Ideas and evidence

Over the next few weeks, we’ll be shifting these into the blog posts so they are easier to find and navigate through depending on what you’re interested in.

 

Exploring, understanding and connecting to what works, as well as current and emerging opportunities in Birmingham

 

Summary

The content on this page sets out the range of practice and activity, past and present, which is helping to develop an effective, relevant and successful approach to delivering “Prevention First” and the “Neighbourhood Networks” model for Birmingham.  This builds on the successful Neighbourhood Networks Schemes being delivered in Leeds and now being adopted in other cities, whilst identifying how and where there is scope and a need for Birmingham to develop its approach in a way which is tailored to its unique environment and building on what is already happening in the city.  There is already a huge range of thinking and practice which can be drawn from to help the Council (and its partners) and this generally aligns to the following thematic areas:

  • Prevention and early intervention
  • Coproduction and partnerships
  • Neighbourhood and community development
  • Voluntary, community and social enterprise sector support and investment
  • Citizen centred outcomes, design and commissioning approaches
  • Digital, innovation and the use of technology

 

What works, emerging practice and thinking:  Key themes and headlines

As shown in appendices 1 and 2, there is a wealth of evidence, insight, expertise, opinion and activity in past, present and emerging circulation which needs factoring into how the Neighbourhood Networks Model and “Prevention First” is developed.  Despite the vast range of relevant activity and literature there are several common and consistent themes and opportunities, which could be used to help develop the Council’s approach.  These include, recognising, supporting and investing in:

  • Being more creative and flexible in funding activities which can support care and health needs, particularly looking towards arts, culture, physical activities which people can enjoy;
  • Community networks, peer to peer opportunities and people’s connectedness to other people and places where they live (or communities of interest);
  • Coordination of activity across agencies and stakeholders within the prevention agenda.  This is becoming an increasingly busy area of work with risks of duplication and counter-productive and/or competitive activity between agencies;
  • Coordinators, connectors, navigators, mentors and similar types of roles which can connect and encourage citizens to access appropriate and relevant support and activities
  • Coproducing models and approaches with citizens, communities and providers, taking an asset based approach for better outcomes and systems;
  • Digital inclusion and capability to provide accessible information about community assets, ideas, activities and groups for both citizens and practitioners working with citizens;
  • Evaluating and measuring the impact/value of community based activity on traditional social care and health outcomes, but linked to this both citizen and community wellbeing;
  • Individuals, assets, micro-enterprises, small charities and little ideas which can cumulatively make a difference and enable social action in neighbourhoods;
  • Innovation and using technology to help improve lifestyles and address social care and health problems;
  • Isolation and frailty being key drivers above age or any other risk factor;
  • Joint approaches with regional and national funders to address shared problems, outcomes and aspirations;
  • Places having different needs and dynamics, which require different types of support and investment.  This is particularly acknowledging the differences between places with high social action and those with low social action;
  • The trust and credibility issue between the VCSE sectors and the Council, particularly ensuring that strategic messaging is reflected in how the Council operates.

 

Reviewing the reports, literature and evidence base

The activity and reports listed below capture just a fraction of the research, interest and initiatives concerned with the themes which are relevant to “Prevention First” and the proposed “Neighbourhood Networks Mode”.  These provide a range of insight and evidence to what might be achieved in Birmingham.  The range and volume of content also highlight both the importance of looking outwards beyond the Council and Birmingham for ideas and solutions, as well as the range of (sometimes critical) views about approaches to local government commissioning, communities and social action which may need to be carefully navigated through as the model develops.

  1. “A New Funding Ecology – A Blueprint for Action”, Collaborate, Big Lottery Fund and Calouste Gulbenkian Foundation (2017)

Ideas and evidence for how funders can collaborate to invest in and achieve social change

  1. Arts on prescription – Gloucestershire – http://www.artshealthandwellbeing.org.uk/appg-inquiry/Publications/Creative_Health_Inquiry_Report_2017_-_Second_Edition.pdf

Part of social prescribing, ‘arts on prescription’ involves people experiencing psychological or physical distress being referred (or referring themselves) to engage with the arts in the community (including galleries, museums and libraries).

