Collective control as a health asset in neighbourhoods experiencing health inequalities
PHE ePoster Library. Button D. Sep 12, 2017; 186537; 241
Mr. Daniel Button
Mr. Daniel Button
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Abstract How far people can take control in their neighbourhoods, to exert collective influence over things that matter to them, is an important asset that contributes to health and wellbeing. This was recognised in the Marmot Review, Fair Society, Healthy Lives. But what constitutes collective control and enables it to happen?The New Economics Foundation has worked with People's Health Trust to develop a dynamic model of collective control, based on the views of people living in disadvantaged communities, as well as a literature review and interviews with academic and professional experts. This makes a significant contribution to a small but growing knowledge base, at a time of mounting interest in collective control as a determinant of health. It underpins a four-year evaluation of People's Health Trust's Local Conversations programme, which supports neighbourhoods experiencing disadvantage in 23 areas, to take control of the local agenda and development. Early findings from qualitative research support the model, which will be tested and refined over the coming years.The model shows that, in order to build collective control in communities, people need strong social connections and a sense of solidarity, belonging and trust; knowledge, understanding and skills around local power structures and routes to change; influence over those in positions of power locally; money and resources, including time to get involved and places to meet; and confidence that it is possible take action and influence change. These elements of control are dynamically related, and draw strength from taking action that results in positive change.
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