people powered health: health for people, by people ... - Innovation Unit

behaviour change and creates social networks that improve health. it does ..... Paul morrin, director of Integration, adult Health and Social Care leeds Community.
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PEOPLE POWERED HEALTH: HEALTH FOR PEOPLE, BY PEOPLE AND WITH PEOPLE April 2013 Matthew Horne, Halima Khan and Paul Corrigan

People Powered Health: Health for people, by people and with people

ABOUT NESTA Nesta is the UK’s innovation foundation. An independent charity, we help people and organisations bring great ideas to life. We do this by providing investments and grants and mobilising research, networks and skills. Nesta Operating Company is a registered charity in England and Wales with company number 7706036 and charity number 1144091. Registered as a charity in Scotland number SCO42833. Registered office: 1 Plough Place, London, EC4A 1DE.

www.nesta.org.uk

ABOUT INNOVATION UNIT We are the innovation unit for public services. As a not–for–profit social enterprise we’re committed to using the power of innovation to solve social challenges. We support leaders and organisations to achieve radically different solutions that offer better outcomes for lower costs. Registered office: CAN Mezzanine, 49–51 East Road, London, N1 6AH

www.innovationunit.org

© Nesta 2013.

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PEOPLE POWERED HEALTH: HEALTH FOR PEOPLE, BY PEOPLE AND WITH PEOPLE CONTENTS

Foreword

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About the series

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1 Executive summary

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2 Introduction

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3 The challenge we face: health by people and with people, not just for people

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4 People Powered Health: a fundamental shift in ethos and practice

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4.1 People Powered Health in practice: redefining consultations 18 4.2 People Powered Services: more than medicine 22 4.3 People Powered Pathways: co–designing routes through care 27

5 Realising the vision – how to change a whole system

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5.1 Change the way services are commissioned 31 5.2 Make the most of new structures 33 5.3 Encourage patients to take part in People Powered Health 35 5.4 Build clinical leadership 36 5.5 Change financial incentives 37 5.6 Change what gets measured 38 5.7 Shift investment in technology 40 5.8 Transform organisational workforce culture 42 5.9 Create a cadre of system leaders 43 5.10 Strengthen the business case for People Powered Health 45

6 Conclusion

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APPENDIX

Endnotes

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People Powered Health: Health for people, by people and with people

Foreword The NHS has developed incrementally since its inception but the times in which we live require more radical and rapid change. The proximate cause is unprecedented financial pressure on public services which demands innovations on a scale never seen before. The underlying cause is to be found in the ageing population and changing burden of disease which require new and different models of care better suited to the needs of the population today and in the future. People Powered Health not only makes the case for transformational change but also outlines some of the key features of a system fit for the future. These features include putting people more in control of their health and well being; overcoming fragmentation through the development of integrated care; and giving more attention to resources in the community that can support the transformation that is needed. Critically, the paper also recognises that the main challenge is how to take these ideas from the drawing board into large scale adoption. In the view of the authors, reforming a whole system calls for action on several fronts: changing how services are commissioned, mobilising and engaging patients, building clinical leadership, making use of financial incentives, changing what gets measured, and shifting investments in technology. As the title of the paper implies, the NHS needs to be open to learning from changes that have already occurred in other sectors where customers