Sheree Bell, Commissioning OfficerEmily Jones, Commissioning Officer

Emma Hanson, Head of Strategic Commissioning

Life expectancy and long term conditions

Social Care/NHS

budgets

A Life not a Service !

What does a good life look like for you and your family and how

can we work together to achieve it?

We have a duty to promote well-being

The Care Act:• Places well-being at its heart: and makes it the primary

responsibility of local authorities to promote the wellbeing of both those with care needs and carers

• It shifts responsibility from providing services to meeting needs

• Focuses on the need for services to be preventative, and stresses the importance of using the existing strengths and assets of individuals and communities an assets based approach

Deficit Approach Asset Approach

Starts with deficiencies and needs Starts with assets in the community

Responds to problems Identifies opportunities and strengths

Provides services to users Invests in people as citizens

Emphasises role of agencies Emphasises the role of civil society

Focuses on individuals Focus on communities and neighbourhoods

Sees people as clients and service users Sees people as citizens and co-producers assomething to offer

Treats people as passive and ‘done to’ Helps people to take control of their lives

‘Fixes people’ Supports people to develop their potential

• Win / Win better care with less resources • A social enterprise that can provide and/or

broker care for the community• Increase engagement & community activity• Improve social relationships, increased

Neighbourliness • Capacity build employment skills• Support people to live as independently as

possible for as long as possible• Better supporting for family carers• A model for self funders too !

Outcomes

NewingtonBig Local

Wye

Our Place

Delivering Differently….. where?

Tale of Two Communities Newington Wye

‘Urban & Deprived’ ‘Rural & Affluent’

5210 residents 2282 residents

14.5% are over 65 35% are over 65

20 people are 90 or over 54 people are 90 or over.

51 people receiving an ongoing support package

28 people who receive an ongoing support package.

The total annual spend is over

£168,000 The total annual spend is over

£358,000

Theory of Change

Find Location

Familiarisation with location &

history

Identify KCC support, resources

& timeframe

Engage community activists, other statutory

community and voluntary sector bodies

Make formalised contact with the

community

Formal co-design group created

Communications strategy developed and implemented

Baseline data collection

Viable models identified

Model options appraisal

Preferred model identified

Outputs, outcomes and

impacts identified

Co-produced business plan

developed

Model implemented

Delivering Differently Model…

2 Kent County Council-

Commissioning Officers

1 Kent County Council-

Community Liaison Officer

1 Ashford Borough Council- Housing Manager

1 Ashford Volunteer

CentreManager

1 Public Health

Wellbeing Specialist

11 Resident

volunteers

Of which includes:• A Priest • A Poet • The Wye Surgery PPG

Vice chair • A District Nurse • An Ashford Borough

Councillor • A Community Agent• Parish Councillors • Two Carers

Wye:So who is in the group so far…..?

• Planning asset mapping• Considering models of delivery• Planning engagement with wider

community• Planning the communication between

them and other local/national projects/peer support

• Identifying other support mechanisms e.g. STAMP/ Over 75 projects etc.

Wye: So what are the group achieving?

Community Agent

Wye Surgery

Care Navigator

• Referrals, self referrals, friends and family• Appointments• Drop-ins• Identification of trends• Provision of local data

Community Agent

Care Navigator

GP Surgery

Residents

Ashford Volunteer Centre

Partner Agencies (including KCC)

PMG

Wye Volunteers: from and for Wye Community• Managed by AVC as a satellite branch• Offer of support, training and development/DBS checks where necessary• Befriending/gardening/dog walking/communication/community events… ?• Direction given from PMG regarding need and priorities• Volunteering opportunities for young people• Information/trends/ideas fed to the PMG

1 Volunteer representative from Ramsgate Neighbourhoo

d Plan

2 Volunteer representative

s from Newington Free Church

1 Volunteer representative

from Newington Community

Centre

1 Volunteer representative

from St Christopher’s

Church

1 Volunteer representative from Ageless

Thanet

1 Volunteer Big Local

Chairperson

Paid workers involved:• NHS Health Trainer• Carers Support

Manager• Big Local Community

Development Worker• Big Local Apprentice• Primary School Family

Liaison Officer• KCC Commissioning

Officer• Charlton Athletic

Youth Worker

Newington:So who is involved the group so far..?

10 Volunteer Residents

aged 15 - 94

• Still very much in ‘Forming’ stage• Completed SWOT analysis regarding members

of group• Set up a Facebook page & deciding on a group

name ‘Stand up for Newington’• Planning vision events to consult with

community around ‘What does wellbeing mean for you?’

• Learning about process of co-production• Accessing mentoring to apply for EU funding

What are Newington doing?

• This takes time … building trust happens slowly• Incorporate and build on learning from previous

work .. Our Place, Big Local • Challenge existing structures of hierarchy• Work with inter-personal dynamics• Ensuring inclusion of all members• Educating people on co-production and empowering

people to make decisions about their care• Establishing communication channels & methods

that are both viable and cost effective• Issues with obtaining and sharing data

Key learning thus far ….

• Bring this into all we do ..• Build projects on right foundations• Articulate outputs and outcomes• In order to maximise impact • and ensure evaluation is considered and built

in from onset• Working with our KCC Business Intelligence

Team

Theory of Change & Logic Modelling

any questions ?

Delivering Differently in Kent….