Health and Well-being partnership briefing

Health and Well-Being Partnership

Health and Well-being partnership Play Sport, Leisure and Culture / Chwarae, campau, hamdden a'r pethe Participation Poverty

Current Challenges The need for local services to encourage greater participation.

What Can Be Done?

There will be enhanced participation if service provision is worthwhile, fun and gives opportunity to gain new skills or an award (e.g. Millennium volunteers Grant scheme) Development of intergenerational projects enhances skills and provides access to services e.g. cinema night or cultural trips.

Some local authority areas have sports’ councils who provide a voice for local clubs. The umbrella body for these is the Welsh Association of Local Sport Councils.

The Libraries for Life scheme launched by WAG should encourage greater engagement with and use of local library facilities

Where To Go? Communities First Network- Billy Brown Creative Partnerships Arts Council Wales strategies for promoting participation and funding opportunities.

WAG Statement 2005 Welsh Association of Local Sport Councils Libraries for Life

Health and Well-being partnership The Early Years (0-7) / Y blynyddoedd cynnar Income Poverty

Current Challenges Access to community dental services

What Can Be Done?

Where To Go?

Better promotion of oral health through com- The national plan, ‘Designed to Smile – A Namunity based services and education set- tional Child Oral Health Improvement Protings. This will be supported by Sustainable gramme’ nursery and school based tooth brushing programmes are a key priority of WAG’s ‘Designed to smile’ A national oral health improvement programme’ are a key priority. Effective programmes will need to involve health and local authority partnerships and be accepted as an integral part of health promoting activity in nursery and school settings.

Health and Well-being partnership Education and Learning Opportunities / Addysg Income Poverty

Current Challenges

What Can Be Done?

Where To Go?

Working with others Schools alone are unable to tackle and overcome the effects of child poverty on education. Effective schools working in deprived areas develop creative methods of working with others.

Develop creative methods for the recruitment and retention of staff. Consider recruiting from the local community and ex pupils for all staff positions.

Sustainable Procurement In 2005 it was estimated that 35% of the ÂŁ4 billion spent each year by the public sector in Wales was won by indigenous business supporting some 70,000 jobs. Every 1% increase to this figure should relate to an increase of some 2,000 jobs.

Develop a common partnership approach to Buy Wales sustainable procurement that ensures http://www.forumforthefuture.org.uk/ opportunities to support the local economy and skills development of young people are node/1413 secured. http://www.s-p-i-n.co.uk/toolkit.asp#SocioEconomic

De Stigmatising Payment Methods Some free school meals and other payment methods stigmatise pupils making them more vulnerable to bullying.

Develop sensitive payment methods within school settings

Cashless Catering http://www.familyandparenting.org/item/1202 Denbighshire Cashless Catering

Health and Well-being partnership Health Freedom from Abuse and Exploitation / Iechyd, a rhyddid rhag camIncome Poverty

Current Challenges Engaging socially excluded families in health related community based activities.

(Understanding the impacts of poverty on families.)

What Can Be Done?

The WLGA’s Excellence Wales programme is focusing on the theme of ‘Social Inclusion’ for 2008-09 looking at how to mitigate the effects of child poverty and maximise the powers of local government to enhance inclusion.

A copy of the four sub themes and the requirements of each is available from www.wlga.gov,uk The Social Care Institute for Excellence have recently published ‘Poverty, Parenting and Social Exclusion’ an e- learning resource to help people working in social care to understand the links between poverty, parenting and social exclusion.

Where To Go? In 2004 the NPHS published Deprivation and Health to highlight the relationship between small area deprivation and health in Wales, using a large number of health indicators. The report shows that, in nearly all instances, people living in the most deprived areas have worse health and health indicators than those in the most affluent areas.

The NPHS also published a series of 22 summary reports, one for each LHB, showing how the relationship between health and socio-economic deprivation is likely to be operating at the local level.

These can be accessed from: Deprivation and Health: LHB Summary Reports (2006)

Health and Well-being partnership Health Freedom from Abuse and Exploitation / Iechyd, a rhyddid rhag cam-drin a Income Poverty

Current Challenges

What Can Be Done?

