Neighbourhood Network Schemes Putting Prevention First: Delivering the Vision for Adult Social Care and Health

Why we’re taking this approach Prevention First: Our vision Citizens lead healthy, happy, independent lives within their own homes and communities

Setting the scene – what we’re doing “Prevention First” Investing in prevention and community assets Building a cross-council and cross-sector partnership approach Community social work model, which includes: Locality based working and teams Strengths and asset based practice (Three Conversations) Community Partnership Workers (bringing together social work and GP practices) Local Area Coordination Neighbourhood Network Schemes Key features: Place based/Asset based approach to support the delivery of the STP Prevention work stream Moving from needs to assets Partnership approach Building a new system and way of doing things Building the evidence base to demonstrate the system, organisational and community benefits of investing in prevention

Birmingham’s approach to Neighbourhood Network Schemes They’re about older people and communities (not specifically including younger adults with disabilities at this stage) Locality based networks (District boundaries) Bring together voluntary, community and social enterprise sector organisations and groups, as well as statutory agencies to engage with, work with and support older adults and communities Organised by a lead organisation or partnership as a “lead facilitator” with delegated responsibilities and budgets from Birmingham City Council Funded for two years, with option to extend by one year Main purposes and functions are to: Invest in community assets, as well as the individuals, groups and organisations who are delivering community activity Broker and link community assets to citizens and statutory agency practitioners (e.g. social workers and GPs) Provide a single point of contact for people and agencies inside and outside the locality Successful model in Leeds which is supporting 23,000 older adults per year (operating to a Ward model)

Why?....”Prevention First” outcomes and vision

neighbourhood networkS MODEL

What will they do? Find, map and engage community assets in the “Prevention First” approach Support community groups and organisations to sustain and build current capacity and offer, as well as to build wider skills Support community social work practice by linking community assets to older people and social workers Support other agencies interested in linking community assets to older people Commission community activity through micro and small grants Develop and support a partnership steering group to locally direct and drive NNS and Prevention First approach Support the development of new ideas and ways of supporting citizens Be part of the development of a citywide model for NNS

Supporting community social work and the Three Conversations approach Constituency based social work teams Focusing on strengths and assets Considering the networks of and around individuals Considering community options and solutions Introducing people to opportunities around them, e.g. on the doorstep Creating stability and access to resources and communities

Different types of intervention – for people dependent on services Early intervention – for people at risk of becoming dependent on services Prevention – for people not yet known to services Three levels of prevention based around preventing demand and need for social care and health services, through community support, networks and solutions

Investment in “community assets” Any individual, group or organisation who/which is doing something, delivering an activity, project or service in a neighbourhood setting which older people can benefit from through : Supporting and encouraging social participation Building and maintaining community contacts and networks Supporting and contributing to people’s physical and/or mental health and wellbeing Supporting and helping people to increase their income Helping people to stay in their homes, living independently Supporting the wellbeing of carers Essentially anything which older people can benefit from through building up human and social capital in citizens and communities Could be any of the following: Arts & Culture Clubs Community events Community groups and networks Digital skills and capability Enablement Handyman and gardening Physical activity Social media networks Sport

Activities not services Approach being taken is about developing active participation not passive consumption of services Developing aspiration, not servicing needs Developing human and social capital , as well as independence Citizens make communities, not consumers Definition of a service: the action of helping or doing work for someone Definition of an activity: a thing that a person or group does

What does the local commissioning approach look like? £1-£10,000 with a proportionate process to match (Mostly) activities not services Lead Facilitators will facilitate a micro and small grants process not deliver activity funded through this process A few micro examples from Leeds: Handyperson activity to help with garden and house repairs to help people stay health and active in their own homes – as a small local service and/or a volunteer activity Local income maximisation case – bought the grab rail from Argos and went and fitted it in the person’s house. DVD film club that was set up through investment in a DVD player which brought older people in the locality. A combination of professional skills and general common sense

