Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta

 
Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Reimagining Help
An evidenced-based approach to helping
people reach their goals

September 2020
Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Reimagining Help
An evidenced-based approach to helping people reach their goals

The framework                                                           Authors

The Reimagining Help guide was developed by Nesta in partnership        Esther Flanagan
with the British Heart Foundation, Macmillan Cancer Support and         Tara Hackett
the UCL Centre for Behaviour Change. All four organisations were        Lou Atkins
interested in developing a universal model of ‘help’ that supports      Paul Chadwick
people to reach the goals that matter to them. This report builds       Christina Cornwell
on the Good and Bad Help report (2018), diving deeper into the
behavioural evidence and its practical applications.
                                                                        Acknowledgements
The UCL Centre for Behaviour Change collated the behaviour
change evidence (from the scientific literature and primary research)   Claire Sand, Sophia Nicola, Lynne Ruddick, Anthony Cunliffe, Sally
underpinning this guide.                                                Hughes, Finlay Green, Maria Portugal, Tim Hobbs, Richard Forsyth,
                                                                        Heather Mclean, Robert Jamieson, Catherine Russell, Polly Redfern,
We worked with a co-design group of 30 frontline practitioners,         Ed Wallace.
people with lived experience of long term health conditions, and
academics who helped us understand the realities of delivering and
receiving ‘help’ in health and care systems.                            For more information about this report, please contact:
                                                                        Esther Flanagan at esther.flanagan@nesta.org.uk
We also worked with Dartington Service Design Lab. They designed
the structure and format of the guide to make it accessible and
as easy to use as possible for those delivering ‘help’ in a range of
settings.

Reimagining Help | p 2
Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Table of contents
Reimagining help                             4
Why do we need to Reimagine Help?            5
An evidenced-based approach to ‘help’        7

Experiencing Good and Bad Help               9

The guide                                    10
Understanding the guide                      11

How do I use the guide?                      13

Eight characteristics                        14
Social connections                           16

Enabling environments                        19

Working on what matters                      22

The right information at the right time      25

Learning new skills                          28

Tracking change                              31

Celebrating success                          34

Managing setbacks                            37

Case studies                                 40
Mayday Trust                                 41

GoodGym                                      44

FanFit                                       47

NHS Lothian Cardiac Rehabilitation Service   50

Macmillan Primary Care Home                  53

Key resources and
references                                   56                       This guide is interactive.

                                                                      The side menu and the underlined content can take you to
                                                                      different sections of the document and external sources.

                      Reimagining Help | p 3
Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Reimagining help

                                                                  Reimagining help
Why do we need to Reimagine Help?

An evidenced-based approach to ‘help’

Experiencing Good and Bad Help

The guide
Understanding the guide

How do I use the guide?

Eight characteristics
Social connections

Enabling environments

Working on what matters

The right information at the right time

Learning new skills

Tracking change

Celebrating success

Managing setbacks

Case studies
Mayday Trust

GoodGym

FanFit

NHS Lothian Cardiac Rehabilitation Service

Macmillan Primary Care Home

Key resources and
references

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 4
Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Reimagining help
Why do we need to Reimagine Help?
                                                           Why do we need to Reimagine Help?
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           Traditional models of health and care can encourage people to            We understand that ‘fixing’ problems is sometimes the right and
                                                           depend on ʻexpertsʼ who hold knowledge and power, rather than            necessary thing to do; for example, in acute care settings it is
The guide                                                  supporting people to use their own knowledge, relationships,             essential for medical teams to use expert knowledge and make
Understanding the guide                                    strengths and purpose to determine solutions that work best for          complex decisions at pace, as demonstrated throughout the
How do I use the guide?                                    them. This power imbalance is deeply rooted in the history, culture      coronavirus pandemic. But we believe the majority of health and
                                                           and structures of our health and care systems.                           wellbeing interactions (whether with healthcare professionals, those
Eight characteristics                                                                                                               working in community settings or even online) could build in more
Social connections                                         All too often:                                                           Good Help principles, rebalancing power between experts and
Enabling environments
                                                           • People are told what is best for them and offered a one-size-          people and using practices informed by behaviour change research
Working on what matters
                                                             fits-all solution that doesnʼt relate to the things that matter to     which support people to feel more confident to reach their own goals
The right information at the right time
                                                             them. Offering solutions that are disconnected from a person’s         in a way that fits with their lives.
Learning new skills
                                                             motivations are unlikely to work, yet 60 per cent of adults have not
Tracking change
                                                             discussed what is important to them with a healthcare professional
Celebrating success
                                                             (NHS England, 2018).
Managing setbacks
                                                           • There is an excessive focus on fixing medical symptoms rather
                                                             than exploring how a condition impacts on a person’s life. Yet 45
Case studies
                                                             per cent of all adults living with a long-term condition don’t feel
Mayday Trust
                                                             they have the knowledge, skills and confidence to manage their
GoodGym
                                                             health and wellbeing on a daily basis (NHS England, 2019).
FanFit

NHS Lothian Cardiac Rehabilitation Service
                                                           • There is a lack of focus on peopleʼs wider life circumstances -
Macmillan Primary Care Home
                                                             their home, relationships, social environments and finances - things
                                                             that can be significant barriers to health and behaviour change. An
                                                             example is suggesting people eat more healthily when 50 per cent
Key resources and
                                                             of families cannot afford to eat what is recommended (The Food
references
                                                             Foundation, 2018).

