Health Network Event Notes from an event held on Wednesday 28 November 2012 at Brierley Hill Methodist Church 1. Purpose and objectives of the event The purpose of the event was to explore ways that our sector can capture valuable data and play a strategic role in improving health and wellbeing in the borough, with particular reference to the Health and Wellbeing Strategy and Joint Strategic Needs Assessment (JSNA). The event was facilitated by Lorna Prescott from Dudley CVS. Our objectives were for participants to • develop an understanding of the purpose and content of Dudley’s Health and Wellbeing Strategy and Dudley’s JSNA synthesis • consider how the Health and Wellbeing Strategy and data drawn in to the JSNA affects decisions and in turn how that affects your groups, organisations, communities and/or service users • learn about the Impact Assessment tool developed by Podnosh and piloted by a nonprofit organisation in Birmingham • discuss the benefits and risks of using the Impact Assessment tool in Dudley, and any new ideas which arise from hearing about it
2. Introductions The 13 participants (see Appendix 1 for participant list) were asked to find someone they didn’t know and find out a little about their role and organisation, and what interested them in this event. When they introduced their partners to the whole group some said that they were going to keep in touch, and Ian Ferguson and Jackie Kelly had already identified something their organisations could work on together.
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3. Health and Wellbeing Strategy and JSNA Rather than receiving a presentation on the Health and Wellbeing Strategy and Joint Strategic Needs Assessment (JSNA) synthesis, participants were given a set of cards (see Appendix 2) with headings and content from both of the documents (on green) and cards which explain the purpose of each, who is responsible for them etc. In groups they were asked to sort the cards in to 2 sets, one for the Health and Wellbeing Strategy and another for the JSNA synthesis.
Groups were also asked to consider how the content and use of each affects the voluntary, community and faith sector. Questions which arose and were discussed by everyone during this activity included. What is the current status of each? The Health and Wellbeing Strategy is still in draft and will be agreed by the Health and Wellbeing Board soon. The JSNA synthesis document has been pulled together in a final version which will go through various decision-making meetings for approval between now and early 2013. Data which underpins the JSNA will continue to be collected and shared, as the JSNA is an ongoing process, the synthesis provides a snapshot in time. • Are they collecting data/’soft’ stuff from commissioners/supporting people type staff for the JSNA? Commissioners haven’t been involved in the JSNA steering group to date. There was a desire to include stories and soft data, however the sort of information which agencies collect and could provide was more about their services and statistics. • Where does prevention figure? It is in both documents. • What’s the connection between CCG strategy/council plan and all of this? Representatives from the CCG and Dudley MBC are members of the Health and Wellbeing Board, so should ensure connections. The documents both go through Dudley MBC decision-making meetings for approval. •
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How is patient/client based data included in the JSNA? It isn’t directly, because the JSNA isn’t about individuals, it aggregates information. How can we influence? Through Dudley CVS staff - Andy is a member of the Health and Wellbeing Board, Lorna and Jayne attend the JSNA steering group. In the future through Healthwatch too - they will have a seat on the Health and Wellbeing Board. Dudley CVS will continue to convene these network events if there is interest in using them to influence. Are priorities already set? Yes, but they are quite wide. Community engagement? – was it meaningful? We think it could have been better. The agencies leading on the work have tended to rely on people coming to them, at large events with limited time for discussion and exploration. Dudley MBC hosted The Healthy Debate on 5 July - information and discussion documents are available here: http://www.dudley.gov.uk/resident/care-health/adult-health-social-care/gettinginvolved/healthy-debate/ The CCG also hosted a large event in the summer, see more here: http://www.dudleyccg.nhs.uk/how-we-have-listened Have key organisations been involved? To some extent, through the events mentioned and through ongoing relationships which organisations have.
Issues raised were: A lot of people we support don’t register with GP’s etc. We have hard data and anecdotal data that should be used. We are concerned about ‘silo’ data – it doesn’t make the connections across needs/ individuals/families etc….(whole person approach)
The digram overleaf from: Joint Strategic Needs Assessment and joint health and wellbeing strategies explained, published by the Department of Health, http:// www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/ dh_131733.pdf illustrates how the commissioning cycle, JSNA and Health and Wellbeing Strategy fit together.
