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Social Action

for Health

2008

SAfH Annual Report 2008 -Themes

We divide our work into five main themes, which take up different positions along the SAfH Spiral. Whilst most of our projects fall within morehan one of these, one theme is usually more prevalent.

ne underlying theme which is not listed below, but which deserves special mention is Training and Education. This is a core activity which isentral to everything we do and which runs along the entire spiral, touching each and every project.

Community Developmentt the centre of our spiral are the local people themselves, the grassroots. We believe that strong, active communities, based upon the values ofocial justice, respect and equality, are an essential prerequisite to health. Therefore community development is the part of our work which kick-arts the spiral into action: We listen to local people's concerns and issues, then facilitate their access to information and services, support them

formulating their own solutions and in having their voices heard.

2007 we undertook community research into the views, concerns and aspirations of local residents on four estates in Hackney. More than onehousand residents participated. We trained local lay people from different ethnic backgrounds to gather and help interpret the information, whichow informs our work on those estates.

Health Information and Literacyhe second step on our spiral is about Access to Services. For us this includes improving local people's knowledge of the services they arentitled to and health professionals' awareness of local needs.

We train and support local people to act as own-language health guides within their communities. In this way we provide excluded people withformation and guidance on positive health and how to access health services. The health guides also act as representatives, bringing issues of

oncern to the policy makers.

Self ManagementNext up is Self Management. This is about empowering people to take control of their health, the third step on our spiral. We train and supportlocal people to deli ver projects such as the Diabetes Prevention Programme. This is targeted at the Bangladeshi community in Tower Hamlets andhelps those at risk of developing diabetes to make lifestyle changes which can improve their chances of avoiding the disease. Participants take

part in a six week education and training course, a nine week physical activity course and receive follow up mentoring for a further six months.

The success of these courses depends entirely on the involvement of our lay participants. They not only help with promoting our work in their

communities. They also lead on quality assurance and evaluation and many will, in time, become accredited trainers themselves.

Networks and AlliancesNetworking is half way along our spiral; it is the heart which pumps life through Social Action for Health and runs through all aspects of our

work. Networking helps to share the workload between member organisations, as well as resources, experiences and learning.

The Hackney Information and Advice Consortium, for example, places generic advice workers from the consortium's member organisations

within GP surgeries. Patients often come to their GPs with a complex mix of issues. This service allows the GPs to focus on health whilst thepatients' wider social problems are not being ignored.

A new alliance hosted by SAfH, Hackney LINk, will create pathways and opportunities for local residents to influence policy and practice in thelocal health and social care economy.

Research and Influencing PolicyIn order to inform policy from a sound evidence base, we continue to act as delivery agent in research projects run by partner institutions. Themethodology applied is informed by our community work.

Our Aim: To work with local people towards health, justice, equality and community

Our Values: We start with the people

People have the right to take control of their lives Peoples health can be improved by tackling isolation, poverty, racism and unemployment Healthy communities are good for the whole society

Forging

alliancesWe link

community groups

for mutual benefit

Working

togetherWe help communities

to organise

Taking

controlWe teach people

to manage their

own health

Grass roots workWe engage with

local peoples

own agendas

Building

networksWe sustain services

for local people

Influencing policyWe take local peoples agendas

to decision makers

Changing

practiceWe seek to

make practice

more responsive

Access

to servicesWe improve

peoples knowledge

of their entitlements

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Hackney Office:

62 Beechwood Road

London E8 3DY

Telephone no: 020 7275 2730

SAfH Registered Office:

The Brady Centre

192 Hanbury Street

London E1 5HU

Telephone no: 020 7426 5370

SocialActionforHealth

designingwithcarecoredesign0208525663

3

Charity no: 1040496 Company no: 2954744

SAfH is a charitable company limited by guarantee

Visit our new website: www.safh.org.ukEmail: info@safh.org.uk

Auditors:

Sayer Vincent

Chartered Accountants and Registered Auditors

8 Angel Gate

City Road

London EC1V 2SL

Staff Members at October 2008

uj Ahmed Project Manager, Hackney Information and Advice Consortium

sma Akhter Project Co-ordinator, Healthy Movesahera Ali Project Co-ordinator, Health Guideseila Ali Lead Health Guideeride Baycan Community Development Manager, Hackneyizabeth Bayliss Executive Directorndy Benson Co-ordinator, Hackney Advice Forumvienne Boucher Co-ordinator, Hospice Project

ahir Raja Chowdhury Project Assistant, Healthy Movesirban Chowdhury Project Manager, Cancer Screening,

