Libraries and Health


3 March 2017 workshop ENCLOSURES.pdf 3 March 2017 workshop ENCLOSURES.pdf
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Notes from the workshop Ian Morrell, Town Clerk, 6 March 2017


 • The health and wellbeing needs of individuals and their families are complex and changing, and the ‘medical model’ of care, which focuses on specific ‘conditions’, can never look at the whole needs of people in an integrated way. • Use existing assets to improve health and wellbeing. By doing so this is likely to highlight gaps in what is offered, which can be responded to as required.

 • Implement new ideas on an incremental and manageable scale i.e. avoid the temptation to create a structure which is ‘rolled-out’ as a big project.

 • Much of what we mean by ‘Nailsea Place’ is already happening: e.g. Leg Club, Community Transport, Nailsea Disability Initiative, Citizens’ Advice, Health Walks, Wellspring Counselling, and in excess of 50 voluntary, church and charity groups. • The Leg Club is a proven model for NHS and voluntary collaboration, which can be used to provide clinical and social support for any type of condition. 

• There are many innovative initiatives around the country with an ethos similar to Nailsea Place. They tend to be pilot studies, often well-funded, for a limited period but last only as long as the funding, irrespective of success. The evidence from these projects tends to be very positive, but anecdotal and qualitative i.e. not robust enough to prove a case to make the NHS make major changes to funding. 

• The Bromley by Bow centre has been operating successfully since the mid-1980’s utilising a ‘Nailsea Place’ approach, but if their evidence of efficacy and cos-effectiveness is correct, why has the model not become embedded as an integral part of the NHS across the country? 


 • We need to grow No 65 High Street as a venue, on an incremental basis, testing ideas and learning from these as we move forward.

 • Nailsea Place can become a pathfinder in social prescribing.

 • As part of the initiative, Nailsea Place can be a pathfinder in assistive technology, providing information and digital support for people, benefitting from the experience and expertise of the Good Things Foundation. 

• Objectives must be underpinned by robust and on-going research which focusses on health economics as well as qualitative measures, to demonstrate whether or not the Nailsea Place concept is better value for money than existing models of care. The research must focus on ‘person-centred’ not ‘disease-centred’ epidemiology, across the entire population of the town. This may seem hardnosed, but is essential to having the evidence to persuade those with control of major resource allocation of the benefits. 

• Excuse the jargon, but what we are seeking to do is promote ‘social prescribing’ (tackling issues which demonstrate as medical problems but are best addressed outside a clinical environment), ‘patient activation’ (people having knowledge and the motivation and confidence to act to improve their wellbeing), ‘peer support’ (people learning and feeling supported by others with similar experience) and ‘co-production’ (integrating services across different providers). 


 • Bring key stakeholders together. This group needs to be diverse but small enough to be agile in its actions. The members should include at a minimum Nailsea Town Council, North Somerset CCG, North Somerset People and Communities Board, Voluntary Action North Somerset Leaders Forum and the Library Service.

 • Develop an assistive technology partnership with key organisations. • Develop and test ideas within 65 High Street as part of a ‘virtual’ network.

 • Identify a research body with the range of skills to provide the evidence base to assess Nailsea Place in terms of medical, social and economic outcomes.