Sheffield City Council

FORM 2a

SHEFFIELD CITY COUNCIL

Officer Non-Key Decision Report

Report of: Joe Fowler ______

Report to: Laraine Manley ______

Date: 23/11/2015 ______

Subject: Burngreave Community Health Check ______

Author of Report: Lyn Brandon 0114 2930516 ______

Summary: This project is short term and therefore aims to contribute to the design, delivery and evaluation of CWP intervention activities, widening the building of social capital and demonstrating the value of addressing the barriers to CWP engagement of some community residents in Burngreave. The project will introduce the development of ‘My Plan’, a personalised approach to creating the foundation toward a healthier lifestyle and / or quality of life for people experiencing health problems toward improved health and wellbeing outcomes.

Access to services is a key strategy for this project in which key partnership and networking with other service providers will widen access to include residents and community groups that report concern for health and wellbeing with no support services. The aim is to contribute to the CWP strategy to build social capital by facilitating activities that inform, educate and encourage flow of new ideas, intelligence from residents on what is needed and what works.

This is a proposed one-off grant for 2015-16 only and will produce a report based on views and needs of local residents and community organisations to influence future developments. ______

Reasons for Recommendations: There is a need to build and support community resilience in all neighbourhoods in Sheffield, particularly in poorer neighbourhoods when public sector services are reducing and families are more likely to be affected by changes in benefits and reduced level of support services. Future funding opportunities and successful local community development are likely to be dependent on a local network or infrastructure that brings appropriate organisations together and are engaged with local people.

The allocation of this funding will contribute to the Council’s Corporate Plan strategic priorities of Thriving neighbourhoods and communities and Tackling inequalities. This will mean raising the pride of people in Arbourthorne of their local neighbourhoods and where the community support each other and people getting on well together. ______

Form 2 – Executive Report January 2014 Recommendations: The Executive Director of Communities is asked to approve a one-off grant of £20,000 from the Public Health grant 2014/15 underspend to Creative Pathways carry out the Community Healthcheck to contribute to the CWP strategy to build social capital be facilitating activities that inform, educate and encourage flow of new ideas, intelligence from residents on what is needed and what works. ______

Background Papers: None

Category of Report: OPEN

Statutory and Council Policy Checklist

Financial Implications YES Cleare d by: Liz Gough Legal Implications YES Cleared by: Equality of Opportunity Implications YES Cleared by: Simon Green Tackling Health Inequalities Implications YES Cleared by: Chris Nield

Human Rights Implications

NO Cleared by:

Environmental and Sustainability implications

NO Cleared by:

Economic Impact

NO Cleared by:

Community Safety Implications

NO Cleared by:

Human Resources Implications

NO Cleared by:

Property Implications

NO Cleared by:

Area(s) Affected

Burngreave Rele vant Cabinet Portfolio Lead

Cabinet Member for Public Health and Equalities Relevant Scrutiny Committee

Is the item a matter which is reserved for approval by the City Council?

NO Press Release NO

REPORT TO THE Executive Director of Communities

Community Health Check Project ( Burngreave)

1.0 SUMMARY

1.1 This project is short term and therefore aims to contribute to the design, delivery and evaluation of CWP intervention activities, widening the building of social capital and demonstrating the value of addressing the barriers to CWP engagement of some community residents in Burngreave. The project will introduce the development of ‘My Plan’, a personalised approach to creating the foundation toward a healthier lifestyle and / or quality of life for people experiencing health problems toward improved health and wellbeing outcomes.

This is a proposed one-off grant for 2015-16 only and will produce a report based on views and needs of local residents and community organisations to influence future developments.

1.2 It shou ld be noted that the Public Health Grant for 2016 -17 is expected to be reduced and therefore funding of the Community Wellbeing programme may also be subject to a reduction.

2. 0 What does this mean for Sheffield People

2.1 The allocation of this fu nding will contribute to the Council’s Strategic Priority of Thriving neighbourhoods and communities and Tackling inequalities. The funded project will develop community engagement in the Burngreave neighbourhood, engage widely with local residents, including people not currently accessing services or involved with local groups, enable stronger partnership working between all services and agencies and develop an action plan for the future.

