Promoting Community Cohesion through Health and wellbeing scrutiny

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					   Promoting Community Cohesion
through Health and wellbeing scrutiny
      CFPS Healthy Accountability Forum
                13 July 2009
             Andrew Lawrence
                   Summary
What is community cohesion and why is it an important
   issue for people in the Health service?

“Better Together” guide

Is the NHS making an effective contribution to Community
     Cohesion?

How can Scrutiny raise the bar?

Ten challenging questions
           “Better Together”
• A guide for people in the Health service on how they
  can help to build more cohesive communities.
• Published report, web-based guide, journal articles,
  training workshops,
• Defines Community Cohesion,
• Explains why it’s important to people in Health service,
• Identifies ten key activities and asks ten challenging
  questions about how NHS can influence cohesion,
• Identifies key issues and recommends actions that can
  be taken by NHS bodies to have maximum impact.
             What is Community
                Cohesion?
“Community cohesion is what must happen in all communities to enable
   different groups of people to get on well together. A key contributor to
   community cohesion is integration which is what must happen to enable
   new residents and existing residents to adjust to one another.
• Three foundations:
• People from different backgrounds having similar life opportunities
• People knowing their rights and responsibilities
• People trusting one another and trusting local institutions to act fairly
• Three ways of living together:
• A shared future vision and sense of belonging
• A focus on what new and existing communities have in common,
   alongside a recognition of the value of diversity
• Strong and positive relationships between people from different
   backgrounds.”
• Source: The Government’s Response to the Commission on
   Integration and Cohesion”, DCLG, Feb 2008.
 Why should people working in
    Health be interested?
• Community Cohesion affects people’s health and health
  affects cohesion.
• It is part of our stock of social capital. In cohesive
  communities people look out for each other and reduce
  costs of dependency and institutional care.
• NHS is a sleeping giant. Could do much more.
• Partnerships need the benefit of Health experience,
  particularly in Equality and Diversity and in sharing
  intelligence
• It helps NHS comply with several legal duties.
• It helps them to achieve other NHS priorities.
       What barriers need to be
             overcome?
• Terminology – It’s more than Equalities and Diversity.
• It’s not just about race and faith. Need to address all
  aspects of perceived difference.
• Need to arouse the sleeping giant.
• Not enough is known about how communities are
  changing
• Community engagement needs to include finding out
  how different communities feel about each other and
  how that impacts on health.
• Challenge the practice of single group funding.
• Making patient choice fairer for all communities.
       Ten challenging questions
Developed in discussions with a group in the North West region.

1.    Leadership and partnership,
2.    Promoting positive relations between people from different
      backgrounds
3.    Celebrating all aspects of equality and diversity
4.    Engaging with everyone in our communities
5.    Making services accessible to all
6.    Involving service providers
7.    Publicity and myth busting
8.    Using and sharing the best information
9.    Investing in workforce skills
10.   Promoting NHS jobs to all
     What does good practice look
                like?
1.    Programmes to challenge perceptions about difference and to
      bust myths (not just race and faith but also disability, age, etc.)
2.    Promoting interaction between people who have differences
      through: volunteering, challenging single group funding,
      changing the format of community engagement, changing the
      way public spaces are managed, inter-generational projects,
      integrating disabled people.
3.    Taking a much higher profile in Local Strategic Partnerships.
4.     Working with partners on improved information strategies to
      understand better how communities are changing.
5.    Designing the commissioning process so that it includes the
      needs of all communities and ensures that service providers
      deliver services in inclusive and integrated ways.
6.    Promoting interaction within the workforce and promoting NHS
      jobs to under-represented communities.