Community Champions Development Programme Outcomes and Recommendations

Community Champions Development Community Champions Development Programme Programme Dialogue Event Dialogue Event Outcomes Outcomes 11 July 2-4pm

ICS Workshop There were 5 break out rooms one for each ICS. Event attendees pre-assigned themselves to the relevant room and had 1h 10min for discussion about: a) What role do champions play in our local system now and what is our vision for the future b) What does this mean about support: training and incentives and resources c) Where do they / should the governance sit d) What actions will we take over the next 6 months

Crossed Themes Future vision Training and support Multi-levelled model of champions with different level of engagement, e.g. unpaid signposting role based on champion interest, particular topic champions, e.g., cost of living, full paid roles Implement reward system to show appreciation volunteers doesn t mean it s less valuable Career development opportunities Basic welcome pack/ website: what champions are, what they do, remit, best way to engage with champions, lessons learned, etc. Connect cross council, e.g. invite in a community events, and within other LA Understand what matters to community, priorities their needs, and how it links with ICS priorities Training suggestions: MECC, motivational interview training, first aid, behavioural change, skills development, safeguarding, specific topic, e.g. cancer, diabetes information delivered by specialist Clear way to see feedback from communities, feed into the system and show Champions that their voice was heard Individual approached depending on model and involvement, make sure that skills are not a barrier Be valued for system and champions understand why they are doing this

Crossed Themes Governance and oversight Action in next 6 months VCS umbrella, PH supporting hand. Work in partnership Identify who champions are, their role, common framework, how they are different from other supporting roles, avoid duplication Key part of the place based system 3 tier governance: Local level (cross borough), regional and London level. Potentially oversight by ICBs, ICSs Secure sustained funding beyond 6 months, e.g., 2/3/5 years being clear about funding as much in advance as possible helps to plan and deliver Quarterly, annual reports, conferences bringing people across the system together to share good practise Increase champions visibility see them as a part of the health system, link with existing programmes, mapping what opportunities are available Resources, training, tools, basic understanding about the network/ programme sits with London Develop a long term view of programmes- how they work together, what impact they have, tools to measure impact Celebrate champions achievements and show their value to the wider system invite to national events, organise award events Develop ways to share resources, contacts, good practises at London level Build trust it takes as long as it takes

K. Fenton summary and guidance 1. Reflection from breakout room There is ask for clarification and confidence about what community champions/ community champion programmes do Need to harmonise the terminology for both, who community champions are and what they do Understand how community champions/ community champion programmes fit into existing infrastructure, how they work align with other community centred health workers, e.g., social prescribers Clarify what Community Champions/ Champion programmes offer and how that offer is both, universal respectable where you are in London, and how the offer is tailored and unique depending on where champions are actually working in the communities and the communities they re working with Importance of the system to acknowledge of that Community Champions are important partner of infrastructure to improve health and to tackle inequalities, how champion programmes work with the system, either it s local authorities, place based programmes, ICSs, ICBs, the regional tier, how everyone know about the work champions do and celebrate success I heard and that has registered with me and I ll take that learning back to my colleagues working in NHS, my meetings with chief execs in ICSs as well as colleagues working across the directors of public health and NHS

K. Fenton summary and guidance 2. Things continue to change across the region Moving from Covid-19 (different phase) to cost of living crisis - inequalities made worsted Significant transformation of the health and care and public health disruption of relationships, restarting relationships, refocusing on priorities and developing new ways of working Community based approach is critical in those changing times and Community Champions are key assets to the system My commitment is to continue to flag for community centred approaches for insuring that we are focus on health equity and population health and to champion the work you re doing 3. Key to success to navigate complexity in those changing times: Be prepared Embrace change Celebrate small wins

What next Community Champions Development programme should create business case a case for change and a case for impact - K. Fenton Lay out explanation to the network and the system how champion work align with other health centered workers, where champions sit in ICS, including local level Create Clarify terminology, provide answers to raised questions like champions role depending on level of engagement, training guidance opportunities to learn from each other, share good practice, e.g. dialogue events, workshop opportunities, Compendium 2 Share the case with the DPH for ICS and other system leads

