New NHS Alliance Newsletter – August September 2017
Read about our activities for August and September
New NHS Alliance Newsletter – August September 2017
New NHS Alliance Newsletter – August September 2017
Read about our activities for August and September
This flagship event was held in London on 5th July. It was attended by healthcare professionals and resident/expert witnesses, with a dynamic and interactive programme of presentations, workshops and panel discussions, chaired by Prof Paul Burstow, Birmingham Mental Health Commission.
The day was defined by the moving stories of motivational empowerment in action and how good being connected and in control made people feel; and the positive and enthusiastic sharing of ideas and innovations in health creation practice. We were encouraged by our delegate’s discussions, information sharing and energy for change, despite often citing how hard it is to change our mindset and to progress the journey of health creation in a reluctant system.
Welcoming delegates and speakers, NNHSA Chair, Heather Henry, commented that courageous new thinking is required to ensure that Health Creation and health creating practices become ‘business as usual!’ Chief Executive, Merron Simpson, gave a reminder that there is a growing urgency for the NHS and other sectors to move quickly to adopt Health Creation as a routine part of what it does.
Which is why the Alliance have identified the 5 features of health creating practices in our manifesto – because it offers those working at any level within any organisation a starting point for creating conditions for people to increase their levels of the 3Cs (Health Creation).
NB: ITN Productions filmed during the day and interviewed various speakers. You can view the video clip by clicking on to this link and downloading – https://itnproductions.wistia.com/medias/m0qmadosyn#
Held in London on 12th July, the workshop was attended by a broad range of stakeholders and explored what needs to happen so that health and care systems focus their attention and value what matters to people.
Our workshop was supported by AbbVie, who are taking a lead in supporting the NHS to measure what matters. Through its work to kick-start decisions about value; its support of ‘Talking AS’ – a PROM for ankylosing spondylitis
and the Fit for Work Coalition’s focus on work as a health outcome, Abbvie has already done a lot to change the conversations at both strategic level and between clinicians and patients.
Peter Hay, our National Executive Member and former Strategic Director for People, with Birmingham City Council, has been appointed Treasurer of the New NHS Alliance.
Following our AGM on 5th July, we are delighted to announce we have appointed some new members to our NNHSA National Executive. Our National Executive now comprises:
Heather Henry (Chair)
Dr Brian Fisher (Vice-Chair)
Merron Simpson (CEO)
Peter Hay (Treasurer)
Dr Ken Aswani
Dr Mark Spencer
Dr Niti Pall
Dr Campbell Murdoch
Dr Laura Hill
Dr John Walsh
Michael Palmer will be speaking on behalf of New NHS Alliance at the Lib Dem Party Conference in Bournemouth on 16 September, alongside Prof Paul Burstow and Sir Michael Marmot.
Look out for our New NHS Alliance session on ‘Health Creation and STPs’ at NHS England’s Health and Care Innovation Expo 17, at Manchester Central. Our session kicks off at 9am on 12 September!
Recent New NHS Alliance press releases and position statements:
New NHS Alliance Responds To Accelerated Access Review (AAR) Funding Announcement
New NHS Alliance Responds To King’s Fund Analysis – Local Authority Public Health Budgets For 2017/18
New NHS Alliance Summer Event – A day of Debate, Discussion And Commitment To Health Creation!
