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

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

3. 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

4. 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)

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

6. neighbourhood networkS MODEL

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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.

14. 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

16. OUTCOMES

17. 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

18. 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

19. locality analysis

20. 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

21. 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)

22. What are we commissioning and when?

23. 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

24. 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 £ K 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

25. 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

26. Contact
Austin Rodriguez Commissioning Manager Adult Social Care & Health Telephone: