Public Health Network Cymru Ebulletin November 2018

Page 1

November 2018


#standUp4humanrights

Welcome to the November e-bulletin. The focus for this month is Human Rights Day which is held every year on the 10 December, and this year marks the start of a year-long campaign to celebrate the 70th anniversary of the Universal Declaration of Human Rights. We will have a busy start to 2019 with an Early Years Seminar planned for 6 February 2019 and our annual conference will be held in March 2019. The annual Research in Wales Showcase Event will take place on 13 March 2019. Details of all these events will be made available soon and will be disseminated to all Network members. The online poll to decide on the topics of our 2019 seminar programme has now closed. The results are as follows: 1. Mental Health and Wellbeing 2. Natural Environment and Health 3. Homelessness and Health 4. Learning Disabilities 5. Arts and Health

@PHNetworkCymru



Spotlight on Human RIghts Da 2018 Human Rights Day is observed every year on 10 December – the day the United Nations General Assembly adopted, in 1948, the Universal Declaration of Human Rights. This year, Human Rights Day kicks off a year-long campaign to mark the upcoming 70th anniversary of the Universal Declaration of Human Rights, a milestone document that proclaimed the inalienable rights which everyone is inherently entitled to as a human being -- regardless of race, colour, religion, sex, language, political or other opinion, national or social origin, property, birth or other status. It is the most translated document in the world, available in more than 500 languages. (United Nations, 2018)

Centre for Equality and Human Rights, Public Health W

Human Rights are the basic freedoms and protections that we all share just by virtue of being human Rights Act, which applies to England and Wales, includes many things which we may take for grant They are neatly summarised by mental health charity Mind.

A 2016 survey found that the right to vote was the right most valued by British people overall. The the most important to those aged 16-24 (the right to life). When considering people’s ability to realis many areas of British life, some prejudices persist. The Equality and Human Rights Commission’s 2 to transgender people and 18% would be uncomfortable with a Muslim living next door. These view not be discriminated against.

Human Rights and Healthcare Not all groups have equality of access when it comes to healthcare, for example, people with sensor of the groups who are at risk of receiving a lower standard of care. A lack of suitable communicatio may lack understanding when dealing with patients. Data collected by Stonewall Cymru in 2015 sh experience, which they deemed to be due to their sexual orientation. The figures reach 49% for les

These negative experiences show us that there is work to be done to improve healthcare services a and develop the awareness and understanding of staff, the Centre for Equality and Human Rights ha involved partnership projects with the Trans, Romani and Traveller and Sensory Loss communities to training for NHS Wales staff.

For more information about the Centre for Equality and Human Rights, please visit http://www.equa


ay

Wales: Tracey Good and Helen Green

n, they embody key values in our society such as fairness, dignity, equality and respect. The Human ted, including the right to education, to liberty and security and the right to freedom of expression.

e right to a fair trial was most important to those over 60 and the right to affordable healthcare was se their human rights, we should remember that while progress towards equality has been made in 2018 report on prejudice revealed that, for example, 16% of people have openly negative attitudes ws may translate into actions and behaviours at some point, which can impact on people’s right to

ry loss, learning disabilities, older people, people seeking sanctuary and LGBT people are just some on support may be the barrier in some cases while in other circumstances; healthcare professionals howed that 28% of bisexual and gay who had accessed health services in the last year had a bad sbian and bisexual women.

and education is one of the tools for this. To promote equality and human rights across NHS Wales, as developed e-learning modules in collaboration with Third Sector partners. Most recently this has develop training that is complementary to the mandatory ‘Treat Me Fairly’ equality and human rights

