Jeremy Taylor presents his slides from the #edgetalks in July 2017

1. Healthy communities, powerful
patients – what can health and
care professionals do?
Jeremy Taylor
7th July 2017

2. National Voices
• Insert pic of
presenter
Jeremy Taylor
CEO, National
Voices
@NVTweeting
@JeremyTaylorNV
www.nationalvoices.org.uk

3. National Voices
• The coalition of charities that stands for:
• People being in control of their health and
care
• An integral role for the third sector

4. Why do we need people powered
approaches?
• Health creation is powerful…
• Unfortunately it doesn’t eliminate
sickness, disease, disability, frailty, and
death! Millions of people live with long
term conditions.
• But “asset-based” – or people powered -
approaches make a big difference
• What is your role?

5. Questions for participants
• How familiar are you with people
powered approaches to health &
wellbeing?
• How important do you think they are?
• How important is it for you to embrace
these approaches in your own work?
• How much difference can you make by
doing so?

6. The basis in law
• Health & Social Care Act 2012 – duties to
involve patients & carers in care & treatment
decisions – and public involvement in
commissioning
• Care Act 2014 – duty to promote individual’s
wellbeing, with guidance on care planning and
personal budgets etc
• Social Value Act 2012 – duty on
commissioners to consider wider social,
economic, environmental benefits

7. The basis in evidence
Partnering and enabling people delivers better results.
Evidence-backed approaches for improving outcomes
include:
• Shared decision making
• Personalised care and support planning
• Education for self management
• Peer support
• Health coaching
• Group activities
• Asset based approaches in a health context

8. Primary care Living with long term condition/s I have a written care plan 3.2% 2016 (July)
Inpatient care I was as involved as I wanted to be in decisions
I was as involved as I wanted to be in decisions (learning
disability)
56% (2016)
definitely
49% (2015) yes
definitely
I was asked to give my views 19% yes 2016
Community
mental health
The person who coordinates my care does it well 60% 2016
I have definitely agreed with someone from the services what
care I will receive
43% 2016
I was as involved as I wanted to be in decisions 56% yes definitely
36% yes to some
extent 2016
Adult social
care
How I am helped or treated makes me think & feel better about
myself
61% 2014-15
I feel in control of my daily life 77% 2015-16
End of life care Staff always treated the dying person with dignity and respect 60% (doctors)
2016
54% (nurses)
Services definitely worked well together in the last 3 months – at
home
41% 2015
Services definitely worked well together in the last 3 months – at
hospital
31% 2015

9. Making it real: whole system
responses
• Act & invest in line with the evidence of what
works – and the law. Make it a priority
• Target the things that matter to people,
measure what matters, hold people to account
for it
• Pay for outcomes that matter to people
• Train the workforce in asset-based approaches

10. An engaging system

11. A power sharing system

12. What can I do? Values & mind-set
• Wanting to improve things
• Valuing what matters to people
• Focusing on those with the most to gain (worst
outcomes, least access etc)
• Valuing what people can contribute
• Being humble (“I don’t want a service, I want a
life!”)
• It’s about social leadership

13. What can I do? Some practices
• Having better conversations
• Collaborating
• Setting shared goals and reviewing progress
• Forming networks – team up with like minded
colleagues
• Making friends with your third sector (and 1st &
2nd)

14. Some resources
Realising the Value Programme
• https://improvement.nhs.uk/resources/realising-value-person-and-
community-centred-approaches-healthcare/
NHS England guidance on involving people in health and care
• www.england.nhs.uk/participation/involvementguidance/
Six principles for engaging people and communities
• https://improvement.nhs.uk/resources/Six-principles-for-engaging-
people-and-communities/
NSUN: National Involvement Standards
• http://www.nsun.org.uk/assets/downloadableFiles/4pi.-ni-standards-
for-web.pdf
WOW Exchange – case examples of charities helping people live well
https://www.nationalvoices.org.uk/wellbeing-our-way/wow-exchange

15. Questions for participants
• How familiar are you with people
powered approaches to health &
wellbeing?
• How important do you think they are?
• How important is it for you to embrace
these approaches in your own work?
• How much difference can you make by
doing so?