Community engagement
Policy nutshell
Check out our latest resource – the policy nutshell where we will bring you bite-size pieces of useful informaton about the changing landscape for health and social care with a community, patient and service user/carer engagement flavour.
To produce this resource, we have teamed up with Jan Smithies who has spent the last 2 years with The Health Inequalities National Support Team (HINST) - which was part of a Government programme to support local areas to promote equality and tackle inequalities in access to healthcare.
Jan will be working with us to develop seminars and workshops which explain and explore the ever-changing and complex world of health and social care, including Joint Strategic Needs Assessments, Health & Wellbeing Boards, Joint Health & Wellbeing Strategies, Clinical Commissioning Groups, Integrated Health & Social Care, Local Authority Commissioning, Public Health transition, tackling health inequalities and the development of HealthWatch.
A model of change
For many years – and involving many people –we have been working on ‘a model of change’, a way to understand HOW change happens in the world around us.
Einstein pointed out that ‘If you do what you’ve always done, you will get what you have always got’– so,
- if the local community centre only meets the needs of half a dozen people, if everything stays the same it will continue to meet the needs of those half a dozen people and nobody else
- if there is litter in the park and no action is taken to change it – there will still be litter in the park
And we all want different things to change – there are different things that bug us – or indeed inspire us.
This ‘model of change’ is our way of showing how we can get from a load of individuals who each have their own separate ideas, needs and interests and angsts – to a society where services and facilities are provided that meet the needs of the population as a whole. We call it a ‘whole area approach’.
If I go down a street of 16 houses, knock on each door and ask the householder what needs to change in their area to make it a better place to live, I will get 16 different answers, depending on their own circumstances:
• those with children may say something about better schools, play areas, youth clubs;
• other people may say their priorities are around faster internet access, or public transport to town, more allotments, a credit union, a community centre, local shops
The list is pretty endless but the point is that each household will have their own priorities based on their own circumstances and the things that they personally value (they will possibly all say something about dog mess!).
I can’t do much with 16 conflicting sets of priorities and will begin to wish I had never asked
Now – think again. Instead of going door to door, I bring all those 16 households together and FACILITATE a discussion – so, in an orderly way people express their priorities and consider the priorities of other people. Does house number 4 really mind about their play area when there is one round the corner? They may well reconsider this when they find out that House number 6 has prioritised drop kerbs because their son is a wheelchair user and struggles to navigate the streets.
In this scenario, we have started to consider other people’s needs in relation to our own – and in fact those drop kerbs will help lots of us: people with pushchairs, people with shopping trolleys, all of us with wheelie bins …
By bringing people together we can identify a much more informed and ‘sophisticated’ list of priorities (because, let’s face it – there is only so much money and resources to go round). There is a joint vision and people feel ownership of the idea and so are likely to put more effort in to taking it forward and making it happen.
Of course, it is not just the local people who need to be involved – if we are talking about drop kerbs then we need people from the Council – from Highways, perhaps from Parks Dept if we are going to be considering those options as well; perhaps local traders need to be involved
There are a whole range of ‘players’
Our ‘model of change’ recognises the connections between different parties and that actions taken by individuals have an effect on others. It also makes us think about WHO is getting involved and who isn’t – so we can guard against the loudest voices and make sure we don’t overlook the people and issues which tend to be forgotten – or ignored
So, there are connections between what I do, what you do, what my neighbour does, what the Council does – how we talk to each other (or not) – and there are connections with all of these and what voluntary sector organisations do – what community groups do – and how we all work together
Another example
Age Concern (now Age UK) runs a Hot Meals service which – everyone agrees – is an essential service for older people living in the area. The Council has stated that, despite the cuts, this is a service they want to protect and so they will continue to fund it.
Age Concern has its own mini-buses which they use for the Hot Meals Service and another local Voluntary Organisation has paid drivers who deliver it – the service runs like clockwork
However – the Council has cut funding to the other local Voluntary Organisation who have had to make redundancies – now there is no one to drive the mini-buses which deliver the Hot Meals Service.
Who needed to talk to whom?
So – where has all this got us?
