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Map 9: Community-led local operational
partnership
The Beacon estate (pop. 6000) is sited in
the ward of Penwerris. In the Index of Multiple Deprivation 2000, it
ranked among the worst 10% of wards in the country. In 1996, a
Bristol University survey found it was the most deprived ward in
Cornwall. According to the Breadline Britain Index, it had the
highest proportion of poor households of the county’s 133 wards.
More than 30% of households were living in poverty. It had the
largest percentage of children in households with no wage earners,
the second highest number of children living with lone parents and
more than 50% of the 1500 homes were without central heating. Its
illness rate was 18% above the national average. In a climate of
mistrust between the police and community, violent crime, drug
dealing and intimidation were rife. With little central heating, the
cold, damp homes had resulted in a sharp rise in childhood asthma
and respiratory problems. ‘It was a community in despair, pushing
the ‘self destruct’ button, heavily stigmatized and on a seemingly
unstoppable spiral of decline.’
By 1999 however the estate had undergone a
remarkable transformation to become a multi-award winning national flagship
for community renewal. The project was led by two health visitors,
Hazel
Stuteley and Phil Trenoweth
, according the the following plan.
Hazel Stuteley says: ‘ The reversal
of a community suffering decline demands action to initiate
connectivity. Ideally this would come spontaneously from residents
but this rarely happens due to the intimidating power of a
destructive minority of their peers. Someone has to act and initiate
new relationships and create the spaces for reconnection of
residents to each other and between them and the agencies who serve
them. The starting point is having an unshakeable belief in a
community’s capacity to heal itself. My experience has been that
this capacity is always there even in the bleakest of scenarios. It
is always only around 1% of
the population who create the mayhem and dysfunction which
characterizes our so called ’sink’ estates or communities. The vast
majority of residents are dignified, resilient and strong citizens.
They have to be. Living below the breadline with all the challenges
of a poor economy, probable poor health, housing, unemployment and a
crime-blighted neighbourhood
makes for some strong individuals and families. It is harnessing
this strength and creating an enabling environment for them to lead
change for themselves which is key to beginning the transformation
process. Nurses, GPs and frontline health workers have a huge
advantage in being the catalysts of such change, a massive ‘given’
and this is trust. For many residents with negative early life
experiences, an innate mistrust of all authority is deeply embedded
but this rarely applies to health personnel. Other agencies also
tend to trust the health sector. Given that we believe in the
capacity of residents, what is the message we wish to convey? Too
often in community renewal initiatives emanating from large
organizations it can be interpreted as "You’re inadequate,
incompetent, deprived and broken…we’re going to fix you". It needs
to be "We believe you have the strength and the shared sense of
history of your neighbourhood to make this a community to be
proud of, a good place to live and work." ’
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