To download a PDF, please click on this link: New NHS Alliance Newsletter May 2017
In this May issue:
Launch of ‘A Manifesto for Health Creation’
The New NHS Alliance ground-breaking and visionary Health Creation Manifesto was officially launched on Tuesday 16th May. The Manifesto articulates what Health Creation is, contains many stories of health creation and explains how practices can change to become health creating. It details 10 High Impact Recommendations for a health creating health system – and calls for:
We have received very positive feedback from a wide range of stakeholders – organisations and individuals – who enthusiastically promoted it around their networks and Twitter followers. Of particular note is that the 3 Cs of Health Creation – control, contact and confidence, and our vision of what will be different when health-creating practice is happening at scale – and what needs to happen to get from here to there, appeared to resonate strongly. Please help to publicise it to your wider networks using the twitter hashtag #HealthCreation
You can find the Press Release here: https://www.nhsalliance.org/mediacentre/new-nhs-alliance-launch-manifesto-health-creation/
And the Manifesto document here: https://www.nhsalliance.org/wp-content/uploads/2017/05/New-NHS-Alliance-_-A-Manifesto-for-Health-Creation-May-2017-1.pdf
New NHS Alliance Summer Event & AGM: 5th July
Our Summer Event is taking place in central London, on Wednesday 5th July at: Impact Hub Westminster, 1st Floor New Zealand House, 80 Haymarket, London SW1Y 4TE. It is free for members to attend. If you would like to reserve a place, please contact Debbie Cookson by emailing firstname.lastname@example.org. This all-day event will be an excellent opportunity for reflection on the framework and recommendations we have put forward in our recently launched Health Creation Manifesto.
There will be stimulating and thought-provoking panels, debate and discussions and topics we will explore include: health creating practices in GP/primary care, creating health through work, a new paradigm for mental health, Psychologically Informed Environments and health creation.
All Party Parliamentary Group – Primary Care and Public Health – Inquiry into Managing Demand in Primary Care
The New NHS Alliance have submitted written evidence to the APPG Primary Care and Public Health Inquiry. We welcome the opportunity to give oral evidence to expand further on the points highlighted in our document; but the Inquiry has been put on hold due to the General Election. Our submission focuses on ways in which communities can work with primary care to reduce demand and was a summary of collated evidence drawn from a wide range of our members’ experience on reducing demand in primary care. Thank you for sending us your evidence. You can find our submission here: https://www.nhsalliance.org/?generaldocs=new-nhs-alliance-submission-appg-primary-care-public-health-inquiry-managing-demand-general-practice
Active Alliance West Midlands meeting in Birmingham
Fifteen New NHS Alliance West Midlands based members met for the first time and heard Peter Hay, Director of Social Care at Birmingham City Council and member of New NHS Alliance National Executive, talk about his Health Creation in Birmingham project. Describing the project as ‘an antidote for an outgoing Director’ his presentation outlined his early findings on the dynamics of the ‘community tapestry’ in Birmingham, how it functions, how it’s funded and how it creates health. New NHS Alliance looks forward to learning more about Health Creation in Birmingham and intends to publish this insightful project later in the year.
Co creating health through work workshop
In February 2017, The New NHS Alliance ran a workshop with key opinion formers from health, housing and the employability sectors to explore “What needs to happen so that we support employers, the NHS and people who live with long term health issues to create health through work?” Supported by APM and Groundwork, the group shared their diverse perspectives and reflected on current practice in creating health and improving work-related outcomes, and imagined solutions to move this agenda forward at pace and with a strong emphasis on the contribution of communities and community based support. You can find the report on the workshop here: https://www.nhsalliance.org/wp-content/uploads/2017/06/NHS-Alliance-work-health-creation-summary-report-v4-030517.pdf
New NHS Alliance Workshop 12 July – in association with Abbvie
“Measuring what matters: embedding health creating outcomes at scale”
The purpose of this seminar is to explore with a broad range of expert stakeholders in the current system who have succeeded in transforming the way personal outcomes are understood, supported and measured, what needs to happen so that health and care systems focus their attention and value what matters to people.
The workshop will:
This is a seminar-style event and places are limited. If you would like to attend and believe you have particular knowledge or perspectives to contribute to this, please contact Georgina Craig by emailing: email@example.com
Chair of New NHS Alliance speaker at RCN Congress
Heather Henry, New NHS Alliance Chair, raised wellness as a matter of discussion and debate with 5,000 nurses at the recent Royal College of Nursing annual congress. She encouraged delegates to consider a wellness model to support patients, and cited the Salford Dadz project as an example of wellness. In her platform address, she said there was a still a general tendency to focus on what is the matter with people rather than what matters to them.
