New Deal For Communities Areas Research Articles

The impact on health inequalities of approaches to community engagement in the New Deal for Communities regeneration initiative: a mixed-methods evaluation

BackgroundThis study was set in 39 neighbourhoods involved in a government-funded regeneration programme called New Deal for Communities (NDC) that began in 1998. We tested whether or not different approaches to engage residents in decision-making in these areas had different social and health impacts.MethodsFirst, NDC approaches to community engagement (CE) were grouped into four types. We then assessed the impact of these types and whether or not their cost-effectiveness could be calculated. We used existing data from surveys and from NHS and government sources. New data were collected from interviews with residents of NDC areas and former staff. We have also made these data publicly available so that other researchers can assess impacts over a longer time period.ResultsThe four CE types included an empowering resident-led approach (type A), in which residents had a lot of control over decisions, and an instrumental professional-led approach (type D), in which CE was more often used to promote the priorities of public sector organisations. Type B was initially empowering but over time became instrumental and type C balanced empowerment and instrumental approaches from the beginning. There were few statistically significant differences in health and social impacts by CE type. However, when there were statistically significant differences, the results suggest that type A, and to a lesser extent, types B and C approaches may have had better outcomes than the type D approach in relation to levels of participation and trust between residents, control or influence over decisions, social cohesion and mental health. NDC areas with a type D approach were the only ones where residents’ ‘sense of control’ deteriorated over time. Residents of these areas were less likely to feel that the NDC had improved their area and to experience improvements in mental health. However, some aspects of cohesion and trust improved in type D areas. The findings of our economic analyses are mixed. It was difficult to cost engagement activities, measures of effectiveness were not robust and relating costs that could be calculated to specific measures of effectiveness was difficult. There were almost as many negative as positive scores, making the calculation of cost-effectiveness an arbitrary exercise.ConclusionsOur results are consistent with a theory that the greater the levels of control that residents have over decisions affecting their lives the more likely there are to be positive impacts. It is plausible that an empowerment approach to CE would help build trust and community cohesion, and that having a greater influence over NDC decisions could lead to more people feeling that the NDC initiative had improved an area. Conversely, our results are also consistent with a theoretical position which suggests that instrumental approaches, which try to engage residents in agendas that are not theirs, will have relatively little positive impact and that community cohesion and well-being may be undermined. The study has not produced firm evidence on the effectiveness of different approaches to CE. However, the findings do suggest that programmes involving CE will be more likely to have positive impacts if the approaches to CE are experienced as more empowering and less instrumental (i.e. less focused on the agendas of external agencies). Future methodological research is needed to develop better measures of empowerment at the collective level and more robust approaches to empowerment on health and well-being at the population level.FundingThe National Institute for Health Research Public Health Research programme.

Health trajectories in regeneration areas in England: the impact of the New Deal for Communities intervention

BackgroundA large body of evidence documents the adverse relationship between concentrated deprivation and health. Among the evaluations of regeneration initiatives to tackle these spatial inequalities, few have traced the trajectories...

Outcomes from Community Engagement in Urban Regeneration: Evidence from England's New Deal for Communities Programme

The New Deal for Communities (NDC) programme was one of the most intensive area-based initiatives (ABIs) ever launched in England. Between 1998 and 2010, 39 NDC partnerships were charged with implementing 10-year, locally informed strategies designed to improve conditions within deprived neighbourhoods each accommodating around 9,800 people. More than any other previous English ABI, the NDC programme placed a strong emphasis on informing and engaging the 39 local communities in all aspects of the regeneration process. The programme can be seen as a laboratory within which to assess relationships between community involvement in regeneration and any associated outcomes. Change data indicates that at the area-level there is nothing to suggest NDC areas saw more change than other deprived localities, or that NDCs doing more in relation to the community dimension saw greater change than those doing less. Data showing change for individuals, however, reveals that those involved in NDC activities saw more gains than those who were not involved. This positive individual-level change is not reflected in area-level data because absolute levels of involvement remained essentially low. This was for a number of reasons, some of which relate to the evolving NDC narrative: greater control from central government, diminishing community interest in the initiative, and over-optimistic assumptions on the part of local residents as to what the programme could ever achieve.

Addressing Educational Disadvantage in Deprived Communities: Evidence from the New Deal for Communities Programme in England

The New Deal for Communities (NDC) Programme is one of the most intensive area-based initiatives (ABIs) launched in England. Between 1998 and 2010, 39 NDC Partnerships were charged with improving conditions in relation to six outcomes within deprived neighbourhoods, each accommodating around 9800 people. This paper outlines the approaches taken by NDCs to improve educational outcomes. Change is explored within three themes: change within NDC areas; change relative to other benchmarks; and modelling change. Education saw the least change of all six outcomes adopted by the NDC Programme. Unique to this outcome, spending more on education was associated with less change. Spend may have been better directed at supporting younger children and their parents combined with targeted out of school programmes of support for specific NDC cohorts.

Can area-based regeneration programmes ever work? Evidence from England's New Deal for Communities Programme

The New Deal for Communities (NDC) Programme is one of the most intensive area-based initiatives (ABIs) ever launched in England. Between 1998 and 2011, 39 Partnerships were charged with improving conditions in relation to six outcomes within deprived neighbourhoods, each accommodating around 9800 people. The evaluation of the Programme points to only modest net change for NDC areas and their residents, much of which reflects improving attitudes towards the area, rather than for the people-related outcomes of health, education and worklessness. The Programme's architecture was based on four key principles each of which impacted on change. Community engagement reaped fewer benefits, and proved more problematic, than had been anticipated; working with other delivery agencies was complex, providing less in the way the way of direct financial support than was true for other English ABIs; central government impacted on change through an initial over-emphasis on spending annual financial allocations combined with a later marginalisation of ABIs; and outcome change at the neighbourhood level is anyway largely beyond the control of local regeneration schemes. Nevertheless, there are reasons why area-based regeneration schemes might be pursued, including evidence that individuals benefit from local interventions, even if such effects are difficult to measure.

Population Mobility in Regeneration Areas: Trends, Drivers, and Implications; Evidence from England's New Deal for Communities Programme

The nature, extent, and impact of residential mobility have attracted considerable interest. Little of this work has explored relationships between mobility and outcomes for area-based regeneration schemes. England's New Deal for Communities (NDC) Programme marks a departure from previous regeneration programmes in terms of levels of funding and time span. Evidence suggests that between 2002 and 2006 the thirty-nine NDC areas were subject to complex patterns of mobility, the most important drivers of which were age and tenure. Residents moving out of NDC areas did so for housing and environmental reasons and were less disadvantaged than those who stayed. Those moving into the areas during this period were not more disadvantaged than existing residents. Although there are associations between mobility and outcome change, these are not as strong as might be anticipated and their implications for area-based regeneration policy appear relatively marginal.

Understanding the Scale and Nature of Outcome Change in Area-Regeneration Programmes: Evidence from the New Deal for Communities Programme in England

The New Deal for Communities (NDC) programme is one of the most intensive area-based initiatives (ABIs) launched in England. Between 1998 and 2010 thirty-nine NDC partnerships were charged with improving conditions in relation to six outcomes within deprived neighbourhoods, each accommodating around 9800 people. Data point to only modest change, much of which reflects improving attitudes towards the area and the environment. There are problems in identifying positive people-based outcomes because relatively few individuals benefit from relevant initiatives. Few positive benefits leak out of NDC areas. Transformational change was always unlikely bearing in mind the limited nature of additional resources, and because only a minority of individuals directly engage with NDC projects. This evidence supports perspectives of ABIs rooted in ‘local managerialism’.

Area-based regeneration partnerships and the role of central government: the New Deal for Communities programme in England

The New Deal for Communities (NDC) is an ambitious English area-based initiative (ABI) designed to transform 39 deprived areas in relation to five outcomes: crime, education, health, worklessness, and housing and the physical environment. Change data are now available for 2002–08. NDC areas continue to see positive change, but show only modest improvements against other benchmarks, notably similarly deprived comparator areas. Regeneration has been complex because of a range of ‘barrier sets’ of which the most insistent has been the relationship between NDC Partnerships and central government. This relationship informs wider debates surrounding interpretations of the programme.

Estimating the impact of England's area-based intervention ‘New Deal for Communities’ on employment

During the last decade the UK Government has used area-based initiatives as a key strategy to tackle deprivation, despite the criticisms that few of these initiatives have been evaluated. This paper evaluates the impact of one such area-based initiative on employment. The New Deal for Communities (NDC) program aids financially residents of 39 of the most deprived neighborhoods in the country to design and implement policies that could tackle unemployment and improve their living conditions. Using the difference-in-difference method the paper shows that the program increased the probability of jobless individuals entering employment in NDC areas compared to residents living in similar deprived areas used as control group. The program had the greatest effect on those who were in job-training, full time education and in receipt of incapacity benefit before the program began. If the NDC program increased the supply of skilled labor and encouraged inactive individuals to join the labor force, individuals in NDC areas already in employment could as a result be displaced into unemployment or less well paid jobs. However, the evidence presented here shows that the program did not cause displacement effects among those residents who were already employed in NDC areas before the program began.

