Master slide from the Harnessing Health in Older Age event at Edge Hill University, 17 November 2017

1. Harnessing
Health and Wellbeing in
Older Age
#HHNolderage17

2. Harnessing Health
Network
Sue Henry

3. Innovate Collaborate
Rock the
boat
Share
Facilitate
dicussion
Support

4. Purpose of today………………………….
Share our collective ideas for change
Learn from each other
Create momentum

5. Presentation 1
Harnessing Health in Older Age
Dr Liz Mear
Chief Executive,
Innovation Agency
@mearliz

6. AHSNs
• 15 Academic Health Science Networks across
England
• Licensed and funded by NHS England, NHSI
and Office for Life Sciences
• Promoting innovation in healthcare
• Single structure to improve outcomes
• Promoting economic growth in regions and for
UKPLC

7. Presentation 1
European Reference Site for
Active and Healthy Ageing
Reference Sites are inspirational ecosystems,
delivering creative and workable solutions that
improve the lives and health of older people.
These solutions can be scaled-up and
replicated across the EU to maximises
outcomes and reduce the risks associated with
investing in innovation.

8. Test Beds
• Testbed - combinatorial innovations
• LCIA – helping elderly people to live at home

9. Digital health innovations –
created in the North

10. Mobile ECG
256 potential
strokes avoided
Potential saving
£5.6m in NHS
resources

11. Presentation 1
Preventing strokes
• Using AliveCor Kardia and Diagnostick
• Rolled out nationally to all GP surgeries
• Working with local infrastructure – sports
clubs and Firefighters
• Recruiting AF ambassadors in NWC –
people who have experienced AF or
close to someone with AF partner -
Stroke Association

12. Falls prevention two
Assessment FRAX &
eFI
Cohort Selection
Intervention Phase
1. Bone Health Programme
• Amgen Programme
2. Exercise Programme
• Standing Tall (or other)
3. Patient & Professional Engagement and
Education
• Steady On
• ENSAFE
• Admiral Nurses
Delivered by Geriatricians GPs, District Nurses,
Community Physios
Evaluation
Ongoing Patient Safety Monitoring

13. Falls Prevention
• Bone Health Programme
Two AHSNs stratification of patients at risk of fractures
• Exercise Programmes
All four AHSNs are delivering Exercise programmes,
some supported by digital technologies. These include
programmes such as Standing Tall
• Patient and Professional Engagement and Education
All four AHAs are delivering Patient and Professional Engagement and Education
programmes that include; Steady On, ENSAFE and Admiral Nurses

14. Steady On!
“The fear of falling is terrifying, but I now have a way of getting upright if I’ve fallen and know I’ve
a service I can turn to. I learned more in an hour than I thought possible and feel less anxious
and much more contented.”
Service user
QTUG
Quantitative Timed Up & Go

15. Working towards a common
outcomes framework
Outcomes could include
1. A 30% reduction in falls within the geographical footprint
2. A 20% reduction in avoidable hospital admissions
3. A 20% improvement in the patient’s confidence in their own safety from harm due to
falling
4. Looking for additional funding from a range of sources

16. Presentation 1
PR for innovation …
2

17. Innovation Scouts
Champions of change
• Learning from innovation leaders
• Creating a culture of innovation
• Part of the AHSN Network for co-creating new
technologies & systems
• Work together to understand challenges & cultural
implications needed to increase the adoption of
innovations
• The surgical team at Liverpool Heart and Chest
Hospital now use 3D printed organs to practice
operations because the scout programme
introduced them to companies with expertise
• liz.mear@innovationagencynwc.nhs.uk

18. Perfect storm-
Perfect solutions?
Dr Ruth Hussey CB,
OBE

19. UNITED NATIONS
Population ageing is poised to become one of the most
significant social transformations of the twenty-first century,
with implications for nearly all sectors of society, including labour and financial markets,
the demand for goods and services, such as housing, transportation and social
protection, as well as family structures and intergenerational ties.
Estimated 962 million people aged 60 or over in the world - 13% global population (2017).
Population aged 60+ is growing at 3 % per year. Europe has the greatest percentage of
population aged 60 or over (25%).

20. Perfect storm or great opportunity?
• Population is changing – relative reduction in working age
population
• Health needs are changing - multiple illnesses
• Technology and cost of care are changing – digital and
science driven – genomics, robotics, AI, driverless cars
• Public sector changing – austerity, expectations
An opportunity to celebrate ageing well….......