alityhumanrights.wales.nhs.uk/home


From Small Saplings Grow Mighty Oaks The right to equality The Actif Woods Wales programme run by Coed Lleol (Small Woods Wales) is changing people’s lives across Wales. Even in 2018 so much of our society still feels marginalised some 70 years after the Universal Declaration of Human rights (10th December 1948) was first agreed. We believe that everyone has the right to equality, health and wellbeing, education, work and a full and active role in their community, whatever their circumstances. Actif Woods Wales is our innovative woodland health and wellbeing programme aimed at adults who are aged over 25 years old who are long term unemployed or economically inactive. It is open to people who either have a work limiting health condition, are a carer or are aged over 54 years. The programme gives people across Wales the chance to find a supportive community, exercise, discover new skills, and renew confidence and wellbeing, while caring for the environment. The right to health and wellbeing We all have the right to healthcare and access to support if we are out of work, ill, are a carer or can’t earn a living for reasons outside of our control. Getting out and about in the woods can help with: • Stress, depression and anxiety • Exercise and weight loss • Recovery from brain injury • Drug, alcohol abuse and smoking • Ageing and dementia • Isolation and lack of confidence • And more. Coed Lleol (Small Woods Wales) works closely with partner organisations to reach individuals who would most benefit from improved health and wellbeing, such as specialists in: • Mental health (e.g. MIND, Hafal) • Physical health (e.g. Wales National Exercise Referral Scheme) • Medicine, with opportunities for Social Prescribing (e.g. GPs, Health Boards, hospitals) • Addiction (e.g. Drug Aid, Drink Wise Age Well) • Carer organisations (e.g. Ceredigion Carers) • Housing Associations (e.g. Tai Ceredigion) • Employment and Careers (e.g. Job Centres) The right to education and work Our Actif Wods Wales programme is the focus of a three-year PhD study by Bangor University, funded by KESS (Knowledge Economy Skills Scholarships) and the Woodland Trust. Early results are starting to reveal connections with woodland activities, confidence and career building. Coed Lleol (Small Woods Wales) also works with employment and career guidance organisations to offer empowering learning opportunities through a huge array of woodland activities, including woodland walks, bush craft, conservation, campfire cooking, foraging, mindfulness and more. Plus, there are opportunities to complete OCN accredited courses (e.g. Hand tool use).


Woodland health and wellbeing for carers Every year ahead of Human Rights Day is Carers Rights Day on 30th November 2018. In June 2018 new research by Carers UK revealed the toll that caring can take on many carers’ own health and wellbeing. “Almost three quarters (72%) of carers in the UK said they had suffered mental ill health as a result of caring, while well over half (61%) said their physical health had worsened”. Coed Lleol (Small Woods Wales) is offering the opportunity for carer organisations to discover the wonders of our Actif Woods Wales programme for improving carer health and wellbeing. Do you know carers who would like time out to relax? To meet new people and develop new skills? Carers can join us to unwind and have fun in the tranquillity of local woodlands. We have programmes running in Ceredigion, Anglesey, Flintshire, Gwynedd, Merythr Tydfil, Neath Port Talbot, Swansea, Rhondda Cynon Taf and Wrexham. Speak to a local Woodland Mentor and find support for carers in your area: www.coedlleol.org.uk


Sanctuary in Wales – A Human Right and More

The United Nations Universal Declaration of Human Rights, agreed in Paris in 1948, was possibly th World War Two.

It built on the freedoms articulated by US President Franklin D. Roosevelt in an address known as th He proposed four fundamental freedoms that people everywhere ought to enjoy: 1. Freedom of speech 2. Freedom of worship 3. Freedom from want 4. Freedom from fear

On Human Rights Day 2015, people from all over the world gathered in Cardiff Bay for the first Sa seekers living in Wales, and called for action to welcome and support them to rebuild their lives in W

The first Sanctuary in the Senedd was on Human Rights Day as a reminder that the right to asylum i Article 14 (1): Everyone has the right to seek and to enjoy in other countries asylum from persecution

It also links to Article 5, protecting against torture and cruel, inhuman or degrading treatment or pun

The right to asylum goes beyond the legal process of seeking leave to remain in the UK for reason education, cultural and religious freedom, adequate standards of living, and the right to health and

On arrival, people seeking sanctuary face particular challenges that are barriers to their integration may not speak English; they may have had experiences of torture that make it difficult to trust peo or even hate crime here in Wales. Public Health Wales has co-produced research with Swansea Un relation to accessing healthcare in Wales. Results will be reported in Spring 2019.

We can all contribute to the effective integration of people seeking sanctuary in Wales. We can Language Line interpretation services when they are requested. We can work with third sector an

or campaigns. Public Health Wales will develop an e-learning module for NHS staff on refuge

The benefits of providing a welcome for people seeking sanctuary touch on public health bu wellbeing on the whole. The wider determinants of health - education, work, housing and soc by the contributions of people coming from all over the world.

