Between October 1993 and May 1994, a pilot study was undertaken to exp
lore ways of enhancing community participation and empowerment in heal
th-related issues in the south-east region of Wolverhampton. The study
was commissioned from the Centre for Health Services Studies at the U
niversity of Warwick by Wolverhampton Health Executive. During the stu
dy period, 129 interviews were conducted with health professionals, lo
cal authority and voluntary workers, and local residents. Interview te
xts were subjected to detailed analysis, and the most pressing preoccu
pations of respondents were identified and quantified. Interview data
were supplemented and validated by the use of 1991 census data by enum
eration district, and by information about the characteristics of loca
l neighbourhoods supplied by 49 local residents and workers. Significa
nt differences in attitude towards health issues between health profes
sionals and local residents were found, which resulted in barriers to
accessing services. On the basis of what was learned during the course
of the pilot study, a model has been devised for continuing the work
of the Locality Focus on Health in other parts of the borough.