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Report of People Powered Health and Wellbeing Programme to the Portfolio
Steering Group, May 2015
1.
Partnership work to raise the profile of co-production
The PPHW team has been active in working with other partners to spread the
message about co-production. We took part with the Joint Improvement Team (JIT),
Scottish Community Development Centre and the World Health Organisation in two
very successful workshops at the International Conference on Integrated Care,
‘Complex Needs, Integrated Solutions: engaging, empowering and enabling people
for active and healthy living’ in Edinburgh in March and the Programme Director also
acted as a plenary respondent. A contribution to the workshop by Reference Group
member Glenn Merrilees, who spoke of his personal experience of experiencing and
challenging discrimination was highly valued by participants who provided rich
feedback, such as this comment: “the patient voice and experience is a very
powerful tool and is real and true and worthwhile”.
We worked with the JIT and the Scottish Co-production network on a major new
resource about co-production, ‘Co-production, how we make a difference together’
which has been distributed to all health and social care partnerships and which
PPHW will help disseminate to the third sector. The resource includes a video
interview by Fiona Garven of the Scottish Community Development Centre with the
Permanent Secretary about the importance of co-production in delivering Scotland’s
policy ambitions, case studies edited by Nancy Greig from PPHW and a piece about
the PPHW programme.
The new PPHW website continues to be kept live with new resources and blog
contribution added regularly and the programme is building a strong twitter presence.
2.
Impact
We continue to follow up the impact of work delivered through the programme in
order to learn how to embed co-production approaches successfully and how such
approaches can best contribute to asset-based and person centred practice to
create improved outcomes for people.
For example, asset-mapping is a co-production approach which identifies, collects
and shares information about resources within communities. The aim is to assist
people and communities to achieve positive change using their own resources.
Assets are the resources, including the skills, knowledge and networks which people
and communities have to offer. In the PPHW programme, support to develop assetmapping is delivered primarily through the ALISS programme which makes assetbased resources findable. The Route Map to the 2020 Vision reiterates the Scottish
Government’s “commitment to shift the balance of power to, and build up and on the
assets of, individuals and communities”.
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PPHW has delivered two national asset mapping events and a session to NHS
person centred improvement teams in Greater Glasgow and Clyde which included
team members from MSK Outpatient Service, Occupational Therapy, Spinal Unit,
library services working with Community Mental Health Team, Pain Management
Physiotherapy, Palliative Care, Cancer Team, Older Adults Unit and Health
Improvement. Glasgow Council for Voluntary Service (GCVS) also funded training in
asset mapping for the third sector in Glasgow.
In a full to capacity event at the Gathering in February 2015, the learning from asset
mapping activity in Highland carried out by the Highland Third Sector Interface and
Let’s Get On With It Together was shared and participants took part in a brief
facilitated exercise that illustrated part of the approach. Participant comments
showed the value of bringing people together across areas and teams in order to
learn together. For example,
“I have met lots of new networks today, been empowered and inspired by how other
areas have made their asset mapping and community engagement work- and share
what challenged them along the way” (Perth event, December 2014)
'The mystery has been taken out of asset mapping. I feel it is about paying attention
to the everyday events that can be important to people's health and wellbeing...'
In order to find out whether participants in the asset mapping events were able to
apply the approach productively, they have been followed up and stories of how they
have used the approach and to what effect in Fife, Highland and Argyll have been
made available on the PPHW website (stories). The stories include audio, images
and video and draw out the learning points from each of these initiatives.
PPHW has also developed a video resource, ‘Inspiring Better Outcomes’, about the
impact of personal outcomes on the development of the InS:PIRE programme of
rehabilitation after intensive care at Glasgow Royal Infirmary. The video has been
accessed 107 times in the last month. It has been agreed with NHS Education for
Scotland to develop this further as an educational resource for their Leadership work
and also for their Effective Practitioner learning platform to support the continuing
professional development of band 5 and 6 practitioners.
Collaboration with NHS Greater Glasgow and Clyde in its person centred
improvement work has entered a new phase with the delivery of support for person
centred improvement work on personal outcomes (the latter facilitated by the Thistle
Foundation as part of the Personal Outcomes Partnership). The first cohort of teams
engaging with the Personal Outcomes Approach include a community respiratory
team, an older people’s mental health team, other teams supporting people with
dementia, a cancer team and a primary care team. We intend to capture in depth
the learning from introducing improvements based on this approach and we are
working with Dr Emma Miller of Strathclyde University on evaluating the personal
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outcomes work in NHS Greater Glasgow and Clyde. Personal outcomes work in Fife
has been developed over a longer period and we will be facilitating the sharing of
learning between the two areas.
Academic links
The programme has now developed a number of productive academic links. We
have worked with the Department of Nursing Studies at Glasgow University on
improving the engagement of people who use services and unpaid carers in their
nursing curriculum and contributed as a third sector representative to the Steering
Group for the review of the nursing programmes at Glasgow Caledonian University.
Through the Health and Social Care Academy we are partners in participatory
research on human rights with the Centre for Health Policy at the University of
Strathclyde and members of the PPHW Reference Group took part in a short film,
‘Action Research Group – Citizenship in Practice’, which was specially made for the
recent Academy/Strathclyde Masterclass on Health Citizenship with Professor
Michael Rowe of Yale University. We will be partners in forthcoming joint research
with Strathclyde and Yale on health citizenship in Scotland.
Inclusion and relationship building
Members of the PPHW Reference Group continue to engage with a wide range of
national developments. Following a successful speaking slot at a national
conference on integration, Glenn Merrilees was approached to speak and read his
poetry at a national telehealth conference. The Reference Group will be presenting
a participatory workshop on the value of engaging with people with lived experience
at the national Co-Production Conference on 12th May. Recently Lisa Gardner, with
Reference Group members has had productive exchanges with the Scottish Social
Services Council and Update and is co-ordinating cross-programme working at the
ALLIANCE with Young Scot.
Future plans and risks
Discussions are still ongoing about consolidating programme funding after
December 2015. The Programme Board has raised a new risk about loss of staff
before December 2015 impacting on delivery if funding is not to be continued.
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