New NHS Alliance Chair on BBC ‘One Show’
Heather Henry, New NHS Alliance Chair, appeared on The One Show on BBC1, talking about the ‘Dadly Does It’ project, showing how local dads find ways to solve their own problems, which in turn, help to make their children’s lives better. ‘Dadly Does It’ is funded by the Lankelly Chase Foundation following an initial grant from Salford Clinical Commissioning Group. https://mobile.twitter.com/HeatherHenry4/status/860214095882182663/video/1
New NHS Alliance Twitter Chat: 10 August
In collaboration with @WeCommunities & @WeGPNs New NHS Alliance @nhsalliance will be co-hosting ‘What Matters to You’ a multidisciplinary Twitter chat between 8-9pm on Thursday 10 August. Using the hashtag #WeMDT – the Tweet chat will feature the former BBC Apprentice candidate, Jaz Ampaw-Farr.
Recent New NHS Alliance press releases and position statements:
New NHS Alliance Launch ‘A Manifesto For Health Creation https://www.nhsalliance.org/mediacentre/new-nhs-alliance-launch-manifesto-health-creation/
New NHS Alliance highlights an opportunity for NHS England Area Teams to engage Community Pharmacy in providing flu vaccination to reception and school age children https://www.nhsalliance.org/mediacentre/new-nhs-alliance-highlights-opportunity-nhs-england-area-teams-engage-community-pharmacy-providing-flu-vaccination-reception-school-age-children/
Pharmacists in General Practice – Simply not enough https://www.nhsalliance.org/mediacentre/pharmacists-general-practice-simply-not-enough/
NNHSA Position Statement – Next Steps https://www.nhsalliance.org/mediacentre/nnhsa-position-statement-next-steps/
New NHS Alliance Welcomes NHS England ‘Next Steps On The NHS Five Year Forward View’ Report – Acknowledgement of Health Creation marks turning point for health system
New NHS Alliance newsletter – January 2017
Active Alliance Launch – Wednesday 22nd February, 10.15 to 16.00, Central Birmingham
– Let’s Infect the Health System with Wellness!
Many of you have joined the Alliance because you are passionate about addressing health inequalities and want to focus on ‘what creates health rather than what prevents ill health’.
New NHS Alliance invites all its members to become more actively involved in helping us to do this.
At the meeting, we will share with you our developing vision for the health sector and for the New NHS Alliance. You will meet other like-minded individuals there and there will be scope for you to bring ideas to explore and shape, and to contribute in many ways to furthering our collective vision. We will use Open Space for part of the session, which allows participants to self-organise around issues that are important to them and work out what actions to take.
If you would like to attend, please email Debbie Cookson at: firstname.lastname@example.org
New NHS Alliance responds to Theresa May’s plans for a seven-day GP service
– Calls for ‘whole-system-and-wellness’ approach to current NHS pressures –
In response to the Prime Minister’s announcement on NHS pressures and general practice, the New NHS Alliance is calling for a cohesive ‘whole system’ approach together with a new focus on keeping people well, rather than scapegoating GPs for the increased emergency demand and pressures facing hospitals.
CEO, Merron Simpson, said: “The current NHS problems are not the fault of any single part of the health system; it is well known that they are due to a mismatch between types and level of demand, the peculiarities of a health system that is badly in need of reform and a chronically underfunded social care sector that is now being stretched beyond breaking point. We know that measurement and financial incentives are set up in all the wrong ways and that those places that are really trying to adopt better and Health Creating approaches that better meet the realities of day to day life in the communities in which they are based – and reduce demand in the process – are having to bend the rules to do so. We need to re-write the rule-book and re-set the financial incentives so they work in favour of health creation and of outcomes for people, rather than being based on throughput in specific parts of the system”.
GP Ken Aswani, New NHS Alliance spokesperson on primary care, added: “Health is built in the community; we must take action alongside our communities to stem demand. The NHS has made strides in encouraging self care in the population, but we are fighting against a consumer culture. The crisis in the nation’s health belongs to all of us, not just the NHS. At New NHS Alliance, we see communities as assets and draw on the capabilities of the full range of sectors – such as housing, the police, education, fire service and local businesses. We call for local discussions, through the STPs process, to see where we can unlock these assets and hidden wisdom to find solution to some of the most wicked problems; the avoidance of social isolation, finding out ‘what matters to you’ as much as ‘what’s the matter with you’ and addressing the causes of the causes of health problems needs greater focus.”
