1. Changing behaviour Changing culture Emma Rowse

2. Our shared purpose Supporting people to live the life they want to the best of their ability

3. Ingredients Guided conversation Voluntary sector coordination Volunteer networks Understanding what the community has to offer GP leadership and ownership Practitioners co-designing their solutions Supporting our mavericks

4. The Living Well team Living Well coordinator: Whole person supported guided conversation Care and support planning Practitioner liaison Coordination and managing volunteer support Brokerage Building social networks

5. Living Well coordinator

6. Living well volunteers Judy is a volunteer who was part of Newquay Pathfinder.

7. What about the rest…

8. What we did

9. What we learnt The importance of language Co-design = co-ownership Celebrate bravery and risk taking GP buy in makes a difference Build trust and relationships Infiltrate don’t implement The power of emotional connection Focus on individual behaviour change Practitioners are people too

10. Our impact Wellbeing Mental wellbeing +20% Practitioners experience 73% of practitioners feel Living Well can support people well to live the lives they want 70% of practitioners feel there has been a positive change in communication levels Financial A&E attendances -26.7% Non elective emergency admissions -37.4% Primary care +12.7%

11. Changes in Practice ‘This has opened up a whole new opportunity for new ways of working within the NHS…… as a health team we have benefited from the involvement of the volunteers…. This has been educational where I thought patients dependency would naturally increase… with a little input we have seen dependency decrease’ Dr Anderson Newquay

12. Changes in Practice ‘The PIP workers help people to manage their own conditions in their own home and prevent hospital admissions…. We are getting new ideas, learning and developing as district nurses’ Lucy Clement – District Nurse Team Leader

13. “Having the LWC present has been an asset to the ward team. They have helped ‘smooth the bumps’ out of the discharge process. For example when an OT went sick and it took two of them to deliver equipment, a volunteer was organised to help potentially saving 2 days length of stay. They are regarded as part of the team by the MDT and have a positive influence on the quality of our discharges and well being of the person. They also help advising relatives and carers on available support/ respite in the community and the financial benefits they are entitled to.” Tina Elliott, Ward Sister, Medical 1, West Cornwall Hospital

14. Our best lesson “ I’m treated like a human being again, not just a poor worn out old thing in a chair.” Annie

15. Discussion 1.What are the key behavioral/cultural changes you need to make in your partnership/organisation? 2.What is working well in your partnership/organisation to change attitudes and behaviour? 3.What single thing will you do differently after today to change attitudes and behaviour in your partnership/organisation (if anything)?