Category Archives: Communities

National network calls for more ‘asset-based areas’ to transform communities and services

You can focus on what’s wrong with someone in terms of their health and social care but what if you focus on what’s ‘right’? A national network of community practitioners calls for all public sector professionals and commissioners to work with people’s ‘assets’ rather than their ‘deficits’ if they are to build strong communities and sustainable public services, according to a briefing published today.

The briefing gives a compelling case for why asset-based approaches should be the basis of all local area planning and service delivery and follows on from the launch of Engaging and Empowering communities in 2016, which gained support from national leaders, including NHS England CE Simon Stevens.

The Asset–Based Area briefing was compiled by Alex Fox, CE Shared Lives Plus and Chair of the Building Community Capacity network, hosted by Think Local Act Personal (TLAP), which is leading the way.

In it, Fox and the network offer practical guidance with a description of the ten features of an ‘asset-based area’ that nurtures people’s wellbeing, resilience and influence so that they become equal partners, not passive recipients to the organisations and people who respond to their needs. They also suggest a number of planning and support models that use asset-based thinking and have been operating for years in different areas and with differing degrees of take up and success -models ranging from Homeshare schemes, dementia friendly communities, Time-banking and others.

Alex Fox OBE, Chief Executive of Shared Lives Plus, said:

“During this period where there’s huge pressure on money available to local areas it is more important than ever that every area can find value and build the full range of resources and assets that could be available to it. This would require leaders and decision makers to see their role as working with, not for, people. Working in co-production with people with health and care needs is at the heart of all asset-based methods”.

Clenton Farquharson MBE, Chair of Think Local Act Personal board, said:

“I have nearly 15 years’ experience of arranging my own support and employ a Personal Assistant who enables me to live a full and active life including spending time with family and running a Disabled People’s User Led organisation called Community Navigator Service CIC, besides other interests and ambitions. I don’t want to be part of the lucky few, I want more people to be supported and facilitated to live the type of life I enjoy”

Angela Boyle, Head of Programmes, Coalition for Collaborative Care, said:

“There is clear evidence that building asset-based areas works. By bringing together people and organisations we can nurture stronger, healthier communities. This paper supports community leaders with practical tools and models to effectively utilise the powerful assets that already exist in their communities for improved health and wellbeing”

-End-

Timebanking, Good Gym and Social Prescribing

From social isolation to valued sports coach in one move…

I have recently signed up to Reading’s ‘Ready Friends’ befriending network on behalf of the timebank that I set up and continue to chair. NHS England allows staff to spend a week, fully paid, volunteering in their community or on other charitable projects, so I took advantage this by spending half a day at a workshop with about 10 different community organisations, all committed to combatting loneliness and social isolation in our town.

The groups at the meeting spanned from traditional-type befriending services, like those run by Age UK, to community transport schemes and one small group of neighbours who provide a home cooked meal for someone else in their street by just cooking a little more than they would normally.

Our timebank is providing social opportunities and links between people who share interests or who need help, and we have lots of success stories – someone who got a longed for job as a result of the skills and experience that running the timebank gave them, a person whose path to alcohol recovery has been helped by meeting people outside their usual circle, and one older person who used to go away every Christmas because it was too painful to be alone stayed in Reading last year, to meet up with friends made through the timebank.

There are examples like this from timebanks across the UK – where fantastic outcomes that improve people’s lives are the result of people and communities helping each other and not about the services they receive.

Another organisation at the meeting sparked some interest – Good Gym is doing fantastic work, particularly in the London area, but now expanding its reach. It encourages people to take up running and help their community at the same time.

Participants have three choices – join a group that runs somewhere to do a community-based activity like a gardening project; run to do a job to help someone, usually an older person, like putting a shelf up, then run back again; or be paired with an older person, with the aim of running to their house at a given time in the week. The twist is the older person is designated as the runner’s ‘coach’, providing a real reason to turn out on a dark and cold night.

I have pledged to sign up when Good Gym comes to Reading, as goodness knows I need the extra motivation to drag myself out to exercise on a wet Wednesday.

And lastly, we heard how the social prescribing project being run by Reading Voluntary Action has really demonstrated the power of person-centred conversations. Coupled with signposting to other support and helping people get connected to people and groups in their local community it has delivered improvements in all aspects of wellbeing for those involved.