Healthy Moves and Thalassaemia Projectsyarun Chowdhury Project Manager, Health & Advice Links (TH and Hackney), Health Guidesus ie C ro me Pr oj ec t Ma na ge r, S el f Ma na ge me ntauline Facey Finance and Administrative Assistantadhu Francine Project Co-ordinator, Self Management, Hackney

haron Hanooman Deputy Directord Enamul Haque Project Worker, Diabetes Preventionhanti Kar Finance Manageronjila Khatun Co-ordinator, Hospice Projectbul Khurshed Project Worker, Self Management (left Sep 08)uksel Konca Project Co-ordinator, Refugee Outreach Schools Project (on maternity leave)ola Malaolu Community Development Worker, Hackneyeba Maleque Project Worker, Health Guideshaleda Maleque Project Worker, Health Guidesachel Mboyo Outreach Worker, Refugee Outreach Schools Project, Hackneyimo Mohamed Project Co-ordinator, Health Guidesharun Nessa Cleanerbbey Palmer Community Development Worker, Hackney (left in October)habira Papain Project Manager, Health Guides (on maternity leave)hahida Parvin Project Worker, Self Managementna Patel Project Manager, Self Managementmeena Rahman Project Assistant, Health & Advice Links (TH & Hackney)iyah Shariff Project Worker, Lead Health Guides

uhin Sheik Data Inputerark Whyte Project Co-ordinator, Mental Health Guides, Hackney

AfH Sessional Workerst October 2008

Abdi HussanAbdi Hussain

Abdi MohamedAbdul KadirAbdul Khurshed

Abul Hussain KhondokerAbolaji Mayowa

Ahmet M CaglarAlhaz HussainAmina Munye

Amina RahmanAnna WagnerAnn Miller

Anthony FolkesAsma Begum

Ashraf ChowdhuryAyan AbdiBenjamin Burns

Benjamin EjekaBetty LwigaleBrenda Leacock

Charles CharlesworthChristina RoweChristine Cupid

Christopher JacksonEnamul Haque

Emma TriggsElizabeth HughesFakhrul A Chowdhury

Farah RezaFarhana BegumFarhiya Sharif Abdullahi

Farida KamalFatima BibiFokor Uddin

Fozylot Ara BegumFunso Sanyaolu

Gay CooperG Kelly KinsalaGullu Cicek

Hafiza BegumHamida IslamHazel Roach

Helen Mary Julian

hair's Reporte Board has worked well together to shape SAfH's strategy,iew progress and support the management. We enjoyed amber of opportunities for Trustees and staff to come together.

e continue to place a priority on reducing our deficit, which,ough largely historically-based, gives cause for concern.e are doing this through broadening our funding base, raisingore unrestricted funds and reviewing our pricing strategy.ese measures will also allow us to continue to strengthen there management team and provide more development for staff.

th the generous help of Peter Mac Poland we have been ablebuild a new website, which more adequately demonstrates full breadth of our work.

portunities abound and the organisation is growing andersifying, building on a strong reputation for creativityd an ability to engender good local relationships.

e new people we have welcomed during the year haveeady made considerable contributions to SAfH:-

ry Julian joined the Board in December 2007; Mary hasought a lot of energy and commitment to her role as Trustee.

April 2008, we welcomed Sharon Hanooman as Deputy

ector; with Sharon in post the organisation feels increasinglybust and purposeful.

r new Patron Dick Stockford will work alongside Baronessdin to raise the profile of SAfH.

ant to thank everyone who makes SAfH what it is for theirmmitment and support to an organisation of which we feelstly proud.

Jean Boulton

air

Trustees Report 2008The turnover of SAfH continues to grow, with an increasing depth

in our projects and an increasingly solid reputation for creativity andeffectiveness. We continue to struggle with the building of reserves. InApril 2008, we are left with a net deficit of 34,547; this is largely historic,

arising from underfunding of projects in the past. The pricing policy nowin place is designed to rectify this situation; equally, the building up ofreserves, which is a key priority, will create some protection against the

impact of slow settlement of invoices by statutory agencies that causecash flow fluctuations.

The budget for 2008/9 comprising secure funded projects generatesa surplus that will reduce this historic deficit, covers the cost of thenew Deputy Director post and will begin the process of building up

the reserves.

The main objectives of SAfH during 2007/8 were To sustain and consolidate the innovative ways of working we have

developed in response to the needs of local people; to increase the scale

of projects to maximise impact

To secure full cost recovery; to increase senior management capacity

To extend the funding base beyond health and social care to includefunding to pay for our development and for training and education work

as an end in itself

To develop the role of the Board of Management and thus strengthen

the organisation

The strategies we adopted to achieve our objectives were as follows: To sustain our innovative and highly effective ways of working, we

sought to protect the identity of our projects, promoting them locally,

regionally and nationally; we have helped commissioners understandhow they might better meet their targets by enabling us to assist.

