Opportunities for Culture to deliver on health and social care

1. Opportunities for Culture to deliver on health andsocial care Kim Wright – Corporate Director Health and Community Services

2. The Challenges and Opportunities • Reduce inequalities in health and wellbeing • Promote independence • Ensure all residents can access, and participate in universal cultural services • Transfer of public health to local government • Reduced budgets • Adult Social Care reform • Health system reform

3. The Model • Something for everyone • A little extra for some • More for those who need it most

4. Public Health transfer and CCG’s • (Potential) additional resources • Expertise (all sides) • New opportunities for new ways of working • Doing things differently • Evidence, evidence, evidence

5. Cultural Services:the evidence: what improves health and wellbeing • Activities – get people moving (Parks for Life; new age games, London Youth Games) • Information – building and sharing knowledge about behaviour change (such as bibliotherapy) • Belonging – groups and community events (such as Hackney One Festival) • Self determination – a sense of identify and control (such as East End Boxing Lives) • Place based activities (such as proposals to ban smoking in parks)

6. Hackney Shadow Health and Wellbeing Board: defining a role for cultural services • Children’s health, especially the under 5s • Tobacco controls, with a renewed focus on prevention • Mental health and working age adults • Services for people with dementia – and their carers

7. Some Questions • How much prevention activity do we have to do in a population before it has a impact? • How do we ensure that we do not, inadvertently, worsen inequalities? • How do we change cultures of colleagues in adult social care and health services to refocus their actions to promote independence? • How do we increase awareness amongst colleagues within culture of their role in promoting independence? • Where is the evidence of what works?