Lizanne Conway NHS Health Scotland SURF OPEN FORUM 25 January 2007 Community-Led Supporting and...

Lizanne ConwayNHS Health Scotland

SURF OPEN FORUM25 January 2007

Community-Led Supporting and Developing Healthy Communities Task Group

HEALTHY HEALTHY COMMUNITIES:COMMUNITIES:

A SHARED A SHARED CHALLENGECHALLENGE

A Shared ChallengeA Shared Challenge“We are taking a cross-cutting whole government approach to health improvement – putting health improvement in all our policies, and seeking to support all our policies by improving health”.

Delivering A Healthy Scotland: Meeting the Challenge, Scottish ExecutiveDecember 2006


OverviewOverview

•Background to Task Group•Outputs and key highlights•Recommendations and actions

•Next steps


BackgroundBackground

A strategic framework for health improvement in Scotland


Improving Health in Scotland:

The Challenge (2003)

““Community Pillar”Community Pillar”

Informal partnership response to Scottish Executive in 2003

Official Task Group established in September 2004


MembershipMembership• Aberdeen City Council• Association of Local Government Health Improvement

Officers• Big Lottery Fund• Communities Scotland• Community Health Exchange (CHEX)• Convention of Scottish Local Authorities (COSLA)• Napier University – School of Community Health• NHS Health Scotland• Community Food and Health (Scotland)• Scottish Development Centre for Mental Health• Scottish Executive Departments • Society of Local Authority Chief Executives (SOLACE)

- CHAIR• Voluntary Health Scotland• Volunteer Development Scotland


Role and RemitRole and RemitTo recommend to Ministers how to take forward and strengthen community-led health improvement activities across Scotland that are designed to tackle inequalities in health


Overarching Task Overarching Task Group VisionGroup Vision

“ For communities to be empowered and supported in the development of initiatives and solutions for health improvement, both by taking action themselves and by playing a full part in broader partnerships.”

Methods of Working Methods of Working TogetherTogether

Four more inclusive sub-groups:

•Evidence and Measuring Success•Planning and Partnerships•Community Based Activities•Community Engagement


Task Group OutputsTask Group Outputs


Ministerial launch12 Dec.2006

•Main and summary reports•5 individual papers and DVD•12 recommendations

All now available from: www.healthscotland.com

Key HighlightsKey Highlights

Supporting and strengthening community-led health improvement in Scotland by building the evidence base


Effective Community-led approaches tend to:

• Be open, responsive, and flexible• Allow active individual participation and

empowerment• Recognise the central importance of mental

wellbeing• Promote a group approach• Help people re-connect with their

communities• Directly tackle wider issues of local

importance to health

Evidence from Evidence from ResearchResearch

Evidence from Evidence from PracticePractice

Involvement in community-led health can:

• Help increase confidence and sense of control• Assist in making new friendships and sense

of belonging• Assist in skills and knowledge development• Help increase motivation, hopes, ambitions

and a sense of purpose• Create a greater sense of security


Evidence ChallengesEvidence Challenges• Challenge of monitoring and evaluation

practice – not fit for purpose

• Tensions- funder interest versus information collection for longer term organisational learning and development

• Concerns that insufficient robust evidence yet exists to fully understand and replicate the health impact of community-led activity


COMMUNITY-LED HEALTH IMPROVEMENTCOMMUNITY-LED HEALTH IMPROVEMENT

RECOMMENDATIONSRECOMMENDATIONS

Building the evidence base

1 Use evaluation designs and methods that recognise the timescales and

complexities involved in assessing and demonstrating the impact of community-led health activity.





2 Identify and set out more clearly the links between objectives, inputs, outputs and

outcomes, defining success in ways that reflect a broad view of health and its determinants.





3 Work with the community and voluntary health sector to build a greater knowledge and understanding of what factors enable community health or act as barriers to it.



Supporting and strengthening community-led health improvement in Scotland through effective planning and partnerships


Health outcomes of Health outcomes of effective effective

partnershipspartnerships• Influencing responsive services• Addressing service gaps• Supporting sustained and shared

responsibility for health improvement• Supporting sustained health

improvement across diverse communities of place and interest

• Enhancing community and organisational relationships

• Information and idea sharing and learning


Successful Successful PartnershipsPartnerships

• Unambiguous structures and processes• Levels of community involvement are

clear from outset• Sufficient resources• Appropriate monitoring and evaluation• Strong leadership• Recognised and shared health aims• Strategic and operational distinction and

recognition in all processes and structures




Effective planning and partnership

4 Make health improvement planning more effective in engaging communities at all

levels and more flexible in allowing them to identify their own priorities.





5 Support the community and voluntary health sector in informing and relating to national priorities, applying the principles of the Scottish Compact.





6 Embed the National Standards for Community Engagement and NHS draft guidance Informing, Engaging and Consulting the Public in the practice of all sectors.



Supporting and strengthening community-led health improvement in Scotland by building capacity




Capacity-building

7 Invest in capacity-building for both the voluntary and community health sector and the public sector.


COMMUNITY-LED HEALTH IMPROVEMENT

RECOMMENDATIONS

Capacity-building

8 Recognise the role of intermediary bodies in community-led health improvement and resource them.



RECOMMENDATIONS

Capacity-building

9 Recognise and strengthen support for the role of volunteers and volunteering in community- led health improvement.



Supporting and strengthening community-led health improvement in Scotland by learning lessons to ensure sustainability



RECOMMENDATIONS

Sustainability

11 Build on the lessons from existing practice to provide improved infrastructural support and put in place appropriate strategic and operational frameworks for the long-term sustainability of community-led health improvement activity.



RECOMMENDATIONS

Next steps

12 Build on the success of partnership working in the Task Group and create a new national group to oversee the implementation of the Task Group’s recommendations following their joint ministerial endorsement.


• First meeting Steering group 22 January 2007• Chaired by Kay Barton, Head of Health Improvement

Strategy Division, Scottish Executive• Action plan now being developed – using task group

materials• To report to Ministers by end of year• Scottish Executive depts., Communities Scotland,

Health Scotland, CHEX, VHS, Scottish Health Council, CHPs and SOLACE/COSLA represented

• Short term group, but long term solutions required • Require time and resources to develop with input and

commitment from all working locally and nationally• Communication will continue via quarterly newsletters

from Health Scotland and dedicated web pages. • Commitment to listening and wider involvement is

high

Next StepsNext Steps

Message from LaunchMessage from Launch


“Actions speak louder than words. The implementation

group needs to have teeth.”

Thank youThank youMore information, please contact:

Lizanne ConwayNHS Health Scotland

[email protected]


mailto:[email protected]

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