The scheme is now supported by Gloucestershire CCG and Wiltshire County Council and operated by the charity Artlift across nine surgeries and community spaces in Gloucestershire and five pilots in Wiltshire, with reach into deprived areas.  An arts-on-prescription project has shown a 37% drop in GP consultation rates and a 27% reduction in hospital admissions. This represents a saving of £216 per patient.  A social return on investment of between £4 and £11 has been calculated for every £1 invested in arts-on-prescription.

  1. Art Therapies

http://www.artshealthandwellbeing.org.uk/appg-inquiry/Publications/Creative_Health_Inquiry_Report_2017_-_Second_Edition.pdf

Over 3000 practitioners accredited by the Health and Care Professions Council offer drama, music and visual arts activities to individuals. Music therapy has been found to reduce agitation and the need for medication in 67% of people with dementia. Arts therapies have been found to alleviate anxiety, depression and stress while increasing resilience and wellbeing.

  1. Asset-based community participation: A new way of volunteering https://bvscupdate.org/2018/06/08/asset-based-community-participation-a-new-way-of-volunteering/ (June 2018)

Overall, while it’s likely that there will always be a place for formal and service led volunteering, there are huge benefits to being involved in your community in a more organic way. The type of volunteering exhibited in Ageing Better in Birmingham exemplifies the rewarding and valuable contribution that can be made on a grass roots level, within the heart of the community.

  1. “Asset-based places: A model for development”, Social Care Institute for Excellent (2017)

Achieving more through effective use of assets in communities and individuals, along with examples for putting this into practice

  1. “At the heart of health: Realising the value of people and communities”, Realising the Value (2016)

Person and community centred approaches to health and wellbeing acknowledging the need for health and care services to work alongside individuals, carers, families, social networks and thriving communities

  1. Beyond Direct Payments , TLAP (2018)

Role of commissioning to help develop the infrastructure for microenterprises, ISFs and new more flexible and digital ways of commissioning.

  1. Big Lottery Fund research concerning “communities and places” https://www.biglotteryfund.org.uk/research/communities-and-places

A range of evidence and case studies to show what works and practical guidance about supporting communities

  1. Birmingham City Council’s governance and organisational capabilities: an independent review, Sir Bob Kerslake (2014)

Highlights clear trust and relationship issues between the Council and VCSE sectors in Birmingham, particularly perceptions of a paternalistic and unequal relationship which doesn’t value or understand what the sectors have to offer

  1. Birmingham Compact (2010) and Compact Voice: Annual Survey of Local Compacts (2015)

A reminder of commitments to the voluntary and community sectors, by Birmingham City Council which to many were never fulfilled

  1. “Birmingham Total Place Pilot: Final Report”, Be Birmingham (2010)

Coproducing with communities and investing in communities to prevent system failure

  1. “Building Collaborative Places”. Lankelly Chase and Collaborate for Social Change (2017)

Evidence and learning about funding and commissioning based around needs and assets in communities, for delivering outcomes

  1. Campaign to end loneliness https://campaigntoendloneliness.org/guidance/

Including loneliness framework of services, activities and networks to assist commissioners.  Includes enablers such as transport and technology, services for interventions, changing thinking and encouraging new connections.

  1. Centre for Ageing Better – https://www.ageing-better.org.uk/news/small-changes-to-homes-can-improve-quality-of-life/ (2017)

Report outlining and evidencing that small and minor home improvements can have a significant impact on the quality of life for older people, as well as reducing demand on social care and health services.  Potential to use this approach in local NNS commissioning approaches, e.g. handymen type services.

  1. Centre for Ageing Better: Strength and Balance for Better Health and Wellbeing

Suggests focus on frailty rather than age, as well as activities which can be used to minimise the impact of frailty particularly around strength and balance to prevent acute issues from developing

  1. Centre for Local Economic Studies and What Works Centre for Wellbeing (report and handbook guide pending)

Aiming to provide robust, accessible and useful evidence that governments, businesses, communities and people can use to improve wellbeing, as well as to help people understand what is and how to measure subjective wellbeing”.  Aims are to help orgs better show the value and impact of what they do to commissioners.

  1. Changing places: stories of innovation & tenacity in five Birmingham neighbourhoods (2018) – http://www.social-life.co/publication/changing_places_stories_innovation_tenacity/

The report describes the work of neighbourhood organisations and networks in Balsall Heath, Bournville, Castle Vale, Stirchley and Lozells.  Commissioned by Birmingham Social Housing Partnership.

  1. Choices 4 Doncaster, https://www.choices4doncaster.co.uk

Member led cooperative supporting and investing in people based networks to develop a range of community activities such as allotments, arts and culture, day opportunities.  Including creative and popular alternatives to traditional day such as “out and about day service” and “Yorkshire Nightclub” (https://www.diceenterprise.com)

  1. “Cities of Service Report – capturing the skills and energy of volunteers to tackle city challenges”, Nesta and Cities of Service (2016)

Based on a two year pilot from 2013-15 in seven Councils, which have led to a broad range of holistic outcomes for children, health, neighbourhoods.  The focus is on elevating the importance of volunteering to Councils, providing volunteering opps which have clear purpose and direction

  1. Combatting loneliness one conversation at a time, Jo Cox Commission on Loneliness (2018)

Three key areas to consider 1) Stimulate innovation 2) Provide seed funding for communities 3) Scale-up and spread promising approaches

  1. Communities and health, Kings Fund (2018) -https://www.kingsfund.org.uk/publications/communities-and-health

All things community, including what are communities, involving communities, community assets, community commissioning, community development, community organisations and pathways

  1. Community Catalysts in Somerset, http://www.communitycatalysts.co.uk

Supporting the development and growth of micro-enterprises to address local health and care needs.  Strong evidence base from approach which has established 210 micro-enterprises, 173 new providers, supported 800 people to stay at home, with savings of £720K to Somerset County Council and further savings of £403K through supporting people to switch to direct payments (56% of people eligible for them).  Achieved with two year investment of £135K

  1. Community-centred approaches to health and wellbeing, Health Matters Public Health England, 2018

Brief and visual guide covering 1) why community matters for health, 2) community health assets, 3) being connected, i.e. loneliness, 4) community centred practices, 5) community action from bottom-up, 6)

  1. “Commissioning in Crisis: How current contracting and procurement processes threaten the survival of small charities”, Lloyds Bank Foundation (2017)

Highlighting the importance of small and medium sized charities to communities, volunteering and responding to local needs

  1. Community Navigator Project – Cambridgeshire – https://www.scie.org.uk/prevention/researchpractice/getdetailedresultbyid?id=a110f00000NeBefAAF

Builds on the wealth of community and voluntary activity that supports older and vulnerable adults in the county.  Clients reported improved quality of life (e.g. reducing social isolation, supporting or signposting them to services, supporting them to maintain their independence and remain in their own homes).  Carers reported improved quality of life.  The evaluation has shown that the project provides value for money: the cost-benefit analysis showed that for every £1 spent on Community Navigators there was a return, in the form of adverse outcomes avoided, of £5.50.

  1. “Cooperate Case Studies”, Cooperative Councils Innovation Network (2017)

Local Community Budget Schemes, Technology and older people

  1. “Cultural Commissioning Models: Personal Budget Model”, NCVO, NEF, NPC, Arts Council England and Cultural Commissioning Programme (2017)

Using personal budgets and/or direct payments to include arts and cultural activities in support plans

  1. Day Opportunities Engagement Report (BCC) (March 2018)

Outlines behaviours, habits, profiles and preferences of current day opportunity users in Birmingham.  Features info about most and least enjoyed activities, as well as preferred activity.