Where To Go?

Access to safe modes of transport to reduce incidence of RTC’s in deprived wards.

A review of safe routes to school schemes could be used to extend 20mph zones across Council areas where there is a high density of children and young people.

NPHS Deprivation and the health of Young People report

Access to community healthcare services

Health Poverty Index Access to services is wider than the financial ability to pay for services. Using the needs NSF Standards on access to services assessment that underpins the HSCWB strategy and CYP plan, community based healthcare services provided by partnerships must be adequately targeted and delivered in areas of highest need to enhance participation, with consideration given to travel links and proximity to universal settings such as schools

Health and Well-being partnership Play Sport, Leisure and Culture / Chwarae, campau, hamdden a'r pethe Income Poverty

Current Challenges

What Can Be Done?

Where To Go?

The need to support and promote activities within communities rather than introducing activities through external initiatives.

Building local interest and capacity ensures that services are more sustainable because they attract a critical mass of people, are easily accessible and relate to the locality.

Community capacity can be built by procuring funds to provide subsidised costs and underwrite of activities.

Hand in Hand- Arts based Activities and Regeneration (ACW)

Developing an accurate picture of participation, financial barriers and related outcomes.

Develop a more robust monitoring and evaluation model to reflect the actual number of people engaging in relevant services and measure the impact made.

Unpacking Participation

Health and Well-being partnership Participation and Decision Making / Cymryd rhan yn y broses benderfynu Income Poverty

Current Challenges

What Can Be Done?

Where To Go?

Being Worse Off Camden documents Fully review the individual costs of Children and young people experiencing pov- participation and ensure that up front costs are erty should not be worse off as a result of their minimised. participation.

Lack of money Monetary issues can often act as a barrier to attending participation activity.

Develop good practice in relation to the reward, remuneration and recognition of Children and young people’s participation, ensuring that it takes into account the complexities of the welfare benefits system.

Good practice Guide www.participationworkerswales.org.uk

Health and Well-being partnership Income Maximisation / Employment / Heb fod dan anfantais o achos tlodi Income Poverty

Current Challenges

What Can Be Done?

Where To Go?

Knowledge of the Carers Premium among Consider awareness raising among key staff front line staff and vulnerable families is working with families with a disabled person. limited. Benefits maximisation for families with a disabled/sick person is a key issue as they are at a high risk group.

CPAG: Out of Reach: benefits for disabled children Carer’s UK http://www.carersuk.org/Information

There is currently no obligation on councils to take responsibility for promoting improved take-up of welfare benefits.

Despite this, there is a growing expectation from Central Government that benefit checks and help to claim benefits should be integrated within council key services.

Consider the feasibility of providing holistic benefit checks for vulnerable families within key frontline services in partnership with the voluntary sector and encourage the take up of WTC/CTC and DLA (especially for children) and Attendance Allowance.

The unclaimed millions: dla and cancer patients CPAG: Out of Reach: benefits for disabled children Citizens advice: Tax credit take-up resource pack

Unemployment and worklessness in families are major factors in child poverty.

Paid work is seen by the government as a route out of poverty, however the ability to achieve higher quality and sustainable jobs is also important.

Develop in partnership a cohesive local approach to reducing worklessness. That co-ordinates local resource, understanding, data and expertise.

Consider the use of outreach services and IT solutions to assist in reducing Worklessness.

Joseph Rowntree Foundation : Local initiatives to help workless people find and keep paid work

Health and Well-being partnership The Early Years (0-7) / Y blynyddoedd cynnar Service Poverty

Current Challenges

What Can Be Done?

Where To Go?

Think about establishing a group to work The inequalities in what families eat – depend- through the nutrition and food poverty toolkit. ing on their socioeconomic group, where they live in Wales, and their ethnic background – have not been recognised.

http://www.heartforum.org.uk/downloads/ Nut_TkitAll.pdf

Consider reviewing the level of provision and support available to disadvantaged mothers.

http://www.breastfeeding.nhs.uk/en/docs/ FINAL_Breastfeeding_Guide.pdf

Food Poverty

Breastfeeding Despite considerable efforts to encourage breast feeding in the UK, rates have remained static for the past 20 years with a strong disparity between social classes and ethnic groups

Health and Well-being partnership Education and Learning Opportunities / Addysg Service Poverty

Current Challenges

What Can Be Done?

