1. Strengthening personal resilience in East Sussex Annual Report of the Director of Public Health 2015/16 Martina Pickin Consultant in Public Health

2. Context  Reductions in public funding/ageing population  Pressure on health and social care system  Greater ownership of own health and wellbeing  Less reliance on public sector  Focus on strengths/assets not just on needs

3. Strengthening Personal Resilience in East Sussex, 2015/16 2014/15: Growing community resilience in East Sussex 2015/16 focus = ways we are building personal resilience through programmes and services  Each chapter deals with a different area  Primary prevention  Health protection  Person-centred care and support  Helping people help themselves through personal and community resilience

4. What is personal resilience? “Successful adaptation to life tasks in the face of social disadvantage or adverse conditions” Three internal building blocks: secure base; good self-esteem; sense of self-efficacy External building blocks: at least one secure attachment relationship; access to wider support; positive nursery, school or community experiences Resilient individuals avoid negative outcomes due to protective factors (operate at individual, family, community level

5. What is personal resilience? Can be learned and developed Resilience perspective associated with asset- based approaches About understanding what keeps people well and more able to navigate crisis & challenge Promoting individual resilience a point of entry into building stronger networks & communities

6. What is personal resilience? Three external factors where LAs, community groups and service providers can make a significant impact on personal resilience: –Activities that promote wellbeing –Building social capital –Developing psychological coping strategies

7. Chapter 3: Primary prevention Promoting resilience across the life- course: CYP, working age, older people Reducing risk factors and increasing protective factors For each age group considers: – East Sussex programmes & services, – Key settings for promoting resilience –What more could be done

8. Chapter 4: Health Protection Sexual health - sex and relationship education, prevention, and local services available Vaccination and immunisation – childhood immunisation programme, seasonal flu, pneumococcal & shingles vaccines Screening – cancer screening programmes (breast, bowel, cervical); Abdominal Aortic Aneurysm (AAA); Diabetic eye screening; antenatal and newborn programme

9. Chapter 5: Person-centred care and support  What meant by person-centred care  Why self-care important  Support available eg telecare, pharmacies  Self-directed support – Focus is on support integral to someone’s life  Personal budgets/Personal health budgets

10. Chapter 6: Helping people help themselves Individual resilience closely related to community resilience Building personal & community resilience - potential to alleviate pressure on H&SC system. Incorporate resilience as desired outcome in planning and delivery of services Impacts on staff - competencies/training needs Implement as part of a wider system transformation - ESBT resilience workstream

11. Recommendations 1.Reducing health inequalities 2.Apply evidence-based principles that build resilience in ESBT programmes 3.Build resilience via maternity and children’s services 4.Grow personal resilience through workplace programmes 5.Address loneliness and social isolation 6.Promote good sexual health 7.Increase access to screening and immunisation programmes 8.Reorient services so person-centred; promote control, independence and autonomy; offer choice; are based on collaborative team philosophy 9.Establish ESBT KPIs so can monitor extent to which care is person-centred