Making Healthy Choices for the New Year!

So……a new year…..some new resolutions? How about some health resolutions? Given the health crisis we are facing, if you could change one thing over the next 6 months, what would that be? And if you did change something, how would you know it was being beneficial? What would you notice? What would others notice? How would you know you were progressing up your ‘ladder of success’?!

 

Come on, now! You can do it! What would you like to focus on? Would it be exercise? What would be realistic for you? Walking for 10 minutes three times a day at a pace that gets you out of breath? What about taking a leaf out of the books of children all over the UK in running a mile a day – it only takes about 15 minutes?! Or how about seriously reducing your sugar intake or the amount of alcohol you drink? What is your focus going to be?

 

Think in a solutions focused way! You don’t have to make unrealistic goals or promises you are going to break next week. Be honest with yourself. Think about what the barriers and pitfalls might be and get prepared for them. Your inner chimp has had too much control and it’s time you lived out your values this year. (Read the Chimp Paradox by Steve Peters). What is your number one health value? Feed that value to your mind every day as you wake up and when you go to sleep, so that you can re-program your brain and get living in line with what is important to you! Two of my values for this year are that I value being active and I value feeding my body with things that benefit my health.

 

So, let me give you an example of how you can work this up on your own, to have goals that you can achieve. Firstly, choose the thing you want to change. So, I might say, I want to do 3 lots of 10 minutes of exercise every day. Does this feel achievable? Yes – I think so, but I won’t beat myself up on days where work is crazy or the kids are sick. But I am going to make a determined effort to ensure work does not stop me being healthy. OK, so what will I notice if I am doing more exercise? I’m going to challenge myself to make a list of 10 benefits:

 

1) I will be able to fit back into my favourite jeans.

2) I will feel less breathless when climbing stairs – now I challenge myself and instead of using a negative (I will feel less), I try and phrase it in a positive way – I will have more energy when I climb stairs.

3) I will have more focus in my work because I will have cleared my head with a midday walk

4) I will be more fit

5) I will be looking in better shape

6) I will have more energy to play football and other sport with my kids

7) I will feel more alive and active and I will know this because I will be breathing more easily

8) I will enjoy walking with other people and talking with them

9) I will be sleeping better

10) I will have less back ache, as I will be losing weight

 

Ok – so what will other people notice?

 

  1. My wife will notice I have more energy and zest for life
  2. My kids will notice I am playing more actively with them
  3. My patients will notice that I practice what I preach
  4. My colleagues will notice that I am more present in conversation because my head is more clear
  5. My friends will notice that I’m taking my health seriously
  6. My wife will notice I’m in better shape
  7. My wife will notice I’m snoring less and waking up more refreshed
  8. My kids will notice we start going for more walks after dinner and at weekends
  9. My family will notice we are spending more time together being active, no matter what the weather
  10. My friends will notice I am more relaxed and happy

 

And the next step is really simple. All I have to do is simply recognise ANY time ANY of those things happen and it will encourage me on my journey of change. The secret is this: We have to imagine another way of being, paint as much colour onto that canvas as possible and slowly watch that picture emerge in our lives as we take hold of the future we actually want. It’s not the power of positive thinking. It’s the power of acting in line with positive choices we are making. Come on! Let 2017 be the year when you made a choice and acted in line with it! Put your chimp in it’s cage, stop making your excuses and be a more healthy you!

 

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Solutions Focused Thinking for the NHS

One of the main headlines in the news this morning is that without extra funding, the NHS is in dire straits and patients are beginning to suffer as a result of less financial provision than is needed.

