Co-producing Healthy Communities Report

8/12/2019 Co-producing Healthy Communities Report

1/19

Co-producing healthy

communities

This material is owned by Spice and may not be copied or altered without permission.

The first steps

A report from Ely, Cardiff


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IntroductionThis report summarises the findings of a health design event run by Action Caerau Ely and Spice to

engage community members in Ely, Cardiff, in the design of a healthy community. People shared th

thoughts, feelings and ideas about things that they feel affect their health, barriers to accessing hea

related services and activities and ideas for improvements or innovations around the delivery of heservices. Many of these are things which the community felt they can lead or play an active role in

delivering. Since this event community members have become involved in a number of health initia

including with working with the NHS to design a new NHS direct phone line service for Wales.

Anne-Marie Lawrence, who co-ordinates the

Timeplace project in Cardiff West organised the

event;

I recently attended a conference about the

coproduction of health services. It struck me that

there was a gap, that I might be able to help fill.

Many of the attendees were high level managers of

health services, they all made the right noises

about wanting to co-produce their services but

didntreally know where to start. I could see that by

working with ACE and the local community wecould begin to have some useful conversations with

residents about health.


3/19

Spice

Spice programmes are based on a belief that

everybody has something of value to contribute

and that services work better when they are

shaped and delivered by the people who use

them, in partnership with and supported by

agencies and professionals. Time Credits are a

way to support individuals to recognise and realisetheir potential, and enable everyone to be part of a

their community.

Spice are a national organisation who develop local Time Credit programmes as a means

of achieving co-production and community engagement. People receive Time Credits as a

thank you for contributing their time to a community or service. They can then spend time

credits to access events, activities and services, or to thank others in turn.

Time Credits are demonstrating very positive impacts for communities, individuals and

organisations. 64% of programme participants report improved quality of life, 73% feel they

can contribute more and 49% feel more confident. 67% of people have made new friends,

65% now spend more time with others in their community and 64% know people in their

community better. 74% of organisations agreed Time Credits had helped them make better

use of the skills and resources in their communities.


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ACE - Action in Caerau and Ely

Action in Caerau and Ely (ACE) host the Cardiff West Communities First programme and

have partnered with Spice to develop the Timeplace Time Credits programme in Cardiff. ACE

was formed in 2011 to work with the people of Ely & Caerau towards the successful social,

economic and environmental regeneration of their community.

Communities First Health & Wellbeing Team

The Health and Wellbeing Team deliver the Healthier Communities strand of th

Communities First programme for ACE in Cardiff Westcovering the wards of

Caerau, Fairwater and Pentrebane. The team works in partnership with the loca

community, developing activities and initiatives that help people to improve their

and wellbeing. Activities are planned that provide opportunities for people to en

healthy behaviours such as walking or cycling and increase knowledge and pracskills in areas such as healthy eating and mental wellbeing. Activities are desig

provide an element of social support and take a holistic approach so that an indiwider needs and barriers, such as financial difficulty, isolation or childrens behav

issues are also addressed, either on the spot or through support to access othe

linked Communities First activities.

Community Ambassador programme

The community ambassador project is all about helping local people know about

access to benefit from and be able to influence services which could improve phand mental health. Ambassadors can get involved in the project in a variety of w

can earn time credits for volunteering their time.


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Co-production in Health We have a problem of rising demand and increasing stress on public

finances.

There's a growing recognition that the system is paternalistic, based on

the medical model rather than the social model, and only designed to dealwith illness and crisis.

This approach means that people remain passive recipients rather than

active agents of their own health and wellbeing.

Acceptance of need to change and to support communities to work with

service providers to share responsibility for their own health and care

particularly in relation to well-being. For example it is increasingly

accepted that social issues such as loneliness and isolation impact

directly on health, increasing the strain on both GPs and hospitals. In policy we are seeing emerging consensus in health and social services

through the Prudent Health Care agenda and the Social Services &

Wellbeing Act 2014. The emphasis is on partnerships between providers

and citizens, with local authorities required to involve people in design and

delivery of services.

There's also a recognition that co-production and asset based community

development can play a crucial role in health & well-being through building

sustainable neighbourhoods. These approaches have the capacity to bring together partners from

education, public health, community safety and volunteering to create

powerful, citizen-led networks which support well-being and health.

A survey of members

ACE time credi

programme, an exam

co-production in a

showed.

91% had made new f86% knew more abou

services are available

72% visit or see peop

often than befor

22% needed less soc

20% didnt need to go

doctor as often


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Kevin Brennan MP opened the event.

He described the importance of, and

challenges around, healthy eating,

physical activity, housing, and having

the time and opportunity to do

activities that relax you and give you

enjoyment, for improving andmaintaining health and wellbeing.

The political perspective

Mark Drakeford, Health Minister for Wales, spoke at the ev

the importance of coproducing health.

We have to consider everyone as equal partners because ev

counts. Both parties are experts, of course the professionals

in providing care, and the users are expert about their life, wh

have to face every day, and they have to be listened to.

