health

So easy to write an Away Day programme!

Yesterday I sat down to write a programme for an Away Day. The group is a local community group focusing on improving the experiences of lesbian, gay, bisexual & trans people in later life – particularly in the context of health and social care. The aims of the Away Day are for members of the Action Group to get to know each other better, to explore the contacts and connections that people are carrying round in their heads so we can start mapping routes in to the health sectors and to share ideas about how to develop a promotional strategy.

After about 30 mins sitting in front of my laptop with a sketchy plan in front of me I suddenly had a brainwave – and felt a little foolish that I hadvoice resource packvoice resource pack not thought of it before. Of course – the Voice framework in the Axis of Influence series offers a whole load of discussion questions and activities which could look a bit like an Away Day programme. I have to admit to hunting around a bit before I found my own copy of the resource pack – it is a long time since I have made reference to it – when the Government changed and money was pulled out of local authorities and the voluntary sector resulting in huge levels of redundancy, job change, job insecurity – the capacity, interest and investment in community groups being supported to influence nose-dived and my Voice resource pack went into a cupboard.

nature of influenceI realised that the remit for the day is of course all about influence – and that the Voice framework is designed to help groups to develop internally as well as influence externally – perfect – there must be something in the pack that has already been tried and tested, rather than starting from scratch. Putting the programme together was a dream once I realised this and all the activities are there – all I had to do was select what would work best for this group!

So – here we go:

Voice – Step 2 Know Why You Want to Influence

we will start the day looking at what the group has achieved and what the individuals get from being a part of it

we will then look at who makes the decisions that affect the lives of older LGBT people, leading into a look at the health & social care structures in the County.

from this we want to start looking at people!Vertical

Voice – Step 7 Know who to influence

with the context in mind from the first part of the day, we will start drawing a map of what/who each member of the group knows, where personal contacts might lie and who needs to be targeted to build relationships or connections

we bring in the group’s strategic aims at this point to ensure that the people being identified are in the relevant context for what the group wants to achieve and we start looking at what these people may want to hear so the group can be a bit canny about future approaches.

Voice Step 9 Know how to influence

its flexiblethis Step in Voice offers ideas about the questions I can ask the group to help develop ideas for a promotional strategy. It suggests the different ways that influence happens and suggests activities where members of the group share examples of these – from their own experience or something they have heard about. This can then lead into a discussion about the different media that can be used to take messages forward. There is always a tendency for people to focus on this media when discussing promotional strategies – we seem naturally inclined to list media methods: magazines, facebook, leaflets – rather than starting with the most effective technique to adopt – be it whispering messages in the ears of influential people, demonstrating in a crowd, negotiating our way in to sit around an influential table …

Voice reminds us to do this and then to agree the practical and complementary ways in which to carry the words to different audiences.

 

I have forgotten what a joy it is to work with Voice and how much I personally used to get from facilitating sessions – I am reminded how it always does something, it always gets discussions going and is a very rewarding experience so I am looking forward to the Away Day and bringing it all back to life! Oh, and I estimate that, using Voice to plan this session has saved me about 3 hours planning time.

For those of you unfamiliar with Voice and with no access to the resource pack (which comes with a training course), you can work through some of the thinking behind it for FREE with no strings attached by logging into our sister-site online resource: changes Foundations

Of course, a Voice needs an echo to be fully rounded ….. but that’s another story!

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Tuesday, November 11th, 2014 Community development, Uncategorized

An example of ‘Working in Empowering Ways’

Community Empowerment, as described by changes, can be understood by breaking it down into five distinct but inter-related dimensions. They illustrate that an empowered community is:
• confident
• inclusive
• organised
• cooperative
• influential

Each linked dimension can be interpreted as:
• process (working in ways which are empowering) and
• outcomes (empowered individuals, groups, organisations & communities)
The 5 dimensions make ‘community empowerment’ very practical and identifiable; they describe how the values of community development* can be put into action. SAND is a Shropshire-based initiative looking at the issues impacting on older Lesbian, Gay, Bisexual & Trans people accessing health & social care services – it has an action group and is taking a community development approach which offers a fantastic example of the changes Community Empowerment Dimensions in action.

SAND stands for Safe Ageing No Discrimination. Below are the 5 Community Empowerment Dimensions, illustrated with stories about SAND practice.

