london borough of redbridge · • central london community healthcare - community nursing ......
TRANSCRIPT
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London Borough of Redbridge
Thursday 1st March 2018
Community Associations: Exploring the Potential
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White City Enterprise
Community Business (charity) – our aim is to demonstrate the impact the local community, in partnership with others, can have on improving public services and local lives.
Three key areas of work:
1. Take on the running of local public buildings
2. Support development of the Neighbourhood Forum
3. Improve Health and Social Care outcomes
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What are we doing
• Running local community centre
• Administering Big Local (£2m funding over 10 years)
• Social Prescribing contract with Hammersmith & Fulham CCG
• Local health centre asset management contract with CCG – Better use of local health centre
– Make sense of health system for local people
• Community Champions contract with public health – 18 volunteers
– Promote health messages
• 11 paid staff, lots of volunteers, turnover c.£350,000 pa
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Key project - health and social care
Working together at a locality level (Wormholt and White City Ward) there is the potential for:
1. Improving the health and wellbeing of local people
2. Building a stronger more resilient community
3. Reducing the demands placed on service providers
4. Evidencing that community-based solutions can impact upon these issues
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Key partners
• LB Hammersmith & Fulham (Social Care, Housing, Public Health)
• Hammersmith and Fulham CCG
• Local GP Federation
• Imperial College Healthcare NHS Trust (3 local hospitals)
• Imperial College School of Public Health
• Central London Community Healthcare - Community Nursing
• SOBUS (Local CVS organisation)
• Local third sector organisations
• Citizens Advice Bureau
This is just for health and social care. The neighbourhood forum includes c. 40 organisations
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What are we trying to do?
Detailed understanding of spend and demand
Understanding of community capacity
(assets) – people, organisations and physical
assets
What could we collectively do to support this capacity to positively impact on health and wellbeing?
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<£26m spent pa on health and social care
Data based on 13,000 population - likely to be far higher based on deprivation in the ward. Excludes children’s social care.
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Community capability
• Do we understand the capability that exists in the community?
• Is this capability fully considered when commissioning and delivering services? – Promoting public health messages
– Augmenting re-ablement services
– Speeding up or supporting hospital discharge
– Releasing pressure on GPs
– Reducing isolation and lonliness
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Community capability
• Now have database of 400+ people who deliver services in the community
• 120+ organisations that deliver services - we have surveyed them…
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Survey results
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Survey results
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Survey results
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Survey results
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What have we discovered
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Organisation Lonliness Carer resilience Nutrition PromotionIndependent living
at homeFinancial health
Abbey Leisure Centre 2 2 1 1 1
Active Age 3 2 1 2 3 1
Al Medina Mosque 2 1 2 2 2 1
Alnoor Cultural and Educational Trust 2 1 2 2 2 1
Band D Together 3 3 1 1 2
Barking and Dagenham Volunteer Bureau 3 2 2 3 2 2
Barking Celestial Church of Christ 2 1 2 2 2 1
Barking Learning Centre 2 1 0 1 0
Benita Yoga 1
Bestway International Christian Centre 2 1 2 2 2 1
Bow Arts Studios
Calvary Charismatic Baptist Church 2 1 2 2 2 1
Chain Reaction Theatre 1
Chit Chat Club 3 2 1 1
Citizens Advice Bureau 2 2 3
Community Concord (Community Group) 2 1 2 2 2 1
Contact the Elderly 3 3
Corner Stone Foundation church 2 1 2 2 2 1
Creative Barking and Dagenham
Cultural Connectors
DABD 2 3 2 3
Dance For Life (Eastbury Manor) 1
Diverse Communities
East London Parkinson's Support Group 2 2 2
East Thames Housing Association 1 1
Elim Christian Centre 2 1 2 2 2 1
Friends of Greatfields Park 3 2 1
Gascoigne Community Centre 3
Gascoigne Primary School 1 2 1
Greatfields Secondary School 1 2 1
Green House Surgery 2 2 2 2 2 2
Health Visiting (Orchards Health Centre) 2 2 2 2 2 2
Health Watch
Hope Food Bank 1 3 1
King Edwards Medical Centre 2 2 2 2 2 2
LBBD 3 3 3 3 3 3
Local Pharmaceutical Committee 2 2 2 2
Met Police
Millicent Preston House
Movers Lane Surgery 2 2 2 2 2 2
NELFT
Pensioners Club 3 3 2
Rivers of Joy
Seawall Court TRA
Shaftesbury TRA
Shifa Practice (based at Orchards) 2 2 2 2 2 2
Shpresa Programme 2 3 2
St Margarets Parish Church 2 1 2 2 2 1
Studio 3 Arts 2 2
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Armed with that information…
• Develop programme of work to deliver projects that will have the specific aim of: • Using community assets to improve health and wellbeing
• Building a stronger more resilient community
• Reducing demand on services
• Build an evaluation methodology that will allow us to evidence (and attribute) improvements
• Support through identification of “control” area / counter factual
• Agree terms for sustainability i.e. budget reallocation
Undertaking feasibility study and proof of concept A&E
visits for 0-5 year olds and reducing loneliness and isolation
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Key lessons – voluntary sector
• Be sensitive to the risks that the 3rd sector presents to statutory sector
• Draw together the voluntary sector, don’t compete
• Try to move beyond the “usual suspects”
• Try to move from “holding out the begging bowl” to evidencing impact on demand
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Key lessons for statutory sector
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• Understand the assets in your communities
• Don’t approach communities on a broad front
• When commissioning ask “could the community do this better?”
• Recognise and embrace the culture change that is required