Making every Opportunity Count Me OC https www

Making every Opportunity Count (Me. OC) https: //www. hi-netgrampian. org/people-networks/publichealth-directorate/health-inequalities/making-everyopportunity-count / Dr Linda Leighton-Beck and Partners

Building a system Families Outside RGU – Pharmacy Nursing & Midwifery Public Health Community Pharmacy Victim Support Scottish Ambulance ARI Service City Woodend Aberdeenshire RCH Moray Dr Gray’s Primary HSCPs Care DWP Pathways Care SACRO Providers SFRS Paramount Action for Children Local Authorities Criminal Justice Social Work

Me. OC Richard Combe

Why do we want to do this? • Realistic medicine • Patient benefit • Service benefit

What is our process? • Addition to crew process on scene • Optimised list • Posters • Business cards • Champion monitors contacts

How successful has it been? • Staff feedback • Additional services added • Contacts made • Next steps

Me. OC Kirsty Jarman

Benefits for our customers • Access to increased support, practical help and advice • Increases Work Coaches’ understanding of customers circumstances • Helpful way to introduce worries, concerns etc. Benefits for Jobcentre Staff • Find out more about customer and circumstances • Great way to start a conversation about support • Help to know what services are available to signpost to • Non-threatening way to discuss health and wellbeing issues

• Test of Change – worked with NHS Grampian to identify appropriate customer group and timescale to be able to evaluate the benefits of introducing the model • Claimant Group – given other changes introduced for customers on the Health Journey, started with Jobseekers Allowance and Universal credit customers from two Work Coach teams • Expansion – expanded pilot quickly as other Work Coach teams could see benefit of using tool and were keen to include their customers. Within 6 months all Work Coaches had received training and were using the tool. • Ongoing review – monitor number of conversations and signposting on an ongoing basis

Effect / impact • Average 60 Me. OC conversations in Aberdeen Jobcentre every month. Customers signposted to variety of support, including fuel poverty, dietary concerns, addition issues, free dental care. • Me. OC rolled out across all Grampian Jobcentres and DWP is working to include all Scottish sites in time. • Success stories include accessing free dental care (which led to increased self confidence as well as pain reduction), referrals to the local Health Point for help with weight issues, money advice, addiction support, help with energy costs. Simple signposting has made a huge impact on a lot of peoples’ lives. • Information gathered has helped to form Community Hubs in Jobcentres providing support for customers/ local communities • Links with NHS and other partners are stronger and we’re working together more to offer support to our customers

Me. OC Elsie Green

• Focus is on prevention, early intervention and supported self-management. • To take the first steps to helping themselves lead a healthier lifestyle. • Empowering and motivating them to improve their health. • Will have better treatment outcomes.

• MEOC questionnaire given to all new patients. • Brief discussion of their answers. • Advice and/or leaflets given to help with health choices. • Some are directed to Healthpoint or Citizens advice. • Referrals can be made for smoking and alcohol cessation.

• Improvement in health and wellbeing’. • Reduction in stress. • Some do not find it helpful or are already seeking help. • Patients who return to clinic have thanked us as the advice has helped them.

Me. OC Carrie Heddle

Realistic Medicine - Self Management Grampian Unscheduled Care Connecting systems for people’s health & wellbeing Elaine Watson, Service Improvement Manager, 6 Essential Actions for Improving Unscheduled Care

Grampian Unscheduled Care Making Every Opportunity Count system wide – How? Essential Action 6 - Ensure patients are cared for in their own homes Admission Avoidance, Avoiding Attendances, Reducing Length of stay Grampian Respiratory Model Winter 2018/19 – Volume & Value Pulmonary Rehab delivery pre-winter Rapid access to antibiotics Targeted flu immunisation Temperature warnings Inhaler awareness Medication review prewinter Ø Test of change through bundle of focused interventions Ø Letters/information to GP’s and Community Pharmacies Ø MEOC approach supporting patient cohort Ø Staff in multiple settings having Me. OC conversations and signposting

