Slide 1 The Young Foundation 2010

Sutton Partnership Board, 21.4.10

Kate Dalzell

Young Foundation

Slide 2 The Young Foundation 2010

•Drivers of recent interest in behaviour change•What we mean by behaviour change•What are the Young Foundation doing?•What are local authorities and their partners doing?•What are we learning

This presentation

Slide 3 The Young Foundation 2010

•Public spending reductions•To improve outcomes, moving beyond the limits of service delivery•Popularisation of theories which bring fresh insights•Cross-party interest

But it isn’t really new

Why the interest in behaviourchange now?

Slide 4 The Young Foundation 2010

What we mean by behaviour change?•Applying new thinking from social and behavioural sciences•Shift away from “rational man” assumptions•Many theories; many models

Slide 5 The Young Foundation 2010

Factors influencing behaviour

Internal factors Rules of thumb

Loss aversionSelf-efficacy/ confidence

inertia/ status quo biastime discounting

personal capacity•Emotions

HabitsExternal factors Financial (dis)incentivestives

Effort levels: information provision; access; regulation

physical environment

Social factorssocial proof

descriptive norms

collective efficacy

Social norms

Human Behaviours

Slide 6 The Young Foundation 2010

Frameworks to support implementation

What we mean by behaviour change?

Slide 7 The Young Foundation 2010

•London collaborative guide to behaviour change; practice exchange; action learning; incentives study•Recovery Networklitter in Sutton; challenging families in Knowsley•HealthHealthy Incentives in Birmingham

Young Foundation work

London Collaborativewide range of work underway…

Slide 9 The Young Foundation 2010

Some examples...•borough-wide, cross-thematic approachBetter Together, part of Harrow’s transformation programme•regional initiatives Go London!, maximising 2012 health legacy•small-scale pilotsBarnet’s work on carbon and waste reduction, centred on pledges

Some examples...•simple behavioursStep2Get in Wimbledon, incentivising walking to school•complex behaviours tackling gang and weapon violence in Southwark

Some examples...•individual choice/ responsibilityActive Steps, clinical referral to exercise provision through Sutton and Merton PCT•mobilising community activityco-design and co-production through SouthwarkCircle

•Clarity and transparency about objectives•Engaging people, partners, staff in design and delivery•Fully understanding what’s driving behaviour•Use of multiple techniques•simple vs. complex behaviours •Segmenting the population and targeting•Staff need the skills and capacity•Political drive and strategic buy-in•Getting the right balance of carrot and stick right

What we’re learning

What we’re learning: impact•we are still learning what works, evidence base patchy•evaluation can be challenging•some projects show 6-10% change•long-term, not quick fix•have to take risks •we need to change too – our organisations,behaviours, examples we set

Wider issues•What does this mean for our organisations?•Ethical/ political issues- defining acceptable behaviours/ interventions•Wider dialogues: what public should do/ pay for; cohesion and engagement; altruism•Role of partnership: interfacing with the ‘total person’

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Who is responsible?

Who do you think is at fault for causing obesity among children?

Who do you think is responsible for tackling obesity among children?

0 10 20 30 40 50 60 70 80

The parents of the individual

Food and drink manufacturers

Restaurants and fast food outlets

Schools

The individual

Supermarkets

The government

Not stated

None of these

Workplaces

Other

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