introducing the phe framework: community-centred approaches for health and wellbeing jane south, phe...
TRANSCRIPT
Introducing the PHE framework: community-centred approaches for health and wellbeing
Jane South, PHE & Leeds Beckett UniversityJude Stansfield, PHE
Presentation at TLAP ‘Building Community Capacity – Empowering and Engaging communities’ Regional events, July 2015
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
• NHS England & PHE steering group provided guidance to project
• Leeds Beckett University assisted with scoping review
Community-centred approaches for health and wellbeing
Community-centred approaches for health and wellbeing
Why communities matter for health
3
• Community life, social connections, supportive relationships and having a voice in local decisions are all factors that underpin good health
• Inequalities still persist and many people experience the effects of social exclusion or lack social support
• Participatory approaches directly address the marginalisation and powerlessness caused by entrenched health inequalities
• 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.
Community assets for health & wellbeing
A Sheffield community’s assets - drawn by a local artist as part of an asset mapping (Giuntoli et al. 2012)
The evidence base for action
• Marmot review (2010) – Policy Objective E Create and develop healthy and sustainable places and communities
• King’s Fund (2013) strong communities, wellbeing, and resilience as one of nine key areas where local government could take ‘evidence based’ actions
• A NIHR funded systematic review and meta-analysis of community engagement and health inequalities - 315 effectiveness studies
‘community engagement interventions are effective in improving health behaviours, health consequences, participant self-efficacy and perceived social support for disadvantaged groups.’ [O’Mara-Eves et al 2013: xvii]
5 Community-centred approaches for health and wellbeing
Working with communities – empowerment, evidence and learning
Aim to develop a conceptual framework on community-centred interventions for health and wellbeing and identify sources of evidence that can be used to support their application in practice
Community-centred approaches for health and wellbeing 6 Community-centred approaches for health and wellbeing
Community-centred approaches for health and wellbeing
Confident & Connected Communities
6
Equity
Social connectednessControl & voice
Confident & connected communities
What do we mean by community-centred approaches?
• Focus on promoting health and wellbeing in community settings, rather than service settings
• Recognise and seek to mobilise assets within communities
• Promote equity in health and healthcare by working with and alongside individuals and groups who face barriers to achieving good health
• Seek to increase people’s control over their health and lives
• Use participatory methods to facilitate the active involvement of members of the public
8 Community-centred approaches for health and wellbeing
Figure 2: The family of community-centred approaches
(South 2014)
Community-centred approaches for health and wellbeing
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
Volunteer/peer rolesThese approaches enhance individuals’ capabilities to provide advice, information and support or organise activities in their or other communities. Community members use their life experience and social connections to reach out to others.
10 Community-centred approaches for health and wellbeing
Examples – breastfeeding peer support, peer educators, health trainers, health champions, community navigators, befriending, volunteering health & environment schemes, health walks.
11 Community-centred approaches for health and wellbeing
Community-centred approaches for health and wellbeing
Figure 3: Community-centred approaches for health and wellbeing – with examples of common UK models
Community-centred approaches
for health & wellbeing
Strengthening communities
Community development
C2 – Connecting Communities
Asset based approaches
Asset Based Community
Development
Social network approaches
Time banks
Volunteer and peer roles
Bridging
Health Champions
Health Trainers
Peer interventions
Peer support
Breastfeeding peer support
Peer education
Peer mentoring
Volunteer health roles
Walking for Health
Befriending
Collaborations & partnerships
Community-based Participatory
Research
Area –based Initiatives
Healthy Cities
Community engagement in
planning
Participatory Budgeting
Co-production projects
Access to community resources
Pathways to participation
Social prescribing
Community hubs
Healthy Living Centres
Community libraries
Community-based commissioning
Reducing inequalities together - community-centred approaches for health and wellbeing
How can the family of community-centred approaches be used?
Good access to evidence and learning combined with strong collaborations will help grow and strengthen effective working with communities.
The family has been developed to support public health practice. Potential uses include:
• A commissioning framework to support a whole system approach
• A planning tool to help identify evidence based options for working with communities
• A resource for practice with signposting to further sources of evidence
• Application of family to health improvement programmes eg housing, diabetes prevention
• A framework for organising knowledge and evidence to make it more accessible
Concluding remarksLocal government, the NHS and third sector have vital roles in building confident and connected communities, where all groups, but especially those at highest health risk, can tap into social support and social networks, have a voice shaping services and are able to play an active part in community life
15 Community-centred approaches for health and wellbeing
Further informationGuide can be found here:
https://www.gov.uk/government/publications/health-and-wellbeing-a-guide-to-community-centred-approaches
Contact me: [email protected]
THANK YOU
16 Community-centred approaches for health and wellbeing