Putting people at the heart of services

Francesca CignolaHealth and Social Care Lead

Innovation Unit

The principles ofPeople Poweredpublic services

Recognising people as assets

•Everybody has something to contribute

•In health, people are ‘experts by experience’ of living with their condition

Ex: Crafty Needles group in Stockporthttp://vimeo.com/70933549

Recognising people as assets

•Everybody has something to contribute

•In health, people are ‘experts by experience’ of living with their condition

Ex: Crafty Needles group in Stockporthttp://vimeo.com/70933549

Mutuality and Reciprocity

•Two way transactions. From ‘you need me’ to ‘we need each other’

•Enable people to give back to the service and to their communities

Ex: Holy Cross Centre Trust timebankhttp://www.hcct.org.uk/what-we-do/timebanking/

Mutuality and Reciprocity

•Two way transactions. From ‘you need me’ to ‘we need each other’

•Enable people to give back to the service and to their communities

Ex: Holy Cross Centre Trust timebankhttp://www.hcct.org.uk/what-we-do/timebanking/

Blurring distinctions between consumers and providers of services

•Creating new professional and non-professional roles

•Redefining and revaluing work

Ex. Keyringhttp://www.keyring.org/what-is-keyring

Blurring distinctions between consumers and providers of services

•Creating new professional and non-professional roles

•Redefining and revaluing work

Ex. Keyringhttp://www.keyring.org/what-is-keyring

Social Networks

•The power of people helping people

•Peer support

Ex. Croydon Service User Network (S.U.N.)http://www.hear-us.org/aboutthem/croydonsupportgroups/othersupportgroupssun.html

Social Networks

•The power of people helping people

•Peer support

Ex. Croydon Service User Network (S.U.N.)http://www.hear-us.org/aboutthem/croydonsupportgroups/othersupportgroupssun.html

What it takes

Power

•Professionals handing over power

•People taking responsibility

•Services creating opportunities for people to take action

Looking for assets

•Shifting from a deficit based approach to an asset based approach

•Systematically map needs AND capabilities, from the system to the individual level

Commissioning for co-produced outcomes

•Service specifications that include expectation of building resilience and involving people and communities in outcome delivery

•Whole-life rather than silo approach to services

Measuring more things that matter

•Developing and using new indicators to capture new resources at play, the connections that services make possible, the steps in people’s journeys towards greater wellbeing and people’s experience of services and of their community

Why it pays

The People Powered Health business case

•7 per cent reduction in A&E attendance, planned and unplanned admissions, and outpatient admissions. •The NHS could save £4.4 Billion a year by adopting People Powered health approaches

http://www.nesta.org.uk/sites/default/files/the_business_case_for_people_powered_health.pdf

Shared Lives

•10 new long term arrangements generate pa savings of between £23,400 (older people) and £517,400 (learning disabilities)

“There’s more to do where I am now. I like being part of a family and supporting a football team and

going to the pub.” (service user)

“The whole village is contributing, but in a natural way.” (scheme worker)

http://www.sharedlivesplus.org.uk/why-use-shared-lives

Keyring

•Savings of 24% compared to other services

•Enables people to live independently

“before…I didn’t do nothing, never went out, had no social life. Now I do!”

www.keyring.org/DocumentDownload.axd?documentresourceid=81

Croydon Service User Network

• 6 months after joining the SUN project people see an 18% reduction in planned appointments and 31% reduction in non planned appointments and admissions

“Never attended a group that is so completely non-judgemental”

“Sharing difficult things with people who have had similar experiences, means there is always a wealth

of information (from 'lived experience rather than from text books) in the room at every meeting.”

Some ideas

Social Prescribing

Timebanking

Navigators and peer groups

Changing the consultation

Thank youFrancesca.cignola@innovationunit.org