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Six steps to a social movement

Better still • Our social networks, happiness and wellbeing are influenced by

just 3 degrees of separation • People who are a part of happy and healthy social networks are

more likely to be happy and healthy too*( BMJ, 2008). • Which means if you share something good with a friend……… • and they share it with their friend……… • And they share it with their friend………… • We can empower healthy and happy communities. That is what today is for.

Fylde and Wyre PPGs • All 18 practices now have a fully functioning PPG • Some great work going on:

– Awards – Health walks – Collaborative working – Healthy eating campaigns – Dementia awareness-raising

Where do we all fit? NEIGHBOURHOODS Geographical areas across which GP practices and other health and care services work together to ensure joined-up care tailored to the needs of their local populations (typically between 30-50,000 people). From 1 April there will be five neighbourhoods in Fylde and Wyre and six in Blackpool

Where do we all fit? THE FYLDE COAST INTEGRATED CARE PARTNERSHIP (ICP) Covers the whole Fylde coast, initially involving the two CCGs, Hospitals Trust, Lancashire County Council and Blackpool Council - working together to improve care of the whole Fylde coast population by making best use of collective resources. Publically referred to as ‘Healthier Fylde Coast’.

Where do we all fit? LANCASHIRE AND SOUTH CUMBRIA INTEGRATED CARE SYSTEM (ICS) Covers the whole Lancashire and South Cumbria STP footprint. Consists of five different health and care economies (ICPs) working together to deliver a shared vision for the region. Also publically referred to as Healthier Lancashire and South Cumbria.

We need you! • We continue to value the hard work all of you

are doing to support your local NHS. • Keep working with us. You are the voice of the

community. • We can’t improve services without your help!

Dr Arif Rajpura Director of Public Health

Blackpool Council

Fylde coast strategy

Wellbeing support

Primary care

LTC specialists

Community nursing

Therapies

Mental health

Social care

Diagnostics and specialist

acute care

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Care coordination

Moving scale of provision based on assessed need

Patient activation

Extensivist specialists

Children and families

Third/vol sector

Initial structure of Fylde Coast Integrated Care Partnership (ICP) transformation programmes – March 18

Patient flow including Theatres

Transformation

Stroke

Integrated Primary & Community Care

Urgent & Emergency Care Planned Care Corporate Services

Neighbourhood Care Teams

Reablement & Rehabilitation

(inc. LTCs)

Primary Care Redesign

Empowering People & Communities

Mental Health Redesign

Neighbourhood & System Development

Cancer Services

Fylde Coast Clinical Pathways Group (linked to Clinical Senate)

Access to Urgent Care

Access to emergency care

Acute episode (treatment or care)

Discharge

Workforce & Organisational Development

Estates

ICT / BI

Referral management & outpatient services

Communications & Engagement

Service Development Opportunities

Finance / Effective Use of Resources

It should be noted that these groupings will evolve as the scope and associated transformation activities are better defined.

Empowering People and Communities Directory of Services (FYI) Residents and patient engagement – Co-production • Blackpool Citizens Inquiries • Altogether Better Primary Care Champions • Social Prescribing • Fleetwoood Health Creation - Connecting to others, gaining self-

confidence and being in control of your own life Patient Activation Measures (PAMS) Workforce development – behaviour change coaching Self Care Strategy • Prevention, lifestyles and behaviours Place – Integration 20:20 • Connecting statutory, voluntary, business sector

Directory of Services • A new unique tool to aid self

care, self-referral and signposting.

• Brings together existing directories such as Blackpool4Me, third/vol sector equivalents and NHS 111 directory to form one comprehensive resource for the public and professionals.

• Tested thoroughly with patient and professional groups during summer period before launch at start of September. 2017

Directory of Services

53,000+ unique users between 1 Sept ‘17 – March ‘18

Top searches

31% accessed via a

desktop computer

59% accessed via a

smart phone 10% accessed via a

tablet device

service listings 3,000+

The mean of the differences is 10

The mean of the differences is 8

Insignia Health reports that “Each point increase in PAM score correlates to a 2% decrease in hospitalisation and 2% increase in medication adherence”.