By co-producing the health system together we can make a b

future. We all need to take responsibility for our health, we n

aware about what we can do and what we can avoid for our c

and future generations. Changing things at a small scale as i

and as a community can enable us to share in better global wFor me being here today is a great chance to be a part of cre

future together.

We should be

aiming for a health

service, rather than

a sickness service

Kevin Brennan MP

We have to

renegotiate the health

service between

users and those who

provide it.Mark Drakeford


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Event overview

The event was designed not only to be a place forexchange of ideas about the health system andpublic services, but also to enable communitymembers to express different points of view abouthealth issues they face in their daily lives andunderstand the factors that impact peopleshealthin Ely.

Attendees were invited to take part in a number ofdifferent activities that explored their experiencesand opinions about their health and the servicesthat impact on it. The event will be the start of alonger term process in which ACE, Spice and thecommunity will look at how we can address health

needs in new ways and how we can bring togetherservice providers and service users to transformthe way that services are delivered.

Activities

Typical day map

Local area mapping

Debating key issues

for communities

Identifying

community solutions


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Key themes that came out of this activity wpeople feel a lot of their stress at home an

struggle to find a balance, sometimes from

of support, things like cleaning and keeping

with appointments can be difficult, parentin

was a source of stress and anxiety for man

as were issues such as their children argui

A lot of people mentioned that the times theyfeel most in control and relaxed are when they

are involved in their community, taking courses,

those involved in their school and when helping

others in the community through volunteering.

Im retired now but I

volunteer running a

youth group, that keepsme feeling young!

Some people talked about how they dont

to see as much as other people as they wlike to. The chance to spend time with oth

is important.

Id like to see a

community gardenproject. Parks,

gardens, green

spaces and having

conversations with

your neighbours are

so important for a

community.

A look into our livesWe asked people to map out a typical day.

Negative influencesPositive influences

Sometimes its just really hard, th

kids often play up and Im left at t

end of my tether, its so hard to d

anything as they take up all my

energy

I like coming to things

like this, makes it feel

like someone islistening, like they value

what you have to say


9/19

Redevelopment of Community Hub facilities

would help to coordinate approaches around

health (due for completion in June 2014)

Existing green areas are nice but we could

make better use of them

Prevention focus is important, to stay well and

prevent ill health

Time Credits are good for community activities

(participants noted that these would need tocontinue to be broadened/grown due to a lack of

appropriate services or resources in the

community)

Transport between areas (as opposed to i

Cardiff) a challengenumerous buses , c

and tiring

Issues of safety when walking around, day

night, especially with children

GP waiting times, and dentists, a real prob

Not enough entertainment/social activities

Closure of police station impacts on how s

people feel in the community Leisure centre prices are too costly for ma

families

Not enough cross-age group childrens ac

Need more peaceful/time out opportunitie

Need opportunities for parents and childre

do things together, particularly older childr

Lack of local shops and services

Local area health mapping

Negative factorsPositive factors


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Issues leading toStress related to

lack of support,

particularly around

parenting

Lack of localservices and shops,

limited opening

hours

Lack of/costs oftransport,

particularly locally

Not feeling safe

going out into the

local community

The environment

access to open

spaces and dog

fouling

Menta

heal

Soci

isolat

Inabilit

acce

servic

Physi

inactiv

Lack of knowledge

about what services

and activities are

available and how

to access them

Lack of access to

inclusive childrens

activities and family

activities

Costs of leisure and

social activities

Costs of healthy

food and lack ofknowledge around

healthy eating

Poor d

Lack of motivation,

awareness and time

to change behaviour

e.g. cook healthy

meals, exercise, quit

smoking


11/19


12/19

Who can deliver solutions?

Individuals Community groups

and organisations

Services, commiss

and policy mak

Take an active role in communities

to deliver healthy services or raise

awareness, e.g. help maintain open

spaces, become a peer supporter or

a community champion

Attend courses or train to gain

skills that will improve their and

others health e.g. learn to run a

walking group or go on a healthy

eating course

Take action to improve their ownhealth, e.g. do more exercise, eat

healthily, be more organised and

make time for themselves

Deliver activities that enable

communities to address the issues

that matter to thempeer supportgroups, healthy training courses,

Community Champion Schemes,

environmental clean ups and

community gardens

Offer more activities for whole

families and children of different

ages

Develop more leisure and social

activities for communitiesProvide easily accessible and

relevant information, advice and

signposting

Listen to communities abmatters to them and work

local authority department

services to address priorit

as policing, dog fouling an

Commission local organ

listen to local priorities and

positive health promotion

Commission health serv

have increased access thlocation and opening hour


13/19

Time Credits

Established in 2012 the Timeplace time credits scheme

which operates in Ely, Caerau and Fairwater now has

Over 85 community groups signed up

Approx. 1000 individual members

Over 30,000 hours of time donated to the community

Over 100 time credit events, activities and trips

organised by the community

What people had to say about ta

part in the health design even

Last year we went on so many family trips during the

six week holidays than I would have before as money is

very tight because of not being able to work due to

medical reasons. The children they enjoyed it so much,

then Xmas I did some thing they have always wanted to

do I was able to take them on a holiday with timecredits, it might of only been down the road to porthcawl

but it was a holiday and kids myself and husband

enjoyed it so much thanks to time credits!!

