Transcript Slide 1

Demonstrating Effective
Neighborhood Delivery
North Fulham NDC
Abi Gilbert - Health and Well Being Theme Manager
What is H & F like?
•Prosperous and healthy, but low “quality of life
•Good for children, strong economy but poor environment
•Affluent, dynamic and well located
•Levels of inequality reflect extreme wealth and deprivation
•Continued economic success, danger of inequality growing
Hammersmith & Fulham is already an exciting place to live and work. Its economy is growing, we
have a thriving cultural and sporting scene and a high rate of new businesses starting up using the
borough as a base. However, we face real challenges too. This is a borough of contrasts where too
many people feel that the ladder of opportunity has slipped away…
The statistics paint the picture. On one hand the Parliamentary constitution of Hammersmith &
Fulham is the 15th richest in Britain, yet one in five of our workforce are on some form of benefits.
We have the fourth highest property prices in the UK, yet we are second only to Tower Hamlets with
the number of children receiving free school meals…
H&F Council Leader Cllr Stephen Greenhalgh, lbhf.gov.uk
North sub area : deprived families
in public housing, mixed inner city
urban – modest means, and
poorer minority housing
Central sub area : prosperous
mobile single young
professionals, deprived families in
public housing
South sub area : prosperous
mobile single young
professionals, prosperous settled
young professionals, well off older
global professionals.
North Fulham NDC Who & what are we ?
• Small community led organisation
• Delivers 10 year neighbourhood renewal outcomes
• Outcomes expressed as gap with the Borough
• Initial assessment of need on which outcomes based done in 2000
“Creating a neighbourhood of well being and opportunity”
• Children & young people to maximize their potential at School and
college.
 Families to be able to enjoy improved levels of health and well
being.
 Residents to gain qualifications and skills to secure work and to
improve household incomes.
 All members of the community to feel safe and secure in their
homes and neighbourhood
 Businesses to prosper and to be able offer a wide range of goods
and services.

Residents and visitors to enjoy high quality public services and amenities.
 Community links to be strengthened and sustained.
COMMUNITY WELL BEING
Aims
• To create opportunities for children and young people to
maximise their educational attainment in school and
college
• To support residents experiencing disadvantage to close
the gap in terms of health and well being compared with
the borough averages
• To help individuals and families to increase household
incomes by accessing work, developing skills and
gaining qualifications
Health and Well being
Projects
CHEF Club
(Sbhc)
Health
Trainers
MEND
(sbhc)
Alcohol Project
(LBHF)
Young People’s
Sexual Health
Project
(LBHF)
Expert
Patients
Programme
(pct)
Stop Smoking
Project
(NDC)
Community
Researchers
(MCF)
Lifestyle
Fridays
(NDC)
Food
Cooperatives
(RRU)
Family Support
(FWA)
Exercise
Referral
Scheme
(Dmh)
Communitybased exercise
Mens football
(Dmh)
Lillie Road
Fitness
Centre
(GLL)
Promotion of healthy lifestyles
Well London
Tackling
inequalities
Managing chronic illness
Outcomes
• We have 26 Outcomes in total
• 13 Outcomes are on track of reaching their 10-Year target
• 13 Outcomes are not on track at the moment / have missed targets
and are off track in terms of trending
• Based only on trending of performance up until 2006.
• Assumes interventions stay at same level
List of Outcomes
Community Wellbeing
• KS 2 level 4+ science, KS2 L2
maths, KS3 L4 maths, KS2 L4
English, KS3 level 5+ in English,
KS3L5 maths Teenagers
hanging around on the streets
• Children on the Child Protection
Register – CPR/1000 chdr
under 16
• Self-rated Health- in the last
year…Good. Fair..
• Exercise – 30 min 3x per week
• Smoking Prevalence
• Worklessness- due to limited
illness
• Household Income
• Unemployment 16-59
• No qualifications – working age
Liveability
• % of residents who believe
environment impacts negatively
on QOL
• % residents private rented
tenants who rate dissatisfied
with state of repair of home
• % of businesses with low
confidence
• % of residents who feel unsafe
alone after dark
• Hate Crime
• Residential burglary
• Vehicle Crime
• Robbery
Smoking Prevalence
35%
30%
25%
Performance on outcomes + trends
Performing Well
20%
15%
10%
Percentage of NDC residents doing 30 mins of moderate exercise 3+ times a wk
5%
0%
2002
2003
2004
2005
2006
2007
2008
NDC
National
NDC Target
Linear (NDC)
2010
2009
Linear (National)
90
80
NDC
70
NDC Targets
60
LA
Linear (NDC)
50
Linear (LA)
40
30
20
10
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Well London
Communities working together
for a healthier city
Well London Co-host Briefing, October 2007
BIG ‘funding priorities’:
• Changing perspectives on mental health by tackling
stigma within communities and positively
promoting mental health
• Building greater access to healthy foods to
encourage increased consumption and healthier
choices for everyone
• Improving the abilities of communities to organise
and run projects that provide opportunities for
local people to become more active
Philosophy of the bid
• Work at the very local level
• Work in the most deprived communities
• Use community development, co-production
approach
• Join up, integrate and add value to local work
on health eating, physical activity and mental
health, open spaces and use cultural and
creative practice throughout.
