1. Gloucestershires Cultural Commissioning Programme National Seminar 13th April 2016
2. Concept & Approach
3. 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.
4. 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
5. 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
6. 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 7893. 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 30541. New York: Oxford University Press.
7. CCP Pilot focus in Gloucestershire Oct 2014 March 2016
8. Gloucestershire CCG Operational Plan 2015 16 The Cultural Commissioning Programme is a key enabling project within the CCGs Prevention & Self Care programme of work http://www.gloucestershireccg.nhs.uk/about-us/publications
9. Clinical Programme Approach
10. Operational delivery
11. 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 asthma Street dance for diabetic teenagers to manage blood glucose Arts based mindfulness for pain Creative 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
12. 13 projects across 8 health themes/conditions 15k max per project Delivery Nov 2015 - Sep 2016 Evaluation Oct & Nov 2016 Grant Programme
13. 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
14. Case Study The Producers Project: Mixed media arts for men of working age living with chronic pain
15. Evaluation Bespoke evaluation framework based on Public Health Englands 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?
16. What weve 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
17. 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)