Evaluating England's 'New Deal for Communities' programme using the difference-in-difference method

The New Deal for Communities (NDC) programme was designed to bridge the gap in living standards between 39 of the most deprived neighbourhoods in England and the rest of the country. This article assesses whether the NDC programme has affected the likelihood that recipients of worklessness benefits, like the Job Seeker's Allowance (JSA) or Incapacity Benefit/Severe Disablement Allowance (IB/SDA), will leave worklessness. This article shows that after the NDC programme began, JSA and IB/SDA recipients living in NDC areas were more likely to exit worklessness than JSA and IBS/SDA recipients living in control areas characterized by having same levels of deprivation as the NDC areas but not included in the programme.

Tackling inequalities in health: evaluating the New Deal for Communities initiative

Objective:To assess health improvement and differential changes in health across various sociodemographic groups in neighbourhood renewal areas.Design and setting:A longitudinal survey of 10 390 residents in New Deal for Communities...

Community-based lifestyle interventions: changing behaviour and improving health

To explore the association between change in physical activity levels and fruit and vegetable consumption and changes in self-reported overall health and mental health, of residents living in deprived English communities. Household survey conducted in 2002 and repeated in 2004. Thirty-nine deprived UK communities in areas participating in the New Deal for Communities (NDCs), a major government funded community development initiative. Ten thousand four hundred and nineteen residents in NDC areas and neighbouring comparator areas. Overall levels of physical activity and fruit and vegetable consumption are low but a large positive change in diet or levels of physical activity is associated with a significant change in mental health (2.86 and 2.71, respectively: P < 0.01). Smaller, but also statistically significant, changes were found in physical health (0.07 and 0.05, P < 0.01). Specific dimensions of mental health which showed a large change in association with lifestyle change were those associated with 'peacefulness' and 'happiness'. These findings suggest that, for residents of these neighbourhoods, positive lifestyle changes such as increasing physical activity levels and increase in fruit and vegetable consumption are associated with positive changes in mental health. What is already known? Mental health, a key area of health inequality is related to physical health, and associated with education, employment, environment and community issues. There is known to be a relationship between improved lifestyle (increased physical activity levels and better diet) and better health. What does this study add? This study shows that over two years, measurable changes in lifestyle were associated with improvements in both mental health and self-reported overall health. The association of lifestyle changes with overall health, although statistically significant, were less significant than those with mental health over the same period, suggesting those wanting to measure the impact of community activity on health will be more likely to see a measurable short-term impact on mental, rather than overall self-reported health.

Physical activity and health: evidence from a study of deprived communities in England

This study aims to explore the relationship between physical activity levels and the self-reported health status of residents living in deprived communities in England. A cross-sectional interview survey was conducted in communities in receipt of funding from the New Deal for Communities (NDC) regeneration programme. A sample of 848 addresses was selected by random sampling from within each of the 39 NDC areas, and one adult from each household was selected for interview. A total of 19 574 residents were interviewed between July and October 2002. The main outcome measures were physical activity level and health status assessed using four self-reported health measures: health in the last 12 months, health change in the last 12 months, long-standing illness or disability and a mental health-related quality-of-life score. There are large regional and demographic variations in respect of NDC residents' physical activity levels. The areas with the lowest levels of physical activity are mainly located in northern industrial towns. Residents who did little or no physical activity were more than twice as likely to feel that their health was not good (adjusted OR 2.54, 95% CI 2.35-2.75).

Community Elections for Regeneration Partnerships: A New Deal for Local Democracy?

The health of local democracy in the UK is being undermined by the very low turnouts in local government elections. As the recent government pilot schemes for changing the conduct of local elections have recognised, there is an urgent need to get people more involved at the local level, to reconnect voters with the local political system and to help reduce the level of cynicism towards local government. However, there is one area of local electoral politics in which there are clear signs of democratic renewal: turnouts are up, candidates are well-known and clearly identify with their community, young people and minority ethnic communities have a voice and local people are interested and enthused by a distinctively 'local' brand of politics. This area is the 'non-statutory' community elections increasingly used within the New Deal for Communities (NDC) regeneration initiative. This article examines the experience of community elections in NDC areas - particularly focussing on Newcastle's West Gate - and argues that the elections provide examples of good practice and innovation that could be used to enhance the conduct of local government elections. Moreover, community elections could also make a positive contribution to revitalising the overall health of local democracy by providing an 'complementary' channel of representation to that provided by elected local councillors.