1. Introducing the PHE framework: community-centred approaches for health and wellbeing Jane South, PHE & Leeds Beckett University Jude Stansfield, PHE Presentation at TLAP ‘Building Community Capacity – Empowering and Engaging communities’ Regional events, July 2015

2. Acknowledgments PHE and NHS England project to draw together and disseminate evidence and learning on community centred approaches Briefing and Full report launched in February 2015 NHS England & PHE steering group provided guidance to project Leeds Beckett University assisted with scoping review Community-centred approaches for health and wellbeing

3. Why communities matter for health 3Community-centred approaches for health and wellbeing Community life, social connections, supportive relationships and having a voice in local decisions are all factors that underpin good health Inequalities still persist and many people experience the effects of social exclusion or lack social support Participatory approaches directly address the marginalisation and powerlessness caused by entrenched health inequalities

4. skills, knowledge, commitment of community members friendships, community cohesion and neighbourliness local groups & organisations, informal networks physical, environmental and economic resources assets of external agencies. Community assets for health & wellbeing A Sheffield community’s assets - drawn by a local artist as part of an asset mapping (Giuntoli et al. 2012)

5. The evidence base for action Marmot review (2010) – Policy Objective E Create and develop healthy and sustainable places and communities King’s Fund (2013) strong communities, wellbeing, and resilience as one of nine key areas where local government could take ‘evidence based’ actions A NIHR funded systematic review and meta-analysis of community engagement and health inequalities - 315 effectiveness studies ‘ community engagement interventions are effective in improving health behaviours, health consequences, participant self-efficacy and perceived social support for disadvantaged groups.’ [O’Mara-Eves et al 2013: xvii] 5Community-centred approaches for health and wellbeing

6. Working with communities – empowerment, evidence and learning Aim to develop a conceptual framework on community-centred interventions for health and wellbeing and identify sources of evidence that can be used to support their application in practice Community-centred approaches for health and wellbeing 6

7. Confident & Connected Communities 6Community-centred approaches for health and wellbeing Equity Social connectedness Control & voice Confident & connected communities

8. What do we mean by community-centred approaches? Focus on promoting health and wellbeing in community settings, rather than service settings Recognise and seek to mobilise assets within communities Promote equity in health and healthcare by working with and alongside individuals and groups who face barriers to achieving good health Seek to increase people’s control over their health and lives Use participatory methods to facilitate the active involvement of members of the public 8Community-centred approaches for health and wellbeing

9. Figure 2: The family of community-centred approaches (South 2014) Community-centred approaches for health and wellbeing Community-centred approaches for health & wellbeing Community-centred approaches for health & wellbeing Strengthening communities Community development Asset based methods Social network approaches Volunteer and peer roles Bridging roles Peer interventions Peer support Peer education Peer mentoring Peer education Peer mentoring Volunteer health roles Collaborations & partnerships Community-Based Participatory Research Area–based Initiatives Community engagement in planning Co-production projects Access to community resources Pathways to participation Community hubs Community-based commissioning

10. Volunteer/peer roles These approaches enhance individuals’ capabilities to provide advice, information and support or organise activities in their or other communities. Community members use their life experience and social connections to reach out to others. 10Community-centred approaches for health and wellbeing Examples – breastfeeding peer support, peer educators, health trainers, health champions, community navigators, befriending, volunteering health & environment schemes, health walks.

11. 11Community-centred approaches for health and wellbeing

13. Figure 3: Community-centred approaches for health and wellbeing – with examples of common UK models Community-centred approaches for health & wellbeing Community-centred approaches for health & wellbeing Strengthening communities Community development C2 – Connecting Communities Asset based approaches Asset Based Community Development Social network approaches Time banks Volunteer and peer roles Bridging Health Champions Health Trainers Peer interventions Peer support Breastfeeding peer support Peer education Peer mentoring Peer education Peer mentoring Volunteer health roles Walking for Health Befriending Collaborations & partnerships Community-based Participatory Research Area –based Initiatives Healthy Cities Community engagement in planning Participatory Budgeting Co-production projects Access to community resources Pathways to participation Social prescribing Community hubs Healthy Living Centres Community libraries Community-based commissioning Reducing inequalities together - community-centred approaches for health and wellbeing

14. How can the family of community-centred approaches be used? Good access to evidence and learning combined with strong collaborations will help grow and strengthen effective working with communities. The family has been developed to support public health practice. Potential uses include: A commissioning framework to support a whole system approach A planning tool to help identify evidence based options for working with communities A resource for practice with signposting to further sources of evidence Application of family to health improvement programmes eg housing, diabetes prevention A framework for organising knowledge and evidence to make it more accessible

15. Concluding remarks Local government, the NHS and third sector have vital roles in building confident and connected communities, where all groups, but especially those at highest health risk, can tap into social support and social networks, have a voice shaping services and are able to play an active part in community life 15Community-centred approaches for health and wellbeing

16. Further information Guide can be found here: https://www.gov.uk/government/publications/health- and-wellbeing-a-guide-to-community-centred- approaches Contact me: jane.south@phe.gov.ukjane.south@phe.gov.uk THANK YOU 16Community-centred approaches for health and wellbeing