Transcript An introduction to assets

Asset Learning Programme
- An introduction to assets
March 6th 2012
Asset Based Working
Jude Robinson, John Lucy
6th March 2012
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What this workshop is
• Introduction and chance to reflect
• Chance to plan asset based work
• Chance to learn from each other
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Our approach to asset based work
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Our approach to asset based work
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Creating Health
“Communities have never been built upon their deficiencies.
Building communities has always depended upon mobilising
the capacities and assets of people and place”
(Kretzman and McKnight 1993)
“Many of the key assets required for creating the conditions for
health lie within the social context of people’s lives and
therefore [the asset model] has the potential to contribute to
reducing health inequities.”
(Morgan & Ziglio, 2007)
Assets for Health & Wellbeing

Asset based approaches are concerned with identifying the
protective factors that create health and well-being. They offer the
potential to enhance both the quality and longevity of life through
focusing on the resources that promote the self-esteem and coping
abilities of individuals and communities.

Drawing on concepts that include salutogenesis, resilience and
social capital, asset approaches create the potential for unlocking
some of the existing barriers to effective action on health inequities,
so far characterised by more risk-based or deficit approaches.
(International Conference, London 2011)
The Asset Approach

investigates key assets that support the creation of
health rather than the prevention of disease

enables a community to use its assets around a
vision or plan that solves local issues sustainably
and uses outside support more meaningfully and
efficiently.
Traditional needs assessment
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Identifies problems and deficits in individuals and communities
Health as disease prevention, often single disease causality
focused
Allocates resources based on deficit/ needs assessment/ IMD
Focus on individual level interventions
Responds with more or different/ re-configured services
Identifies the community as a problem area
The value of services as the answer
Belief that wellbeing depends on being a client
Dependence on outside services
No incentive to be producers, only consumers, passive
recipients
Survival motivated challenge of outwitting the system
Dissolves community empowerment and networks
Asset focus
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Salutogenic understanding of health as wellness, not as disease or its
absence;
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Focus on a multiple dynamic model of health and its determinants;
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Maps the skills, capacity, knowledge of individuals and the social capital,
networks and connections in a community.
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Provides a different story of place; positive and outcome focussed picture,
valuing what works well;
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Builds community empowerment and solution focussed responses that are
sustainable;
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More community based and system level interventions;
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Enables co-production of health & wellbeing, citizens as empowered
producers, active participants;
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Enables more efficient provision of services;
The Asset Model: Morgan & Ziglio, 2010
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• The asset approach values
the capacity, skills,
knowledge, connections
and potential in a
community. In an asset
approach, the glass is halffull rather than half-empty.
• Fundamentally, it requires a
shift in attitudes and values,
and a shift in power
A glass half-full
An asset is any of the following:
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The practical skills, capacity and knowledge of local residents
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The passions and interests of local residents that give them energy
for change
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The networks and connections - know as ‘social capital’ - in the
community, including friendships and neighbourliness
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The effectiveness of local community and voluntary associations
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The resources of public, private and third sector organisations that
are available to support a community
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The physical and economic resources of a place that enhance
wellbeing
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Living Well
North West
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The contribution of the asset approach
(NHS NW 2010)
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Tackling the social determinants of health and reducing health
inequalities
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Focusing on health and wellbeing outcomes
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Strengthening the Joint Strategic Needs Assessment
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Fostering co-production of health and provision of health and social
care
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Building the Big Society vision of empowered communities
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Supporting systematic engagement of communities in partnership
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Maximising the role of the voluntary and community sector
