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Community Learning and Development: A Key Driver for Improving Health. Kathy O’Neill, General Manager. Health Improvement is Everyone’s Business. Poor Health limits people lives and ability to participate in their communities
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Community Learning and Development: A Key Driver for Improving Health Kathy O’Neill, General Manager
Health Improvement is Everyone’s Business • Poor Health limits people lives and ability to participate in their communities • Tackling the determinants of poor health (poverty, unemployment, lack of educational attainment, environment) will improve peoples lives and their health • Improving health and wellbeing not just NHS responsibility
National Policy Framework:Equally Well • Addressing Inequalities in communities • Not just ‘NHS’ responsibility • Importance of cross sector working to address underlying determinants of poor health (educational achievement / unemployment / poverty)
National Policy Framework: Approaches to Prevention and Behaviour Change • Health Behaviour • Tobacco • Alcohol • Obesity • Early Years • Mental Health & Wellbeing (Towards Mentally Flourishing Scotland)
National Policy Framework: Christie Report • Prioritising preventative measures to reduce demand and lessen inequalities • Identifying and targeting the underlying causes of inter-generational deprivation and low aspiration • embed community participation in the design and delivery of services • inter-agency training to reduce silo mentalities
Meeting the Shared Challenge • National Support Programme: • Supporting and strengthening community led health improvement • To tackle health inequalities • To ensure sustainability • By building capacity • Through effective planning and partnerships • By building the evidence base
Community Led Health: What is it? • Supporting communities to identify what is important to them about their Health and Wellbeing • Communities taking the lead in identifying and implementing solutions • Aimed at addressing health inequalities • Recognises that communities themselves have knowledge, and capacity for change • Social rather than medical model of health • Opportunities for strong partnerships with communities on health initiatives
Lessons from Meeting the Sharedchallenge programme • Need for a stronger grasp of the connections between community development, social capital, inequalities and health improvement • Further development and dissemination of tools and frameworks to assist with embedding the approach • Continued improvements in the authority and credibility of the approach, and adjustment of funding regimes accordingly. • An evolving policy framework. For example to ensure that community-led health outcomes are recognised in performance targets and audit.
CLD and Community Led Health • Engaging Communities • Supporting the capacity of communities to respond to their own issues/priorities • Supporting the capacity of agencies to collaborate with each other and communities in order to respond to community need
Approaches to Community Led Health • Community Development • Co-Production • Asset Based Approaches • Outcomes Based Planning • Community Resilience All seek to build capacity, do with, not to communities
A Key Role for Community Learning & Development • Key Tactical Position to Support Health Improvement • Business is Community Development • Work with Community Groups • Work with Adults & Young People • Difficult to Separate Health Agenda & CLD Agenda • Working with People & Communities to improve quality of lives • Joint Community Planning Outcomes e.g.. Regeneration, community engagement
A Key Role for Community Learning & Development • CLD can support Health Improvement through • Increased knowledge and skills • Building confidence in individuals • Building capacity of communities to act collectively on Health Issues • Grow volunteering to support better Health & Learning for People • Building understanding across key partnerships for cross cutting health & CLD issues/outcomes, making key connections
Examples of Joint Work (Clackmannanshire) • Testing Asset Based Approach in One Community • Health & CLD Partnership using VOICE as tool to implement and record National Standards of Community Engagement • Youth Smoking Toolkit – delivered jointly by Public Health Practitioner & Youth Workers. Ongoing involvement of young people • Clackmannanshire Healthier Lives – CLD key partners in engaging hard to reach groups to take up service • Outcomes Based Planning to inform Joint Priorities • Participating in HIIC
Final Conclusions • Any Questions??