Engaging and empowering communities LONDON - ?· Engaging and empowering communities LONDON - Creating…

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  • Engaging and empowering communities LONDON - Creating the conditions - national perspective Leadership

    Funding/commissioning/resources

    Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships/networks

    Share at CEO level

    Enthuse and motivate others

    Strong leadership/raise aspirations/be honest

    Lead agency to promote, share, advocate

    Leadership to give strong voice, critique

    There are effective, charismatic leaders with great vision but still unable to change mindset of those around them. Why?: need to create space: for experiment/trust/safety.

    Community leader/coordinator

    Ring-fence money for transition

    Ring-fenced funding for capacity building

    budgets-silos need greater joined up approach

    Knowledge of other funds to be communicated

    Agreed % of CCG and LA budgets to help build CC and dedicated funding for CD

    Funders willing to gamble on different projects/funders to value different things

    Knowledge of how best to use funding

    Dedicated funding pot

    Greater understanding of what the vol sector does at a national

    Work with NIHR to build evidence

    Sharing evidence base

    Evidence of impact of health

    Change the metrics so wellbeing counts

    Consistent outcomes framework

    Measurement for social capital

    Standardardised tool to assess effectiveness of our approaches.

    Lots and lots of evidence proving its impact

    Alignment of NHSE, PHE health and social care policies

    City devolution bill

    Make this part of mainstream not add on

    Understand how culture change can happen SCIE/PHE research/ thinking on this?

    What are the risks of change? How does this compare to the risk of making no changes?

    A national narrative to help the public understand the complexity involved eg info and advice.

    Map what is currently happening and connect people

    Individuals know what they want. Shouldnt strip assets.

    A change in narrative asset based now deficit based

    Stop siloing and labelling people

    Cascade training and awareness eg tools for front line staff

    Create networks to share experience and learn about what works including evidence

    Sharing platform/national networking

    Ensure services and support are co-designed and co-produced

    Bring in other bodies, eg, HCA, Lottery, Age Action Alliance, LEP, Future of Ageing etc

  • Middle management can block this stuff.

    Is there permission and incentive to take a leap of faith and risks from a national perspective?

    Community leader/coordinator to bring micro communities togethers linking in with NHS, social care

    Clearer line of accountability to local people, eg, Healthwatch.

    level not a free service. Funding over 3 5 years.

    Distribution of resources

    Commissioning should be led by advance care planning with the service user at the heart

    Health and social care budgets

    Share the practical stuff as well as the theory

    Social capital language is not there yet still measurement oriented

    Introduce a right to peer support

    Framework for asset based JSNAs that leads to change

    Start with children, YP and families to promote inclusion/prevent social isolation

    Data protections/Health and Safety blockers to working together

    Health providers like hospital and mental health service to be supported to undertake community capacity work

    LONDON Local perspective Leadership Funding/commissioning/resou

    rces Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships

  • Self imposed bureaucracy, aversion to any form of risk

    Stat sector dont own. Get out of the way

    Leadership and bravery across all sectors

    Role of Health and Wellbeing Boards

    Local leaders key skilled people

    LEPs

    Keeping faith with the plan and not getting distracted

    Aspire towards meaningful, local flexible leadership

    Sometimes need to build friendships between leaders

    Local leaders key skilled people

    Share resources/fairness

    Look at role of social finance in the new system to build the case for change

    Participatory budgeting

    Innovation grants

    Community approaches in local health contracts

    Stories/examples of where things have worked

    Measuring, sharing and promoting social value

    Build on evidence case

    Share good practice

    Stories/examples of where things have worked

    Measuring, sharing and promoting (encouraging) social value

    BCC to have broader remit not just deprived neighbourhoods

    Community capacity deserts in deprived communities

    Focus on wellbeing is Care Act a driver?

    Asset based approach in everything we do. Everyone has something to offer

    Flexible support

    Personalisation choice and control

    Change of mindsets on the ground about personalisation

    Information, information, Information,

    Getting out/promoting awareness in local community how can access services.

    Finding out what communities want empowering them to take ownership on delivering eg neighbourhood plans.

    Build a base of voluntary agencies

    Traction needs to come from real people and different layers of experience. Insight should be recognised in co-production

    We may all have conditions but some have complex conditions and this should inform wider [discussion]

    How to engage the NHS locally? trusted partners

    Collaboration between different areas ie mental health, dementia

    Mutual integration move away from a health dominated agenda

    Building relationships based upon trust, honesty and openness

    Aim for inclusion

  • Contribute to national mapping of current activity

    How can here be support for bottom up local initiatives, feeding into national picture?

    How can independence and voice of local orgs be maintained when financially depressed

    .

    Engaging and empowering communities MANCHESTER - Creating the conditions - national perspective Leadership

    Funding/commissioning/resources

    Evidence/ metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships/networks

    Cross govt action on BCC

    Where is the leadership?

    Work on the middle as well as top down (management)

    Create an infrastructure nationally enables community

    Cash specifically for BCC given to a local level

    Redistribute funds from acute to community date to be radical, to be abrasive and need new models of commissioning involving local people

    Ringfence BCC funding

    Need balance of what constitutes evidence data/research, practice, peoples voice and experience

    Share best practice on peer support

    Develop co-production in policy making process

    Provide clarity on information sharing

    Total place?

    Change the dynamics around GP services many problems people take to GPs are social/economic

    .

    Need to deal with institutional protectionism organisations need to work cooperatively both nationally and locally

    Change culture from youre my patient to Im your practitioner

  • .(Procurement, regs cqc /risk)

    Emphasis on employers contribution (Tesco example)

    Leadership and monitoring

    Where have community budgets gone?

    Change focus form balancing books to commissioning for outcomes for local people

    Tie into funding (BCC?)

    Incentivise collaboration rather than competition

    Commissioning deadlines can be a barrier/new model of commissioning involving local people/commissioning for outcomes/

    Need smaller more community focused approach to commissioning/need longer term approach

    Invest in creative housing solutions, self build, co-housing etc

    Invest in peer support

    Act in a way that is true to the evidence base

    Need new metrics

    Needs to think about what is being measured and how-real quality.

    National data systems that include social and community social and community factors, wellbeing

    Easy to adapt the language but not change practice

    MANCHESTER Local Perspective

    Leadership

    Funding/commissioning/resources

    Evidence/metrics/measures

    Strategic/policy Operational/Practice

    Co-production / partnerships

  • Strengthen role of H&WBs.

    Harnessing the big local personalities to galvanise local communities

    Engage with health and wellbeing boards

    Incentivise collaboration

    Micro commissioning hasnt been given the opportunity to flourish

    Require Public Health to invest in this. Continue with ringfence

    Topslice LA budget for PH initiatives

    How to share funding across community assets

    Raise importance/urgency = KPIs

    Change the language we use around public health prevention work need to understand how to get message across, commissioning isnt always aligned to the reality of peoples lives

    Needs to stop being paternalistic eg NHS managing peer support/ self help groups

    Put in early support

    More local events to enable informal networks

    Get social workers to know about communities

    Support peer networks

    Vanguard programme

    Achieving self care Blackburn with Darwen

    Work with whats already there dont create new roles in one organisation when they already exist in others.

    Training the workforce

    Utilising prompt cards

    Mapping people and assets

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