4.Impact Assessment Tool Following a short break, Lorna introduced Nick Booth, Managing Director of Podnosh (www.podnosh.com) to give an overview of the Impact Assessment Tool which they have developed, and which has potential to provide soft data and stories for JSNAs etc., as well as helping organisations in our sector to assess the impact our work has and use it in reporting to commissioners, funders, trustees, clients etc.
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4. Participant Guidelines
Since 2005 Podnosh (www.podnosh.com) have been working with neighbourhoods, charities and local and national government to help people use and understand social media. They make a point of connecting their work in real places to large strategic organisations. Podnosh are based in Birmingham but work all over the place. They also make media video and audio - for the net and providing social reporting and blogging training and services. Podnosh created a website to make it easier to find and run social media surgeries to support voluntary and community groups, local charities and local active citizens. The website is a fantastic, free, online management tool for social media surgeries, which many people around the country (and now the world) use for free to help them run social media surgeries in their own time, as volunteer hosts. Dudley CVS use the site to manage three social media surgeries, in Dudley, Stourbridge and Brierley Hill. See http:// socialmediasurgery.com Podnosh have recently developed and tested a new tool called Impact Assessment which uses some of the same principles as the social media surgery site, including keeping things simple around outcomes and just asking a simple, open question to gather responses.
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An overview of the Impact Assessment tool The Impact Assessment Tool is an easy to use online system and database, which any number of trained staff and volunteers can use to capture a lot of information from individuals that they are working with (i.e. have a working relationship with). For each person that outcomes or change are being tracked for the organisation using the tool would already have, or set up, a system that holds their name, gender, age, postcode and work status. A set up question is used to collect some information about how things are for individual when the tool starts being used. After that, at any appropriate interval, the tool can be used: a) for the individual to self report their general happiness (or any other factor that can be indicated on a slider from a sad face to a happy face) and b)to collect written, video or audio feedback in response to one open question. The organisation sets the question - a really good open question is needed. The database side of the tool can then be used to analyse data collected. All words added by staff or volunteers are tagged, so you can sort by one word or a set of words (e.g. confidence ... or confidence and/or ability and/or skill). The other fields can be bought in: age, gender, postcode, work status ... and any such filters set up can be saved and shared on the organisation's dashboard. A map function can show results on a map. A map function can show results on a map. The screenshot below shows the management side of the tool, a view that the organisation would have from their dashboard.
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Handheld devices: The Impact Assessment tool is designed to be seamlessly used with handheld devices, e.g phones with camera and audio recording and capacity to enter text. Handheld devices are not essential - the tool can also just be used over the internet, and if needed or appropriate, information can be collected on paper and entered in to the system at a later time. App based: There is an App (available to download for free online for organisations who have bought the Impact Assessment Tool package) which enables staff and volunteers to simply use the tool on iPhones, iPads and androids. Data security: Only a little data is stored on handheld devices using the App, non of this is personal data e.g. only year of birth, only first bit of postcode. Everything else is held back on the organisation's server - it links up with a unique id. So even if a worker lost their phone, nothing on it could identify individuals. Online access: The user needs to be online when they log in but can then add text, video and audio offline. The App waits to upload media until your device is on wifi, it will queue on 3G. Text can also be added from laptop via a web browser. Following Nick’s demonstration of the tool he responded to a number of questions and comments from participants. A number of participants from voluntary sector organisations in Dudley expressed an interest in looking further at the tool with Dudley CVS, as there is potential to buy a package and share it. Action: Dudley CVS to arrange follow up discussion around the Impact Assessment Tool
5. Participant Feedback We asked participants about any contacts they intend to follow up and why. They said: • Nick Booth • Mary Stevens – joint working, perhaps fundraising • Podnosh – more info/how if can help Mary Stevens Hospice • Jackie Kelly, Mary Stevens Hospice • Chris Barron, Cancer Support • Other attendees for joint working/sharing • Continue to work with organisations 6
We also asked what information, websites etc. participants would look up or read after today: • Podnosh (5 participants said this, one wants to talk with trustees and managers re use of this tool, another intends to look in to it further). • Dudley MBC and relevant networks • JSNA and Health and Wellbeing Strategy Participants told us that the things they valued most in this event were: • Update on JNSA/HWB Strategy • Podnosh and learning about JSNA and H&W Strategy • Networking, discussions re: JSNA and current status functions of it • Finding out about the documents • Networking. Gaining more insight to JSNA/H&WS • Podnosh • Networking Things which could have made the event even better were: • More heat! • Could have been longer, some sessions were truncated • Table discussion would have been better if facilitated to stop a singular discussion • Email and contacts of all those who attended and where they work Participants would like to future events to focus on how they can feed into JSNA. One commented that this needs to be an ongoing process. Action: Dudley CVS to arrange this All respondents said that this event had helped them to explore ways that they can capture valuable data and play a strategic role in improving health and wellbeing in the borough, 12% said it helped a little, 63% said it helped a reasonable amount and 25% said it helped a lot. The following indicates how helpful people found the various parts of the session - the numbers are numbers of responses. Not helpful Introductions activity in pairs/threes Activity using cards about the Health and Wellbeing Strategy and JSNA Activity thinking about how the Health and Wellbeing Strategy and JSNA affects us Nick Booth’s presentation on the Impact Assessment Tool Discussion on capturing data which we hold 7
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Helpful 8 5
Very Helpful 1 3
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Appendix1 : Participant List The following individuals participated in all of the event. Name
Organisation
Donna Roberts
DMBC
Ken Strike
National Osteoporosis Society
David Stenson
Independent
Martin Mueller
Dudley Mind
Ian Ferguson
Beacon Centre for the Blind
Sally Huband
Age UK Dudley
Andy Gray
Dudley CVS
Maxine Fowler
Black Country Neurological Alliance
Chris Barron
White House, Cancer Support
Sharon Coton
Heantun Housing
Kerry Coley
Heantun Housing
Jackie Kelly
Mary Stevens Hospice
Jayne Emery
Dudley CVS
The following officers were invited to Nick Booth’s presentation, and participated in the event from that point. Jody Pritchard
Dudley PCT
Peta Curno
Dudley PCT
Kate Warren
Dudley PCT
Bridget Brickley
Dudley Community Partnership
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Appendix 2: Cards from activity Joint Strategic Needs Assessment
Health and Wellbeing Strategy
The means by which local leaders work together to understand and agree the needs of all local people
Sets priorities for collective action
Provides the evidence base for decisions about local services
Focuses leaders on the priorities for action
Responsibility to develop rests with the Health and Wellbeing board
Responsibility to develop rests with the Health and Wellbeing board
Our approach
Wellbeing - what is it?
Dudley ‘the place’ - pattern of neighbourhoods, economy, housing, crime, environment, transport
What are health inequalities?
Dudley ‘the people’ - population, ethnicity, socio economic classification, adult social care users, substance misuse, victim profiles
The Life Course Approach
Target population in life stage - health status, current services in relation to need, evidence of service gaps, implications for service design and delivery, emerging themes e.g. what should be prioritised
Vision and Principles
Identifies the ‘big picture’ in terms of health and wellbeing needs - it is an aggregated assessment of need, it doesn’t identify need at an individual level
Priorities for Action • healthy neighbourhoods • emotional wellbeing and mental health • give every child the best start in life • access to services and information
A tool to identify groups where needs are not being met and that are experiencing poor outcomes
Action Card - what we will do
leads to agreed priorities that will improve health and wellbeing outcomes and reduce inequalities
Outcomes
Notes compiled by Lorna Prescott, Senior Development Officer, Dudley CVS email: lorna@dudleycvs.org.uk twitter: @dosticen 9