Community empowerment : lessons learned from a local health programme

The use of complex public health systems to empower communities is often met with challenges and frustrations. Community empowerment programmes focus on improving mental and physical health needs, enabling individuals to become active members of the local community through collective actions. Design research plays a crucial role in understanding the interactions between health and communities. Healthier Fleetwood is a successful community empowerment program in the northwest of the UK, that connects residents with local services, groups, and events to foster a sense of community and encourage them to control their health and well-being. The success of this approach and its impact on health has been reflected in encouraging trends for reduced GP and A&E visits by Fleetwood residents. Nevertheless, the why and how behind the success of this community programme and its impact had never been previously captured and understood. The aim of the research, reported in this paper, was to develop an in-depth understanding of what impact is understood to be for the community and those engaged in the Healthier Fleetwood initiative, in order to replicate benefits to other UK towns. To achieve this, the research team employed design research methods, such as co-design workshops, day in a life, photovoice, design blueprint, and conversation methods. The findings identified 12 key lessons learnt, that can be used to develop similar Health Community Programmes in other UK towns. These findings can be grouped into three key themes: working closely with the community, having enhanced communication and the programme structure