Grampian Unscheduled Care Making Every Opportunity Count - With what effect? Grampian Respiratory Model – Volume and Value General Practices, Community Pharmacies, Physiotherapy Services, Acute Hospitals ØAll using MEOC principles - helping to reduce exacerbations that result in attendance at A&E or admission to hospital ØCommunity Pharmacies -Inhaler awareness to reinforce good inhaler techniques. Well received by patients. Targeted flu immunisation increased uptake in the “ 0 ver 65” population Ø Pulmonary Rehab Classes – GP’s provided with information for promoting to patients as part of self-care. Capacity increased per month by average 54 places (68%) üOutcomes - Number of people on waiting list fell by 76 (22%). Good uptake of Pulmonary Rehabilitation self referral access. New patient assessments increased by average of 13 (28%) a month. Waiting times reduced from average of 36. 2 wks (Dec 18) to 9. 7 wks (March 19)

Key Messages • • • Ownership is ALL Local leadership and drive Hearts & minds Granular markers for journey Enabling approach for prevention & self-care Scaling – enabling every sector, every service, every group to do a little to make a big difference Acceptable, inclusive, feasible & transferable Sustainable and adaptable Suitable across public and third sectors Supports people, services and clinical strategy Evolves with service. . .

Thank you!

Making every Opportunity Count (Me. OC) https: //www. hi-netgrampian. org/people-networks/publichealth-directorate/health-inequalities/making-everyopportunity-count /

Building a system Families Outside RGU – Pharmacy Nursing & Midwifery Public Health Community Pharmacy Victim Support Scottish Ambulance ARI Service City Woodend Aberdeenshire RCH Moray Dr Gray’s Primary HSCPs Care DWP Pathways Care SACRO Providers SFRS Paramount Action for Children Local Authorities Criminal Justice Social Work

Me. OC Ruth Gould

Aberdeen City Libraries – Why are we participating? • MEOC is a natural fit for libraries and ties into national and local strategies in libraries. • MEOC conversations for library staff are not new but recording them is • Evidence captured will be useful for contributing to service planning

Aberdeen City Libraries - How? • Numbers of conversations are recorded on our Enquiry Management System • Small case studies are currently captured in a dedicated Word document

Aberdeen City Libraries - With what effect? May – June July - August 91 conversations 173 conversations 3 locations 9 locations Up to August there were 40 referrals recorded, recurring themes for referral were social isolation and decreased mobility. Regular borrower, single mum of 3 year old-, chat regarding her recent illness (infection) and how she was unable to take a proper care of the child during her illness; she has no family in Aberdeen nor many close friends; internal referral to the Bookbug Session (to expand her social connections) and external referral to the Parent Club (Early Learning and Childcare))

Me. OC Stephen Macnamee

• Why Me. OC?

How? Scale up existing approaches though training Health & Social Care Partnership Staff as a core tool we all should be able to use Tests of Change – peer-to-peer (Older Adults and Young People) to increase knowledge, awareness, resilience and peer-support within community Tests of Change – intergenerational (more digitally able young people) accessing quality and accurate information for older people within their families / communities

Effect/impact? § Me. OC supports many strategic priorities: ü Resilient and prosperous communities ü Living well into older age ü Improved mental health for younger people ü Early intervention and prevention ü Managing demand on services • Expectation that the Me. OC approach becomes commonplace üOur communities have more helpful and meaningful conversations with each other. üPeople accessing appropriate support and information EARLY rather than allowing issues to reach crisis point which invariably means these are harder fixed and need a more ‘professional’/ service intervention.

Me. OC Laura Sutherland

Me. OC - The Moray Model • Strategic Level – Health and Social Care Transformation Plan • Responsive to local needs • Sharing and inclusive – Pan Grampian and beyond! • Sustainability – locality model promoting ownership

Our Process Engage with partners Awareness Training DIY MOT self checks Support

Wider impact • • • 27 Partner Organisations = 300 trained Over 1000 conversations Locality and National Delivery(DWP) Me. OC Champions Case Studies Managers Toolbox supporting staff health “Me. OC has changed the way we have our conversations”

Me. OC Richard Combe

Why do we want to do this? • Realistic medicine • Patient benefit • Service benefit

What is our process? • Addition to crew process on scene • Optimised list • Posters • Business cards • Champion monitors contacts

How successful has it been? • Staff feedback • Additional services added • Contacts made • Next steps

Key Messages • • • Ownership is ALL Local leadership and drive Hearts & minds Granular markers for journey Enabling approach for prevention & self-care Scaling – enabling every sector, every service, every group to do a little to make a big difference Acceptable, inclusive, feasible & transferable Sustainable and adaptable Suitable across public and third sectors Supports people, services and clinical strategy Evolves with service. . .

Thank you!