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London Forum for Alcohol Practitioners 18 September 2009. Well London Community Engagement and Development . The strategic partnership for health in London Aims to reduce health inequalities and improve the health of all Londoners Multi-sectoral – all key sectors represented at regional level
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London Forum for Alcohol Practitioners 18 September 2009 Well London Community Engagement and Development
The strategic partnership for health in London • Aims to reduce health inequalities and improve the health of all Londoners • Multi-sectoral – all key sectors represented at regional level • Influencing, supporting, driving change • Focus on social determinants of health
What is Well London? • £9.46M from BIG Lottery Fund • Partnership approach supporting local action • Objectives: • Changing perspectives on mental health by tackling stigma and promoting positive mental well-being • Increased access to and consumption of healthy food • Increased opportunities for people to become more active • 20 areas across London
Well London Alliance • London Health Commission • Central YMCA • Groundwork London • London Sustainability Exchange • University of East London • South London & Maudsley NHS Foundation Trust • Arts Council-London
20 lower super output areas • Barking & Dagenham • Camden • Ealing • Enfield • Hackney • Hounslow • Kensington & Chelsea • Lewisham • Waltham Forest • Westminster • Southwark • Brent • Croydon • Greenwich • Hammersmith & Fulham • Haringey • Islington • Lambeth • Newham • Tower Hamlets
Outcomes • 34, 508 direct beneficiaries will have increased opportunity for healthy levels of physical activity, healthy eating and mental well being • 5,176 direct beneficiaries will have improved mental health and well being and in addition there will be more positive community perspectives on mental health & well being • 4,602 direct beneficiaries (3,424 adults and 1,178 children) will have increased uptake of healthy eating choices; including enhanced access to affordable healthy foods • 4,348 direct beneficiaries will have increased levels of healthy physical activity
Features of Well London • Partnership approach to delivery • Work at the very local level • Work in the most deprived communities • Innovative approach to community engagement • Community development approach • Join up, integrate and add value to local work on healthy eating, physical activity, mental health and open spaces, and use of cultural and creative practice throughout • Rigorous evaluation • Influencing policy and practice across London and beyond
Co production, community development approach • Involving residents at all levels in Well London • Using and developing assets and expertise within local communities
Projects Themed: • Activate London • BuyWell • EatWell • Changing Minds • DIY Happiness • MWIA • Healthy Spaces • Be Creative Be Well Heart of the Community: • CADBE* • W L Delivery Team • Youth.comUnity • Active Living Map • Training Communities • Wellnet * Community Assessment, Design, Brokerage, Enterprise
Community engagement was a key element of needs assessment in design of Well London interventions Data Profiles Compilation and Analysis of Routine date • Tailored Area-Specific Activities • Project Portfolio • Leverage • Community Engagement • Community Cafes • Community Action Workshops Delivery Review by Comm / Stakeholders Mapping Map existing services, provision and amenities Baseline Adult and Adolescent Surveys Measure HPA, HE, Mental Wellbeing
Innovative Approach to Community Engagement • Dual Task approach • Information and problem solving • Capacity Building • Two Community Cafes in Each Area based on World Cafe Concept plus street interviews and focus groups • Community Action Workshop in each area based on Appreciative enquiry (joint with community members and stat/vol sector stakeholders). • Just under 1,400 engaged (1,100 Cafe & FG participants and 300 street interviews) • Wide spread in ethnicity and tradition and age / sex • Approx 5% of the resident population So findings are expressed needs and perceptions of a significant sample of people living in the most deprived areas of London
Findings – Key themes Looking across the areas: • Concerns of and about Youth • Lack of Community and Community Cohesion • Parks, green space and dogs • Fast food and healthy eating • Communication • Coordination and sustainability
Action – young people • Specific initiatives in specific areas • Youth.com project involving young people in all aspects of Well London delivery • Leveraging local authority provision • Focus on cross-generational projects • Adoption of the GLA Youth Peer Outreach approach
Action - Lack of Community • Heart of community projects, arts and festival activities, time banking etc all focusing on cohesion • Work with local authorities to surface issues and leverage response on community centres
Action - Open spaces • Work on improving open space aesthetically; and bringing activities into it. • Work with local authorities to surface issue and secure better enforcement of existing laws and regulations.
Action - healthy eating • Buywell working on supply side • Eatwell working on demand side
Commissioning Principles • Partners should wherever possible commission local organisations/groups/individuals with relevant expertise • Where local expertise is not available, the commissioned organisation or individual should work in partnership with local organisations/groups/individuals to build local capacity through delivery
Well London Delivery Team • Outreach / referral / signposting team • Local people • Based on the PCT’s Health Trainer Model and Healthy Behaviours Approach • Empower local people and engage with the community
Logo competition • Involvement of communities in developing a strong visual identify for Well London • Competition open to all residents who lived in the target areas • Residents encouraged to vote for the short-listed logos • Winner was 15 year old Joshua from Brent
Youth.comUnity Project • Team of Young Ambassadors • Allows young people to have ideas which can be implemented • Creates a “bottom-up” approach to planning projects which impact on and/or engage young people • Opportunities for young people to become active citizens
Challenges • Time needed to build relationships in each area • Overworked volunteers and/or the “usual suspects” • Not always representative: some generations, postcodes or genders miss out