1. Community Navigation & Social Prescribing

What it will entail
• A single, trusted point of access for residents, carers and professionals
• Skilled Community Navigators providing:
 o Initial conversations to understand needs, strengths and goals
 o Practical signposting and warm referrals into local support
 o Ongoing light-touch follow-up where appropriate
• Navigation delivered through:
 o Community hubs
 o Outreach in community settings
 o Telephone and digital support
• Close alignment with GP social prescribing and voluntary sector provision

Purpose: Reduce confusion, prevent escalation, and help people access the right support at the right time.

2. Emotional Wellbeing & Low-Level Mental Health Support

What it will entail
• Non-clinical, early-intervention support including:
 o One-to-one listening and guided support
 o Group-based wellbeing activities
 o Peer support and facilitated conversations
• Clear pathways into specialist or clinical services where required
• Focus on:
 o Loneliness and isolation
 o Mild to moderate anxiety or low mood
 o Life transitions (bereavement, retirement, caring roles)

Purpose: Build resilience and reduce demand on statutory mental health services.

3. Social Connection, Inclusion & Community Participation

What it will entail
• A programme of accessible, welcoming community activities including:
 o Social groups and interest-based sessions
 o Peer-led and co-produced activities
 o Culturally appropriate and inclusive provision
• Active outreach to people least likely to engage:
 o Older people living alone
 o People with disabilities or long-term conditions
 o Residents facing digital exclusion
• Strong links with libraries, faith groups, community venues and VCS partners

Purpose: Tackle loneliness, strengthen community ties and improve quality of life.

4. Practical Support for Independence & Daily Living

What it will entail
• Light-touch, preventative support such as:
 o Help with forms, benefits and basic digital skills
 o Support to access food, fuel and financial advice
 o Guidance around housing, mobility and local services
• Delivered via:
 o Community hubs
 o Outreach sessions
 o Partner organisations with specialist expertise

Purpose: Remove practical barriers that undermine wellbeing and independence.

5. Support for Carers & People with Caring Responsibilities

What it will entail
• Identification and engagement of unpaid carers
• Carer-specific support including:
 o Emotional support and peer groups
 o Information, advice and navigation
 o Wellbeing and stress-reduction activities
• Clear routes into statutory carer assessments and specialist support

Purpose: Sustain carers, reduce burnout and prevent crisis situations.

6. Community-Led Prevention & Lived-Experience Engagement

What it will entail
• Structured involvement of residents with lived experience through:
 o Co-design workshops
 o Community advisory panels
 o Peer facilitators and volunteers
• Feedback loops to commissioners on emerging needs and gaps
• Development of community capacity and leadership

Purpose: Ensure services remain relevant, trusted and rooted in local need.

Cross-Cutting Features Across All Services

• Prevention-first, not crisis response
• Warm referrals, not signposting alone
• Partnership delivery through trusted VCS organisations
• Outcome-focused, not activity-driven
• Accessible, inclusive and trauma-informed
• Strong data capture and learning without over-bureaucracy

Optional Next Steps

If you’d like, next steps could include:
• Turning this into website-ready copy
• Creating a simple “what you can get help with” resident version
• Mapping each service to likely KPIs and outcomes
• Aligning this with EOI providers so everyone sees where they fit

Just say the word.