Engaging and empowering communities LONDON - ? Engaging and empowering communities LONDON - Creating

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  • Engaging and empowering communities LONDON - Creating the conditions - national perspective Leadership

    Funding/commissioning/resources

    Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships/networks

    Share at CEO level

    Enthuse and motivate others

    Strong leadership/raise aspirations/be honest

    Lead agency to promote, share, advocate

    Leadership to give strong voice, critique

    There are effective, charismatic leaders with great vision but still unable to change mindset of those around them. Why?: need to create space: for experiment/trust/safety.

    Community leader/coordinator

    Ring-fence money for transition

    Ring-fenced funding for capacity building

    budgets-silos need greater joined up approach

    Knowledge of other funds to be communicated

    Agreed % of CCG and LA budgets to help build CC and dedicated funding for CD

    Funders willing to gamble on different projects/funders to value different things

    Knowledge of how best to use funding

    Dedicated funding pot

    Greater understanding of what the vol sector does at a national

    Work with NIHR to build evidence

    Sharing evidence base

    Evidence of impact of health

    Change the metrics so wellbeing counts

    Consistent outcomes framework

    Measurement for social capital

    Standardardised tool to assess effectiveness of our approaches.

    Lots and lots of evidence proving its impact

    Alignment of NHSE, PHE health and social care policies

    City devolution bill

    Make this part of mainstream not add on

    Understand how culture change can happen SCIE/PHE research/ thinking on this?

    What are the risks of change? How does this compare to the risk of making no changes?

    A national narrative to help the public understand the complexity involved eg info and advice.

    Map what is currently happening and connect people

    Individuals know what they want. Shouldnt strip assets.

    A change in narrative asset based now deficit based

    Stop siloing and labelling people

    Cascade training and awareness eg tools for front line staff

    Create networks to share experience and learn about what works including evidence

    Sharing platform/national networking

    Ensure services and support are co-designed and co-produced

    Bring in other bodies, eg, HCA, Lottery, Age Action Alliance, LEP, Future of Ageing etc

  • Middle management can block this stuff.

    Is there permission and incentive to take a leap of faith and risks from a national perspective?

    Community leader/coordinator to bring micro communities togethers linking in with NHS, social care

    Clearer line of accountability to local people, eg, Healthwatch.

    level not a free service. Funding over 3 5 years.

    Distribution of resources

    Commissioning should be led by advance care planning with the service user at the heart

    Health and social care budgets

    Share the practical stuff as well as the theory

    Social capital language is not there yet still measurement oriented

    Introduce a right to peer support

    Framework for asset based JSNAs that leads to change

    Start with children, YP and families to promote inclusion/prevent social isolation

    Data protections/Health and Safety blockers to working together

    Health providers like hospital and mental health service to be supported to undertake community capacity work

    LONDON Local perspective Leadership Funding/commissioning/resou

    rces Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships

  • Self imposed bureaucracy, aversion to any form of risk

    Stat sector dont own. Get out of the way

    Leadership and bravery across all sectors

    Role of Health and Wellbeing Boards

    Local leaders key skilled people

    LEPs

    Keeping faith with the plan and not getting distracted

    Aspire towards meaningful, local flexible leadership

    Sometimes need to build friendships between leaders

    Local leaders key skilled people

    Share resources/fairness

    Look at role of social finance in the new system to build the case for change

    Participatory budgeting

    Innovation grants

    Community approaches in local health contracts

    Stories/examples of where things have worked

    Measuring, sharing and promoting social value

    Build on evidence case

    Share good practice

    Stories/examples of where things have worked

    Measuring, sharing and promoting (encouraging) social value

    BCC to have broader remit not just deprived neighbourhoods

    Community capacity deserts in deprived communities

    Focus on wellbeing is Care Act a driver?

    Asset based approach in everything we do. Everyone has something to offer

    Flexible support

    Personalisation choice and control

    Change of mindsets on the ground about personalisation

    Information, information, Information,

    Getting out/promoting awareness in local community how can access services.

