Curiosity and Community: Strategies for North Yorkshire Wellbeing

1. CREATING A CULTURE OF CURIOSITY Community First Yorkshire conference “I want to see change. How do I influence policy makers to develop a strategy?”

2. TODAY What do you see as the main changes affecting North Yorkshire communities? What role does curiosity play when developing a strategic response? How can the voluntary, community and other sectors influence and shape as part of the collective effort of improving population health and wellbeing in NY? How does the County Council’s Health and Adult Services directorate approach the challenge of strategy development?

3. Let’s have a crowd-sourcing moment: how do I influence policy makers to develop a strategy?

4. BIG HEALTH WARNING These are my personal views… In asking the questions, you are making me more curious!

5. What do you see as the main changes affecting North Yorkshire communities?

6. SOME OBSERVATIONS ABOUT NORTH YORKSHIRE • Older people are often the glue of our communities. • We have social capital here that would be the envy of many other places. • Inequalities really do exist here. They just look different. • Full employment but in-work poverty is a growing issue. • Rural and coastal communities face real challenges. • Digital has to be at the heart of things, rather than a bolt-on. We need to harness it. • Human relationships are the start, middle and end.

7. SOME OBSERVATIONS ABOUT NORTH YORKSHIRE • Solutions from London are not usually the answer – and they may be less forthcoming for the next few years • The statutory sector is changing • The voluntary sector is changing • Are we too polite? We need to be more propositional and less deferential. • What about the untapped influence of 30/40/50 year olds? #our generation

8. What role does curiosity play when developing a strategic response?

9. WOW…AND SOME! • We need to be more curious • Asking good questions is a pre-requisite for great solutions • Social media is a force for good in nurturing curiosity • Move beyond silo mentalities • “Only connect the passion and the prose” • Try these….. www.curiosity.com www.harrogateinternationalfestivals.com/salon-north/ www.communityfirstyorkshire.org.uk

10. How can the voluntary, community and other sectors influence and shape as part of the collective effort of improving population health and wellbeing in NY?

11. SOME PERSONAL REFLECTIONS • Strategies matter… • They matter more if they: • Capture the zeitgeist • Are co-produced • Combine the best of all that is local and national • Are SMART, practical and deliverable • Are underpinned by £ and people who can deliver them • Culture can eat strategy for breakfast

12. SOME PERSONAL REFLECTIONS • Traditional ways of policy-making are changing • Equity of voice? • Where is power? • Alliances and coalitions • The power of example: social movements

14. SOME PERSONAL REFLECTIONS • Be passionate • Be propositional • Network, network, network • Bring something to the table • Help open people’s eyes and minds • Be flexible, listen to others and be prepared to influence and be influenced • Be pragmatic: purism rarely results in practical change

16. How does the County Council’s Health and Adult Services directorate approach the challenge of strategy development?

17. PUBLIC HEALTH, ADULT SOCIAL CARE AND THE NHS IN NORTH YORKSHIRE Formal governance • Health and Well-being Board • County Council Executive • NHS Governing Bodies Informal governance • People with lived experience • NY and York Chief Executives • Voluntary Sector leadership • Provider networks • The NHS: emergent Integrated Care Systems • Housing

18. Theory into practice: testing out some early thinking about the County Council’s Health and Adult Services plans to 2025

19. Very DRAFT

20. OPPORTUNITIES FOR EVERYONE,EVERYWHERE • Reduce inequalities experienced by people in the 11 LSOAs with the poorest health outcomes • “Friendly communities” in place, with specific points of contact and support and more comprehensive self-help, irrespective of age or ability • No one sectioned under the Mental Health Act because of dementia because of a better range of services • More people physically active and fewer people obese • Making progress towards zero suicides and better life expectancy for people with mental health issues and learning disabilities • “Prevent, reduce, delay” more people needing care because we support people to be part of the community and to support themselves • A modern offer in place for carers and the people for whom they care • A diverse and inclusive workplace

21. HOME FIRST • Targeted programme ensures that more people with ambulatory-sensitive conditions are supported at home, rather than in hospital • Confident and consistent practice in place for everyone using social care • Digital as a core component of all services: prevention and self-care, online support networks, reablement, care packages, carebots giving people more control over their care • Integrated primary, community and social care in every locality, drawing on the Scottish and Canterbury NZ model • 5 years into the 10 year York and NY Health and Social Care Plan: planned shift to the community, viable general hospitals, re-purposed community hospitals • Next generation of supported housing, extra care, nursing care and keyworker housing starting to show good results in sustaining the care market and giving better options for where people live MY TIME AND CUSTOMER EXPERIENCES ARE VALUED • Single person-held integrated, electronic care record • Care assessments and financial assessments synchronised and many more completed online, with the help of chatbots and other digital tools and products • Online bookings for short breaks and other services • E-rostering rolled out • Much greater co-production with people using services