Since the initial Sanctuary in the Senedd, this has now become an annual event. The next ev

In addition, the Welsh Government has made a commitment to making Wales the world’s fir groups and organisations to embed welcome and inclusion in their day-to-day activities. For t to get involved – will you? Rebecca Scott Senior Project Manager (Vulnerable Groups) Dr Gill Richardson Assistant Director Policy, Research and International Development To find out more, contact Rebecca at rebecca.scott2@wales.nhs.uk


he greatest social charter in human history, ratified by 48 countries initially following the ravages of

he Four Freedoms speech (in the 1941 State of the Union address).

anctuary in the Senedd. This event raised awareness of the circumstances of refugees and asylum Wales.

is enshrined in the Universal Declaration of Human Rights – n.

nishment, as well as Articles 3, 4 and 12.

ns of safety. For asylum seekers and refugees to rebuild their lives, they must also enjoy the right to wellbeing.

n and the enjoyment of their rights. They may be unfamiliar with British systems or institutions; they ople around them or people in positions of authority; they may experience prejudice, discrimination niversity and third sector partners to better understand these barriers, and to identify enablers with ensure information we produce is in straightforward, non-threatening language and we can use

nd local authority partners to reach people who may otherwise not come across our services ees and asylum seekers to support greater understanding of their circumstances.

ut also on our personal lives. Strong, integrated communities benefit from better health and cial capital – are also indicators of integration. But on a personal level, our society is enriched

vent will be on April 3rd 2019.

rst ‘Nation of Sanctuary’. This concept is built on the City of Sanctuary vision, which calls on the vision of a ‘Nation of Sanctuary’ to become a reality, all sectors and communities will need



Joint Statement on Children’s Play All children have the right to play as enshrined in article 31 of the United Nations Convention on the Rights of the Child. For children themselves, playing is one of the most important aspects of their lives; they value the time, the freedom and quality places to play. Consultations with children and young people show that they prefer to play outdoors away from adult supervision, in stimulating and fun places Play Wales has worked with Public Health Wales on a joint statement for children’s outdoor play. The joint statement advocates for outdoor play in a society that is becoming increasingly risk averse, leading to children having fewer opportunities to play outside. This is having a harmful effect on the health of children and young people in the short term and over their life course. Background During summer 2017, Play Wales worked in partnership with Public Health Wales on its Every Child Wales programme. It brings together information and advice to support parents in giving children a happy and healthy start in life. Public Health Wales identified ten evidence based steps to help children in the early years in Wales, to maintain a healthy weight which it is promoting under its Every Child brand. Step six is focuses on outdoor play, with the ambition that every child will be given the chance to play outdoors every day. Children who play outdoors are more active and are more likely to meet the UK Chief Medical Officers’ recommended three hours of movement per day. The programme launch was followed up with a joint symposium focusing on play, health and risk. Here, the need to develop a position statement was discussed and established. It was agreed that there is a need to balance risks and benefits across different health and wellbeing outcomes and to understand more about the barriers and facilitators that influence children’s access to play opportunities. The statement is informed by a background paper which focuses on the importance of play, the barriers faced by children in accessing play and the possible solutions. The paper takes its definition of play from General Comment No. 17 (Committee on the Rights of the Child, 2013) which says: • Play is initiated, controlled and structured by children • Play is non-compulsory, driven by intrinsic motivation, not a means to an end • Play has the key characteristics of fun, uncertainty, challenge, flexibility and non-productivity. The paper: • presents a public health perspective of play • details the evidence on the health benefits of outdoor play • identifies a range of barriers • discusses possible solutions • provides international perspectives • explores the range of supporting policy and legislation • explains playing at different ages and stages of childhood


The joint statement explores how we can establish the conditions to support outdoor play, identifies barriers to outdoor play and recommends the actions required to address them. It states clearly what Play Wales and Public Health Wales would like to see happen to address barriers and is organised by groups to allow readers to identify quickly how they can make a difference. It highlights issues for: Play and childcare settings and parks and open space managers Confusion and concerns over health and safety regulations are preventing many children from taking part in active outdoor play activities and this must be addressed. Local authorities Parents and children often report traffic as a limiting factor to play in neighbourhoods. The volume of traffic has increased over the years and that is likely to continue. Some areas have addressed this by reclaiming streets for play through resident led street play projects where streets are closed off for short periods of time to allow children to play. Schools Having enough time to play is a recurring issue for children: homework, exams and revision limit free time for play. Children report that that school is the main chance they have to play with their friends but play times and lunch times are being shortened. Parents and carers There is concern that playing outdoors is not seen as safe and this risk aversion is damaging the long-term health of the children and young people of Wales over their life course. Parents report a range of barriers preventing children playing out, including traffic, difficulty in accessing spaces to play, time pressures and safety fears. Inspection services Confusion and concerns over health and safety regulations are preventing many children from taking part in active outdoor play, this must be addressed. The demands on schools to achieve academic targets must not be put above the duty to protect the health and wellbeing of the children in their care. Time allocated to play is associated with pupil wellbeing and should therefore be considered as a positive element of school life. Society as a whole Many adults have positive memories of playing out and recognise the value of play but a strong sense of responsibility to keep children safe creates a challenge for modern day society and is eroding opportunities for play. Society must recognise and act on this to redress the balance. Dr. Julie Bishop, Director of Health Improvement for Public Health Wales said: ‘This joint statement advocates for outdoor play in a society that is becoming increasingly risk averse, leading to less outdoor play. This is having a harmful effect on the health of children and young people in the short term and over their life course. Play is a basic right for all children, and is worthwhile for the enjoyment it brings to children and their families in the moment. However, play also has the benefit of having a positive impact on multiple important health outcomes including increased physical activity; reducing childhood obesity, improving wellbeing in children and young people and helping to develop resilience.’


