Launch Event: How Health Services are Provided in City and Hackney CCG

1. Matt Clack Launch event- 19th October

2. How health services are provided (1)

3. How health services are provided (2)

4. How health services are provided (2)

5. The City and Hackney CCG • Understanding the health needs of the population • Facilitating the design and redesign of services • Buying services • Measuring the impact of services and how well they are provided

6. What is Public Health? “The science and art of promoting and protecting health and well-being, preventing ill-health and prolonging life through the organised efforts of society”

7. How we’re integrating what we do • Integrated commissioning, bringing together the CCG, Adult Social Care, and Public Health in both areas • 4 ‘workstreams’, with specific priorities and goals • Intention to pool budgets, this scheme is one of the first

8. Principles of the Healthier City and Hackney Fund • City and Hackney’s populations face many significant health challenges • Some have persisted for years, and are ‘wicked issues’ • New minds for old problems • Different funding streams with different intentions • Patients/service users at the heart of services • PPI priorities: Integrated services Building Independence Confident and Informed Users Involving and listening to service users

9. The 3 funding streams • £500,000 in total • Healthy Activities • Healthy Ideas • Healthy Next Generation • ‘Funding+’ • Eligibility • Two-stage application process

10. Healthy Activities • Up to £60,000 (minimum £5,000) • Provision of activity relating to one of the two selected key issues: Mental wellbeing at times of change Supporting disabled young people to be physically active Improving uptake of cancer screening Helping people to get home from hospital • Single point of contact council officer, skills support, councillor ‘champion’, communications support

11. Healthy Ideas • Up to £20,000 • Radically new approaches to tackling entrenched problems, relating to one of the four selected key issues: Community-led approaches to multiple health risk End of life care Assistance with outpatient appointments Developing a ‘Welcome Hackney Baby’ offer • A proof of concept report and short pilot • Single point of contact council officer, challenge sessions, councillor ‘champion’, communications support

12. Topics in detail • Priority issues cover the topics we want to fund each year for Healthy Activities and Healthy Ideas • We provide direction in the aspects of each priority issue we are keen to fund- these are not prescriptive • Further detail in the priority issue briefings available on the Healthier City and Hackney Fund webpages

13. Two stage applications Stage 1 • Expression of Interest (eligibility, project outline, impact, target groups) • Shortlisting • Presentation to a panel • Shortlisting Stage 2 • Full application (project costs, delivery/outputs, exit plan) • Shortlisting and initial funding recommendations • Final decision by Cabinet and Integrated Commissioning Board

14. Mental wellbeing at times of change Brief – we’re interested in projects that produce tools and advice for staff and volunteers in local organisations to use to support people at key changes in their lives to support their mental wellbeing. Changes in life could include: coming out; moving house; losing money; arriving from abroad etc Avoid – non-specific, societal or historical causes of mental ill-health i.e. inequality; education; childhood trauma. New services- projects should look to direct to existing services rather than creating a new service

15. Supporting disabled young people to be physically active Brief – we’re interested in projects that reduce health inequalities in access to local services for disabled young people, and in how they and their families can be supported to find their own ways of increasing or maintaining good levels of physical activity Avoid – people aged 18-25 years; new physical activity services (unless there is no provision in the borough); approaches to active travel

16. Improving uptake of cancer screening Brief – we’re interested in ideas that raise awareness of cancer screening and increase uptake within different communities, particularly those where barriers/inequalities affect their current uptake and where rates of cancer are higher. We are also interested in ideas that improve the targeting of screening i.e. by identifying high-risk individuals Avoid – proposals should target specific groups, rather than promote universal increases in screening

17. Helping people to get home from hospital Brief – we’re interested in projects that help people re-adapt to life at home when returning from a stay in hospital. We are particularly interested in: reducing the likelihood of readmission; working with housing providers; working with people aged 18-60 (complex patients i.e. homeless, substance misusers and families). Avoid – those over 60 years old who are eligible for the Home & Settle programme at the Homerton.

18. Community-led approaches to multiple health risk Brief – we’re looking for novel approaches that draw out the strengths and assets of a particular community, developing models for how this can improve health, how these assets can improve public services, and how this influences businesses and other services around this community. Avoid – ideas that solely improve access to existing services through signposting and information, propose introducing new services, or that take a universal approach to health promotion.

19. End of life care Brief – we’re interested in ideas that propose new ways to address needs in the last years of people’s lives including: person centred care (encouraging people to express wishes and goals for their end of life care); support to carers and families; community approaches to last years of life (improving awareness of the need to talk about death and dying) Avoid – duplications with services already provided

20. Assistance with outpatient appointments Brief – we’re looking for ideas that can assist those who attend outpatient appointments (planned appointments, not A&E) through innovative ways, addressing current barriers like age, skills, language when receiving their outpatient care i.e. through use of technology or peer support. We’re also interested in ideas that increase self-management / management of primary care and reduce appointments; reduce new referrals; or reduce non-attendance at appointments Avoid – unplanned admissions such as A&E and services in GP practices

21. Developing a ‘Welcome Hackney Baby’ offer Brief – we’re looking for ideas to develop a package that can provide practical resources to families with newborns and increase awareness of and access to local services. Particularly interested in: transition to parenthood; maternal mental health; managing minor illness and accident prevention; safe sleep. Avoid – an app or directory of services. A baby box, sleep bag or similar package

22. Healthy Next Generation • Up to £8,000 • Explore cultural attitudes on being a healthy weight, what a healthy weight is and what it looks like throughout childhood • Black communities, Turkish communities, areas of high deprivation • Pairing community groups with academics • One-stage application process

23. Timescales *Written application closing dates only relate to those bids which are successful following the presentation of their expression of interest

24. Thank You • Newsletter signup- http://eepurl.com/4J939 • Google group- http://bit.ly/1ye3tL5 • Questions- publichealth@hackney.gov.uk • Apply! www.hackney.gov.uk/healthier-city-and-hackney-fund