Resuts from Health & wellbeing workshops

Results from workshops: Health and wellbeing – learning from each other in a time of change

On this page you will find a summary of results from the series of workshops that Ketso has been running with health care professionals in the North of England and Scotland.

The full set of results can be downloaded below, and a summary from each series of workshops follows. A synthesis report will be developed after the series of workshops is completed.

You can find useful resources from these events here, including a ‘Brief Guide to some Terms and Upcoming Structures in Health Care’ and the PowerPoint slides used in the workshop.

Workshop in Manchester - May11th, 2012

Twenty-five practitioners and academics working in health and wellbeing from across the North West generated 270 ideas in several hours of discussion.

This included 114 ideas for future possibilities and new ways of doing things.


Ideas that were highlighted by participants as important included:

Future possibilities

  • New ways of working
  • More face to face engagement
  • Getting the 'green' sustainable agenda incorporated into all our work
  • Redesigning services
  • Meaningful and integrated partnership working
  • Develop partnerships and collaborative working from the bottom up
  • Join resources/forces with other organisations
  • Closer working between all sectors
  • Health everyone's responsibility – all organisations
  • More involvement from the private sector
  • Checking on barriers
  • Values based leadership
  • Leadership buy-in
  • More research to develop understanding
  • Education. Explain background, why we do things
  • Incentivise health improvements
  • Dedicated video platform similar to youtube
  • Interactive chat area and dedicated website area
  • Development of JSNA website for data

What works well

  • Champion forum making people think about involvement
  • Collaboration
  • Using existing community groups
  • Asking people their views
  • Finding out what is important to me/client
  • Understanding community has complex needs, often interlinked
  • Prioritising what the community needs/wants over what the professionals THINK will work
  • Community engagement through co-production e.g. film
  • Open lines of communication
  • Feeding back
  • Communication to find ways to increase quality of communication
  • Focus groups and getting input from the staff
  • Linking clinical and community provision
  • Providing support to enable people to access services


  • Public spending cuts
  • Staff not understanding how important involvement is to a service for future development
  • Changing working practices and cultures in service
  • Restructure. Restructure. Restructure. R.R.R.R.

A selection from the 39 next steps includes:

  • Invite colleagues to discuss issues. Invite them to a Ketso?
  • Challenging 'stuck' thinkers
  • Working closely with service users
  • Make links with wider community through partnership working
  • Lead/add capacity to Neighbourhood Planning
  • Use Ketso theories to help decision making in community groups
  • Reviewing and building upon community engagement processes to support understanding/awareness of current changes in Health and Social Care
  • Try and influence development of the new structures locally in NHS to involve communities
  • Work with the communications team to promote positive stories etc.
  • Demonstrate - action speaks louder than words - show people how getting involved can make a change
  • Learn more from each other!
  • Look more in depth at Ketso to see how it might work in 'day job'
  • Open discussions with other areas for ideas - doing things differently (Wakefield) model of engagement is a good model of engagement to consider
  • Be more involved in the organisation changes and discussions
  • Redefine manageable objectives
  • Continue with innovation agenda
  • Complete research
  • Make research free and available and accessible
  • Continue to advocate screening to all within all areas
  • Find a private sector sponsor to take the project to the next stage

Key ideas to emerge in the final discussion were summarised as:

Steps to take now:

  • Breaking silo working
  • Community Engagement: Genuine respect; culture change; HOW???
  • Explore/understand what structures there are around engagement in the current changes to work together and avoid duplication
  • Increasing awareness. User friendly meetings for those who attend
  • Leadership: Provide evidence to leaders to influence

Ideas to develop soon:

  • Co-ordinate a way of sharing involvement/methods on a Greater Manchester level
  • Engagement strategies – people 'singing off same hymn sheet'
  • Education

Ideas that were seen as coming later were:

  • Web portal to share projects and various methods
  • Behaviour change

Feedback on the workshop and Ketso included:

  • Fantastically reusable
  • Liked the structured approach - a bit more useful than separate sheets and post-its
  • Gets people to talk and share ideas in a more creative way
  • It was brilliant to see it. Visually, it is very clever and innovative
  • Democratic but structured
  • Brilliant time managed, creative discussion
  • Good ideas on how to break down discussions into themes i.e. challenges, positives, how to overcome etc.
  • A valuable toolkit for engagement
  • Enjoyed discussions and hearing others' perspectives
  • Very good for stimulating productive discussions

Ways participants felt they could use Ketso included:

  • Action plan in work with colleagues
  • Liven up management planning sessions
  • Will extend my range/use of the kit for planning
  • Could use theories in groups where applicable
  • For assets mapping
  • Peer research with existing self-help groups
  • Will use to engage/involve research participants
  • Within PhD study with offenders with mental illness
  • Map out my PhD chapters and contents
  • Will explore use further to help refine research proposal
  • Teaching more creatively

Workshop in Paisley, Scotland - April 19th, 2012

Eleven practitioners and academics working in health and wellbeing in Scotland generated 162 ideas in a lively discussion.


