OFFICIAL


Health as a Social Movement

First published: 30th November 2015

Updated: (only if this is applicable)

Prepared by: Pritti Mehta

The National Health Service Commissioning Board was established on 1 October 2012 as an executive non-departmental public body. Since 1 April 2013, the National Health Service Commissioning Board has used the name NHS England for operational purposes.

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Contents

Contents

1.Background

2.Objectives

3.Outputs

4.Bidding

5.Governance and Reporting

6.Timescale

7.Skills and Experience

8.Location

9.Expressing interest to participate locally

Appendix A – Expression of Interest Template Local Partner

  1. Background

1.1 The NHS Five Year Forward View, published in October 2014, sets outhow the health service needs to change,arguing fora more engaged relationship with patients and communities:

It set out a number of commitments towards getting serious about prevention, empowering people in their own health and care and in engaging communities in activities such as volunteering.

1.2 These individual commitments are now being taken forward through initiatives such as:

  • Realising the Value: which aims toidentify evidence based approaches to support people and communities to manage their own health and care and develop tools to support implementation; and
  • Active Communities:which aims tounlock the power of people as volunteers to support the health and care system.

1.3 The Five Year Forward View, however, also articulates a vision for health and care as a social movement. ‘Collectively and cumulatively [these actions] and others like them will help shift power to patients and citizens, strengthen communities, improve health and wellbeing, and – as a by-product – help moderate rising demands on the NHS’.

1.4 To harness this collective vision, NHS England is launching a new three year programme to support social movements in health and care.

2.Objectives

2.1 Working initially with 4-6 local health and care communities across England, this programme will aim to identify, test and spread effective ways of mobilising people in social movements that improve health and care outcomes and show a positive return on investment.

2.2 The programme, over a three year period, will aim to achieve the following objectives:

  • Identify and develop exemplar social movements – creating real-world examples of communities mobilised for health and care;
  • Demonstrate ‘what works’ – using rigorous evaluation approaches; and
  • Support spread –enabling local areas to develop approaches that could be scaled or adapted and adopted in other communities.

2.3 We envisage that the local social movement work will span the areas outlined in the Five Year Forward View:

  • Getting serious about prevention;
  • Empowering people in their own health and care; and
  • Engaging communities through actions such as volunteering.

3.Outputs

3.1This programme will aim to achieve the following outputs over the three year period, with progress made towards Outputs I and II by March 2016. The overall programme outputs together with timescales for achieving these are:

Outputs I and II – by 2016:

  1. ‘Social movements’ identified and developed across area, co-produced with local health and care communities, including plans for sustaining the approaches over time;
  1. Evaluation framework, including metrics and rigorous methods to demonstrate what works to improve health and care outcomes and show a positive return on investment;

Outputs III to V – by [December 2018]:

  1. Creative tools to support the adoption and spread of effective approaches beyond participating sites;
  1. Final report and evaluation of each site, demonstrating real world examples of communities mobilised for health and care; and
  1. National and regional events and dissemination platforms via presentations, facilitated learning networks, training and other innovative routes.

3.2The Outputs need to be usable and presented in plain English, so materials can be reused without alteration. The format of these will be developed in discussion with NHS England during the course of the project.

4.Bidding

4.1 NHS England is making Transformation Funding available to support this work – of up to £750,000 in total in Year 1 (2015/16), with future funding for Year 2 (2016/17) and Year 3 (2017/18), subject to availability and approval by NHS England.

Year 1 (2015/16) funding

4.2 NHS England is seeking applications from a national partner (s) to provide the overarching learning, development, support and evaluation. It is expected that this component will receive a grant of up to £200,000 of the total Year 1 allocation.

4.3 NHS England is also inviting expressions of interest from new care model vanguards, who can demonstrate their readiness and maturity of local partnership, to access resource that can increase their focus and support for local movements to build and connect and to act as hub sites to support the spread of learning beyond their localities. It is expected that areas can receive from £50,000 - £100,000 of the Transformation Funding allocation to develop and embed their social movement.

4.4 The funding allocated through this programme may cover up to two further [financial years]:Year 2 (2016/17) and Year 3 (2017/18). However, only the amount stated for Year 1 (2015/2016) (as mentioned above) is confirmed as payable. Payment of the amounts for these two further is subject to change and dependent on confirmation by NHS England.

4.5 The partners involved will be expected to work together to agree an approach and to collaborate closely with NHS England on this programme.

  1. Governance and Reporting

5.1The Senior Responsible Owner/SRO and executive of this programme will be the Director of Patient and Public Voice & Information.

5.2 In delivery of the Outputs (described in Section 3 above) the national and local partners will work closely with NHS England’s Patients & Information Directorate and with identified overall and programme-specific leads.

5.3 The national and local partners will provide regular headline updates on progress towards completion, to a template agreed with NHS England and attend regular meetings (to be agreed).

  1. Timescale

6.1 The work is planned to commence in January 2016 and will run for the course of the financial year, and then will continue for up to three years, subject to further funding being agreed by NHS England. [If funding is available and agreed] There will be an interim key milestone in Spring 2016 when there will be a review discussion with NHS England on the direction of the work and detailed plans for delivering the work in Years 2 (2016/2017) and 3 (2017/2018). There is considerable interplay between the key outputs, and the partner(s) will need to ensure that these are delivered to a timetable which enables co-production and review.

6.2 The timeframe should still be discussed further in organisations’ presentations, which should propose indicative timescales for interim milestones and completion of the project.

  1. Skills and Experience

7.1The local partners will need to demonstrate enthusiasm and willingness to participate in the programme. In particular, we will be looking for partners who already have a track record of co-producing social movements in health and care with their local community, with a level of demonstrable impact and the ability to work collaboratively and support spread of good practice beyond their localities.

7.2 The national partner will need to demonstrate skills and experience in the following areas:

  • experience in developing, delivering and testing social movements in health and care, grounded in co-production with local communities, including those who experience most disadvantage;
  • experience in evaluation and use of rigorous methods to assess the effectiveness and cost-effectiveness of social movements on health and care outcomes and changes in behaviour and attitudes;
  • experience in developing innovative tools/training to support adoption and spread of successful interventions;
  • proven track record of working across local health and care systems with all interested parties including providers, commissioners, workforce, patients and local communities;
  • experience in leading and supporting complex national programmes; and
  • strong track record of working across England, covering the full diversity of communities and settings.
  1. Location

8.1 NHS England’s national support centre is based at Quarry House, Leeds with additional offices at Skipton House, London. The successful applicant will need to be able to attend either office location for ongoing engagement throughout the programme.

  1. Expressing interest to participate locally

10.1 New care model vanguards wishing to participate in this programme are invited to submit an expression of interest of up to 1000 words, setting out why they would like to be involved, their experience and track-record, and details of the types of local social movement they would like to support.

10.2Appendix A includes the application template for local partners. These should be emailed by noon on the11th December 2015.

10.3 Applications will be shortlisted on basis of the following criteria:

1) why they would like to be involved

2) experience and track records

3) details of the types of local social movement they would like to support

4) approach to working collaboratively to support spread beyond their locality

The following weighting will be given to each of these criteria:

Criteria / Weighting
1. / why they would like to be involved / 25%
2. / experience and track records / 25%
3. / details of the types of local social movement they would like to support / 25%
4. / approach to working collaboratively to support spread beyond their locality / 25%

10.4 Shortlisting will take place in the week commencing Monday 14th December. Applicants will be informed whether they have been successful by Tuesday 22nd December.

10.5

Appendix A – Expression of Interest Template Local Partner

Expressions of Interest should be emailed to by noon on the11th December 2015.

  1. Name and contact details

Organisation Name: / Lead Contact:
Address: / Telephone:
Email: / Website:
  1. Why would you like to be involved?

Please provide a summary of why you would like be involved in this programme (250 words max)
  1. Experience and track-record

Please explain how your organisation (or consortium) possesses the required experience and track record to deliver. (250 words maximum – expand box as necessary)
  1. Types of Social Movement

Please give details of the types of local social movement you would like to support. (250 words max – expand box as necessary)
  1. Working collaboratively

Please use this space to describe your approach to working collaboratively to support spread of best practice beyond your locality. (250 words max – expand box as necessary)