    Finding out what communities want empowering them to take ownership on delivering eg neighbourhood plans.

    Build a base of voluntary agencies

    Traction needs to come from real people and different layers of experience. Insight should be recognised in co-production

    We may all have conditions but some have complex conditions and this should inform wider [discussion]

    How to engage the NHS locally? trusted partners

    Collaboration between different areas ie mental health, dementia

    Mutual integration move away from a health dominated agenda

    Building relationships based upon trust, honesty and openness

    Aim for inclusion

  • Contribute to national mapping of current activity

    How can here be support for bottom up local initiatives, feeding into national picture?

    How can independence and voice of local orgs be maintained when financially depressed

    .

    Engaging and empowering communities MANCHESTER - Creating the conditions - national perspective Leadership

    Funding/commissioning/resources

    Evidence/ metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships/networks

    Cross govt action on BCC

    Where is the leadership?

    Work on the middle as well as top down (management)

    Create an infrastructure nationally enables community

    Cash specifically for BCC given to a local level

    Redistribute funds from acute to community date to be radical, to be abrasive and need new models of commissioning involving local people

    Ringfence BCC funding

    Need balance of what constitutes evidence data/research, practice, peoples voice and experience

    Share best practice on peer support

    Develop co-production in policy making process

    Provide clarity on information sharing

    Total place?

    Change the dynamics around GP services many problems people take to GPs are social/economic

    .

    Need to deal with institutional protectionism organisations need to work cooperatively both nationally and locally

    Change culture from youre my patient to Im your practitioner

  • .(Procurement, regs cqc /risk)

    Emphasis on employers contribution (Tesco example)

    Leadership and monitoring

    Where have community budgets gone?

    Change focus form balancing books to commissioning for outcomes for local people

    Tie into funding (BCC?)

    Incentivise collaboration rather than competition

    Commissioning deadlines can be a barrier/new model of commissioning involving local people/commissioning for outcomes/

    Need smaller more community focused approach to commissioning/need longer term approach

    Invest in creative housing solutions, self build, co-housing etc

    Invest in peer support

    Act in a way that is true to the evidence base

    Need new metrics

    Needs to think about what is being measured and how-real quality.

    National data systems that include social and community social and community factors, wellbeing

    Easy to adapt the language but not change practice

    MANCHESTER Local Perspective

    Leadership

    Funding/commissioning/resources

    Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships

  • Strengthen role of H&WBs.

    Harnessing the big local personalities to galvanise local communities

    Engage with health and wellbeing boards

    Incentivise collaboration

    Micro commissioning hasnt been given the opportunity to flourish

    Require Public Health to invest in this. Continue with ringfence

    Topslice LA budget for PH initiatives

    How to share funding across community assets

    Raise importance/urgency = KPIs

    Change the language we use around public health prevention work need to understand how to get message across, commissioning isnt always aligned to the reality of peoples lives

    Needs to stop being paternalistic eg NHS managing peer support/ self help groups

    Put in early support

    More local events to enable informal networks

    Get social workers to know about communities

    Support peer networks

    Vanguard programme

    Achieving self care Blackburn with Darwen

    Work with whats already there dont create new roles in one organisation when they already exist in others.

    Training the workforce

    Utilising prompt cards

    Mapping people and assets within our communities

    Include people from different communities/groups in discussions

    Encourage a more proactive approach whole of PHE family

    Communities coproduction. Part of decision making in what is funded

    Public Health integral to everything the local authority does

    Community circles/community connectors

    Good networks and foundations that we can build on

    Working together for change

  • Need to stop seeing things as public service provision no luncheon club but weatherspoons meet up. Language

    Engaging and empowering communities NEWCASTLE - Creating the conditions - national perspective Leadership

    Funding/commissioning/resources

    Evidence/ metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships

    Do it because it matters not because you think it will save s

    It isnt a tokenistic project by project agenda- it is about culture change (including new ways for org/people development

    Use localism to challenge central decisions and drive action in communities and local areas

    Vital to shift the power held by organisations esp. NHS and professional structure/hierarchies.