To increase the scale of our projects to maximise impact we haveworked on a more thematic basis, linking projects together, building upthe synergy between projects under a single project manager. We have

sought funding that enables a larger scale of work.

To secure full cost recovery, we have increased our prices to ensure thatthe projects are not underfunded.

To increase senior management capacity we have successfullyrestructured, deleting the post of Administration Manager in order torelease funds to contribute to the costs of a Deputy Director.

AfH Monitoring Outputs 2007/08

figure for Networks and Alliances (221 contacts = 5%) only includes second tier contacts,e groups and partners we have worked with. It does not include the 1,046 patients who

received a direct service at 16 different health outlets, via our alliance partners.

ng 2007-08

H worked

7,465 people

Participant Ethnicity

2007/08

Participant Gender

2007/08

number includes 4,629

ple with whom we

ked in greater depth and

more continuous basis:

Directors ReportSocial Action for Health is dynamic, evolving rapidly into anorganisation that is capable of learning, an organisation that hasa memory and that has a story to tell.

Our community work with local people has developed wellduring the year. The project managers have gained confidenceand clarity about their tasks. They are now making their owndecisions about their direction of travel on a day to day basis,mirroring the way participants claim the project outcomes forthemselves and ensuring sustainability in the work.

This confidence bears fruit, with project managers bringing inwork for their teams, from within their own networks; they aresupporting each other, learning from each other every day anddeveloping the means to be truly accountable. Some practicalbenefits of this mutuality include:

the design and implementation of our monitoring system on aSAfH-wide basis which provides broad, coherent data on ourwork across the themes as well as detailed data on the contentof the work;

they are pooling the process of recruitment for new sessionalworkers who bring fresh enthusiasm and energy intothe organisation;

sessional staff are developing a portfolio of skills as their workprogrammes within SAfH diversify.

We are now planning to build up the skills of our projectcoordinators, the next level in SAfH, nurturing the growinginterest in career advancement, since we want our staff to grabhold of the opportunity to engage in mainstream society.

I would like to thank all the staff for their commitment and zest.We work in a stimulating environment that reflects the diversityof east London, building bridges. The energy generated ispurposeful and productive. I am honoured to be a part of it.

Elizabeth Bayliss

Executive DirectorT l r c c

l i

l l

Networks

and

Alliances

3%

ll

Health

Information20%

l

l

Self

Management

35%

Community

Development

42% l

l

l

l i

l l

Networks

and

Alliances

5%

Health

Information

33%

Self

Management

14%

Community

Development

48%

l

T l r c c

l i

l l

ll

ll

l

l

l

l

l

l

White

15%

Bengali

23%

Caribbean

12%

Unknown

10%

African

8%

Turkish/Kurdish

4%

Indian 1%

Chinese 1%

Other 4%

Pakistani

Somali13%

T l r c c

l i

Male 36% Female 64%

ll

ll

l

l

l

l

l

l

l

l

To extend the funding base, we sought the advice of supporters with

understanding of the funding context for the voluntary sector. Thisresulted in engagement with a charitable foundation interested in

supporting voluntary sector development and in a successful bid forfunding, for the first time, for training and education from the LSE.

As well as the Board's formal meetings, we have had two strategyawaydays to help set the direction for the organisation; new membersreceive induction and we have sharpened up our governance

processes. Our new auditors, Sayer Vincent, have also been veryhelpful in stream-lining our financial reporting procedures

Signed on behalf of the Trustees:

Dr. Jean Boulton

6th November 2008

Auditors StatementThe financial statements give a true and fair view, in accordance withUK Generally Accepted Accounting Practice of the charity company's

state of affairs as at 31March 2008 and of its incoming resources andapplication of resources, including its income and expenditure, for theyear ended.

Sayer Vincent Chartered accountants and registered auditors

8 Angel Gate City Road London EC1V 2SL

Board of Trustees:Dr Jean Boulton (Chair)

Gulrook BegumAnwara DewanSimon Dein

Nigel JacksonMary JulianJanet McMillan

Flora OgilvieAndy Turner

Patrick Vernon

Patrons:Baroness Uddin

Dick Stockford

Social Action for Health

Statement of financial activities

(incorporating an income and expenditure account)

For the year ended 31 March 2008

Incoming resources

Incoming resources from generated funds

Investment Income

Incoming resources from charitable activities

Community DevelopmentHealth InformationSelf ManagementNetworks and AlliancesHealth Guides

Other incoming resources

Total incoming resources

Resources expended

Charitable activitiesCommunity DevelopmentHealth InformationSelf ManagementNetworks and AlliancesHealth Guides

Governance costs

Total resources expended

Net incoming resources before transfers

Gross transfers between funds

Net income for the year

Net movement in funds

Reconciliation of funds

Total funds brought forward

Total funds carried forward

Restricted

-

160,848161,803218,271327,832148,566

-

1,017,320

176,328137,767209,325432,044110,938

-

1,066,402

(49,082)

