Part 1 Presented by Mavis Ames Portsmouth City Council Healthy Eating, exercise and dental health programme Commissioned by the local Strategic Partnership. Targeting children, young.
Download ReportTranscript Part 1 Presented by Mavis Ames Portsmouth City Council Healthy Eating, exercise and dental health programme Commissioned by the local Strategic Partnership. Targeting children, young.
Slide 1
Part 1
Presented by Mavis Ames
Portsmouth City Council
1
Slide 2
Healthy Eating, exercise and
dental health programme
Commissioned by the local Strategic
Partnership.
Targeting children, young people and
their families in areas of high deprivation.
Funded by Neighbourhood Renewal fund
and Single Regeneration Budget.
2
Slide 3
Focus Areas
Healthy Eating.
Access to Healthy Foods.
Dental Health.
exercise
3
Slide 4
P A R T N E R S IN T H E H E A L T H Y E A T IN G P R O J E C T
E D U C A T IO N
D o t-to -d o t
C o m m u n ity
A rt s P ro je c t
VO LUNT ARY
SECTOR
P o rts m o u th
Food and
H e a lth
G ro u p
H e a lth
D e v e lo p m e n t
Team
L e is u re
S e rv ic e s
PCC
S tra te g y
S u re
S ta rt
C o m m u n ity
LSP
H EALTH Y
E A T IN G
P R O JE C T
C h ild re n ’s
T ru s t
S o c ia l
S e rv ic e s
P o rts m o u th
PCT
L ib ra r y
s e rv ic e s
H e a lth y
S c h o o ls
C o m m u n ity
g ro w in g
p ro je c ts
C h ic h e s te r
F e s tiv a l
T h e a tre
P o rts m o u th
FC
P o rts m o u th
P a rtn e rs h ip
Local
B u s in e s s
P o rts m o u th
H o s p ita ls
P o rts m o u th
U n iv e rs ity
R e g e n e r a tio n
te a m
4
Slide 5
Involvement from the community
Each area has a local health group to own the
process and give directions to the work.
Local people involved in the recruitment and
selection of care staff.
Local people trained and recruited to work as
‘community champions’.
Parents trained to set up and support
breakfast clubs.
5
Slide 6
Involvement from the community
Children and young people central to the
whole process for example
(1) slogan and logo competition
(2) animation video
(3) collecting baseline data for breakfast
club
(4) interviewing for school meals providers
and breakfast club
6
Slide 7
Value of community approach
Development of women in Health Group.
Expansion of Healthy Walks.
Support and encouragement from the
community.
Developments of skills and confidence.
7
Slide 8
Future Work
Joint initiative with Portsmouth football club.
Arts project - school dining areas.
Possible social enterprise project around food
delivery.
Nutrition training for professionals.
Allotment for the Bangladeshi community
8
Slide 9
What next
Mid term evaluation currently being
carried out.
Sustainability audit.
Action Planning for year 2.
9
Slide 10
Part 2
Presented by Nick Bishop
Portsmouth City Council
10
Slide 11
So why is it so important to
engage people from the
communities in the delivery of
this project?
11
Slide 12
In order to fully appreciate this I need
to let you have a little background on
health inequalities in Portsmouth.
12
Slide 13
Poorer people get sick more often and
die earlier. Social circumstances and
the effects of childhood poverty are
linked to overall health and life
expectancy.
13
Slide 14
Social inequality breeds health
inequality and is passed down from
generation to generation.
14
Slide 15
In Portsmouth this means a difference
in life expectancy of up to 8 years from
one area to another within a radius of 5
miles.
15
Slide 16
But surely all that we need to do to tackle
these inequalities is to run some hardhitting campaigns in the inner city, telling
people that they need to:
Smoke less
Drink less
Exercise more
Relax more
16
Slide 17
Problem solved then? Not quite.
The reality:
Excessive drinking
Smoking
Lack of exercise
Stress
Are inextricably linked to social circumstances,
childhood poverty, access to services, housing
17
conditions, income, gender etc.
Slide 18
Unless we tackle the underlying causes
of health inequalities, we will never
break the cycle and will continue to have
people in the same city with such
unacceptable differences in terms of life
expectation.
18
Slide 19
So what does this have to do with obesity and
dental health?