“Greater efforts must be made to ensure patients are aware of the available self care resources and the excellent heath-care advice and support on offer at local community pharmacies. We deplore cuts in the community pharmacy services – high street access to support for minor illness and the management of long term conditions is needed now more than ever. Interventions such as patients having access to their records can also increase primary care capacity.”
New NHS Alliance also acknowledges that there are significant variation in operational quality – again, across the whole system – and that measures to improve the worst would help.
Dr Brian Fisher, Vice-Chair, commented: “General practice is under severe strain with too few GPs and increasing demand and a freezing financial climate.”
“There is evidence that improved GP access results in less demand at A+E and that the relevance of the assistance provided varies. We point to GP surgeries like Hope Citadel in Oldham where nurses help local people with financial and housing problems where these are the underlying reasons for presenting. And places like Wigan where social workers routinely signpost people back to community groups and sources of neighbourhood support. Hospitals also improve if they have well run emergency departments, improved flow through the hospital and effective arrangements for discharge. There are a number of ways in which A+E can safely reduce demand. For instance, routing to a primary care service based in the hospital the 30% of patients who do not need A+E.”
The NHS is not failing but it could be made to fail. The current casting of GPs as the weak link is inaccurate, unwise, unwelcome and likely to backfire. LMCs have already threatened to take industrial action.
It smacks of desperation on the part of the government to blame sectors of the NHS and care; to refuse to accept that there is a huge and growing problem in health and care delivery, and to play fast and loose with the facts about funding. Theresa May’s criticism of NHS England chief Simon Stevens for not doing enough to try to alleviate the crisis – despite his valiant efforts at system transformation – was both unreasonable and counter intuitive.
New NHS Alliance Chair co-authors international paper on father and child wellbeing
The paper, called ‘Evaluating a community-led project for improving fathers’ and children’s wellbeing in England’ explains how fathers in a community in the North West of England worked together to find their own sustainable solutions to their wellbeing issues. The focus of the work was to see what impact improving the wellbeing of fathers would have on their children.
‘When I grow up and have kids of my own I’ll bring them to [the project]. I know what my dad’s done for me. Everything he’s done for me I can pass on to my kids.’
The paper suggests that commissioners shift their focus from services delivered ‘to’ people to helping residents find their own solutions by working alongside them.
To request a copy of the article and view the abstract click here.
Missed our annual summit? Here are the highlights‘
None of us is smarter than all of us’
On 1st December we held our annual summit at the King’s Fund. You can view photos, video’s and tweets from the day on our website here
Comments on Twitter:
@nhsalliance : #healthcreation Hazel Stuteley: as a student nurse shocked by difference in health in people living in Deptford and those in Blackheath
@Alpha_mngtservs : Health creation is about communities; they hold the key to their health & wellbeing – panel @nhsalliance Listen to them #HealthCreation
Dr Mark Spencer steps down as Co Chair of New NHS Alliance
GP Mark Spencer, the co-chair of New NHS Alliance has stepped down from his role. Dr. Spencer has been instrumental in the re-launch of the Alliance, which now focuses on addressing health inequalities by ‘infecting the health system with wellness’. In his role as a Fleetwood GP he has led by example. He is featuring in a series of BBC programmes as ‘the doctor who wants to make his town better’.
Dr. Spencer wishes to focus on his clinical work and his leadership role with ‘A Healthier Fleetwood’ He retains a position on the National Executive of New NHS Alliance.
His co chair entrepreneurial Queen’s Nurse Heather Henry, thanked him by saying
‘Mark has been instrumental in completely re-launching New NHS Alliance. He is an ambassador for our approach to ‘health creation’ – a social model of health – in primary care. He will continue his influence through our national executive.’