What we have is:
a load of individuals – who need to know how to talk to each other, how to consider each other, who want things to change and who believe that they can play a role in that change – stick their own necks out – some of them, not all of them
Then we have voluntary sector organisations – and community groups – who need to know how to talk to each other and how to talk to their own staff and volunteers, who understand that when they take some action that things change for other people, they need to represent people properly, know who their members are and think about who is left out and the implications of that
Then we have the Council (or it might be the health trust, the police, the local traders association …. any ‘BODY’ which makes decisions) – who need to know what is going on, who needs what, how that will impact on others, how to communicate with their own staff and how staff communicate with each other, that staff can take decisions and respond to needs, they need to know what other people are doing and where their bit fits in
3 different sets of people – who connect with each other:
Individuals are ‘variably active’ – some are ‘good citizens’ – do recycling, vote, are neighbourly; others get involved on various committees, on a community forum or as school governors or setting things up locally
Community groups and voluntary sector organisations are in various states of organisation – some are better than others at welcoming members or at talking to the Council or other agencies
Some ‘agencies’ are better at listening to communities (and/or individuals) than others
AND – we are all a bit muddled up – so that the people who work in agencies are also individuals – and they live in communities and take part in different activities
ALL of this is going on so we need some sort of ‘model of change’ that makes sense of it, recognises the relationships between these parties and helps us to do something about it – so that something changes!!!
All change
New Government, new model of Government, new terminology, new thinking, new initatives, Big Society, Community Organisers, cuts, new ways of working, threats to equalities groups, mergers, partnerships, voluntary and volunteering more than community. Explore these on our networking site
echo update
echo, our framework to assess and develop public sector openness to community influence is now being used within Local Strategic Partnerships, thematic sub-groups and public sector agencies.
It is the first framework that is easy to get .. it is a gentle challenge .. the first framework I have seen which is about cultural change
Developed in the West Midlands with support from the National Empowerment Parntership, Community Development Exchange, Improvement & Efficiency West Midlands (L2D programme), Wolverhampton Partnership and the Black Country Take Part Pathfinder we have now started running the first echo facilitator training courses. As with Voice, these are commissioned courses which may be opened up to wider audiences and which target people who are in aposition to facilitate discussions in their organisations
echo promises to have a wide application and has already been used to:
- help a Partnership Board to consider how genuinely open they are to community influence
- help inform proposals for improving the quality of community engagement across a locality
- increase awareness and understanding amongst key decision makers and influencers of the need to be open to influence and of what being open to influence looks like
- prioritise actions to move community engagement forward across a Partnership
- enhance understanding of engagement & empowerment.
- contribute to an LAA NI4 Delivery Plan
If you have not yet come across echo, but this raises your interest, you can find out more in our resources section and/or join us on our network.
Voice update
Hugely useful, quite enlightening, the breadth and depth is interesting. It doesn’t require significant adaptation to be used in a variety of circumstances.
Voice, our framework on assessing and developing community influence, is now being widely used by Community Groups, Networks, Organisations and Forums. Groups that have worked with it include: Police Independent Advisory Groups, Community Centre Management Committees, Community Anchors, Voluntary Sector Organisations, Forums and a Third Sector Partnership.
We have had an increased uptake of our 2-day Voice Facilitator Training Course, which is specifically designed for people who already work with groups and have good facilitation skills. In 2010 we have delivered this training in London, Wiltshire, & Birmingham and are due to deliver more in Redcar & Cleveland, Wolverhampton & Birmingham again. These are all commissioned course which potentially have places available for people from different organisations. Watch this space or join our network for updates.
If you haven’t come across Voice yet but like the sound of it so far, then check out our resources section to download a copy of our leaflet and handy guide, or read more about community influence under our areas of work.
Voice is of particular relevance for workers assigned/attached to particular community groups, networks, organisations, and workers working with and supporting community groups, networks and organisations.
Making the business case for community engagement
We are interested in debating this – click on the title of this post if you would like to proceed to a message board where you can comment and contribute.
This might be about
- explicit messages on how community engagement can help agencies to meet targets, in the light of statistics like the 85.7% of Local Authorities who think that the economic slowdown will make it more difficult to achieve Local Area Agreement targets (Survey of the Impact of the Economic Slowdown on Local Authorities 2008)
- ideas for, and experience of, measuring ROI (Return on Investment) where the investment is community engagement
or something else …
What is community engagement all about?
We have been trying to find straight forward ways of explaining community engagement and the motivations for considering it… Imagine a street of houses – you want to ask 16 householders a question – if you just go around the houses and ask them you will get up to 16 different replies.
These replies will be largely concerned with that particular household – they won’t necessarily consider anyone else – and if they do, that view will likely be a perception – a guess about the concerns or issues facing others.
Alternatively – if you work with these 16 householders as a group – not only do they discuss and negotiate to reach a consensus on their collective priorities but it is likely that their discussion and their perception of what is possible will be much more sophisticated – and coherent. If you are working with them they should also get a realistic picture of the constraints that you are working within.
Similarly – just one person making connections with groups and communities in this way doesn’t cut it – their manager – and others – need to understand what they are doing, the motivations for doing it and what the benefits are to the organisation – micro and macro.