Tony Horne presentation to the viewpoint event on 19.01.2012

1. DOES MY SOCIETY LOOK BIG IN THIS
Health wellbeing and choice

2. MY BACKGROUND AND BRIEF
 Outline of the work of the University in the area of
health and social care
 How health features in the Big Society Agenda
 What might be the impact of an increased focus on
social enterprise and the savvy
consumer/opportunities and risks from choice
/rights and challenges and localism Vs economies
of scale.

3. UNIVERSITY’S ROLE IN HEALTH AND SOCIAL CARE
 Award bearing programmes (undergraduate and post
graduate-Continuing Professional development-agenda
setting research and knowledge transfer.)
(These are underpinned by an array of partnerships /
stakeholder relationships and knowledge
transfer.)...including the NHS funding Councils (e.g. HEFCE
and RCUK), Medical and other Charities.
 Our taught programmes focus on work based skills- and
supported by a range of equipment and facilities (e.g. High
tech simulation)

4. Health taught programmes (undergraduate)
 Dental Care Professionals (and
 Biomedical Scientist Dentists)
 ODP’s  Radiographers
 Paramedics
 Pharmacists  Speech and Language Assts
 Social workers
 Pharmacology
 Biological Science
 Sports Science
 Business and Leadership programmes

5. Health taught programmes (Postgraduate)
 Applied Psychology  Biomedical Science
 Clinical and Exercise Science  Geographical Information Systems
 Leadership in Health and Well Being  Social Care
 Pharmacy Practice  Research and Knowledge Transfer (RKT)
 Public Admin  Social Work
Significant areas of activity range from basic underpinning biological
science; drug design and delivery; biomechanics and human
physiology, motion and communication; virtual reality and gaming;
telecare; design of artificial joints.

6. HOW DOES HEALTH FIGURE IN THE BIG SOCIETY AGENDA
The Big Society themes arguably underpin the current health policy
reforms and developments i.e.
 From big government to Big society- break up of the State as
monopoly provider (e.g. NHS Foundation Trusts/ any qualified
provider /contestability/ competition and choice);localism /
decentralisation...and partnerships.
 Encouragement for more social action-easier for charity /
community groups to be providers.
 Behavioural economics (nudge theory) – a new approach to
influence people’s behaviour (e.g. From sickness to wellness focus /
health promotion and disease prevention.)
 A wider view of health (and well being.)

7. WHAT IMPACT COULD AN INCREASED FOCUS ON SOCIAL
ENTERPRISE AND THE SAVVY CUSTOMER HAVE IN THE LONG-
TERM?
 Very different networks of provision
 Return to the 19th Century Philanthropic principles?
 Empowered communities?
 Increased local control of public finances?
 Personalised budgets?
 Strengthen accountability to local people?

8. OPPORTUNITIES AND RISKS FOR USERS AND PROVIDERS
(OF INCREASED CHOICE)
Opportunities Risks
 More choice, responsiveness  Fragmentation?
and innovation
 Discontinuity?
 Increased personal  Inequity in provision...with some
involvement in decision areas more able to drive choice
making (micro and macro) and quality
 Coherence of the system /
 Quality driven by demand / strategic planning?
competition
 Population will for engagement
/involvement?

9. RIGHTS AND CHALLENGES- WILL USERS BE ABLE TO
EXERCISE THEIR NEW RIGHTS MORE EFFECTIVELY?
Will they want to?
How can we empower them? (major issue re knowledge
and expertise)
How do you alter the deep seated culture...the
professional knows best?

10. LOCALISM VS SCALE (CENTRAL CONTROL)
Previous attempts at decentralisation / scaling back of
big government – pendulum?
Current NHS Structural changes – CCGs / Clusters / Field
force.
How acceptable is variation? / how level is the start
point?