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From Counting Beans to Smelling the coffee: Evidence in Fife

What I will cover. Fife Regeneration approachIndices of Deprivation Public Health DatasetEvolution of KnowFife DatasetBroom StudiesFife Regeneration Health and Wellbeing studyTracking StudyWhatever next ? art and music as evidence?. What do we mean by ?Regeneration'. Part of three dimensional

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From Counting Beans to Smelling the coffee: Evidence in Fife

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    1. From Counting Beans to Smelling the coffee: Evidence in Fife Chris Mitchell - Corporate Research, Fife Council

    2. What I will cover Fife Regeneration approach Indices of Deprivation Public Health Dataset Evolution of KnowFife Dataset Broom Studies Fife Regeneration Health and Wellbeing study Tracking Study Whatever next – art and music as evidence?

    3. What do we mean by ‘Regeneration’ Part of three dimensional approach to poverty people places themes Improving the Health and Well Being of our most vulnerable communities and the people that live in them, and doing so in a way that can be sustained

    4. Fife’s ROA Focus Building Stronger, Safer and More Attractive Communities Getting People Back to Work Raising Educational Attainment Improving Health Building our capacity

    5. Targeting geographical areas Initial emphasis on our most deprived spatial communities within: The Levenmouth area Kirkcaldy Lochgelly / Benarty / Kelty / Cowdenbeath / Cardenden Dunfermline / Inverkeithing / West Fife villages Glenrothes

    6. Principles Not starting from scratch Tackling causes above symptoms Partnership approach Engaging with communities Evidence driven

    7. Concentrations of multiple deprivation (md) Targeting of priority areas of social need based on Census (Duguid) Challenged outcomes 1998 Scottish Index – Post code sectors too crude 2000 State of Fife Index – Noble method and local data 2003 Scottish Index – but 60% plus of unemployed not in most deprived areas (Mclaren and Clarkson) 2004 SIMD – datazones but need to include some of 20% md 2006 SIMD – sharp increase in Fife’s md datazones from 1 to 5 of 5%, 60 to 80 of 20% - vindicated 2004 stance

    8. SIMD Change 2004 – 2006 (20% Scotland level)

    9. Education Deprivation

    10. Fife Public Health Dataset Comprehensive web based dataset of social, economic and health indicators to evidence public policy Jointly funded and managed by NHS Fife (Public Health) and Fife Council Children Services and Corporate Reseqrch Full-time Co-ordinator plus support Data Warehouse for other tools

    12. The ‘Bending the Spend’ question? How do we know we put our money where our mouth is? Perennial question – never adequately answered Approached Glen Bramley doing Treasury Study Community budgeting initiative: start - stop Fife persisted with CB pilots Fife Social Justice Analysis System KnowFife Dataset

    13. Tanshall Community Budgeting Pilot Small ‘Stitch in time’ regeneration area in Glenrothes - what do we spend on children? Joined up picture of spending from finance and case records (unit costs and modelling), alongside needs analysis per capita health spend > Fife average, < Glenrothes primary education > Fife; nursery and secondary education < Fife Social work 3.7 times Fife average Area Resource Analysis CAN be done

    15. Fife Social Justice Analysis System Estimating Local Spending Mainly interested in spend by place of residence of service recipient - sometimes by facility - ‘on the ground’ Budget & accounting systems don’t record this They go down to ‘cost centre’ level (e.g. school, area team, local office) Need to use client records (postcodes) Unit cost (adj for client characteristics) is link Environmental etc. services more difficult - ‘on the ground’ – sample surveys - modelling

    17. KnowFife Dataset A new information tool for Fife Partnership Provides one-stop access to Needs, Outcome, Activity and Expenditure Data, Organised by Community Planning Themes Flexible enough to provide data across a range of Fife geographies Web-based infrastructure through which partners can upload and share their data

    18. The importance of small area geographies

    19. www.fifedirect.org.uk/knowfifedataset

    20. View thematic area profiles

    21. View data through interactive maps

    22. Look at same data, using different geography

    23. Create your own tables

    24. Income and Employment

    25. The Broom Studies Broom Estate – first comprehensive regeneration area in Fife in late 80s and early ’90s High level intervention of main and challenge programmes After care up to 2003 mid 1990s evaluation 2007 re-evaluation