Patient Activation Measure (PAM)

Behavioural change – coaching • Train the trainer programme, co-delivery • Continue training across all areas of service within

integrated neighbourhoods teams of nurses, therapists, and other clinical and non-clinical staff.

• Review PAM data with Weight Management Service and develop appropriate interventions.

• Explore opportunities to extend implementation of PAM (e.g. Falls Service, HIV)

• Wider Neighbourhood workforce training – beyond the NHS

Place based - Integration 20:20 So far, Blackpool only………. First business planning event on 18th October 2017 to develop engagement between the voluntary / community sector and statutory services • Neighbourhoods asked, what are the key issues? Second event 23rd January 2018 • Causes of the causes • Asset Mapping • Connecting services and support – solutions focused

October 2017 – jointly agree ONE priority 1. Far North – Loneliness & isolation (not just elderly) 2. North – Prevention of Long Term Conditions 3. Central West – Poor housing & community

resilience 4. Central East – Poor housing & mental health 5. South Central – Poor housing, young transient,

isolation, anxiety 6. South – Communication and multi-agency

partnership working

October 2017 – Planned action 1. Far North – FYI promotion and establish multi–

agency forum. 2. North – Analyse Long Term Condition data,

establish what community resources exist (FYI) and host engagement event(s).

3. Central West – Look at Ibbison Court use and intergenerational work, establish multi agency working for complex patients and check, add and promote FYI.

October 2017 – Planned Action 4. Central East – establish multi–agency forum and engage resident leaders. 5. South Central – provide health & wellbeing education / training course and investigate further use of digital enablement to promote better health & wellbeing 6. South – FYI promotion and use; ask residents what they want and create establish multi–agency operational forum

Actions – So far……… Greater connections with Primary Care & Neighbourhood Teams: - Housing & Health Sessions @ Layton GP Practice

(Blackpool Coastal Housing) Tab Children’s Centre Hub – multi-agency meetings Grange Park – shop, farm and community building

Workshops – December Asset-based work and wellbeing

….bringing together workers from all public and voluntary sectors to map the community organisations on each patch and explore the benefits of asset-based approaches to wellbeing

Workshops – December Asset-based work and wellbeing

AIMS • To explore asset- based work and co-production –

demystify these concepts, using plain language; • To begin shared mapping of assets in communities; • To look at ways of engaging with residents to map

their individual and collective assets

Integration 20:20 - January 2018 • Creation of extensive asset maps – by

Neighbourhood • Practical connecting individuals, services and

support – solutions focused • Evaluation of progress to date and agree next

steps………………24th April 2018 session 3.

Meanwhile, resident-led Citizens Inquiries 1. Central West – Complete with recommendations (May

2017) 2. Far North – Launched 25 January 2018 3. South – Launched 25 January 2018 4. Central East – Underway. Launch planned 8 May 2018 5. South Central – existing mutual gain work; Start

Inquiry recruitment next week; March 2018 NB. North – Altogether Better Model, primary care volunteer champions at planning stage.

Liz Petch, Consultant in Public Health, Blackpool Council Kate Jackson, Integrated Commissioning Manager, NHS Blackpool CCG

Citizens Inquiry

Citizens Inquiry • Resident led inquiries to understand the wider determinants of

health and wellbeing within a neighbourhood. • First piloted in Central Blackpool, Talbot and Brunswick ward. • Residents undertake inquiry process over 12 weeks, including

questioning of ‘local experts’ such as Director of Public Health, Chief Executive of Blackpool Teaching Hospitals Trust, Police, NHS Commissioners and / or GPs.

• At the end of the process, residents present their findings and recommendations to tackle the issues they have discovered.

