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Policy as if Mindfulness mattered….
Ruth Passman
Head of Equality and Health Inequalities
NHS England
LIVING WELLACROSS LOCAL
COMMUNITIESPrioritising wellbeing to reduce
inequalities
Health in all Policies
What do we want to achieve?
wph.net/hawa
visioning exercise
imagine a world 10 years hence in which mindfulness has become a central element of government policy and is a first consideration in everything that the government does in every section of the economy and society.
visioning exercise
think about how society would have changed if key government policies in every area of life had been developed 'as if mindfulness mattered'.
visioning exercise
Share examples of what society would be like
e.g. "people would look thoughtful and happy on the Tube end behave with respect to each other"...
Mindfulness and Public Health Policy
A population perspective focussed on NEEDS, ASSETS and HEALTH of population
Focussed in OUTCOMES of health care
Aware of ‘hard-to-reach’ populations
Assessing the Equity impact s of policies and interventions
Promoting partnership working for wellbeing
Addressing wider causes of health and illness through cross-governmental policy: poverty, education, employment, crime…
‘Value-based’ provision / corporate social responsibility
A Mindful Workplace?
Supportive for staff in high demand caring roles
Supportive for staff facing employment insecurity
Building mental and emotional resilience in the workforce
Using Mindfulness to decrease reactivity at work
Dealing more effectively with workplace stressors
Promoting better team relationships
Mindful Leadership?
• Maintaining clear vision
• Being Authentic
• Managing Change Mindfully
• Managing with Empathy & Compassion
• Leading with Emotional Intelligence
• Promoting Diversity and Innovation –good for organisations and business
Health and Work in the Black era 2008-12
Increasing recognition that good work is good for health
• But bad work makes people ill
• Getting people back/into work is only PART of the job
• Retention :good for individuals AND businesses
Boorman Review: Workforce as Invisible Patients
Michael West: NHS staff survey ,Staff wellbeing/ patient care business case
Health and Work in the Black era 2008-12
• Uncertainty, job insecurity, fixed term contracts, temporary working, high demand/low reward; low autonomy/low control effects employees’ physical and mental health
Stress, anxiety, absenteeism, presenteeism predict higher levels of burnout and poor self rated mental health.
Lack of job control related to increased morbidity, sickness absence and poor mental health.
Poor work is associated with higher levels of spill over from work to family life and vice versa.
How Workplace Wellbeing can be lost and gained in a time of employment uncertainty and insecurity Factors that maintain workplace well being
Feeling in control Having a balanced workload Being Informed and equipped Well managed change A sense of purpose Collaborative relationships
(The Robertson-Cooper i-resilience tool and ASSET model)
Who Cares?
Welfare to work
Austerity
Benefit sanctions
Wage restraints
Culture of low paid insecure work
In work poverty /child poverty/rising UK suicide and incarceration rates
Policies as if Mindfulness mattered?
The Social Value Act
Policies for Recovery & Restorative Justice
Tackling Health Inequalities through commissioning
Promoting Equity and Parity of Esteem
Five Year Forward View
Navigating the Commissioning landscape
JSNA, commissioning intentions, commissioning for population needs
Joint commissioning by health and social services - drug and alcohol services, mental health, carers, schools and children’s centres
Better Care Fund/New Models of Care
Socially responsible mindfulness?
Our duties under the Equalities Act when delivering public funded programmes
Social value act
Mandation of equality standards
Values-Based Mindfulness?
Mindfulness Meditation Benefits: 20 Reasons Why It's Good For Your
Mental And Physical HealthThe Huffington Post 04/08/2013
#4. It could help our troops. ..how mindfulness meditation training can
improve troops' performance and ability to handle -- and recover from -- stress.
Values Based Mindfulness?
Mandating Mindfulness: Doing mindfulness UNTO groups or WITH them?
Co-production with Experts by Experience
To HIA or not to HIA that is the question?
Equality Act duties and publically funded provision
What we permit we promote: Exclusivity in provision, ‘un/conscious’ cultural bias
Lets stop pretendiing mindfulness operates in a power / values/ cultural vaccum
Policy as if Mindfulness Mattered…
Ruth Passman
Head of Equality and Health Inequalities
NHS England
