Pan-Lancashire Public Mental Health Steering Group Large Scale Change Project

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Pan-Lancashire Public Mental Health Steering
GroupLarge Scale Change Project

• Positive Well-being in Our Lancashire Making
  Our Communities Connected and Resilient

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Key Drivers

• Education
• Housing
• Employment
• Economy Social and Personal
• Environment
• Involvement/connectedness/inclusion
• Physical Health
• Ages Children, Adults and Older Adults
• Safety/Crime, Fear of Crime
• Personal Resilience
• Perception
• Evidence
• Care Pathways
• ABCD

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Elevator conversation

• Not only is there no health without mental
  health, but there is no true citizenship. We all
  have individual and collective responsibility for
  own well-being and for actions that impact on
  those around us.
• We aim to raise awareness of what well-being is,
  and what its determinants are, and encourage
  uptake of well-being promoting activity, such as
  the five ways to well-being, and by sharing
  skills and opportunities to influence
  determinants.
• Increasing need and reduced resources mean we
  need to do things radically differently now
  there is both an imperative and a willingness to
  do this, so we can sustainably improve the
  well-being of the population of Lancashire.

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Education

• Schools, colleges, universities
• Ofsted framework incorporating H W-B into
  that PHSE
• Adult non-vocational (diminishing)
• Pre-school
• Epigenetics (Mark Swift)
• Community pathway into education
• Peer mentoring
• Workplace training - resilient workplaces
• Redefining success in education

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Housing

• Social landlords community development workers
  clear role
• Town planning quality of built environment
  sustainable development
• Quality of housing recognising the impact of
  housing stock
• Empty homes strategy
• Mental health supported accommodation (Sue Hird)
• Approved list of housing for prisons (standards)
• Housing benefit cap
• Long term social regeneration of specific estates
• Homelessness overt and hidden
• Rural isolation
• Adaptation of housing to maintain independence,
  telecare etc

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Employment

• Business incubation for sole traders link to
  housing improvement, empty homes.
• Workplace health and wellbeing award schemes
• Good quality volunteering and time bank
  approaches.
• Employee volunteering schemes linking employees
  to community schemes
• Chamber of commerce etc

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Economy Social and Personal

• Building social capital -Time banks , social
  prescribing, ABCD etc.
• Credit unions, Welfare rights, trading standards,
  payday loans etc
• Supporting micro-economies in local communities
• Influencing large scale developments to ensure
  opportunities for local people MWIA, Health
  Equity Audit
• Community buying - Fuel poverty, renewable
  energy, electricity, target inequalities

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Environment

• Eco-therapy, green gyms
• MWIA on Environment policies and initiatives
• Healthy Streets, 20 mph
• Lancs community recycling network
• Community food growing and land share
• Parks and green spaces friends of..
• In Bloom, Best Garden, Yard, Alley contests
• Safe playing areas, parks etc
• Community clean ups, beach cleans

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Involvement/connectedness/inclusion

• Attachment of place and pride in your community
• See above
• Participatory budgeting
• Mental Health Social Inclusion
• Co-design and co-production of services
• Identification of community talent and skilling
  people up to be community activists
• Community reporters and journalism
• Intergenerational work, sharing stories
• Buy in from Elected Members county and district

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Physical Health

• Health professionals have a better understanding
  of the link between physical and mental health.
• Influencing screening to include MH in screening
  programmes and care pathways
• Linking Help Direct with GPs
• Develop sub-clinical pathways in primary care
• Improving physical health of people with serious
  mental health problems
• Improving mental health of people with long term
  conditions and physical illness

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Ages Children, Adults and Older Adults

• Transitions between ages i.e. 16-18, 64-65 and
  differences in very old age
• Lifecourse approaches
• Older Adult services illegal under the
  Equality act?

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Safety/Crime, Fear of Crime

• Asset approaches to improving community safety,
  vibrant, thriving neighbourhoods
• Turn whole Community Safety Partnership thing on
  its head
• Youth worker perspectives in crime and safety
• Media coverage and bad press

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Personal Resilience

• 5 Ways to Wellbeing
• Workplace initiatives
• Positive experience of education
• Psycho-social education
• Mental Health First Aid
• Reducing stigma of mental health and illness
• Celebrate and learn from failure redefine
  success and optimism
• Wanting what we have, not getting what we want

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Perception

• Create a vision/definition of what we mean by a
  happy and successful life
• Stigma esp, serious mental health problems,
  within particular communities, workplace culture,
  mindful employers
• Return to work, managing sickness and absence due
  to MH problems
• Local perceptions of culture, identity,
  aspiration,

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Evidence

• NW Wellbeing survey 2012
• Generate and learn from personal and community
  narratives meta-narratives
• Social Return on Investment
• Dig out useful tools and methods that can be
  distributed and shared
• Addressing the issue of how the dept/service
  making the investment arent the ones to make the
  savings e.g. housing invests, social care saves.