Communities: Building on what works and the evidence Being more creative and flexible in funding activities which can support care and health needs, particularly looking towards arts, culture, physical activities which people can enjoy; Community networks, peer to peer opportunities and people’s connectedness to other people and places where they live (or communities of interest); Coordination of activity across agencies and stakeholders within the prevention agenda. This is becoming an increasingly busy area of work with risks of duplication and counter-productive and/or competitive activity between agencies; Coordinators, connectors, navigators, mentors and similar types of roles which can connect and encourage citizens to access appropriate and relevant support and activities Coproducing models and approaches with citizens, communities and providers, taking an asset based approach for better outcomes and systems; Digital inclusion and capability to provide accessible information about community assets, ideas, activities and groups for both citizens and practitioners working with citizens; Evaluating and measuring the impact/value of community based activity on traditional social care and health outcomes, but linked to this both citizen and community wellbeing; Individuals, assets, micro-enterprises, small charities and little ideas which can cumulatively make a difference and enable social action in neighbourhoods; Places having different needs and dynamics, which require different types of support and investment. This is particularly acknowledging the differences between places with high social action and those with low social action; Joint approaches with regional and national funders to address shared problems, outcomes and aspirations; The trust and credibility issue between the VCSE sectors and the Council, particularly ensuring that strategic messaging is reflected in how the Council operates.

Bringing it together Demand - changing culture, behaviour and outlooks to create a different type of “demand” Focusing on strengths and assets of citizens Co-designing and commissioning community activity with citizens and social workers Shifting demand for advice, information and signposting from the centre to local networks Brokerage – providing accessible information and intelligence to match and introduce citizens to communities and activity Local single point of contact provided by the local Neighbourhood Network Scheme Lead Facilitator Citywide digital map and directory for universal access, which is maintained by Neighbourhood Network Scheme data and community organisations Supply – developing the capacity and sustainability for a relevant and diverse community offer Identifying community assets and: Brokering contact and relationships with statutory agency practitioners, including social workers and GPs Providing support and investment to develop local capacity and sustainability Working with funders and community organisations to develop and maintain activity which is funded independently of the Council (local point of contact for funders) Via small grants schemes, commissioning community activity with citizens to address gaps and build on the current community offer

OUTCOMES

Theme Prevention First Outcomes How we might measure this – quantitative and qualitative Communities Access to a relevant and diverse community offer Access to more opportunities to participate in neighbourhoods How accessible activities and opportunities are for people in or on the fringes of the care system How closely the community offer matches to what citizens require through, e.g. care assessments/plans Changes to the number of individuals, groups and organisations active and contributing to “Prevention First” citizen outcomes Changes to the number of people accessing the community offer and participation opportunities Changes to the level of non-BCC funding being invested in activity which contributes to “Prevention First” citizen outcomes Behaviours and culture Better internal partnership working across Council and NHS Better cross-sector partnership working between the statutory, voluntary, community and social enterprise sectors Embedding of a culture which focuses on and support the strengths, assets and positive outcomes for citizens Changes to local relationships between BCC, NHS, Police, Fire, Housing Providers, Voluntary Sector Organisations, Community Groups and other stakeholders Levels of engagement in the Neighbourhood Network Scheme as stakeholders and partners – including membership and involvement of the locality NNS partnership, as well as referrals/introductions to NNS Adoption of asset and strength based approach by local partners

Theme Prevention First Outcomes How we might measure this – quantitative and qualitative Citizens Reduced social isolation Healthier lifestyles Maximised income Housing which supports independence Carers feel more supported (as people and as carers) Better experience of the social care system Making safeguarding personal Changes to citizens in the locality, e.g. income, health, citizens staying in their own homes Changes to numbers of people participating in local groups and activities Outcomes from NNS commissioned activity in the locality System Reduced demand on statutory services Financial savings Happier, more productive workforce Changes to contacts with the Adults & Communities Access Point (ACAP) for advice and guidance and/or referrals which don’t meet thresholds Changes to locality need/demand for social care services Changes to the cost of providing adult social care services in the locality Changes to the levels of non-BCC investment in the locality to support groups and organisations – particularly those contributing to Citizen First outcomes

locality analysis

Three key areas Adult social care and health demand – potential impact and benefit Contacts with ACAP which lead to assessments Services provided to over 65s Community investment and assets – breadth and depth of community groups and organisations Number of organisations accessing grants of £10,000 or less Total value of grants of £10,000 or less Deprivation – capacity for citizens to invest in communities By deciles and compared to the City and national average

