Commissioning With Insight: Devon Healthy Lifestyle Service

Commissioning With Insight: Devon Healthy Lifestyle Service

• 1.
  Commissioning with Insight: DevonHealthy Lifestyle Service Steven Brown Assistant Director of Public Health Devon County Council
• 2.
  Plan • The Challenge •The Principles • The Approach • Where are we now?
• 3.
  The Challenge: Toreduce premature death in Devon The proportional contribution to premature death Source: From evidence into action: opportunities to protect and improve the nation’s health. Public Health England. October 2014. Main modifiable behaviours = Tobacco smoking, Physical Inactivity, Excess alcohol and poor diet Burden of disease attributable to 20 leading risk factors for both sexes in 2010 (expressed as a % of UK DALYs)
• 4.
  The Challenge: The Challenge! •Overweight adults 384,271 • Adults smoke111,400 • Physically inactive247,900 118,600 Adults drinking at harmful levels 1,781 Premature Deaths in Devon How do we reach/connect? What is the offer they want?
• 5.
  Background • Existing Service:- -Stop Smoking Service supported 1,200 individuals (794 quits) (3.1% smoking population reached) - Handles 3,000 Adult weight management referrals per year. - Works with around 400 ‘vulnerable’ individuals (Health Trainers) = 4,600 individuals supported by the service • Current contract ceases April 2016. • Increasing DEMAND on health and Social Care + LESS funding • Radically upgrade PREVENTION!..... …..More of the same is NOT the answer!
• 6.
  The Approach
• 7.
  A new HealthyLifestyle Service
• 8.
  Development of PersonaProfiles Healthy lifestyle Insight Healthcheck survey HealthWatch Resident survey Focus Groups 2011 Mosaic Analysis Healthy Weight Service feedback Discovery Day Devon Prevention Strategy Digital Inclusion research (economy) Devon Social Prescribing Evidence review HealthWatch Smoking survey
• 9.
  Persona Example
• 10.
  A Discovery Day Keypurpose of the day 1. New perspective on the challenge: - Understanding the customer. - Understanding the problems and market challenges. Let’s challenge our assumptions! 2. New perspective on the solution: - Explore and develop solutions for Devon - Freedom to think the unthinkable Let’s transform and innovate!
• 11.
  Focus Group Insight •What makes you happy? • What do you enjoy doing? • What gives you a sense of achievement? • Whose opinion do you value? • How do connect with them? • Who would you listen to about leading a healthy lifestyle? • What positive changes have you made and what prompted the change? • Thinking about the future?
• 12.
  Inform me: whatpeople said I will do it for myself with a bit of self-help I am happy to set my own goals I’m so busy I struggle to find the time to be active I often use Apps as a motivation I often use google to get advice and information If my jeans are too tight I will try and be good
• 13.
  Enable Me: whatpeople said It’s just too hard, half an hour walk there and back before you pay £5 to swim…I couldn’t do it if I took the kids I am self- motivated I would listen to what my Doctor had to say It’s all about the kids and my family I usually use google to find out information There is already loads of information available (on the web). Coordinating an easy to follow link would be the most effective way
• 14.
  Support Me: whatpeople said Don’t really trust ‘authority figures’, my GP would be my last resort Being able to play with my daughter…that’s just magic I never know if I have enough time, or am too tired but if I can fit it in and just turn up, that works Unless I think it is a real immediate health problem I’m not too worried I prefer to talk over the phone or meet face to face I don’t want someone telling me what to do! Money and access is a barrier
• 15.
  Common Themes • Aspirationsdiffer but all centre round the wellbeing and happiness of loved ones. • Family and friends ….powerful enablers • The words ‘Healthy Lifestyle’ interpreted as sporting activities. • Feeling of having a lifestyle imposed on you is aggressively rejected. • Health is a motivator but future health problems are not.
• 16.
  Market Warming Event
• 17.
  Devon Healthy LifestyleService Who are the customers, what are their needs and what is the offer they want + how do they want to access it? INSIGHT REACH OFFER Success Measures
• 18.
  The Service Offerinclude.… • Providing the right advice, information and support, focusing on: - Alcohol, Physical activity, Smoking, Alcohol + (Emotional Health and wellbeing) • Empowering, enabling and motivating people who want to take control of their own health and wellbeing: - Taking a personal approach / building relationships with clients, referrers and providers - Have a presence in the community, identifying & mobilising community assets and resources • Connecting people: - to local community assets - to services (DCC commissioned e.g. Stop Smoking Service and non-commissioned) • Targeting Health Inequalities: Proportionate Universalism • Continued service development: Changing technology, changing needs… commitment to work collaboratively and co-design the service!
• 19.
  A new DevonHealthy Lifestyle Offer
• 20.
  Tender to belaunched this week!