Where To Go?

Working with others

Consider bringing in role models to show people from their own background that can be successful.

http://www.infed.org/biblio/ role_model_education.htm http://www.teachers.tv/video/244

Supporting Educational Attainment

Develop effective Children and young Contact Partnership Support Unit for available repeople partnership monitoring arrangements sources. Contact Charlotte Drury PSU Manager for educational attainment specifically (029) 20468616 targeting underachievement.

Basic Skills Low levels of basic skills in work hamper the ability of employees to progress and perpetuates in work poverty.

Prioritise basic skills within your own organisations and encourage all partners to sign up to "Basic skills employer pledge".

Complete and implement the action plan.

Basic-skills-Wales: employer_pledge

Health and Well-being partnership Health Freedom from Abuse and Exploitation / Iechyd, a rhyddid rhag cam-drin a Service Poverty

Current Challenges Access to a safe and healthy environment

What Can Be Done?

Where To Go?

Public Health Strategic Framework It is very often the environment in which a child or young person is living that can have Route to Health Improvement (WLGA) Review of school toilets (WAG &WLGA) the most impact on their health. Children living in poverty are more likely to be exposed to substandard facilities, such as school toilets or a lack of open access play areas.

The public health strategic framework will set out a vision of improved public health and wellbeing for all children and young people by 2020. But for the framework to be successful action at a local level must begin now with reviews of community facilities and a better understanding of the links between wellbeing and poverty.

Health and Well-being partnership Health Freedom from Abuse and Exploitation / Iechyd, a rhyddid rhag cam-drin a Service Poverty

Current Challenges Access to family planning services

What Can Be Done?

Poverty and deprivation, poor educational achievement and low expectations have all been identified as key factors contributing to high rates of teenage pregnancy Poverty is a key risk factor for teenage pregnancy. Girls whose families are in social class V (unskilled manual) are ten times more likely to become teenage mothers than girls from professional backgrounds. They are also far less likely to have an abortion if they do become pregnant.

Providing well targeted family planning and sexual education programmes are essential and linking this provision to the education curricula i.e. via P.S.E. would support the mainstreaming of some family planning and sexual health advice.

Where To Go? Brook information sheet Planned Teenage Pregnancy- JRF perspectives on teenage pregnancy and community based support mechanisms SCIE research briefing

Health and Well-being partnership Health Freedom from Abuse and Exploitation / Iechyd, a rhyddid rhag cam-drin a Service Poverty

Current Challenges

What Can Be Done?

Where To Go?

Access to substance misuse services

Poverty and neighbourhood deprivation increase children’s vulnerability to illicit drug use and looked-after children have been identified as particularly at risk.

Working with the community safety partnership a review of the existing approach to reducing substance misuse and supporting families could ensure better aligned targets and outcomes across the authority as a corporate centre.

Access to a healthy and balanced diet

There are a number of mechanisms to promote the benefits of a healthy diet alongside information on how local authorities can support the development of community food co-operatives such as an easy start up guide and access to funding.

Access to community run healthy lifestyle groups

London Borough of Islington Instant Crèche Integration of health promotion and Company education into core community based universal services, such as Parent & toddler classes/Crèche’s/fitness groups and support groups

Health Challenge Wales Food and Fitness Action Plan: Welsh community food co operatives Food Access Network Newcastle Community Food Initiative Access to affordable food in rural areas- Community interventions Accessing affordable food-Policy link Report

Health and Well-being partnership Health Freedom from Abuse and Exploitation / Iechyd, a rhyddid rhag cam-drin a Service Poverty

Current Challenges

What Can Be Done?

Where To Go?