    26. Fife Regeneration Health and Wellbeing Study Abbeyview predicament - who would benefit? Social Exclusion Unit: ‘Some groups are last to benefit from polices designed to tackle social exclusion’. 2003-04 Ł150m+ of routine, remedial and regenerative local public spend on areas; Ł1.5m SIP Fife Regeneration Health and Wellbeing Study Phase 1: Literature review and research design - St Andrews University and Fife Partnership Phase 2: 10 year action research study in regeneration areas – 3 components: Aggregated quantitative analysis Aggregated qualitative analysis person centred tracking

    27. Phase 2 Fife Regeneration Study Began March 2005 - Hexagon consultants for first 3 years Funding Communities Scotland, Fife Council, CRF Focus on five areas, all with ROA Datazones plus others to make coherent focus of regeneration West Fife Villages Abbeyview, Dunfermline Benarty and Lochgelly Dysart, Smeaton, Buckhaven and Methil Small project steering group Study will provide action research and monitoring for new Sustainable Communities Partnership Group

    28. Phase 2 Objectives Baseline information about the key determinants for use over 10 years M&E framework for policies and programmes Track experience of a structured sample of most excluded or at risk; assess risk/opportunities for action effectiveness of outcomes; person centred Deliver guidance for regeneration activity Draw lessons for improving health and wellbeing and disseminate widely Inform and influence regularly the policy and practice of regeneration process at local and strategic levels - whole system action research

    29. Where at now Constructed Baseline Quantitative indicators from Public Health Dataset and existing evidence base for ROA and wider datazone groupings Focus groups held to determine community derived measures of health and wellbeing questionnaire survey for qualitative evidence of health and wellbeing – included panel recruitment linked to new People’s Panel for Fife Stakeholder engagement – strategic partnerships Tracking Study

    30. It is difficult to identify a cause/effect relationship between regeneration and changes to health and wellbeing. We also know from the Literature Review that regeneration can lead to unintended consequences, particularly for the most disadvantaged people e.g. one step ahead of the bulldozer in least popular housing We believe it will help to gather residents’ own views of the impacts of regeneration, and then we might discover relationships that exist, and help ensure most excluded are included in the benefits. So the tracking study – the first year was a pilot – is helping us to engage local people in a conversation about the relationship between regeneration and health and wellbeing.

    31. What are participants asked to do?

    32. In advance of each meeting they receive a ‘pack’ with prompt question and prop to record their conversation. Questions are framed positively – and open enough for conversations to deepen as they progress. The subject matter for each session reflects an area of interest for the regeneration partners. They return their contribution. We collate and analyse the contributions. Feedback and reporting is in the form of a poster, with more detail on the website. This includes key questions for the Regeneration partners to consider.

    33. What are we getting from the project? Participants like the approach – it feels personal and respectful - and their relationships and confidence are growing. Policy makers and service providers like the approach – and the richness of the data which is being shared. We achieve a balance of views – what works and what doesn’t. There is a sense of what communities and services should be like which is optimistic, realistic and achievable. Transferable knowledge to regeneration policy and practice elsewhere

    34. Local people want regeneration to impact on: Support for isolated and vulnerable people Professionals skills and attitudes: to be good listeners and deliver what people want and need The problems caused by drugs and alcohol Improved leisure and recreational opportunities for everyone The development of services that help early on and prevent crisis Cleanliness and physical appearance of public spaces How people manage money and get out of debt Building community spirit and identity Making communities safer Support for families

    35. What are services getting from the project? the voice of people who will not necessarily engage as activists through conventional community development approaches - who may find services hard to reach challenge - have we got the right model for engaging with people at the individual level or do we need to listen to these voices and think again - who defines an issue and service response...the professional provider or the user? the Helping Professional - poster grasped by Fife Council Management Team to question front line relationships and service standards Personal Journeys - way into a more dynamic, person centred and transforming user/provider relationship based on user’s aspirations and perceptions of barriers and resources Views on spaces and places, and money opportunities through tracking for action research into regeneration interventions

    37. Whatever next? Challenge for main stream – so important if just a single outcome agreement and no CRF Targeted dissemination Whole system action research Redefine what is evidence and how to bring it to bear on decisions: use of art and music?

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