Play Wales said: ‘The joint statement makes the case for creating conditions which allow children to direct and determine their play. When children personally direct their play, they decide the rules and roles they take within their play and create worlds they can master. Unscheduled free time for children should not be seen as non-essential. Play is a key mechanism for meeting and exceeding physical activity guidelines, developing resilience and dealing with stress and anxiety. It provides effective strategies for dealing with uncertainty and contributes to good physical and mental health. More than that, every aspect of children’s lives is influenced by their urge to play, and that self-directed, self-determined playing offered by quality play opportunities increases children’s opportunities to build their own resilience and support their own health and well-being.’ The statement recognises that action is needed to promote more positive attitudes to outdoor play and to normalise it in informal community spaces. This action needs to be in a supportive social context, and so simultaneous action is needed to remove or minimise time, economic, social or physical constraints to outdoor play. The joint statement will be available at: www.playwales.org.uk This article originally appears in the Autumn 2018 issue of Play for Wales magazine


The Equality and Human Rights Commission Review

The Equality and Human Rights Commission (EHRC)’s review of the most disadvantaged groups in health services. They are also more likely to have particular health needs because of past distressin Human Rights Day on December 10th is a timely reminder that the human right to health applies to

It means that everyone has the right to the highest possible standard of physical and mental health

New research published this week by the EHRC explores the experiences of people who are or hav showing empathy and compassion, individuals being referred to counselling services and charities identified a number of problems with the current system, many of which particularly affected pregna

Barriers to healthcare included people being unable to afford costs associated with healthcare suc people are moved accommodation without choice, and fear of what the consequences might be to practical barriers within the healthcare systems including:

Some health professionals who lacked knowledge on the entitlements to healthcare of people see don’t accept refugees and asylum seekers that is our policy”.

Information provided to people seeking and refused asylum was not always accurate or in a languag of their rights or how to assert them.

One person in the research suggested ‘It would make a big difference if receptionists and medical EHRC has made a number of recommendations to the Government and practical recommendations information about the entitlements of people seeking and refused asylum to access healthcare, prov entitlements.

EHRC will shortly be publishing a practical guide highlighting the rights and entitlements to healthc human rights principles.

For more information please visit www.equalityhumanrights.com or contact wales@equalityhumanri


Britain has shown that people seeking asylum face barriers in accessing public services, including ng experiences and the traumatic effects of fleeing to a different country. everyone, regardless of immigration status.

h, which helps them to live their life in dignity.

ve been in the asylum process in Britain. The project found some positive examples of medical staff acting as a lifeline for those trying to navigate the asylum and healthcare systems. However, it also ant women and disabled people who needed frequent healthcare.

ch as travel and prescriptions, disruption of healthcare due to Home Office dispersal policy where their application or status if they access healthcare services. Of particular relevance to Wales were

eking or refused asylum. For example, one individual who tried to register with a GP was told, “We

ge or format they understand, and often interpreters weren’t provided, meaning many were unaware

staff … were educated on the rights asylum seekers have, and overall, to be more compassionate.’ s for healthcare providers across England, Scotland and Wales including: providing clear, accessible viding professional interpreters and increasing clinical and non-clinical staff’s knowledge of people’s

care at each stage of the asylum process, as well as suggestions for improving practice in line with

ights.com


wATCH, lISTEN and Learn Podcasts

Youtube


Carers Trust Wales is a charity that works for, and with, carers. We are launching a campaign to help health professionals understand what a young carer is and the issues and challenges they face. A young carer is someone under 18 who helps look after someone in their family, or a friend, who is ill, disabled or misuses drugs or alcohol. Part of this work will be launching a national ID card scheme for young carers in Wales that young carers say will make them feel more confident and able to speak up. We are consulting staff who work in health to help us understand what type and format of resources would be beneficial for them. We are asking you to fill in this short survey which will take approximately 2-3 minutes of your time. https://www.surveymonkey.co.uk/r/D79GX9Z

