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Local government and the NHS have important roles in building confident and connected communities as part of efforts to improve health and reduce inequalities. The project ‘Working with communities: empowerment evidence and learning’ was initiated jointly by PHE and NHS England to draw together and disseminate research and learning on community-centred approaches for health and wellbeing. This report presents the work undertaken in phase 1 of the project and provides a guide to the case for change, the concepts, the varieties of approach that have been tried and tested and sources of evidence.
Until relatively late in the 20th century, outdoor spaces around most hospitals were very much part of the healing environment. Gardens, terraces, orchards, meadows and even hospital farms were all commonplace and accessible to patients – particularly in the field of mental health. But, as time passed, the benefits for patients of being able to spend time outdoors in the fresh air have been increasingly overlooked, as the emphasis on creating a sterile environment indoors has developed. This has fostered a view that the healing environment was restricted to the inside of hospital buildings, excluding the gardens and other spaces around them. This Guide focuses on the outdoor spaces around all types of healthcare facilities. It advocates a holistic approach to their design, seeing both indoor and outdoor greenspaces as equally important for health and well-being. In doing so, it re-orientates outdoor spaces firmly within the sphere of patient-centred care – with the ‘Planetree model’ stipulating that healthcare environments should ‘foster a connection to nature and beauty’. So, all outdoor spaces should be part of the healing environment.
This document is presented in a way that it: • Illustrates the journey of the initial Asset Based approach in Wakefield. • Draws together the ‘research’ of the Asset Based data for analysis and review. • Provides illustrative examples to guide future activity for Asset Based and Co- production Approaches - through to potential commissioning. • Draws together the links between Asset Based/Co Production approaches and the development of the JSNA.
The findings from a national summit exploring how organisations can start to positively use the new arrangements for public health and commissioning are now available. Discussions at the colloquium, bringing together leaders in environmental health, NHS, public health, social services, and general practice, focused on the neccessary components of a new co-production model for public health, addressing the questions: • How to exploit the opportunities created by the integration of public health and local government? • How to maximise the new structures, approaches and democratic accountabilities to deliver public health outcomes and a reduction in inequalities?
This document is aimed at commissioners and providers of culture and leisure services in England. It is designed to help them to: - Understand and engage more effectively and collaboratively with each other and the health and wellbeing agenda; - Introduce the structures, frameworks and outcomes relating to public health; - Contribute to health and wellbeing in their locality by engaging with the right partnerships and strategic commissioning processes and; - More convincingly demonstrate the contribution the sector can make. The document is also intended to: - Highlight to public health commissioners how culture and leisure can help to tackle unhealthy lifestyles, address the social determinants of health, offer cost effective approaches, bring creative solutions and engage communities, families and individuals in managing their wellbeing.
This booklet has been designed to support people in taking action to have a healthier and more satisfying life. The “5 ways to wellbeing” have been identified through extensive reviews of research and expert opinion as simple actions that anyone can take that will have a positive impact on surprising in these messages other than knowing that there is substantial evidence to support their value in living well and that small changes can make a big difference. This workbook guides you through the “5 ways to wellbeing” and invites you to consider that they mean for you and what action and changes you would like to make in your own life.
The widespread interest in and concern for mental and emotional wellbeing in the population poses some key questions. Beyond ensuring the availability of effective mental health care and treatment how could mental health be promoted? If the emphasis is to be on promoting wellbeing rather than treating illness or merely “coping” or “getting by” what could be said with confidence? Is there a comparable message to the “5 a day” (fruit and vegetables) for physical health which seemed to have successfully engaged with public awareness? What could people be encouraged and advised to do in order to enhance their own wellbeing that was practical, available and free?
Every place will have a different set of geographical, social, economic and demographic set of circumstances which means that a local approach is needed to support communities to thrive, be more sustainable, resilient and healthy in changing times and climates. NHS, public health and social care organisations play an important role in local communities, as employers, and as core public service providers. They are an integral part of communities and can help support community groups, local agencies and local people to further build a sense of place and identity so people want to live, work and invest there. These elements create the conditions for improved health and wellbeing. This area is divided into two parts that focus on: Developing local frameworks Building resilience to climate change and adverse events
Health and wellbeing boards are an important feature of the reforms introduced by the Health and Social Care Act 2012. All upper-tier local authorities set up shadow boards in April 2012, which became fully operational on 1 April 2013. The boards are intended to bring together bodies from the NHS, public health and local government, including Healthwatch as the patient's voice, jointly to plan how best to meet local health and care needs, and to commission services accordingly. In our previous report on health and wellbeing boards, published shortly after the shadow boards were established, we concluded that the single biggest test would be whether they could offer strong, credible and shared leadership across local organisational boundaries. One year on, expectations of what the boards should deliver have never been higher. This report examines how the boards have used their shadow year, what they have achieved, and whether they are providing effective leadership across local systems of care.
The story of Zoe and Hasan aims to highlight the potential of Health and Wellbeing boards. Showing some of the many different factors which influence our health and wellbeing, it also talks of the different external interventions and personal resilience that can help to boost it. Their story is based on interviews with families across the country and Health and Wellbeing Board members. Zoe and Hasan’s story has been commissioned by the Local Government Association (LGA) to help explain the role and potential impact of the new Health and Wellbeing boards. Health and Wellbeing boards are being established across the country under the Health and Social Care Act 2012. They are a new type of forum, bringing together key leaders within local areas to focus on improving the health and wellbeing of their residents.