Parallel Session 4.5 Stronger Communities... Better Lives?

Stronger Communities, Better Lives

Engaging Communities –Changing Lives

Jackie DoeHealthy Communities Collaborative

jackie.doe@nhs.net

Aims :-

To help local people develop the skills and confidence to

work in co-production with professionals from a range of

agencies and organisations

Objectives :-

To use these partnerships to effect changes in

communities, which would result in improvements in

health care and social well being

Perth and Kinross Healthy Communities Collaborative

Speaking to local people

Asking them to identify issues to

address

Trying out ideas to improve life

locally for themselves and

their friends

Helping them to come up with

ideas to try out

CONSULTE

NG

AG

E

EMPOWER

RE

SIL

IEN

CE

The Community Action Model(NPDT 2001)

Topic

Successful Action

Enhances Community Development

StimulatesDesire for othertopics

Focus Topic Progression

• “Falls Awareness” - year 1 year 2

• “Promoting an Active Lifestyle” - year 3 year 4

• “Mental Wellbeing in Later Life” - year 5 year 6

• “Leg Ulcers” - year 7

Who Are The Teams Made Up Of ?

Community Members

Voluntary and Charitable Organisations

Statutory Agencies

The Formula

• Understand the need

• Come up with some ideas

• Test those ideas (PDSA)

• Understand what works and do more of it!

The PDSA Cycle for ImprovementThe PDSA Cycle for Improvement

Act

• What changes are to be made?• Next cycle?

Plan• Objective•Predictions • Carry out the

cycle •Plan for data collection

Study

• Analysis data•Compare topredictions

•Summariselearning

Do

• Carry out plan• Document

problems• Record data

CONSULT

• What exercise opportunities are available?

• If this is a gap, how can we address it?

• Day, time, venue, exercise density and cost

• Suitably qualified instructor

• Publicity

• On going monitoring of numbers

Three Main Features

of Exercise Programme

• Strengthening

• Balance Retraining

• Walking

Video clip

• Strength and Power (Fiatarone 1990, 1994; Skelton 1995, 1996)

• Flexability and Functional Ability (McMurdo 1993; Skelton 1995, 1996)

• Arthritic Pain (Hochberg 1995) & Postural Hypotension (Millar 1999)

• Depression (McMurdo 1993)

• Rehabilitation following hip fracture (Nicholson 1997)

CHAIR BASED EXERCISE

the EVIDENCE

• Approximately 46 groups per month

• An average of over 450 older people

attending per month

• Over 75% did not previously attend formal

exercise group.

• Approximately 80% report some form of

health issue ranging from painful joints to

acknowledged long term conditions

NUMBER CRUNCHING

• My arms are looser, I can reach up behind my neck again

• I’m more flexible, and balance has improved, it’s easier putting on socks

• It gets me out of the house, we have a good laugh and it’s good for us.

• I’m thinking of using the bus again, it would be good to be more independent.

• My wife’s concentration is better and she’s more settled. We both really enjoyed coming to the class (Carer of dementia sufferer)

Benefits Reported by Attendees

• On going support

• Transport

• Sustainability

• Community Referral / Social Prescribing

The Challenges

• Better Outcomes for Older People (2004)

• The National Standards for Community

Engagement (2005)

• Better Health, Better Care ( 2007)

• All Our Futures – Planning for a Scotland with an

ageing population(2007)

• Reshaping Care for Older People (2010)

• The Quality Strategy (2010)

Recent Scottish Policy Drivers

• Gives Communities ownership

• Maximises efficiency, people centred

• Shares skills and workload

• Releases community capacity

• Helps build community resilience

• Cost effective

Some benefits from working this way

Video clip

And finally, a word from Pat

“The Healthy Communities Collaborative is

such a good idea. A small number of

professionals working in partnership with

unlimited numbers of volunteers, so that

older people can stay fitter and healthier

for longer, has to be good”

http://www.jitscotland.org.uk/action-areas/talking-points-user-and-carer-involvement/outcomes-enablement-and-an-assets-approach-to-health-and-wellbeing/

Time Banking in Perth and Kinross

An exiting new initiative for communities

Lesley McLaren, PKAVSlesley.mclaren@pkavs.org.uk

Overview

What we aim to achieve

People in Perthshire communities will have opportunities to strengthen and build their communities resilience and social networks through the development and testing of Time Banking models.

