Organisations of Hope: Building a Creative Consortium for Health Equity in Greater Manchester
Lead Research Organisation:
The University of Manchester
Department Name: Arts Languages and Cultures
Abstract
On average, residents in Greater Manchester have worse health outcomes than people living in other parts of the country. This is true for both physical and mental health. However, what is particularly striking is how these poor health outcomes vary across the city region, affecting some communities and areas more than others. Arts and creative activities can cross community and cultural boundaries and have a positive impact on people's health and mental wellbeing. Therefore, we see creative health activities as a possible way of addressing these inequalities. Unfortunately, the organisations and assets that support creative health across the city are not well linked up with the health and social care systems, so are currently difficult for people to access and benefit from.
Greater Manchester has pioneered a new approach to addressing inequalities by combining health and social care in a way that allows the two to work together closely to support those accessing these services. The city has also played an important role in building evidence for how access to creativity, culture and heritage can enhance health and wellbeing. Due to this, Greater Manchester has committed to becoming a creative health city region and has devised a strategy for achieving this goal with a focus on increasing equity. Once this strategy is fully implemented, we will see creative activities and opportunities being accessed by multiple community groups, creating a supportive environment where people suffering from long-term physical and mental conditions can benefit. However, to achieve this we first need to understand the existing links between those who provide creative health activities, health practitioners, policymakers and local communities and then how to improve and embed these connections.
Researchers at the University of Manchester (UoM) and King's College London (KCL) will work with the Greater Manchester Integrated Care System - the new body that links up health and social care across the city region - and the Greater Manchester Combined Authority to build a creative health consortium. This will be a diverse group of organisations and individuals that represent communities, cultural organisations, charities and local government. The group will work together to understand how we can use existing 'community assets' to improve health and wellbeing and increase equity. We want to know what assets people use, what the barriers are to using them but also where the gaps are and what people would like more of in their neighbourhoods. We hope to understand better how such resources might make our communities healthier and fairer.
During the project we will explore barriers to integrating creative health approaches into the city-wide system for care. This will involve mapping local activities, assets and resources as well as looking at how they are spread across the whole city region. We will focus on activities that influence health and wellbeing, looking for ways that very successful activities might be shared or replicated to serve other communities. We think that people working in cultural and community organisations as well as people in health and social care need better information about creative health. They may also need new kinds of training. We plan to find out more about these needs and how they might be met. We hope in the future that the consortium will be able to develop future research into the relationships between creativity, community assets and health equity. This will involve testing different approaches and understanding better what works and why. We want to be in a position to do the right research with the right people so we know how to make creative health activities more fairly available across cities and regions.
Greater Manchester has pioneered a new approach to addressing inequalities by combining health and social care in a way that allows the two to work together closely to support those accessing these services. The city has also played an important role in building evidence for how access to creativity, culture and heritage can enhance health and wellbeing. Due to this, Greater Manchester has committed to becoming a creative health city region and has devised a strategy for achieving this goal with a focus on increasing equity. Once this strategy is fully implemented, we will see creative activities and opportunities being accessed by multiple community groups, creating a supportive environment where people suffering from long-term physical and mental conditions can benefit. However, to achieve this we first need to understand the existing links between those who provide creative health activities, health practitioners, policymakers and local communities and then how to improve and embed these connections.
Researchers at the University of Manchester (UoM) and King's College London (KCL) will work with the Greater Manchester Integrated Care System - the new body that links up health and social care across the city region - and the Greater Manchester Combined Authority to build a creative health consortium. This will be a diverse group of organisations and individuals that represent communities, cultural organisations, charities and local government. The group will work together to understand how we can use existing 'community assets' to improve health and wellbeing and increase equity. We want to know what assets people use, what the barriers are to using them but also where the gaps are and what people would like more of in their neighbourhoods. We hope to understand better how such resources might make our communities healthier and fairer.
During the project we will explore barriers to integrating creative health approaches into the city-wide system for care. This will involve mapping local activities, assets and resources as well as looking at how they are spread across the whole city region. We will focus on activities that influence health and wellbeing, looking for ways that very successful activities might be shared or replicated to serve other communities. We think that people working in cultural and community organisations as well as people in health and social care need better information about creative health. They may also need new kinds of training. We plan to find out more about these needs and how they might be met. We hope in the future that the consortium will be able to develop future research into the relationships between creativity, community assets and health equity. This will involve testing different approaches and understanding better what works and why. We want to be in a position to do the right research with the right people so we know how to make creative health activities more fairly available across cities and regions.
