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University of Huddersfield Repository Brooks, Joanna, Bravington, Alison, Rodriguez, Alison, King, Nigel and Percy-Smith, Barry Public Health Participatory Research Project using an Assets Approach: Final report to funder Original Citation Brooks, Joanna, Bravington, Alison, Rodriguez, Alison, King, Nigel and Percy-Smith, Barry (2015) Public Health Participatory Research Project using an Assets Approach: Final report to funder. Project Report. University of Huddersfield. (Unpublished) This version is available at http://eprints.hud.ac.uk/24816/ The University Repository is a digital collection of the research output of the University, available on Open Access. Copyright and Moral Rights for the items on this site are retained by the individual author and/or other copyright owners. Users may access full items free of charge; copies of full text items generally can be reproduced, displayed or performed and given to third parties in any format or medium for personal research or study, educational or not-for-profit purposes without prior permission or charge, provided: • The authors, title and full bibliographic details is credited in any copy; • A hyperlink and/or URL is included for the original metadata page; and • The content is not changed in any way. For more information, including our policy and submission procedure, please contact the Repository Team at: [email protected]. http://eprints.hud.ac.uk/ Hull Public Health Qualitative Research Project Final Report to Hull City Council Public Health Team, March 2015 Dr Joanna Brooks, Ms Alison Bravington, Dr Alison Rodriguez, Professor Nigel King, Professor Barry Percy-Smith ACKNOWLEDGEMENTS The work described in this report was commissioned by Hull City Council‟s Public Health team. We would like to thank the HCC project steering group for their help and support through the course of this work. We are especially grateful to the community groups and external stakeholders who participated in the research for their time, their contributions and their generosity. 1 EXECUTIVE SUMMARY This report presents the findings of a study carried out between September 2014 and February 2015 in Kingston upon Hull. The central focus of the research was to use qualitative research methods from an assets approach perspective to explore the assets existing in the different communities of Kingston upon Hull, and to reflect on how these assets can be utilised to promote public health in the city. We undertook focus groups with diverse community groups across the city and individual case study interviews with members of these groups. We additionally held two key stakeholder events with professionals and community members to inform the development of the research. Specific objectives were: To briefly explore, within local community groups, beliefs and attitudes to health and risks, barriers to changing behaviours, and ways to start changing attitudes and overcoming these barriers; To explore in greater detail, using an asset-based approach, what assets exist in different communities throughout the city, and how these assets can be utilised to improve health and wellbeing; To explore the following issues related to the asset-based approach: the health promoting environment; people‟s life-course and stories, including their mental health and their views on what constitutes „wellbeing‟; resilience; integration; and social isolation. 2 INTRODUCTION Kingston upon Hull contains some of the most socially disadvantaged communities in England, with much of the population suffering from poorer health than in many other parts of the country. The Hull 2020 vision, launched in August 2014, brings together nine public service organisations (including the city council) with the aims of (i) bringing all public services together to work as single system by 2020 and (ii) empowering local people to take control of their own health and wellbeing. Effective community engagement is essential if local government is to achieve public health goals (NICE, 2014). However, a recent Public Health England report (2015) notes that although there is now widespread acceptance of the need to enable individuals and communities to take more control over their health and lives, „the invaluable contributions and experiences of citizens actively involved in their own communities are rarely considered as part of the evidence base‟ (page 7). There has been a recent shift in UK public health policy towards an „asset approach‟, balancing the evidence base on health deficits (identifying problems and needs) with an equal focus on health assets (resources for creating health and wellbeing). An asset approach seeks to identify and mobilise the capacity, skills, knowledge, connections and potential in individuals, communities and organisations to create positive health and cultivate resilience. The aim of this qualitative research was to engage members of diverse community groups across Hull and professional stakeholders in a process of reflective inquiry to identify the assets available in Hull‟s different communities, exploring beliefs and attitudes about good health and what might make a difference, as well as possibilities for change building on the various assets that exist within the community. 3 METHOD Study design The study design comprised four phases: Phase 1: Stakeholder workshop A half day workshop event was held to explore national and local challenges in responding to different public health needs from the perspective of key professional stakeholders and local community groups. Activities undertaken by delegates included reflective group discussion, photo-elicitation and interactive question and answer sessions. Outcomes from this workshop were used to inform the focus for qualitative inquiry in the subsequent phases (2 and 3) of the research. Phase 2: Focus groups Focus groups were held with members of 12 diverse community initiatives across the city, focusing on how the activities and processes involved in community group participation facilitated the health and wellbeing of community members. Phase 3: Individual case study interviews Case study interviews were held with 13 community members recruited from phase 2. The interviews explored experiences and perceptions relevant to the participants‟ community assets, health and wellbeing, reflecting with the participant on their connections with individuals and communities, as well as considering what might support them to use assets in their community. Phase 4: Research dissemination event A half day research dissemination event was held to reflect on emerging research findings with research participants and professional stakeholders. Delegates participated in an interactive question and answer session and reflective discussion on issues raised. 4 Research Participants Table (i) shows details of the community groups who took part in the research and provides a brief description of each group. Focus groups were carried out with each community group and thirteen individuals were purposively recruited after the focus group sessions to take part in the case study interviews. Table (i): Community groups participating Community groups Brief description of group and activities Hull and District Diabetes Support A volunteer group seeking to raise awareness of and Group disseminate information about diabetes and its associated health problems in Hull and surrounding areas. Looking Good Feeling Good in Volunteer group running a local weekly exercise class North Hull with participants primarily in the 60 plus age category. Volunteer Doula Service and Volunteer doulas act as birth partners supporting Breastfeeding Peer Support women identified as vulnerable through pregnancy, Project childbirth and the first six weeks post-natally. Breastfeeding Peer Support workers support local women to initiate and sustain breastfeeding. The service developed as part of the activities of the Goodwin Development Trust (a local social enterprise). Hull All Nations Alliance (HANA): An umbrella organisation made up of fifty diverse Eastern European Group community groups and associations to support black, minority, ethnic and migrant (BME) communities in Hull, the East Riding of Yorkshire and North/North East Lincolnshire. The Eastern European Group took part in this research. The Haven Project Offers practical and psychological support to refugee and asylum-seeking families, focusing specifically on advocacy, health and parenting issues, and is part of the portfolio of community groups managed by the Goodwin Development Trust. Green Prosperity A sustainable living initiative delivered by a number of local charities and social enterprises. The focus group for this study was held with staff and volunteers from the food growing initiative, Grow It, Eat It, Love It. The Social Prescribing Project Social Prescribing offers one-to-one appointments with trained volunteers for people who come to medical services with social, emotional and/or practical needs, and whose health and wellbeing would benefit from non-clinical services. We interviewed volunteers and staff at the end of a six month pilot scheme. Local Works A not-for-profit social enterprise providing alternative education for young people aged 11 to 16 who struggle in mainstream education. 5 Hull Tenants‟ Forum The Forum gives people living in the city an opportunity to work with council services to discuss issues affecting local housing, and to create change and improvement in residential areas. Bransholme Buddies Provide a mobile youth club for the
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