It’s Time to Say #EnoughNow to Adverse Childhood Experiences

Last week, I had the utter privilege of co-hosting a conference with my good friend, Siobhan Collingwood, the head teacher at Morecambe Bay Community Primary School on Adverse Childhood Experiences (ACEs), at the Globe Arena. We both know the reality of ACEs every day in our communities (see my previous blog) and so wanted to bring people together from across our amazing community in North Lancashire, working in the public  and community sector, or simply with a passion to see change, to explore how we can begin to say “Enough Now” to ACEs. (Huge thanks to the incredible Jon Dorsett for his graphic art).

 

As part of the day, my friends, Ian Cooper (Chief Inspector of Police) and Nick Howard (who leads the team at the city council on housing and planning) hosted a 135 minute conversation for all 180 participants around this theme: ‘Together, what can we do to transform the experience of childhood for good?’ There was such a buzz as people from different backgrounds and perspectives, collaborated and challenged each other to break out of our boxes and find new ways to bring transformation. The ideas generated were incredible and each person left the room with a clear commitment and next step for what they needed to do in their place of work or neighbourhood. Already we are hearing amazing stories and initiatives which are beginning as a result and we are building networks together.

 

We had fantastic input from Prof Warren Larkin, Sue Irwin (and her excellent work with EmBRACE), and host of other brilliant people working across many sectors, lending their expertise to further the conversations in interactive seminars – the feedback on each one has been incredible!

 

So – there is a huge challenge to the English Government (Scotland, Wales and Northern Ireland are already streaks ahead) as to why they are not taking the vast evidence base seriously and playing their part in breaking this devastating cycle. If we are to tackle this enormous issue of ACEs, it means vast changes to the ways we are delivering and measuring education in our schools and a serious reassessment of cuts of funding to children’s centres, midwives and health visitors, removing target-driven outcomes and finding ways to put relationship back into the heart of our modus operandi. It will take a people movement to bring the shifts that are needed, but given just how devastating ACEs are to physical, mental, emotional and social wellbeing and the huge cost burden they are to our public services and society, we have to give ourselves to drawing a line in the sand, saying enough now and reimagining the future together.

 

Here in Morecambe Bay, and across Lancashire, we are taking this issue really seriously and believe it to be one of THE most important population health issues of our time. A few of us have co-authored a ‘Little Book of ACEs’ together, in conjunction with Lancaster University – available very soon (!) which you might find helpful. My section expands a little on a previous blog post I have written here.

 

This whole area of ACEs is so sensitive, it takes compassion, kindness, bravery and wisdom. We cannot face it alone in silos, but together we can! Together, we can bring healing to our communities and freedom for the generations to come. We have to be willing to be those, who life Gandalf, in ‘The Lord of the Rings’ take our staff and say to this Balrog, which has devoured too many lives – “you shall not pass!” We have to give ourselves to drawing a line in the sand, saying “enough now” and step into a reimagined future of childhood, together.

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Disappointing

At the NHS Confederation this year, there were some significant statements made from the main stage, that the new ten year plan would involve a process of real engagement with the public (to whom the NHS belongs) and involve genuine co-design and co-production. It was brilliant news and flows with all we know to be true about how we need a “new deal” between the NHS and the public. The five year forward deal, especially through all the great work of Helen Bevan at NHS Horizons, was clear that if we are to have an excellent and sustainable health service in the future, we need to mobilise a social movement around health and wellbeing. It is this kind of ‘new power’ dynamic that will be the real game-changer for a reimagined health and care system, fit for the 21st century.

 

So, it is with profound disappointment that we hear there will be no time for this, as the plan all needs to be submitted and on the desk of the new Secretary of State for Health and Social Care within a few short weeks. This same old, top down, pyramidal reimaging/restructuring of how we provide care will deliver us the same old issues. I am not a lone voice in hoping that we can actually be given more time, to really talk to the public (especially those in our more deprived communities) about what they believe the ten year plan needs to include and what their role is in it. If we rush through this vital phase, we won’t get the ownership/buy-in for the transformative future we need. Please can we press a pause button and have these vital conversations, so that together, we really might achieve so much more?

 

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Population Health and the NHS 10 Year Plan

Tweet https://www.kingsfund.org.uk/publications/nhs-10-year-plan   This is an excellent blog from Sir Chris Ham and Richard Murray at the Kingsfund and highlights some important issues that deserve real consideration and debate. Get a cup of tea, reflect on it and then join the discussion. Here are my reflections on it.   Improving population health and closing the [Continue Reading …]

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How do You Solve a Problem Like………..£50,000,000?!!

Tweet On Friday night, watching comic relief, I got quite excited as the total neared £50 million – I turned to my lovely wife and said – ha – there now, we can plug the gap in our local health economy for next year! (Obviously the money is desperately needed in many situations across the [Continue Reading …]

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We Need to Be Ambidextrous in Solving our Health and Social Care Conundrum

Tweet All this week on the BBC, there has been a focus on the NHS and the crisis we are in – don’t panic Mr Mainwaring…..There is a heady mix of opinions being thrown around – Question Time became quite a furore of ideas and thoughts last night – not enough beds, not enough staff, not [Continue Reading …]

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