Title | Organisations of Hope |
Description | Animation describing creative health and the idea of a creative health asset. |
Type Of Art | Film/Video/Animation |
Year Produced | 2023 |
Impact | The animation was used with a wide range of stakeholder groups to stimulate discussion about creative health in people's lives. |
URL | https://www.youtube.com/watch?v=w1wczqmP7Zw |
Title | Poem: Deepish Art for Wellbeing women's group |
Description | As part of the research process we held a series of workshops with a Art for Wellbeing group at Deeplish Community Centre in Rochdale. The women involved in the sessions, co- led by Cartwheel Arts, considered the ethics of being involved in research and contributed their thoughts on the university ethics forms required. The output of this was a co-produced poem on the theme of ethics and research in Urdu and translated to English. |
Type Of Art | Creative Writing |
Year Produced | 2023 |
Impact | The poem informed our subsequent ethics application to the UREC. |
Title | The Vibes of Greater Manchester |
Description | A commissioned piece of art work by young artist Mahdiyyah through our collaboration with 42nd Street. Mahdiyyah took a creative approach to the concept of 'mapping' creative health in Greater Manchester and created this artwork. |
Type Of Art | Artwork |
Year Produced | 2023 |
Impact | The significance of the piece so far has been primarily realised by the artist by their involvement in the concept of mapping creative health - the impact being a personal creative approach to this. The art work was displayed at our Creative Health symposium event and we are seeking somewhere for display. |
Description | The Organisations of Hope research project brought together a diverse coalition of partners to examine the role of creative health assets in addressing health inequity in Greater Manchester. This coalition included academic researchers from the University of Manchester and King's College London, strategic leads from NHS Greater Manchester and the Greater Manchester Combined Authority, and partners from the public, voluntary and community sectors including Cartwheel Arts, 42nd Street, Deeplish Community Centre and Dementia United. We sustained and built on this coalition during and after the period of the project through a series of events and working group meetings. The coalition developed a collaborative approach to understanding both the characteristics and distribution of creative health assets. We understand creative health assets as spaces, places and people that support people's health and wellbeing through creativity, culture, or heritage. We mapped locations and types of creative health asset across Greater Manchester. We are now working to understand how this information might be made more accessible to policy makers and professional practitioners. For instance, we want to explore how information about creative health assets might be used alongside data on health inequality. We have also raised questions about how this data compares to other existing information on creative health assets. A key objective of the project was to gather the perspectives of different age groups and people in different parts of the city region. We focussed on children and young people and adults over 50 and worked with groups in different communities. We developed a new participatory approach to understanding what creative activities individuals and communities do to support their health and wellbeing. This approach has also identified factors that enable or restrict access to creative health assets. There are social, economic, and cultural factors as well as factors relating to place. We have experimented with different modes of representing our findings in visual and narrative creative outputs that are accessible to different groups including those we worked with. We are working on sharing these further through formal and informal publications. The project also explored the views of professionals, including practitioners and policymakers, on the integration of creative assets within the health and care system. We have recorded and transcribed a set of conversations between professionals about the barriers and enablers to such integration. Initial findings from this dataset have been shared with local policymakers and stakeholders through a report and events. Key issues emerging from these findings include: the availability and accessibility of outcomes research and other kinds of evidence relating to creative health assets; and the availability of training and professional development for policymakers and practitioners in different kinds of roles with different professional and disciplinary backgrounds. We also produced a short report on professional development needs of creative health practitioners that has been shared with policymakers and stakeholders in the region. We are working on more detailed analysis of all the findings outlined above and will continue to share outcomes via publications for different audiences. |
Exploitation Route | This project took place over a short period of time within one geographical area (9 months in Greater Manchester). Longer-term research is needed in this field. There is a lot more to do to understand how different communities and groups support their health and wellbeing through creative and cultural activities. We were able to develop a preliminary map of activity for one point in time in one area. It would be helpful to understand more about: distribution of activity over wider and different areas; the availability of activities over time; and their relationship to health inequalities. There is more to do to understand the barriers and enablers to integrating creative health from the perspectives of policymakers, commissioners, organisations and communities as these are likely to vary according to place, time and a wide range of other demographic factors. It would also be useful to understand better the different models of creative health provision, how these are valued, and their outcomes. There are implications of this work for professional development of workforces in creative and cultural sectors and in health and care. There are also implications for policymakers and commissioners in health and care as well as funders of creative and cultural activities. |
