london borough of redbridge · • central london community healthcare - community nursing ......

London Borough of Redbridge

Thursday 1st March 2018

Community Associations: Exploring the Potential

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

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

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

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

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?

<£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.

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

Community capability

• Now have database of 400+ people who deliver services in the community

• 120+ organisations that deliver services - we have surveyed them…

Survey results

What have we discovered

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

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

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

Key lessons for statutory sector

• 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

london borough of redbridge · • central london community healthcare - community nursing ......

Documents