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Commissioning for Wellbeing Outcomes (bringing it all together)

Commissioning for Wellbeing Outcomes (bringing it all together). Tim Anfilogoff Head of Community Wellbeing. What is an outcome?. A result A state of being we are trying to achieve Not a measure of how well we are doing but a measure of how well they are doing!.

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Commissioning for Wellbeing Outcomes (bringing it all together)

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  1. Commissioning for Wellbeing Outcomes(bringing it all together) Tim Anfilogoff Head of Community Wellbeing

  2. What is an outcome? • A result • A state of being we are trying to achieve • Not a measure of how well we are doing but a measure of how well they are doing!

  3. What is Community Wellbeing? ‘Flourish’ model (Perma) Positive Emotion Engagement Relationships Meaning Accomplishment (all have links to volunteering) Wellbeing and Public Policy, Martin E.P Seligman, July 2011

  4. PERMAEach is MeasurableEach is TeachableEach is Gameable

  5. Connect… Be active… Take notice… Keep learning… Give… A set of evidence-based public mental health messages aimed at improving the mental health and Wellbeing of the whole population. They were developed by the New Economics Foundation as result of a commission by Foresight, (HMG’s futures think-tank) as part of Project on Mental Capital and Wellbeing. Foresight. (2008). Foresight Mental Capital and Wellbeing Project: Final Project Report. London: The Government Office for Science. The Five Ways to Wellbeing

  6. The 49 Community Wellbeing Outcomes • Built on 10 Priority Outcomes of Prevention and Wellbeing Review • Looking at physical, mental, economic wellbeing and access • Community Cohesion, Big Society, Social Capital • Under development

  7. CWB most identified outcomes (in top 3)

  8. CWB outcomes not yet identified (in projects’ top 3)

  9. Volunteering: tool or outcome? • £1m invested in 82 lunch clubs • 3,100 users • 186 part-time staff • 822 volunteers – mainly 70+ • Only 8 projects identify volunteering in top 3 outcomes • But….

  10. Five point Likert scoring system None of the time = 1 Rarely = 2 Some of the time = 3 Often = 4 All of the time = 5 Warwick-Edinburgh Mental Wellbeing Scale Seven item scale • I’ve been feeling optimistic about the future • I’ve been feeling useful • I’ve been feeling relaxed • I’ve been dealing with problems well • I’ve been thinking clearly • I’ve been feeling close to other people • I’ve been able to make up my own mind about things

  11. Wellbeing by Involvement

  12. Wellbeing by Nature of Area

  13. Building a ‘healthy community’ Community ConnectionsTime-BankNew York • 100% surveyed benefited from being a member • Lowest self-reported annual income and those doing survey in Spanish had highest benefit • 98% could use skills to help others • 48% improvements in self-rated physical health • 72% improvements in self-rated mental health

  14. Building resilience of carers • 40% of family carers have psychological distress/depression • Increased rate of physical health problems • One in five gives up work to care • More than half fall into debt

  15. PCT Breaks Monies • Bringing Carers Breaks commissioning by HCC/PCT together in integrated way • Measuring health outcomes from ‘breaks’/’low level services

  16. Carers’ Risk of Depression SF12 Screening PCT funded breaks (includes Crossroads) Outcome 4: Stay fit and healthy and be safe Based on • 137 Pre and Post Support Questionnaires (including Crossroads)

  17. RCGP/e-Learning for Health Supporting Carers in General Practice (2011). Accessed via: www.e-lfh.org.uk/projects/supportingcarersingeneralpractice/index.html

  18. Evidence of benefits of noticing carers early (improving resilience) Caring with Confidence (CWC): ‘CWC does what it says.  It made me feel as though I was not alone and helped me with how to cope in different situations.  I also made lots of wonderful new friends” ‘CWC has taken me from 'being a victim of my circumstances' to realizing it's in my hands to be more positive and make a difference to my own life".

  19. Building resilience for all What do I do about? • Anti-Social Neighbours • Adaptations to home following a stroke • Befriending service for a client in care home • Looking for volunteering opportunities • Information about free school meals • Support with cleaning in the home We can help. Or we know someone who can Telephone 0300 1234 044

  20. From small acorns… • Recommissioning – adding PH outcomes • Link to JSNA • Clear outcomes for all partners/SROI • Increased social capital • Model of a ‘healthy community’

  21. tim.anfilogoff@hertscc.gov.uk 01438 844111

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