Breaking Barriers Innovations Playbook Programme 2020:
Connecting People and Place: An action plan for addressing social isolation and loneliness in north Portsmouth
The Portsmouth Playbook focuses on supporting the use of a family first approach among frontline practitioners, managers, and commissioners to prevent harms associated with social isolation and loneliness.
The Portsmouth programme is co-sponsored by the Ministry of Housing, Communities and Local Government (MHCLG) who want to use learning from this programme to scope the development of a toolkit to assist local planning agencies and authorities in ensuring both the physical environment and community structures foster connections and empowerment.
Breaking Barriers Innovations (BBI) and Health Education England (HEE) are leading a series of pilot projects on place and the social determinants of health across England. The pilots seek to provide a facilitated and comprehensive approach to the place-based development and delivery of health and social care services that can address the social determinants of health and wellbeing. Developed from a programme of work on housing and health with NHS West Lancashire CCG[i], the programme uses a Playbook methodology based on four building blocks, which serve as the structure for a rapid process of appraisal and action planning:
- Strategic alignment
- Workforce development
- Resident, service user and community engagement and co-design
- Action planning for service Integration and Innovation
The building blocks are inter-dependent, and the Playbook is designed to be tailored and appropriate to local variations in demographics, need and strategic priorities. For example, while one area may view the highest level of needs and priority as housing, another may view skills and employment as being more relevant. The Portsmouth North pilot is focused on social isolation and loneliness in three northern wards of the city: Paulsgrove, Cosham and Drayton and Farlington. The overall aim is to support workforce development and planning across health and social care, so that frontline practitioners, managers, and commissioners are confident and skilled in understanding the relationship between social isolation and loneliness and the health and wellbeing of local residents. In particular, it is focused on a family first approach to preventing harms associated with social isolation and loneliness.
A small steering group has overseen the programme comprising representation from NHS Solent Trust, Portsmouth City Council (Adults and Children and Young People), Public Health and Health Education England. A total of 28 interviews have been completed including frontline practitioners in health and social care (adults, families and children), managers and lead officers and volunteers from within community and voluntary organisations. In addition, approximately 15 local residents from community associations, day centres and faith organisations have contributed their views through interviews and a focus group.
This report sets out the findings from the inquiry part of the programme including feedback from professional stakeholders and local residents and desktop research of evidence and best practice. The report concludes with the action plan for service integration and innovation including a separate section for emergency planning and responses for people who are vulnerable from social isolation and loneliness in times of national crisis.
The report and action plan are being used, alongside learning from the other Playbook programmes to inform the approach to place and workforce education, training and transformation that Health Education England is seeking to include in the NHS People Plan.