Abstract Introduction
How far people can take control by collectively taking action and exerting influence over things that matter to them locally is a key determinant of health and health inequalities. To add to the evidence base about how collective control can be developed and the outcomes of this process, the New Economics Foundation and Leeds Beckett University are evaluating People's Health Trust's Local People and Local Conversations programmes. Both programmes are long-term (9 years) that provide funds and support to disadvantaged communities across England, Scotland and Wales so that residents can come together and take action on local issues with the aims of increasing control, improving health and reducing health inequalities.
Methods
Both evaluations use a mixed methods design including: longitudinal surveys of programme participants to track changes over time compared with national data; qualitative in-depth case studies based on interviews, group discussions, observations and peer research; and supported participant self-appraisal. Findings are synthesised, mapping results against the programme's objectives.
Results
Formative evaluation results highlight common engagement processes that enable people to come together and take action on locally identified needs. Both survey and case study data shows that bonding and bridging connections have improved, and those most involved have increased knowledge, understanding, skills and confidence about making change. These outcomes have in turn led to some health and wellbeing improvements.
Conclusions
This evaluation adds to the growing body of evidence for the impacts of control and contains learning with implications for how community-based health initiatives are designed and supported. External funding details