Fruits and Roots Public Social Partnerships NHS Lanarkshire in partnership with Lanarkshire Communit

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Fruits and RootsPublic Social
PartnershipsNHS Lanarkshire in partnership
with Lanarkshire Community Food and Health
Partnership

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Strategic Context (Some of It!)

• Better Health Better Care
• Equally Well
• Concordat Single Outcome Agreements
• Best Value
• Outcomes Based Philosophy

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Better Health Better Care

• Pursue an investment strategy that builds public
  sector services, supported by the use of the
  voluntary sector and the social economy
• A Ministerial task force on health inequalities
  led by Shona Robison, Minister for Public Health,
  has been set up to identify and prioritise
  practical actions to reduce the most significant
  and widening health inequalities in Scotland. It
  will examine opportunities to work more
  effectively across Government and with our
  partners in the public, private and voluntary
  sectors to reduce the inequalities in peoples
  environments, income, employment, educational
  attainment, skills, housing and other issues that
  have the biggest impact on their health.

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Equally Well

• The Ministerial members of the Task Force come
  from right across Government. We have worked
  together in a new way, in line with the
  Governments unified approach to its overall
  purpose of sustainable economic growth. Local
  government, NHS Scotland, the Third (voluntary)
  Sector and the research community have also
  participated actively in the Task Forces work.
  This, too, represents a new approach in which
  local government and others are equal partners in
  developing national policy and agreeing how that
  can be delivered in practice.
• Tackling health inequalities requires action from
  national and local government and from other
  agencies including the NHS, schools, employers
  and Third Sector.
• The Third Sector has an important role to play in
  tackling health inequalities.

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Concordat Single Outcome Agreements

• Clearly Community Planning Partnerships will have
  to work even more closely with the Third Sector
  if we are to deliver the outcomes we all want to
  see
• Improved Health Wellbeing
• Reduction in Inequalities
• Best Value

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Fruits and Roots

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Fruits and Roots - Why is it important in
Lanarkshire

• Only 15 of adults eat 5 or more portions of
  fruit veg each day and 11 eat no fruit or veg
  at all on a daily basis.
• CVD (CHD and strokes accounted for 19.5 deaths
  in people under 65yrs and 29.8 over 65 in 2006).
• Cancer (accounted for 29.9 deaths under 65yrs
  and 26.3 over 65 in 2006).
• Obesity(66.6 adults overweight compared to 62.4
  across Scotland).

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Lanarkshire Community Food and Health Partnership
(LCFHP) Background and History

• LCFHP is a community based charity that aims to
  overcome barriers to healthy eating by working in
  disadvantaged communities across the area
• LCFHP was established approx. 21 years ago
• Original funding was from Monklands Dist. Council
  and Strathclyde Regional Council via Urban Aid
  then SIP Funds
• Beginning with 2 Individual Co-ops, 1 F/T
  Employee, 1 Secondee from Strathclyde Regional
  Council and 1 delivery vehicle, operated
  primarily as food provision service to
  disadvantaged communities across North
  Lanarkshire till approx 2003

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Lanarkshire Community Food and Health Partnership
(LCFHP) Background and History (cont.)

• In 2003/4 focus changed to Provide/Promote
  principles with dual focus Food Provision/Health
  Promotion assisted by secondee from NHS
  Lanarkshire Health Promotion Dept
• 2004/5 saw funding from ROA and growth to 8
  Fulltime employees, 1 warehouse, 5 vehicles and
  partnership with NLC Education Dept to develop
  the High Five for Fruit project
• Name Changed from North Lanarkshire Federation of
  Food Co-ops to LCFHP in 2006 to reflect activity
  and focus

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Lanarkshire Community Food and Health Partnership
(LCFHP) Background and History (cont.)

• LCFHP now supports
• 32 food co-ops and initiatives,
• Manages the High Five for Fruit project in all
  126 North Lanarkshire Nurseries
• Run Fruits and Roots project in partnership with
  NHS Lanarkshire
• Supplies another 25 groups per week.
• Partners NHS in Breastfeeding, Young People,
  Healthy Working Lives and older people campaigns
• Turnover in the current year will be
  approximately 483,000

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Fruits and Roots at Wishaw General
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Fruits and Roots - Scope

• Operating in Monklands Hospital since Sept 2006
  and Hairmyres and Wishaw General since Oct 2007
• Part of the WHOs Health Promoting Hospital
  Initiative
• Aim to increase access to, and consumption of a
  range of fresh and affordable healthy produce to
  staff, patients and visitors
• Approx 6000 staff based within hospitals
• Several hundred local Lanarkshire people
  (out-patients, visitors and carers)

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Fruits and Roots - Methods

• Piloted in Monklands Hospital for one year
• Fruits and Roots operate a mobile food co-op one
  day a week in each hospital between 9.15am and
  3.00pm
• The food co-ops are located at the main entrances
• The co-op sells a wide range of fruit and
  vegetables at cost price ( 15), to cover LCFHP
  staff costs etc.
• Promoted in local newspapers, internal
  newspapers, posters and staff briefings

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Fruits and Roots

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Evaluation June 2008

• Undertaken in partnership with Glasgow University
  Human Nutrition Dept.
• Aims of the Evaluation
• To measure fruit and vegetable consumption across
  3 hospitals
• To determine customers perception of produce
  quality and affordability
• To appraise knowledge and understanding of
  government guidelines and recommendations re
  fruit and vegetable intake

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Evaluation June 2008 - Consumption

• 51 reported that they believed that their
  consumption had increased as a direct result of
  Fruits and Roots
• Hairmyres was the only hospital to have a higher
  responding no increase than customer
  reporting a having had an increase

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Evaluation June 2008 - Knowledge

• 97.5 claimed to be aware of current 5 a day
  recommendations
• 99 correctly stated the number of reccommended
  portions
• 57 correctly identified the current portion
  size recommendations
• 64 correctly identified the vegetable not
  counted as one of the 5 a day

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Fruits and Roots -Average Daily Takings

• Monklands 200
• Hairmyres 300
• Wishaw 500

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Fruits and Roots - Issues

• Understanding and overcoming the issues around
  NHS/PFI
• Getting buy-in across all tiers of NHS
  organisational structures
• Funders expectations of Social Enterprise
  opportunities
• LCFHP forecasting of demand, margin and costs
  (esp. wastage of fresh produce)
• Start-up costs and working capital transition
  between fully funded part funded Social
  Enterprise

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Fruits and Roots -The way ahead

• Wishaw
• Increase opening to 2 days Tuesday Thursday
• Monklands
• Increase to 4 days per week Monday-Thursday
• Hairmyres
• Move from Thursday to Wednesday
• Increase Health Promotion Activities
• Monthly promotions
• Recipes
• Increase percentage of local fresh seasonal
  produce

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Fruits and Roots

• Stephen Kerr
• Head of Planning and Performance
• NHS Lanarkshire
• 01698 245041
• Stephen.Kerr_at_lanarkshire.scot.nhs.uk
• Ian Shankland
• Manager
• Lanarkshire Community Food and Health Project
• 0141 771 9043
• ian.shankland_at_btopenworld.com