Based on the evidence we have collected, we have created a framework, expressed as a wheel
It reflects contributions from across community-led innovation and regeneration, health prevention and delivery, the built environment and investment.
We have identified examples to illustrate how each aspect of community capacity can be unlocked, and to demonstrate successful community contribution to health improvement or delivery.
People are at the heart of any thriving place; they bring qualities that outsiders cannot provide. Their experience, motivation and leadership are the foundations on which change can be built. Putting people at the centre requires an understanding of how this local capacity manifests itself.
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At the centre of the wheel, we have placed people
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Health and the place where you live are of universal importance
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Local people provide lived experience, local knowledge and expertise
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They have a vested interest, are ideal stewards and will stick around
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Their buy-in and involvement builds a sense of belonging
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We have added the key ingredients that people provide to a sustainable community: Knowledge, connections, contribution.
local know-how gained through direct experience over time and available to be harnessed
social networks that reach deep into communities
people’s motivation, potential for innovation and ability to galvanise others
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How can people contribute to better local health outcomes?
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Wrapped round these are the three areas of opportunity and influence available to communities: organisation, health, space and place
the provision of inclusive governance at local and national level, to ensure both the input and influence of communities
the availability of high quality living and public environments which have a positive and sustained impact on people’s health
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accessible and responsive healthcare, involving local people in prevention and delivery and enabling them to improve their own health outcomes
What conditions are required to enable them to achieve this?
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We have included the particular conditions required for a community contribution to these areas to be achieved
broad and well-communicated understanding among service providers of how policy and decisions play out on the ground
local opportunities for improving health and awareness – providing mutual care, activities; promoting screening and rehabilitation
a community focused on prevention and self-care, aware of healthy living options and ready to buy in to local activities and services
readily accessible, flexible and coordinated services, informed by identified needs and shaped with local input
the will and resources for community involvement within local authorities and Integrated Care Boards
freedom to voice opinions and clear routes to influencing local decision-making
high quality, well-maintained homes, matched to local needs and a net positive to people and planet
opportunities for paid employment, local enterprise and voluntary activity, increasing economic security
accessible and cared for town centres and green spaces – shaped by and popular with local residents
