Transcript Building Choice Releasing Community Capacity One year on!
North East Lincolnshire Releasing Community Capacity
video
Our workshop
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To hear about Releasing Community Capacity
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Success stories
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To share experiences
Why Releasing Community Capacity
The Community Issues
• • • • • • • • • Gap in health inequalities are expected to widen between the most deprived and least deprived areas Ageing population, increasing isolation and frailty Hidden levels of depression due to lack of social interaction Main causes of death circulatory, cancers, heart disease and diseases of the respiratory system Obesity Smoking, including pregnant women Alcohol abuse and hospital admissions Increase in births and teenage conceptions. Higher rate of legal abortion. Higher infant mortality rate Lower rates of women accessing breast screening
The Community Issues
• • • • • • • • High numbers accessing benefits and lower than average hourly rate Reduced proportion of working adults with NVQL3 or equivalent and children achieving at least L2 writing, maths and science Low levels of participation in volunteering, adult sport and active recreation High rates of crime and the perception of crime Overcrowded housing in some deprived wards Increasing pressure from vulnerable groups Lack of suitable housing for some groups Problems reported accessing health services
The care challenge
• • • • • • • More people, wanting more support, for longer But people don’t want traditional services What; When; Where Choice, Control, Independence Major pressure on services Cost and volume increasing To do things differently
Our Challenge: positive focus on well-being and health
• • • • • Promoting practical actions that will deliver improvement and change Moving from providing support in crisis interventions to tackling the underlying determinants of well-being Commissioning in new ways Supporting and providing community based solutions Managing the increased demand in a way that ensures fair and equitable service for all
The Programme
• • • • • Started in October 2012 Led by Board of community representatives and professionals Designed to build on what is already working well and to use the ‘assets’ in the community whether they are people or other resources A programme that tackles organisational knowledge, culture and behaviour by widening access to knowledge and skills in workers at the same time as increasing choice and service provision in the communities All residents and workers in communities: the ‘collective workforce’
The RCC Approach
• • • • • • Working with communities and public agencies Practically based skill sharing and development and resulting in initiatives in the community Practical support with developing initiatives and problem-solving Three bands of awareness raising and skills development resulting in real change Creating “Change Champions” Health and Well-being Board finance available as project seed corn
RCC Programme
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Light touch overview - awareness raising: organisations given HWB Pack to deliver training 2.
Targeted skills development – individual focus: detailed starter courses delivered 3.
In depth knowledge and skills development: – focus on action not awareness – intensive - project support = Change Champions
Activity to date
Projected
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Health and Wellbeing awareness
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Core skills modules
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Change Champions Highlights
• Provided to approx 150 people in group and management settings • Short courses delivered to over 120 people covering ABCD, business planning, setting up a business; social marketing & engaging partners • 11 cohorts of Change Champions completed with almost 200 people working on issues of concern
Activity to date
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Projected Network and infrastructure support Bespoke training
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Highlights
Development of Good Neighbours Partnership and strategy Developing an infrastructure e.g. supporting the dementia forum and groups to develop dementia friendly NEL Working with faith groups and inter faith communities to build cohesion to reduce isolation in BME groups Bespoke training to Focus, the social work practice; working with Healthier Communities Team; Neighbourhood workers through Safer Communities
Some of the organisations we have worked with.
• NELincs Council • NELincs Clinical Commissioning Group • Care Plus Group • Focus Social Work Practice / A3 team • Services4Me • Foresight • Second Avenue Resource Centre • VANEL • The Poppy Factory • E-factor • Creative Start • Artlandish • Cruse Bereavement Care • Age UK • Friendship at Home • Humberside Fire and Rescue • Police • Safer Communities Team • Drug and Alcohol Services • Health Watch • Keepsake for life • Children’s Centres • Port Restyle • Eng Age • Accord • • • • • • • • • • • • • • • • • • • • West Marsh Community Centre • The Diocese of Lincoln • Care4All • Communities Together • The Hope Street Centre • The Collaboratives • Specialist Health Promotion / Healthier Communities Team Empower CERT Navigo Admiral Nurses Shoreline Cloverleaf Advocacy Macmillan Cancer Services The Alzheimers Society Lincs Inspire Trading Standards University of the Third Age Cofely Empower Able4U CAB Mind Guide Dogs for the Blind RVS Green Futures
The Role of the Change Champion • Supported by us • Complete 3 day course • Handbooks /workbooks/ handouts • Support local people and groups to identify gaps and generate new ideas • Access to funding via the HWB Board
Change Champions Stories
Change Champion Course Highlights
• A three day over three month intensive and practical course.
• Gives the participants the skills and confidence to set up and deliver interventions in their area.
• 11 Change Champion Cohorts have started up with almost 200 participants to date and a range of new initiatives. Cohorts have now graduated and are continuing to use their skills to bring about improvement and to support others.
• • • • • • • • • • Programmes they are working on: Time Banking Older People’s activities and lunch clubs Dementia education for practices, dementia friendly surgeries and a sleep pilot for people with dementia and their carers A reminiscence project Raising awareness of dementia services in the community Inter – cultural older people activities Developing a social enterprise to fund subsidised activities to develop sewing skills. Working with Mental Health services and the private sector Developing a young people’s clothing recycling company Information and awareness on diabetes Pulmonary rehab services for people in the community & a falls service in sheltered accommodation Change Champion graduates in calendar photo shoot.
The sewing club
Video?
Some key lessons
• • • • • Council / CCG still getting to grips with approach Now addressing systematically Provided intensive support Did not wait for the system to catch up Change Champions and the more intensive 1-2-1 bespoke activity had biggest impact
Barriers
• • • • • COMMUNITY Building Capacity Sustainability Entrepreneurialism Expectations CCT, Commissioning, Co-production • PUBLIC SECTOR Understanding the potential – “blobs and squares” • • • • Professionalism Letting go Bureaucracy Lack of joined up approaches Funding Assets or liabilities Rate relief Economic Development
The challenges
• Understanding communities’ values • Building Trust • Usual suspects • Insight and Intelligence • What is important to people • Facing the issues • Speaking the same language • Effective conversations • Different types of communications • Message carriers • Frontline staff
Co-Produce the session
Either • • •
Workshop: What assets do you have in your area?
What works well? What gaps or barriers do you have?
Or