1. Could Arts & Health Programmes Help Wellbeing at Work? Dr Robin Philipp Consultant Occupational & Public Health Physician, Bristol

2. Values & Economic Models to Support Arts & Health Practice Values & the Arts – Science Spectrum of Inquiry (2 x Nuffield Trust reports www.rsph.org.uk/artsandhealthbeyondthe millennium Sections 1-4 = “How far have we come?” Section 5 = “Where do we go from here?” _____________

3. Valuing the Arts & the Art of How We Go About Doing What We Do Background: The Basis of Human Values: http://www.intechopen.com/articles/sho w/title/fostering-the-art-of-well-being- an-alternative-medicinehttp://www.intechopen.com/articles/sho w/title/fostering-the-art-of-well-being- an-alternative-medicine The Anthropology of Humanitarian Aid: all the unwritten rules (Office of International Cooperation & Human Development, Italian Red Cross)

4. The Need for Health & Wellbeing Initiatives with NHS Staff Boorman Review 2009: reducing sickness absence by 33% would give 3.4 million additional staff working days/year with UK £555 million direct saving costs 25% of all NHS staff absences attributed to stress, depression & anxiety Interventions could reduce stress-related absences by 40% (only 40% NHS staff believe OHS proactively try to improve staff health & wellbeing 60% NHS OHS clinical work = emotional

5. Going Forward: What the tortoise said The Philipp Family Foundation (PFF) strapline: ‘Everything in life is connected’

6. Audit of 14 NHS Values in SW EnglandDr Laura Adcroft NHS Constitution 15 Trusts Quality of care66% Safety66% Excellence66% Improvement & Innovation53%

7. Audit of NHS Values in SW England NHS Constitution15 Trusts Putting patients first47% Maximise resources47% Working together47% Respect & dignity47%

8. Audit of NHS Values in SW England NHS Constitution15 Trusts Compassion40% Community engagement40% Being open & honest33% Getting feedback from people33% Professionalism20% Accountability13%

9. Accountability “Consultants and trainees should take responsibility, and probably accountability, for the whole care of their patients, not just focusing on their particular clinical area of expertise” Prof. Richard Thompson, President, RCP, UK.Francis inquiry: effecting change. Clinical Medicine 2013: 13: 220-1.

10. Values Perception Among 27 NHS Staff: Admin&Clerical,Nurses, Drs The UHBFT Values: Respecting everyone; Embracing change; Recognising success; Working together; The Scale NeverOccasionallySometimes OftenAlwaysDon’t know No consensus

11. Heard of Social Capital? = What bonds communities & societies together: Good networks, Trusting & respecting others, Shared initiatives, solidarity, Mutual support, cooperation. Heard = 33%; Engage in it with staff = 33%,with patients = 52%

12. Heard of Cultural Capital ? = benefits to an organisation, community or society coming from its codes of behaviours, values & beliefs. Heard of it = 26% Know what it means = 33% of the ‘yes’ (as with social capital) Engage in the concept of Cultural Capital with staff = 30%, with patients = 37%

13. The Workplace, Community & Our Wealth Question: Can the NHS Healthcare Trust be viewed as a community? Yes = 59%;No = 22% Not Sure = 19% Question: The WHO has a slogan: ‘Our real wealth is our health’. Do you agree with this slogan? Yes = 78%;no = 7%Don’t know = 15%

14. A Role for Art in Our Health & Wellbeing? Views of NHS Staff Taking part in arts activities such as painting, music, creative writing, etc / Yes = 96% Looking at works of art ? Yes = 89% (John Keats: “A thing of beauty is a joy forever) Being in natural surroundings? Yes=100% How we do our work ? Yes = 96%

15. Where does this leave us? We live everywhere in a values driven economy; We value our health – but often have lifestyles that don’t reflect wise investment in it; For our health & wellbeing there is an arts-based way of looking at the world & tools arts practitioners utilise in support of it; We need to better value and assess the 4 core components of community & personal wellbeing.

16. What is happening now? In support of ways the arts strengthen social & cultural capital the RSPH has: an Arts & Health Award scheme; developed ‘arts and health’ courses in its Training Solutions programme; Set up an arts and health section on its website to help strengthen arts & health frameworks and programme development.

17. What might happen next ? If delegates at this conference think it worthwhile, the values frameworks and economic modelling in Section 5 of the RSPH report, “Arts, Health & Wellbeing Beyond the Millennium: How far have we come and where do we want to go?”, will in support of arts and health practitioners be expanded, with additional illustrative, worked examples that span the arts- science spectrum of inquiry. Would this help you: YES / NO ?