• Working with local stakeholders they then agree and develop shared actions between the residents and organisations.

Recruitment process Volunteers from the Streetlife Trust post letters Through as many letterboxes within an agreed target area as possible. www.wearestreetlife.org Volunteers from Streetlife are given vouchers to deliver the letters Also, target existing contacts within the area to ensure other agencies are aware of the work, and help distribute recruitment letters: Citizens Advice Bureau, Children’s Centres, GP practices in the area, schools, libraries, churches etc etc Outreach work is also undertaken to talk to people on the streets, at key community touch points etc.

Recruitment process Anything from between 30 and 80 applications Shortlisting with an aim for 25 invited to sessions to cover a

range of age, gender and backgrounds/interests To incentivise consistent attendance participants received shopping vouchers at the end of the Inquiry process (equivalent to £20 per session). There was also a budget for participant support costs (e.g. childcare)

Inquiry process Nine sessions of deliberation to try and produce a set of recommendations that attempt to answer the question: ‘For people living in Blackpool Far North, what are the main things that affect people’s health and wellbeing and what can be done about them?’ Members of the Citizens Inquiry share their experiences and opinions in a highly participatory process.

Commentators

Launch! After the nine Inquiry sessions, each group hosts a launch event at which the group’s recommendations are shared and discussed with invited local stakeholders.

Themes and recommendations Recommendations are grouped into key themes: 1. GPs and health support. 2. Mental health, loneliness and isolation. 3. The way services are delivered. 4. Young people. Community facilities. 5. Employment, training and learning. 6. Police, traffic and parking.

COPC – Citizens Inquiries

Next steps KEEP TALKING!

Support existing ……… More Inquiries…… Thursday 26th April……..

Fylde Coast Self-Care Strategy 2017 - 2020 Liz Petch Consultant in Public Health Blackpool Council

#FyldeCoastSharing #FutureNHS

Self Care Strategy

Self Care Strategy A significant period of communication and engagement was undertaken with local stakeholders and members of the public in 2016/2017: • Over 449 people engaged (via on-line survey and face-to-face

methods); • Social media posts reached a potential audience of 200,918 people; • local media articles; • stakeholder event - September 2016 to launch the development

process; • multi agency Steering Group.

Self Care Strategy This Self-Care Strategy will work to the Department of Health (2006) definition of self-care:

“The actions that people take for themselves, their children and their families to stay fit and maintain good

physical and mental health; meet social and psychological needs; prevent illness or accident; care for minor ailments and long-term conditions; and maintain health and wellbeing after

an acute illness or discharge from hospital.”

Self Care Strategy • focus on healthy lifestyle choices, getting people to quit smoking, drink

less alcohol, eat a healthy diet and take more exercise • increase levels of social prescribing as an alternative to medication, and

connect people to peer support and group activities to support health and wellbeing

• value the role of people and communities in their health and wellbeing, focusing on their strengths and what they can do, not what they can’t (e.g. volunteering)

• support and integrate the voluntary, community, faith and social enterprise sector, working alongside people, families, communities and the health and care system

Self Care Strategy Commitment to empowering people and communities to take greater responsibility for their own health, and is built on the guiding principles of: • building on the assets/strengths (e.g. knowledge, skills and experiences)

that already exist in the community • people and communities, including the workforce, are equal partners in

changing behaviours, building resilience and providing mutual support • the community is at the heart of the New Models of Care transformation

agenda and the decisions making, design and delivery of the Neighbourhood Teams

Self Care Strategy

Self Care Strategy Now & Next: - Raise awareness and gain commitment to delivery Lead contact: emily.davis@blackpool.gov.uk Actions: - Including; identifying and supporting (more) carers, further development of FYI, training more provider staff in brief interventions, motivational interviewing – coaching; and encouraging, supporting and promoting more community lead health and wellbeing events.

Thank you

The statistics for health, and as a result social issues, in Fleetwood are among the worst in the country. Of course clinical remedies can help but they are not the long-term answer.

When we asked the community ‘is there a better way?’ …. The response from all areas was, ‘let’s work together to find it!’ Healthier Fleetwood was born.

By listening to what residents say they want to see happen in the community and supporting them to make it happen … residents become the ‘doers’ not the ‘done to’.

Our aim is to make a real difference to the health and quality of life for Fleetwood residents … Now and for future generations.

With input from residents we are developing a path for social prescribing from GP referral, through a wellbeing mentor, to the local group, activity or event best suited to the individual’s needs.

We will develop the pathway by connecting all aspects of the community to make it stronger. We share all the good work taking place and support new ideas to make them sustainable.

In the past few months we have seen the difference making new connections can have to an individual. They grow in confidence as they take more control of their life.

We want to empower residents to take even more control over the decisions that affect their health, their families and their neighbourhoods.

New ideas suggested by residents, run by residents, include …. friendship groups, sports clubs, family play groups, support groups for health conditions, activities for teenagers.

Residents meet monthly to shape events and projects and to agree funding for projects in the community. Public meetings are led by residents, encouraging anyone to share new ideas and stories.

Residents also sit alongside healthcare providers, local authorities, businesses and third sector groups on our partnership meetings, helping to shape the longer-term strategy.

Healthier Fleetwood has also delivered projects of its own. The 2017 young chef of the year competition engaged more than 350 Year Five students and has just been launched for 2018.

What is the future for Healthier Fleetwood? We don’t know the answer … that will come from continuing to work with the community, learning and adapting as we progress.

The journey to a Healthier Fleetwood has only just begun!

Social media in GP practice Dan Clough

Senior Communications and Engagement Officer NHS Fylde and Wyre CCG

Two years ago …

Today 15 Fylde and Wyre practices using Facebook

Two Fylde and Wyre practices using Twitter

11 Blackpool practices using Facebook

One Blackpool practice using Twitter

5,000+ likes/followers

CCG social media

10,000 likes/followers across Fylde coast

What else is there?

What is it good for? Kirkham and Wesham services relocation – major local engagement exercise • Reach of almost 200,000 • More than 1,000 clicks on social media

posts

Enabled two-way conversations to take place Contributed to receiving completed surveys from more than six per cent of the practice population across the area

What is it good for? NHS cyber attack, May 2017 • Need to communicate to NHS staff across

the Fylde coast – WITHOUT BEING ABLE TO USE OUR COMPUTERS!

• Using mobile devices, social media messages helped spread messages far and wide

Cyber attack was quickly brought under control by IT staff while need to stay off work computers was effectively communicated to CCG and hospital staff across the Fylde coast

Practice social media

Some tips • Make posts about people

and keep them chatty and informal

• Embrace emojis and gifs – they catch the eye

• Don’t be afraid of comments! They will often police themselves

Kieran Waterston 07932 040455

iPlato • Two-way text messaging between clinical system and patient (replace

letters/phone calls with messaging) • Patient facing services via our free app

iPLATO Health Network Today Widespread Coverage in the UK

18m Patients

Text Messaging

50+ NHS Customers

NHS Digital

NHS Wales

CCGs

GP Federations

Networks

2000 Practices

Overview of Standard Functionality

Patient replies directly to dedicated number • The patient can reply directly to any messages the practice send

MyGP the HSCIC app

• Thornton Practice 200 patients registered within 30 minutes

• Wingate Practice 90% of all online appointments booked via MyGP App

Our free App is also available to be activated

MyGP App- Registration with no practice involvement

MyGP App- Self activation

MyGP App- Compulsory Smoking Capture & Sign Posting

If the patient selects current smoker

bespoke signposting advice is sent

MyGP App- Notifications and Signposting All messages sent via the App are free

MyGP App- Booking a Recall direct from App (only selected patients can see these appointments)

MyGP App- Normal appointments by Type or Clinician

MyGP App- Proxy access for other users Add children or relatives to the App to book & cancel for them

MyGP App- Medication reminders, Weight & BP monitoring

MyGP App- Patient Access, Security & FFT

Upcoming Functionality and Roadmap items..

