building a healthy and sustainable community professor jane south phe & leeds beckett university...

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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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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

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

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

What is a healthy and sustainable community?

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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

Community determinants of health

Control

Relation

ships

Identity

Culture

Resilience

Communal

capabilities

Participation

Resources

Inclusion

Norms

Support

DemocracyEquity

Cohesion

Empowerment

DISCUSSION POINT

• What is a healthy and sustainable community?

• Discuss this based on your personal experience of your own community

Building healthy and sustainable communities

How do we make this happen?

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Five ways to wellbeing (Aked 2008)

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

Figure 2: The family of community-centred approaches

(South 2014)

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

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

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]

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)

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•Examples•Increased cohesion/sense of belonging•Improved environment

Community process

•Examples•Community leadership •Increased volunteering

Organisational•Examples•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?

Summing up

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DISCUSSION POINT - what will make a critical difference?

• Goals

• Effective change processes – professional and community

• Contextual factors

• Outcomes