Access to information and support on key areas of public health such as: Nutrition, Maternal & Neo natal health, Breastfeeding, Immunisation, Sexual Health, Physical Activity, Obesity Understanding the impacts of poverty on families

Ensuring that targeted information is accessible to excluded groups such as families living in poverty is essential. In terms of health related behaviours partnerships and local government services such as environmental health and housing have a key role to play in delivering responsive and useful information in a suitable format on subjects relevant to public health including nutrition, breastfeeding, immunisations, healthy and hygienic environments etc An evaluation of HSCWB & CYP targets would support a strengthened approach to joined up working targeting limited resources around priority areas determined to have a poverty related impact on health and wellbeing, pooling budgets and resources.

WLGA Nutrition & food poverty toolkit D developing a local nutrition and food poverty strategy Health Challenge Wales have produced a leaflet and poster entitled the small steps to a healthier you Kettering healthy lifestyles info sheet Low Income Diet and Nutrition Survey Western Health Action Zone (Northern Ireland) supports a diversity of projects under the Family and Poverty theme Food poverty and health toolkit Nutrition and Health toolkit Breastfeeding strategy (Wales) Sports Council for Wales

Health and Well-being partnership Play Sport, Leisure and Culture / Chwarae, campau, hamdden a'r pethe Service Poverty

Current Challenges There are very few audits of available services mapped against deprivation indicators. This makes planning activities very difficult.

Funding for play services is rarely reviewed continuing on the basis of historical information. An audit of services and funding streams would align current resources to children’s play needs

What Can Be Done?

In all local authorities there is sustained investment in cultural venues. This in turn needs linking up with local community groups, school curricula and youth services to increase access and opportunity e.g. school visits to museums, hiring of mini buses via transport grants and organising walking buses.

Sustainable community provision linked in with local priorities e.g. reclaiming unused land to create new play spaces by working with the environmental services and planning departments.

Greater use and development of play impact assessment to support the need for increased provision. linking the wider community with educational and environmental agendas.

Where To Go? www.playwales.org.uk Play Impact Assessments Bridging the Gap –from policy to implementation working together to combat poverty (Swansea, Glasgow & Newham)

Health and Well-being partnership Play Sport, Leisure and Culture / Chwarae, campau, hamdden a'r pethe Service Poverty

Current Challenges

What Can Be Done?

Lack of joined up local indicators that link access and participation

In the absence of Key Performance Indicators, local Indicators could be developed to enhance access for children in deprived wards, using the Free Swimming and other similar initiatives as benchmarks.

Adequately targeted services and evaluation of outcomes focused on enhancing the participation and engagement of children from deprived or hard to reach communities.

Local authorities are not required to collect information that indicate the number of children from deprived wards who are accessing cultural and leisure services. This continues to undermine targeted planning and provision. A local pilot initiative to collect data and improve targeting would be a step forward.

Where To Go?

Sport Action Zones Arts and Public Engagement : Patterns.

Processes and levers for Change Arts Council Wales databases offer details of community arts organisations which operate across Wales

Health and Well-being partnership A Safe Home and Community / Cartrefi a chymunedau diogel Service Poverty

Current Challenges Home Safety Accidents within the home are a major health problem throughout Wales and are associated with a range of factors including poor housing conditions and poverty.

What Can Be Done?

Develop robust information provision and projects regarding the prevention of accidents with vulnerable families.

Where To Go? http://www.rospa.com/homesafety/wales/ whsc/links.htm

Health and Well-being partnership Health Freedom from Abuse and Exploitation / Iechyd, a rhyddid rhag cam-drin a Participation Poverty

Current Challenges

What Can Be Done?

Where To Go?

Engaging local people in learning about nutrition

Cymru Cooks Cymru Cook website Cymru Cooks supports the development of cookery clubs, as an out of school hours learning activity. Clubs can now register on the Cymru Cook website either by downloading an online form or a word document.

Ensuring children and young people are able to participate in health related activities i.e. sport and exercise

Many families are often put off or excluded from extra curricular community activities as a result of the cost. Through maximising community facilities and programmes such as the community focused schools scheme, local provision can be enhanced at little cost.

Additionally, working in partnership with local business to provide facilities and activity can reduce cost and enhance participation, creating local jobs along the way.

National Participation standards and Self Assessment pack Regeneration outcome agreement (Scotland)