3.0 OUTCOME AND SUSTAINABILITY

3.1 This investment will deve lop an appropriate infrastructure for community, voluntary and faith organisations working in Burngreave which will result in greater cooperation, impact and use of resources. The current proposed reduction in the Public Health Grant to Sheffield City Council may affect the funding for the Community Wellbeing Programme.

3.2 Having a more coordinated approach and increasing involvement of local people will provide the opportunity to have great influence on provision of local services

4.0 MAIN BODY OF THE REPORT 4.1 Background

4.2 Burngreave is one of the poorest Sheffield neighbourhoods with 49% of residents from diverse ethnic backgrounds. The “Community Healthcheck Project” is a community consultation response to the low level of activities, education and information services available to isolated and socially excluded residents in the ward of Burngreave, where many residents do not engage in Sheffield’s Community Wellbeing Programmes. Therefore constituting some of the city’s residents that experience significant and endemic health inequalities including sections of residents that are predisposed to vulnerability to preventable ill health, chronic long term conditions that require support to maintain a better quality of life, including lack of access to health and wellbeing empowerment activities that can change their life chances and / or build resilience to mitigate poor health outcomes and build the confidence required toward inclusion in employability preparation for families and communities with these neighbourhoods.

4.3 The outcomes of the consultation document: Keeping People Well in their Local community acknowledges the good work and expertise in local communities and the essential contributions of the VCF sectors in designing the right services. In describing the scope of service community preventative services there are four essential elements required to ensure that the “Support Service Marketplace” reaches those defined as vulnerable to health inequalities: 1. “Local risk stratification” that identifies and stratifies people at risk of declining health and wellbeing. 2. “community asset development”: facilitating and stimulating preventative and enabling activities 3. Care co-ordination: for people without support networks and / or capability to do this for themselves sighting a major gap of the frail and elderly. But in reality this covers a significant section of the community that are disengaged with CWP, a gap in service that is directly attributed to endemic health inequalities and high index of deprivation. 4. Care planning: informal plans created for people at risk and the identified “My Plan that is personalised to individuals.

These documented strategies for vulnerable communities require intervention that utilises the established assets, builds additional and complementary first stage interventions that motivate and build aspiration to self-help and community social capital development. Recognition of the excellent infrastructure and service provision should also include building the hubs for inclusion in the CWP of those requiring engagement, information, health awareness education and encouragement / support to make initial steps toward creating a My Plan and community inclusive health and wellbeing activities.

4.4 This proposal is based on work that has been influenced by the inclusion or contributions in city strategic forums and community networks where health data, using outcomes of consultation on the key barriers to health and wellbeing for disadvantaged communities by the Fairness Commission, the Sheffield BME Network’s: (Health consultation 2014, and Voice for Change Consultation Event, Burngreave, Vestry Hall 2015), Healthwatch: (consultation and information networks) and the Equalities Hubs Networks: (partnerships, consultation, strategic planning, voice and influence on health inequalities), have identified strategies required to tackle the underlying causes of health inequalities. The outcomes of consultation with communities on health provision, primary care and identified high incidences of chronic illness and the lack of health interventions have been the source of planning toward developing a

complementary strand of the CWP programme aiming to make demonstrable impact on barriers to health inequality and the ways in which we can tackle the underlying causes.

4.5 Wider factors include contributing to the development of self -help health and wellbeing groups over the past 10 years in which the development of “social capital” through community volunteering has made positive impact on the social, psycho-social, lifestyle and physiological conditions of people across age ranges, vulnerable to and experiencing the effects of health inequalities. These types of community assets that are rooted within communities have influenced the decision to disseminate this model of successful community participatory practice to other disengaged groups.

4.6 Healthwatch consultation identified 4 areas of concern by respondents to surveys on health inequalities: • Support for carers in the community (of vulnerable people receiving no support); • Access to services, 91.7% report no improvement, including not enough staff, money, time, services or facilities; • Waiting times for services and early help, 91.7% report no improvement; • Lack of communication between services.

4.7 Recommendations on community action by the Voice for Change consultation was based upon the need to work to influence the strategies of commissioners of services on behalf of community interest groups that are identified as disengaged, vulnerable and lacking information and appropriately designed service interventions and the need for work to support community self-help initiatives to tackle endemic health inequalities and lack of access to services.