  1. “Designed to scale: Mass participation to build resilient neighbourhoods”, Civic Systems Lab, Lankelly Chase and Lambeth Council (2017) and “Participatory City”, Tessy Briton (2017)

Building participation in neighbourhoods through high levels of micro activity and participation

  1. “Does Smaller Mean Better? Evaluating Micro-Enterprises in Adult Social Care”, University of Birmingham (2015)

http://www.birmingham.ac.uk/research/activity/micro-enterprises/index.aspx

Providing general support in the home and community for those in need of care and support services, for more personalised and better outcomes for citizens with greater value

  1. Early Action Taskforce – Valuing Social Infrastructure “Community Links” (2018)

What makes a place a good place to live and prosper in? This discussion document highlights the importance of recognising and valuing social infrastructure and making sure that it is as preventative as possible.  Launched with Early Action Taskforce and Big Lottery Fund in June 2018.

  1. “Enabling social action – making the case in the public sector”; “Commissioning for Social Action”; “Creating the conditions for social action”, DCMS and New Economics Foundation (2016)

Shifting from managing demand to early action and social action; Commissioning new social action projects and commissioning the conditions for social action

  1. Engaging and empowering communities: Our shared commitment and call to action, TLAP (2018)

Offers a ‘shared narrative’, agreed by leaders including people who use services, professionals and carers, which describes the conditions that are needed to create strong and inclusive communities.  Suggests several principles such as coproduction, equality of citizens in communities, cultivating social capital.

  1. Evaluation of the Reducing Social Isolation and Loneliness Grant Programme (May 2016)

Grant funding from North, Central and South Manchester NHS Clinical Commissioning Groups in partnership with Age Friendly Manchester. Managed by Macc (£550K)

  1. Every One Every Day: what it means for local people | OBLive – https://www.youtube.com/watch?v=faKXAcRj7yc&t=2s (2017)

Brilliantly described and visual approach to launching the “Neighbourhoods made by everyone, for everyone” investment in Barking and Debenham in 2017/18.  This is part of a £6.4 million.  Five year project focusing on lots of little ideas and actions for daily life for everyone in the neighbourhood.

  1. 4 REASONS WHY VOLUNTEERING IS GREAT FOR OLDER PEOPLE

https://bvscupdate.org/2018/03/29/4-reasons-why-volunteering-is-great-for-older-people/  (BVSC Ageing Better)

Covering 1) productive engagement, 2) volunteering reduces social isolation, 3) volunteering is physically healthy, 4) supporting organisations

  1. “From Cooperative Councils to Cooperative Places”, Collaborate for Social Change and Cooperative Councils Innovation Network (2017)

Enabling creative communities and creating social capital strategies in communities

  1. Hampshire Social Isolation and Loneliness Methodology (2017)

Needs analysis, predictive analysis and interventions to address social isolation with mirror approach towards NNS development

  1. Help to Live at Home – Wiltshire: Improving commissioning, procurement and contract management:

Wiltshire’s ‘Help to Live at Home’ service operates an outcome-based approach to commissioning, paying providers to achieve outcomes that improve independence.  Have provided efficiency savings now total £11.6 million (2014).  In addition to the financial savings there is now stability in the numbers of older people being placed in residential care despite demographic pressures; and for those older people who receive the service, 60% are re-abled to live independently within six weeks and require no further service

  1. Hidden hunger and malnutrition in the elderly, (2018), Andrew Forsey/House of Commons

Recommendations covering enhanced home-visiting service through which adequate meals and support are delivered by community projects to those older people who might struggle to leave their own home; and a new role for supermarkets in both maintaining older people’s independent shopping habits and providing weekly lunch clubs.

  1. How social impact bonds are funding long-term care projects

https://www.theguardian.com/social-care-network/2017/oct/12/council-projects-budget-bonds-third-party-funding (2017) – particular link to “Reconnections” project in Worcester

SIB applications in the future to work with voluntary groups to help the clients engage in community activities such as a gardening club or singing group. Payments from the commissioner are linked to self-reported reductions in feelings of loneliness.

  1. How-to guides for creating an asset-based area – https://www.thinklocalactpersonal.org.uk/Browse/Building-Community-Capacity/how-to-guides-for-creating-an-asset-based-area/ (2018)

Asset mapping, asset based commissioning and building on what works.  Key themes are around resetting expectations and building relationships.  There’s also recognising all assets and ensuring that community assets do not replace services but complement them.  Ensuring that commissioning and solutions are citizen driven so they are based on lived experience and owned by the community.  Investing in strong communities through initiatives such as street parties.  Moving from services on single issues and conditions to who wrap around community circles.  Services and activities designed for all, not for specific conditions or issues.

  1. Increasing community control – People’s Health Trust – http://www.artshealthandwellbeing.org.uk/appg-inquiry/Publications/Creative_Health_Inquiry_Report_2017_-_Second_Edition.pdf (2017)

The People’s Health Trust is funded by 51 society lotteries through the Health Lottery. This charity explicitly addresses the social determinants of health by supporting projects that increase community control and build social bonds. Several arts and health projects have been funded under its Active Communities programme, which offers local grants of between £5,000 and £25,000.  Evaluation of this strand of work found an 85% reduction in isolation among participants.

  1. Individual Service Funds: Our approach in Dorset and Southwest (2017)

Pooling personal budgets for a hybrid approach between central commissioning and direct payments.  May be applicable to a NNS 2.0 or testing as a strategic innovation.

  1. “Keep it Local For Better Services”, Locality (2016)

Saving money my doing things locally and taking a whole person approach

  1. Lamb Street to the Pod – The Journey from ‘Service User’ to Citizen

https://www.thinklocalactpersonal.org.uk/Latest/Lamb-Street-to-the-Pod-The-Journey-from-Service-Users-to-Citizen

It describes how the award winning pod, formerly known as the Lamb Street Day Centre, uses social brokerage as a means to support and radically transform the lives of people with severe mental illness whilst also benefitting the wider community

  1. Local Area Coordination – Derby (and nationwide)

A key service in meeting the Council’s legal duty to prevent, reduce or delay the need for care and support, contributing to the delivery of the Joined-Up Care programme with the NHS and meeting the Health & Well-Being Board’s commitment to engaging and empowering communities across the city.  £800,000 was being saved by the health and social care economy as a result of people’s use of the formal system being delayed or diverted entirely.  The Council and the NHS are receiving a 400% social return on their investment in local area coordination.

  1. Local Sustainability Fund – Evidence Review by NCVO (2017)

The support available to community organisations can frequently be disparate as well as unclear to the organisations themselves and those supporting them. What’s available, where it can be accessed, or what gaps in that support exist is not always obvious.  Key to organisational sustainability is the strength of leadership and governance, quality of impact assessment, and connection to beneficiaries as it is about stabilising and diversifying income.  Other considerations are matching support to the life-stage of an organisation, focusing on supporting the evolution of an organisation’s mission or purpose, developing opportunities for peer to peer support and networking.

  1. Mentors – Devon – http://www.pssru.ac.uk/pub/dp2772.pdf (2008)

Mentors visited people and prompted them to become involved in stimulating creative and social activities. The preliminary evaluation found a significant improvement in older people’s depression scores for 60% of users, with 30% experiencing a high degree of change. The number of users with clinical levels of depression fell from 45% to 35% (Younger-Ross 2008).

  1. The most important charts in health and social care (2018) https://gregfellpublichealth.wordpress.com/2018/01/24/the-most-important-charts-in-healthcare/amp/?__twitter_impression=true

Featuring the financial jaws of doom, increasing life expectancy, life expectancy by deprivation deciles, healthy life expectancy, mental health impacts, law of diminishing returns i.e. after a certain point of investment there is no additional value or outcomes

  1. Museums and volunteering – Manchester (2016) -http://www.artshealthandwellbeing.org.uk/appg-inquiry/Publications/Creative_Health_Inquiry_Report_2017_-_Second_Edition.pdf

HLF project, delivered by Manchester Museum and the Imperial War Museum in Salford (2013–16), looked at the impact on people from deprived communities of volunteering in 10 museums and galleries in Greater Manchester.

  • Among the 231 participants to Inspiring Futures, 75% reported significant improvements in wellbeing after a year and 60% sustained these improvements over two to three years.
  • Several people found their way into education or employment, and a social and economic return of £3.50 was calculated for every £1 invested
  1. The National Evaluation of Partnerships for Older People Projects (POPP), PERSONAL SOCIAL SERVICES RESEARCH UNIT (2009)

The Partnership for Older People Projects (POPP) were funded by the Department of Health to develop services for older people, aimed at promoting their health, well-being and independence and preventing or delaying their need for higher intensity or institutional care.  Projects mostly aimed atreducing social isolation and exclusion or promoting healthy livingamong older people (‘community facing’). The others were focused on avoiding hospital admission or facilitating early discharge from acute or institutional care (‘hospital facing’). Evaluation found that mostly successful in generating savings and successes.

  1. NCVO Cultural Commissioning Programme (finished in December 2017 with final report “Working with Public Service Commissioners”

Innovative partnerships and whole person approaches to reduce the need for costly interventions further down the line. It includes guidance and case studies, covering aspects of physical health, mental health and wellbeing.  Examples in neighbouring areas such as Gloucestershire, as well as from Birmingham.  Final report sets out the whole framework and tools for cultural commissioning through social care and health.

  1. NCVO Getting Involved report (2017)

Annual report showing data, trends and insight re.people getting involved to make a difference.  Relevant trends for NNS include the links between socio-economic status and volunteering, i.e. becomes increasingly more formal as wealth increases.  Also key trends about how, why and where people participate across the active citizenship spectrum.

  1. Participatory Arts Programmes

http://www.artshealthandwellbeing.org.uk/appg-inquiry/Publications/Creative_Health_Inquiry_Report_2017_-_Second_Edition.pdf

This refers to individual and group arts activities intended to improve and maintain health and wellbeing in health and social care settings and community locations. After engaging with the arts 79% of people in deprived communities in London ate more healthily, 77% engaged in more physical activity and 82% enjoyed greater wellbeing.

  1. Partnerships for older people projects – Manchester – http://webarchive.nationalarchives.gov.uk/20080910185040/http:/www.cabinetoffice.gov.uk/~/media/assets/www.cabinetoffice.gov.uk/social_exclusion_task_force/publications_1997_to_2006/making_older_people%20pdf.ashx

For an annual cost of £1.5m, Manchester City Council forecast the following potential benefits:

  • Supporting older people to live at home: Estimated benefit of £3.1 m per year
  • Preventing the need for higher intensity care: Forecast benefit of £1.4 m per year
  • Reducing avoidable, emergency admissions and bed days: Forecast benefit of £11k per year
  • The net present value of benefits minus costs: £25m over 10 years (base case scenario)
  1. “People Helping People”, Nesta (2016)

Evidence and learning from programmes for “social action to support older people to age well”

  1. “Place-based market shaping: Coordinating health and social care”, Institute of Public Care (2016)

Place based activity to develop local approaches to coordinated care and innovation

  1. ‘Powerful Communities, Strong Economies’ = Locality (2018) – http://locality.org.uk/resources/powerful-communities-strong-economies-report/

The ‘Powerful Communities, Strong Economies’ report provides a framework that local authorities can use to commission for economic resilience and community organisations can use to evidence their local economic impact.  Includes guides for Councillors, Commissioners and Community Organisations

  1. Prevention and demand Management in Edinburgh – https:// http://www.edinburgh.gov.uk%2Fdownload%2Fmeetings%2Fid%2F47406%2Fitem_81_-_health_and_social_care_201516_budget_action_plan_-_referral_report_from_the_finance_and_resources_committee&usg=AOvVaw1sUyR88R6-a0qjmxWaoI3w

Home Care Reablement – helping people to regain mobility and self-care skills

1)            The size of care packages were reduced by 40% on average

2)            £6m has been saved over a period of 4 years through the reduction of current demand through Home Care Reablement

3)            The outcomes for service users after reablement: 33% of users no longer require care support and, on average across all users, there is a reduction of 37% in care hours thereafter.

