The document discusses initiatives in Perth and Kinross, Scotland that aim to engage communities and improve health and social well-being through co-production with local people and organizations. It describes programs like the Healthy Communities Collaborative and Time Banking that bring community members, volunteers, and agencies together to address issues, develop skills, and exchange services to enhance resilience. Evaluation of the programs show increases in social connections, activity levels, and community participation as well as benefits to health.

1. Stronger Communities, Better Lives

2. Engaging Communities –
Changing Lives
Jackie Doe
Healthy Communities Collaborative
jackie.doe@nhs.net

3. Perth and Kinross Healthy
Communities Collaborative
Aims :-
To help local people develop the skills and confidence to
work in co-production with professionals from a range of
agencies and organisations
Objectives :-
To use these partnerships to effect changes in
communities, which would result in improvements in
health care and social well being

4. CONSULT
Speaking to Asking them to
local people identify issues to
address
ENGAGE
RESILIENCE
Trying out ideas Helping them to
to improve life come up with
locally for ideas to try out
themselves and
their friends EMPOWER

5. The Community Action Model
(NPDT 2001)
Topic
Stimulates
Desire for Successful Action
other
topics
Enhances Community Development

6. Focus Topic Progression
• “Falls Awareness” - year 1  year 2
• “Promoting an Active Lifestyle” - year 3  year 4
• “Mental Wellbeing in Later Life” - year 5  year 6
• “Leg Ulcers” - year 7 

7. Who Are The Teams Made Up Of ?
Voluntary and Charitable
Organisations
 
Community Members
  Statutory Agencies

8. The Formula
•Understand the need
•Come up with some ideas
•Test those ideas (PDSA)
•Understand what works and do more of it!

9. The PDSA Cycle for Improvement
Act Plan
• Objective
•Predictions
• What changes • Carry out the
are to be made? cycle
• Next cycle? •Plan for data
collection
Study Do
• Analysis data • Carry out plan
•Compare to • Document
predictions problems
•Summarise • Record data
learning

10. CONSULT
• What exercise opportunities are available?
• If this is a gap, how can we address it?
• Day, time, venue, exercise density and cost
• Suitably qualified instructor
• Publicity
• On going monitoring of numbers

11. Three Main Features
of Exercise Programme
• Strengthening
• Balance Retraining
• Walking

12. Video clip

13. CHAIR BASED EXERCISE
the EVIDENCE
• Strength and Power (Fiatarone 1990, 1994;
Skelton 1995, 1996)
• Flexability and Functional Ability (McMurdo
1993; Skelton 1995, 1996)
• Arthritic Pain (Hochberg 1995) & Postural
Hypotension (Millar 1999)
• Depression (McMurdo 1993)
• Rehabilitation following hip fracture
(Nicholson 1997)

14. NUMBER CRUNCHING
• Approximately 46 groups per month
• An average of over 450 older people
attending per month
• Over 75% did not previously attend formal
exercise group.
• Approximately 80% report some form of
health issue ranging from painful joints to
acknowledged long term conditions

15. Benefits Reported by Attendees
• My arms are looser, I can reach up behind
my neck again
• I‟m more flexible, and balance has
improved, it‟s easier putting on socks
• It gets me out of the house, we have a good
laugh and it‟s good for us.
• I‟m thinking of using the bus again, it would
be good to be more independent.
• My wife‟s concentration is better and she‟s
more settled. We both really enjoyed coming
to the class (Carer of dementia sufferer)

16. The Challenges
• On going support
• Transport
• Sustainability
• Community Referral / Social Prescribing

17. Recent Scottish Policy Drivers
• Better Outcomes for Older People (2004)
• The National Standards for Community
Engagement (2005)
• Better Health, Better Care ( 2007)
• All Our Futures – Planning for a Scotland with an
ageing population(2007)
• Reshaping Care for Older People (2010)
• The Quality Strategy (2010)

18. Some benefits from working this way
• Gives Communities ownership
• Maximises efficiency, people centred
• Shares skills and workload
• Releases community capacity
• Helps build community resilience
• Cost effective

19. Video clip

20. And finally, a word from Pat
“The Healthy Communities Collaborative is
such a good idea. A small number of
professionals working in partnership with
unlimited numbers of volunteers, so that
older people can stay fitter and healthier
for longer, has to be good”
http://www.jitscotland.org.uk/action-areas/talking-points-
user-and-carer-involvement/outcomes-enablement-
and-an-assets-approach-to-health-and-wellbeing/

21. Time Banking in
Perth and Kinross
An exiting new initiative for communities
Lesley McLaren, PKAVS
lesley.mclaren@pkavs.org.uk

22. Overview
What we aim to achieve
People in Perthshire communities will have opportunities to
strengthen and build their communities resilience and social
networks through the development and testing of Time
Banking models.

