1. Keeping Well in Communities Building Health Partnerships: self-care
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2. About Building Health Partnerships (BHP)
Designed to support local partners in health and care in delivering STPs by focusing on:
strong engagement with the voluntary community and social enterprise (VCSE) sector and citizens
activities and actions that promote wellbeing and self-care in the local community
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3. Why we are here today
To explore ways to utilise community asset based and social prescribing approaches to address some key (costly) health problems, prevent ill health and promote wellbeing, and to see this better reflected in commissioning approaches and Sustainability & Transformation Plans across the North East.
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4. Core group Amanda Healy – Director of Public Health, Durham
Catherine Parker - Health & Wellbeing Programme Lead, Public Health England North East
Chris Drinkwater – Chair Ways to Wellness
Guy Pilkington – Chair Newcastle Gateshead Clinical Commissioning Group
Jane Hartley – Chief Executive, VONNE
Jenni McAteer – Director Healthwatch North Tyneside
Tom Hall – Director of Public Health, South Tyneside Council
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5.
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6. Shared understanding of local priorities from last time
Whole place approaches to address problems such as employability (recognising all contributions)
Self-care training and workforce issues
Use of technology and apps to support access to community assets
How the money flows through the system to support self-care and how we can improve this
Contracting arrangements including barriers to engaging the voluntary & community sector, what we measure and who this matters to
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7. Guy Pilkington Chair of STP Prevention Work stream Chair of Newcastle Gateshead CCG
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8. NHS England Commitment:
“ We will work collaboratively with the voluntary sector and primary care to design a common approach to self-care and social prescribing, including how to make it systematic and equitable”
(p.45 Next Steps for the Five Year Forward View)

9. What messages are coming from NHSE
We’re building a ‘social prescribing movement’ across the NHS – great energy and potential to help make the NHS sustainable
It requires an asset-based approach – what do we already have in our community that we can build on?
‘Link worker’ connector model is key – they have time to find out what really matters to people and connect them with community support
Build it together, all partners in a local area are important
Can’t expect the voluntary sector to do everything for free!

10. Nationally what do we know ?
We know that:
Nearly half of all Clinical Commissioning Groups (CCGs) are investing in social prescribing ‘Community navigator/link worker’ programmes.
Social prescribing is included in 75% of Sustainable Transformation Plans (STPs).
1in 5 GPs regularly refer patients to social prescribing. 40% would refer if they had more information about available services (July 2017, GP Online Survey).
In South Yorks & Bassetlaw STP area all GPs are able to refer to social prescribing ‘community navigator/link workers’

11. Catherine Parker, Public Health England
Indications of need: Anti-depressant prescribing across the North East and Cumbria STP footprints
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12. What's happening nationally
The local picture
Looking at some related indicators
Looking at our assets

13. National picture
The number of antidepressants prescribed in England has risen sevenfold in the last 25 years according to one study of NHS England Data
Driving the increase;
Increase in need driven by social factors?
More people coming forward, increased awareness, reduced stigma?
Doctor and employer recognition?
Access to (or lack of) psychological therapies?

14. North East and Cumbria STP footprints- anti depressant prescribing

15. Indices of Multiple Deprivation

16. Access to psychological therapies
Access to IAPT services: people entering IAPT services (monthly) as % of those estimated to have anxiety/depression (based on GP practice code)

17. And what about our assets?

18. Thoughts…..
Difficult to draw any firm conclusions from a very brief look at a small number of indicators BUT
Prescribing levels are high for anti-depressants in our area
There are some (but not consistent) correlations with deprivation
Associated costs mean even marginal improvement could potential result in real savings
Access to therapies is comparatively good
Evidence tells us that social connectedness and tackling isolation as well as medication and therapies are significant enablers for mental health improvement

19. What does the problem look like?
What's driving the increase in your communities?
How might it be tackled collaboratively (and differently)?
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20. Making it stick
What are the big things we need to do next to make the change/tackle this problem?
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21. Break
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22. Jane Hartley, CEO VONNE What can help Insert slides @SocialEnt_UK
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23. VCSE Health and Wellbeing Fund
Theme for is social prescribing
Aim of the Fund
To promote equalities and reduce health inequalities by building the evidence base around good practice in social prescribing, sharing lessons and widening adoption of interventions with a proven track record.
3 years funding - Funding of up to £300,000 for the first year
Musts:
Provide evidence of a commitment from local partners for resourcing of : 50% in year 2, 80% in year 3, 100% year 4 onwards
Include the community navigator/link worker role within its social prescribing scheme model.
Be able to demonstrate strong established links with local partners
Deadline 21st Nov 2017
fund-2017-to-2018-application-form

24. Social Prescribing Network
Health professionals, researchers, academics, social prescribing practitioners, representatives from the community and voluntary sector, commissioners and funders, patients and citizens.
Sharing knowledge and best practice
Social Prescription Network newsletters
NE Yorks & Humber Social Prescribing Network established Summer 17. Next meeting in Newcastle Mon 15th January

25. Network’s new publication: ‘Making Sense of Social Prescribing’
What is social prescribing
Why do social prescribing
What do different models look like
What makes a good link worker
What makes a good referral
Governance and risk management
Evaluation
health-research-group/projects/social-prescribing- network

26. Place Based Social Action
Joint £4.5m programme between the Department for Digital, Culture, Media and Sport (DCMS) and Big Lottery Fund (the Fund) using National Lottery funding
Aims to create positive change by enabling people, communities, local non-statutory organisations and the statutory sector to work collaboratively to create a shared vision for the future of their place, and address local priorities through social action
3 stage programme offering different levels of support and funding at each stage
Phase 1 - Development - 5k available for 1 year for up to 20 places
Phase 2 - Delivery - £240k over 3 years for up to 10 places
Phase 3 – Scale and Sustain 5 partnerships awarded approximately £255,000 over 3 years
one application from each lower or single tier Local Authority
VCSE lead & must have evidence of partnership
Deadline 28th November 2017
social-action

27. For the future from NHSE
Common Framework for Measuring the Impact of Social Prescribing – initial scoping underway

28. Julie Daneshyar Public Health England
The Prevention Concordat
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29. Activate the ideas!
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30. Feedback and priorities
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31. Thank you.