  1. Promoting Asset Based Approaches for Health and Wellbeing (November 2017, Simon Rippon and Jan South)

“Notwithstanding the growing interest and focus of asset based approaches in the public sector, the journey toward a systemic and scaled approach seems complex”.  Report explores how to apply this thinking across four domains, including nhoods, orgs, system.

  1. Promoting Independence and Managing Demand – Hackney

Hackney council launched a major transformation programme based on the principle of promoting independence, reducing the need for council-led interventions, increasing opportunities to promote health and wellbeing, and managing demand for council-funded services.  Of the £20.6m total, redesigned day care services are on track to deliver £300,000 of a £1 million savings target. The new council-run service focuses on meeting high and complex needs only. Coupled to this, a range of community day opportunities are being developed in partnership with local housing and voluntary sector providers to promote independence for other service users

  1. Quick Heart – Swindon

The Quick Heart is a web-based tool to help the public gain access to information and advice about care and community support. The tool is being rolled out through the Citizens Advice Bureau, the council’s one-stop shop and Care Line.  Savings of £950,000 were achieved in 2013/14 by using Quick Heart to divert people away from formal social care to community-based solutions

  1. Reconnections Social Impact Bond: reducing loneliness in Worcestershire

The impact of isolation and loneliness on mortality has been estimated to be equivalent to smoking 15 cigarettes a day1.  The Reconnections Social Impact Bond (SIB) aims to directly reduce loneliness and isolation for 3,000 people over the age of 50 in Worcestershire. Reconnections is the first SIB in England aimed at reducing loneliness and social isolation.  Worcestershire County Council (WCC) with three co-commissioners from Clinical Commissioning Groups commissioned

Reconnections, Nesta is the main funder and Age UK Herefordshire and Worcestershire is the main provider for the SIB

  1. Social Impact Bonds and prevention (including BCC SIB) https://www.theguardian.com/social-care-network/2017/oct/12/council-projects-budget-bonds-third-party-funding

Reconnections – This scheme, commissioned by Worcestershire county council and local NHS clinical commissioning groups, aims to reduce loneliness in the older population. The main provider, charity Age UK, works with voluntary groups to help the clients engage in community activities such as a gardening club or singing group. Payments from the commissioner are linked to self-reported reductions in feelings of loneliness.  Relevant is providing alternative and sustainable future funding for NNS.

  1. Social prescribing and the arts – South West Yorkshire Partnership NHS Foundation Trust (2011)

Set up Creative Minds to promote engagement in creative activities to improve health and wellbeing. At the second of two round tables discussing the Care Act, the Chief Executive of the trust estimated an SROI of £4 for every £1 invested in the arts.

  1. South Staffordshire “The Good Life” – http://southstaffordshire.thegoodlife.uk.net

Citizen orientated platform to help people connect to local community activities, groups, ideas and projects.  Referenced as good practice due to how user friendly the website is.

  1. Strength and balance for better health and wellbeing, Centre for Ageing Better (2017)

Highlights the issue of frailty rather than the issue of getting older, but how strength and balance work can prevent or delay frailty.  Frailty should be seen as the key driver of health and social care issues rather than age

  1. “Stronger Charities for a stronger society”, House of Lords Select Committee on Charities (2017)

Threats, risks and challenges to the charity sector, particularly the viability and sustainability of smaller charities

  1. “Stronger Partnerships for Better Outcomes” Think Local Act Personal (2012)

Principles of coproducing between people accessing social care, those providing it and those commissioning it to achieve better health and social care outcomes

  1. Tackling loneliness and social isolation: the role of commissioners, SCIE (2018) – https://www.scie.org.uk/prevention/connecting/loneliness-social-isolation?utm_campaign=9113840_SCIELIne%202%20February%202018&utm_medium=email&utm_source=SCIE&utm_sfid=0030f00002r2HQhAAM&utm_role=Commissioner&dm_i=4O5,5FCA8,R6J747,L07A3,1

Impact, issues with evidence, what works, principles and ideas for commissioners

  1. Tech For Good – http://www.techforgood.global/

Covering subject matter relating to communities, digital inclusion and capability.  This includes the development of evidence of what works (and doesn’t work) and funding provided in partnership with Nesta.  Relevant to the digital inclusion element of the NNS for older people and community organisations.

