introducing the phe framework: community-centred approaches for health and wellbeing jane south, phe...

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


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


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


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

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.


Examples – breastfeeding peer support, peer educators, health trainers, health champions, community navigators, befriending, volunteering health & environment schemes, health walks.

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


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





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