• GPSoC Integration (same features as EMIS Access) • Data to record • Triage/Signposting (Online Consultation) • Video Consultations • Pre-Consultation data capture • Post-Consultation resources

Workshop • Each table please nominate a scribe and

spokesperson • 30 minutes to discuss three questions:

– What is good about social media in GP practice? – What is bad/what are the risks or barriers to social

media in GP practice? – How can GP practices and PPGs promote MyGP

Fylde and Wyre PPG Awards

Lunch

GP extended access Daniel Baines

Transformation and Planning Support Officer NHS Fylde and Wyre CCG

Overview In April 2016, NHS England published the General Practice Forward View which set out plans for CCGs to commission and fund additional capacity to ensure that by 2020 everyone has improved access to GP services, including sufficient routine appointments at evenings and weekends to meet locally determined demand, alongside effective access to out of hours and urgent care services.

National criteria The service must provide: • Pre-bookable and same-day appointments to

general practice services (GPs, nurse, HCA etc) on both: • weekday evenings after 6.30pm for a

minimum of 1.5hrs/day, and • weekends - Saturday and Sunday for a

minimum of six hours • Minimum additional 30 minutes consultation

time per 1,000 population, rising to 45 minutes 1,000 population if demand meets capacity

National criteria • Ensure services are advertised publicly. • Ensure GP receptionists can direct patients to the service and offer

appointments. • Offer choice of evening or weekend appointments. In addition, NHS England also requested the services provide • A range of appointment types. • Services 365 days a year. • Seamless continuation of GP services with full access to medical

records.

The service Monday Tuesday Wednesday Thursday Friday Saturday Sunday

6.30pm to 9.30pm

6.30pm to 9.30pm

N/A 6.30pm to 9.30pm

N/A 8am to 2pm

8am to 2pm

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

6.30pm to 9pm

6.30pm to 9pm

6.30pm to 9pm

6.30pm to 8pm

6.30pm to 8pm

8am to 12 noon

8am to 12 noon

Freckleton Health Centre

Fleetwood Health and Wellbeing Centre

Types of appointments

The service offers a mix of GP, nurse and HCA appointments for minor illness, ear syringing, cervical screening, bloods, etc.

Appointments can be booked via your practice, face to face or via telephone

Monitoring

The CCG monitors utilisation: •Of appointments by site •Of appointments by day •Of appointments by health professional •By practice

Average usage Evening Fleetwood Freckleton Saturday Fleetwood Freckleton Sunday Fleetwood Freckleton

61.3%

69.2%

72.5%

Next steps • Appointments to be available to any patient

across the Fylde coast to access an extended access appointment at any of the three sites (Fleetwood, Freckleton and Blackpool).

• Patients able to book appointments via 111 • Providers (such as walk-in centres) able to view

and book appointments for extended access to support the management of capacity across the Fylde coast.

Questions?

Holland House Arts for Wellbeing Project

Picture for Health

Key messages • The arts can help keep us well, aid our recovery and support longer better lives, better

lived.

• The arts can help meet major challenges facing health and social care: ageing, long-term conditions, loneliness and mental health

• The arts can help save money in the health services and social care.

– Florence Nightingale 1860

‘Little as we know about the way in which we are affected by form, and light, we do know this: that they have an actual

physical effect. Variety of form and brilliancy of colour in the objects presented to patients, are actual means of recovery’

Arts for Wellbeing is not just painting and drawing. All the visual and performing arts can make a difference to peoples lives. There is an expanding body of research and evaluation to support the case that the arts have an important contribution to make to health and wellbeing.

