Notes from the #Locality17 session on: Community Health and Wellbeing – what works

These are just notes from a session at the Locality Convention 2017.

Meena Bharadwa introduced the session and explained that locality has a place to link real community groups into the academic research on this subject and translate between the two. She briefly reminded us that Community Wellbeing is Complex.

Andy Pennington – University of Liverpool

The point of the programme is to provide state of the art evidence to help allocate resources.  The focus is on people, place and power.  research is being shared here:  https://www.whatworkswellbeing.org/

Andy outlined some of the key ways in which issues around the quality of places and power within places can either lead to better or worse community health.

There is so much evidence that decision makers are becoming overwhelmed.

Key things it show…

1: In the workplace environment (Marmot’s work on civil service) showing that those with more control have better health.  Cardio-vascular heath and life expectancy.  In health institutions those who can share in decision making fare better health wise.

2: In the living environment (in our communities) –  Is there joint decision makaing (by which they mean “the meaningful involvement of people in decisions that affect their environment…”.  Positive outcomes of being involved are..

Depression, self-esteem, sense of mastery

Sense of community, creation of social capital,

New skills,  learning, better employment, personal empowerment

Also wider impact for those not directly involved in decision making.  So they also receive the benefits of improving community resources.

Adverse

Psychological strain from being involbed

Some groups are over consulted leading to stress and frustration (although not convinced about methods used for these studies)

David Wilford , Royds Community Association in Bradford

The community Association focuses on getting people into work.   They say they found a lack of investment from CCG’s – they called the residents:  Buttershaw men and Buttershaw women and thought of them as drinking to much and needing fixing.   We studied what people were doing in their communites.  Foudnt hat to get thing going

People needed a little help at the beginning

Proper co-design (not the council working up most of it)

Community anchor orgs featured well (hospitals and GP’;s can be intimidating) – so community centres/setting important

Invited GP’s to decamp from their surgeries and come to local orgs.

So we’re building up social capital around health.  There’s a lot of talk of pooling budgets – but people not willing to put theirs into the pool.

Voluntary sector assets need to be resourced

The money needs to follow the patient into the third sector (as it would to a physiotherapist)

System says VCS are not evidenced, clinical interventions also not evidenced (often)

The voluntary sector needs to steadily and deliberately re-train the public sector rather than hope for a radical change.

We need to convince that the VCS is value for money.

“We drop 10 million pound balls regularly in the NHS – what could the VCS do with £10 million!”.