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Halton Community Wellbeing
Practices
Integrating community wellbeing approaches in
primary care
Simon Banks, Chief Officer Halton CCG
Mark Swift, Chief Executive Officer Wellbeing Enterprises CIC
Helen Trahar, Community Wellbeing Officer
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Community Wellbeing Practices
• Reorient GP Practices - community wellbeing
• Interventions at scale - all 17 GP practices
• Beyond symptoms; addressing the causes.
• 5000 patients to date
• Impact:
– Demonstrable improvements in patients outcomes
– Mobilising community; a ‘social movement’ for health
– Driven a cultural transformation; beyond medicine
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A social model of health
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Social prescribingCommunity
Navigation
Asset based
community
development
People power…
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Patient outcomes
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Community navigation service
73% of surveyed patients had improved subjective wellbeing
scores (SWEMWBS). This change was highly significant (p =
0.001%). 67% of surveyed patients had improved SWEMWBS
scores three months post intervention.
“With support I untangled
my situation and got help
to get back on my feet”
Patient feedback
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Social prescribing programme
73% of surveyed patients had improved subjective wellbeing
scores (SWEMWBS) (p = 0.001%). 65% of surveyed patients
had a reduction in depression (PHQ9) symptoms scores. This
change was highly significant (p = 0.001).
I’ve had so much fun, I’ve
learnt a new skill and made
new friends - I feel alive!
Patient feedback
Community impact
• Involving everyone in community
wellbeing - an ecosystem of
change
• Social Entrepreneurship projects
- try it, do it, build it!
• ‘Doctorpreneur’ schemes
• Reconfiguring community
networks...
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Community networks
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Community networks of prevention
A three dimensional representation of the first
degree contacts in the CWP initiative. The diagram
shows the emergence of ‘small world’ networks.
These ‘cliques’ allow resources to flow around the
network freely creating reconfigurations and
potential innovations.
Cultural transformation
• Integrating wellbeing into all
pathways
• Inspire service with CAMH’s
• Volunteer Discharge Project -
Whiston / Warrington
Hospital
• Wellbeing brief interventions.
• Implementing Social Value
Act
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What clinicians say
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“The service can be as important to
our patients as the medical health
care that we provide, and it often
provides a much needed lifeline.”
Nurse
“It’s been nothing but positive,
both for the patients and
Clinicians, in opening up options
to ease patients through difficult
times and social circumstances.”
GP
“Sometimes medicine isn’t the answer and having conversations with patients
about accessing activity groups or trying new thing has given me a greater
depth to understanding my patients - it feels like you're reaching out to the
social circumstances in their lives. GP
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Thank you
Simon Banks
Halton CCG
Mark Swift
Wellbeing Enterprises CIC
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