The key to all this continuing to happen is of course the statutory sector recognising the huge contribution that community groups make to health, even though some of the schemes in the network do not look like traditional ‘services’ and have grown from the bottom up rather than as the result of a commissioning process. We are hoping that by working together we can build a network of supports across the town so that people are less likely to fall through the net. And my vision is also that those ‘befriended’ start to be seen for what they can do for their community, not what their community can do for them.

Who decides what health means?

Claire Tomkinson, Trustee at Timebanking UK and Wellbeing Development Lead at Macc writes for C4CC about her reflections on the differing views on what makes us healthy and keeps us well.

I was recently running an activity at a large event in South Manchester to celebrate the launch of the hospital trusts Community Service Directorate. There was a huge variety of stalls ranging from health advice to support from local housing providers and myself and a colleague were asking local people a very simple question. What makes us healthy and what keeps us well?

The answers overwhelmingly included the following: having a role to play, having a purpose, not feeling useless, having days out, seeing friends and family, being connected to local people, volunteering, gardening in the front garden so I can talk to neighbours and stroke their dogs, going to different groups and activities and spending time with the grandkids.

We then covered the responses and asked clinicians how they thought people had responded. Their answers included: losing weight, smoking less, reducing alcohol intake, eating more fruit and veg and getting more exercise.

My concern is that in communities we have two completely different views on what being healthy and keeping well means and these tend to conflict with each other rather than complement each other- but how often do we ask people that we work with what is important to them, what matters to them and how this impacts upon their health and wellbeing?

We know that 30 per cent of health is determined by clinical factors while 70 per cent is affected by social determinants yet in health we spend the majority of time responding to health needs and fixing people’s lists of medical conditions without thinking about the protective nature of being an active, valued and connected member of the community. Defining people by their skills, strengths and capabilities and building upon what already exists in communities will have a massive impact on peoples resilience and ability to cope whilst preventing needs arising and enabling people to support themselves and each other within their community. A great starting point is to ask- what can you do for yourselves and each other to have an impact on health and wellbeing in your community, what can you do with support from the voluntary, community and social enterprise sector and what is left for public health to do?

Chapter Two of the Five Year Forward View talks about new ways of working with people and communities and Nesta are doing great work as part of Realising the Value, but something that I’m asked over and over again is “how do we do it?” How do we adopt a community asset based approach and how do we see people as more than a list of medical conditions to be fixed? One highly effective approach is Timebanking. It is simple and it works.

Timebanking only defines people by their strengths, capabilities, aspirations and what they can do for others. It’s based on mutual support, trust, respect and reciprocity. Everyone’s time and skills and valued equally and is a great equaliser as we all have the same amount of time each day. A common misconception about Timebanking is that it is all about volunteering, incentivising volunteering or rewarding volunteers. It isn’t. Timebanking isn’t about connecting volunteers to services and claiming something in return. Timebanking is about connecting people to people and making the most of things that happen in communities everyday yet go unseen and undervalued.

It’s about an older lady depressed that she’s struggling to maintain her garden but used to work in a dress shop and can make curtains and repair clothes as an equal exchange of time. She meets people, uses her skills, feels valued and doesn’t go to her GP as much.

It’s about a lady that had to give up her job as a nurse because of ill health and struggles to get to her many hospital appointments having a lift from local person in exchange for baking cakes for community events and knitting cardigans for babies.

It’s about a man who recently lost his wife, can’t cook a meal and was incredibly isolated attending a cookery class delivered by another Timebank member in exchange for doing small jobs and DIY for someone else.
As a result we see a huge impact upon the issues raised again and again by our health colleagues- people were less isolated, less lonely, more confident, more motivated and better able to cope just by self-organising around their assets and what they had.

It’s time that we started seeing people in communities as part of the solution instead of constantly being defined as the problem. It’s time to be a good listener instead of a good teller. It’s time to stop deciding what people’s needs are without ever asking what their strengths are and it’s time to celebrate and recognise what already exists within communities and see what happens when you connect people around their assets.

Claire Tomkinson is Wellbeing Development Lead at Macc, the voluntary, community and social enterprise sector support organisation for Manchester and is Vice-Chair of the Board of Trustees at Timebanking UK.