Doesn’t obesity affect everyone, rich and poor?
To a certain extent this is true, but there is a
very strong evidence to suggest that levels of
obesity and certainly poor dental health are far
higher in areas that historically suffer from
health inequalities.
19
Slide 20
Poor diet for example can very clearly be
linked to the affordability and lack of
access to fresh fruit and vegetables or a
lack of knowledge about what is a good
diet and skills in basic food preparation.
20
Slide 21
A lack of exercise can again, in many
cases, be directly linked to accessibility
and affordability, and a basic lack of
knowledge relating to the health benefits.
21
Slide 22
Similarly, with dental health the picture
in the inner city area is far worse than in
other areas of the city, and in many cases
the national average and in one school over
90% of the children have at least some
decay.
22
Slide 23
So how do we address the problem?
Another hard-hitting campaign telling
children and parents of the need to:
Eat more fruit and vegetables and less
fatty food.
Exercise more.
Look after their teeth.
23
Slide 24
That should do the trick and bring about huge
improvement.
Wrong again, I’m afraid.
Health promotion campaigns, however
“hard hitting” have achieved very little in
terms of long term change in areas with
above average
levels of health inequalities
that are linked to social circumstances and
24
poverty.
Slide 25
Unless we tackle the underlying
determinants of health inequalities at the
same time as tackling the inequalities
themselves, we will never break the
cycle.
25
Slide 26
So how do we change things?
There is a growing recognition of the
unacceptability of health inequalities.
National targets are now being set in
relation to obesity and exercise. And
attempts are being made to look at the fat
and salt content of school meals
26
Slide 27
Very good but tackling health inequalities
such as these, also requires giving those
who have responsibility for development at
grass roots level, the freedom locally to
decide how to do it.
27
Slide 28
The only way to bring about really sustainable
change and improvement is to engage local
people in the identification of local need and
in the planning, delivery and monitoring of
services.
We have to see people as part of the solution
rather than as the problem.
28
Slide 29
This is what the Healthy Eating, Exercise
and Dental Health project has done; it
has, from the outset been community led
and community owned.
29
Slide 30
Local people have been engaged and
empowered to work in partnership with
the local authority, PCT and others and
they have had a real role in developing
the overall project, setting the priorities
and monitoring the outcomes
30
Part 1
Presented by Mavis Ames
Portsmouth City Council
1
Slide 2
Healthy Eating, exercise and
dental health programme
Commissioned by the local Strategic
Partnership.
Targeting children, young people and
their families in areas of high deprivation.
Funded by Neighbourhood Renewal fund
and Single Regeneration Budget.
2
Slide 3
Focus Areas
Healthy Eating.
Access to Healthy Foods.
Dental Health.
exercise
3
Slide 4
P A R T N E R S IN T H E H E A L T H Y E A T IN G P R O J E C T
E D U C A T IO N
D o t-to -d o t
C o m m u n ity
A rt s P ro je c t
VO LUNT ARY
SECTOR
P o rts m o u th
Food and
H e a lth
G ro u p
H e a lth
D e v e lo p m e n t
Team
L e is u re
S e rv ic e s
PCC
S tra te g y
S u re
S ta rt
C o m m u n ity
LSP
H EALTH Y
E A T IN G
P R O JE C T
C h ild re n ’s
T ru s t
S o c ia l
S e rv ic e s
P o rts m o u th
PCT
L ib ra r y
s e rv ic e s
H e a lth y
S c h o o ls
C o m m u n ity
g ro w in g
p ro je c ts
C h ic h e s te r
F e s tiv a l
T h e a tre
P o rts m o u th
FC
P o rts m o u th
P a rtn e rs h ip
Local
B u s in e s s
P o rts m o u th
H o s p ita ls
P o rts m o u th
U n iv e rs ity
R e g e n e r a tio n
te a m
4
Slide 5
Involvement from the community
Each area has a local health group to own the
process and give directions to the work.
Local people involved in the recruitment and
selection of care staff.
Local people trained and recruited to work as
‘community champions’.
Parents trained to set up and support
breakfast clubs.