NEL NEL Question Feedback Place based' approach Clear way of seeing feedback from community champions about issues - ensuring this is fed to the relevant organisations to action Future Vision The key community engagement leads - supporting the system to understand the needs of specific population and to support co-production of services and programmes Ensuring insights are feeding into the system effective response sourced/ formulated AND CCs made aware of their impact of contribution Embedding Health Literacy Motivational interviewing techniques - using OARS core skills Understanding different cultures and how to engage with different communities Training and Support Sustainability: cascading of training across CC programme e.g. encourage participation in train the trainer programme, CCs own knowledge, skills Skills, knowledge, aspirations audit - equipped to source/host/match to relevant training/support provision (content/type/place/format, etc. An information pack/ website: who champions are, what they do, remit, best ways to engage with champions, lessons learned, etc. How do champion programmes fit with system wide strategic objectives and strategies, e.g. health and wellbeing board at local level Governance and oversight Need to be a key part of the place based system - supporting service transformation and system wide programme planning Development of clear roles/ accountability for different elements of the system in relation to CC programmes Understanding were CCs are across NEL, what they are doing and how they link to other similar roles to develop a place based co-ordinated system which places can engage with Understand purpose and objectives of any programmes champions themselves should understand why they re involved Actions in next 6 months

NWL part 1 Question Feedback To share with public as much information as possible Champions across all age groups and intersectionality protected characteristics: age, disability, ethnicity How champions can be most affective within their areas to support a wider health and wellbeing agenda Communication has facts and is easily read Awareness of using process and programmes to support local wellbeing initiatives Engage and build relationship with trusted community voices - this model supported the Covid-19 response and had positive outcomes System that can respond to the wider determinant of health, more engaging people want to engage and encourage/ bring their families and friends to do so Concept of ad hoc meeting and programme not lead by local public health Well established with annual conferences showcasing work done though the ICS and support other areas where the role might be newer Based on community needs which is needed to build relationship and trust community connectors are the lead and the system respond Inners/ bi borough operate on 5 year contracts this is needed to support delivery of the champions programmes Future Vision Repository/ joined commissioning Community Champions training, ability to access use the strength of the area Developing community champions save money for partners and would be best being resources Stop expectations to do a fantastic job on shoe string budget Breaking down 'terms of references', remove obstacles and create opportunities The regional support for developing training create, develop and support basis for what community champions need Should not be treated as a cheap option, volunteers no not mean value is reduced Make sure skills are not a barrier, its support with comm s and challenges and ability to make connections May feel like a leap of faith as the way champions structured is very different, build support for the ' system' to relax their thinking Safeguarding level 1-3, mental health and first aid trainings, special trainings for maternity champions How can the 'system' support the community connector in making their connections and developing resources - such as language, graphics, comm s How to promote the role? Short videos could be created Recognition reward system, e.g., travel expenses/ facilitate meals out How to recruit: sharing good case studies, good practice, resources, information. How to target - in person works very well Inner: commissioned level 2 population health training and supporting behaviour change programme Create opportunity for employment, e.g. champions in RBKCW under apprentice scheme can give career pathway Training and Support

NWL part 2 Question Feedback How to make it two way programme Facilitating that the overarching strategy has relevance down to the 'resident' level How to ensure 'we' find out what matters to our community Can feel quite vast and chaotic. No2 champions are the same and involvement is very varied Ensuring champions programme is co-designed and developed with the champions - joined governance plans Safe to explore feelings and thoughts across all involvement Ealing council: considering to have 2 tears of champions, one with DBS code and conduct, etc. Taking beyond signposting and supporting to go funding, establishing wider group RBKCW: Different level of governance depending on programme level. Project Mangers have monthly meetings (190-210 champions meet based on project and locally) Incentivising attendance at governance meetings such as 10 amazon voucher - support different times to support attendance Important that reward is embedded in the system. Explore reward and motivations for the community RBKCW have annual conference that brings people together at annual conference alongside partners VSO and senior decision makers Hounslow Council: Met more frequently in Covid-19 online, has face to face meetings now, planner in advance and bigger mix of external services, champions and council Ealing have forum to get champions together 2 months. Find it challenging to get community champions together - currently having it hybrid to support attendance Partnership in how there oversight is developed such as public health/vso to have oversight of success etc. Governance and oversight Developing how work is funded on a long term basis and how the role and concept has been developed Could a repository be developed to share resources/contacts on a London level Develop ways to share good practice across the network and really highlight the value/benefit of the role Actions in next 6 months

