It’s great to see the transformative proposals by New Local, aimed at reinvigorating the NHS through community empowerment and involvement. New Local’s compelling vision calls for a radical shift towards a community-powered NHS, where decision-making, resource mobilisation, and cultural shifts within healthcare systems emphasise local community engagement and assets. This approach not only promises a more responsive and sustainable healthcare system but also aligns perfectly with the ethos of community media.
Community media platforms, known for their capacity to foster self-management and citizen-driven engagement, can play a pivotal role in amplifying these initiatives. By integrating community media into this new model, it will be possible to enhance the dialogue between communities and healthcare providers, promote greater transparency in decision-making, and mobilise community assets more effectively. Such synergy could be the key to unlocking the full potential of community-powered health and wellbeing, making the NHS more adaptive and resilient for future challenges.
The report, A Community-Powered NHS, discusses a transformative approach to renewing the National Health Service (NHS) by centring community involvement and power. It suggests a paradigm shift towards prevention, integrating community insights and participatory decision-making processes to create a more sustainable and effective healthcare system. The report emphasises the need to reorient the NHS from primarily responding to illnesses, to a more proactive approach that focuses on prevention through community engagement and addressing broader social determinants of health.
While the report does not explicitly mention the use of community-focused media, it strongly emphasises the principle of community power and engagement, suggesting that the inclusion of diverse community voices and insights is essential for the effective implementation of health strategies. While the report does not detail the mechanisms for engagement through and with community-focussed media, the underlying principles it advocates could certainly be supported by community media initiatives to enhance communication, spread awareness, and foster participation in health-related decision-making.
Incorporating community media could serve as a powerful tool to disseminate information, educate the public on health practices, and mobilise community support, all of which align with the goals outlined in the report.
The report outlines several key principles of community engagement and empowerment that aim to reshape the NHS by fostering greater community involvement in health service design and delivery. Here are the principles highlighted:
- Community Participation in Decision-Making: This principle stresses the importance of deeply engaging communities in strategic decisions that affect their health services. It advocates for a deliberative and consensus-building approach, utilising techniques like citizens’ assemblies to incorporate community insights into the planning and implementation of health strategies.
- Mobilising Community Assets: Recognising the diverse nature of community assets, this principle focuses on the need for the NHS to understand and mobilise these assets effectively. Community assets include local knowledge, voluntary activities, grassroots actions, and physical spaces like parks and community centres. The approach varies widely across different communities, but all aim to harness these assets to support health and wellbeing.
- Growing a Community-Focused Organisational Culture: This involves a shift in organisational culture towards one that is more collaborative and responsive to community needs. It emphasises the need for health institutions to work alongside communities and respond to their unique circumstances and insights. This shift is crucial for moving from a traditional acute care focus to a more preventative, community-integrated approach.
These principles are designed to facilitate a shift from a system that is overly reliant on acute and reactive medical treatments to one that values preventive care and community involvement, recognising the potential of communities to inform and improve health outcomes.
Community media aligns well with the principles of community involvement and empowerment outlined in the report. Here’s how community media could potentially enhance each of the principles described in the report, fostering a more community-integrated health system:
Community Participation in Decision-Making
- Community Media Role: Community media can serve as a platform for facilitating open discussions, debates, and deliberations on health service policies and strategies. By broadcasting citizens’ assemblies or health forums, community media can help make the decision-making process more transparent and inclusive, allowing more community members to contribute their views and suggestions.
Mobilising Community Assets
- Community Media Role: Community media can highlight and promote the diverse assets within a community, such as local health initiatives, volunteer opportunities, and community health events. By providing a space to showcase these resources, community media can help strengthen the connections between healthcare providers and community resources, enhancing the overall efficacy of health interventions.
Growing a Community-Focused Organisational Culture
- Community Media Role: Community media can play a crucial role in shifting the organisational culture of health services towards a more community-centric model. Through stories, interviews, and programs that focus on successful community-led health initiatives, community media can inspire and educate health professionals about the benefits of partnering with communities. This can lead to greater openness to community insights and more collaborative approaches to health care.
In essence, community media, by its very nature, provides a mechanism for ongoing dialogue and engagement, which is vital for the sustained involvement of communities in their health services. It fosters a culture of participation and empowerment, essential for a preventative health system that values and utilises community insights and resources. This makes community media not only a tool for communication, but also a strategic asset in transforming the NHS into a more community-powered system.