1. Community Empowerment & Health -Setting out the challenges March 2010 Edward Andersson, Deputy Director, Involve,

2. Contents 1.What is CE in Health? 2.Why is CE in Health a good idea? 3.Why is CE difficult?

3. 1. Research 2. Practice 3. International

4. What is Community Empowerment in Health?

5. Arms length fundingEngages withEvaluates engagementSupports engagement Hospital Trusts Section 242 Local Involvement Networks Care Quality Commission -Arms length regulator Health engagement in England Local Authorities Duty to Involve Department of Health Policy consultations Foundation Trusts Section 242 Primary Care Trusts Section 242 Ambulance Trusts Section 242 PALS Membership

6. What is Community Empowerment? ‘Community engagement’ is the process whereby public bodies reach out to communities to create empowerment opportunities. ‘Community empowerment’ is the giving of confidence, skills, and power to communities to shape and influence what public bodies do for or with them. An Action Plan for Community Empowerment (2007)

7. Definition Engagement –an activity, easily measured Empowerment –an outcome, harder to quantify

8. Support in health “The NHS is expected to make sure that proposals for plans to develop services or change the way in which they operate will benefit the users of those services as well as improve clinical standards and deliver value for money to the taxpayer.” David Nicholson Real Involvement (2008)

9. How are we engaging? 1.Patients (service focus) 2.Public (accountability/trust focus) 3.Co-production/Community Development (longer term focus)

10. What’s going on? Power of Wellbeing (Councils) World Class Commissioning Local Involvement Networks (LINks) Foundation Trusts NHS Duty to Involve (2001) NHS Section 242 (2006) Local Government Duty to Involve (2009)

11. Why is Community Empowerment in Health a good idea?

12. Why is this a good idea? 1.Better outcomes 2.Democracy in healthcare 3.Health/social benefits

13. Why is Community Empowerment in Health difficult?

14. Why is it difficult? 1.Constant change 2.Complexity 3.Tokenism

15. Short-termism Community Health Councils Patient & Public Involvement Forums Commission for Patient & Public Involvement in Health NHS Centre for Involvement Local Involvement Networks

16. Top tips 1.More is not better 2.Citizens ad patients are capable 3.Consider the participant perspective

17. Thanks to: The following Flickr Users who made their images available under a Creative Commons Licence: – 96dpi 96dpi – batega batega – BertBeckers BertBeckers – perpetualplum perpetualplum

18. involve Royal London House 22-25 Finsbury Square London EC2A 1DX t: +44 (0) 20 7 920 6472 e: edward@involve.org.uk