 

http://www.bbc.co.uk/news/health-38019771

 

One of the things I have trained in, during my career is Solutions Focused Therapy. It’s a fantastic way of helping someone to open their mind to new possibilities once they become stuck in a rut. So, for example, when someone is struggling with depression, there can be a downward spiral of thoughts that prevents the person being able to see much hope for the future. What SFT does, is to awaken the imagination to some other possibilities. The more colour and variety that can be painted the better. So, if you’re imgresfeeling low/down/hopeless/sad/apathetic/bored/exhausted, I might invite you to imagine what life might be like if you weren’t feeling that way. You might tell me that you’d feel happy and then I would ask you to tell me what ‘happiness’ might be like for you. I’d ask you to describe in as much detail as possible how you would know that you were happy – what would be different? I’d get you to put as much colour on that as possible. And once I understood how you would know you were happy, I would ask how others around you would know – what your partner/children/friends/pets would notice about you…….suddenly your mind is alive with an alternative reality to where you are currently and although things won’t be suddenly better, your mind has been awakened to another way of being!  And that brings a beautiful thing – it brings possible solutions to the problem.

 

imgresThere is no doubting that the problems in the NHS are vast. One of the things I have found is that if you try and enable someone to think about the solutions without allowing them to tel you what the problems are, you won’t get very far. A certain amount of catharsis and expression of the issues is important. So here goes: here is a picture of the problems the NHS faces (and these have already been stated many times over, but let’s just be clear):

 

imgresThe NHS is under-funded. Cuts to other services, like social care have also had a massive impact on the NHS as a system being able to work and targets are being missed as a result. People are living longer and this means more complex health problems and a rise in dementia. There is more obesity and diabetes and this has a huge impact in the cost of healthcare. The way the NHS is funded is ludicrous and puts parts of the system that should be working collaboratively in direct competition with each other. Teams across the NHS are clumsy and clunky with little ability to work smartly due to constraints of historic ways things were set up. Demand and expectation are extremely high and yet there are multiple missed appointments. And I could go on!

 

BUT we CANNOT stay on the merry-go-round of problems. We cannot continue to simply imgreseat moany pie together and complain about the issues. Throwing mud and finger pointing, blaming everybody else but ourselves will solve nothing. The awful tribalism and over politicization of the NHS is preventing us from finding a way forward. What might health and social care in this country be like if open our mind to new possibilities? What if we stopped focusing on all the problems and dreamed of how things might be in 5, 10, 50, 100 years time? We’ve been doing this in Morecambe Bay and we’re moving from not only dreaming but to doing something different!

 

imagesWe’re working with our communities to help us all live more healthy lives, thinking about health as a social movement. 97% of all health monies are spent once people are ill. We’re taking prevention seriously! We are breaking down walls between our organisations and sharing our budgets. We’re building relationships between clinicians and managers across many diving lines. We’re collaborating to share our resources and using our budgets in a way that makes sense for our communities. We’re unashamedly talking a new language of love, building trust and establishing infrastructures of positive peace. We’ve worked out where we are being inefficient and sharing our conundrums with our communities (we do actually have to be responsible about what we spend – the NHS is not carte blanche). We’re working out how to work differently and more smartly. We’re sorting out our IT. We’re redesigning care so it makes more sense for our patients. We’re working on our consultation and communication skills. We’re being more proactive in getting positive messages out there. We’re building for the next 100+ years not just the next political cycle. This is better care together!imgres

 

At this point in time, it is vital that our collaborative efforts are not allowed to fail. We are working hard at so many levels. We are doing all that is being asked of us. We are playing ball. Now we need the government to put their money where their mouth is. Holding the funding as it is will see us and many other areas trying to do the same thing fail in the process and this would be a great tragedy. The solutions, of which there are many, will be in jeopardy. But this is not the time to lose hope. This is the time for us all to make good the dreams we hold for the future.

 

 

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Solutions Focused Thinking in Population Health

Tweet My last blog focused on how we can think about solutions instead of problems in the NHS. Well the same is true in thinking about the health of our whole population. Yes there are some problems! We have growing health concerns with obesity and diabetes. We have huge health inequalities. There are major issues [Continue Reading …]

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Here we go round the NHS Mulberry Bush!

Tweet One of my favourite songs as a 5 year old was ‘Here We Go Round the Mulberry Bush’. I’ve been involved with the NHS for 17 years now and every winter, we do this same dance around Emergency Departments and the total mess that surrounds hospital admissions, discharges and an ever growing list of [Continue Reading …]

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