Lorn & Oban Healthy Options Ltd.Registered in Scotland No. SC383167 Registered Charity No. SC041998

www.lornhealthyoptions.co.uk

Extending health into the communitya 2-year pilot project funded by:

Welcometo the launch of our Report

and guided conversation

Extending Healthcareinto

the CommunityA HEALTHIER FUTUREfor OBAN and LORN

HEALTHY OPTIONS WHY?

HEALTHY OPTIONS WHAT DO WE DO AND HOW DO WE DO IT?

HEALTHY OPTIONS WHAT DIFFERENCE DOES IT MAKE? Client stories Health Professional perspectives

HEALTHY OPTIONS WHAT NEXT? for Healthy Options our community and our partners

Introducing Healthy Options

O B A NTown population 8,120Oban, Lorn & the Isles population 20,000 approx.

Decades of direct community action delivering cross-sector community-led development:-

Atlantis LeisureMS CentreOban Phoenix Cinema

H2O – Hope to ObanOban Youth CaféStramash

Sport health environment leisure history arts education youth work outdoor pursuits outdoor nurseries hospice services housing

Plus many more

Atlantis Leisure & Oban – hosting the

1st SCOTTISH RURAL PARLIAMENTNovember 2014

Healthy Options & Oban – connecting to the national context

Connecting to national bodies

• Senscot health network• Senscot sport network• Social Enterprise Academy• Glasgow Caledonian

University• CHEX• SportScotland• PAHA• Nesta• Carnegie UK Trust

Connecting to national policy

• A more Active Scotland• The Kerr Report• Shifting the Balance of

care• Assets for Health• National Physical Activity

Implementation Plan• 20:20 Vision (NHS)• Local Outcome Agreement• A & B HIT Strategic

Priorities

HEALTHY OPTIONSWHY DO IT?

• 40% of our population have a chronic medical condition/s. That is 4,000 patients of the Lorn Medical Centre

• These conditions can be improved or control managed by adopting an active healthy lifestyle

This is our challenge:- “to improve the wellbeing of our ‘40%’ and for

Oban and Lorn to become a more active,fitter, healthier community”

‘If there is a problem in the community the solution is in the community’

HEALTHY OPTIONSWHY DO IT?

We start from a place of abundance, knowing that what we need we already have –

• We live in a healthy environment• We have well developed community resources and valuable

community assets• Strong social networks and inbuilt community resilience to ‘just do it’

• We have the active engagement of the Lorn Medical Centre• We have the full support of Atlantis Leisure• We have a modern regional hospital with all the attendant health

professionals and departments

WE NO LONGER SEE A CHALLENGE, WE SEE A RESPONSIBILITY

HEALTHY OPTIONSWHY DO IT?

Who are our clients?

• 61% had more than one chronic condition, of those 9% having four or more chronic conditions.

• 20 conditions were identified, the top 6 being obesity, orthopaedic, mental health, high blood pressure, inactivity, respiratory problems.

• 39% were on one or more welfare benefits and received their Healthy Options programmes completely free of charge.

HEALTHY OPTIONSWHY DO IT?

Who are our clients?

• Age range 9% under 25 7% 25-34 17% 35-4425% 45-54 20% 55-64 22% 65+

• 71% of clients were female and 29% male

• 78% of clients were referred to us by their GP, 12% were referred by NHS health professionals and their departments.

A special DYNAMICrelationship

Healthy Options

Health Professionals

Atlantis Leisure

OUR

40%

Social entrepreneursHealth professionalsHighly qualified staff

Skilled, experienced, motivated

Lorn Medical Centre + GP

Surgeries

Lorn & Oban Hospital

25 Health

professionals involved with HO

‘programme & patients’ team

Passionate about patients

Community owned, community built, community run

Nationally recognised exemplar for community sport

‘Be the best you can be in sport, health & wellbeing’ Our clients are an equal partner

What we do

Funding partners

DeliveryPartners

Our clients

Our volunteers

An innovative approach:

• Our relationship with clients

• Our partnership with health professionals

• Our relationship with Atlantis and delivery partners

• Our wider role, education and awareness

• How we operate

Our innovative relationship with clients

Funding partners

DeliveryPartners

Our clients

Our volunteers

Our ‘40%’ (clients) are our concern, our focus and also our biggest asset• First contact at Lorn Medical Centre, co-design social prescriptions• Stage 1 high level support, stage 2 moving towards self-care • A full year of support• Social Prescriptions – centre based, community based, home based

