New care models in Health creating

Practice

Louise Brady Practice Nurse, Community & Primary Care Lead NHS Manchester CCG’s

GPN Advisor NHS Alliance Executive

Lynda Sherlock Patient Educator, Artist, Poet &Person!

A Magical Experience!!

What did I learn as a nurse?

• The foundation for peer support is spontaneous , it’s natural and it occurs with ease, when there is mutual agreement of ‘what is helpful’

• Less correcting, and more Connecting!

• 147 RTC evidence base for peer 2 peer ( Nesta)

• Nursing as a whole offers communities a rich architecture of care, knowledge & skill base to tap into to

• Combine that knowledge & support with the abundance of local knowledge & skill that exists within our communities, & we have a rich tapestry of care.

Impact

• Health inequalities are estimated to account for over £5.5bn annually in healthcare costs to the NHS in England each year

• Enabling ‘at risk groups’ to become more health literate has potential for social & economic impact and savings to the NHS.

• Only 30% of GP surgeries have information that is accessible to people with learning disabilities.

• North Manchester Peer group: 500 members Learning disabilities Aim: 2 support a 10% increase in LD Care. PN Key to connect with communities

Impact

Heart failure: Co-design PN developing information in partnership with Patients to drive up quality of accessible information ‘health literacy’ – tested against information standard Published & peer reviewed.

‘How do you sell failure?’ You can’t .... We need HOPE

Nick Hartshorne –Evans @iamnickevans

http://www.magonlinelibrary.com/doi/abs/10.12968/pnur.2015.26.10.500

City Wide Nurse Mentorship Group •Excellent Feedback •Knowledge increased Shared learning Partnership work Vertical & horizontal integration Due a 6 month formal evaluation August 2016

Outcomes: Diabetes Prevention in Practice

• Nurse Led by Practice nurse: 17 Patients

• Total weight loss 52kg waist circumference 53cm

• Reduction in BP, lipids, fasting glucose

• Post prandial glucose level dropped by 1.7mmols from a baseline of 8.2mmols to 6.5mmols.

• At 1 yr follow up: average weight increase 0.8kg but 3kg below mean weight at start of programme.

• Increased wellbeing scores, patient experience & peer support. Published & peer reviewed.

•A more efficient, rewarding and person centered way to improve outcomes , at individual & population level •Also known as shared medical appointments (SMA’s) •Clinical consultations that take place in a supported group setting that have a strong evidence base . •One of the High impact Actions outlined in GP Forward View Alison Manson Group Consultations Programme Lead, The ELC Programme

Moving towards Group Consultations

•Alternative way of seeing patients more patients 1:1 in less time •Consultation model that also delivers peer support •A way of supporting a group of people who have a similar condition ( 10 -15) •1.5 – 2 hour session with clinician present for around 45 mins

The aim & ambition

Health creation is: The enhancement in health and wellbeing that occurs when individuals and communities achieve a sense of purpose, hope, mastery and control over their own lives & immediate environment.

People need

... to be well

The 5 features of health creating practices • Listening and responding • Truth-telling • Strengths-focus • Self-organising • Power-shifting

Meet Rose Oldham! https://itnproductions.wistia.com/medias/x7n

esfu4ej

Infecting the UK health system with wellness http://www.nhsalliance.org/becomeamember

Health creating Practice..social movement for fun friendship! #twitterdisco

**Supporting the Children of Grenfell Tower**

#twitterdisco Fundraising

Meeting Lynda, learning about Art, Poetry & Music!

Lynda Sherlock.. Who am I? A patient, A Poet... A dancer & a... Person! Nurse & Patient Partnerships: My Story, My Journey.. Through Art & Disco....

Let’s talk about Diag-nonsense !

What hinders Health creating practices?

Diag- nonsense.... & Labels

Judgement, & not seeing gifts & Potential

• not feeling Listened too..... •Truth telling... In Health & service •Having no confidence, & feeling alone • Seeing disability before they see me

What Supports me.. & enable’s my health to flourish?

• People who care, and are in touch with humanity •Good nursing care, & partnership working •Using my Art, dancing & Poetry to support my health •Having people around me who I can trust

Brain Train.. A Poem by Lynda Sherlock

Sharing my Poetry, Artwork, & getting involved in singing and dancing, supports my Mental & Physical Health

http://www.artshealthandwellbeing.org.uk/appg-inquiry/

Poetry & Depression

How can we work together to co- produce better solution for nurses & people?

•Co- design, working together.. Being human! • Friendships & bonds In equal partnership with local people •Nurturing each other supports nursing teams!

Thank you for listening Lynda & louise!

Twitter: @LasLynda

@louisebrady17