Shared learning - Case studies

This section contains case studies which were shared at the 2010 Association of Community Health Partnerships´ (CHPs) conference (external link). They demonstrate the broad contribution that CHPs and their partners make in tackling inequalities.

The case studies featured are presented within the following areas:

Identify and define the problem

Health and wellbeing profiles in practice

The Scottish Public Health Observatory (ScotPHO) Health and Wellbeing profiles have been designed to help inform and aid the understanding of local health issues.

Speaking at the 2010 CHP Association conference, Dr Diane Stockton presented a presentation (external link) that provided an overview of the profiles as well as including a selection of case studies which involve the practical use of the profiles.

These examples include using the profiles to build a business case for a new health centre in North Glasgow and to inform the development of NHS Grampian´s traffic lights tool (external website).

An evaluation of the profiles which discusses how the profiles had been used and any improvements that could be made to them in future is available on the ScotPHO website (external link).

Identifying and exploring attitudes leading to low uptake of cervical screening in Scotland: How to improve uptake and address inequalities

Falling uptake of cervical screening among the general population of eligible women in Scotland and, in particular, among specific groups prompted NHS Health Scotland to commission a qualitative research study to determine and understand the current knowledge of, and attitudes towards, cervical screening among women eligible for the programme and the professionals who support them.

The full report, Attitudes leading to low uptake of cervical screening in Scotland, is now available.

Recommendations made in the final report on how to improve knowledge and engagement among eligible women and, in turn improve the informed uptake of cervical screening, were used as the basis of the new suite of four leaflets.

These leaflets are available on the NHS Health Scotland’s Cervical Screening webpage.

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Recommend Effective Action

Living Actively and Independently in Later life: How can we prevent social isolation?

Within the North Glasgow CHP area, focus groups were established to explore some of the factors contributing to social isolation in older people and how services can best work to reduce this.

Speaking at the 2010 Association of CHP’s annual conference, Anna Grady’s presentation (external link) provided further information on the project.

Additional information on the Good Morning project discussed in the presentation is available on the Good Morning project’s website (external link).

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Design and Deliver Programmes

The workplace Vocational Rehabilitation Programme

The workplace vocational rehabilitation programme provides support to organisations to help them encourage people with impairments or health conditions secure or retain employment. As well as the economic benefit, engagement in work has health benefits for the individual.

Information on the support available to allow people to stay in work or to get back to employment through various aspects of the Workplace Vocational Rehabilitation Programme, can be found on the Healthy Working Lives website (external link).

A community-led health approach to tackling health inequalities at a local level

Both the ‘CHP statutory guidance’ (2004) and the ‘Health Improvement and Community Health Partnerships: Advice note’ (2009) describe CHPs as having a crucial role to play in targeting the underlying causes of health inequalities.

A specific approach for CHPs to target inequalities involves working with communities to focus on community-led change. Speaking at the 2010 CHP Association annual conference, Stuart Hashagen´s presentation (external link) provides a brief distinction between community-led and community engagement as well as including resources available to support CHPs as advocates for community-led health approach to tackling health inequalities.

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Evaluate current practice and policies

First Steps Programme: A partnership Approach to Early Intervention in Early Years

Women expecting their first babies and new mums from some of South Lanarkshire’s most deprived areas are being helped to ensure their children get off to the best possible start in life – thanks to the First Steps Programme.

The programme, from NHS Lanarkshire and South Lanarkshire council´s Regeneration partnership, provides intensive one-to-one support to mums in their own homes to enable them to provide lifestyles for their families that are nurturing, healthy, happy and stimulating.

Details of the programme including information on planning and delivering the project are available on the First Steps Programme page. For information on the evaluation of the First Steps Programme, please contact Shirley Mitchell on

Equally Well: Scottish Government’s policy framework and approach to reducing health inequalities in Scotland

Following the publication of ‘Equally Well’ (external link) in 2008, eight test sites were established. Each site was selected for its focus on a key health inequality theme and aimed to redesign local public service delivery to focus on inequalities in partnership with the local communities.

Information on the opportunities and challenges which arose within the test sites and how local recommendations, service redesigns and innovative practices emerged, are available on the Scottish Government website (external link).

Further information on the Equally Well test sites is available on the national social networking website (external link). This website features the learning notes series which have been published ahead of the national evaluation.

Engaging Local communities in Health Improvement and Self Management

A cross sectoral collaboration across health, education, voluntary groups and local and national government have been established to focus on raising awareness of links between health literacy, health improvement and self management.

Speaking at the 2010 Assoication of CHPs Annual conference, Christine Hoy´s presentation (external link) provided information and links relating to the ALISS (Access to Local Information to Support Self management) engine.

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Further Case Studies

Using VOICE to promote partnership working and inclusion in service change and improvement

To enable everyone involved in community engagement to meet the standards set out in the publication of the National Standards for Community Engagement in 2005, the Scottish Government commissioned the Scottish Community Development Centre to develop an online software tool for planning monitoring and evaluating community engagement called VOiCE (Visioning Outcomes in Community Engagement).

This tool aims to support organisations and individuals to: plan community engagement, monitor the process and evaluate the outcomes. VOiCE (external link) is available online.

Support materials, case studies and examples of using VOiCE are available on the Scottish Government website (external link).

How the inequalities Framework is applied to address inequalities

The Inequalities Framework was developed by GCPH to address inequalities using researched based principles in practice. The framework report due December 2010 has practical examples of work with community planning partner agencies showing how health related services can address health inequalities.

Further information on the framework is available on the Glasgow Centre for Population Health (external link) website.

So much more than just a lunch club

Perth and Kinross Healthy Communities Collaborative is a multi-agency group working with older people in the rural community of Alyth to address the issues of inequality, the promotion of health improvement and the nurturing of a genuinely caring supportive community.

Further information of the project is available Lunch Club page. The evaluation of the project is available on the Joint Improvement Team´s website (external link).

Older and Better in Lanarkshire

Older and Better is a cross sector innovation project that puts older people and their carers at the heart of the aims and objectives which are to improve engagement, participation and experience.

The project involved nurturing a social movement within a values based approach to amplify the voice of older people in local Lanarkshire communities.

The final evaluation report including the appendices for the Older and Better project is available on the Joint Improvement Team’s website (external link).

Reducing Health Inequality among BME groups: A third sector approach to collaborative working within NHS and Community Planning

REACH Community Health Project (external link) is a national third sector organisation with a key strategic role in improving the health, wellbeing and health care provision of Black and Minority Ethnic (BME) communities in Scotland.

Partnerships between REACH, CHPS, NHS Boards and Community Planning bodies have been developed to address health inequalities in many disadvantaged communities.

Recent projects involving partnership working include the ‘substance misuse clinic’ (external link), which involved joint work between REACH and Glasgow South East CHCP Community Addiction Team to engage with disadvantaged ethnic minority communities giving advice, support and treatment on substances issues.

REACH have also worked in partnership with NHS Greater Glasgow and Clyde and Health Protection Scotland on the ‘viral hepatitis research’ which aims to ascertain the prevalence of Hep B &C in the South Asian population of Glasgow.

Further information on both of these projects are available on the REACH website (external link). A brief introduction to the organisation and projects is also available in the presentation (external link) presented by Monika Fotedar at the CHP conference in 2010.

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Reviewed 29 July 2014

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