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Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Reimagining help
Why do we need to Reimagine Help?                          What do we mean by Good Help?
An evidenced-based approach to ‘help’                      The following definition was developed using insights from behaviour
Experiencing Good and Bad Help                             change research and people’s lived experience of being helped and/or
                                                           helping others.
The guide
Understanding the guide                                    Good Help supports people to adapt behaviours to reach their
How do I use the guide?                                    goals by:

Eight characteristics                                      • Understanding what matters to them individually, building on their
Social connections                                           strengths and celebrating successes
Enabling environments
                                                           • Understanding the importance of their relationships and
Working on what matters
                                                             harnessing social connections
The right information at the right time
                                                           • Recognising practical barriers to change and adapting
Learning new skills

Tracking change
                                                             environments to overcome them
Celebrating success                                        • Providing opportunities to learn new skills and access tailored
Managing setbacks                                            information at a time that feels right for them
                                                           • Tracking how behaviours change over time and being prepared
Case studies                                                 for challenges and setbacks
Mayday Trust

GoodGym

FanFit

NHS Lothian Cardiac Rehabilitation Service

Macmillan Primary Care Home

Key resources and
references

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Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Reimagining help
Why do we need to Reimagine Help?
                                                           An evidenced-based approach to ‘help’
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           Behaviour change programmes have an established evidence base
                                                           and work well for some people, but often these programmes miss
The guide
Understanding the guide
                                                           opportunities to understand the wider issues that are affecting           We believe that
How do I use the guide?
                                                           people’s health and wellbeing. We think there is an opportunity to
                                                           build on this learning and apply it in different ways. Here’s why:
                                                                                                                                     insights from the field
                                                                                                                                     of behaviour change
Eight characteristics
Social connections
                                                           • There could be more focus on wider environmental, social and            research can be applied
                                                             economic drivers of health and wellbeing (such as living conditions,
Enabling environments
                                                             community life, relationships, money and time), rather than a           to a wide range of
                                                                                                                                     organisations and places
Working on what matters

The right information at the right time
                                                             narrow view of what is ‘wrong’ (drinking too much alcohol,
Learning new skills
                                                             smoking and eating a poor diet), which limits opportunities to
                                                             understand the person beyond their ‘condition’.
                                                                                                                                     where people interact.
                                                                                                                                     Community facilities,
Tracking change

Celebrating success                                        • ‘Help’ could be more closely tailored to each person’s goals
Managing setbacks                                            and motivations, which may not be health focused (e.g. finding
                                                             meaningful work or a new relationship), rather than based on
                                                                                                                                     local charities and
Case studies                                                 assumptions of what should change (commonly behaviours linked           businesses, employment
Mayday Trust                                                 to physical health and lifestyle).                                      and housing support, as
                                                           • ‘Help’ could be delivered in flexible ways which enable more people
GoodGym

FanFit                                                       to access the right support, rather than delivering programmes
                                                                                                                                     well as health and care
NHS Lothian Cardiac Rehabilitation Service                   in a fixed way that may exclude people from accessing support.          services can all play a
Macmillan Primary Care Home                                  Someone working shifts, for instance, might find it hard to
                                                             attend a fixed number of sessions, and some people might feel
                                                                                                                                     role in supporting people
Key resources and                                            uncomfortable speaking in groups.                                       to reach their goals in
references                                                 • The knowledge and skills needed to apply behaviour change               ways that feel right for
                                                             practices could be made available to a wider range of practitioners
                                                             across more diverse settings, rather than limiting skills training to   them.
                                                             practitioners delivering specific programmes.

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Reimagining help
Why do we need to Reimagine Help?                          Previous attempts to share behaviour change research and practice
An evidenced-based approach to ‘help’                      have not been easily accessible to people in ‘helping’ organisations,
Experiencing Good and Bad Help                             especially those working outside formal health settings. In this
                                                           guide, we have aimed to simplify the evidence into 8 characteristics
The guide                                                  of Good Help. By doing this, we hope to encourage practitioners,
Understanding the guide                                    system leaders and anyone who works in a ‘helping’ role to feel more
How do I use the guide?                                    confident about adapting and applying behaviour change principles
                                                           in their organisation or community.
Eight characteristics
Social connections                                         Now more than ever, there is a need to help people live well in
Enabling environments
                                                           their homes and communities. We must think more flexibly about
Working on what matters
                                                           what ‘help’ means and question whether traditional models of
The right information at the right time
                                                           health and care are still fit for purpose. The coronavirus pandemic
Learning new skills
                                                           has highlighted the importance of diversifying sources of help
Tracking change
                                                           beyond the hospital, supporting people to manage their health and
Celebrating success
                                                           wellbeing more independently and ultimately taking pressure off
Managing setbacks
                                                           public services. We hope this resource will serve as a useful guide for
                                                           reimagining what new forms of help could look like.
Case studies
Mayday Trust

GoodGym

FanFit

NHS Lothian Cardiac Rehabilitation Service

Macmillan Primary Care Home

Key resources and
references

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 8
Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Reimagining help
Why do we need to Reimagine Help?
                                                               Experiencing Good and Bad Help
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help

The guide                                                     Good Help makes me feel that...                                                                                        Bad Help makes me feel that….
Understanding the guide

How do I use the guide?

Eight characteristics                                                                                                                                                                                                            I am alone in my
                                                                                                                                                                                                                                    experiences
Social connections

Enabling environments
                                                                                                                                                                          I don’t have the resources
Working on what matters                                                                                                                                                      I need to make change
                                                                                                                                                                                                                                                       I am anxious about what
                                                                                         I have the                      I am supported
The right information at the right time                                                                                                                                                                                                                will happen to me
                                                                                         information                    in a way that fits
Learning new skills                                                                      I need                                   my life

Tracking change                                                                                                                                                                                           I do not have the
                                                                            I have the opportunities                                        I have the                                                    information I need                I don’t have the
Celebrating success                                                         to connect with other                                  resources I need to                                                                                    confidence to reach
                                                                            people                                                     reach my goals                                                                                           my goals
Managing setbacks
                                                                                                                                                                                                       My life and wider needs
                                                                                                                                                                                                       are not considered
Case studies                                                                                                                                   I can choose
                                                                                                                                               what is right
Mayday Trust                                                                                                                                          for me
                                                                     My story and                                                                                                                                                                   I am a problem
GoodGym                                                              strengths are                                                                                                                                                                  not a person
                                                                     valued
FanFit
                                                                                                                                                                                 I am told what is
NHS Lothian Cardiac Rehabilitation Service                                                                                                                                             best for me
                                                                                                       I am safe enough to say                                                                                                   I feel blamed            I am not in control
Macmillan Primary Care Home                                                                                  what I need                                                                                                          and judged

Key resources and
references                                                       Others                                                                                  I have the
                                                            understand                                                                                   confidence to
                                                           what matters                                                                                  reach my goals
                                                                  to me

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Reimagining Help An evidenced-based approach to helping people reach their goals September 2020 - Nesta
Reimagining help

                                                                 The guide
Why do we need to Reimagine Help?

An evidenced-based approach to ‘help’

Experiencing Good and Bad Help

The guide
Understanding the guide

How do I use the guide?

