Commissioning with Insight:Devon Healthy Lifestyle Service

Steven BrownAssistant Director of Public Health

Devon County Council

Plan• The Challenge• The Principles • The Approach• Where are we now?

The Challenge: To reduce premature death in Devon

The proportional contribution to premature death

Source: From evidence into action: opportunities to protect and improve the nation’s health. Public Health England. October 2014.

Main modifiable behaviours = Tobacco smoking, Physical Inactivity, Excess alcohol and poor diet

Burden of disease attributable to 20 leading risk factors for both sexes in 2010 (expressed as a % of UK DALYs)

The Challenge:

The Challenge!

• Overweight adults384,271

• Adults smoke111,400

• Physically inactive247,900

118,600Adults

drinking at harmful

levels

1,781Premature

Deaths in Devon

How do we reach/connect?

What is the offer they want?

Background• Existing Service:- - Stop Smoking Service supported 1,200 individuals (794 quits)

(3.1% smoking population reached)- Handles 3,000 Adult weight management referrals per year. - Works with around 400 ‘vulnerable’ individuals (Health Trainers)

= 4,600 individuals supported by the service• Current contract ceases April 2016.

• Increasing DEMAND on health and Social Care + LESS funding• Radically upgrade PREVENTION!..... …..More of the same is NOT the answer!

The Approach

A new Healthy Lifestyle Service

Development of Persona Profiles

Healthy lifestyle Insight

Healthcheck survey

HealthWatch Resident survey

Focus Groups

2011 Mosaic Analysis

Healthy Weight Service feedbackDiscovery Day

Devon Prevention Strategy

Digital Inclusion research (economy)

Devon Social Prescribing Evidence

review

HealthWatchSmoking survey

Persona Example

A Discovery DayKey purpose of the day

1. New perspective on the challenge: - Understanding the customer. - Understanding the problems and

market challenges.

Let’s challenge our assumptions!

2. New perspective on the solution:- Explore and develop solutions for Devon- Freedom to think the unthinkable

Let’s transform and innovate!

Focus Group Insight• What makes you happy?• What do you enjoy doing?• What gives you a sense of achievement?• Whose opinion do you value?• How do connect with them?• Who would you listen to about leading a healthy

lifestyle?• What positive changes have you made and what

prompted the change?• Thinking about the future?

Inform me: what people said

I will do it for myself with a

bit of self-help

I am happy to set my own goals

I’m so busy I struggle to

find the time to be active

I often use Apps as a

motivation

I often use google to get

advice and information

If my jeans are too tight I will try

and be good

Enable Me: what people saidIt’s just too hard, half an hour walk

there and back before you pay £5 to swim…I

couldn’t do it if I took the kids

I am self-motivated

I would listen to what my

Doctor had to say

It’s all about the kids and

my family

I usually use google to find

out information

There is already loads of information available (on the web). Coordinating an

easy to follow link would be the most effective way

Support Me: what people said

Don’t really trust ‘authority

figures’, my GP would be my last

resort

Being able to play with my

daughter…that’s just magic

I never know if I have enough time, or am too tired but if I can fit it in and just turn up, that

works

Unless I think it is a real immediate health problem

I’m not too worried

I prefer to talk over the phone or

meet face to face

I don’t want someone telling me what to do!

Money and access is a

barrier

Common Themes• Aspirations differ but all centre round the wellbeing

and happiness of loved ones.• Family and friends ….powerful enablers• The words ‘Healthy Lifestyle’ interpreted as sporting

activities. • Feeling of having a lifestyle imposed on you is

aggressively rejected.• Health is a motivator but future health problems are

not.

Market Warming Event

Devon Healthy Lifestyle Service Who are the customers, what are their needs and what is

the offer they want + how do they want to access it?

INSIGHT REACH OFFERSuccess Measures

The Service Offer include.…• Providing the right advice, information and support, focusing on: - Alcohol, Physical activity, Smoking, Alcohol + (Emotional Health and wellbeing)

• Empowering, enabling and motivating people who want to take control of their own health and wellbeing:- Taking a personal approach / building relationships with clients, referrers and providers- Have a presence in the community, identifying & mobilising community assets and resources

• Connecting people: - to local community assets

- to services (DCC commissioned e.g. Stop Smoking Service and non-commissioned)

• Targeting Health Inequalities: Proportionate Universalism• Continued service development: Changing technology, changing needs…

commitment to work collaboratively and co-design the service!

A new Devon Healthy Lifestyle Offer

Tender to be launched this week!