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NICE Guidelines on Community Engagement. Professor Chris Drinkwater NICE Community Engagement PDG. What are the challenges? What works? What should government and local statutory agencies do? Why should we bother?. Framework of NICE Guidance.

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nice guidelines on community engagement

NICE Guidelines on Community Engagement

Professor Chris Drinkwater

NICE Community Engagement PDG

slide2

What are the challenges?

  • What works?
  • What should government and
  • local statutory agencies do?
  • Why should we bother?
framework of nice guidance
Framework of NICE Guidance

Aimed at policy makers, commissioners and providers including V & CS, community representatives and members.

  • Prerequisites – challenges?
  • Infrastructure – what do agencies need to put in place?
  • Approaches – what works?
  • Evaluation – why bother?
prerequisites challenges
Prerequisites/Challenges
  • Coordinated implementation of the relevant policy initiatives.
  • Commitment to long term investment.
  • Openness to organisational and cultural change.
  • A willingness to share power, as appropriate, between statutory and community organisations.
  • Development of trust and respect among all those involved.
organisational and cultural change
Organisational and cultural change
  • Identify how the culture of public sector organisations supports or prevents community engagement.
  • Manage conflicts between communities (and within them) and the agencies that serve them.
  • Incorporate community views into induction and in service training.
levels of engagement and power
Levels of engagement and power
  • Negotiate and agree how power will be shared and distributed

- defining project objectives

- resource allocation

- decision making

  • Jointly agree ways of working
infrastructure challenges
Infrastructure/Challenges
  • Partnership working – will LSPs, LAAs, and CAA make a difference?
  • Joint training for staff and community members.
  • Accessible local venues and need to think through wider accessibility issues.
  • Area-based initiatives.
approaches what works
Approaches/What works?
  • Recruit and train people from local communities to plan, design and deliver health promotion activities.
  • Use existing forums and networks.
  • Start with what the local community feels is important.
evaluation
Evaluation
  • Identify and agree objectives with members of the target community.
  • Be clear about the theory of change required to achieve success.
  • Use a mixed-method approach and make use of participatory research.
why bother paradigm shift
Why Bother - Paradigm Shift

20th Century – formalising provision of professional knowledge through systems of training and provision (hierarchical/paternalistic)

21st Century – need to “fully engage” the public as co-producers of health (collaborative partnership)

health individual and community oriented preventative action
Health,individual and community oriented preventative action

Individually

oriented

preventative

action

Health

Hazards

Environmental hazards

Community

oriented

preventative

action

poor education

poor food & nutrition

unemployment

poor housing

poverty

Intersectoral action for Health. WHO. 1986

best value for alzheimer s
Best Value for Alzheimer’s

NICE – drugs todelay progression only available for people with moderate symptoms (MTS over 10).

(5,000 + words of newsprint)

Annals of Internal Medicine – 15 minutes of exercise 3x per week for people over 65 reduces risk of Alzheimer’s by 40%. Greatest benefit to the most physically frail.

(600 + words of newsprint)

joining up locally to address inequalities
Joining-up Locally to Address Inequalities

LA

PCT

Health

Public Health Team

Engaging frontline staff

Public & patient engagement

Needs

Equity audits

Evidence

Locality clusters

valuing diversity

C

O

N

T

I

N

U

I

T

Y

Locality clusters

plurality of providers

T

R

U

S

T

Community development

Shared quality & outcome data

Settings

Staff

Services

Community engagement

Training / employing

local people

Collaborative approaches

Outcomes

Community action

New ways of working

Partnership

LSPs

nice community engagement web link
NICE Community EngagementWeb-link

Quick Reference Guide

www.nice.org.uk/nicemedia/pdf/PH009CommunityEngagementQuickRefGuide.pdf

Full Guidance

www.nice.org.uk/nicemedia/pdf/PH009Guidance.pdf