Dominic Harrison, Director of Public Health & Wellbeing Blackburn with Darwen Borough Council

2014 - creation of BwD Wellbeing Service BwD Wellbeing Service Delivery Model

• Simple, easy and effective access for professionals and public • Behaviour change, health coaching, shared decision making and supported self- management at its core • Patient Activation Measure being introduced to improve tailoring of support • Well established, effective relationships within Integrated Neighbourhood Teams: consistent and scalable delivery model Delivery Model: What it Looks Like

Recording and Delivering Targets (2018/19) • 2050 referrals into the Wellbeing Service – 8920 total service contacts • 1148 = Referrals from NHS professionals (56%)

Where do they go? • 1152 = Health Trainer for behaviour change, health coaching support (56%) • 898 = Health Improvement and Physical Activity interventions (44%) BwD Wellbeing Service Outcome Data (2018/19)

• 70% of all clients • 52% of clients are from the demonstrate an top 20% of the most improvement in their deprived wards in BwD mental health and – 78% achieve goals within 3 wellbeing (WEMWBS) months • Clients who achieve their • All clients who achieve goals & maintain behaviour goals within their 6 months after sign off = wellbeing plan within 6 80% months = 84% • BME population account for 23% of all clients accessing the Health Trainer service. Pennine Lancashire Population Health & Prevention WHAT DOES DHSC POLICY/NHS LONG TERM PLAN / REQUIRE US TO DO? Pennine Lancashire: The unmitigated rise in spend (£M) by age group shows : 45-74 = 33% of spend – 75-84 = 17% of spend (approx) (OPTUM) Personalised Care (Feb 2019)

A Prevention Focussed Population Health Strategy

Level 3 Local Volunteer recruitment skills / escalator Complex case management MEAM Transforming Lives Step down to Level 2

Level 2 Social Prescribing/Health Trainer/Wellbeing /Community Connector/Link Worker/ & PH Services

Level 1 Place-Based Prevention Strategy & Action Plan Community Health Development SDOH TaAF etc Level 1: Pennine Lancashire Place Based Prevention Strategy Level 1 : Community health development – Recovery Communities Developing a neighbourhood based community support system