    No investment at local level. Asset mapping leads to people getting connected and current resources full.

    Stop financial cuts invest in communities (first area where services are cut)

    Funding that considers assets/protective factors not just need and programmes that address assets not just need

    More funding! (for the right things)

    Holistic funding streams

    More balance of what constitutes evidence- data/research, practice, peoples voice and experience

    Joint dots to evidence and outcomes to value assets

    Measuring /targets for evidence of quality process not just narrative

    Prioritise equity for all regional outcomes

    National data systems that include social and community factors,

    Private sector businesses (employers) need to understand and utilise employment of those with disabilities and support needs as PR opportunity. (B&Q and older people.) Invest/incentivise a more diverse workforce.

    Language life package NOT care package

    Stop our voluntarising day to day good neighbourliness into a service

    Build the skills of capacity builders. ABCD is more than change of job title

    Develop and think about geographic work to develop community capacity

    Community development to be includes in GP, nursing etc training?

    Be informed from local expertise

  • NEED TO CHALLENGE THEIR EVIDENCE.

    Work on the middle as well as top down and bottom up. This is where the blocks are

    Reverse austerity be clear, dont abuse the terms.

    Collective national commitment (vision, guidance, outcomes, evidence, policy, programmes, strategy,insight, marketing with all sectors)

    Political will for true social justice

    Could CCGs be more mandated to do community development?

    Integration messages should be broader than health and social care (eg housing, 3rd sector)

    Longer time than 5 year cycles takes time

    Investment in community development

    Put health and social care budgets together

    Focus on prevention/shift from acute 5 -10 year transformation fund, sign off %

    Commissioning is moving to larger more formal contracts. Should be smaller more community focused.

    Commissioning is too short term. Need long term settlement/outcomes measurements

    Fair timescales and expectation

    Levers with CCGs: what they commission/voice in commissioning groups/relationship with providers and CVS

    Reverse austerity be clear, dont abuse the terms

    wellbeing not just resilience

    Need to think about what is being measured and how real quality

    Could we/should we legislate/enforce voting?

    Take the risk out volunteering and social actions eg litigation. In US, volunteering gives you points towards college entrance and employment

    Help to translate evidence to all audiences in the narrative

    Policy context already appears supportive

    Raising awareness of ALL agencies responsibilities under Care Act

  • NEWCASTLE Local perspective

    Leadership

    Funding/commissioning/resources

    Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships

    Local politicians becoming more collaborative eg, training programme for elected members in ABCD

    H&WB Board participation and CVS

    Flavour of the month prioritising

    Devolution

    Build collaboration into commissioning

    Bottom up approach rather than commissioners determination

    Closer work with LA commissioning on asset based approaches

    Building relationships so commissioners know the people/orgs affected

    Invest! Stat agencies starting to act as enablers.

    Use data based on assets/positive, protective factors for health and wellbeing

    Process of local evidence-base creation

    Tension between organisation sustainability and immediate priority/targets

    Prevention VCS save PHC work

    Use localism BUT choose reps carefully and avoid the usual suspects

    Translate evidence into local narrative for different audiences

    Quality improvement build in

    Who helps and who should navigate the system? Continual process

    Lots of different initiatives that we are all trying to develop drive the same directions capacity building localism etc. Why are people not getting together?

    Consider different way to engage communities with democratic processes eg devolution in Scotland

    Only the minority vote in the current system

  • Inconsistency of services drive by short term funding

    Awareness raising of what is already out there professionals and public

    Education for communities bring back community development workers

    Less about party politics more about causes and what local commissioners care about

    Reach those who dont need/wont/use services no relationship with commissioners

    Encourage communities to coalesce around issues eg HS2 in West Midlands

    Genuine professional and community consultation

    Genuine CCG engagement needs to happen

    Competing agendas from different agencies

    Ask, listen and involve local communities

  • Better communication: CCG=VCS=SSD

    VCS Alliance to be the partner

    Engaging and empowering communities BIRMINGHAM - Creating the conditions - national perspective Leadership

    Funding/commissioning/resources

    Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships

    Mandate HWBs to map and support community centres

    Mandatory that 3rd sector sit on HWBs

    How can people volunteer without affecting benefits?