Eight characteristics
Social connections

Enabling environments

Working on what matters

The right information at the right time

Learning new skills

Tracking change

Celebrating success

Managing setbacks

Case studies
Mayday Trust

GoodGym

FanFit

NHS Lothian Cardiac Rehabilitation Service

Macmillan Primary Care Home

Key resources and
references

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 10
Reimagining help
Why do we need to Reimagine Help?
                                                           Understanding the guide
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           The purpose of this guide is to help the reader, and the organisations   For the purpose of this guide we have used the term ‘practitioner’
                                                           they work with, to:                                                      throughout, but this represents any person working in a ‘helping’
The guide                                                                                                                           role across multiple settings. We also refer to ‘organisations’
                                                           1. Understand what Good Help is, the behaviour change evidence
Understanding the guide
                                                              that underpins it, and what it looks like in practice                 providing help, but this is equally relevant to services, community
How do I use the guide?
                                                           2. Develop new ideas or adapt offers of help, which can be tested        groups and other providers
                                                              out in organisations or local communities.
Eight characteristics
Social connections

Enabling environments                                      Who is this for?
Working on what matters                                    This guide was created for practitioners, system leaders (such as
The right information at the right time                    service managers, charity directors or commissioners) and any person
Learning new skills                                        working in a direct ‘helping’ role. Most of the evidence has come
Tracking change                                            from the health and care sector; therefore it should feel particularly
Celebrating success                                        relevant to people working in places such as GP surgeries, hospitals,
Managing setbacks                                          mental health and community services, local charities, day centres,
                                                           residential care and home care services. But because Good Help is
Case studies                                               fundamentally about better ways to support people to reach their
Mayday Trust                                               goals, it is relevant in other contexts too, including:
GoodGym                                                    • Public services, such as employment support, housing associations,
FanFit                                                       the Citizens Advice Bureau, adult learning centres and
NHS Lothian Cardiac Rehabilitation Service                   rehabilitation services.
Macmillan Primary Care Home
                                                           • Community facilities, such as sports and leisure centres, libraries
                                                             and places of worship.
Key resources and                                          • Local and community businesses interested in supporting local
references                                                   health and care services to help people living in their communities,
                                                             such as cinemas, music venues, hairdressers and supermarkets.

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Reimagining help
Why do we need to Reimagine Help?                          Where did the evidence come from?
An evidenced-based approach to ‘help’                      We drew on three key sources of evidence to develop this guide:
Experiencing Good and Bad Help

                                                           1. Academic evidence: We worked with UCL’s Centre for Behaviour
The guide                                                   Change, who reviewed the academic literature to identify core
Understanding the guide
                                                            behavioural approaches that underpin Good Help. We have used
How do I use the guide?
                                                            UCL’s COM-B model (capabilities, opportunities and motivations
                                                            which drive behaviour change) throughout the guide. When we talk
Eight characteristics                                       about these terms we mean:
Social connections
                                                             • Capability - people having the right knowledge and skills to do
Enabling environments
                                                               things differently.
Working on what matters
                                                             • Opportunity - people having the right support, relationships and
The right information at the right time
                                                               practical means to undertake the behaviour.
Learning new skills
                                                             • Motivation - people believing it is possible and worthwhile to
Tracking change
                                                               change their behaviour.
Celebrating success

Managing setbacks
                                                           2. Practice-based case studies: We interviewed people working
Case studies                                                in organisations or delivering programmes that already embed
Mayday Trust
                                                            characteristics of Good Help to understand how it has been applied
GoodGym
                                                            in practice (illustrated in the examples and case studies).
FanFit

NHS Lothian Cardiac Rehabilitation Service                 3. Lived experience of people and practitioners: We worked with
Macmillan Primary Care Home                                 a group of 30 people with lived experience of long-term health
                                                            conditions (including cancer and heart conditions) and frontline
Key resources and                                           practitioners (including GPs, physiotherapists, psychologists, nurses
references                                                  and specialist doctors). The group drew on their direct experience
                                                            and understanding of the systems in which help is delivered. They
                                                            also helped to translate the theory into language that people could
                                                            connect with.

                                                           Together, these sources of evidence have been combined into eight
                                                           characteristics of Good Help.

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Reimagining help
Why do we need to Reimagine Help?
                                                           How do I use the guide?
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           This guide is divided into two main sections:

The guide
                                                           1. The eight characteristics of Good Help: This section aims to help
Understanding the guide

How do I use the guide?
                                                            you to understand the behaviour change evidence and generate
                                                            your own ideas for applying Good Help in your organisation or local
                                                            community. For each characteristic, you’ll be able to read:
Eight characteristics
Social connections                                           • A description of the characteristic and why it matters
                                                                                                                                          Start here!
Enabling environments                                        • The behaviour change theory and evidence behind it
Working on what matters                                      • Examples of the characteristic in practice                                               Generate ideas

The right information at the right time                      • A checklist to assess whether your idea includes the core
Learning new skills                                            components
Tracking change                                              • Common pitfalls that might arise when developing and
Celebrating success                                            implementing ideas.
                                                                                                                                                         Refine idea
Managing setbacks                                                                                                                                         and test
                                                                                                                                   Avoid                                          Check in
                                                           2. Good Help case studies: This section aims to illustrate how Good     common pitfalls                       with the evidence
Case studies                                                Help characteristics have been applied and embedded into practice.
Mayday Trust                                                Within each case study, you will find:
GoodGym
                                                             • A description of what the organisation or programme does
FanFit
                                                             • The Good Help characteristics that have been embedded and
NHS Lothian Cardiac Rehabilitation Service
                                                               how this has been done
Macmillan Primary Care Home
                                                             • What practitioners and organisations can do to implement
                                                               Good Help. This section has been structured using the COM-B
Key resources and                                              model, and outlines what is needed at an organisational level and
references                                                     a practitioner level.

                                                           We hope that you can borrow learning from the case studies and
                                                           get inspiration for how to tailor ideas to what your local community
                                                           wants and needs.

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 13
Reimagining help

                                                                 Eight characteristics
Why do we need to Reimagine Help?

An evidenced-based approach to ‘help’

Experiencing Good and Bad Help

The guide
Understanding the guide

How do I use the guide?

Eight characteristics
Social connections

Enabling environments

Working on what matters

The right information at the right time

Learning new skills

Tracking change

Celebrating success

Managing setbacks

Case studies
Mayday Trust

GoodGym

FanFit

NHS Lothian Cardiac Rehabilitation Service

Macmillan Primary Care Home

Key resources and
references

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 14
Reimagining help
Why do we need to Reimagine Help?
                                                           The eight characteristics of Good Help
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           As you go through this guide and generate your own ideas to
                                                           try out in your service, organisation or community, you do not
The guide                                                  need to incorporate all eight characteristics at once. Some ideas
Understanding the guide
                                                           focus on a single characteristic and others may cut across several
How do I use the guide?
                                                           characteristics.

Eight characteristics
Social connections

Enabling environments

Working on what matters

The right information at the right time

Learning new skills

Tracking change

Celebrating success

Managing setbacks

Case studies
Mayday Trust

GoodGym

FanFit

NHS Lothian Cardiac Rehabilitation Service
                                                                          Social          Enabling         Working on         The right       Learning     Tracking   Celebrating   Managing
Macmillan Primary Care Home
                                                                       connections      environments      what matters   information at the   new skills   change      success      setbacks
                                                                                                                             right time

Key resources and
references

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 15
Reimagining help

                                                           Social connections
Why do we need to Reimagine Help?

An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           Why is this important?                                                What do we mean by social connections?
The guide                                                  Organisations that draw, and build, on the social value of people’s   Social connections can be any meaningful contact with another - for
Understanding the guide
                                                           relationships and communities will tap into wider sources of          example, friends, family, neighbours and community members or
How do I use the guide?
                                                           emotional and practical support which cannot be provided by           new people with shared experiences. When it comes to changing
                                                           practitioners alone.                                                  behaviour it can be particularly helpful to meet others with similar
Eight characteristics                                                                                                            goals and experiences; realising you’re not alone in your experience
Social connections                                                                                                               and believing that things can change can be an important source of
Enabling environments                                                                                                            motivation.
Working on what matters

The right information at the right time                                                                                          Taking part in social activities can improve health and wellbeing
Learning new skills                                                                                                              through learning from others - for example, sharing health
Tracking change
                                                                                                                                 information, practising new behaviours and supporting each other’s
Celebrating success
                                                                                                                                 successes (see Celebrating success). Social connections can be
Managing setbacks
                                                                                                                                 harnessed to help people move towards their goals - for example, by
                                                                                                                                 creating shared goals with friends or by asking family and friends not
Case studies                                                                                                                     to tempt them away from their goals.
Mayday Trust
                                                           .
GoodGym
                                                                                                                                 If social activities are being offered, they should be delivered in a way
FanFit
                                                                                                                                 that feels inclusive and safe enough for anyone to take part (whether
NHS Lothian Cardiac Rehabilitation Service
                                                                                                                                 face to face or virtually), recognising not everyone has the same
Macmillan Primary Care Home
                                                                                                                                 amount of time, money or confidence in social situations.

Key resources and
references                                                                           Social
                                                                                  connections

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The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 16
Reimagining help
Why do we need to Reimagine Help?
                                                           Social connections
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                                 What is the behaviour change theory and evidence?                   Examples
                                                                                                                                     • Club Soda runs social events for people trying to stop or reduce
The guide                                                                                                                              their alcohol intake. These events role-model socialising without
                                                           Social connections:
Understanding the guide
                                                           • Increase opportunities for behaviour change by exposing people            alcohol, enabling people to make friends with others with similar
How do I use the guide?
                                                             to a range of behaviours modelled by others in similar situations.        goals, in an environment that has a great social atmosphere (as you
                                                             Role-modelling provides people with examples to try out or aspire         would find in a pub!) and interesting non-alcoholic options available
Eight characteristics                                                                                                                  (see Enabling environments).
                                                             to, and helps to establish new norms for helpful behaviours within
Social connections
                                                             a community.                                                            • GoodGym is a community of runners that combine getting fit with
Enabling environments
                                                           • Increase motivation for behaviour change because goals set within         doing social good. They harness social connections by providing
Working on what matters
                                                             the context of a person’s relationships and families are likely to be     opportunities for people to come together and work on a shared
The right information at the right time
                                                             consistent with their belief system, identity and culture. Seeing         goal - for example, planting trees in a community garden. This
Learning new skills
                                                             others successfully change can increase people’s confidence (a key        sense of shared interest and peer support helps people stay
Tracking change
                                                             element of motivation) to make changes in their own lives. Social         motivated and build exercise into their regular routines (see case
Celebrating success

Managing setbacks                                            connections also create opportunities for feedback and positive           study for more detail).
                                                             reinforcement (Celebrating success), which is critical to the process   • Peer-support platforms that match people to others with similar
Case studies                                                 of changing behaviour.                                                    health conditions, interests and ambitions, and virtual events which
Mayday Trust                                               • Increase capability through the exchange of knowledge and skills          help people connect with and learn from each other about living
GoodGym                                                      via interpersonal learning (learning from others).                        with particular experiences. For instance, TeenHeart is a peer
FanFit
                                                                                                                                       support programme facilitated by the British Heart Foundation for
NHS Lothian Cardiac Rehabilitation Service
                                                                                                                                       young people with congenital heart conditions; and Grapevine’s
Macmillan Primary Care Home
                                                                                                                                       Teenvine Plus is a programme for young people with autism or
                                                                                                                                       learning disabilities which focuses on developing friendships,
                                                                                                                                       confidence and skills to achieve their ambitions.
Key resources and
references
                                                                                                                                                              Generate ideas
                                                                                                                                                              Using the information above, start
                                                                                                                                                              to brainstorm ideas to try out in your
                                                                                                                                                              organisation or community. Think about how
                                                                                                                                                              to co-design ideas with other practitioners
                                                                                                                                                              and people in the local community who could
                                                                                                                                                              benefit from Good Help.

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Reimagining help
Why do we need to Reimagine Help?
                                                            Social connections
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help                                                                                      Generate ideas

The guide
Understanding the guide

How do I use the guide?                                                                                              Refine idea
                                                                                                                      and test

Eight characteristics
Social connections

Enabling environments
                                                                          Common pitfalls                                                             Check in with the evidence
Working on what matters

The right information at the right time
                                                           • Signposting people to a support group without                                   1. How will your idea enable people to connect with
Learning new skills
                                                             first exploring with them what their needs are and                                 others with similar experiences?
Tracking change
                                                             whether it will be met by this kind of group.                                   2. How will you support the person to draw on their
Celebrating success

Managing setbacks                                          • Asking someone to make a plan for reaching their                                   social networks when developing individual or
                                                             goals without acknowledging their wider lives:                                     shared goals?
Case studies                                                 home life, relationships, work, time and money.                                 3. How does your idea provide opportunities for
Mayday Trust                                               • Setting up a support group in a way that                                           people to receive positive reinforcement and
GoodGym                                                      disadvantages some more than others - for              Use these questions to      feedback? And how will this be achieved?
                                                             example, people with learning difficulties or people   assess whether your
FanFit
                                                                                                                    idea includes the core
                                                                                                                                             4. How does your idea support people to practice
NHS Lothian Cardiac Rehabilitation Service                   whose first language isn’t English, or that does not   components of this          new behaviours and develop new skills through
Macmillan Primary Care Home                                  provide support for people to access the group if      characteristic.             opportunities for interpersonal learning?
                                                             barriers are present.                                                           5. How will you enable a diverse range of people to
Key resources and                                                                                                                               access and engage with the idea? Are there things
references                                                                                                                                      you can put in place to make it as equitable and
                                                                                                                                                inclusive as possible?

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.    Reimagining Help | p 18
Reimagining help

                                                           Enabling environments
Why do we need to Reimagine Help?

An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           Why is this important?                                                 What do we mean by enabling environments?
The guide                                                  So much of human behaviour is directly triggered by the                If people’s environments (their homes, places of work and wider
Understanding the guide                                    environments in which people live. Organisations that recognise this   communities) are set up in a way that makes it easier to access
How do I use the guide?                                    and look for ways to adapt environments can help people to access      support or undertake certain behaviours, it can help people to reach
                                                           opportunities and enhance health and wellbeing.                        their goals. This includes locating resources, equipment and support
Eight characteristics                                                                                                             in closer proximity to the person - at home, within walking distance,
Social connections                                                                                                                or in public places that people come into contact with as part of their
Enabling environments                                                                                                             everyday routines. But it is more than just physical distance. It is also
Working on what matters                                                                                                           about presenting things in ways that make people feel safe enough
The right information at the right time                                                                                           to approach what’s available - for example, feeling confident enough
Learning new skills                                                                                                               to use gym equipment in parks or to walk into a group on debt
Tracking change                                                                                                                   management. This can be done in different ways, such as choosing
Celebrating success                                                                                                               venues that people already trust and which are easy to find or by
Managing setbacks                                                                                                                 providing a demonstration in advance so that people know what to
                                                                                                                                  expect and how things will work.
Case studies
Mayday Trust                                                                                                                      As well as public spaces, it can be helpful to support people to adapt
GoodGym                                                                                                                           their home and work environments in ways that helps them to move
FanFit                                                                                                                            towards their goals - for example, a timer on the TV to switch off
NHS Lothian Cardiac Rehabilitation Service
                                                                                                                                  after a certain time to improve sleep routines, clearing a small area at
Macmillan Primary Care Home                                                                                                       home to do exercise or putting alcohol-free beer in the fridge.

Key resources and
references                                                                                         Enabling
                                                                                                 environments

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 19
Reimagining help
Why do we need to Reimagine Help?
                                                           Enabling environments
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                                 What is the behaviour change theory and evidence?                  Examples
                                                                                                                                    • Installing free blood pressure machines in supermarkets alongside
The guide                                                                                                                             a demonstration video, information about how to interpret readings
                                                           Enabling environments:
Understanding the guide
                                                           • Increase capability for behaviour change, as people learn how to         and what to do if blood pressure is high.
How do I use the guide?
                                                             adapt their own environments in accordance with the goals they         • Providing free or discounted taxi rides to appointments in order to
                                                             are trying to achieve.                                                   remove barriers to accessing support.
Eight characteristics
                                                           • Increase opportunity for behaviour change by making sure people        • Gaming or virtual reality to reduce anxiety about accessing support
Social connections

Enabling environments                                        have the resources they need - for example, money, equipment,            or treatment - for example, Great Ormond Street Hospital has
Working on what matters                                      space - to do the behaviour.                                             recreated the hospital in a Minecraft world, enabling children
The right information at the right time                    • Increase motivation for behaviour change by removing barriers            to virtually visit the hospital before they attend and meet other
Learning new skills                                          from the process of change, essentially making the desired               children; others have used virtual reality as a method of distraction
Tracking change                                              behaviour the easiest behaviour. This might be by ensuring               during procedures such as blood tests.
Celebrating success                                          there are plenty of cues to remind people to do the behaviour          • Offering accessible bike stores and shower facilities in public
Managing setbacks                                            or removing cues to do other unhelpful behaviours. It could also         spaces and workplaces so that it is easier for people to run or cycle,
                                                             involve moving services that support behavior change closer to the       rather than having to drive or use public transport; providing access
Case studies                                                 places where people live, work, learn and play, rather than having       to free running shoes or other sports equipment for people who
Mayday Trust                                                 them in places that are convenient for the service or practitioner -     can’t afford them.
GoodGym                                                      for example, co-location of services.                                  • First Call support at home works with local volunteers to improve
FanFit                                                                                                                                the environments of people recovering at home - for example,
NHS Lothian Cardiac Rehabilitation Service                                                                                            clearing rooms so that medical furniture or recovery equipment
Macmillan Primary Care Home                                                                                                           can be installed or picking up prescriptions or shopping for people.
                                                                                                                                      These adjustments help people to focus on and prioritise their
Key resources and                                                                                                                     recovery.
references
                                                                                                                                                              Generate ideas
                                                                                                                                                              Using the information above, start
                                                                                                                                                              to brainstorm ideas to try out in your
                                                                                                                                                              organisation or community. Think about how
                                                                                                                                                              to co-design ideas with other practitioners
                                                                                                                                                              and people in the local community who could
                                                                                                                                                              benefit from Good Help.

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 20
Reimagining help
Why do we need to Reimagine Help?
                                                            Enabling environments
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help                                                                                         Generate ideas

The guide
Understanding the guide

How do I use the guide?                                                                                                 Refine idea
                                                                                                                         and test

Eight characteristics
Social connections

Enabling environments
                                                                           Common pitfalls                                                                Check in with the evidence
Working on what matters

The right information at the right time
                                                           • Locating support/equipment in places which might                                   1. How will you make it as easy as possible for people
Learning new skills
                                                             be easier for organisations without thinking about                                    to physically access the opportunity?
Tracking change
                                                             how to address barriers to accessibility for particular                            2. How does your idea help people to overcome
Celebrating success

Managing setbacks
                                                             groups - for example, people living in rural locations                                practical barriers to behaviour change?
                                                             or those with mobility difficulties.                                               3. How will you put in place information or support
Case studies                                               • Making recommendations without understanding                                          that helps people feel confident to access or interact
                                                                                                                       Use these questions to
Mayday Trust
                                                             the limitations of people’s home environments - for       assess whether your         with what you are offering?
GoodGym
                                                             example, suggesting a healthy cooking course that         idea includes the core   4. How will you make sure that the idea feels safe and
                                                             requires the use of an oven when the person hasn’t        components of this
FanFit                                                                                                                 characteristic:             inclusive enough for people? Can you connect to
NHS Lothian Cardiac Rehabilitation Service
                                                             got an oven or can’t afford to use one.                                               and make use of existing community infrastructure
Macmillan Primary Care Home                                                                                                                        - for example, existing community groups, local
                                                                                                                                                   policing, green spaces?
Key resources and                                                                                                                               5. How could your idea span multiple environments -
references                                                                                                                                         for example, home, work, wider communities?

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.    Reimagining Help | p 21
Reimagining help

                                                           Working on what matters
Why do we need to Reimagine Help?

An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           Why is this important?                                               What do we mean by working on what matters?
The guide                                                  Organisations that seek to understand what is important to each      If people identify what is important to them and what goals they
Understanding the guide                                    person are better able to tailor support to help people change the   want to work on, they are more likely to take action. This might
How do I use the guide?                                    desired behaviour and reach their goals.                             seem obvious, but many of our health and care systems are set up to
                                                                                                                                offer standardised solutions to people, with little room for tailoring
Eight characteristics                                                                                                           support. Starting conversations with ‘what’s important to you and
Social connections                                                                                                              what do you want to work on?’ might feel quite different to some
Enabling environments                                                                                                           practitioners who are used to working with direct approaches.
Working on what matters

The right information at the right time                                                                                         People should be supported and encouraged to set goals relating to
Learning new skills
                                                                                                                                any aspect of their lives that are important to them, such as physical
Tracking change
                                                                                                                                and mental health, work and finances, or family and social life. As
Celebrating success
                                                                                                                                mentioned in Social connections, goals can also be collective (a
Managing setbacks
                                                                                                                                group of people who care about achieving the same thing).

Case studies
                                                                                                                                Once people have decided on their goals they should be supported
Mayday Trust
                                                                                                                                to create plans for reaching them, building on their strengths,
GoodGym
                                                           .                                                                    interests, achievements and wider social support networks. Where
FanFit
                                                                                                                                organisations feel unable to support people with particular goals
NHS Lothian Cardiac Rehabilitation Service
                                                                                                                                (for instance, a care leaver who mentions to their GP they need help
Macmillan Primary Care Home
                                                                                                                                accessing specific benefits), they should aim to connect the person to
                                                                                                                                organisations that can help.
Key resources and
references                                                                                                 Working on
                                                                                                           what matters

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 22
Reimagining help
Why do we need to Reimagine Help?
                                                           Working on what matters
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                                 What is the behaviour change theory and evidence?                Examples
                                                                                                                                  • Practitioners often have limited time to ask open questions. Moving
The guide                                                                                                                           Medicine guides practitioners on how to make the most of 1
                                                           Working on what matters:
Understanding the guide
                                                           • Increases capability for behaviour change because people learn         minute, 5 minute or longer conversations with people with a range
How do I use the guide?
                                                             what moves them towards or away from their goals - for example,        of health conditions, building in behaviour change evidence to
                                                             practical resources or psychological barriers to change.               support people to become more active.
Eight characteristics
                                                           • Increases motivation for behaviour change because it enables         • Dance to Health connects people’s love for dance and music with
Social connections
                                                             people to connect with and focus on the things they care about,        evidence-based exercises that are proven to help reduce falls in
Enabling environments
                                                             which increases commitment and engagement with the goal over           older people by increasing mobilisation, endurance, strength and
Working on what matters
                                                             time.                                                                  balance.
The right information at the right time

Learning new skills                                        • Increases opportunity for behaviour change by enabling people        • Supporting practitioners to have conversations that focus on
Tracking change                                              to connect with groups or activities that link with their personal     people’s strengths, interests and goals (rather than focusing on the
Celebrating success                                          interests and goals and which unlock new opportunities for social      ‘problem’). This could consist of offering coaching conversations in
Managing setbacks                                            support and peer learning.                                             non-clinical settings (e.g. leisure centres) that start with ‘what do
                                                                                                                                    you want to work on?’ and ‘how do you want to get there?’
Case studies                                                                                                                      • Cornerstone works with people with learning disabilities, physical
Mayday Trust                                                                                                                        disabilities, autism and dementia. Each person is given the
GoodGym                                                                                                                             opportunity to select their own care team based on the staff they
FanFit                                                                                                                              feel align best with their dreams and strengths.
NHS Lothian Cardiac Rehabilitation Service

Macmillan Primary Care Home

Key resources and                                                                                                                                           Generate ideas
references                                                                                                                                                  Using the information above, start
                                                                                                                                                            to brainstorm ideas to try out in your
                                                                                                                                                            organisation or community. Think about how
                                                                                                                                                            to co-design ideas with other practitioners
                                                                                                                                                            and people in the local community who could
                                                                                                                                                            benefit from Good Help.

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 23
Reimagining help
Why do we need to Reimagine Help?
                                                            Working on what matters
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help                                                                                         Generate ideas

The guide
Understanding the guide

How do I use the guide?                                                                                                 Refine idea
                                                                                                                         and test

Eight characteristics
Social connections

Enabling environments
                                                                          Common pitfalls                                                               Check in with the evidence
Working on what matters

The right information at the right time
                                                           • Organisations may assume that staff already have                                  1. How will your idea enable people to explain what
Learning new skills
                                                             the skills required to ask open questions, set goals                                 matters to them beyond their health condition(s)?
Tracking change
                                                             and build people’s confidence to change, but these                                2. How will you ensure that staff or volunteers know
Celebrating success

Managing setbacks
                                                             techniques require practice and knowledge.                                           how to have conversations that draw on what
                                                           • There may appear to be buy-in from senior staff, but                                 matters to people and relate this to behaviour
Case studies                                                 the way an organisation is commissioned, regulated                                   change?
Mayday Trust
                                                             and evaluated can make it harder to move from                                     3. How will you ensure that people feel safe enough to
GoodGym
                                                             ‘fixing’ to ‘co-producing’ solutions with people - for                               share what matters to them?
                                                                                                                      Use these questions to
FanFit
                                                             example, if services are incentivised to measure         assess whether your      4. How does your idea create space for people to
NHS Lothian Cardiac Rehabilitation Service
                                                             clinical outcomes (rather than person-centred            idea includes the core
                                                                                                                                                  develop personal goals and make clear plans for
                                                                                                                      components of this
                                                             outcomes, like confidence).                                                          reaching them?
Macmillan Primary Care Home                                                                                           characteristic.
                                                                                                                                               5. How will people be supported to reflect on their
Key resources and                                                                                                                                 strengths and personal achievements and to draw
references                                                                                                                                        on their social networks when developing their
                                                                                                                                                  plans?
                                                                                                                                               6. How do you intend to support the person to work
                                                                                                                                                  through specific barriers to change?

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.    Reimagining Help | p 24
Reimagining help

                                                           The right information at the
Why do we need to Reimagine Help?

An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           right time
The guide                                                  Why is this important?                                                         What do we mean by right information at the right time?
Understanding the guide
                                                           Providing high-quality and easy-to-digest information at the                   People should be able to access accurate information that helps them
How do I use the guide?
                                                           right time helps people to feel in control during challenging times.           to feel informed and in control of their health and wellbeing when
                                                           Timing is everything - the right information at the wrong time can             they need it. It should include consideration of:
Eight characteristics                                      overwhelm people or cause distress, which could lead to them                   • Timing and type of information: Rather than giving people
Social connections
                                                           avoiding or withdrawing from much-needed support.                                standard information at set points in their health journey, there
Enabling environments
                                                                                                                                            should be opportunities to tailor information to what is needed
Working on what matters
                                                                                                                                            at different points. This can be achieved by asking people what
The right information at the right time
                                                                                                                                            information they want, in how much detail, and when and how
Learning new skills
                                                                                                                                            they want it. For example, post-diagnosis, some people may want
Tracking change
                                                                                                                                            lots of information straight away, but others may want time to
Celebrating success
                                                                                                                                            process the diagnosis and involve their family and friends before
Managing setbacks
                                                                                                                                            finding out more.
                                                                                                                                          • Language: When information is communicated (verbally or in
Case studies
Mayday Trust
                                                                                                                                            written form), it should be done in a way that is non-technical
                                                                                                                                            and empathetic and that does not exacerbate anxiety. Some
GoodGym
                                                           .
FanFit
                                                                                                                                            medical terms may induce more anxiety than others - for example,
NHS Lothian Cardiac Rehabilitation Service
                                                                                                                                            a diagnosis of ‘heart failure’. When sharing information, an
Macmillan Primary Care Home
                                                                                                                                            individual’s communication needs should be taken into account
                                                                                                                                            - for example, people with learning disabilities may benefit from
                                                                                                                           The right        easy-read formats, or the support of an advocate.
Key resources and
references                                                                                                              information at
                                                                                                                         the right time

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 25
Reimagining help
Why do we need to Reimagine Help?
                                                           The right information at the right time
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                                 What is the behaviour change theory and evidence?                   Examples
                                                                                                                                     • Asking people open-ended questions like ‘what can I tell you right
The guide                                                  Having the right information at the right time:                             now that would be helpful?’ will create opportunities for people to
Understanding the guide
                                                           • Increases capability for behaviour change by ensuring that people         let practitioners know what they need from an interaction.
How do I use the guide?
                                                             are able to understand and act upon information when they are           • Trusted health forums or helplines with specialist advisors that
                                                             ready. Education and skills-based interventions are more likely to        provide access to instant support at a time and place that suits
Eight characteristics
                                                             be effective when people can access information at different points       people - for example, the British Heart Foundation’s helpline and
Social connections
                                                             in their behaviour change journey.                                        Macmillan’s support line.
Enabling environments

Working on what matters
                                                           • Increases motivation by making sure that information provided           • The University of Edinburgh has designed an interactive mobile app
The right information at the right time
                                                             is in line with the individual’s emotional state. When people are         to support parents and carers of children undergoing assessments
Learning new skills
                                                             experiencing strong feelings of anxiety, they may not be in a             for autism. The app automatically generates information based
Tracking change
                                                             position to retain lots of factual information, so this may be better     on individual preferences - for example, information on diagnosis,
Celebrating success                                          provided when the person feels more able to take on board new             treatment options, lifestyle changes and local support groups.
Managing setbacks                                            information.                                                            • Rather than prescribed sessions, organisations like Off The Record
                                                                                                                                       Bristol run drop-in days called ‘hubs’, which give young people the
Case studies                                                                                                                           flexibility to access information and support at moments that suit
Mayday Trust                                                                                                                           them.
GoodGym                                                                                                                              • Groundswell uses a peer advocacy model in which volunteers
FanFit                                                                                                                                 who have experienced homelessness support others to manage
NHS Lothian Cardiac Rehabilitation Service                                                                                             their health and wellbeing more independently. Peer advocates
Macmillan Primary Care Home                                                                                                            can share information in a non-medical way based on their own
                                                                                                                                       experiences.
Key resources and
references

                                                                                                                                                            Generate ideas
                                                                                                                                                            Using the information above, start
                                                                                                                                                            to brainstorm ideas to try out in your
                                                                                                                                                            organisation or community. Think about how
                                                                                                                                                            to co-design ideas with other practitioners
                                                                                                                                                            and people in the local community who could
                                                                                                                                                            benefit from Good Help.

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 26
Reimagining help
Why do we need to Reimagine Help?
                                                            The right information at the right time
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help                                                                                        Generate ideas

The guide
Understanding the guide

How do I use the guide?                                                                                                Refine idea
                                                                                                                        and test

Eight characteristics
Social connections

Enabling environments
                                                                          Common pitfalls                                                               Check in with the evidence
Working on what matters

The right information at the right time
                                                           • Often there is an assumption that sharing                                        1. How will people easily access the information - for
Learning new skills
                                                             information (even in clear language) means that                                     example, in local non-clinical settings or online - at
Tracking change
                                                             the other person has understood it, but this is not                                 a time that suits them and in formats that can be
Celebrating success

Managing setbacks
                                                             always the case. If people are experiencing strong                                  understood by everyone?
                                                             emotional responses at the time or if the interaction                            2. How will the information be tailored to people’s
                                                             is rushed they might become overwhelmed by                                          preferences - for example, language, format and
Case studies
                                                             the information and need more time to process                                       volume? Will there be an opportunity to check that
Mayday Trust
                                                             it. For example, when a person is diagnosed             Use these questions to      the person has understood the information?
GoodGym
                                                             with a condition the default might be to give lots      assess whether your      3. How will people be given opportunities to ask
FanFit
                                                             of information about symptoms, prognosis and            idea includes the core
NHS Lothian Cardiac Rehabilitation Service                                                                           components of this          different questions at different points? Have you
                                                             treatment options.                                      characteristic.             thought about key moments for information sharing
Macmillan Primary Care Home
                                                                                                                                                 - for example, transition points when people might
                                                                                                                                                 feel most anxious?
Key resources and
references                                                                                                                                    4. How will you ensure that the information is credible
                                                                                                                                                 and up to date? Have you considered different
                                                                                                                                                 sources of credible information - for example,
                                                                                                                                                 professionals, peer groups, online sources and local
                                                                                                                                                 charities?

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.    Reimagining Help | p 27
Reimagining help

                                                           Learning new skills
Why do we need to Reimagine Help?

An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                           Why is this important?                                                      What do we mean by learning new skills?
The guide                                                  A lack of opportunities for people to acquire new skills can be a major     In Western society, a common narrative is that an individual can
Understanding the guide                                    barrier to behaviour change. Organisations that support people to           change their life if they simply put their mind to it. This narrative
How do I use the guide?                                    learn and practice new skills will help people be more successful in        places a lot of responsibility on the individual without acknowledging
                                                           reaching their goals.                                                       the wider context of people’s lives or that people need opportunities
Eight characteristics                                                                                                                  to learn and develop skills in order to reach their goals. It is often the
Social connections                                                                                                                     lack of opportunity rather than a lack of trying that prevents change
Enabling environments                                                                                                                  from taking place.
Working on what matters

The right information at the right time                                                                                                When people are equipped with new skills and knowledge -
Learning new skills
                                                                                                                                       for example, training that enables them to enter more secure
Tracking change
                                                                                                                                       and rewarding careers, it can help them to build confidence and
Celebrating success
                                                                                                                                       motivation to change behaviours. It also helps when opportunities for
Managing setbacks
                                                                                                                                       learning are easy to access - for example, low cost or free and located
                                                                                                                                       in non-clinical settings close to people’s homes - see Enabling
Case studies                                                                                                                           environments, and are flexible enough to provide tailored support
Mayday Trust                                                                                                                           to those taking part - for example, personalised learning that maps
GoodGym                                                                                                                                directly onto people’s goals - see Working on what matters.
FanFit

NHS Lothian Cardiac Rehabilitation Service

Macmillan Primary Care Home

Key resources and
references                                                                                                                           Learning
                                                                                                                                     new skills

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 28
Reimagining help
Why do we need to Reimagine Help?
                                                           Learning new skills
An evidenced-based approach to ‘help’

Experiencing Good and Bad Help
                                                                 What is the behaviour change theory and evidence?                   Examples
                                                                                                                                     • Blue Marble training introduces young people to a restaurant
The guide                                                                                                                              kitchen to develop the skills needed to work in a professional
                                                           Learning new skills:
Understanding the guide
                                                           • Increases capability for behaviour change by helping people to            environment whilst being mentored to support their wider personal
How do I use the guide?
                                                             learn how to manage their health and wellbeing and by applying            development needs.
                                                             skills that help to address the wider determinants of their health,     • Envision supports young people to develop skills for adulthood by
Eight characteristics
                                                             such as communication skills and financial management.                    providing opportunities for young people to tackle social problems
Social connections
                                                           • Increases motivation for behaviour change, as becoming good at            in teams and take community action.
Enabling environments

Working on what matters                                      something (e.g. home cooking) makes a person feel good about            • The Stroke Association provides digital training and support
The right information at the right time                      the behaviour and increases the likelihood that they will do it again     to people who have had a stroke to support them with their
Learning new skills                                          (e.g. experimenting with new recipes).                                    communication needs.
Tracking change                                                                                                                      • The Bromley By Bow Centre understands that health is driven
Celebrating success                                                                                                                    by social factors, not just medical ones. They offer a range of
Managing setbacks                                                                                                                      opportunities for skills development in their local community hub,
                                                                                                                                       including money management, starting a business, computer skills,
Case studies                                                                                                                           creative arts and languages.
Mayday Trust                                                                                                                         • Body & Soul’s MindSET is a free weekly livestream for young
GoodGym                                                                                                                                people to learn skills to help manage emotional distress.
FanFit                                                                                                                               • Foundation for Change offers training courses for people in
NHS Lothian Cardiac Rehabilitation Service                                                                                             recovery from drug and alcohol addiction to achieve their goals and
Macmillan Primary Care Home                                                                                                            grow in confidence and self-esteem.

Key resources and
references                                                                                                                                                 Generate ideas
                                                                                                                                                           Using the information above, start
                                                                                                                                                           to brainstorm ideas to try out in your
                                                                                                                                                           organisation or community. Think about how
                                                                                                                                                           to co-design ideas with other practitioners
                                                                                                                                                           and people in the local community who could
                                                                                                                                                           benefit from Good Help.

This guide is interactive.

The side menu and the underlined content can take you to
different sections of the document and external sources.   Reimagining Help | p 29
You can also read