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Enabling greater condition management, self care and care closer
to home
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Improving individual and community resilience in challenging times
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Improving demand management and service efficiency
Reducing Health Inequalities
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Marmot Review “puts empowerment of individuals and
communities at the centre of action to reduce
inequalities”
This requires
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Social action
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Creating conditions for individuals to take control of their
lives
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Removing structural barriers to participation
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Facilitating and developing capacity and capability
through personal and community development
“Traditional epidemiological risk factor approaches to
health development such as programmes on smoking
cessation, healthy eating and physical activity are
insufficient on their own to ensure the health and wellbeing of populations”
(Morgan & Ziglio, 2007)
Social Care Transformation: Building Community
Capacity (DH 2010)
“What would it look like if, in this area, people and local organisations
were all operating in such a way as to make the most effective use
of, and further develop social capital, in a way that includes those
who are often the most isolated and marginalised?”
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Building on people’s existing capabilities
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Reciprocity and mutuality
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Building support networks
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Blurring distinctions:
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Facilitating rather than delivering
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Recognising people as assets
Three main contributors to outcomes for people who might need social
care: People, Organisations, Social Capital
www.puttingpeoplefirst.org.uk/BCC
JSNA guidance
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From April 2013 “the local authority and the clinical
commissioning groups, together with local HealthWatch,
will be required to prepare the JSNA through the health
and wellbeing board, undertaking a comprehensive
analysis of the current and future needs and assets of
their area”
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“In the context of the JSNA an asset could be anything
that can be used to improve outcomes and impact on
the wider determinants of health.”
(JSNA & JHWS explained, 2011, DH)
Public Health Commissioning Responsibilities
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“[Commissioning] underpinned by a robust analysis of
the needs and assets of the local population”
(Public Health in Local Government Commissioning Responsibilities, 2011,
DH)
What is an asset?
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An asset could be formal or informal resources,
including capacity within other organisations or the
community that can be used to improve health and
wellbeing outcomes and impact on the wider
determinants of health, such as the ability of population
groups to take greater control of their own health and
manage their long-term conditions.
(JSNA & JHWS draft guidance, 2012, DH)
Principles of JSNAs and Joint H&WB Strategies
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Real gains can be made if health and wellbeing boards
look beyond needs to examine how local assets,
including the local community itself can be used to meet
identified needs. Not only does this approach generate
energy and make the best use of all available resources,
but it also stimulates innovation, for example through
joining up services, to find truly local solutions to
address local issues.
(JSNA & JHWS draft guidance, 2012, DH)
Example: Wakefield
a re ne
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Wakefield - developing a rich and vibrant JSNA
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Work with key players to gain ‘buy in’
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Trial 2 asset mapping methods
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Improve use of existing hard and soft data - assets and needs
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Trial asset mapping as community capacity building process
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Lever in more meaningful participation
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Growing Communities from the inside out. Trialling an asset based
approach to JSNAs within the Wakefield District : Methods and
Findings
Wakefield - how they did it
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Project manager and steering group
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Identified priority - Mental health
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Extensive preliminary community development
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‘Careful’ training of staff
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Briefing sessions for managers/ commissioners
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Extensive partner discussions
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Discussions with datahub
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Community events - 5 ways to wellbeing framework
Wakefield - findings
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A purely asset focus was probably only possible because of extensive prior
work on needs
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Difficult for some communities to stay positive and focus only on assets
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Asset based approach to solve a need