51,166

2,084

2,084

9,915

11,999

Unrestricted

245

-19,68065,062

--

13,098

98,085

-19,68050,601

--

27,095

97,376

709

(51,166)

(50,457)

(50,457)

3,911

(46,546)

2008Total

245

160,848181,483283,333327,832148,566

13,098

1,115,405

176,328157,447259,926432,044110,938

-27,095

1,163,778

(48,373)

-

(48,373)

(48,373)

13,826

(34,547)

2007

Total

407

146,408

196,266

177,554

554,406

176,971

15,735

1,267,747

129,180

204,230

197,554

506,604

234,643

7,687

1,279,898

(12,151)

-

(12,151)

(12,151)

25,977

13,826

Social Action for Health

(limited by guarantee)

Balance sheet

As at 31 March 2008

Fixed assets

Tangible fixed assets

Current assets

DebtorsCash at bank and in hand

Liabilities

Cash at bank and in handCreditors: amounts due within one year

Net current assets

Net assets

Funds

Restricted fundsIn surplusIn deficit

Unrestricted fundsDesignated fundsGeneral funds

Total charity funds

Approved by the trustees on 8 October 2008and signed on their behalf by

Dr Jean Boulton, Trustee

97,253

-

97,253

8,627

128,865

2008

5,692

5,692

(40,239)

(34,547)

38,622

(26,623)

10,957

(57,503)

(34,547)

2007

6,375

6,375

154,22627,291

181,517

174,066

7,451

13,826

127,066(120,657)

-7,417

13,826

Hibo Noor Hidayet Konak Husneara Khanom

Ida Scoullos Izabela Catarina Jill Jackson

Julie Edwards Julie Pengelly

Jusneara Khanom Kalphana A Khan Kamrun N Ruly

Katarzyna Kwiatkowska Katherine Dentone Kefayet Hussain

KJ Ferdaus Leyla Atik Loleta Cumberbatch

Loretta Wilson Magdalena Sikora

Mahbubul Alam Maria Cotrini Martha Orozco

Masuma Begum Mariam M Abdi Maxamud James

Mazhar Hussain Michael Calderbank

Millicent Christian Misbah Uddin Khan

Md Murad Mhamud M K Barbhuiyan Md Abdus Salam Mohammed Fokor

Mohamed Ismail Amir Mohammed Thufayel Islam Mohamed Khaledur Rahman

Mohamed Kako Momina Choudhury

Murad Mohamed Musse Ali Nazmim Ara Begum

Neil Thomas Nilufer Begum Nimo Mohammed

Nimao Barud Noorjahan Begum Nurul Choudhury

Nurum Nessa

Onagete Louison Peter Smith Philip Morgan

Rabaya Islam Rachel Mboyo Reshna Miah

Rebeka Nasrin Chowdhury Roland Aiyadogbn Rose Yidmia Njinimbot

Rowshan Ara Khanam Ruby Khanam

Sadek Syed Samantha Shakes Saeed Omar

Sayeda Begum Sayada Zakia Sultana Sema Inci

Shalliene Burgin Shahida Parvin Shamema Khan

Shahnaz Begum Shahnaz Rifat

Shireen Sultana Showket Ali Shuaib Achala

Shukri Jama Shuhena Begum Sidney Millan

Siriol Davies Solma Khatoon

Sonia Gomes Stephen Laudat Syeda Zinath Rahman

Syeda A Begum Suleman Khan Sultana Parben

Tahera Islam Tania Caliendo Tanvir Ahmed

Tessa Mill er Thufayel Ahmed

Ulupi Patel Zaman Barbhuiyan

Volunteers:

Corrine Douglas Clementine Jack

Dr Flora Ogilvie Geraldine Phillip Ida Scoullos

Mark Laville Peter Mac Poland

Raymond Smith

Funders 2008

Barts and The London NHS Trust Big Lottery Fund City and Hackney PCT

City and Hackney Health andSocial Care Forum

East London Integrated Care

Guys, Kings and St ThomasSchool of Medicine

Hackney CommunityEmpowerment Network

Islington PCT

Learning Trust London Borough of Hackney Macmillan Cancer Support

Newham PCT NHS Sickle Cell and

Thalassaemia ScreeningProgramme

North East London Diabetes -

London Research Network NRF Tower Hamlets Partnership Ocean New Deal for Communities

Richard House Children's Hospice Sport England St Joseph's Hospice

Team Hackney Tower Hamlets PCT

Queen Mary University of London

Partners 2008

During the year we have enjoyednetworking with countless

individuals and organisations andprovided services from manydifferent locations. These have

included a large number of adviceagencies, community centres,schools and over 45 GP surgeries.