Ways to WellnessDeep Dive Event

10th July 2015

Who are Newcastle West?• 17 Practices• 136,000 patient population• Overall health of people in Newcastle West is generally

worse than the England average*• Levels of deprivation are higher than the England

average*• High levels of smoking and alcohol related illness, above

average rates of obesity* • BUT - our rate of people killed and seriously injured on

roads is better than average*

*www.healthprofiles.info - Public Health England June 2015

Why did we get involved?

• Year of care work

• Thanks for the petunias – a guide to developing and commissioning non-traditional providers to support the self management of people with long term conditions 2011

• NESTA – People Powered Health

• Ways to Wellness

2010 / 11

2013 / 14

What barriers did we encounter?

• Procurement

• Metric development

• 7 year contract length

• NHS Contract

• Information Governance

How did we solve them?

Keep talking!

How did we solve them?• Procurement – discussions with Monitor and legal advice

• Metric development – in depth conversations and analysis of a

range of viable metrics

• 7 year contract length – accepted the risk that this length of

time is needed to see the impact of the service

• NHS Contract – flexed to meet the needs of the 7 year contract

length and the social impact bond

• Information Governance – detailed understanding of patient

flows and specialist advice

Any advice?

• Get the right people in the room at the start

• Make sure you can get the advice you need

• Give yourselves plenty of time• Be patient