1. 1. www.nationalvoices.org.uk @NVTweeting Health Literacy and the reforms: a voluntary sector challenge 1
2. 2. What if we made an intervention & nobody came? 2 Are NHS Health Checks a waste of time? 3 June 2015 Pressure is mounting on the Governments flagship vascular screening programme, finds Caroline Price In the dying days of his Government, former Prime Minister Gordon Brown announced all adults over 40 would be entitled to a free health check every five years. But if some GPs have their way, NHS Health Checks will suffer the same fate as the man from the Manse. An independent evaluation of the scheme, due out next month, will show poor uptake and limited benefits to those it identifies as high risk. Cochrane researchers said the Governments persistence with the health checks threatened the very idea of evidence-based public health care. The RCGPs new working group on overdiagnosis and overtreatment told PHE the programme should not be continued without robust evidence in support.
3. 3. What if we got person centred care I am listened to about what works for me, in my life. I am supported to understand my choices and to set and achieve my goals. I work with my team to agree a care and support plan. I have as much control of planning my care and support as I want. I can decide the kind of support I need and how to receive it. Taken together, my care and support help me live the life I want to the best of my ability 3
4. 4. Wellbeing Our Way 3 year programme funded by Health Foundation Aims to build the capacity of VCS organisations to support peoples engagement in their health and care Mapping VCS activity, establishing communities of practice, trying to improve volorgs policy and programme approach 4
5. 5. WOW interest so far Peer support: what works? Care and support planning: whats the role of community organisations? Demonstrating impact: how do we prove we are successfully engaging people? 6
6. 6. So what does VCS need from system? Commissioning as relational art not contracting Social Value approach But also different contracts NHS short contract; alliance contracts Different view of outcomes what matters to people, e.g. independence, social connection Interlinking navigation, social prescribing, more than medicine, involvement in MDTs/care planning Recognition of building peoples health literacy as contributor to better outcomes 7
7. 7. Where do we get it in The Matrix? Locally Fragmented commissioning: LAs, CCGs, LATs, specialised Commissioning split from public health Does commissioning work or should we target providers? Too many CCGs what about region, sub-region? Nationally 14 system leading bodies Do they lead systems? (NHS IQ, PHE, HEE) National strategies defunct or cant be named National clinical directors underpowered; clinical networks barely visible Who would be responsible for person centred care or related interventions? E.g. the one person in NHSE responsible for shared decision making 8
8. 8. So who we gonna call? Called for new national programmes/drives for person centred approaches e.g. care and support planning This is not integral to anybodys business PCC wont succeed unless health literacy challenge is recognised, researched and tackled Who is capable of this? 9 Gen II reforms
9. 9. In collaboration - tactics Build coalitions of the willing Bring statutory, think tank/academic, professional & voluntary sector together Work outside but alongside the system Work short term for long term Is it working? Zhou Enlai too early to say Could it work on health literacy? 10
10. 10. www.nationalvoices.org.uk @NVTweeting Health Literacy and the reforms: a voluntary sector challenge 11