Demonstrating Effective Neighborhood DeliveryNorth Fulham NDC

Abi Gilbert - Health and Well Being Theme Manager

•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

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

•Continued economic success, danger of inequality growing

What is H & F like?

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

Stop Smoking Project(NDC)

Food Cooperatives

(RRU)

Community-based exerciseMens football

(Dmh)

Exercise ReferralScheme(Dmh)

Expert Patients

Programme(pct)

MEND(sbhc)

LifestyleFridays(NDC)

Family Support(FWA)

Alcohol Project(LBHF)

Tackling inequalities

Young People’sSexual Health

Project(LBHF)

CHEF Club(Sbhc)

CommunityResearchers

(MCF)

Promotion of healthy lifestyles

Managing chronic illness

Health and Well beingProjects

Well London

Lillie Road Fitness Centre(GLL)

Health Trainers

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

Performance on outcomes + trendsPerforming Well

Smoking Prevalence

0%

5%

10%

15%

20%

25%

30%

35%

2002 2003 2004 2005 2006 2007 2008 2009 2010

NDCNationalNDC TargetLinear (NDC)Linear (National)

Percentage of NDC residents doing 30 mins of moderate exercise 3+ times a wk

0

10

20

30

40

50

60

70

80

90

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

NDC

NDC Targets

LA

Linear (NDC)

Linear (LA)

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 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

Target Community based groups and organisations

London Health Commission

Via Executive Group

Arts CouncilLondon

Big Lottery Fund Funding body

Legally Accountable

body

Grant

GLA

SLAM Groundwork London LSx UELYMCA

Grants – conditional gift formalised in funding agreement

Contract between lead agencies and community level delivery organisations identified through competitive tendering OR grants given as a conditional gift formalised in funding agreement

Well London Alliance

Overall governance;

sign off final

application; resolve issues as necessary

CommsProject Mgt

Grant allocation

Development and delivery of Well London

Delivery of

projects

LDC OlympicsLegacy Board

London Food Board

LHC Governance

Group

Link GLA and LHC, provide legal,

financial adviceFinal two leads identified

through invitation

Advice

LHC

Outcomeso 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

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 mobilityand 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

London Borough of Hammersmith & Fulham

Local Area Agreement 2008-2011

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

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