Ideas that were highlighted by participants as important included:

Future possibilities

  • More asset based approaches
  • Knowing what the 'right' thing is
  • Better engagement with small workplaces
  • Mental health awareness - core school curriculum/ workplace/ employment/ training
  • Jobs for young people
  • Remove prejudice
  • Protected learning time for community pharmacist (Community pharmacy staff get no protected training from nhs; Why just pharmacists?)

What works well

  • Communication
  • Quality accessible education
  • Education, Experience
  • Partnership working

Next steps included:

  • Start local forum
  • Encourage positive thinking
  • Promote ideas surrounding suitable education for all
  • Getting into work with partners to promote health training and awareness raising
  • Share experience with others
  • Encourage Ketso at team meeting to make meeting more productive
  • Presentation to team on Ketso and possible application
  • Take Ketso to literacy lead
  • Work through company engagement issues with team

Feedback on the workshop and Ketso included:

  • Clear process-way of working
  • Safe participation
  • Excellent for interaction & involvement
  • Sharing ideas & getting different ideas & perspectives
  • Simple method to unpick complex planning
  • Everyone's ideas are valuable
  • Very useful tool
  • Can see very useful possibilities
  • Very motivating & fun

Workshop in Manchester - February 2012

Seventy-four practitioners and researchers in health and social care from across the North of England came together in these two half-day workshops to discuss what is working well, to develop ideas about new ways forward and to explore key challenges and ways to overcome them.

Feedback from the event included:

  • Warm, friendly, structured conversation
  • New ideas for facilitating discussions
  • Good facilitation, techniques rock!
  • Liked low tech approach. Will think how to try out
  • Mind map style - organic growth of ideas
  • Will carry on the process of working through model. Sharing it
  • Good contacts made – to support forward working
  • There are people out there who share the same views/inspirations – change can happen
  • This exercise is a further validation of my work - I am going to carry on!
  • Renewed enthusiasm for my work, therefore work harder

Over 1400 ideas, including 386 creative 'future possibilities', were generated.



There was a lively discussion around re-defining health and wellbeing and the future of the health service. Some ideas that were highlighted as important include:

Future possibilities

  • Potential to change
  • Manage to give more direction
  • Community engagement to be bottom-up not top-down
  • Identifying needs of individuals; not one size fits all
  • Ensure basic needs are met – housing, finance etc.
  • Greater integration of alcohol and drug services
  • Deal with mental health problems rather than prescribing medication


  • Fragmented services and support - who's doing what?
  • Establishing dialogue with closed communities
  • Local Authority cutbacks threat to the organisation
  • Lack of risk taking - always retreat to behaviour change rather than social solution

Key takeaway messages from the morning session were summarised as:

  • Our differences are what makes us valuable to each other
  • We are a marvellous resource and we should be nurtured
  • Collaborative working is the future to promote well being!
  • Simplistic and understandable Health and Wellbeing for all
  • Challenging (why, how and what) - including 'Mother love and apple pie'
  • We need to overcome party politics - overrides evidence; and we fall back on learned behaviours
  • Festival of Resource Fullness
  • Stop talking and start doing! (Tackle the frustration!)
  • Utilising this concept in practice. Could be used to cover all bases in services covered in practice

Next steps

At the end of both workshops, participants were asked to note their 'next steps'. 131 ideas were generated in this exercise. Examples include:

  • To consider of all these factors when developing a new service - to ensure as many are met as possible
  • Recognise the inter-relatedness of everything
  • Stay positive!
  • Be a positive influence at work
  • Take and use this knowledge
  • Try and retain the fertile ideas
  • Try to do more joined-up work
  • Talk more to different people
  • Reach out to many more partners
  • Consider people here as potential stakeholders and partners
  • Go out and listen to local community
  • Engage better/more with hard to reach groups
  • Remember every contact counts!
  • Learn from new opportunities and pass this knowledge on
  • Be more creative

Some next steps were quite specific, for example:

  • Consider the ideas in the development of our H&WB Board Engagement Strategy
  • Promote wellbeing in the staff team where I work
  • Think about healthy options for my students
  • Apply to be on Wigan Local Involvement Network
  • Explore a community arts project with the Metro regarding lift shafts

Next steps involving Ketso included:

  • Share concept with colleagues. Ketso - how we can use in all programmes and offerings?
  • Look to promote the resource and methodology with Healthy Cities
  • Look at incorporating methods to wider applications
  • Use ideas in some consultation that is planned
  • Plan how I can use Ketso in my work - to help disabled people find solutions
  • Look at using the Ketso method in grief counselling