NCL part 1 Question Feedback Ensure people in ICS are aware of what champions are doing and proactively embedding them into work streams People in ICS that truly link Public health and Primary care - new roles just appointed to oversee neighbourhood work, inequalities work. Clinical lead also sits on cancer alliance Research https://groundworkuk- my.sharepoint.com/:x:/g/personal/sophie_milner_groundwork_org_uk/EZK7MgbqiRtCvKje69LTa34B23ZLJMrvcG9QK9dE_trSCw?e=ChDIaG Evaluation/Growing body of evidence- a compendium since the COVID-19 one/focusing on current models and work in the region. Can support funding and buy-in Dovetailing into inequalities work each PCNs are currently identifying areas of interest and focus. Also linking with community groups that may be bidding for bits of funding Health literacy schemes NCL ICB champions support network for sharing training and development and shared learning, as well as feedback loop to improve service accessibility and design Cancer prevention and cancer screening update application for funding for champions 'Neighbourhoods' new theme How do champions fit in with neighbourhood discussions happening now? Linking in with ICS' - does not seem to happen systematically yet ICBs don't seem to have a grasp on how to plug into the community champions resource. ICB support and integration of CCs in inequalities strategies is needed More support from NCL ICB services and clinical staff to provide support to champions and attend events to make the offer to communities more beneficial and interest Future Vision Make Every Contact Count, e learning programme Potential training and support to allow volunteer champions to enter other roles in Primary Care (e.g. wellbeing workers, social prescribing etc.) Training that supports pathways for champions to move into paid roles beyond the champions programme. Supports diversity and equity in the workforce etc. Haringey - apprenticeship for a Health and Wellbeing Worker could be an option for volunteers to step into, and build their skills In future - do champions need to be paid (if expectations are raised on what they can do)? And if so, training needs will enhance as a result Free virtual sessions - not marketed as training per se, but have been really effective to support people in terms of softer skills Question on relationship between champions and other similar roles - social prescribing Was a bit more challenging to get champions to do the virtual sessions, but over time people have felt valuable Barnet Grantees - valued having someone outside of the Council/ICB space to answer questions and guide on the project Training and Support

NCL part 2 Question Feedback There is a need for something cross borough - governance, repository, sharing of case studies could sits at ICS level Different spatial levels of governance for different types of programme - GP practice, PCN, borough, NCL Need to link all the pieces together - both cross borough, and between different types of professional roles (e.g. in Primary Care Networks) Barnet council- having a VCS "bridge" between ambassador/champions and statutory agencies is helpful NCL level work on evaluation and what works Oversight required in /ICBs ICSs on a local and regional level. A workforce lead maybe required Priorities might be different for each borough, e.g. Barnet well established Governance and oversight Develop link with neighbourhood work and champions work Develop a long term view of programmes - and how they work together, and what impact they have Increase visibility of champions in each PCN, particularly inequalities leads For the region - what support, co-ordination and gaps analysis can be provided and shared with local level, and strategic relationship with other roles Funding - need to be clear where it is coming from in future, as long term future and sustainability will be dependent on it Being clear about funding as much in advance as possible helps to plan and deliver Actions in next 6 months

