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Yeah. So our next speaker is Sharon, who is the project lead, working in the Three East Suffolk Integrated Neighborhood Team. So she works collaboratively with people to help them stay well in their communities. Um And she's going to talk to us about a fabulous project that really focuses on people keeping them healthy and all that preventative care with the added benefit of being sustainable. Um Give me just one minute to get the slides up. I um so we can just um is that a good thing you just click on or you can do if you thank you everybody. I know you've had a busy day, lots of exciting speakers. Um And so what I'd like to share with you is what, which is the Woodbridge Holistic assessment team? Affection known as, as what? Um And as Becca said, I'm the uh project lead. I'm an oncology nurse formerly by background, in fact, trained here 100s of years ago. In fact, when Turner Village was, had patients was the last time I was here. So a little nostalgic to return um what I'll cover today. So I thought it would be important just to explain what in integrated neighborhood teams are and why we set up the project, how we did it, what we've uncovered so far and then why it's relevant. So it's, um, I'm hosted by, er Suffolk County Council but is very much a health related role. And I work in the three coastal integrated neighborhood teams which are Sax Monam Woodbridge and Felix though. But for the purpose of today, I should be focusing on Woodbridge, um integrated neighborhood teams. There are eight in Ipswich in, in Suffolk, there are six in Northeast Essex and there are six also in West Suffolk. And as Becca mentioned that we're very much based around providing local care for local people, looking at understanding local challenges and trying with very limited budgets to run projects that might help keep pe people well or or engage with those hard to reach people. So in values that it's about being flexible, unite, exclusive and inclusive, rather Freudian slip, inclusive, definitely really wanting, I think for me on that slide, the most important thing is about being innovative and adaptable. It's about being nimble and responsive and it's not being stuck with red tape and process and sometimes we are, but we're really working hard not to be. This represents how we work. And the, the groups that we engage with as a core of each integrated neighborhood team, there's a um a an integrated um core leadership team who have um as as stakeholders such as the lead uh er, clinical director from the PCM. They'll be the integrated neighborhood team manager. There'll be a lead um physio, there'll be somebody from um NS FT and also there will be somebody from social prescribing and at the center of all of that. So we meet monthly and we have a um delivery plan for each integrated neighborhood um team and that's like a, in a way like a, um, a care plan. It's sort of, it's, it's a live document. We have had projects and, and our reasons why we're doing what we're doing within that. Um And you know, sometimes these things are really well attended. There's always a core few and we hope to be able to drive and make sometimes big changes, but sometimes small, which have a big impact. So within Ipswich in East Suffolk, there are five, there are um five parameters that we are looking at in terms of starting well being well, feeling well, staying well, aging well and dying well, and the element that I'll be looking at today is about aging. Well, when we look at Woodbridge as a region, I think if you think about it, if you know it, you might think of it as very affluent. But actually there's a lot of hidden poverty there, there is also an aging population. So if you were to stand in the town center and watch people walk past, predominantly, it's a lot of elderly people that's important. So the integrated neighborhood team is led by Nicky. Nicky is a social worker by background, she is entrepreneurial. She's innovative, she's creative, she's tenacious. She just doesn't give up. And that's really important. And it was her as part of a leadership training program which I'll allude to in a minute. That kick started this progress, this process for this um this uh project that I'm gonna talk to you about. So within the end, we we want to do is work with all members of the community to promote mental and physical well health and wellbeing and also importantly promote independence. So the most cost effective way of of delivering health care is actually to have people before they are unwell, isn't it? It's about that societal shift whereby we encourage people to know about taking care of themselves, to understand that how they live and where they live and the th the things that they eat, the more exercise they do all have an impact on their wellbeing. But of course, some people don't have the luxury of funds to do all of those things, which is why working with social care and the whole what we call that connect space and all those different agencies is profoundly important in this. So, the vision for Ipswich in East Suffolk is that we have a place of strong communities in which everybody is able to stay well to take control over their mental and physical well being and seek support when it's needed and received joined up health and care. So how did this begin? It predates me. I've only been in post 1516 months and this had started in its infancy before I was in post. So within the core leadership team, we've been looking at, they had been looking at the population health management data, which is something that is important in the way in which we, we look to plan projects and things that we're going to do that linked with local intelligence is really important. That combination. And we knew within Woodbridge that the data confirmed our thoughts that there is high levels of frailty within an elderly population. And also investigating that data interrogating that we realized that there was a higher rate of people having falls. Why look at fools predominantly because actually falls and fractures in older people are very, very often preventable. That's important. But there's a cost benefit, isn't there, there's a real cost benefit in that. If you show somebody how to be stronger, how to have core strength, how to be confident in getting themselves up. If they do fall down, how important it is to keep moving, then there is a cost benefit in preventing those um fractures, all those admissions um into secondary care, which often happen when somebody comes along and wants to scoop them up and send them in an ambulance into into hospital. But I also, I want to think about if you are worried about falling, if you are feeling increasingly frail, but you don't want to, it, it, it doesn't, it doesn't feel like it's an appropriate thing to go and speak to your GP about because there's no specific how easy it is for your world to become smaller. So actually, you become more focused at staying at home. So you don't socialize, you might not be confident about driving or you might not be confident about getting out on public transport. And in fact, one of the issues within Suffolk is actually it's quite a rural county and public transport is fairly rubbish in lots of places. So if you can't get out, then your world diminishes and your mental health is affected and you don't if you exist. So flip that on its head and help people not only start to feel more confident about being able to manage the fear of falling, have the practicalities of things put in place of what do you do if you fall. But these are the things that can actually help stop you falling and you enable people to live again to have some quality of life and to feel confident about how they're going to manage things. So I think also as well as that there is just a societal impact in that if you have a family member of this sort of age who has a hospital admission, if there is a spouse, that spouse could be cared for by the person who's been hospitalized. But I bet you the rest of the family are impacted by being pulled into looking after the person who's at home or just checking that they're ok or visiting, going in and out of hospital, taking the.