Sectors | Communities and Social Services/Policy Creative Economy Education Healthcare Leisure Activities including Sports Recreation and Tourism Culture Heritage Museums and Collections |
URL | https://www.creative.manchester.ac.uk/research/creativity-health-wellbeing/organisations-of-hope/ |
Description | The project ultimately aims to address health inequity in Greater Manchester by supporting better integration between the Voluntary, Community, Faith and Social Enterprise (VCFSE) sectors, cultural and creative sectors, local authorities and the health and social care system. This requires significant systems change and the development of a research agenda that cuts across disciplinary and professional boundaries. Our engagement with stakeholders from across the health and care system has contributed to a process of awareness-raising about the extent and potential of creative health assets in Greater Manchester and beyond. Findings from the project have informed a creative health delivery plan adopted by NHS Greater Manchester as part of its joint forward plan. The project has contributed to the establishment and running of creative health working groups led by NHS GM. We have also supported the development of the Live Well Make Art network which brings together practitioners from different professional backgrounds and shares good practice. The collaboration has involved the development of a new multidisciplinary creative health research grouping at the University of Manchester including researchers from the arts, education, health economics and public health. Through the project, this group has also developed links with other researchers at other institutions. Through the involvement of researchers at different career stages it has also built capacity for future research in this field. The collaboration has also developed sustained relationships between the research group, staff at GMCA/NHS GM and with key stakeholders from the VCFSE sector. |
First Year Of Impact | 2023 |
Sector | Communities and Social Services/Policy,Creative Economy,Education,Healthcare,Leisure Activities, including Sports, Recreation and Tourism,Culture, Heritage, Museums and Collections |
Impact Types | Cultural Societal Policy & public services |
Description | Greater Manchester Creative Health strategy working groups |
Geographic Reach | Local/Municipal/Regional |
Policy Influence Type | Participation in a guidance/advisory committee |
Title | Convened Conversations: Organisations of Hope |
Description | 77 people took part in a convened conversation - a recorded interview/ focus group with a semi-structured question set relating to creative health. The data set includes 44 audio recordings which have been transcribed. The length of each recording varies from 30 minutes to 90 minutes. 10 recordings have multiple participants and 34 are individual narrators. |
Type Of Material | Database/Collection of data |
Year Produced | 2023 |
Provided To Others? | No |
Impact | The data from these interviews has been used by the Creative Health strategy lead at NHS GM to develop the scope for a large( <£1m) Arts Council funding application. Data from these interviews is being used to inform a series of research and evidence digests co-produced between NHS GM and The University of Manchester. |
Title | Creative Health Mapping Workshops: Organisations of Hope |
Description | n. 5 Older adults workshops n. 6 Children and young people workshops Data from these workshops include observational notes, photographs of creative outputs and visual minutes. |
Type Of Material | Database/Collection of data |
Year Produced | 2024 |
Provided To Others? | No |
Impact | The data from the workshops is still in the process of analysed by the team in detail. |
Title | Creative Health asset map - Greater Manchester |
Description | Creative health assets in Greater Manchester were mapped through a range of scoping activities inc. workshops and desk based research. A list of assets (non exhaustive) was created. This list is being analysed in the context of health inequity data. |
Type Of Material | Database/Collection of data |
Year Produced | 2024 |
Provided To Others? | No |
Impact | Pending analysis |
Description | Greater Manchester Creative Health Consortium |
Organisation | 42nd Street |
Country | United Kingdom |
Sector | Charity/Non Profit |
PI Contribution | Lead research organisation on the Organisations of Hope project |
Collaborator Contribution | One of the primary aim of the funded research project was to build and develop a creative health consortium in Greater Manchester. The project formally collaborated with the range of partners listed and the partners were convened to bring a range of multi-sectoral expertise to the project. Partners supported the work in a range of ways: engagement and advocacy, policy and practice, research and innovation. |
Impact | All the outputs from the Organisations of Hope project relate to this consortia. |
Start Year | 2022 |
Description | Greater Manchester Creative Health Consortium |
Organisation | Greater Manchester Combined Authority |