SEL part 1 Question Feedback Specific topic champions Community Champions delivering the MACC Delivering with the NHS - could community Champions sit within A+E Keep the community champions active and happy Secured future funding Linking with PPG's Multi-levelled model of Champions with different levels of engagement, as well as topic-specific Champions Community Seed Funding Connected cross council to maximise engagement opportunities e.g., housing events, public safety Linking in with existing programmes, with Community Champions being the overarching "brand Community Champions linking with LCP partners to help reduce health inequalities locally Working with the PCN's to support health and wellbeing Making sure we are properly linked up to other programmes where there may be overlaps Creative engagement e.g., one of our champions playing chess at the h&w bus More funding for health events and accessible model for accessing this e.g., Women's Health Network has had strong results in Lambeth To be a valued service Making sure we have some pathways to employment / job skills built into the programme Co-producing next phase of programme with Champions Funding for initiatives to enable Community Development Ensuring that we keep developing and innovating to keep people engaged Future Vision Mental Health first aid training, Community connectors Behavioural change level 2, MECC, skills development employment pathway, level 1 Understanding Health Improvement, suicide prevention, vital 5, vaccinations, cancer screening awareness, kidney health, mindapples Champions and other positive wellbeing courses, community research shill training, heart age- hypertension trainings Training for champions of interest , e.g., dementia, cancer, diabetes - specialist information sessions Supervision to reflect and process on what they are hearing and dealing with in the community Training and Support

SEL part 2 Question Feedback Cross-sectoral - Champions are 'owned' by LCP so in effect nobody owns! Working with ICB, Public Health and Vol Sector equally ICB quarterly reporting Issues with measurement of impact - what are the metrics? Council Plan targets local VCS umbrella organisation co-ordinating with oversight from Public Health Question re. governance expectations in a context of voluntary roles - what can we expect? Working out just how impact is measured - we see it happening but how do we reflect that? Annual Report Community Champions in Bromley are under the Local Care Partnership - One Bromley, updates for One Bromley Comms and Engagement partners (meet monthly) Governance and oversight Find ways to link up different champions in the borough Reviewing pilot of paid roles with a view to recruiting more paid champions Organise champions by Primary Care Networks - for communications and specific local projects/initiatives. Link them Social Prescribers and PCN Coordinators Have commissioned an evaluation which will report back in the Autumn Launching a young champions programme Link into the faith network Embed into the health services in Bexley as well as link with events and activities in Bexley to engage with local residents Asking Champions what they would be interested in regarding topic-specific model of Champions To map out places for champions to visit and offer it out to VCS to pull them in Trying to link Community Champions up with existing programmes, mapping what opportunities are available to people To use champions to promote community offers Find ways to link up to PCN equity champions/SPLWs Find & Securing funding Actions in next 6 months

SWL Question Feedback The 'eye's and the airs of the community Alleviate perceived complexity of NHS - put a face to the system Co-production Alleviating social isolation and promoting connection Empowering & strengthening communities to access what's available to them and act on their rights Flow of health information & advice into the community as an output Encouraging engagement with the system via people Start & prioritise interventions that are most relevant to community members Rebuild trust & confidence residents have in the NHS and wider health system Understand and deliver the "what I need's Training as an incentive - especially for volunteers Incentives that the champions want: vouchers, accredited training (such as health coaching qualifications, Level 2 Royal Society of PH), gym memberships Champion individuals and champion organisations Encourage commitment, loyalty, and hard work Volunteer-led passions vs more prescriptive system-directed projects volunteers who are volunteering and voluntary sector organisations -- shared language, shared priorities Show appreciation If health information and advice is provided, need for accurate, accredited, agreed info that champions are providing Answering 'where does it sit'/ 'where is the team' can help bring sense of belonging Does it sit in statutory or does it sit in a community Public Health Team (community arm), voluntary sector (esp. if umbrella organisation) Understanding what works and where people already go and are willing to go Statutory orgs as support; not leading or running, but then statutory orgs play a role in governance When providing funding, can build governance into MOU, service spec, M&E, etc.; which are not present for champions Future Vision Training and Support Governance and oversight Demonstrate our value and where we add value - encourages champions to feed back and want to add value themselves Build Trust It takes as long as it takes We can't achieve what we want to achieve in the community on our own -- we need community and champions Brazil's Family Health Strategy & Battersea PCN pilot project Beyond 6 months - future funding: 2/3/5 years plan What is embedding mechanism? Seeing yourself as part of the health system -- you are important to the wider picture Platform to share and speak such as Kings Fund Annual Summer awards Take champions to national events to celebrate work Actions in next 6 months