Outcome: Confident communities – This is about putting the community development value around LEARNING into practice: recognising the skills, knowledge and expertise that people contribute and develop by taking action to tackle social, economic, political and environmental problems

To achieve this, we work in ways which increase people’s skills, knowledge and confidence – and instils a belief that they can make a difference
• members of the SAND action group have already changed their beliefs that it is worth trying to change things
• several members who have never campaigned as ‘out’ gay people now do
• SAND members are recognising and utilising their own skills and expertise
    Outcome: Inclusive communities – This is about putting the community development value around
    EQUALITY into practice: challenging the attitudes of individuals and the practices of institutions which discriminate and marginalise people

    To achieve this, we work in ways which recognise that discrimination exists, promote equality of opportunity and good relations between groups, challenging inequality and exclusion
    • SAND is all about challenging health and social care discriminatory practices
    • SAND is being invited to give presentations to providers and professionals e.g. solicitors for the elderly network, local advice and information advocacy forum
    • SAND has created a safe space for people to talk about their own experiences
    Outcome: Organised communities – This is about putting the community development value around PARTICIPATION into practice: facilitating democratic involvement by people in the issues which affect their lives, based on full citizenship, autonomy and shared power, skills, knowledge and experience

    To achieve this, we work in ways which bring people together around common issues and concerns in organisations and groups that are open, democratic and accountable
    • SAND is an open and transparent group and aims to build slowly, developing a structure that works for SAND, rather than imposing a ready-made structure
    • SAND values the experiences of all members of the group and is building a sense of real community and solidarity
    • An action plan was developed via facilitated discussions

    Outcome: Co-operative communities – This is about putting the community development value around

    CO-OPERATION into practice: working together to identify and implement action based on mutual respect of diverse cultures and contributions

    To achieve this, we work in ways which build positive relationships across groups, identify common messages, develop and maintain links to national bodies and promote partnership working
    • SAND is building links with other local and national LGBT networks and initiatives
    • SAND is linking with other involved in relevant national research
    Outcome: Influential communities – This is about putting the community development value around SOCIAL JUSTICE into practice: enabling people to claim their human rights, meet their needs and have greater control over the decision making process which affect their lives

    To achieve this, we work in ways which encourage and equip communities to take part and influence decisions, services and activities
    • SAND is currently undertaking participative research funded via HealthWatch to influence health and social care provision locally
    • SAND intends to influence the debate around LGBT health and social care
    • SAND has high profile named supporters including Sandi Toksvig, Peter Tatchell and Tom Robinson
    SAND is in a unique position to gather information and evidence about what is happening to older LGBT people. The only way we can do this is by taking a community development approach, rather than seeing people as individual consumers of care. SAND is working through LGBT networks and contacts to connect with people and communities who are often hidden and marginalised (for very good reason). The aim is to facilitate safe spaces for people to define the issues that impact on them and develop collective solutions that are meaningful. SAND also wants to build social capital and develop supportive local community based solutions, as well as holding services to account.

    Something to illustate how important this approach is – in the whole of Shropshire out of at least 4000 LGBT older people over the age of 65 – SAND knows of only ONE person in a care home setting……who hasn’t come out to her carers! Where are the rest? Their needs are clearly not being met. For more information go to http://lgbtsand.wordpress.com

    *changes acknowledges that people express the values of community development in different ways. This interpretation is drawn from the Strategic Framework for Community Development, CDX 2000. Others may be found in the National Occupational Standards for Community Development Work.

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Monday, July 14th, 2014 Community empowerment

A Charter for Community Development & Health

changes has been involved in the development of The Charter for Community Development in Health. It is a call to action for CCGs, local authorities and Health and Well-Being Boards to develop, support and commission community development. It is also a call to government and NHS England to create the conditions to make that as easy as possible.

You can read the Charter here: A-CHARTER-FOR-COMMUNITY-DEVELOPMENT-IN-HEALTH(1)

We hope people and agencies will see this Charter as both a challenge and a solution to making it easier to improve equitable access to health for all.

The Charter addresses all those with decision-making power at local and national levels, as well as those with a duty and role to influence those decision-makers – organisations like Healthwatch and Governors of Foundation Trusts. The approach championed by this charter will help them in the delivery of their duties to local people, which includes consultation and engagement more broadly as well as their new duties around the social determinants, quality of life, isolation, reducing obesity, mental health and premature mortality.

