(a)

the aim of the Health and Wellbeing Hubs is to align services so that they work better for local people for an easier and more coherent journey into services and to help people improve their own health and wellbeing;

(b)

supporting a shift from GP services to wellbeing services and community support would start to release the pressure within the system;

(c)

20 percent of people that contact GP services were for a non-clinical reason such as social, economic, housing or because they were lonely.  By signposting people to other services would enable them to look after their own heath better and therefore leading to the other issues they may have had being resolved;

(d)

Third tier - universal hubs.  The Central Library is the main hub and wellbeing champions trained to provide basic advice to sign post people to where they need to be.  A network of universal hubs of libraries, pharmacies and children’s centres directing people to a targeted hub for particular services bringing together commissioned services near to where people are and to complement the citywide offers;

(e)

Second tier – targeted hubs.  There are three targeted hub, Jan Cutting, Four Greens and Mannamead, these hubs bring together services that we have commissioned within the community to provide an improved offer;

(f)

First tier - specialist hubs.  These key existing health service providers add to the wellbeing offer to provide a holistic approach.  The aim of the three tier of hubs is to take people out of statutory heath service where they may not need to be and to provide people with easier access to more offers in one place and to link into community groups with people with similar issues and needs;

(g)

by having a whole system approach we should start to see the benefit of people getting the help they need with in the community and decreasing the need to access primary care.

(h)

the development of the Plymouth Online Directory (POD) would be useful tool to have in all the hubs.  The wellbeing champions were  trained to provide advice and signposting;

(i)

some of the universal hubs were providing some intelligence around information that has been popular;

(j)

information within the hubs was available in other languages, if not then they would use the NHS translation service to provide the information;

(k)

they have commissioned a GP as part of the outreach service for homeless people and were developing plans to create a hub in the Stonehouse area;

(l)

with the numbers of people that they were starting to see at Headspace they were exploring whether the system could fund additional sessions at that hub or additional sessions in different locations, this was being discussed.  They were monitoring the flow of people and how they arrived at a crisis session and ensure that the emergency services were regularly updated.