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Care Pathways

• Fully integrated care pathways from sub-clinical
  to inpatient.
• CCGs want to divert care pathways towards less
  clinical options
• Think Family / Total Family
• Mental health on the cardiac care pathway and
  other physical care pathway
• Building recovery into mental health pathways
• AE self harm response.

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Lifestyles

• More integrated lifestyle approaches, rather than
  separate smoking, drinking, exercise, weight
  life coaching
• Better understanding of what drives lifestyle
  choices more than Health Police
• Give people the power back to do for themselves
  what weve been doing for them for years

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Assets Based Community Development

• Multi-agency, multi departmental pilots in chosen
  estates to explore asset approaches to economy,
  health, education pathways, housing, environment
  etc. Pendle, Preston, South Ribble, Morecambe,
  Freckleton, Skem,
• Develop an evaluation/evidence gathering tool
• Link to peer mentoring
• Making better use of physical assets, connecting
  communities and services.
• Testing issues of trust, legislation, fear of
  litigation, health and safety fears
• Do something weve never done before and that we
  find uncomfortable
• E.g. sort out that patch of land, empty property
  etc
• Asset transfer community ownership

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Stakeholder Analysis - Education

• Schools governors thematic leads - PHSE
• Lancashire Heads Forum
• Infant Mortality Group
• Further Education principles network
• Individual unis
• Work place learning providers
• Unions relating to learning - workplaces

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Stakeholder Analysis - Housing

• Social housing providers
• Network of district housing officers
• Supported housing services
• Supporting people Sarah MacCarthy
• Empty homes officers
• National Housing Federation regional for a
  (Pete G has contact!)

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Stakeholder Analysis - Employment

• Job Centre plus
• Workstart
• Work programme providers
• Workplace health leads _ on board!!
• Occupational health we ought to be exemplars
• Economic development LCDL SMEs
• Chamber of commerce

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Stakeholder Analysis - Economy Social and
Personal

• Faith Groups
• Community resources associations
• Parish councils
• Community Futures
• MH Vol sector consortium
• Young Peoples Vol sector consortium
• Surestart

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Stakeholder Analysis - Environment

• Kayt Horsley Healthy streets
• Local councillors
• Groundwork NW
• Recycling networks county and district
• Countryside rangers
• Waterways

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Stakeholder Analysis Involvement/connectedness/
inclusion

• VCFS
• Associations
• Education partners
• Volunteers LCC and other orgs (Julie Sumner -
  One Lancashire for consistency and avoidance of
  duplication)
• Older peoples fora -
• Sports Associations
• Adrian Leather Sports Lancs

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Stakeholder Analysis Physical Health

• Integrated health improvement within Public
  Health
• CCGs
• Leisure
• Community pharmacists
• Libraries

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Stakeholder Analysis Ages Children, Adults and
Older Adults

• Pre-school, school, leisure
• Youth services/groups
• Intergenerational activities - libraries
• Workplaces
• Associations
• Older Peoples Fora
• Lunch clubs etc
• Co-produced activities

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Stakeholder Analysis Safety/Crime, Fear of
Crime

• community safety partnership local and county
• Probation service Andrew Cass and Emma/Jayne
• Prison health improvement
• Offender care pathway
• Youth offending teams
• Police PCSOs
• Victim support
• Refuges
• Media/communications
• Neighbourhood watch
• Care and repair
• Lancs Fire and Rescue
• Trading standards

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Stakeholder Analysis Personal Resilience

• Help Direct
• Social prescribing
• Peer mentors
• To promote 5 ways to well-being
• Workplace resilience
• Job Centre plus
• Survivors networks pro social modelling -
  expectations

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Stakeholder Analysis Perception

• Media
• Anti stigma leads and networks strengthened
• Provider services
• Survivor movements self stigma and challenging
  low aspirations
• Employers
• Health services

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Stakeholder Analysis Evidence

• Creating shared menu of stories/case
  studies/reports
• Send mental Elf link to group

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Stakeholder Analysis - Care Pathways

• CCGs
• Karen Green - LCFT
• CAMHS
• Sharing good practice examples of above with above

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Stakeholder Analysis - ABCD

• CCGs
• LCC commissioning
• Community development network
• CVS networks
• Local Area coordination leads
• Help direct
• Social prescribing
• Healthwatch
• Young peoples networks