Community Champions Database for Know Diabetes

North West LondonGeneric Health Relevance
Start Date: 1 Jan 2014

Project aim

To provide community interventions for health benefits across three London Boroughs: City of Westminster, Royal Borough of Kensington and Chelsea, and Hammersmith and Fulham; focussed on specific socio-economic areas.  The work will be community volunteer driven and include aspects of peer support, awareness raising, education, and health campaigns. This work builds on previous activities, also drawing on learning from the Diabetes - Peer led Prevention and self-management (DIMPLE) project funded by NIHR CLAHRC NWL. 

Specific aims:

  • To work with community groups to provide patient centred and led self-care support
  • To categorise patients into different groups and tailor their support and education accordingly
  • To increase equity by ensuring a range of effective interventions is available
  • To develop a team of trained volunteers, working safely under supervision

Self-management programmes support patients to

  • gain information and knowledge about their condition
  • develop self-efficacy and self confidence
  • develop health literacy in terms of understanding their choices
  • learn how to work in partnership with clinicians
  • Adopt healthy lifestyles
  • Learn how to involve their families and friends in management of their long term condition

Peer led support programmes

  • Are as effective or more effective than clinician led education programmes
  • Are preferred by some groups of patients because there is less use of clinical language
  • Are preferred by some groups of patients because they do not feel embarrassed to say that they do not understand something that has already been explained to them
  • Are preferred by people who worry about ‘wasting the doctor’s time’

The service sought support from CLAHRC NWL particularly around the development of a custom data collection and reporting system, through modification of the Web Improvement Support for Healthcare (WISH) system, than can be used for monitoring by project managers, provide CV-style outputs for volunteers, and be used in the community.

Outcome & Impact statement

Please provide a narrative about the significance of your outputs and impact

The cumulative number of champions (volunteers) in the reporting period is 85 individuals, of whom 11 have since gained employed; 45 are parents, and 16 are neither a parent nor a carer. These champions have contacted an estimated 5000 people through courses and other activities, with 1382 completions, with a self-reported increase in awareness from 1319 people, in health behaviour change from 594 people, and in confidence from 726 people. The champions themselves have completed 100 training courses.  Larger events initiated by this programme have contacted an estimated 7000 attendees, and have had conversations on many aspects of health including signposting to health trainers and neighbourhood organisations.

Ten wider health surveys have been conducted, with 263 respondents, with 17 health campaigns run reaching an estimated 7100 people.

What happened next?

Initially working in 6 locations across the three boroughs, another estate based location has joined the collection of projects, again focussing on establishing community support networks for public health.

Dr Alan Poots