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Great to have a locality approach, but need to avoid a post code lottery  AH

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Great to have a locality approach, but need to avoid a post code lottery  AH

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Provide programmes, offers and activities/ideas that are sustainable for people to access and continue to integrate into their lives beyond the end of delivery. Avoiding making something only sustainable for those who can afford it.

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Provide programmes, offers and activities/ideas that are sustainable for people to access and continue to integrate into their lives beyond the end of delivery. Avoiding making something only sustainable for those who can afford it.

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Utilise assets within organisations who sit on the place board and HWP - e.g. wider departments, access to funds, intelligence 

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Utilise assets within organisations who sit on the place board and HWP - e.g. wider departments, access to funds, intelligence 

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Opportunity for greater sharing of ideas and work which is underway so that we don't duplicate and can collaboratively develop services which complement each other underpinned by shared improvement goals for the benefit of our local population

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Agreements as an Integrated System should include the relevant VCSE organisations being embedded, such as hospital discharge, community mental health etc. AH

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Agreements as an Integrated System should include the relevant VCSE organisations being embedded, such as hospital discharge, community mental health etc. AH

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further skill mixing across health and social care. best person to support is not always closest

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further skill mixing across health and social care. best person to support is not always closest

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Shared data and performance metrics to support delivery

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Shared data and performance metrics to support delivery

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Bring together PH data and engagement from workforce and population on what would work for them.

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Bring together PH data and engagement from workforce and population on what would work for them.

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community networks

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Referrals to the VCSE cannot be a one way path. We need better case management across providers and an understanding of capacity across the wider provision of support

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Referrals to the VCSE cannot be a one way path. We need better case management across providers and an understanding of capacity across the wider provision of support

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Encouraging/educating individuals to lead LHH lives from a preventative approach

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Encouraging/educating individuals to lead LHH lives from a preventative approach

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Carly - Evidence based / data driven solutions (PHM / proactive approach rather than reactive in a crisis)

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To add to workforce comments in health to work towards the parity of professionalism fo social care workers to ensure one workforce

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We are still struggling with data sharing and acceptance as integrated partners and workforce. AH 

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We are still struggling with data sharing and acceptance as integrated partners and workforce. AH 

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Ensure focus on prevention and upstream approaches for longer term health improvement. 

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Ensure focus on prevention and upstream approaches for longer term health improvement. 

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Carly - Flexibility in approach - i.e. move away from historic models of service delivery and towards using all of our partners equitably to solve an issue (VCSE)

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HW  - patients and their families need greater visibility of the pathways we as professionals might put them on

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HW  - patients and their families need greater visibility of the pathways we as professionals might put them on

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Utilisation of PHM data and collaboration with colleagues to tackle inequality/deprivation as well as firefighting!

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Utilisation of PHM data and collaboration with colleagues to tackle inequality/deprivation as well as firefighting!

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Ensuring that we have appropriate processes in place to manage engagement with our local communities

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Ensuring that we have appropriate processes in place to manage engagement with our local communities

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Focus on prevention rather than  mainly reactive services

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Focus on prevention rather than  mainly reactive services

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HW - we need to work with the VCSE to support them in supporting us not simply asking them to help us with the presenting problem

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HW - we need to work with the VCSE to support them in supporting us not simply asking them to help us with the presenting problem

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The vulnerable are are even more vulnerable as inequalities are widening at an alarming rate. AH

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Ensuring more wrap around mental health support within the community

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Carly - Collaborative approach to workforce development / recruitment / retention to ensure that we are working together to maximise opportunities (will necessitate a different approach / mindset change)

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Work to breakdown organisational boundaries to improve patient care and the working lives of our staff.

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Co-production with all communities would be of great benefit in managing priorities, but also in exploring self-care and self-management via coaching etc.

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Wider determinants of health e.g. housing, employment, social and community networks, access to healthcare, education.

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We would like to see explicit reference to the use of physical activity to help achieve ICS Goal 1, especially given the Health Improvement Transformation Group have identified physical activity (alongside smoking) as two key areas of focus moving forward.  This will help to galvanise partners as to the benefits of physical activity and encourage everyone to think about how physical activity can be integrated into wider policies and services for the benefit of residents in West Norfolk.

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Cost of living situation is a crisis and an emergency – advice charities are seeing unprecedented demand on services that we are struggling to cope with and in some cases people are just not getting seen. There simply aren’t enough advisors. This is already a health crisis and will become even more of one, if action is not taken.