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The People Powered Results team at Nesta are working in partnership with Greater Manchester boroughs, and the Health and Social Care Partnership, to accelerate the adoption of People Powered Health through 100 day challenges.

The work builds on the vision laid out in the Greater Manchester Population Health Plan, and draws on the learning from national programmes such as Realising the Value and Integrated Personal Commissioning, putting it into practice at scale. At the heart of this work is a commitment to working in ways that are ‘person and community-centred’ – in other words, approaches that put people and communities at the heart of their health and wellbeing.

Bolton and Tameside and Glossop have both used the 100 day challenge methodology to accelerate person and community-centred change locally (their efforts launched in September 2017). Each area rapidly mobilised three frontline teams across different neighbourhoods, who set themselves ambitious goals in 100 days to improve outcomes for frail people over the age of 65, people who are approaching the end of their life and people who are at risk of developing diabetes.

The challenges brought together Senior Leadership and Managers from across the health system to create frontline teams across the two localities. Teams combined people from primary and secondary care, voluntary sector, social care and people with lived experience - who came together and developed and tested ideas along a broad set of themes, all ultimately aiming to put people and communities at the heart of their health and wellbeing.

These themes include:

  • Person-centred care and support planning: Conversations that do with, not to people, for example, developing a “What’s Important To Me” approach for people in their last year of life, and training to ensure people across the system are confident having difficult conversations
  • Supporting people to make healthy lifestyle choices: For example, teams are using motivational interviewing techniques to support people at risk of diabetes to take steps to improve their lifestyles
  • Developing community links: For example, running multidisciplinary drop-in sessions in community based venues such as sheltered housing communal areas
  • Neighbourhood working: For example, building new links between clinical and non-clinical; statutory and non-statutory services in local areas to ensure people receive a more holistic-community based approach

Following the end of the 100 days, teams posed their recommendations to sponsors and wider system leaders, gaining commitment to sustain and scale both the initiatives, as well as the new ways of working for practitioners - recognising the impacts being felt. Many of these next steps are closely aligned across both localities, using “neighbourhoods” as a key vehicle for change and broad themes for action, including:

  • Maintaining the freedom, the mission and the permission - supporting people to work differently and test new approaches
  • Multi-disciplinary working - incorporating health, social care and the voluntary sector
  • Community and non-clinical approaches - as a way to support people’s health and wellbeing
  • Having a 'different conversation' - doing with and not to people

Work is now underway to build on the progress and sustain and scale the impact in both Bolton and Tameside and Glossop.