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/resources 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