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Arts and Health South West Culture Health and Wellbeing Conference Bristol The potential contribution of Cultural Services to Public Health and the development of Health and Wellbeing Boards. Pete Murphy Nottingham Business School Nottingham Trent University June 2013. Culture.
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Arts and Health South WestCulture Health and Wellbeing ConferenceBristol The potential contribution of Cultural Services to Public Health and the development of Health and Wellbeing Boards Pete Murphy Nottingham Business School Nottingham Trent University June 2013
Culture Organisational Culture of The policy making process in the Central Government departments producing the operating environment for the Arts and Cultural Services in the UK at the moment Department of Culture Media and Sport Department of Health Department of Communities and Local Government and Department of Education
The Policy Process in Whitehall • Evidenced based policy making or policy based evidence making? • ‘Public Health and health and well being boards: antecedents, theory and development’ • The development of the 2012 Health and Social Care Act
The development of the 2012 Health and Social Care Act and The Public health explanatory model
Art • They do say ‘Politics is the art of the possible.’ • When has hard evidence and the public interest ….. …ever got in the way or trumped… …political prejudice , ideology, powerful vested interest or potential personal preferment… …for these people
A few examples of their use of evidence? • ‘Michael Gove revealed to be using PR-commissioned puff-polls as "evidence” (New Statesman May 2013) • ‘Swedish free school operator to close leaving hundreds of pupils stranded (Guardian 31 May) • ‘Eric Pickles announces plans to scrap Audit Commission’ BBC news 13th August 2010 – and the DCLG research department and database • MP Maria Miller's Leveson connections "flagged up" in expenses probe, claims newspaper (Mirror 12th December2012) • ‘Jeremy Hunt to outline plans for more GPs - His instruction is contained in a “mandate” being issued to Health Education England’ (Independent 31st May 2013)
Depressed? Don’t be Why? Look at the antecedents of Public Health Look what is happening in the world outside the domains of Hunt, Pickles, Gove and Millar because Elsewhere, in some other countries where policy making is still a bit more evidenced based - let us see what sort of evidence is emerging? Culture and the Arts contribution is increasingly evident.
But first - some reassurance from home • Public Health and the development of Health and Wellbeing Boards and Health and Wellbeing Strategies – by statute these have to be evidence based • The evidence is contained in Joint Strategic Needs Assessments and the demise of the Planning system under Pickles and education planning under Gove has made these more rather than less important to Local Authorities • Robert Francis QC Report on Mid Staffordshire Hospitals has highlighted the need for independent scrutiny of Health and Social Care • Health Watch and Health Scrutiny are replacing the ineffectual LINks and although partially emasculated by the government have the potential to develop evidence based long term scrutiny as well as patient and public involvement in the scrutiny of the NHS and the Health and Social Care Sector
A recent case study andwhy Nottingham and Nottinghamshire? • Access to documentation and key stakeholders • Representative? - No but a “core city” and a two tier Local Government area • Potential - Recognised within health community for good practise and innovation - they have both received numerous recent awards e.g. BMJ Clinical Commissioning Group of the Year 2011 - JSNA Good Practise. Early Intervention Nottingham Declaration on Sustainable Development • Active national involvement - Their respective Directors of Public Health had been actively involved in developing the national public health agenda. • Challenging environments - Both “receiving” local authorities had particularly challenging Local Government Finance Settlements • Key Stakeholders -HUHT is 4th largest Acute Trust in the country and Nottinghamshire Healthcare Trust is one of only 3 all-service mental health trusts. • More informally there is a high profile link with Sir David Nicholson CEO of NHS and with the cross party “Early Intervention” agenda of Graham Allen and Ian Duncan Smith
The Example of Nottingham and Nottinghamshire • ESDN Conference September 2012 ‘Sport, Physical Activity and the establishment of Health and Wellbeing Boards in Nottingham and Nottinghamshire • October 2012 Chair Transition Board NHS Nottingham and Nottinghamshire to transfer people, estates, IT, etc to the 13 receiving bodies by 31st March 2013. • April 2013 – following the transition - Nottingham and Nottinghamshire Healthwatch were formally established • May 2013 – CEO and Chairs - discussed the possibility of links with Nottingham Tent University and University of Nottingham and the possible establishment of an Experts panel and a Knowledge Transfer Partnership
Re-assurance from abroad I suspect you know better than me Final Report of the Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Geneva, World Health Organization 2008. Richard Wilkinson and Kate Pickett The Spirit Level: Why equality is Better for Everyone (with a new chapter responding to their critics) Penguin 2010
These you may not - examples from (IRSM) Conference in Prague April 2013, Scotland and Wales • France - Measuring the impact of major cultural events (Arnaud, Soldo) • Netherlands – measuring financial impact; social impact and creative impact of theatres in 4 major cities (terBogt, Tillman) • Finland whole system and supply chain accountability during institutional change in public health (Mutiganda, Fagerstrom) • Draft National strategic Indicators Wales:2012-2013 – Leisure and Culture (Welsh Government) • Statutory performance Indicators for Scotland – (cultural and community services ‘covering at least sport & leisure, museums the arts and libraries) – (Audit Scotland)
What to do next • Collect all the relevant evidence from this conference • Rationalize and transfer onto memory sticks • Send to the 150 Local Authorities (their directors of Public Health and/or Directors of Cultural Services as potential evidence for their Joint Strategic Needs Assessments Or alternatively
Visit the Wellcome CollectionSouzou: Outsider Art from JapanThursday 28 March 2013 - Sunday 30 June 2013 http://www.wellcomecollection.org/whats-on/exhibitions/souzou.aspx?gclid=CKLpqtmMxbcCFfMPtAodqSoAPw 300 works of Japanese Outsider Art The 46 artists represented in the show are residents and day attendees at social welfare institutions across Japan. The collection comprises ceramics, textiles, paintings, sculpture and drawings.
Contact details Peter Murphy Nottingham Business School Nottingham Trent University Newton Building, Burton Street, Nottingham NG1 4BU Peter.Murphy@ntu.ac.uk Tel 0 (+44) 115848 8092 Mob 0 (+44) 77758 77949