4.8 From the information on the profiles, consultation and city strategic plans the focus for 2015/2016 would be: Tackling the underlying causes of health inequalities –

• Improving access to services for the BME communities in Burngreave to include other groups identified as vulnerable to poor health and wellbeing outcomes;

• Reducing inappropriate use of A&E and creating awareness of using the appropriate services including available health checks;

• Improving local people’s diet & physical activity;

• Raising awareness on long term health conditions, such as Diabetes /Chronic Diseases;

• Improving the mental and physical health of local people: (5 ways to wellbeing).

4.9 This project is short term and therefore aims to contribute to the design, de livery and evaluation of CWP intervention activities, widening the building of social capital and demonstrating the value of addressing the barriers to CWP engagement of some community residents in Burngreave. The outcomes it aims to achieve are of distance travelled that are intermediate for residents that are disengaged and require support through awareness raising, personal and community based awareness of the value and

benefits of social connections, engagement with outreach workers, community based services and assets within the community. The project will also introduce the development of My Plan, a personalised approach to creating the foundation toward a healthier lifestyle and / or quality of life for people experiencing health problems toward improved health and wellbeing outcomes.

4.10 Access to services is a key strategy for this project in which key partnership and networking with other service providers will widen access to include residents and community groups that report concern for health and wellbeing with no support services. Our aim is to contribute to the CWP strategy to build social capital by facilitating activities that inform, educate and encourage flow of new ideas, intelligence from residents on what is needed and what works

4.11 The Creative Pathways Proposal

Outcomes for this project will be based upon the “Think Local Act Personal” model for measuring the impact of health and wellbeing interventions and building of social capital where evaluation of outcomes include distance travelled, intermediate outcomes using numbers of targeted engagement to identify: 1. Engagement with the project, information / education provided and activities / taster activities undertaken; 2. Engagement with social groups, interest / development of volunteering / health championing, training undertaken; 3. What changes have people made in their lives, what plans are being made for the future, what resources / support do they need 4. Developing MyPlans as personal health wellbeing and life changing plans for the future 5. How many people or groups now use community based assets, health and wellbeing projects from referrals and initial delivery interventions; 6. What has changed for people who have undertaken direct one to one support to address barriers to CWP activities and advice / referrals access to services and support. These outcomes will inform the communities of the impact of this type of engagement and will give them the impetus to take the next steps and contribute to the confidence required to build the skills and knowledge toward health champion activities. Partnerships and networks will also be asked if interventions and supported referrals have provided capacity development for the CWP initiative and asked how we can improve the service offer and community health resilience strategies.

4.12 Financial Implications

The £20,000 one off grant is to be funded from the Public Health Grant under -spend 2014/15 for delivery on 2015-16 only.

4.13 Legal Implications

The legal power for the Council to establish, administer and make awards from the various grant funds as described in this report is provided by the general power of

competence contained in Section 1 of the Localism Act 2011. Subject to certain statutory restrictions, none of which apply in this case, Section 1 gives the Council “power to do anything that individuals generally may do”.

4.14 Equality Information

This will increase connective ness between local people and local services. There will be an emphasis on ensuring people who are not currently involved in local community activities. 49% of Burngreave residents are from diverse ethnic heritage and they will be targeted in this consultation.

5.0 ALTERNATIVE OPTIONS CONSIDERED

5.1 Commission a local consortia of VCF groups Burngreave - there would still need to be development work to establish a consortia and resource implications and focus would be on organisations rather than local community engagement and asset development. The development of a local consortia may be one of the outcomes from this project for future funding opportunities

5.2 Award contract to SOAR who are commissioned to deliver the Burngreave CWP. This could be perceived as continuing with the current pattern of delivery, and would lower expectations and engagement from local people and local groups.

5.3 Do not fund the activity. The Burngreave Neighbourhood and local residents would become more marginalised. Residents would feel isolated and service delivery will become less effective resulting in increased demand on decreasing resources.

6.0 Reasons For Recommendations

6.1 To retain ownership of the process by an organisation who can carry out a wide community engagement and consultation in Burngreave and who can deliver with immediate effect.

7.0 Reasons For Exemption

N/A

8.0 Recommendation

8.1 The Executive Director of Communities is asked to approve a one -off grant of £20,000 from the 2014/15 underspend to Creative Pathways to carry out the Community Health Check consultation .

Author Lyn Brandon Job Title Health Improvement Principal Date 23 November 2015