On the Grapevine

Young Carer ID Cards


The ACTIVE Project: Tackling Teenage Inactivity

It is widely accepted and acknowledged that physical activity declines in adolescence. This is worrying g self-esteem that is associated with inactivity. Therefore, it is important that we empower teens to have po Evaluation (ACTIVE) Project aimed to do just that.

The ACTIVE randomised control trial based in seven secondary schools aimed to get teen barriers such as lack of money and lack of local provision to improve the access to a variety of activities in th the other 3 school acting as controls) involving over 500 pupils aged 13 – 14. The intervention included a vo in their local communities or on equipment), peer mentoring and support worker engagement.

To assess how successful ACTIVE was we collected data at baseline, six months and twelve m motivation to be active with the BREQ-2 questionnaire, compared to the control schools. We also had conve

Findings Girls, in particular, saw a significant improvement in the number classed as ‘fit’ at 12 months compared to the Blood pressure showed a significant drop in numbers of pupils categorised as having high blood pressure in that they know they need to be active, but any intervention that uses guilt or pressures them to be active w fun and social activities (for example, trampolining, the waterpark and laser tag). By being able to access thes experience, which they liked.

However, participants only used 26% of the vouchers by the end of the intervention, so we asked teenager support for activities. While the voucher scheme empowered teenagers to make their own choices, helped bring activities local to teenagers and raise awareness.

What Does This Mean For Teenage Activity? The take home message from ACTIVE is that providing more local opportunities for teenagers to tak participation and changes attitudes towards activity. Empowering teenagers to take charge of their own ph is a need for a large community and cultural change, which this trial went someway to provoking but longe on ACTIVE-2 to address the barriers of transport and lack of knowledge. We purpose that by including tran improvements in fitness, heart health and perceptions. For further information please contact: Michaela James, m.l.james@swansea.ac.uk


given the increased risk of heart disease, type two diabetes and the negative impact on well-being and ositive and fulfilling experiences with physical activity. The Active Children Through Individual Vouchers –

nagers more active. Following conversations with teenagers, the project aimed to overcome heir areas. The result was a year long, multi-component intervention based in four of the seven schools (with oucher scheme (teenagers received £20 per month to spend on existing provision, creating new provisions

months on fitness via the 12-minute cooper run test (CRT), heart health with blood pressure and ersations with teenagers at each point to see what impact the project had on perceptions of activity.

control group. There was also a trend to slow the decline in fitness throughout the school year for everyone. the intervention group. Teenagers identified as autonomously motivated from the questionnaire. This means will not appeal to them. The way teenagers used the vouchers showed that they wanted to do unstructured, se sorts of activities, their perceptions of activity changed and they saw being active as a much more ‘chilled’

rs why. They said that transport to activities remained a barrier and that there was a lack of knowledge and change their attitudes, and reduced cost barriers, more needs to happen to improve transport to activities,

ke part in activities that appeal to both genders and are fun, unstructured and social enables higher hysical activity opportunities could go some way to improving activity and fitness for young people. There er sustained engagement with teenagers could create long-term behavioural change. We are now working nsport in the voucher scheme and running a social media campaign for local activity could provoke further


HAPPEN (Health and Attainment of Pupils in a Primary Improving child health and well-being

HAPPEN (www.happen-wales.co.uk) is a network of health, education and research professionals aime headteachers who proposed a more collaborative approach to improving child health. The project involves c by the provision of a school report whereby schools can identify needs and as HAPPEN has progressed, an

Through the network, children are asked about various aspects of well-being including satisfaction with v health questionnaire, which gives a measure of emotional and behavioural difficulties. Alongside this, childr and happier. Overall, these responses have highlighted the importance that children attach to being able to responses.