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Meaningful use of asset data by commissioners
—
Not just ‘what asset?’
—
Why is that an asset? How does that help? Why did that have an
impact? What was the impact?
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Participation is extremely empowering and rewarding
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Massive organisational culture change - long term
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Different stages of development - ‘the gulf of understanding between
analysts preparing the JSNA and frontline workers operating in the
communities being served.’
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Smarter data collection & sharing precudres and protocols
Wakefield - action
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..lots…
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Training programme for non community development
specialists including elected members
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Intensive work with commissioners on utilisation of the
JSNA
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Integrate assets and needs collection - toolkit
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Ongoing CD work with communities with the least
assets
An asset framework for JSNA ?
1.
The factors creating health & wellbeing
2.
The valued assets that help alleviate need
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Data on assets can be drawn from:
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Community asset mapping
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Community consultations and engagement processes
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Local surveys
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Routine service data collection
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Regional and national surveys
—
?
Asset mapping
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Mapping assets =
— Self
esteem
— Sense
of belonging
— Social
connectedness
— WELLBEING
—
Asset Based Community Development
— SUSTAINABLE
WELLBEING
—
Community Exchange/ Timebanking
—
Befriending
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Community champions/ advocates/ mentors/ navigators/ leaders
—
JSNA & Commissioning
Types of
assets
examp les:
Mapp ing questi o n area
Communi ty Develop m ent
foc u s
Commission in g o utcome
foc u s
Creatin g co m mun ity -led gre e n
space e .g . garden s .
Par ticip a tio n in improvin g th e
physical e nvironm e n t e. g. clean ups.
Takin g acti o n o n cl im a te ch a nge.
Increasin g access to green
space/ natur a l enviro n me n ts
with in c o mmu n ities (a n d
hospit a ls , school s , workplaces ,
prisons e tc) a s this i m pact s o n
healt h , educati o n , crim e &
cohesion o u tcomes
Increasin g awarenes s o f th e
facil itie s an d services availa
b le a nd
supportin g peo p le in ne e d to
access an d use th e m.
User par ticip a tio n in decisi o n makin g , servic e re -desig n,
evaluatio n an d manag e me n t.
Im proving q u al ity an d e ffi c iency
of service s e. g. reducing D N A ,
improvin g rel a tion s hip s , pers o n centred a nd user -fr iendl y
services
Place s an d space s
(environme n ta l
assets)
green an d blu e spac e /
natura l enviro n men ts –
parks, b each , canal s,
woods, rur a l landscape
shared pu b lic s p ace –
squares, mark e ts
Wha t pub lic space s d o peopl e use ?
Wha t makes thes e a ttrac tive /
usable?
Facil itie s an d
services
GP , schoo l, c om mun ity
centre , advice ce n tre , jo b
centre , leisur e centre
Which service
mos t?
Why?
Social c a pit a l a ssets
htt p: //w w w.on s .gov. u
k/ons/gu ide met h od/user guidance/soci a lcapital -g u ide /the social -capi tal project/g u ide -to social -capi tal .h tm l
trust
social n e tworks & in tera tion
social su p port
civic par ticip a tion
reciprocity
neighbourlin e ss
cohesion
Commu n ity asse t map p ing
www.abcd inst itu te.or g
www.a ltog e therbe tter .org.uk
s d o peopl e valu e
ONS soci a l ca p ita l indic a tors
htt p: //w w w.on s .gov.u k /on s /rel/ e nvir o
nme n ta l/social -ca p ita lindicator s /review -pape r /inde x .h tm l
Increasin g oppo r tun itie s fo r
Higher level s o f soci a l ca p ita l ar e
people to me e t w ith eac h o ther ,
associate d w ith be tter h e al th ,
join group s an d club s .
higher educ a tion a l ac h ieveme nt ,
Increasin g cohesio n w ith in an d
bette r e mplo y men t outc o me s an d
betwee n co m mun itie s e .g . cross - lower cr ime ra tes.
commu n ity in itia tive s .
Cost -effe c tiv e in terventio n s include
E m powerin g ci tizens to have
a
befrien d ing , tim e bankin g,
voice an d tak e colle c tive a c tio n .
commu n ity navig a tors.
Scheme s to enhanc e
neighbourlin e ss a n d su p por t
isolate d c itizen s .
Draft 1 Jude Stansfield
Learning from a Liverpool Approach:
Liverpool PCT - Alt Valley Neighborhood
Community Asset Mapping Project
Shane Knott, Neighbourhood Manager (North CCG),
Public Health Unit, Liverpool NHS Primary Care Trust,
[email protected]
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Road Map
1. What are we trying to achieve?
2. FYI… some context
3. In reality – the problem and a common sense
solution
4. What we did (and how we did it)
5. Development of the Asset Mapping Approach
6. What does it look like?
7. How has it been used?
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Community Asset Mapping
Selected Summary Objectives
• “To adopt a systematic approach…”
• “…through our commissioned 3rd sector organisations…”
• “To specify a framework for action that includes promotion, earlier
intervention, prevention and protection as the collective means to address
mental health inequalities.”
Liverpool PCT. The Joint Strategic Framework for Public Mental health 2009 -12.
• Development of a Social Prescribing pathway…
• AV NPWG Priority to support GP Neighbourhoods
