Putting peop le at the heart of services Francesca Cignola Health and Social Care Lead

1. Putting people at the heart of services Francesca Cignola Health and Social Care Lead Innovation Unit

2. The principles ofPeople Poweredpublic services

3. Recognising people as assets • Everybody has something to contribute • In health, people are ‘experts by experience’ of living with their condition • Ex: Crafty Needles group in Stockport • http://vimeo.com/70933549

4. Mutuality and Reciprocity • Two way transactions. From ‘you need me’ to ‘we need each other’ • Enable people to give back to the service and to their communities • Ex: Holy Cross Centre Trust timebank • http://www.hcct.org.uk/what-we-do/timebanking/

5. Blurring distinctions between consumers and providers of services • Creating new professional and non-professional roles • Redefining and revaluing work • Ex. Keyring • http://www.keyring.org/what-is-keyring

6. Social Networks • The power of people helping people • Peer support • Ex. Croydon Service User Network (S.U.N.) • http://www.hear-us.org/aboutthem/croydonsupportgroups/othersupportgroupssun.html

7. What it takes

8. Power • Professionals handing over power • People taking responsibility • Services creating opportunities for people to take action

9. Looking for assets • Shifting from a deficit based approach to an asset based approach • Systematically map needs AND capabilities, from the system to the individual level

10. Commissioning for co-produced outcomes • Service specifications that include expectation of building resilience and involving people and communities in outcome delivery • Whole-life rather than silo approach to services

11. Measuring more things that matter • Developing and using new indicators to capture new resources at play, the connections that services make possible, the steps in people’s journeys towards greater wellbeing and people’s experience of services and of their community

12. Why it pays

13. The People Powered Health business case • 7 per cent reduction in A&E attendance, planned and unplanned admissions, and outpatient admissions. • The NHS could save £4.4 Billion a year by adopting People Powered health approaches • http://www.nesta.org.uk/sites/default/files/the_business_case_for_people_powered_health.pdf

14. Shared Lives • 10 new long term arrangements generate pa savings of between £23,400 (older people) and £517,400 (learning disabilities) • “There’s more to do where I am now. I like being part of a family and supporting a football team and going to the pub.” (service user) • “The whole village is contributing, but in a natural way.” (scheme worker) • http://www.sharedlivesplus.org.uk/why-use-shared-lives

15. Keyring • Savings of 24% compared to other services • Enables people to live independently • “before…I didn’t do nothing, never went out, had no social life. Now I do!” • www.keyring.org/DocumentDownload.axd?documentresourceid=81

16. Croydon Service User Network • 6 months after joining the SUN project people see an 18% reduction in planned appointments and 31% reduction in non planned appointments and admissions • “Never attended a group that is so completely non-judgemental” • “Sharing difficult things with people who have had similar experiences, means there is always a wealth of information (from 'lived experience rather than from text books) in the room at every meeting.”

17. Some ideas

18. Social Prescribing Navigators and peer groups Timebanking Changing the consultation

19. Thank you Francesca.cignola@innovationunit.org