How will this be achieved?

• Introduction of Time Banking into communities throughout the region.

• Appointing Brokers – key local people to manage the Time Banks on the ground.

• Engage with communities and networking with existing groups and organisations.

• Delivering talks and presentations to existing groups in both communities.

• Working with and supporting relevant collaborators– NHS Tayside, Perth and Kinross Council, Communities members.

How will we know we have made a difference?

• People will share their talents and skills• Increased number of people volunteering in the local

area• People will express they feel a positive difference in the

area• Volunteering benefits the needs of the individual• Increased opportunities for volunteering• People will express a sense of belonging and connection

to others and their community

The Project to Date

Working with additional Communities to introduce the initiative – Stanley, Dunkeld and Pitlochry

Initiative to be developed throughout the region over next two years

This for That in Coupar Angus

Deeds for Needs in Aberfeldy

This for That – Coupar Angus

Members 61 Individuals14 organisations

Hours Exchanged 1531

Hours donated 500

Actual number of exchanges

322

What is being Exchanged?

Examples of Exchanges

Attending MeetingsBaking

Painting/DecoratingCompanionshipCommunity Café

Success Stories • Bob – Widow, Retired Chemistry Teacher

• John – Wanting to get more involved in Community Life

• Matilda – Youngest Member, donated over half her credits

Deeds for Needs - Aberfeldy

Members 27 Individuals1 organisation

Hours Exchanged 394

Hours donated 121

Actual number of exchanges

66

What is being Exchanged?

Examples of Exchanges

Loft Clear OutGiving Lifts

Advocacy Support at appointmentsPainting

Selling items on eBayCycle repairs

Success Stories • Betty – 83 years old, first ever massage• Jennifer and Trish - Cared for and Carer

• DIY Group – 24 ‘burly’ men keen to support the community with DIY skills.

Logo Competition at School

Community Litter Pick

Street Market

Health Benefits of Time Banking?

• Social Prescribing

• Reduction on early hospital

admissions

• Care Packages for Hospital

Leavers

• Medical

• Intergenerational

• Bringing different social

groups together

• Making new friends and

reconnecting with old ones

• Social

• Reduction on falls

• Support for activities – eg Cutting Grass

or building

• Improved activity – eg

walking groups

•Physical

What our Members are saying…

“ I wanted to join the Time Bank because I had become some what of a recluse – I didn’t know my neighbours to even say hello”

John, This for That member since May 2012

4 exchanges to date

“Having become a Carer for my husband over recent years, being a member of the Time Bank means I can get a bit of extra support - with things I need doing and also with respite support.

Mary, This for That member since Dec 201113 exchanges to date

What our Members are saying…

“This for That is bringing members of our community together. All the Community Groups that have signed up are now supporting, and most importantly, talking to each other”

Saranne, This for That Broker since Oct 2011

38 exchanges to date

“It’s great to have one port of call to ask for help – I have so many things around the house that I would like help with”

Pat, Deeds for Needs member since Mar 20127 exchanges to date

The potential of Time Banking is limitless.

The health benefits to members -physically, socially and medically are

wide and varied.

The stronger the foundations we set now the greater the benefits to our friends,

relatives and communities in the future.

Engaging and Transforming Communities

Gary Malone Manager, Angus Volunteer Centre gary@volunteerangus.org.uk

Scottish Co-production Network

Catriona Ness OD Consultant NHS Tayside catriona.ness@nhs.net

Background

• Formed as an informal network in 2010

• Chaired jointly by NHS Tayside and Scottish Community Development Centre (SCDC)

• April 2012 – supported by Scottish Government Joint Improvement Team to be formally developed in 2012-13

What is the Scottish Co-production Network?

• Building on existing co-production activity

• Learning, debate and development of ideas

• Practice & information exchange

• Supporting dialogue and advancing co-production approaches in Scotland

What is co-production?

New Economics Foundation:

‘Co-production means delivering public services in an equal and reciprocal relationship between professionals, people using services, their families and their neighbours. Where activities are co-produced in this way, both services and neighbourhoods become far more effective agents of change.’

Key activities

• Network meetings

• National events/seminars

• Learning events

• Support to local networks

• Website/ online forum

Get involved

Contact Olivia Hanley, olivia@scdc.org.uk

Join the network!

Website: watch this space!