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

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Concordat & Single Outcome Agreements. Best Value. Outcomes ... A Ministerial task force on health inequalities led by Shona ... Concordat & Single ... – PowerPoint PPT presentation

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


1
Fruits and Roots Public Social
Partnerships NHS Lanarkshire in partnership
with Lanarkshire Community Food and Health
Partnership

2
Strategic Context (Some of It!)
  • Better Health Better Care
  • Equally Well
  • Concordat Single Outcome Agreements
  • Best Value
  • Outcomes Based Philosophy

3
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.

4
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.

5
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

6
Fruits and Roots

7
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).

8
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

9
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

10
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

11
Fruits and Roots at Wishaw General
12
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)

13
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

14
Fruits and Roots

15
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

16
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

17
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

18
Fruits and Roots -Average Daily Takings
  • Monklands 200
  • Hairmyres 300
  • Wishaw 500

19
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

20
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

21
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
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