21. Perfect solutions?
The future is here – no time to wait

22. Five things to pave the way
• Midlife to later life – redefining work – paid and unpaid
• Midlife prevention
• Flip the health and care system – seamless, organised
around individuals not institutions - Home is part of the
care system
• Intergenerational and flexible solutions
• Re-define and share risk, empower staff and users

23. Different Skills

24. Atul Gawande – Being Mortal
• “The problem with medicine and the institutions it has spawned for the
care of the sick and the old is not that they have had an incorrect view
of what makes life significant. The problem is that they have had almost
no view at all. Medicine’s focus is narrow. Medical professionals
concentrate on repair of health, not sustenance of the soul. Yet - and
this is the painful paradox - we have decided that they should be the
ones who largely define how we live in our waning days.”
• “Our ultimate goal, after all, is not a good death but a good life to the
very end.”
• “You may not control life's circumstances, but getting to be the author of
your life means getting to control what you do with them.”

25. Why Ageing Well
Makes a Big
Difference
Sheila Bersin MBE

26. Harnessing Health Network
Harnessing Health and Wellbeing in Older Age
Edge Hill University, Ormskirk, 17th November 2017
Systems Leadership for healthy older age
Debbie Sorkin
National Director of Systems Leadership, The Leadership Centre
Debbie.Sorkin@leadershipcentre.org.uk
@DebbieSorkin2

27. You can still act in a perfect storm
Take your authority and use Systems Leadership approaches
Systems Leadership:
The collaborative leadership of a network of people in different places and at different
levels in the system, creating a shared endeavour and co-operating to make a significant
change.
The basics:
Relationships, influence, trust: “Systems move at the speed of trust”
Starting small in real work
Partial, clumsy and emergent/evolving solutions
Going slow to go fast – allow for dynamic and changing situations
Focus on the long haul: creeping transformation
New ways of working and collaboration
Think system, not organisation
The questions:
What do we want life to be like for older people in our place?
Who else needs to be in the room?

28. Things to do, ways to work
• Be on the lookout for work avoidance: doing the wrong thing busily (or expertly). So get
real: choose your battles and identify an issue where you can do real work based on
common purpose.
• Focus on relationships, broader connections/networks. Listen and observe – and be willing
to cede leadership
• Don’t feel the need to follow traditional power structures - Work with a coalition of the
willing and meet offline/informally. This is about movements, not meetings
• Use fail-safe experiments, prototype and tweak: you’re looking for progress, not a solution.
Keep the focus on new ways of working
• Engage with other sectors beyond the obvious: housing, planning/ built environment
• As long as you’ve got a shared purpose, you can start small and take the scenic route: and
keep going even if it takes longer than you think: it really is possible to see change for the
better

29. There are lots of places around the country using Systems Leadership to do things
differently: either to support health and wellbeing in older age, or in analogous ways
Our Place (Cheshire West & Chester) got away from
council-based solutions to issues of social isolation;
Nightingale (London) brought in a nursery school on-
site to a residential care home and has obtained CCG-
funded primary care services; Calderdale trained
schoolgirls to carry out research to support service re-
design
New Outlook and Nehemiah Housing Group
(Birmingham): partnership between housing
association and small local home care provider:
emphasis on wellbeing/prevention
Building Active Communities (Derbyshire):
collaboration between CIC, public health and Age UK
Social connection and
participation
Housing
Activity

30. And it’s increasingly common where public health, the NHS, the
voluntary & community sector and social care interconnect
Vale of York Pioneer undertaking RCT of Personalised
Health Coaching; findings include better self-
management of long-term conditions and significant
reduction in presentation at A&E/hospital
admittance
Enhanced health in care home Vanguards:
partnerships between health and social care,
including 24/7 Goldline, video conferencing,
dedicated outreach teams: all sites have seen fewer
ambulance call-outs, hospital admissions and bed
days
Solihull Together: joint working between CCG and
local authority; led to (amongst other things) more
integrated dementia and MH services
Self-management
Keeping people out of
hospital
Dementia care

31. Thank you.
Debbie.sorkin@leadershipcentre.org.uk
@DebbieSorkin2

32. What would be your ‘something new’ idea
• Use stickies on table to write down your ideas
• You can have as many as you like
• Can be simple
• No idea is a bad idea
• When you’ve finished writing your ideas down bring your
stickies out to the front

33. Choose the ideas you’d like to
work through

34. WHAT WOULD BE REQUIRED TO MAKE
THIS A REALITY?
WHO DO YOU NEED TO HELP AND WHAT
TYPE OF SUPPORT?

35. 1 idea to feed back to the main group
Anything you will go back to work and
do differently NOW
Fab Change Week –any pledges?