Dr. Brian Fisher, also a practicing GP, will continue to work alongside Mrs. Henry as vice chair of New NHS Alliance.
Shared Society and Mental Health – PM’s vision
New NHS Alliance welcomes the Prime Minister Theresa May’s announcement of the government’s intention to overhaul mental health services.
In particular, we applaud the focus on young people and the recognition that responsibilities for addressing people’s mental health problems lie beyond the NHS – with schools and employers mentioned in particular. Given that around half of all mental health problems start in adolescence while currently just 6% of the mental health budget is spent on children and young people, a much greater focus on the younger age-group is essential.
We welcome the emphasis in the Prime Minister’s vision of a ‘Shared Society’ on addressing social injustice and the link between this and health. There is strong evidence for this and we are very pleased that it has been highlighted. Social comparisons are extremely damaging both to mental and physical health as demonstrated by epidemiologists Richard Wilkinson and Kate Pickett amongst others.
However, the connection between social injustice and mental health is lost later in her speech where the focus returns to a medical delivery model once mental health problems have become manifest. There is a much bigger job to do where mental health services themselves are designed to address, as Michael Marmot himself said, the causes of the causes of mental distress. Things like workplace stress, poor quality work and worklessness, childhood trauma, family breakdown, injustices in the welfare system, housing insecurity and homelessness. Until these causes are routinely considered by NHS services, we will be fighting a losing battle.
New NHS Alliance Chair and Queen’s Nurse, Heather Henry says “We do indeed need better access to mental health services, but we also need to fundamentally change the way we work across the whole of the NHS to understand and foster the causes of wellness and not just the causes of and management of mental illness. The Realising the Value report published last November by NHS England and others for example clearly indicates how the NHS and others can deliver social solutions.
Chief Executive, Merron Simpson says “We know of pockets of practice that go way beyond what the Prime Minister is advocating here in terms of creating health and turning people’s lives around. There is a need to reshape our health system to enable these to be much more widely adopted”.
To read the PM’s speech in full click here
In the News..
NHS conditions worst ever, say leading nurses BBC News
STPs published NHS England
Brain activity ‘key in stress link to heart disease’ BBC News
Majority of people would support raising National Insurance to fund the NHS YouGov
GPs asked to come into hospital to discharge patients and take on care Pulse
In search of health creation: community by community
It was great to see so many friends of New NHS Alliance – both old and new – at our Action Summit last Thursday, 1 December. We enjoyed hearing from Lord Nigel Crisp, Anu Singh, Jaz Ampaw Farr and a great many perspectives from academics, journalists, people with lived experience of health creation, GP leaders and those working in health creating ways in communities – from pharmacists to fire service, general practice and community nurses to housing organisations. We were also delighted to launch our Industry News programme ‘Healthy Communities Healthy People’, made in proud partnership with ITN Productions. We were thrilled to see so much enthusiasm and energy for the theme of Health Creation and we look forward to working with you through 2017 and beyond to ‘infect the health system with wellness.’
The start of something new
“Sensing the change in the zeitgeist”, “energetic and compelling”, “great inclusive atmosphere”, “the entire day was inspirational”…Just a few of the delegates’ comments from our Action Summit last week. There really was a great sense of enthusiasm and energy during the day. People were pleased to be able to really interact with each other and the great list of speakers – but the overriding sense was that everyone there was witnessing the beginning of something genuinely new and exciting. The Summit proved a great occasion to mark the 1st anniversary of New NHS Alliance and to launch the next chapter in New NHS Alliance’s exciting new journey. If you’d like see the highlights from the day, watch our video here or find out what people said on Twitter here.
Trojan Mouse Awards
We were delighted to be able to make three Trojan Mouse awards at our Action Summit, showcasing instances where small changes in practice have a large and lasting positive impact on communities. Winners also received £100 for their project. They were:
You can read more here
With many thanks to our Summit sponsors and partners: Janssen, ITN Productions, Pharmacy Voice, LOCSU, The QNI, National Housing Federation, abbvie and Velresco
149-153 Alcester Road