What is the CLAHRC NWC Resilience Program?

Local authorities (LA) have always played a significant role in addressing the wider ‘social determinants of health’ such as housing, financial security and the living environment.

But since 2013 they have also had a much greater responsibility for promoting population health and well-being and reducing health inequalities.

The CLAHRC NWC public health programme provides a valuable opportunity for some joined-up thinking and action between 8 LAs, their residents and local NHS organisations to help people maintain and improve their health in the face of hardship.

Such approaches are often described as aiming to enhance systems resilience.

The goal of the resilience programme is to understand how well these activities work locally and how they interact to influence the health of residents.

Can you explain it again? What is resilience?

Resilience is the personal and collective capacity of the people who live and work in an   area to respond to, and influence, the social, economic and environmental changes that impact on their health and wellbeing. Our early investigations suggest that actions to promote resilience fall into four main areas: living environment, economic systems, social relationships and community governance. 

What might actions to promote resilience look like?

Examples of local activities that may enhance resilience are:

Living environment

 

More and better quality green space and making better use of it

‘Healthy Homes-style’ initiatives

Reducing fuel poverty

 Providing more new affordable housing

 Licensing private landlords

Collectively buying gas and electricity

 

Economic

 

Welfare benefits and debt advice

Action against loan sharks

Credit Unions

Fewer gambling outlets in poor areas

Living wage policies

Purchasing policies that create local jobs

Support for small businesses in poor areas

Social Relationships

 

Community clubs and associations

Community arts projects Befriending schemes

Reducing social isolation

 

Governance

 

Neighbourhood partnerships or boards

Councillor led ward solution meetings Participatory budgeting

Housing associations owned by tenants

Other public mutual bodies

 

What does the resilience programme consist of?

The resilience programme is not a funding scheme or a new intervention. It plans to adapt an existing resilience related activity in the Neighborhood for Learning (‘Neighborhood for Learning’) on basis of the:

- community profile;

- scientific evidence;

- community’s experience.

Then, it will evaluate the activity to find out whether it really did enhance systems resilience within the neighborhood (see samples above, add hyperlink)

Can you outline key steps in the development of the programme?

Phase 1:

– CLAHRC and each of LA involved completed review of Local Authority ‘resilience’ policies across UK.

– Identified 10 neighborhoods for learning across NW coast and mapped resilience related activities in these neighborhoods.

 

Phase 2:

– CLAHRC, each LA together with residents and local COREN agency, co-develop and implement resilience initiatives in the ‘neighborhood for learning’.

– Establish and meet local oversight groups (LOG) to identify, plan and make decisions about the resilience initiative.

– LOG to  prioritise focus of local work and decide on actions to be refined and implemented

– Implement initiative in NsfL starting with 1st batch in January 2016 and 2nd in August 2016

– Evidence reviews, household survey data and mapping of resilience related activities in NsfL to inform the development of resilience initiatives e.g.

– Engaging NsfL residents in development and evaluation of the resilience initiatives through Community Research and Engagement Network (CoReN) – just beginning.

 

Phase 3:

– Plan and implement the evaluation –start in early summer 2016

– Share learning across the CLAHRC partners – continuous

·  How were Neighbourhoods for Learning Selected?

CLAHRC’s Local Authority partners identified ten Neighborhoods for Learning (‘Neighborhood for Learning’ or NfL ) as areas with relatively poor health. For each ‘Neighbourhood for Learning’ a comparison area has also been chosen.

·  When is it?

The resilience programme runs from 2016-2018