Basic principles involved in the traditional systems of medicine PDF.pdf
29 March Nesta Co Production Workshop Mc Manus
1. Co production Roadshow 29 th March 2011 Jim McManus Joint Director of Public Health Making co-production central to improving health outcomes
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7. How could it work or more reasons why it hasn’t happened? Collaborative Economy Co-produce JSNA Co-produce commissioning intentions Co-produce Pathways Co-produce Standards Co-produce Training Co-assess 4Es Co- implement Co-determine Outcomes
8. Levels of Co Production – why it hasn’t happened Macro Meso Micro What are our priorities for older people in Birmingham? What do we do about older people at higher risk of seasonal death? How does Mrs X choose and buy her care packages? Some work on JSNA Not a lot…better on falls Who does better
9. Getting to making it happen role distinction - Public Health Roles Macro Meso Micro What are our priorities for older people in Birmingham? What do we do about older people at higher risk of seasonal death? How does Mrs X choose and buy her care packages? Accessible information presented with clear priorities Evidence of what works Case finding Information to users about choosing their care
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14. Mapping capabilities across a pathway Low Increasing levels of need High Residential care and supported living (St John of God, Don Orione, and many others) for those at high levels of need. Currently have specialist experience in this across age, learning disability, mental health, behavioural problems and some drug misuse CURRENT PROVISION SPECTRUM Low level support which can keep people self-managing and functioning. Currently not well systematised but does exist POSSIBLE FUTURE PROVISION SPECTRUM Spiritual Care which evidence shows can and does bring psychological and other benefits to service users and carers A more formal offer for carers using church resources of support etc Practical support e.g St Vincent de Paul Society More systematised programmes of low level self management support across psychological wellbeing, physical conditions, elderly etc More systematised enablement work to help people get back on their feet after a crisis Home from hospital packages Continue residential care and supported living Informal care groups providing support around people coming out of hospital etc Spiritual Care which evidence shows can and does bring psychological and other benefits to service users and carers Practical support e.g St Vincent de Paul Society
19. Timeframes of impact/yield Years 0 1 5 10 15 Planning Frameworks and Core Strategies Education Vitamin Supplements Decent Homes Air Pollution Primary Care Air Pollution Decent Homes Reducing Worklessness Primary Care
I am going to talk about our experience of trying to address issues as they arose In most emergencies issues arise you do not plan for In this flu pandemic, we had neither a slow rising tide nor a flash flood experience but a mix of different issues in different parts of the country and the city I think what comes out of this is the need to seek to predict what systems of the City’s life will be most affected given what we now know, and then seek to make those resilient My guesses are most cities will see schools, nurseries and social care very affected In delivering this I am focusing on Local Authority services because this is a local authority seminar. I will, inevitably, do injustice to NHS family colleagues because of this. Setting up out of hours flu centres, for example, was a valuable experience for us. And the work of BADGER in developing clinical good practice in assessment and response is just one important piece of work from Birmingham I won;’t be able to do justice to. I will also inecvitably underestimate the role of the Birmingham Resilience Team and the multi-agency Birmingham Resilience Group. These have been hugely important and positive experiences.