The Charter will be launched in London on 9th July – if you’d like to attend contact: rebecca.riffel@salixconsulting.com

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Friday, June 27th, 2014 Community development

Gobstopper day – a community development story

Going back a while now, but this is one of those memories that just stays with you: I was due to deliver some training to AgeUK staff, on the publication I had written about putting community development into practice.

Sal

Sal

It was in Huddersfield and I had made the journey up from Shropshire the night before and got to the venue bright and early. I waited a while, but only one participant turned up – let’s call him Mick! It transpired that a lorry full of gob-stoppers had overturned on the M62 so the only person who travelled by public transport ended up in a one-to-one session with me! I didn’t even know they still made gob-stoppers, but they were a blessing in some ways as the two of us had the luxury of spending the whole day together – real quality time.We put the next few hours to good use – sharing experiences and stories and trying to find some practical solutions.

Mick worked as a ‘leisure and fitness coordinator’. One day, he was visited by 4 women (aged 70+) who told him that they wanted a Tai Chi exercise class to go to. They had talked to other people in their age group and it was a popular idea.

Mick wanted to make sure that anything he arranged was ‘community-led’ so he talked to these women – and others – about the best day of the week, time and location, to hold the classes and he arranged for a trained instructor to deliver them.

The first week was great – about 50 people turned up and seemed to engage happily with the activity.
The following week wasn’t as popular, but was still good, and attracted about 30 older people to the session.
Week 3 was very disappointing and barely made it to double figures, with a downward spiral from there-on-in.

Mick was dispirited and just could not work out what had gone wrong, as he had met the request that came from the older people themselves and consulted them on the practicalities. I asked him if – when the women had first approached him – he had asked them why they wanted Tai Chi classes ……

  • Was it primarily about exercise and fitness?
  • Was it about relaxation?
  • Was it about socialising?
  • Was it about learning something new?
  • Was it to fill a gap in the timetable?
  • Was it because someone had recommended Tai Chi as something to try?
  • Or because there had been a television programme about it?
  • Or because the neighbouring area had Tai Chi classes?
  • Or something else …?

Mick didn’t know, but we could both see that it mattered. We could see a really clear link between process and outcome.

In Mick’s example – his process of checking with older people was great but he didn’t have a clear outcome i.e. he didn’t know why he was doing it, other than people had asked him to. Crucially,  we didn’t know WHY this group of people wanted Tai Chi classes, what they hoped to get from them, and so he had never considered, or checked, if that was likely to happen. Huge learning for us both.

Mick and I back-tracked a bit to think about what might happen if we tackled both process and outcome. It made sense to start by thinking about the outcome – what older people want to happen as a result of the activity. We practised with the outcome that “older people network socially and learn more from each other”.

Once we had this in the bag, we discussed ways that this might be achieved. e.g. doing things which will bring people together, encouraging them to talk to each other, creating an atmosphere where people will share ideas and develop trust in each other. To achieve these things, we thought we needed to stimulate discussion and debate, get people interested in others – thinking about their similarities and differences.

Since that day, I have heard about some very successful Tai Chi classes for older people. But I have also heard about quite a few which started and then folded – and some of the reasons I have been given are:

  • It can be pretty strenuous for older people – so, if they are after gentle exercise, it may not necessarily the best activity.
  • It can be delivered ina way which is quite individualised, so if people want a social activity to share with others, it may not necessarily the best activity.
  • Tai Chi instructors are very disciplined, so if they deliver in this way and people want an informal, relaxed atmosphere, it may not necessarily be the best activity.

Sticking with the Tai Chi example: if Tai Chi is seen to be strenuous, individualised and disciplined – how could it be delivered in a way which achieves outcomes about networking socially and learning from each other? Sessions could include:

  • information about why people practice Tai Chi, the health benefits and the range of movements included
  • discussion about Tai Chi, exploring people’s knowledge and experience of China and other martial arts, what makes movements easier to do and what might make them more difficult for some people
  • work in small groups, to support each other to understand and practice the movements, encourage people to share their experiences of Tai Chi – and the benefits they have recognised
  • visits to other places practicing different types of martial arts, and to a variety of other venues to learn about different ways of exercising
  • encouragement to, and opportunity for, older people to shape the direction of the sessions, voicing their interests and requirements and making suggestions for future sessions and other activities

We identified these five different, but inter-linked, ideas by working through the five community empowerment dimensions – which were really helpful

It was a fine day!