  1. The town that’s found a potent cure for illness – community, The Guardian (2018) – https://www.theguardian.com/commentisfree/2018/feb/21/town-cure-illness-community-frome-somerset-isolation

Frome in Somerset has seen a dramatic fall in emergency hospital admissions since it began a collective project to combat isolation.  Set up a directory of agencies and community groups. This let them see where the gaps were, which they then filled with new groups for people with particular conditions. They employed “health connectors” to help people plan their care, and most interestingly trained voluntary “community connectors” to help their patients find the support they needed (Frome – compassionate community http://www.swscn.org.uk/wp/wp-content/uploads/2015/07/Community-development-in-Frome-the-GP-perspective-Dr-Helen-Kingston.pdf)

  1. Transforming Local Infrastructure Programme (which ended in 2014) – https://www.navca.org.uk/resources/64-transforming-local-infrastructure

National programme supported and funding by the Office for Civil Society and Big Lottery Fund to provide partnerships of local infrastructure support for VCSE organisations.  Consider a mixed success with some positives around the provision of small grants to local charities, but some challenges around VCSE organisations working in partnership, as well as longevity and legacy.

  1. “Understanding Local Areas: making best use of existing data” by Social Life (www.social-life.co) (2016)

Being promoted through national platforms such as 360 Giving and DCMS.  The focus is about how data can be used to predict how people feel about their local neighbourhoods, and how this can be analysed, mapped, and used to understand places and to design services and interventions.

  1. “Understanding the whole person” (literature reviews on severe and multiple disadvantage), Revolving Doors Agency and Lankelly Chase (2015)

The importance of social inclusion, social networks and integration

  1. Unltd: Transform Ageing – https://unltd.org.uk/transform-ageing

Transform Ageing aims to revolutionise the approach to health, wellbeing and social care for people in later life, starting in the south-west of England.  Bringing together people in later life, social entrepreneurs and commissioners of health and care services, Transform Ageing will define, develop and deliver new people-centred solutions that better support the needs and aspirations of older people.

  1. “Untapped potential: Bringing the voluntary sector’s strengths to health and social care transformation”, NPC and The Richmond Group of Charities (2016)

Evidence and ideas for how charity sector approaches are essential for achieving outcomes through prevention and intervention

  1. Visual Arts, Mental Health and Wellbeing

https://www.whatworkswellbeing.org/blog/visual-arts-mental-health-and-wellbeing-evidence-review/

An evidence-based review looking at visual art impacts on the wellbeing of adults with mental health issues. Evidence shows that engaging in the visual arts can reduce reported levels of depression and anxiety, increase self-respect, self-worth and self-esteem, and encourage and stimulate re-engagement with the wider, everyday social world.

  1. West London Zone pilot study with Dartington Social Research Unit (2016)

Social asset based pilot in small place focused part of West London.  It is focused on CYP and families but is relevant through the principles around developing collective impact on a cross-sector partnership basis (common agenda; shared measurement; mutually reinforcing activities; continuous communication; backbone support) and approach to asset mapping at a street and nhood level,

  1. What are asset-based approaches to care and support?

https://www.theguardian.com/social-care-network/2017/oct/06/asset-based-approaches-care-support-explainer?CMP=share_btn_tw

Tapping into service users’ skills and experience can be hugely beneficial to them, to their community – and to the care system as a whole

  1. Working in Place: Collaborative funding in practice – Learning from five case studies by Institute for Voluntary Action Research (2017)

2-3 of in depth case studies relate to the work on older people, communities and wellbeing.  Provides advice and guidance for how funders (e.g. BCC) can work together to develop joined up, place based investment and support focused around a particular neighbourhood or Ward.