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page 1
OPM Public Interest Seminars
control over one’s own health and wellbeing. The Big Society concept is all about community
involvement and the development of these social networks. As such, community
development work, which aims to help people to work together and establish local networks,
may offer a model on which the Big Society could work.
An example of the potential impact of community development on health can be seen in the
Help Project, a community development intervention funded by the Department of Health
which involves working across three estates to put in place a 7-step model bringing together
local agencies and residents. It aims to create a partnership between agencies and residents
which is based on listening and working towards shared goals. The outputs of the project
have been closely monitored through comparison with control sites, and social return on
investment (SROI) outcomes have been retrospectively calculated. The evidence shows that
a number of improved health outcomes have been attained through the work, including
increased life expectancy (+6 years).
The model has encouraged local leaders to come forward and get involved,
increasing confidence within the population to play their parts in engaging with local
agencies to identify and address local needs - leading to rapid, positive change.
Residents have now formed a company which is closely involved with a GP surgery,
playparks and dental surgery within their community.
This approach coincides with the two identifiable strands within the Big Society
rhetoric: volunteering (communities and individuals working for themselves) and
responsive agencies (encouraging local agencies to develop links with their
communities). Key to making this a success is training, because community
development is skilled work, but the dramatic changes in health achieved through
Help Project suggest it to be a worthwhile investment.
OPM page 2
OPM Public Interest Seminars
patient and public participation is to play a meaningful role in the health scene in coming
years, it needs to be informed participation, not just a ‘headline’.
OPM page 3
OPM Public Interest Seminars
major determinants of what difference the Big Society makes to health delivery and
outcomes.
OPM page 4