The Holland House Dementia Sing-a-longs, in my opinion,

also come under the ‘Arts for Wellbeing’ umbrella. They have proved to be very

well received and at the same time have raised £14,000 for the

Alzheimers Society

Sing-a-long, May 2017, at the Lowther Pavilion

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Holland House team ready and waiting to give out the songbooks

Audience participation - some familiar faces

The project aims: • to raise awareness of health and wellbeing. • to encourage arts activity for relaxation. Picture for Health outcomes: • Improved ambience of the surgery waiting area. • Patients’ artwork used for a charity calendar. • Submitted artwork used on greeting cards, to be sold to raise

funds for local charities. • Fun inter-generational activity. • People of all ages inspired to take up arts activities.

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The theme for the competition was health awareness

We supplied some ideas to inspire those who wished to enter the competition

For example …

Maintaining mental health … a picture of someone relaxing with friends, or walking along the coast.

Healthy eating … a still life of fruit or veg.

Healthy activities for children, green space, etc etc.

An Arts on Prescription project has shown a 37 per cent drop in GP consultation rates

and a 27 per cent reduction in hospital admissions.

This represents a saving of £216 per patient.

A social return on investment of between £4 and £11 has been calculated for every £1 invested in Arts on Prescription

What next?

A blank canvas … With the same investment Picture for Health could be the forerunner of an area-wide Arts for Wellbeing programme, involving a wide range of arts-related activities to benefit people of all ages in Fylde and Wyre.

Just Good Friends Bev Sykes

The Thornton Practice PPG and

Northfold Primary School

PPG patient power to the practice Vision of PPG from the practice Empower volunteers to deliver Health and Wellbeing

messages to the local community Emphasis on reaching those cohorts of patients identified

by the PPG which are not represented in the PPG core group

Engage through outreach activities the whole Patient Community

To have an influence Reach out to parents and children alike and through a

fun, colourful way promote healthy eating lifestyle

Contacted local schools Northfold agreed to take part PSHE subject leader at Northfold recently been covering

Healthy Heroes subject School visit

PPG volunteers along with nurse manager, practice manager and patient service manager delivered a lesson on: Why would you visit a GP surgery/medical centre What could the children do themselves to reduce visit to a

doctor Took along BP sphgmanometer, stethoscope, peak flow meter,

oxygen mask, ear thermometer, syringes, blood tourniquet

School produced the artwork PPG visited the school to see the results of the

children’s hard work

PPG chair contacted BBC Radio Lancashire and Blackpool Gazette Key questions to BBC Lancashire

Did they know what a PPG was? Did they know that they were a contractual requirements for ALL GP practices?

Result of this contact: Site visit to The Thornton Practice by BBC Radio Lancashire to run a news item

and live broadcast throughout the afternoon on the project. ‘an apple a day keeps the doctor away’

Interview with the children The PPG chair The practice manager

https://www.facebook.com/BBCLancashire/videos/10155198755686069/

School children visit during BBC Radio Lancashire’s visit Article in the Blackpool Gazette

Neighbourhood Campaign / communication / engagement for Flu Vaccine promotion

PPG volunteers provided full day representation at Morrison's Supermarket giving out information on: PPGs Flu Clinic date Patient Access

INITIAL REMIT • Act as a link between volunteers and the GP Practices to develop new community focused

initiatives to improve health and wellbeing in the local area and beyond. • Identify community assets, issues and needs • Ensure local people get involved • Develop links with other groups and agencies • Liaising with interested groups and individuals • Develop new resources in dialogue with the community and evaluate existing programmes. • Raise public awareness • increase volunteering pool to help in social prescribing, including socially isolated residents

and young carers

STARTING POINT Developing a website

Start to get the local community involved Locating groups and visiting them in location

Spending time reading the evidence from across the country - Kings Fund ‘Volunteering in General Practice’

How to involve the GP Practices?