5
Slide 6
Involvement from the community
Children and young people central to the
whole process for example
(1) slogan and logo competition
(2) animation video
(3) collecting baseline data for breakfast
club
(4) interviewing for school meals providers
and breakfast club
6
Slide 7
Value of community approach
Development of women in Health Group.
Expansion of Healthy Walks.
Support and encouragement from the
community.
Developments of skills and confidence.
7
Slide 8
Future Work
Joint initiative with Portsmouth football club.
Arts project - school dining areas.
Possible social enterprise project around food
delivery.
Nutrition training for professionals.
Allotment for the Bangladeshi community
8
Slide 9
What next
Mid term evaluation currently being
carried out.
Sustainability audit.
Action Planning for year 2.
9
Slide 10
Part 2
Presented by Nick Bishop
Portsmouth City Council
10
Slide 11
So why is it so important to
engage people from the
communities in the delivery of
this project?
11
Slide 12
In order to fully appreciate this I need
to let you have a little background on
health inequalities in Portsmouth.
12
Slide 13
Poorer people get sick more often and
die earlier. Social circumstances and
the effects of childhood poverty are
linked to overall health and life
expectancy.
13
Slide 14
Social inequality breeds health
inequality and is passed down from
generation to generation.
14
Slide 15
In Portsmouth this means a difference
in life expectancy of up to 8 years from
one area to another within a radius of 5
miles.
15
Slide 16
But surely all that we need to do to tackle
these inequalities is to run some hardhitting campaigns in the inner city, telling
people that they need to:
Smoke less
Drink less
Exercise more
Relax more
16
Slide 17
Problem solved then? Not quite.
The reality:
Excessive drinking
Smoking
Lack of exercise
Stress
Are inextricably linked to social circumstances,
childhood poverty, access to services, housing
17
conditions, income, gender etc.
Slide 18
Unless we tackle the underlying causes
of health inequalities, we will never
break the cycle and will continue to have
people in the same city with such
unacceptable differences in terms of life
expectation.
18
Slide 19
So what does this have to do with obesity and
dental health?
Doesn’t obesity affect everyone, rich and poor?
To a certain extent this is true, but there is a
very strong evidence to suggest that levels of
obesity and certainly poor dental health are far
higher in areas that historically suffer from
health inequalities.
19
Slide 20
Poor diet for example can very clearly be
linked to the affordability and lack of
access to fresh fruit and vegetables or a
lack of knowledge about what is a good
diet and skills in basic food preparation.
20
Slide 21
A lack of exercise can again, in many
cases, be directly linked to accessibility
and affordability, and a basic lack of
knowledge relating to the health benefits.
21
Slide 22
Similarly, with dental health the picture
in the inner city area is far worse than in
other areas of the city, and in many cases
the national average and in one school over
90% of the children have at least some
decay.
22
Slide 23
So how do we address the problem?
Another hard-hitting campaign telling
children and parents of the need to:
Eat more fruit and vegetables and less
fatty food.
Exercise more.
Look after their teeth.
23
Slide 24
That should do the trick and bring about huge
improvement.
Wrong again, I’m afraid.
Health promotion campaigns, however
“hard hitting” have achieved very little in
terms of long term change in areas with
above average
levels of health inequalities
that are linked to social circumstances and
24
poverty.
Slide 25
Unless we tackle the underlying
determinants of health inequalities at the
same time as tackling the inequalities
themselves, we will never break the
cycle.
25
Slide 26
So how do we change things?
There is a growing recognition of the
unacceptability of health inequalities.
National targets are now being set in
relation to obesity and exercise. And
attempts are being made to look at the fat
and salt content of school meals
26
Slide 27
Very good but tackling health inequalities
such as these, also requires giving those
who have responsibility for development at
grass roots level, the freedom locally to
decide how to do it.
27
Slide 28
The only way to bring about really sustainable
change and improvement is to engage local
people in the identification of local need and
in the planning, delivery and monitoring of
services.
We have to see people as part of the solution
rather than as the problem.
28
Slide 29
This is what the Healthy Eating, Exercise
and Dental Health project has done; it
has, from the outset been community led
and community owned.
29
Slide 30
Local people have been engaged and
empowered to work in partnership with
the local authority, PCT and others and
they have had a real role in developing
the overall project, setting the priorities
and monitoring the outcomes
30