In one year alone my family and I have earned over 300

time credits which has enabled me to take the children on

many trips, go weekly to orchestra practice, stay in

Porthcawl for the weekend, visit cinema monthly at Chapterand many other activities that I may not have been able to

do without time credits! I have also been on courses for first

aid, food hygiene, laughter yoga, mental health first aid and

now Ive even got a job out of it. I have also made many new

friends along the way!

100% of participants

completing evaluation

forms said

The activities were

fun

The activities wereuseful

They felt valued and

they felt listened to.


14/19

Time CreditsTime credits have had a huge impact in

the local community. People donate an

hour of their time to help the communityin return for one credit that can then be

spent on a range of services, activities

and events.

People can already use their time credits to access a wide

health related activities and services, wed like to see more

organisations get on board with time credits to widen the of

deepen the benefits for community members. Here are just

the health related activities people can spend their hard ear

credits to access

Gym and swimming at Cardiff leisure centres

Roller skating with Dragon Coast

Gym & swimming at the International pool

Spa and pamper day events

Spit and Sawdust skatepark

Style studio

Circus classes

Cheerleading classes Crossfit Caerau (the WOD house)

Boulders climbing wall

Pembrey Country Park

A range of community trips and events

Without time credits I would never of been able to afford to

take my kids on trips, sometimes its just what you & your kids

need, a break from the stress & strain & much needed bonding

time. I also use time credits as a gateway, from going on litterpicks to doing courses to earn time credits & realising I do

have skills & now having the confidence to change my life, bygoing to university in the near future. I am a great believer in

timecredits, I believe they can do great things not just for the

individual but for the whole community

Time credits are the best thing that ever

happened to this community


15/19

Time Credits ideas from the event

Idea Earn or Spend? What issue would it help address?

Litter picks and community clean ups Earn Clean up the local area, help educate children about the im

litter

Community furniture recycling Earn/Spend Fly Tipping, upskiling local people, providing training, socia

enterprise opportunities

Community consultants Earn People are trained up and provided with the confidence to

consultants for organisations and service providers to com

and ask us what we think as community experts.

Community Health Champions Earn Support people to go to GP, share info about health servic

befriender/buddies, set up peer support groups, community

share.

Befriending Earn People earn credits by befrending could be for old people,

parents, people with health needs etc

Healthy Eating courses Earn or Spend Give people the knowledge and skills to change their beha

Community trainers Earn Local people trained to train professionals around engagem


16/19

NHS phoneline co-designJust before the health design event in March we were contacted by Co-

production Wales to see if any community members might be interested in

taking part in a project around helping input into the design of a new NHS directphone line for Wales.

We invited them along to our health design event to run an activity.

Since then they have come back to run a workshop with community members,

some of whom then participated in an NHS urgent care event working with

health professionals to share their experiences and ideas as service users.

Community members are now in the process of forming a steering group that

will work with the NHS over several months to inform the design of the newservice.

Unscheduled Care (@WalesUSC):

So good to hear such ho nest & open feedback f rom service users f rom Caerau/Ely

about what they think un scheduled care should of fer #USCWales
https://www.facebook.com/hashtag/uscwaleshttps://www.facebook.com/hashtag/uscwaleshttps://www.facebook.com/hashtag/uscwales


17/19


18/19

Whats next?

Ace are training up community members to

deliver training to professionals and

communities across Wales and have

community members who are keen to take

part in more co-design and consultation

events. ACE are also developing the nextphase of the Timeplace project which will

focus on co-production and how to use time

credits to tackle the main issues affecting the

community.

For more information please contact Dave

Horton on 02920 003132 or email

[email protected]

Spice are further developing their work

Health and Social Care in Wales and lo

to partner with a range of host organisa

in pursuance of this. We are also lookin

how we can integrate our model more d

with broader wellbeing work within Houand Communities and with the emerg

Prudent Healthcare agenda as well a

developing bespoke programmes th

address the prevention agenda, with

particular focus on ageing and isolatio

For more information please contact B

Dineen on 02920 566132 or [email protected]


19/19

This material is owned by Spice and may not be copied or altered without permission.

This report has been produced as part of the Community

Currencies in Action (CCIA) collaboration project.

CCIA is a transnational partnership working to develop and

deliver community currency demonstrations in several member

states across the North West of Europe. CCIA will lead the way

in sharing knowledge and best practice to enable communitiesthroughout Europe to grow stronger in their ability to achieve

vibrant and prosperous networks that are efficient in delivering

social, economic and environmental outcomes.

CCIA will design, develop and implement community currencies

across NW Europe; providing a rigorously tested package of

support structures to facilitate the development of CCs across

NWE and promote CCs as a credible (policy) vehicle for

achieving positive outcomes.

CCIA is part funded through the INTERREG IVB North West

Europe (NWE) Programme, which is a financial instrument of the

European UnionsCohesion Policy - Investing in Opportunities.

Find out more about CCIA on our website:

www.communitycurrenciesinaction.eu

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