How do we involve the PPG’s?

Developing the idea of Community Circles

providing peer support groups – connecting people in similar situation

connecting and learning – supporting social groups based around exercise or outdoor activities

connecting and learning – supporting social groups based around creative activities

connecting people with activities in community – promoting the project within the wider community and signposting to other groups

GENERATING INTEREST

Website – creating a local FYI Contacting local Organisations Advert in the Local Advertiser

DEVELOPING A NEIGHBOURHOOD PLAN - START • Finding Some Funding • Working with GP’s on hosting Peer Support Groups e.g COPD and Diabetes and

targeting patient groups – taking them into the community • Getting PPG involvement • Meeting contacts from the website and the advertisement • Discussing their interests – identifying specific projects to develop e.g cooking,

dancing, gardening, sports groups etc • Developing a ‘Volunteer Working Group’ from them to take the project forward. • Need to ask the community what interests them! – Coffee and Chat!

DEVELOPING A NEIGHBOURHOOD PLAN – MOVING FORWARD • Plan a ‘Volunteer’ Workshop for the Kirkham neighbourhood

residents and partner organisations. • Targeting those people without internet – again advertising coffee

and chat groups • Target communities – Lower Lane, new housing estates – developing

social cohesion • Bringing other organisations into the ‘Community Hub’ e.g kirkham

town council, YMCA, Library, AFC Fylde, existing local groups

IDENTIFYING ISSUES Kirkham Town Council recently published their ‘Draft ’ Enhancement

Plan which highlighted: • Lack of volunteering in Kirkham • The need for a Community Hub • The Need to Re-introduce the now defunct Youth Panel

EARLY OUTCOMES REQUIRED GP Practices fundamentally involved – disease groups/ generating lists

Hold First Major Community event

From there, develop sustainable community circles to begin to involve socially isolated people

Begin to find Young carers and offer support

Increasing Volunteer interest/numbers

EARLY OUTCOMES REQUIRED GP Practices fundamentally involved – disease groups/ generating lists Hold First Major Community event From there, develop sustainable community circles to begin to involve socially isolated

people Begin to find Young carers and offer support Increasing Volunteer interest/numbers https://www.gotchatogether.org.uk/

Break

Blackpool Kirkham St Annes Lytham Christopher Hignett Ann Lewis Christopher Hopkins Helen Williams Carole Roberts Ann Allen Mildred Hutchings Doreen Rigby Michael Martin

Jan Tilley James Mechan Natasha Brandon Christina Eccles Judith Appleton Charles Bayliss Alan Brindle Ann Gadd David Perry

Antonia Phillips Nicola Sutton Nathalie Lewin Nick Milne Andrew Jones John Driffill Bev Sykes Nigel Richardson Clare Platt

Derek James Bill Gormley Diane Eaton Dr Morag Sloan Barbara Weston Heather Kynaston Karen Gillett Carol Gradwell Karen Oddie

WIN 1 WIN 2 WREN Fleetwood Amy Holcroft Christine Corbett Jenny Naden Howard Ballard Maureen Shenton Frances Fothergill Sheila Smith Michelle Bell Ann Butters

Gemma Jackson Carol Hull Amy Sissons Kathryn Ward Allan Beighton Patricia Exon Alan Davis Ann Quirk Casey Hancock

John Macphee Shelley Birch Ian Gibson Simone Harris Malcolm Worsley Helen Roberts Jim Proctor Cheryl Simmill-Binning Nick Colledge

Karen McKernan Maurice Christian Elaine Christian Mark Broadhurst Pauline Kennedy David Gore Alan Chenery David Baxter Alison Westwood

Workshop • In your neighbourhoods, you have 45 minutes to

develop a neighbourhood plan • Each table nominate a scribe and spokesperson

– Understand needs of your community and prioritise one issue

– Identify local assets – Identify any barriers – Identify how you want to network with other communities

Any questions?

Thank you!