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Alt Valley District
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Health Delivery Team
13 Team members
•
•
•
•
•
•
•
•
LPCT Public Health Neighbourhood Manager
LPCT North CCG General Manager
LPCT Community Engagement Officer
LCH Neighbourhood Lead, Community Food Worker Team Leader
PSS/Age Concern - Health Trainer & Community Health Ambassador
Cobalt Housing - Community Development Officer
RC Fagends – Smoking Cessation Team Leader
LCC – Neighbourhood Officer, Sports Alliance Manager, Extended
Schools Officers, Active City Coordinator
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NHS Health Trainers Service
• Support patients to achieve health improvement goals
• Targeted to receive referrals from primary care
• Barriers to success for patients
• Onward signposting
Issues:
Awareness of services
1:91000
Under-used service in Alt Valley
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Social Prescribing
(Patient)
(Primary Care)
3rd
Sector
NHS
G
Community
Asset Map
Public
Services
and
Housing
(Health Trainer)
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The Common Sense Solution
• Need for “Community Asset Mapping”
• Empower the HT!
• Social Prescribing…
• Wider benefits
• Community Resilience
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Method
• Alt Valley Health Improvement Team
• What do we need to know?
What, Where, When, Who, How to contact and How much!
• How will we find out?
• Who will do the work?
• How long will it take?
6 Officers X 2 hrs pw x 6 wks = 72 work hours
• Equivalent time costs?
c.22k/52wks/36hrs X 12 hrs X 6 Officers = £846 (+costs)
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First issue
• Completed October 2010
– 482 weekly activities
– 80 different providers
• Family Services Directory & Advocacy Rights Hub
• Learning
–
–
–
–
User friendliness,
placement of the asset mapping
Comprehensive?
Timeliness/Relevance
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nd
2
issue
• June 2011 – reviewed information.
– 685 sessions
• Search codes and filter
• Published via FSD & ARH
• Learning:
– Mapping Patient population
– LCVS cross reference
– Lack of input from social services
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What does it look like?
Day
Monday
Monday
Monday
Monday
Monday
Monday
Monday
Monday
Monday
Monday
Monday
Monday
Monday
Monday
Tuesday
Tuesday
Tuesday
Tuesday
Tuesday
Tuesday
Time
Activity
Location
Contact
Morning Drop in Centre- Fazakerley advice, Informationand resource centre
Fazakerley Federation, Formosa Drive
Angie Rogers
9.00am
Get into reading - reader organisation reading group
Fazakerley Federation, Formosa Drive
Emma McGordon
9.00am
Mass
Holy Name Church, Moss Pits Lane
Father Kevin McLoughlin
9.15am
Mass
St. Philomenas Church, Sparrow Hall Road
Father Kevin McLoughlin
9.30-11.30
Credit Union
Fazakelrey Federation, Formosa Drive
Angie Rogers
9.30-11.30
Childminder drop in
Fazakerley childrens centre, Barlows Lane
Fazakerley Children Centre
10.30-11.30
Top tots
St. Philomenas Church, Sparrow Hall Road
Father Kevin McLoughlin
13.30-14.30Chatterbox (songs, rhymes, craft etc
Fazakerley childrens centre, Barlows Lane Carla McSherry/ Lynne Pollard
13.30-15.30
Cook and Taste sessions
Fazakerley Federation, Formosa Drive
Angie Rogers
13.30-15.00
Baby Peep
Fazakerley childrens centre, Barlows Lane
Fazakerley Children Centre
13.00-14.00
Toddler Swimmning (1-3yrs)
St Phils Church (please contact children centre) Fazakerley Children Centre
13.00- 15.00
Twins Group
Fazakerley childrens centre, Barlows Lane
Fazakerley Children Centre
15.45-17.45
Multi-Sports sessions (6-13 yrs); Football, Pool, Wii etc
Adlam Park Pavillion, Aldam Park
Cliff Howarth
16.00-20.00
Sing Along with Charlie
Royal British Legion, Longmoor Lane
British Legion Club
Morning Drop in Centre- Fazakerley advice, Informationand resource centre
Fazakerley Federation, formosa drive
Angie Rogers
9.00-11.00
faz tots(parent & toddler) term time only
fazakerley primary school, formosa drive
School Reception
9.00am
Mass
Holy Name Church, Moss Pits Lane
Father Kevin McLoughlin
9.15am
Mass
St. Philomenas Church, Sparrow Hall Road
Father Kevin McLoughlin
10.00-11.00
Storytime
Fazakerley Library, Formosa Drive
Fazakerley Children Centre
10.30-11.30
Kids Kitchen (with Health Visitors)
Fazakerley childrens centre, Barlows Lane
Fazakerley Children Centre
Telephone
0151 525 5051
0151 7942830
0151 4760289
0151 4760289
0151 5231073
0151 2333705
0151 4760289
0151 2333710
0151 523 1073
0151 233 3705
0151 233 3705
0151 233 3705
07917 753098
0151 5254747
0151 5255051
0151 4743060
0151 4760289
0151 4760289
0151 233 3705
0151 233 3705
Cost Code
Free
Free
Free
Free
Free
Free
Free
Free
Free
Free
Free
Free
£2.50
Free
free
£1.50
free
Free
Free
free
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£
W
W
W
£
P
P
P
F
P
P
P
PA
W
£
P
W
W
P
P
Additional Project Work
Pilot session of Delivering Health
Messages (July 11)
Community Resilience Analysis
workshop (July 11)
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3rd Issue??
• June 2012
• Include
– Kirkdale
– Anfield
– Everton
• Include Social Services
• Include IT contact points
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How has it been used?
• Case Study Examples
– Health Trainers
• 4 case studies
– Community Health Ambassador
– Cobalt Housing
– Community Organisations
…the asset map is a worthwhile tool and an
asset for our community. It has developed our
centre's network of organisations whom we
now work in-partnership with and not just in
Croxteth, but for other areas in Liverpool as
well.
“The asset map is
really effective in
helping me work
with my clients, even
now that I am more
familiar with the
area, I still use it to
get contact
details…”
Nichola, Health Trainer
Gerry, Manager, Porchfield Centre.
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Health Trainers
Caseload 1
