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Building a healthy and sustainable community Professor Jane South PHE & Leeds Beckett University Rob Newton Leeds City Council & Leeds Beckett University Workshop at North Region Sustainability Conference, Leeds, 29th June2015
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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 Briefing and Full report launched in February 2015 Set out an evidence-based case for greater community empowerment A new family of approaches Signposting to key resources Dr Anne-Marie Bagnall & Dr Kris Southby, Leeds Beckett University carried out scoping review to inform this guide
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Workshop aims To consider the public health contribution to building healthy and sustainable communities To share learning on effective ways of leading change and achieving outcomes The ‘Guide to community-centred approaches for health and wellbeing’ presents the work undertaken in Phase 1 of the project and includes the case for change, the key concepts, the varieties of approach that have been tried and tested and sources of evidence
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What is a healthy and sustainable community?
What do we know now
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What is a community? ‘Community’ as a term is used as shorthand for the relationships, bonds, identities and interests that join people together or give them a shared stake in a place, service, culture or activity. Distinctions between communities of place/geography and communities of interest or identity. Communities are dynamic and complex, people’s identities and allegiances may shift over time and in different social circumstances. Source: Guide to Community Centred Approaches: p.7
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Community determinants of health
Control Relation ships Identity Culture Resilience Communal capabilities Participation Resources Inclusion Norms Support Democracy Equity Cohesion Empowerment
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DISCUSSION POINT What is a healthy and sustainable community?
Discuss this based on your personal experience of your own community
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Building healthy and sustainable communities
How do we make this happen? 168 publications 32 systematic reviews 30 conceptual papers 54 practice reviews or synthesis
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Five ways to wellbeing (Aked 2008)
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What’s new Briefing and Full report launched in February 2015
Setting out an evidence-based case for greater community empowerment A new family of approaches mapping practical options Signposting to key resources and reviews
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Figure 2: The family of community-centred approaches (South 2014)
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 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
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Community assets 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. A Sheffield community’s assets - drawn by a local artist as part of an asset mapping [4]
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Number of health and social care employees, volunteers and carers in England
Source: The King’s Fund (2013) Volunteering in health a care. Securing a sustainable future.
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Five ways to wellbeing (Aked 2008)
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Reflecting on effective practice
DISCUSSION POINT – what works to support process of community capacity building?
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Community wellbeing outcomes
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Outcomes from community-centred approaches
Individual Examples Increased self efficacy and confidence Reduction in social isolation Community Increased cohesion/sense of belonging Improved environment Community process Community leadership Increased volunteering Organisational Better public health intelligence Re-designed services
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DISCUSSION POINT Creating positive outcome statements for community wellbeing Eg. 'People are active participants in community organisations’ What should we measure in relation to our outcome statements?
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Summing up
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DISCUSSION POINT - what will make a critical difference?
Goals Effective change processes – professional and community Contextual factors Outcomes
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Further information Guide can be found here:
and-wellbeing-a-guide-to-community-centred- approaches Contact me: THANK YOU
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