick Lomax available for tool

advice

www.england.nhs.uk

• Turn to the person next to you

• DON’T MENTION CLIMATE CHANGE OR

SUSTAINABILITY

• Why is sustainability important for your neighbour,

based on the word they chose to describe their

working area?

• Which words/phrases resonated with you?

• You have 2 minutes…

Breaking the ice

8 #sdlocal

www.england.nhs.uk

• Why are you here (in terms of your personal values and

purpose)?

• Who are you here for?

• What do you need from the next 24 hours?

• What are you going to be part of in the next 12 months

and for the rest of your life?

• Which words/phrases resonated with you?

• You have 1 minute…

Breaking the ice

9 #sdlocal


On your tables discuss…

• Who are you?

• What are you doing?

• Why are you here?

Think about the words and phrases being used, does anything resonate with you?

Table exercise 1

#sdlocal

NHS and PH South update

Aimee Stimpson, Michael Baker, Richard Jerrett and

Vivienne Stevens

A summary of the last 12 months

• NHS regional changes

• Local Ambassadors assigned to STPs

• System leadership

• STP plans and sustainability

• SRSHN Masterclasses

• Annual conference

12

NHSE Regional Director – South West: Jennifer Howells

NHSE Regional Director – South East: Anne Eden

NHS regional changes - South West and

South East Regional Split/STPs

13

13 Sustainable and Transformation Partnerships in the South.

13

Governance and organisation

The SRSHN is led by:

Nigel Acheson, Regional Medical Director (South), NHS England

James Mapstone, Deputy Regional Director, South Regional Office, Public

Health England

These leads are supported by:

• Frances Fairman, Assistant Director, NHS England

• Tariq White, Assistant Director, NHS England

• Vivienne Stevens, Sustainability & Health Project Coordinator, NHS England

• Richard Jerrett, Delivery Manager, NHS England

• Aimee Stimpson, Regional Lead for NHS England, Public Health England

• PHE centre leads – Andrew Netherton (SW) and Michael Baker (SE)

14

Developing capacity and capability

In May 2017 we launched our local

ambassador programme

We now have 19 ambassadors – a wealth of

skills and experiences, and all with passion

15

16

17

Deputy Director of Healthcare, Higher Executive Officer, Consultant in Public

Health, Screening and Immunisations Lead, Health and Wellbeing Manager,

PHE, Carbon Management Lead, Kent & Medway NHS and Social Partnership

Trust , Head of Governance and Performance, Estates & Facilities, Epsom and St

Helier University Hospitals NHS Trust , Theatres Nurse, Royal Sussex County

Hospital, Brighton & Sussex University Hospitals, Sustainability Manager,

Berkshire Healthcare NHS Foundation Trust , Sustainability Officer, Sussex

Community NHS Foundation Trust – Care Without Carbon Team, Consultant

Cardiologist, Ashford & St Peter’s Hospitals NHS Foundation Trust ,

Sustainability Officer, University Hospitals Bristol NHS Foundation Trust,

Research Fellow, Royal Devon and Exeter NHS Foundation Trust , GP, NHS

Brighton & Hove CCG , Governance Manager, Oxfordshire CCG , GP, Bristol, GP,

St Austell Healthcare , Senior Planning and Public Health Officer, Torbay

Council , Semi-retired GP

18

Assigned to STP areas

19

Contains Ordnance Survey data © Crown copyright and database right 2017.

Contains National Statistics data © Crown copyright and database right 2017.

System leadership

20

21

Sustainability and Transformation Partnerships in the South

Rapid review of the social, environmental and clinical

sustainability of STPs plan

STPs have a strong focus on “models of care” (organisation

of health and social care system) and workforce sustainability.

STPs included facilities and building management and travel

but generally failed to make clear links with environmental or

social sustainability or benefits to health.

Community engagement was variable across the plans

There was little or no evidence of sustainable procurement

or “adaptation” (resilience to cope with climate change,

adverse weather and any other extreme events).

Air Quality Masterclass, Summer 2017

Air quality in England

Role of DEFRA and their work with high risk communities

Promoted the use of the HOTT tool (The SDU’s Health

Outcomes of Travel Tool (HOTT) – can help NHS

organisations quantify health and economic impacts from

their travel and transport)

NICE guidance on Air Quality

A local example of clean air city from Southampton

22

https://www.nice.org.uk/guidance/ng70

The Power of Digital Technology, Spring

Masterclass Considered the Power of Digital Technology to

Sustainably Transform Health and Social Care

View

Included NHS Digital’s Chief Clinical

Information Officer, Prof Keith McNeil

discussion how digital technology can

transform healthcare outcomes and improve

sustainability

2 masterclasses from NHS England on policy

context and the best opportunities for delivering

digital health care

23

Annual conference - Building a Healthy Sustainable Society: an event to

support STP implementation

An opening keynote address by Dr Michael Dixon, Chair of the College of

Medicine; and an afternoon keynote address by Sir Sam Everington, Chair of

NHS Tower Hamlets CCG; as well as workshops illustrating ways of promoting

and enhancing sustainable social models to improve health and wellbeing and

make the NHS and social care system more sustainable

sushealth17

24

Some practical examples

25


Next meetings:

• Monday 5th March 2018

• Wednesday 7th November 2018

Cross-System Group feedback

#sdlocal


#sdlocal

Comfort break

Teas and coffees are next door

https://admin2.sli.do/event/nvojtpl9/wall



In 12 months, what do you hope people will think you’ve

done well?

Reminder:

1. North

2. Midlands & East

3. South

4. London

5. National/international

Table exercise 2

#sdlocal


Portrait or Landscape?

#sdlocal

Framing the

message with senior

colleagues from

other organisations

when it isn’t their

priority…


Sarah Webb, PHE

Nigel Smith, PHE

Jane Jobarteh, PHE

Linda Cox, NHS

MIDLANDS AND EAST UPDATE

East Midlands update

SDU event November 2017

Jane Jobarteh PHE EM Centre SD lead

What's been happening in the last 12 months?

A number of questions to answer

32 East Midlands update

Our questions • What are the priorities for PHE East Midlands given our

limited resources?

• Where can we have greatest impact?

• How do we walk the walk?

• How do we deliver on those projects we have already

got going?

• How do we link all of our work to SD

• How do we get our Ambassador programme funded and

operational?


Our answers • We will do what we can – acknowledge and

accept our limitations

• We will try to use the Ambassadors to support

us in reaching further into the public health

system

• We will build on what we already have – Good

Food East Midlands

• We will develop a Centre action plan


And then the reality!


Love it, Eat it, Grow it, Share it!

Ambassador programme • Funding almost in place

• Recruitment has started amongst PHE Place

team

• We have a number of active volunteers

• 1 day event followed by a number of shorter

follow up sessions


And the rest.. • We will produce a Centre action plan – but it

hasn’t been done yet

• We have created strong links to our work around

the physical and built environment and we are

working with the Peak National park and LAs to

develop that

• There will be a new SD lead for EM from early in

2018



Linda Cox

Year Review

• The network has now been up and running for 2 years

• Quarterly Masterclass with guest speakers – over the last year we have had sessions on Procurement, Travel, Workplace Health and Adaptation Planning

• Follow on afternoon Network Session

• Current membership c 40 with an average 20 attendance

• Membership range across Acute, Mental Health, CCG, Ambulance sectors

• SDU continue to support

Some Challenges

• Securing speakers that will attract and build attendance levels

• Ensuring the content is relevant to a diverse group with differing interests and priorities

• Declining attendance at the follow on afternoon session – good networking opportunity but lacks specific purpose /objectives- needs projects?

• Membership input to identifying speakers /offering to present / contributing to a regular newsletter

• Time allocation – members being asked to justify full day attendance/ evidence benefits

Going Forward

• Keep it simple – max 1or 2 speakers- encourage group input & tap into collective knowledge & experience more

• Cut back on the Network sessions -unless members identify / commit to collaborative projects in December.

• Need to adapt to the changing dynamic - is the ‘Sustainability Manager ‘ a dying breed? With STPs/ focus on models of care is ‘sustainability’ becoming more embedded in behaviours and work practice? What will the membership profile look like in 12 months?

• How do we engage with the ‘Ambassador Programme’ ?


STPs and ACSs

#sdlocal


#sdlocal

Comfort break


Please sit on tables according to your job role (or, if none/several are

applicable, whichever one interests you most!):

1. NHS Trust estates and facilities, energy management, sustainability

management

2. Clinical

3. Local authority or CCG

4. Academic/research

5. Public Health England / NHS England




Who are you and what are you doing?

