1. Community Health Champions in Sheffield – the story so far! Real change can only come from the local community itself by harnessing the energy, skills and commitment of local people DH 1999 Chris Nield – Consultant in Public Health – NHS Sheffield Nigel West - Health Champions Network Coordinator

2. Wider Agenda Cost of medical care Need to focus upstream Evidence – can save money fully engaged Public Health - Local Authority - wider determinants “Big Society” Focus on Happiness and Well Being

3. Health in Our City Sheffield has never been healthier than it is today: Mortality rates falling: Life expectancy increasing: Health inequalities, though narrowing, remain very substantial. At local level, there are still areas which suffer very poor health compared with both the Sheffield and National average.

4. Tackling these issues Sheffield Approach – “Glass Half Full” I Familiar approach focuses on the problems, needs and deficiencies in a community. Asset approach values capacity, skills, knowledge, connections and potential in a community. Specific local solutions rely on community knowledge, engagement and commitment which are rooted in very specific local circumstances. IDEA

5. Sheffield Context Healthy Communities Programme & Champions Tackling the wider determinants of health, Promoting healthy lifestyles, Access to services -Health partnership network -Community health interventions CHC signpost in to -Opportunities - volunteering, training and paid employment -Provided through the voluntary sector -Links with GP practices and NHS interventions

6. Sheffield Context -Community Development & Health Programme – Foundation and additional training, recruit from, first step -Voluntary Sector – experienced providers health interventions -Previous interventions – Health Action Zone,

7. Partnership that Works City Council – accountable body. NHS Sheffield - Healthy Communities Programme, training -ICDH link, funding - Champions though Sheffield – Let’s Change4Life Wellbeing Consortium – tendering, coordination, support, monitoring. Enables reach across communities. 19 VCS sector “hosts” History of health partnership over 20 years – Healthy Cities

8. Five ways to wellbeing Nic Marks centre for well-being nef (the new economics foundation)

12. Community Health Champions Well managed and coordinated Designed and delivered by local community organisations Provides evidence of impact Cost effective Changing lifestyles across communities Nationally and regionally recognised as excellent practice!

13. How are we doing? Target of 240 champions hosted by 20 voluntary/community sector organisations. 150+ recruited; 143 completed at least 16 hours. 100+ active at present. Over 50 have done over 100 hours activity. Over 40 have got paid work in related fields

14. What are Health Champions doing? Walking, cycling Allotments/growing Cooking, advice on healthy food Health messages at events, groups, mosques etc Sports (eg 5-a-side football) Gym in the Park 1-to-1 “buddying” support

15. Value for money? Average cost of a HC - £2,700 If they support 30 people, average cost is £90 per person changing lifestyle 20 HCs from benefits into work - £100,000 saved in benefits, plus local spending Community assets, role models, speakers Cost over 3 years = cost of 3 months missed appointments at 1 hospital!

16. Further opportunities Diabetes Regional project - CHC and Health Trainers supporting people with Diabetes Mid-Life Health Checks – Champions support people to carry out on-line checks These have built on the existing Champions programme – allowing delivery on relatively small budgets.

17. The future? Supporting more Champions into work and/or further training and volunteering opportunities Collecting evidence that we’re making a difference – Case Studies Can we find ways of continuing the programme? CAN WE AFFORD NOT TO???

18. Contact details Nigel West Community Health Champions Network Coordinator, Sheffield Wellbeing Consortium Suite 19, The Quadrant 99 Parkway Ave, S9 4WG nigel@sheffieldwellbeing.org.uk Tel 07856 911576 (Mon-Thur) Office tel 0114 2270551

19. What makes successful Community Health Worker programmes? World Health organisation 2007 Community participation – involving the community in all aspects of the programme including identifying priorities Good, careful and sustained programme management Community participation in the selection of community health workers Competence and practice based training relating to how and where community health workers work Availability of supervision and support Government support and adequate resources These factors are in place with our programme.