•“Phil from Fazakerley was referred from a CHATS event and was wishing to lose weight. We set goals to
alter his poor eating habits and lack of physical activity. I referred to him to cycle for health group and
although he enjoyed it the session time was unsuitable for him due to work commitments. Using the Asset
map I identified the cycle group held at Fazakerley federation which he began to attend on a regular basis
and motivated him to buy his own bike which he uses to travel to and from work now. As well as making new
friends and improving his social & mental wellbeing, he has lost 13lbs in weight over a period of 6 months.”
Caseload 2
•“A client in Fazakerley was referred by their GP due to stress which happened as a
result from struggling to complete financial forms, applying for jobs and CV. Although I
could not help him myself, I signposted him to the local CAB and job café for support and
info. “
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Health Trainers
Caseload 3
•“A lady in Walton was referred by her GP as she wanted to lose weight but found it
difficult due to sciatica. I referred her to a local community group that provided a chair
based exercise class. She found the class helpful as it suited her needs and she could
carry on the activities at home if she was having a bad day.”
Caseload 4
•“A client in Croxteth was referred by their GP regarding stress. I encouraged them to attend
the local Porchfield community centre to access a wide range of activities from tai chi & Zumba
to card making & computer classes. The client didn’t realise they could access it as it is attached
to a residential home but the centre is accessible to all adults.”
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“CHAT” Worker
“I staged a health event for young mums in the Salvation Army, Cavendish Drive, Walton. The aim
of the event was to promote an active lifestyle. I knew from the asset map that there were no
Zumba sessions available locally at that time. During the event I organised a taster Zumba
session, over 30 women joined in the activity and said they would attend regular classes if they
were available.
With this information I funded six sessions and worked hard to secure further grant funding to
make it sustainable. I also brought in an ‘NHS Health Trainer’, David, to do a presentation on the
service to all the women who signed up for Zumba, Three women took advantage of the free HT
service and received continued motivation and support of the Health Trainer.
The Zumba class is still in action and has to date an average of twenty women in attendance. The
three women who took advantage of the free Health Trainer service have all stated that their
new improved lifestyle has rubbed off on the rest of their families and they feel they now have the
tools to look after their health and well being. “
Lynne, Community Health Ambassador
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Community Organisations
“We have made the asset map available to our tenants in their welcome pack, and will
be making the asset map information available through a touch screen kiosk in the
housing office.”
Manila, Cobalt Housing
“I have used it on a number of occasions to signpost some of our clients and their
families to services that we are unable to offer at our centre i.e: Fag-ends, Citizens
Advice, Job Cafes, Parent/Toddler Groups and other various activities for children
aged 0-4 years that take place throughout the working week. We have also noticed
that since this information has been available we have had a lot of referrals from
Health Trainers for activities that we provide e.g Computer Classes, Social Events,
Exercise Classes etc.”
Gerry, Centre Manager, Porchfield Community Centre.
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Community Organisations
We have made the asset map available to our volunteers in North Liverpool to
signpost clients onto other services.
Karen, Victim Support
•I know the area well as I have worked here for a long time, so I have not really used
the asset map. I have been sending people to the Fazakerley Advice Centre for debt
and benefits advice, and the the childrens centre and the Fed (Fazakerley
Federation) for toddler groups. We have had a lot of people sent to us by the health
trainers to use the gym, including a woman who was obese and didn’t want to
exercise in front of other people. She still comes even though she has stopped seeing
the health trainer and she has brought the rest of the family with her as well!”
•Mark, Centre manager, Fazakerley Memorial Hall.
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Summary
1. What are we trying to achieve?
2. FYI… some context
3. In reality – the problem and a common sense solution
4. What we did (and how we did it)
5. Development of the Asset Mapping Approach
6. What does it look like?
7. How has it been used?
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Any Questions?
Shane Knott, Neighbourhood Manager (North CCG),
Public Health Unit, Liverpool NHS Primary Care Trust,
[email protected]
Tel: 0151 285 4766
With thanks to PSS & Age Concern Liverpool, LCC, LCH, Cobalt Housing, the Roy Castle Lung Cancer Foundation, and also to the
Fazakerley Memorial Hall, Victim Support, The Porchfield Centre, Fazakerley Federation , the Communiversity, LCVS, and all community
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organisations and partners that helped us to produce this work.
Discussion

What are you thinking of doing to take forward the asset
approach?

What do you anticipate will change by doing this work?

How will change be measured?

Who needs to be involved and what will you/ they do?

What needs to happen in the next 30,60,90 days?
Working together going forward

Are there other places that are planning to do something
similar- is it helpful to collaborate?

What is the specific input that will help you to achieve
this that we can plan into the next two sessions?
Thank you