action

Collective Action for Communities

Localities are considered as a community of interest used for the purposes of localising primary and community-based care.

The locality is intended to drive a focus on equity and priority populations based on the identified needs and priorities of that community.

Collective action with communities creates a major opportunity to foster integration of care models and services to ensure people have greater choice over the services they access. It also provides a platform for health and wellbeing networks to be in the driving seat of design and implementation of localised initiatives.

It is vital that those with lived experiences within a community are part of the network and are provided with a platform to be heard. Networks or localities are supported by a Collective Impact Framework that creates an approach to creating a shared vision or common agenda.
A natural extension of the HCH MoC is the shift to the creation of a network of services to support whānau and community.

Localities/Rohe

Karōria Johns talks about what a Rohe means to her.

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Leadership, Culture, & Iwi Parnerships

Our priority is to honour Te Tiriti o Waitangi and this means partnering with Iwi from the outset. Leadership is not held by a few but is shared across many and it is important to work towards a culture of openness and trust. Again, drawing on whakawhanaungatanga as the heart of this mahi (work).
Holding open forums to share proposed approach and develop a way forward that is co-created with iwi and communities.

What Matters to Whānau / Communities

Setting a co created vision across multiple organisations within a locality setting requires open collaboration to resolve a common problem (s) . the vision is the overarching frame and reason for the collaboration and how the group will work together as well as what will be delivered and held accountable for - it is the WHAT and the WHY for this mahi (work).
Useful websites with open source resources includes the Collective Impact Forum and the Tamarack Institute.

Continuous Engagement

Whakawhanaungatanga (building strong connection through relationships) is the core of this mahi.Taking time to listen and solve issues together is the proposed approach, recognising that this will require investment
It is important that engagement is supported by formal and informal communications - regular meetings, newsletters or one to one relationship building.

Rohe Activity Plan

Creating system change and using the power of the collaboration to shift towards achieving the common vision. This is the plan of action that is agreed upon by the multiple organisations to improve community outcomes for whānau.
This is how organisations will work together and deliver on the promise made to whānau and communities through this collective impact approach.

Metrics that Matter

Another condition of the Collective Impact framework is using a common set of measures to evaluate performance and track progress toward the common agenda/vision. It is often difficult to reach agreement on common measures, with competing priorities among stakeholders. It is important to create capacity for measurement and data analysis within individual organisations, recognising that this requires time and cost in developing and maintaining a shared measurement system among multiple organisations. This is a process of learning and continuous improvement.

Backbone for Change & Implementation

Dedicated team that drives and guides the mahi (work) forward - supports the co-creation of the common agenda. This team requires diverse skills for example project management, communications and data expertise.
The team must be given authority to lead the process of backbone support - this will be different in each community and it is important to customise to the local settings.

Collective action resources

View the range of resources for Collective Action for Communities.

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Aifou,

38 Female

Aifou called her practice to book an appointment for a suspected UTI. Within minutes, her doctor had called her back and was able to assess her needs over the phone. The doctor then booked Aifou to see the nurse that same morning, using a standing order to enable the nurse to prescribe antibiotics if necessary. During her appointment, the nurse also notices that Aifou is due for a cervical screening and a mammogram, and books these in with the appropriate service providers with Aifou present.

“The nurse was really good. She even put the phone on speaker so that I could hear what was going on”

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