1,000,000 ways to wellbeing? Episode 4. A new hope

Eras of healthcare 1950 1970 1990 2010 2030 Era of expansion Era of cost containment Era of assessment & accountability Era of systems and creativity

Era of systems & creativity "Think like a system, act like an entrepreneur"(Ian Burbidge, RSA 2017) Systems thinking been around for years Insufficient grasp that health and care services are ‘human systems’ Requires: Relationships based on deep listening Recognition that problems cannot be solved by single organisations Creativity and agility

The challenges How to release creativity and energy within the system, including and especially in our communities? How to recognise diversity and inequality of opportunity, perspectives, priorities and capacity? How to ensure resource is used effectively whilst not overburdening ourselves in process and bureaucracy?

How do we respond? A simple, shared mission that: Posits an aim that everyone can get behind and work out their contribution Can have plural, flexible and diverse elements Can be measured proportionately E.g. Getting a man to the moon and back safely

A million ways to wellbeing in Norwich; What’s yours? A mission A million ways to wellbeing in Norwich; What’s yours?

What does that mean??

Why a million? 240,000 x 5 = over a million!!

Increased self-help and resilience Theory of change Self-directed With support Engagement in 5 ways Enhanced wellbeing Increased self-help and resilience Reduced demand

Evaluation ideas Inputs Outputs Outcomes 1 million ‘ways to wellbeing’ undertaken 1 million pennies/month funding to VCSE and communities 1 million volunteering hours 1 million minutes of mindfulness 1 million miles walked and cycled 1 million pounds in weight lost by overweight adults 1 million fewer alcohol units drunk £1 million unclaimed benefits claimed 1 million fewer kg sent to landfill 1,000,000 hours more disability- free life expectancy £1,000,000 savings to public sector in Norwich 1 million fewer working hours lost to illness 1 million fewer kilos of CO2 emitted

Targeting to reduce inequality Males are more likely to be active, whereas females are more likely to give and connect. People from lower socio-economic groups are less likely to be active, give and keep learning. The older people are, the less likely they are to keep learning and be active. However, for both Connect and Give, the trend follows a U curve, with people aged 16-25 and 65-74 most likely to engage in these activities. People with qualifications are more likely to keep learning and give.

Opportunity Cohere approach to preventing the drivers of poor health and wellbeing Develop universal messages with cohort or geographic targeted interventions Align existing initiatives at high-level Provide framework to inform future commissioning and service development Start a fire…

Who’s up for it? What do we need to do?? 1,000,000 ways to wellbeing Who’s up for it? What do we need to do??