    Cross party discussion

    Identify/remove barriers

    Citizen expert

    Leaders have genuine conversations (not test own ideas) that enable communities to set

    Securing investment in places to meet community centres, libraries etc

    Consider ring fenced budget

    Invest in communities

    Money to follow the rhetoric (outside established mechanism)

    Recognition that volunteers have a cost attached, eg training

    Mandate CCGs to commission this type of work

    Longer term contracts

    Flexibility within contracts

    Evidence that would make co-production work

    Methodology = coproduction - how it would look

    Create proportionate/effective measurement systems of community centred activity value stories

    Light touch Assurance

    Continue national programme to collect evidence/support development

    Right language

    Common messages explore at national level

    National platform for standardised information useful to local community leaders eg rural community council, village hall advisor, funding advisors.

    Good practice guide

    Better communication of key messages and support

    Work bottom up not top down

    Listen!!

    Are we over professionalising life? More affluent areas to get involved. Are we storing up huge health problems for the future?

    Campaign to encourage people to help others

    People volunteer (5 days) per year to help others

    More skills sharing

  • agenda of what is important to them

    Leaders accept the solutions communities create

    Allow creativity

    More trusting

    Joined up government departments/agenda

    Building community capacity not a substitute for services

    Right representation on HWBs

    FYFV community engagement a priority

    There are the right words, eg, localism but they dont release the power for implementation

    Politicians to really understand their communities

    Relax how we measure outcomes be more creative

    Share stories what works

    Education (PHSE)

    Encourage volunteering nationally

    Support available for everyone

    Encourage community support

    Other currency to support (timebanking)

    Stop measures that determine/direct intervention

    Embed as integral to behaviour not an add on to business

    More trusting

    Less jargon

    Dont duplicate

    Recognise lead in time/planning

    National bodies need to get connected with communities

  • Reduce bureaucracy (H&S, Safeguarding)

    Keep out of it

    BIRMINGHAM Local perspective

    Leadership

    Funding/commissioning/resources

    Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships

    Give freedom to be creative

    Leaders have genuine conversations that enable local communities to set agenda

    Leaders accept the solutions communities create

    Linking to Health and Wellbeing in locality

    Right representation on HWBBs make things happen the right way

    Buy-in from local leaders

    Create budget to support that is not always attached to measures

    Pooling resources and share information

    Pull evidence of local delivery to build the case to H&WB

    Identify/share examples (the power of peoples stories)

    Stories to inform decision making

    Balance of quantitative and qualitative. Share learning/knowledge/skills

    Create proportionate/effective measurement systems of community activity value stories

    Recognise long term incremental measures

    Do properly dont react

    Dont focus on process, focus on people

    Identify and remove barriers

    Generate more capacity in businesses for thinking

    Stope measures that determine/direct intervention

    Do it well or not at all.

    Feedback: you said this happened

    More skills sharing

    No wrong door shared understanding and common local language re community capacity building

    Use public buildings as resource

    Build confidence in communities to talk

    Organisations working more closely together

    Trust

    What Isaac said, we process to death invest in the people

  • Light touch assurance

    Seek innovation/permission to create catalyst

    Challenge local thinking community centred not community based.

    People not processes

    Acknowledging the skills of people

    Accepting challenge

    Freedom of choice

    Adequate time for things to happen

    Central and well managed resource for information guidance and advice.

    Listen to the communities/individuals:

    dont pay lip service

    listen before decisions made

    Experts by experience

    Facilitate local action

    Finding the right person to have the conversation

    Challenging community attitude/expectation

    Sharing of local resources:

    Volunteers

    Transport

    Buildings

    Involvement of community individuals in service design in the locality