- available throughout the week to suit ALL clients• Opportunities for fellowship and to socialise ‘built in’• Programme development is mostly client led• Clients willing to become volunteers – peer support, walk leaders,

advocates

Our innovative partnership with health professionals

Funding partners

DeliveryPartners

Our clients

Our volunteers

25 health professionals have participated in our ‘programme & patients’ team resulting in:• Changes to the cardiac and pulmonary community programmes• Establishing progressive programme from treatment to self-care• HO staff and volunteers participate in NHS training programmes• Establishing a (world class) exercise programme for individuals with

MS• Developing ‘Move Well’ classes• Developing ‘Perfect Posture’ classes• Falls prevention rural community pilot• Counterweight rural community pilot

Medical treatment to managing self-care

Our innovative relationship with Atlantis Leisure

Funding partners

DeliveryPartners

Our clients

Our volunteers

• Introducing a new client group to Atlantis

• Developing the gym, making it user friendly to Healthy Options clients

• Developing Atlantis staff, up-skilling and new qualifications

• Atlantis staff co-delivering Healthy Options programmes

• Atlantis staff volunteering with Healthy Options and now qualified walk leaders

• From an ‘over 50’s’ class once a week to an ‘Active Life’ programme 9 activities Mondays, 8 activities Wednesdays

• Specialised gym equipment being sourced for Healthy Options clients

Our wider role – Education and Awareness

Funding partners

DeliveryPartners

Our clients

Our volunteers

• Delivering activity sessions at Active Ageing event; U3A event; Housing Association tenants event, Breathe Easy group, • Advocacy programme, speaking to community groups• Oban Health Fair – 9 activities to take part in; Market Street

with 16 stalls of health related groups• Volunteer programme – A Healthier YOU a Healthier COMMUNITY• ‘Community Step Challenge’ ‘Pink Aerobics’• Delivering be-spoke programmes for company employees• Created Healthy Options zone - information on active healthy

lifestyle; ties in with national campaigns; diet/weight management;Recipes and healthy eating – being developed as a mobile resource for 2015

Healthy Options – How we operate - People

Funding partners

DeliveryPartners

Our clients

Our volunteers

If the problem is in the community, the solution is in the community

• Company limited by guarantee, having no share capital, registered charity

• Board of volunteer directors – social entrepreneurs, health professionals – range of skills, proven experience• Programme & Patients; Education & Awareness; Finance &

Management

• Professional staff, highly qualified

That is the legal and governance model, all fairly straightforward, however . . .

Healthy Options – How we operate - People

Funding partners

DeliveryPartners

Our clients

Our volunteers

If the problem is in the community, the solution is in the community

• Healthy Options is not a representative body, does not have elected committees• Healthy Options is not based on ‘strategic plans’ and ‘policies

based on standard outcomes and targets’ or driven by ‘process or misguided views based on ‘equity’’

• Healthy Options is built around people - successful, motivated, passionate people, people who can deliver – from Board, staff, Atlantis, and our fantastic health professionals. And increasingly volunteers and clients themselves

• 40% of our people have a problem, our people have the solutionLocal people, local needs, local solutions

National PolicyLOCAL ACTION

CATALYSTS FOR CHANGE DELIVERER OF CHANGE

JITPAHA20:20Service ChangeShifting the Balance of CareNational PhysicalActivity PlanSenscotCHEXVHSGCUetc

HealthyOptions

Funding partners

HealthProfessionals

DeliveryPartners

Clients

Volunteers

Making a Difference

HealthyOptions

Funding partners

DeliveryPartners

Our clients

Our volunteers

Key Learning:• Complexity of medical conditions• Health benefits to clients• Engagement and support of health professionals• Clients willingness to volunteer• Atlantis responding to client group and community

need• Less than 2 FTE employees can support 130+

clients per year• Qualified, motivated, dedicated staff are key

WHAT NEXT?

Reduce our impact based

on availability of grant funding

volunteersHealthyOptions

Close down at end March 2015

Continue

Develop locally

Develop geo-

graphically

Reduce Impact

Close down

Continue to provide current level of services in our local area

Develop additional services in our local area

Expand provision by assisting communities to develop their own ‘Healthy Options’

Lorn & Oban Healthy Options Ltd.Registered in Scotland No. SC383167 Registered Charity No. SC041998

www.lornhealthyoptions.co.uk

Extending health into the communitya 2-year pilot project funded by: