Gloucestershire Cultural

Commissioning Programme (CCP)

The NHS perspective

Jules Ford

Project Manager

A strategic approach from the

outset

• CCG Director level programme sponsor

• Cross sector advisory programme board

• Embedded within CCG including regular reporting to

governing body & directors

• Development of arts & culture forum co-facilitated by

Create Gloucestershire & VCS Alliance

• Moving towards joint commissioned community services

with pooled budget

Gloucestershire CCP partners –

pilot phase

• Create Gloucestershire

• Gloucestershire VCS Alliance

• Forest of Dean District Council

• Gloucester City Council

• Tewkesbury Borough Council

Health

Social Care

PlanningHousing

Environment

Education

Gloucestershire CCP Pilot focus

Oct 2014 – March 2016

Gloucestershire CCG Operational Plan 2015 – 16

Every CCG has a local

operational plan based

on priorities identified in

the NHS England Five

Year Forward View

The Cultural

Commissioning

Programme is a key

enabling project within

Gloucestershire’s

Prevention & Self Care

programme of work

http://www.gloucestershireccg.nhs.uk/about-us/publications

CCP aligns with a number of key NHS

programmes in Gloucestershire:

• Social Prescribing

• Personal Health Budgets

• Personalised Care Planning

• Community Services Commissioning Plan

– Enabling Active Communities

• Integrated Care Teams Phase 2 – connecting individuals

to their communities

• Locality / Place Based Commissioning

• Developing new approaches to commission the VCSE

sector

Clinical Programme Approach

Long term Conditions (LTCs)

– A key NHS priority

• 15 million people with LTCs in the UK

• 50% of GP appointments

• 64% of outpatient appointments

• 70% of inpatient bed days

• £7 out of every £10 of total health & social care expenditure

(Kings Fund, 2015)

Universal health & wellbeing needs

Mild to moderate needs and/or stable long term health conditions

Multiple & complex needs and/or unstable long term health conditions

The model: a continuum of arts based interventions to

meet a continuum of health & wellbeing need

Music for advanced dementia

to support transition between

home, acute settings & care

homes;

Arts psychotherapy in a

museum for complex

psychological needs;

Live harp music in a special

care baby unit to soothe

stressed babies and parents

Singing to increase lung

function in COPD or

asthma;

Street dance for diabetic

teenagers to manage blood

glucose;

Arts based mindfulness for

chronic pain;

Comedy to raise

awareness of early

dementia;

Songwriting for emotional

resilience in young people

Community choirs for social

isolation; Zumba for weight

management; painting for

relaxation; art clubs for

friendship; woodwind

instruments for healthy lungs

Artlift – Arts on Prescription

• Running 10+ years

• GP and health professional referral e.g. pain clinic

• Now commissioned via adult anxiety & depression pathway

• Cross county coverage

• 1800 patient sessions per year & waiting list due to high demand

• “Move On” feature key to sustainability

Your Future – Emotional Wellbeing (domestic abuse)

• Running 3+ years

• Commissioned by local authority social care

• Cross county coverage

• Consortium commission incubated by Create Gloucestershire

• Similar ‘move on’ feature to Artlift

• Wide impact – e.g. housing

Examples of arts & health in Gloucestershire :

CCP grant programme

• Grant projects reflect key priorities identified in the clinical programme needs

analyses

• A test of concept for the step up/ step down continuum model for long term

conditions

• Outcomes based feasibility studies, not formal research

• £15k max per project open to VCSE arts & culture organisations

• Design & delivery from November 2015 to September 2016

• Co-production at the heart of the model – patient reps, artists, clinicians &

commissioners working together to design and steer the projects

• Evaluation report December 2016

Grant programme

Early dementia

Cancer

Diabetes

Adult mental health

Advanced dementia

Children’s mental Health

Respiratory

Chronic

pain

Obesity

Grant

Programme

Themes

Arts organisation

Arts & culture specialist

Commissioners – the people

responsible for buying services for the public

Clinicians / health

professionals who work

directly with patients

Patient/ public representative

Bespoke co-

production group

for each project

through all

stages:

• Design

• Implementation

• Evaluation

• Required us to adapt our approach to commissioning

• Application paperwork & guidance designed with feedback from arts orgs

• On line FAQ document to meet procurement regs

• NHS England draft grant template

• Capacity building for applicants by Create Gloucestershire

• VCS Alliance as the commissioning portal

• 33 Expressions of Interest including community based non-arts orgs who wanted to partner with artists

Grant application process - key points

• 24 applications from 13 organisations

• 2 stage selection process involving patients, clinicians, commissioners & arts specialists

• Some innovative applications, but most trying to bolt existing arts practice into health context

• A test of potential capacity - confirmation that the sector is not yet sufficiently mature for sustainable commissioning

• Partnership with the county arts umbrella organisation Create Gloucestershire is key in order to ‘grow’ the sector

Grant selection process - key points

Funded arts & health work before CCP

34%

27%

30%

4%

Currently Previously

Never Don't know

Have you been funded to provide

arts for health & wellbeing work?

30%

13%

10%

1%1%

6%

Charities Local Government

NHS Donations

Traded income Other

What is/was the main source of this

funding?

55%45%

An independent artist/arts or culture practitioner

On behalf of an arts/culture organisation

I am responding to this questionnaire as:

Arts & culture workforce:

How do you prefer to receive training?

56%

11%

11%

6%

1% 7% 4%

Conferences Workshops

One-off face to face training Course of face to face sessions

E-learning courses Webinars

Action learning sets Other

Next steps for the partners of the

Gloucestershire CPP programme

• Agree the arts on prescription models (physical and mental health)

for primary and secondary care, and align with social prescribing

model

• Further identify arts and culture opportunities within existing long

term condition care pathways

• Support grant projects across the CCG’s clinical programmes

• Develop a workforce development strategy including a learning &

development programme, in order to grow capacity within the arts &

health sector

• Move to a joint commissioned, place based community

commissioning framework with pooled budget by April 2016