23. How will this be achieved?
• Introduction of Time Banking into communities
throughout the region.
• Appointing Brokers – key local people to manage the
Time Banks on the ground.
• Engage with communities and networking with existing
groups and organisations.
• Delivering talks and presentations to existing groups in
both communities.
• Working with and supporting relevant collaborators– NHS
Tayside, Perth and Kinross Council, Communities
members.

24. How will we know we have made a
difference?
• People will share their talents and skills
• Increased number of people volunteering in the local
area
• People will express they feel a positive difference in the
area
• Volunteering benefits the needs of the individual
• Increased opportunities for volunteering
• People will express a sense of belonging and connection
to others and their community

25. The Project to Date
This for That
in Coupar Angus
Deeds for Needs
in Aberfeldy
Working with additional Communities to introduce the initiative
– Stanley, Dunkeld and Pitlochry
Initiative to be developed throughout the region over
next two years

26. This for That – Coupar Angus
Members 61 Individuals
14 organisations
Hours Exchanged 1531
Hours donated 500
Actual number of 322
exchanges

27. What is being Exchanged?
Examples of Attending Meetings
Exchanges Baking
Painting/Decorating
Companionship
Community Café
Success Stories • Bob – Widow, Retired Chemistry
Teacher
• John – Wanting to get more involved in
Community Life
• Matilda – Youngest Member, donated
over half her credits

28. Deeds for Needs - Aberfeldy
Members 27 Individuals
1 organisation
Hours Exchanged 394
Hours donated 121
Actual number of 66
exchanges

29. What is being Exchanged?
Examples of Loft Clear Out
Exchanges Giving Lifts
Advocacy Support at appointments
Painting
Selling items on eBay
Cycle repairs
Success Stories • Betty – 83 years old, first ever massage
• Jennifer and Trish - Cared for and Carer
• DIY Group – 24 „burly‟ men keen to
support the community with DIY skills.

30. Logo Competition at School
Community Litter Pick
Street Market

31. Health Benefits of Time Banking?
Physical Social Medical
Reduction on Intergenerational Social
falls Prescribing
Support for Bringing different
social groups Reduction on
activities – eg early hospital
Cutting Grass together
admissions
or building
Making new Care
Improved friends and Packages for
activity – eg reconnecting
Hospital
walking groups with old ones
Leavers

32. What our Members are saying…
“ I wanted to join the Time Bank because I had become
some what of a recluse – I didn‟t know my neighbours to
even say hello”
John, This for That member since May 2012
4 exchanges to date
“Having become a Carer for my husband over recent years,
being a member of the Time Bank means I can get a bit of
extra support - with things I need doing and also with
respite support.
Mary, This for That member since Dec 2011
13 exchanges to date

33. What our Members are saying…
“This for That is bringing members of our community
together. All the Community Groups that have signed up
are now supporting, and most importantly, talking to each
other”
Saranne, This for That Broker since Oct 2011
38 exchanges to date
“It‟s great to have one port of call to ask for help – I have so
many things around the house that I would like help with”
Pat, Deeds for Needs member since Mar 2012
7 exchanges to date

34. The potential of Time Banking is limitless.
The health benefits to members -
physically, socially and medically are
wide and varied.
The stronger the foundations we set now
the greater the benefits to our friends,
relatives and communities in the future.

35. Engaging and Transforming Communities
Gary Malone Manager, Angus Volunteer
Centre gary@volunteerangus.org.uk

37. Scottish Co-production Network
Catriona Ness OD Consultant NHS Tayside
catriona.ness@nhs.net

38. Background
• Formed as an informal network in 2010
• Chaired jointly by NHS Tayside and Scottish Community
Development Centre (SCDC)
• April 2012 – supported by Scottish Government Joint
Improvement Team to be formally developed in 2012-13

39. What is the Scottish Co-production Network?
• Building on existing co-production activity
• Learning, debate and development of ideas
• Practice & information exchange
• Supporting dialogue and advancing co-production
approaches in Scotland

40. What is co-production?
New Economics Foundation:
‘Co-production means delivering public services in an equal
and reciprocal relationship between professionals, people
using services, their families and their neighbours. Where
activities are co-produced in this way, both services and
neighbourhoods become far more effective agents of
change.’

41. Key activities
• Network meetings
• National events/seminars
• Learning events
• Support to local networks
• Website/ online forum

42. Get involved
Contact Olivia Hanley, olivia@scdc.org.uk
Join the network!
Website: watch this space!