Service Provision in Disadvantaged Areas1 June 2001

New Approaches to Health Services

The Community Health Shop

Deirdre Harte, Pathfinder Co-ordinator,

Greater Easterhouse Partnership

Outline of Presentation

Greater Easterhouse Pathfinder Origins and Background 4 Pilot Projects

Greater Easterhouse Area Community Health Shop (CHS)

Background Community Involvement

Background to Pathfinder

Part of Government’s Working for Communities Programme (May 1998)

Broad objective: to test innovative approaches to local service delivery in priority areas

13 Pathfinders In Scotland (1999-2002)

£200,000 Annual Budget

4 Pilot Projects

Pathfinder Structure

PATHFINDER STEERING GROUP- Community Representatives (6)- Glasgow City Council- Scottish Homes- G.E. Development Company- G.E.C.O.F. (Housing Co-ops)- Health Board/Primary Care Trust- Strathclyde Police- Benefits Agency- Employment Services- John Wheatley College- Scottish Executive

Community Health Shop (CHS)

Neighbourhood Management

Youth Tracker Information Project

Greater Easterhouse Area

North East of Glasgow 3 suburbs : 15 neighbourhoods Population: 32,000 Mainstream Investment: £160 million (1999/00) SIP Fund: £3,5 million (2000/2001) Social Inclusion Partnership Status (April 1999) Glasgow Alliance

Pathfinder Pilot Projects

1. Community Health Shop a community-run facility integrating 25 health-related services under one roof. Partnership with health agencies.

2. Neighbourhood Management development of local community planning groups to enable residents

to decide how local services are run.

3. Youth Tracker a support and referral service for vulnerable young people (15-18 year olds) who have fallen through the net.

4. Information Project a Greater Easterhouse Website on local services. 3 touch screens. Community website training course.

Community Health Shop: Background

Local campaign to re-locate G.P surgery (1995-1998) Steering Group set up October 1998 Conversion of 2 shop units 2 staff (Co-ordinator and Administrator) 25 services (250-300 weekly users) NOF Funding bid (Healthy Living Centre Programme) Company limited by guarantee (12 community directors) SURF Award Ministerial visits

Community Health Shop: Partners

Steering GroupCommunity representatives

Greater Glasgow Health BoardPrimary Care Trust (LHCC)Greater Easterhouse Pathfinder

Services GroupCommunity and service providers

FundersPathfinderGreater Glasgow Health BoardPrimary Care Trust(Capital)Greater Easterhouse PartnershipGlasgow City CouncilScottish Enterprise GlasgowScottish HomesCo-op Community Dividend Fund

Community Health Shop: Objectives

Partnership: build partnership between community, service providers and key agencies

Community Involvement:develop and support involvement in the planning and delivery of services

Health inequalities: tackle inequalities through improving access to + range and quality of services

Education and Awareness: enable local people to make positive health choices.

Community Health Shop: Services

G.P/Nurse Surgery Health visitor clinic Diabetes Support Group Coronary Heart Disease Project Alcohol counselling Community Alcohol Group Narcotics Anonymous Healthy cooking classes Youth Sexual Health Group Oral health and advice Stroke workshops Head and neck massage

Parents’ Group/classes Lone Parents’ Forum Men’s Group Benefits Agency Surgery Money Advice Project Job/training advice (GEDC) Milk Token Initiative Formula milk Elderly Forum Pensioners’ Club Children’s crèche Counselling

Community Health Shop : Layout

Community Health Shop:Community Involvement

Local campaign

Community Involvement Working Group

Participatory Appraisal

Local Open Day

Services Group

CHS Company

Ongoing consultation / evaluation

Community Consultation Raising awareness Identifying local needs Facilitating feedback

Community Involvement Involvement in planning,

development, delivery and evaluation of services

Community Management Community ownership (CHS

company)

Community Health Shop:Outcomes

User involvement + community ownership Created new services (21 services are new to the area) Improved access to services Reduced travelling distance to services Raised awareness of services Reached new people Raised health awareness Fostered new skills and confidence Joint working between service providers

LESSONS LEARNT

Community

Delegated authority

Overcome bureaucracy and delays

Shared information and decisions

Commitment and communication at all levels

Consistent representation

Community structures (legal entity)

Health Board

Think out of your box

Link roles across departments

Identify and share restraints (movable vunmovable)

Reconsider differences in work practices acrossdepartments / agencies

Changing how services are delivered, fundedand evaluated (staff skills and resources)

Community involvement skills

Building mutual trust andunderstanding

Inter-agency / joint training(partnership skills)

Agreement of roles andresponsibilities at outset

Community Health Shop:Lessons Learnt