Evaluation of the Trafford Neighbourhood Programme
What are we trying to do?
The Trafford Neighbourhood programme aims to improve service integration in the Trafford borough of Greater Manchester and develop community-based approaches to the delivery of health and care.
We are collaborating with colleagues at Trafford Council in developing and evaluating their Neighbourhood programme which comprises four key components:
- 1.Health in Communities (HIC) - This component supports Voluntary, Community, Faith and Social Enterprises (VCFSE) organisations working with primary care to enhance access (through primary care services visible in community settings), improve experience and improve outcomes within deprived neighbourhoods.
- 2. Community Hubs - Six Hubs were established during Covid-19 to support to residents through income support, access to food, fuel and other essentials, as well as skills, development training and employment; supporting physical and mental wellbeing; and reducing loneliness and isolation
- 3. Integrated Neighbourhood Teams (INTs) - These are teams made up of staff from health, social, and mental health, and other services collaborating to provide coordinated care for local communities.
- 4. Neighbourhood Networks - These bring together residents, health care, social care, community and VCSFE to adopt a population health management focussed on prevention and service integration.
Why is it important?
There is an urgent need to transform the health and care system, moving to a neighbourhood health service that will deliver more care at home (or closer to home), improve people’s access, experience and outcomes, and make sure health and social care can be delivered in a way that is sustainable over time.
The Labour government recently commissioned the Darzi report, an independent investigation of the NHS in England, to prepare for the NHS Ten Year Plan.
The report concluded that the best way to reorganise the system would be to base it around the following 3 pillars:
- Hospital to Community: Shifting care from hospitals to community settings.
- Analogue to Digital: Transitioning from traditional methods to digital solutions.
- Hospital to Community: Emphasising community-based care to enhance accessibility, prevention, and efficiency.
The NHS England policy, "Neighbourhood Health", aims to achieve these pillars through better integration of services among Integrated Care Boards (ICBs), local authorities, and health and care providers. This policy is informed by models and innovations highlighted in reports like the Fuller stocktake.
How are we doing it?
An initial workshop with Trafford colleagues helped our understanding of their Neighbourhood Programme using a process called ‘logic modelling’.
We are now working on several elements of the Trafford Neighbourhood Programme:
- Continuing development of the Logic Models for each of the four components to look at the short, medium and long-term impacts of each programme.
- A Rapid Evidence Synthesis of “What factors influence service integration and delivery by integrated neighbourhood teams?’. This has been completed and can be found in the downloadable resources below.
- A Social Return on Investment analysis of the Community Hubs, focussing on what people would have done if they hadn’t accessed the service, and how cost-effective the Community Hubs are. We are also looking to use the Ripple Effects Mapping methodology to capture the wider impacts of the Community Hubs.
Downloadable Resources
Who are we working with?
More information
Programme Manager
Alison Littlewood