Table exercise 3

#sdlocal


Peter Roderick, Paul Davison, Ian Stenton, Richard Jarvis,

Janet King, Mike Gent

NORTH UPDATE

#sdlocal

www.england.nhs.uk

General

• About 120 people on the network

• Seminars with Trevor Hancock from Vancouver on

One Planet Living: Anthropocene, happy planet index,

ecological determinants of health

• Refresh of the Northern SD Network Action Plan

#sdlocal

www.england.nhs.uk

Northern England Sustainability and Health Network: Plan-On-a-Page

Background: Since 2014, the Northern England Sustainability and Health Network has built a membership base of over 120 people, holding masterclasses and networking events and influencing local strategic

planning for sustainable health and social care. This action plan-on-a-page has been co-created by the networks’ steering group as a simple, clear and measurable plan to guide our activities over the next years.

Vision: A sustainable health and social care system in the North of England that works within the available environmental and social resources to protect and improve health now and for future generations.

Activities Lead Timescale

Goal 1: Foundations

1. Hold twice-yearly masterclasses for the whole of the region on key emerging topics within sustainable development and health Network facilitator Ongoing

1. Energise the network with a membership drive (particularly from social and primary care) and through refreshing the steering group membership. Network chair Jan ‘18

1. Hold quarterly network steering group meetings to co-ordinate the group’s activities. Network facilitator Ongoing

1. Establish a Health and Sustainability ‘Ambassadors’ programme, recruiting between 15 and 20 ambassadors across northern STP areas and running a year-long

programme of systems change and leadership development

PHE/NHSE/ NHS

LA/NHS I

Jan ‘18

1. Increase network communication activity through better and more frequent use of the google group, utilisation of the SDU newsletter, promoting great practice in

the North on e.g. NHS FAB stuff, using twitter and local high profile blogs

Network facilitator May ‘18

Goal 2: Action

1. Use the local Ambassadors cohort and specific public health registrar project leads to achieve discrete pieces of work within local organisations and health systems,

which can then be disseminated. Key areas of focus should be:

PHE/NHSE/ NHS

LA/NHS I

Dec ‘18

Air Quality

Transport/planning

Greenspace/nature

Food policy

Social value

Physical Activity/travel

Goal 3: Wider Influence

1. Use opportunities to influence strategically through the steering group and the ambassador cohort, including developing links with STPs, ACO/ACS, Clinical Senates

and Networks, AHSNs, regional devolved government/combined authorities

All Ongoing

1. Identify ways of measuring progress as a region on sustainability and health, for example through the Good Corporate Citizen tool, the SDU HOTT tool, SDMPs and

more discrete indicators such as overall NHS carbon emissions.

All May ‘18

www.england.nhs.uk

Ambassadors

• Slowish progress, but we’re getting there!

• Funding from PHE Centres and Region -10K

• Training provider being commissioned

• Getting NHS E and I on board, via PHE RD

• EOI from the Northern SD Network

• Requesting EOI’s from wider Health / social economy

via the STP SRO’s

• Aim for first meeting in Feb 2018

#sdlocal

www.england.nhs.uk

Masterclasses and Events • November 2017: Leeds

• Sustainable procurement

• May 2017: Leeds

• Energy Demand and academic links

• November 2016: Darlington

• Sustainability reporting (and PH section too)

• NE: Adaptation event on 30 March with NHS and LA

• NE: LRF Symposium on 26 July. Senior managers from

the 3 NE LRFs to consider a range of issues including a

session on Sustainability/One Planet Living.

#sdlocal

www.england.nhs.uk

Masterclasses

• November 2017 presentations

• NHS NW Procurement Department

• City of London Corporation

• SDU

• NHS Supply Chain

• Capacity (Public Services Lab)

• Workshops

• Supplier engagement (NHS Supply Chain)

• Ethical procurement and wider wellbeing (Salford Council/CVS)

#sdlocal

www.england.nhs.uk

Masterclasses

• Format

• Joint morning presentations

• Split PH / NHS afternoon workshops

• Use feedback from previous workshops to guide

themes for future events

#sdlocal

www.england.nhs.uk

Influence

• Airedale Hospital Board

• Medical Directors of Bradford Royal Infirmary and

Airedale Hospitals. Top 10 SD issues / questions

• WY STP

• WY Combined Authority

• PH registrars:

#sdlocal

www.england.nhs.uk

• CPD sessions: permaculture, Sustainable Development

and Health, sustainable development and advocacy

• Sustainability now part of the induction process for new

Y+H registrars

• Workshop on ‘healthy sustainable economies’ (Yorkshire

and ADPH)

• Paper on AQ in West Yorkshire in Climate journal and

Poster at the Health City Design Congress

• Letter published in the Lancet prior to the Conference of

Parties (COP 21, Paris)

Examples of PH registrar work

#sdlocal

SDU Healthcheck Scorecard 2018

Rick Lomax [email protected]

mailto:[email protected]

Scorecard

Rationale

• It’s a point in time assessment of various SD indicators for the Health and Social Care sector

• All individual metrics allow us to assess progress

• Collectively provides an overall assessment of where we can celebrate progress and where greater emphasis is needed.

Method

The new score card will show progress against previous years’ value

All the indicators will be included in a methodology appendix

We have already started a consultation with you all to define and agree RAGB boundaries

Today we would like to better define the qualitative metrics with a scale and description, e.g. Low, Medium and High with specific criteria.

Area Coverage Source 2017 Change 2018

Water volume use by NHS providers

NHS OLD 3.50% ↘ 1.80%

Task In the scorecard there are four qualitative metrics;

Metric Coverage 2017 rating

Use of SIA in commissioning NHS Low

Use of guidance and tools for patient pathways environmental

impacts System Low

Evidence of sustainability as core to quality care and leadership

NHS N/A

Evidence of measures of sustainable procurement; Ethical

SME, 3rd sector System N/A

Task

• Split into four groups for 7 minutes

• Spent 5 minutes to develop the RAGB criteria and definition

• Spend 2 minutes to decide the rating for 2018 Healthcheck Scorecard

Task

• For RAGB rating a four point scale makes most sense

• Titles need to be short words

• Plus detailed criteria you would feel comfortable being able to assess progress against

• Please fee free to provide practical examples for the criteria – i.e. All CCGs reporting the use of tool in annual reporting

• Please don’t fall in the trap of over using quantitative scales i.e. 80% of CCGs … , 1 in 3 providers etc.

Framework - example

RAGB Score Definition

Red Low Little or no evidence or knowledge of the tool being used by Primary care organisations, either PC not aware of the tool or uptake has been very low.

Amber Medium Evidence and perception that the tool is becoming adopted by Primary Care – with examples of use being reported locally and via networks of

Green High Majority of Primary Care orgs using and reporting on outcomes of the tool.

Blue All / embedded

Near total uptake of the tool by Primary Care users, e.g. SDAT approach used by nearly all GPs

Use of the Sustainable Development Assessment Tool in Primary Care

Other examples

Groups

Group Metric Coverage

1 Use of Sustainability Impacts Assessment in commissioning

NHS

2 Use of guidance and tools for patient

pathways environmental impacts System

3 Evidence of sustainability as core to

quality care and leadership NHS

4 Evidence of measures of sustainable procurement; Ethical SME, 3rd sector

System

Rick Lomax

Sustainability Projects Analyst & Programme Manager

Sustainable Development Unit (SDU)

[email protected]

0113 8253220

www.sduhealth.org.uk

Follow us on Twitter @sduhealth

mailto:[email protected]

http://www.sduhealth.org.uk/

www.england.nhs.uk 64 #sdlocal




On your tables, discuss…

How do you talk about what you do?

Reminder:

1. NHS Trust estates and facilities, energy management,

sustainability management

2. Clinical

3. Local authority or CCG

4. Academic/research

5. Public Health England

Table exercise 4

#sdlocal


Marc Beveridge, PHE

Kathie Binysh, NHS

LONDON UPDATE

#sdlocal


• A look at sli.do

• What’s been your highlight?

Roundup

#sdlocal


• Free time now

• Rick Lomax available for tool surgery until 18:45

• Dinner at 19:30

The rest of the evening

#sdlocal

Documents

Welcome! [] S… · shaping ambassador training programmes David Pencheon, ALL ... A summary of the last 12 months •NHS regional changes •Local Ambassadors assigned to STPs •System