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Gloucestershire’s

Cultural Commissioning Programme

National Seminar

13th April 2016

Concept & Approach

Why did we want to be involved?

• Gloucestershire has a good history and track record of commissioning the arts and culture sector.

• Cultural commissioning has tended to be one-off, opportunistic with available funding and initiated by individuals with a personal commitment to arts.

• Good development of asset based approaches and third sector leadership e.g. CREATE Gloucestershire.

• The need for a stable environment and sufficient capacity to small provider organisations in a time of decreasing resources and commission in the most efficient and cost-effective way.

• Agree an evaluation framework that informs the evidence base.

Strategic programme approach

• Cross sector advisory programme board• Representation from County (Public health) and District

councils (Community Engagement)• Director level programme sponsor

• Presentations to CCG governing body and regular reporting to CCG directors

• Development of arts & culture forum co-facilitated by Create Gloucestershire & VCS Alliance

CCP aligns with a number of key NHS programmes in Gloucestershire:

• Social Prescribing• House of Care – improving quality of life for individuals with long term

conditions• Personal Health Budgets (Integrated Personalised Commission Pilot)• Personalised Care Planning• Devolution - Enabling Active Communities• Integrated Care Teams Phase 2 – connecting individuals to their

communities • Locality / Place Based Commissioning• Developing new approaches to commission the VCSE sector

Estimates of the relative contribution of factors to our health

McGinnis JM, Williams-Russo P, Knickman JR (2002). ‘The case for more active policy attention to health promotion’. Health Affairs, vol 21, no 2, pp 78–93.

Canadian Institute of Advanced Research, Health Canada, Population and Public Health Branch. AB/NWT 2002, quoted in Kuznetsova D (2012). Healthy places: councils leading on public health. London: New Local Government Network

Bunker JP, Frazier HS, Mosteller F (1995). ‘The role of medical care in determining health: creating an inventory of benefits’ in Amick III B, Levine S, Alvin R. Tarlov AR, Chapman Walsh D (eds), Society and Health, pp 305–41. New York: Oxford University Press.

CCP Pilot focus in Gloucestershire Oct 2014 – March 2016

Gloucestershire CCG Operational Plan 2015 – 16

The Cultural Commissioning Programme is a key enabling project within the CCG’s Prevention & Self Care programme of work

http://www.gloucestershireccg.nhs.uk/about-us/publications

Clinical Programme Approach

Operational delivery

Community based stepped care model

A continuum of intervention to meet a continuum of need

Bespoke choirs co-facilitated by vocal leader and respiratory physio for unstable COPD or asthma

Dance for falls prevention for frail elderly in care homes

Arts psychotherapy in the museum

Live harp music in a special care baby unit to soothe stressed babies and parents

Singing to increase lung capacity in stable COPD or asthmaStreet dance for diabetic teenagers to manage blood glucoseArts based mindfulness for painCreative writing for bereavement

Songwriting for depression

Community choirs for social isolation; Zumba for weight management; painting for relaxation; art clubs for friendship; woodwind instruments for healthy lungs

• 13 projects across 8 health themes/conditions

• £15k max per project

• Delivery Nov 2015 - Sep 2016

• Evaluation Oct & Nov 2016

Grant Programme

Each project supported by a bespoke group

Patients at the centre of decision making

Ensures different perspectives are built into every stage of the project design, implementation and evaluation

Co-production Model

Case Study

The Producers Project:

Mixed media arts for men of working age living with

chronic pain

EvaluationBespoke evaluation framework based on Public Health England’s recently published Arts and Health Evaluation Framework.

Questions we are looking to answer:

1.What's the worth & value? (from all the stakeholders)2.What's the financial cost? (fixed costs & variable costs)3.What are the lessons for health commissioners?4.What are the lessons for the arts & culture sector?5.What's the effectiveness of the interventions on the health outcomes?6.What are the opportunities and barriers for replicating and aligning with other programmes e.g. social prescribing and integrated community teams?

What we’ve learned

• Embed the work strategically from the outset• Connect with a network in the arts sector• Expect culture change to take 2 - 3 years within both

sectors

• Engage with VCSE sector early on

• Build in evaluation to capture impact, even if small scale• Allow for dedicated project co-ordination & facilitation

Next steps for the Gloucestershire CPP April – Dec 2016

•Delivery & evaluation of the grant programme

•Write the specification for a three year Arts on Prescription service and run tender process. Two integrated strands – physical health and mental health

•Further identify the key learning & development needs of arts & culture practitioners working in the health & wellbeing sector & develop a workforce development strategy

•Ensure arts and cultural commissioning of the VCSE forms a key component of our cross partner prevention plan – sustainable transformation fund (STP)


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