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

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

3. 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

5. 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?

6. 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

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

8. What does that mean??

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

10. 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

11. 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

12. 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 and most likely to engage in these activities.
People with qualifications are more likely to keep learning and give.

13. 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…

14. 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??