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Sutton Partnership
                                           Board, 21.4.10


                                                 Kate Dalzell
                                            Young Foundation




Slide 1   The Young Foundation 2010
This presentation
•Drivers of recent interest in behaviour change
•What we mean by behaviour change
•What are the Young Foundation doing?
•What are local authorities and their partners
doing?
•What are we learning


Slide 2   The Young Foundation 2010
Why the interest in behaviour
change now?
•Public spending reductions
•To improve outcomes, moving beyond the limits of
service delivery
•Popularisation of theories which bring fresh insights
•Cross-party interest

                                      But it isn’t really new
Slide 3   The Young Foundation 2010
What we mean by behaviour
change?
•Applying new thinking from social and
behavioural sciences
•Shift away from “rational man” assumptions
•Many theories; many models


Slide 4   The Young Foundation 2010
Internal factors
               Social factors                                  Rules of thumb
                 social proof                                               Loss aversion
                                                               Self-efficacy/ confidence
            descriptive norms
                                                                   inertia/ status quo bias
                  collective efficacy                          time discounting
            Social norms                                                  personal capacity
                                                                    •Emotions
                                         External factors                 Habits
                                  Financial (dis)incentivestives

                                      Effort levels: information
                                      provision; access; regulation

                                           physical environment
                                                                      Factors influencing
                                                                      behaviour


Slide 5   The Young Foundation 2010    Human Behaviours
What we mean by behaviour change?

 Frameworks
 to support
 implementation




  Slide 6   The Young Foundation 2010
Young Foundation work
•London collaborative
guide to behaviour change; practice
exchange; action learning; incentives
study
•Recovery Network
litter in Sutton; challenging families in
Knowsley
•Health
Healthy Incentives in Birmingham
Slide 7   The Young Foundation 2010
London Collaborative
wide range of work underway…
Some examples...
•borough-wide, cross-thematic approach
Better Together, part of Harrow’s transformation
programme
•regional initiatives
Go London!, maximising 2012 health legacy
•small-scale pilots
Barnet’s work on carbon
and waste reduction,
centred on pledges
Slide 9   The Young Foundation 2010
Some examples...
•simple behaviours
Step2Get in Wimbledon,
incentivising walking to school
•complex behaviours
tackling gang and
weapon violence in
Southwark
Some examples...
•individual choice/ responsibility
Active Steps, clinical referral to exercise
provision through Sutton and Merton PCT
•mobilising community activity
co-design and co-production through Southwark
Circle
What we’re learning
•Clarity and transparency about objectives
•Engaging people, partners, staff in design and delivery
•Fully understanding what’s driving behaviour
•Use of multiple techniques
•simple vs. complex behaviours
•Segmenting the population and targeting
•Staff need the skills and capacity
•Political drive and strategic buy-in
•Getting the right balance of carrot and stick right
What we’re learning: impact
•we are still learning what works, evidence base patchy
•evaluation can be challenging
•some projects show 6-10% change
•long-term, not quick fix
•have to take risks
•we need to change too – our organisations,
behaviours, examples
we set
Wider issues
•What does this mean for our organisations?
•Ethical/ political issues
 - defining acceptable behaviours/ interventions
•Wider dialogues: what public should do/ pay for;
cohesion and engagement; altruism
•Role of partnership: interfacing with the ‘total
person’
Who do you think is at fault for causing obesity among children?

                                                                  Who do you think is responsible for tackling obesity among children?


    The parents of the individual

  Food and drink manufacturers

Restaurants and fast food outlets

                                         Schools
                                                                                                           Who is
                                 The individual                                                           responsible?
                                 Supermarkets

                            The government

                                       Not stated

                                           Other

                                 None of these

                                      Workplaces
                                                                                                                          %
                                                    0   10   20    30        40        50        60        70        80
   © British Telecommunications plc

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SPB Young Foundation

  • 1. Sutton Partnership Board, 21.4.10 Kate Dalzell Young Foundation Slide 1 The Young Foundation 2010
  • 2. This presentation •Drivers of recent interest in behaviour change •What we mean by behaviour change •What are the Young Foundation doing? •What are local authorities and their partners doing? •What are we learning Slide 2 The Young Foundation 2010
  • 3. Why the interest in behaviour change now? •Public spending reductions •To improve outcomes, moving beyond the limits of service delivery •Popularisation of theories which bring fresh insights •Cross-party interest But it isn’t really new Slide 3 The Young Foundation 2010
  • 4. What we mean by behaviour change? •Applying new thinking from social and behavioural sciences •Shift away from “rational man” assumptions •Many theories; many models Slide 4 The Young Foundation 2010
  • 5. Internal factors Social factors Rules of thumb social proof Loss aversion Self-efficacy/ confidence descriptive norms inertia/ status quo bias collective efficacy time discounting Social norms personal capacity •Emotions External factors Habits Financial (dis)incentivestives Effort levels: information provision; access; regulation physical environment Factors influencing behaviour Slide 5 The Young Foundation 2010 Human Behaviours
  • 6. What we mean by behaviour change? Frameworks to support implementation Slide 6 The Young Foundation 2010
  • 7. Young Foundation work •London collaborative guide to behaviour change; practice exchange; action learning; incentives study •Recovery Network litter in Sutton; challenging families in Knowsley •Health Healthy Incentives in Birmingham Slide 7 The Young Foundation 2010
  • 8. London Collaborative wide range of work underway…
  • 9. Some examples... •borough-wide, cross-thematic approach Better Together, part of Harrow’s transformation programme •regional initiatives Go London!, maximising 2012 health legacy •small-scale pilots Barnet’s work on carbon and waste reduction, centred on pledges Slide 9 The Young Foundation 2010
  • 10. Some examples... •simple behaviours Step2Get in Wimbledon, incentivising walking to school •complex behaviours tackling gang and weapon violence in Southwark
  • 11. Some examples... •individual choice/ responsibility Active Steps, clinical referral to exercise provision through Sutton and Merton PCT •mobilising community activity co-design and co-production through Southwark Circle
  • 12. What we’re learning •Clarity and transparency about objectives •Engaging people, partners, staff in design and delivery •Fully understanding what’s driving behaviour •Use of multiple techniques •simple vs. complex behaviours •Segmenting the population and targeting •Staff need the skills and capacity •Political drive and strategic buy-in •Getting the right balance of carrot and stick right
  • 13. What we’re learning: impact •we are still learning what works, evidence base patchy •evaluation can be challenging •some projects show 6-10% change •long-term, not quick fix •have to take risks •we need to change too – our organisations, behaviours, examples we set
  • 14. Wider issues •What does this mean for our organisations? •Ethical/ political issues - defining acceptable behaviours/ interventions •Wider dialogues: what public should do/ pay for; cohesion and engagement; altruism •Role of partnership: interfacing with the ‘total person’
  • 15. Who do you think is at fault for causing obesity among children? Who do you think is responsible for tackling obesity among children? The parents of the individual Food and drink manufacturers Restaurants and fast food outlets Schools Who is The individual responsible? Supermarkets The government Not stated Other None of these Workplaces % 0 10 20 30 40 50 60 70 80 © British Telecommunications plc