1. Negotiating Commissioning models for Redbridge Swati Vyas – Health Partnerships Manager RedbridgeCVS

2. Case Study of RedbridgeCVS’ TB Awareness Project  TB rate is 55 per 100,000 population compared to 41 per 100,000 population in London. (2012)  Clinical work being done, but no interventions in the community  Stigma attached to TB  TB perceived as disease of the past  In 2012 RedbridgeCVS in partnership with national charity TB Alert organised a multi-stakeholder workshop including TB patients, TB nurses, voluntary and community groups, faith leaders, pharmacists

3. Gaps identified  Based on feedback from the multi-stakeholder workshop, gaps identified were:  Lack of awareness in communities most at-risk of TB  Lack of material available in Primary care – GPs, Pharmacies, communities  Lack of a forum where all stakeholders come together – there was just a clinically led group existed without community/patient perspective  Need to provide support to TB patients – peer support, information, sign posting etc  Lack of ongoing TB education for GPs

4. Redbridge TB Partnership and Health Buddy model  Multi-agency partnership including members from Public Health, Voluntary sector, TB patients, PHE, TB nurse and RedbridgeCCG set up managed and hosted by RedbridgeCVS oversees the TB Awareness project  Initial funding for 6 month pilot by Public Health Redbridge & NHS London to raise TB Awareness in Redbridge communities followed by a 3 year project commissioned by Public Health  Redbridge CVS developed a Health Buddy model – local leaders from communities at-risk of getting TB trained to conduct sessions in community languages using material developed by TB Alert as well as bespoke for the project  16 multi-lingual Health Buddies speaking 17 community languages reached over 4400 residents of Redbridge through 169 sessions  http://www.redbridgecvs.net/what-we-do/health/tb- awareness-project http://www.redbridgecvs.net/what-we-do/health/tb- awareness-project

5. Lessons Learnt  Champion within Public Health – Deputy Director of Public Health understands the voluntary sector  Involvement of stakeholders especially service users and their representative communities at all stages of Commissioning cycle  Interactive working relationship between the TB project and TB Partnership – two way process  Positive results from external evaluation showed the Health Buddy model works –trust and linkages of the Health Buddies with local communities, share same cultural background, speak community languages  Expansion of Health buddy model to other areas of work like HIV, Diabetes management and Latent TB (NHS England funding)  Wider issues picked up by TB Partnership – GP education – now available online as well as part of continuing education, information leaflets in Primary care, BCG vaccination for all new born babies etc.

6. Challenges  Ongoing communication is important between Commissioner, Procurement and Contract management teams to align objectives  Larger changes happening within Local authority  Social Value v/s Economies of scale  Short term v/s Long term outcomes

7. Thank you