Opportunities and priorities Combined (ASCH demand; Community investment; Deprivation) Billesley (Selly Oak) Stechford and Yardley North (Yardley) Weoley (Northfield) Acocks Green (Yardley) Bartley Green (Edgbaston) Brandwood (Selly Oak) Erdington (Erdington) Shard End (Hodge Hill) Tyburn (Erdington) Stockland Green (Erdington) ASCH demand (locality) Acocks Green (Yardley) Bartley Green (Edgbaston) Billesley (Selly Oak) Bournville (Selly Oak) Brandwood (Selly Oak) Erdington (Erdington) Kingstanding (Erdington) Lozells and East Handsworth (Perry Barr) Shard End (Hodge Hill) Soho (Ladywood) Stechford and Yardley North (Yardley) Tyburn (Erdington) Weoley (Northfield)

What are we commissioning and when?

Phase 1 NNS Lead Facilitators – May 2018 Selly Oak and Perry Barr Constituencies via Service Level Agreement with the Council’s Place Directorate (Neighbourhood Development & Support Unit) Citywide coordination function and single point of contact – May 2018 Via Birmingham Ageing Better (BVSC) Sharing learning, ideas and practice from Ageing Better from across Birmingham and nationally Facilitating collaboration and partnership working across the city and at a Birmingham level NNS Development Phase – May/June 2018 Edgbaston, Erdington Hall Green, Hodge Hill, Ladywood, Northfield, Sutton, Yardley Constituencies and Wards Grant awards of £10,000 to £40,000 to support community asset and community social work development activity June to December 2018 to develop the awareness, support and environment for Neighbourhood Network Schemes Innovation Fund – June/July 2018 Testing new ideas to Birmingham, the UK or in general (including new technology) Developing the evidence of what can work and how Options for scaling up and rolling out across Neighbourhood Networks

Phase 2 NNS Lead Facilitators – December 2018 Edgbaston, Erdington Hall Green, Hodge Hill, Ladywood, Northfield, Sutton, Yardley Constituencies and Wards Lead organisation/partnership for a Constituency (preferred) or sub-Constituency level (where Constituency isn’t possible) Funding of £180-270K per annum for each Constituency, including funding for micro and small grants based commissioning, as well as investing in community assets Four key functions and responsibilities to implement NNS and make it work in the local area, including commission local activity Procurement process with contract awards of two years with option to extend for a further year NNS infrastructure support / Citywide approved providers – January 2019 Approved providers who can provide skills, expertise and infrastructure support to community organisations and covering issues like co-design and co-production to support local commissioning, digital inclusion, micro and social enterprise, measuring impact, value and outcomes, volunteering, safeguarding Would be purchased /procured on an ad hoc basis through local Neighbourhood Network Schemes

Timetable May – goes live in Selly Oak and Perry Barr Constituencies Opportunity to develop the model and see how different parts of it work Develop relationships between NNS and the Constituency Social Work Teams June – NNS development phase in all other Constituencies and support for social work teams through: Mapping community assets and forming a Ward/Constituency directory which is updated and shared on a monthly basis Relationship development and building between social work teams and community assets Gap analysis in community offer, assets and networks December – Full NNS implementation in all other Constituencies Via procurement and contract process which influences and shapes the approach for each area Establishment of Constituency NNS Steering Groups/Partnerships Local commissioning of community activity, networks and assets through small grants can commence Investment in development support for community assets and networks can commence

Contact Austin Rodriguez Commissioning Manager Adult Social Care & Health Email: austin.rodriguez@birmingham.gov.uk Telephone: 07557287605