Country | United Kingdom |
Sector | Public |
PI Contribution | Lead research organisation on the Organisations of Hope project |
Collaborator Contribution | One of the primary aim of the funded research project was to build and develop a creative health consortium in Greater Manchester. The project formally collaborated with the range of partners listed and the partners were convened to bring a range of multi-sectoral expertise to the project. Partners supported the work in a range of ways: engagement and advocacy, policy and practice, research and innovation. |
Impact | All the outputs from the Organisations of Hope project relate to this consortia. |
Start Year | 2022 |
Description | Greater Manchester Creative Health Consortium |
Organisation | King's College London |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Lead research organisation on the Organisations of Hope project |
Collaborator Contribution | One of the primary aim of the funded research project was to build and develop a creative health consortium in Greater Manchester. The project formally collaborated with the range of partners listed and the partners were convened to bring a range of multi-sectoral expertise to the project. Partners supported the work in a range of ways: engagement and advocacy, policy and practice, research and innovation. |
Impact | All the outputs from the Organisations of Hope project relate to this consortia. |
Start Year | 2022 |
Description | Live Well Make Art - Creative Health Practitioner network |
Organisation | Greater Manchester Combined Authority |
Country | United Kingdom |
Sector | Public |
PI Contribution | Research expertise |
Collaborator Contribution | Cartwheel Arts is a participatory arts charity based in Rochdale, Greater Manchester. Cartwheel Arts managed the Live Well Make Art network which is aimed at supporting creative practitioners in Greater Manchester. Through this research project Cartwheel Arts, in partnership with the Creative Health Strategy lead at GMCA supported by UoM undertook a training and support needs analysis of creative practitioners. |
Impact | Survey data and analysis - 63 participants. Focus group - 10 participants. Analysis has informed the Creative Health strategic plan in Greater Manchester. The collaboration is multi-sectoral |
Start Year | 2022 |
Description | Creative Health Mapping Workshops - Children and young people x 6 |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Schools |
Results and Impact | Six 'Creative Health Mapping' workshops took place in schools and educational settings across Greater Manchester. All participants had the opportunity to share their lived experience of creative actvities and how these may/may not relate to their health and wellbeing, barriers and enablers to doing creative activities and assets they use/ would like to access to be creative. The children and young people who participated reported a range of activity which they would define under 'creative health'. The contributions of the children and young people to the workshops shaped new knowledge amongst the staff team delivering this. |
Year(s) Of Engagement Activity | 2023 |
Description | Creative Health Mapping Workshops: Older adults x5 |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Study participants or study members |
Results and Impact | Five 'Creative Health Mapping workshops' took place in partnership with different community organisations across Greater Manchester. All participants had the opportunity to share their lived experience of creative actvities and how these may/may not relate to their health and wellbeing, barriers and enablers to doing creative activities and assets they use/ would like to access to be creative. As a result of these workshops staff and volunteers from the third sector organisations have been keen to further collaborate with the team to develop this research on creative health. 3 organisations were named on a subsequent (unsuccessful bid). One of these organisations also collaborated on another subsequent bid (outcome pending). |
Year(s) Of Engagement Activity | 2023 |
Description | Creative Health Strategy Workshops x 5 |
Form Of Engagement Activity | A formal working group, expert panel or dialogue |
Part Of Official Scheme? | No |
Geographic Reach | Regional |
Primary Audience | Professional Practitioners |
Results and Impact | 5 x workshops were co-delivered with NHS GM/ GMCA as part of the launch of Greater Manchester's Creative Health Strategy and consider research, innovation and evaluation opportunities with the University of Manchester. Project team members now sit on specific Creative Health strategy working groups in Greater Manchester and directly feed into the development and delivery of the creative health strategy across the city region. |
Year(s) Of Engagement Activity | 2023 |
URL | https://gmintegratedcare.org.uk/wp-content/uploads/2022/11/gm-creative-health-strategy-exec-summary.... |
Description | Organisations of Hope website |
Form Of Engagement Activity | Engagement focused website, blog or social media channel |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Project website was designed to give an overview of the project for a broad range of stakeholders. |
Year(s) Of Engagement Activity | 2023 |
URL | https://www.creative.manchester.ac.uk/research/creativity-health-wellbeing/organisations-of-hope/ |
Description | Organisations of Hope: Creative Health Symposium |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Public symposium at Manchester Museum with a range of delegates sharing back findings from all partners and stakeholders involved in the project. |
Year(s) Of Engagement Activity | 2023 |