• Rigorous evaluation to provide learning and
evidence to support rollout and mainstreaming
The Bid
• £9.46 million over 4 years
• Each local programme runs for 3 years
• Circa £100,000 per SOA per year
• Phased start
– 10 communities start October 07
– 10 communities start April 08
Projects
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Heart of the
Community:
Themed:
CADBE*
W L Delivery Team
Youth.comUnity
Active Living Map
Training Communities
Wellnet
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*Community Assessment,
Design, Brokerage, Enterprise
Activate London
BuyWell
EatWell
Changing Minds
DIY Happiness
MW I A
Healthy Spaces
Be Creative
Be Well
Overall
governance;
sign off
final
application;
resolve
issues as
necessary
Advice
London Health
Commission
Via Executive Group
Develop
ment and
delivery
of Well
London
Funding body
Big Lottery Fund
Link GLA and LHC,
provide legal,
financial advice
Grant
LHC
Governance
Group
Grant
allocation
GLA
Legally
Accountable
body
Grants – conditional gift
formalised in funding agreement
Final two leads identified
through invitation
Well London Alliance
LHC
Project Mgt
YMCA
Groundwork
London
LDC
LSx
Olympics
Legacy Board
SLAM
Arts Council
London
London
Food Board
Contract between lead agencies and community level delivery organisations identified
through competitive tendering OR grants given as a conditional gift formalised in funding
agreement
Target Community based groups and organisations
UEL
Comms
Delivery
of
projects
Outcomes
o 34, 508 direct beneficiaries will have increased
opportunity for health levels of physical activity, healthy
eating and mental well being.
o 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.
o 4,602 direct beneficiaries (3,424 adults and 1,178
children) will have increased uptake of healthy eating
choices; including enhances access to affordable
healthy foods.
o 4,348 direct beneficiaries will have increased levels of
health physical activity.
(Total Population = 34,508)
What we are good at
• Neighbourhood based work – 100% cover of a small area of
deprivation
• Gap reducing – outcome driven work
• Community engagement and development – we have the models
and the tools
• Project design
• Project development
• Project management
• Partnerships – cross cutting work
• Working with local providers
Keys to success
• Improving local services
• Increasing community capacity ( enabling people to do more for
themselves)
• Adopting and evidenced based approach to delivering change
• Long term commitment to deliver change
• Communities in partnership with key agencies
• Community involvement and ownership
• Joined up thinking and solutions – action based on evidence of
what works
London Borough of Hammersmith &
Fulham
Local Area Agreement 2008-2011
The over-arching theme of our Community Strategy is to address
the key challenge of social polarisation by delivering a Borough of
Opportunity for all local residents. The objective is to put in place
key building blocks of opportunity that improve social mobility
and social cohesion in the area. The seven key priorities outlined in
the Community Strategy are:
• Tackling Crime and Anti Social Behaviour
• Promoting Home Ownership and Housing Opportunities
• A Cleaner, Greener Borough
• A Top Quality Education for All
• Delivering High Quality, Value for Money Public Services
• Setting the Framework for a Healthy Borough
• Regenerating the Most Deprived Parts of the Borough
Local Area Agreement Improvement targets 2008- 2011
Final Version: 9 June 2008
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Alcohol-harm related hospital admission rates
Obesity among primary school age children in Year 6
All-age all cause mortality rate
16+ current smoking rate
Adults in contact with secondary mental health services
in employment
• Working age people claiming out of work benefits in the
worst performing neighbourhoods
Local Area Agreement 2008-2011
Summary of Locally Agreed Indicators
• Children killed or seriously injured in road traffic accidents
• Effectiveness of child and adolescent mental health (CAMHs)
services
• Percentage of core assessments for children's social care that were
carried
• out within 35 working days of their commencement
• Under 18 conception rate
• Prevalence of Chlamydia in under 25 year olds
• Substance misuse by young people
• Mortality rate from all circulatory diseases at ages under 75
• Mortality from all cancers at ages under 75
• People with a long-term condition supported to be independent and
in control of their condition
• The number of emergency bed days per head of weighted
population