Demonstrating Effective Neighborhood Delivery North Fulham NDC

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Demonstrating Effective Neighborhood
DeliveryNorth Fulham NDC

• Abi Gilbert - Health and Well Being Theme Manager

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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
HF Council Leader Cllr Stephen Greenhalgh,
lbhf.gov.uk
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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.
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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
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• 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.

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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

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CHEF Club (Sbhc)
Health and Well being Projects
Health Trainers
MEND (sbhc)
Stop Smoking Project (NDC)
Expert Patients Programme (pct)
Alcohol Project (LBHF)
Lifestyle Fridays (NDC)
Young Peoples Sexual Health Project (LBHF)
Community Researchers (MCF)
Exercise Referral Scheme (Dmh)
Family Support (FWA)
Food Cooperatives (RRU)
Community- based exercise Mens football (Dmh)
Lillie Road Fitness Centre (GLL)
Well London
Promotion of healthy lifestyles
Tackling inequalities
Managing chronic illness
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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

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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 yearGood. 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

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Performance on outcomes trendsPerforming Well
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Well London Communities working together
for a healthier city

• Well London Co-host Briefing, October 2007

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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

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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

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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

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Projects

• Heart of the Community
• CADBE
• W L Delivery Team
• Youth.comUnity
• Active Living Map
• Training Communities
• Wellnet
• Community Assessment,
• Design, Brokerage, Enterprise

• Themed
• Activate London
• BuyWell
• EatWell
• Changing Minds
• DIY Happiness
• MW I A
• Healthy Spaces
• Be Creative Be Well

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Outcomes

• 34, 508 direct beneficiaries will have increased
  opportunity for health 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 enhances access
  to affordable healthy foods.
• 4,348 direct beneficiaries will have increased
  levels of health physical activity.
•   (Total Population 34,508)
  

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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

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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

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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
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Local Area Agreement Improvement targets 2008-
2011Final Version 9 June 2008

• 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

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Local Area Agreement 2008-2011Summary 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