1. Implications for prevention and working with Health
Jo Webber Sandie Keene
NHS Confederation ADASS

4. All the forces in the world are not so powerful as an idea
whose time has come’
Victor Hugo

5. Learning from the past Importance of culture Role of leadership
Place of history and context
Time
Policy coherence
Focus on those who access support
Clear vision
Role of integrated health & social care teams
Outcomes based commissioning is the key

6. Developing the approach
Individual (micro)
Service (micro)
Structure (macro)

7. Developing the approach

8. Manhattan Project

9. Overcoming the challenges
Culture
Paying for services
Integrating the outcomes
Attitude to risk

10. ‘In the middle of every difficulty
lies an opportunity’
Albert Einstein