Having avoided the gobstoppers, sadly Mick later suffered on the way home as Leeds Train Station was hit by a tornado – it was quite day!

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Community leadership / active citizenship

Our community leadership and active citizenship development work started in Wolverhampton in 1998 through a women’s community development and health project, when the focus moved from running workshops on ‘dealing with the menopause’ and ‘how to be a mother and stay sane’ to working out how women can influence the decisions that affect their lives. It evolved from a series of workshops around women and leadership which, by 1998 had expanded to include a programme of training, practical support and mentoring. The first accredited ‘course’ of this type began in January 2000 and it focused on women’s own experiences and opinions whilst setting out to explore local, national and European decision making structures.

Funding came from a variety of sources – Health Action Zones, National Lottery, Barrow Cadbury Trust – to develop ideas around women becoming more active in community and public life through using a community development approach, countering the notion of elevating a few women as community leaders to talk on behalf of others, engaging with civic structures as a token (and not necessarily particularly representative) voice for women. A key aim of the programme was to encourage women from a whole range of backgrounds to speak out and make their voices heard in whatever context is most appropriate and relevant to them.

The success of the pilot courses led to further developments around the main topics – citizenship, democracy, leadership and participation – and then to an invitation by the Home Office Active Learning for Active Citizenship (ALAC) programme to showcase the IMPACT! approach as a creative learning initiative (2004-06). We commissioned our own evaluation of the Impact! initiative to identify what it was that made the difference.

The experience of Impact! contributed substantially to the development of the Framework for Active Learning for Active Citizenship; the document was jointly written by Jill Bedford from Impact! and Helen Marsh from London Civic Forum and launched by CLG in November 2006. The Framework was subsequently named the Take Part Framework and the original group of seven ALAC projects became the Take Part network. The ALAC initiative was evaluated by Professor Marj Mayo and Alison Rooke from Goldsmiths College and their findings, including comments about IMPACT! are available at takepart.org.

changes was asked to present a paper to the Expert seminar on citizenship and belonging – part of the Commission of Inquiry into the Future for Lifelong Learning (2008). The focus was ‘Moving on up: the role of lifelong learning in women’s journeys to active citizenship’.

In 2008, changes started working with Dosti, WVSC and Wolverhampton Council to develop a Take Part Pathfinder in the Black Country: funded through CLG (2008 – 2011) Details are below:

Purpose of the Initiative
To increase the level of influence people and communities have over the decisions that affect their lives and that this influence is shaped by the values of participation, co-operation, social justice, equality and diversity.

Delivery outline
The initiative encompassed work with individuals and communities as well as pubic sector organisations and agencies. There were five main delivery strands:

  1. Learning and support to build skills and confidence, within a community context – this would include active shared learning leading to community leadership; increased individual and collective voices, action and influence. This included courses, support network, buddying scheme, and information on opportunities for civic and civil involvement.
  2. Initiatives for community and voluntary groups and networks around monitoring and increasing their capacity to influence. This used Voice, one of the Axes of Influence, which was researched and developed in Dudley.
  3. Initiatives for public sector agencies to assess their openness to community influence using Echo.
  4. Joint dialogue across sectors and boroughs on themes of active critical citizenship, community empowerment, involvement and engagement.
  5. A pool of local facilitators developed and supported through training, shadowing and provision of materials

Women Take Part
During 2007 members of changes were approached by Government Equalities Office and Communities and Local Government to undertake research on under represented women in public life. This was called Women Take Part and built directly on the work of Impact! and other Take Part hubs. The Women Take Part (WTP) research was funded by the Government Equalities Office (2007 – 2008) to examine the participation of women, in particular under-represented women, in governance and decision making, in both community and public life. Women Take Part collected information about two sides of the story: ‘what works’ in terms of approaches, initiatives and learning models that encourage different groups of women to become more involved, and ‘what needs to happen’ so that structures, policies and organisations work in ways that encourage the recruitment and support of more women.

The report (published September 2008) provides a summary of the research findings and guidance on models and approaches which can be used to encourage, equip and support women. It is a resource which can be used by agencies, to extract information and ideas to inform delivery of relevant performance targets. The report draws upon research and knowledge which confirm and articulate the inequalities surrounding women’s active participation in public life. The need to develop and grow the ‘pool’ of women available for civil participation and civic engagement is emphasised. Despite being researched and written in 2008 the report and the framework developed from the research is increasingly relevant in 2013.

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