Opportunities for Culture to deliver on health and social care Kim Wright – Corporate Director Health and Community Services

The Challenges and Opportunities Reduce inequalities in health and wellbeing Promote independence Ensure all residents can access, and participate in universal cultural services Transfer of public health to local government Reduced budgets Adult Social Care reform Health system reform

The Model Something for everyone A little extra for some More for those who need it most

Public Health transfer and CCG’s (Potential) additional resources Expertise (all sides) New opportunities for new ways of working Doing things differently Evidence, evidence, evidence

Cultural Services: the evidence: what improves health and wellbeing Activities – get people moving (Parks for Life; new age games, London Youth Games) Information – building and sharing knowledge about behaviour change (such as bibliotherapy) Belonging – groups and community events (such as Hackney One Festival) Self determination – a sense of identify and control (such as East End Boxing Lives) Place based activities (such as proposals to ban smoking in parks)

Hackney Shadow Health and Wellbeing Board: defining a role for cultural services 1.Children’s health, especially the under 5s 2.Tobacco controls, with a renewed focus on prevention 3.Mental health and working age adults 4.Services for people with dementia – and their carers

Some Questions How much prevention activity do we have to do in a population before it has a impact? How do we ensure that we do not, inadvertently, worsen inequalities? How do we change cultures of colleagues in adult social care and health services to refocus their actions to promote independence? How do we increase awareness amongst colleagues within culture of their role in promoting independence? Where is the evidence of what works?