Improve local parks or create more parks /places we can play Just under 20% of responses were from children wanting more parks, more green space or for existing park in. Some children felt the addition of a park to their local area would mean they would be more able to see “Make a park because kids in my street run round the car park and road every day” “Add a park as there is nowhere to really see other kids” “New park because its wrecked” With parks being hit with a lack of funding and the condition of many parks deteriorating, this may have opportunity to play and be active will be evident, a key opportunity for children to socialise with friends will

Make the area cleaner and safer Children regularly commented on litter and dog mess in their area, suggesting litter picks and generally clea “Make it safer for me to play” “Clean the streets parks and school” “To stop my neighbours leaving drugs and drinking bottles out in the street” “It would be better if there wasn’t litter and poo everywhere’’

Children also frequently advocated for safer roads (10% of responses). Suggestions comprised of lowering s “A speed limit in my estate, an area where children can play and they are not near the road” “A speed limit down our street” “Loads of sporting areas and play sets where there is not many cars”

Create more local facilities/clubs where we can be active Just under 20% of responses were from children proposing that there should be more sports facilities or sp structured sports clubs such as basketball and football, but also facilities where they could participate in uns “Do a gym for kids” “In my opinion, I think that there should be more sports things near where I live” “Open more sports clubs in the area. Because a lot of them are out of the valley”

A common theme running across responses was that children wanted the space to play and be active. If re and be with friends will be created. By giving children the space to play and be active, a range of well-being

For further information please contact Charlotte Todd c.e.todd@swansea.ac.uk or Sinead Brophy s.brophy@


y Education Network):

ed at improving child health and well-being. It was developed following interviews with primary school children aged 9-11 attending a fitness fun day and completing a health and well-being survey. This is followed n increasing need for deeper insight in to the mental health and well-being needs of pupils.

various aspects of life including friends, family, health and school. Pupils also complete a validated mental ren aged 9-11 are asked, what they would change to make themselves, their friends and their family healthier o play safely and be active in their area. The following are the most prominent themes emerging from these

ks in their area to be improved. This included upgrading equipment in parks and making parks safer to play other children:-

a variety of negative consequences to children’s health and well-being. Whilst the immediate impact on also be lost.

aner environments were needed for them to feel safe playing (20% of responses):-

speed limits, more safe crossings, lollipop men/ladies and less cars on the road.

ports clubs closer to their homes, as well as specific sport facilities for their age. Suggestions were for both structured activity such as skateparks.

eal investments are made in addressing children’s suggestions, a healthier environment for children to play g skills can be learnt, that cannot be taught.

@swansea.ac.uk


The Headlines

The National Cycle Network review The National Cycle Network has expanded through the years, but its quality varies, resulting in an inconsistent experience for those who use it. Sustrans carried out a two-year-long audit which has been used to review the condition of the Network and help them understand how much of it needs to be better, what exactly needs to change and where the improvements are to happen.

Children’s Minister Announces £15m to Expand Services to Support Families and Help Reduce the Need for Children to Enter Care The Welsh Government will invest £15m next year to help safely reduce the need for children to enter care and support children in care, Minister for Children, Huw Irranca-Davies announced on 13 November 2018.

Wales Urged to Get Ready for Winter by Choosing Well and Planning Ahead Getting ready for winter with personal health planning and choosing the right service for advice on prevention and treatment is vital as we approach a challenging time for the health service in Wales, said the Health Secretary Vaughan Gething at the launch of the Choose Well campaign on 5 November 2018.

Action still needed on Universal Credit wait, as new figures show a 13% increase in foodbank use in just six months compared to this time last year The Trussell Trust’s foodbank network provided 658,048 emergency supplies to people in crisis between April and September 2018, a 13% increase on the same period in 2017. The charity says if the five week minimum wait for a first Universal Credit payment is not reduced, the only way to prevent even more people being forced to foodbanks this winter is to pause all new claims to Universal Credit.


Alcohol cHILDREN AND YOUNG PEOPLE cOMMUNITIES education Environment Gambling Gender Homelessness Lifestyle Maternal and Newborn Mental Health Noncommunicable diseases Nutrition Older People Oral Health Parents People with disabilities Pharmacy Physical Activity Policy Poverty Prisoners Research and Evidence Sexual Health Sexuality Smoking Substance Misuse Unemployment Veterans Violence and Abuse Work


Whats on in dECEMBER 3

10

4

5

6

Substance Misuse & Models for Intervention

Looked After Children: Improving Life Chances

Workplace Welbeing

Cardiff

Manchester

Cardiff

11

12

7

13

14

Meeting Mental Health Needs: Practical Interventions to Improve Services London

17

18

19

20

21

24

25

26

27

28

31 Move Week

National Event




in the next issue Young Carers Awareness Day


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.