the tower hamlets approach to community resilience · tower hamlets health and wellbeing strategy...

Abigail Knight, Associate Director of Public HealthAbigail Gilbert, Healthy Communities Programme Lead

The Tower Hamlets approach

to community resilience

Where have we come from?

Tower Hamlets Health and

Wellbeing Strategy 2017-2020

5 Priorities:• Communities Driving Change

• Creating a Healthier Place

• Employment and Health

• Children’s Weight and Nutrition

• Developing an Integrated

System

The Foundations of Wellbeing

Safety Satisfaction Connection

Brain stem Sub-cortex Cortex

*Rick Hanson, Hardwiring Happiness, Ebury Digital 2013. www.thefoundationsofwellbeing.com/science

The Foundations of Wellbeing

Safety Satisfaction Connection

Brain stem Sub-cortex Cortex

Home Job Friends

*Rick Hanson, Hardwiring Happiness, Ebury Digital 2013. www.thefoundationsofwellbeing.com/science

The Foundations of Wellbeing

Safety

Control

Satisfaction

Confidence

Connection

Connecting

Brain stem Sub-cortex Cortex

Home Job Friends

Avoiding Approaching Attaching

Anxiety, panic,

agoraphobia, PTSD,

OCD, social anxiety

Substance misuse,

addiction, risk-taking

behaviours

Insecure attachment,

narcissism, ASB,

loneliness

*Rick Hanson, Hardwiring Happiness, Ebury Digital 2013. www.thefoundationsofwellbeing.com/science

Starting with what’s strong,

to address what’s wrong

A brave new world for

commissioning…

● A “First “

● 4 localities

● 4 providers

● 12 neighbourhoods

● 3+1+1 years

● Support contract

● ABCD

● 3 phased approach

● Outcomes / set of i-

statements

Where have we got to?

How does this look and feel?

Let’s hear from our residents…

https://www.youtube.com/watch?v=99VH

vsI_HtM

• Where are we up to now

• “The What”

• Differences in providers - “The How”

• Differences in neighbourhoods

• How we connect to the Council

• Community Resilience- reflection

Next 10 minutes

Where are we up to now?

Phase 1:

Scoping & selection

Phase 2:

Community assessment, engagement & design

Phase 3:

Delivery Business as Usual

•

October 17- January 18 3+1+1 years contract….February 18 – July 2018 August 18 – April 19

Approach and model of change with 4 providers

“The What “

Phase 1

October 17- January 18

Scoping & discovery

Success Criteria

3+1+1 years

contract….

Phase 2

February 18 – July

2018

Phase 3

August 18 – April 19

Action and evaluation plans

Lot 4

North West

Locality

Lot 3

South West

Locality

Lot 1

North East

Locality

Lot 2

South East

Locality

UEL Supporting with learning and development and evaluation

Difference in providers – “The How”

PHLM = Public Health Programme Manager 100 day challenge

NESTA –

Design led approach for

innovation

Design led

approach

Settings based

Social accountability

Model, Well London

Difference in neighbourhoods

• Size - 2000-7000 people

• New , mixed, changing &

growing populations,

• Left behind estates-physical

but not social regeneration

• Estates with no meeting

places at all and few primary

assets

• Local leadership and

challenging the status quo

How we connect across the Council

Partnership Gathering

Community resilience –Depth vs Breadth

Individual Confidence Level of personal

empowerment

Satisfaction

Community Connection Level of Community

organisation

Connection

Service Control Level of Co-

production

Safety

Where could we get to?

What’s your system’s

readiness to change?

Co-production

Co-design

Engagement

Consultation

Informing

What’s your system’s

readiness to change?

Co-production

Empowered

Co-design

Collaboration

Engagement

Involved

Consultation

Consulted

Informing

Informed

What’s your system’s

readiness to change?

Co-production

Empowered

Co-design

Collaboration

Engagement

Involved

Consultation

Consulted

Informing

Informed

Take ownership

Be proactive

Engage

Respond

Listen

What’s your system’s

readiness to change?

Co-production

Empowered

Co-design

Collaboration

Engagement

Involved

Consultation

Consulted

Informing

Informed

Take ownership

Be proactive

Engage

Respond

Listen

Empower

Collaborate

Involve

Consult

Inform

What’s your systems’

readiness to change?

• Work in groups of 2 or 3. You have

envelopes under your chairs with

personas. Take one each and engage

in a value exchange (5 mins)

• Honest reflection on how ready your

organisation is to play its part in

coproduction (5 mins)