west glasgow hi plan 02.06 - welcome to the nhs greater

West Glasgow Community Health and Care Partnership

Health Improvement Plan – 2006/07

Third Draft

NHS Greater Glasgow and Glasgow City Council working together in your community

Contents Executive Summary Page 3 Introduction Page 4 West Glasgow CHCP Area Page 5 Local Health Status Page 6 Reducing Health Inequalities Page 7 Health Improvement & the WGCHCP Page 8 Health Improvement and Community Involvement Page 9 Health Improvement and the role Of the Voluntary Sector Page 9 Delivering the Health Improvement Plan: The Health Improvement Workforce Page 10 West Glasgow CHCP: Strategic Priorities for Health Improvement Page 11 Next steps Page 14 Appendix

1. Overview of Organisational Development (OD) Process for Health Improvement in Community Health and Care Partnerships (CHCP’s)

2. Scottish Index of Multiple Deprivation Datazones 3. The Model of Health – Individual and Neighbourhood Level 4. West Glasgow CHCP Mapping of Health Improvement Activity 5. Lead Drivers for Health Improvement 6. Pilot Grid – Health Improvement Action Plans

West Glasgow CHCP Draft Health Improvement Plan 2006/07 2

Executive Summary This draft health improvement plan for the West Glasgow Community Health and Care Partnership has been produced in response to the statutory responsibility of CHCP’s for improving health and reducing health inequalities. The process for producing the plan centred around the Skills for Health programme that engaged with key stakeholders to discuss and prioritise potential health improvement priorities. In addition, a local mapping of health improvement activity and local health data informed the development of the plan. The plan sets out the rationale for linking with the emerging Community Planning Partnerships and highlights the need to target the most deprived communities to bridge the inequalities gap. The identification of local needs in dialogue with communities and partners will inform appropriate services and initiatives to be retained or developed. The plan acknowledges the role that key local partnerships, local communities and the voluntary sector have in progressing the implementation of the strategic objectives. A dedicated health improvement team will have a pivotal role in the delivery of the plan. The key strategic priority areas for West Glasgow CHCP’s health improvement plan are:

• Addictions • Mental health • Employment and Poverty • Children and Families • Young People • Older People • Gender Health Issues • Sexual Health

In addition there is a commitment to ensure that Capacity Building, Patient and Public Involvement and links with Community Planning inform the implementation of the plan. Health improvement activity is funded through a number of funding sources, with commitment both from the statutory and voluntary sectors and a number of other funding streams.


Introduction The Scottish Executive requested that Community Health and Care Partnerships within Glasgow submit Health Improvement Plans before January 2006. These plans should be strategic documents that address the priorities within Community Health and Care Partnerships and reflect national policy drivers. Addressing inequalities in health will be a key focus within the plans. The Local Health Improvement Plan for the West Glasgow Community Health and Care Partnership has been developed as a result of the organisational development process which has engaged with key stakeholders and partners from the voluntary and statutory organisations. (Details in Appendix1). The plan has taken into account current health improvement activity, variations in local health status and perceived health priorities. These have been informed by the data in the Scottish Index of Multiple Deprivation and Health &Well-being Community Health Profiles for Scotland. The plan will set out the broad strategic vision for the west area and form the basis for local action planning to improve health and tackle health inequalities. The plan relates to national and local strategies and their application to local health needs of the population. The implementation of the plan will take into account local health issues identified by communities, especially those that reside within the worst 15% of Scottish Index of Multiple Deprivation datazones. (Details in Appendix 2). Community Health and Care Partnerships will enable individuals and communities to take control over and improve health by taking into account the underlying principles of Equity, Participation, Empowerment, Equality & Diversity and Sustainability. The vision agreed for the West Glasgow CHCP in terms of health improvement is: ‘To work together to support individuals and communities to improve their health and quality of life.’ The values underpinning this vision are transparency within partnerships, responsibility, accountability, respect, empathy and equality to enable a holistic approach. The plan builds upon the wide range and variety of health improvement activity that is delivered for most of the areas within West Glasgow CHCP. The major funders are GGNHSB, Primary Care Trust, Glasgow City Council, Community Regeneration Fund, and specific funding from the Scottish Executive, Big Lottery Funds and other sources. This funding enables the delivery of services and projects that impact on health improvement and reduce inequalities in health.


West Glasgow CHCP area. The Glasgow City CHCP Executive agreed the following boundary for the West Glasgow CHCP. The River Clyde is the southern boundary for the area, with the eastern boundary along the River Clyde to High street and Castle Street and thereafter north to M8. The northern boundary fits the western boundary for the North CHCP. The boundary then extends from Anniesland and ends at the Glasgow City boundary with West Dunbartonshire. The CHI Population for the West Glasgow CHCP area is 153,924. However, up to 32,000 patients who live outwith the West Glasgow CHCP boundaries, are registered here.


Local Health Status The West CHCP area contains some of the most deprived as well as some of the more affluent areas within Glasgow City. The data from the Health and Well-being Community Profiles has highlighted the following:

• Older people – highest concentration in six postcode sectors – Knightswood North – 27.5% compared to 15.9% in Scotland

• Majority of wards have children within workless households, ranging from 19.4% in Broomhill to 58.2% in Drumchapel North East.

• Teenage pregnancies rate is 3% in Kelvindale; Kelvinside compared to 24% in Drumchapel West.

• Lone parent households - a difference of 35% higher in the most deprived areas compared to the most affluent

• Breastfeeding rates are 78% in the most affluent compared to 8.5% in the most deprived areas.

• Hospital admissions for deliberate self-harm is 988.6 per 100,000 compared to 109.6 in the most affluent

• Inability to work due to illness/disability is 29.5% in Drumchapel North East compared to 2.6% in Hyndland; Dowanhill.

• Average gross household income is £15,010 in most deprived area compared to £40,291 in the most affluent.

• Smoking recorded at hospital booking is 61.8% for the most deprived compared to 9.3% in Hyndland; Dowanhill.

• Male life expectancy is only 62.9 years in Yorkhill compared to 76.6 years in Hyndland; Dowanhill.

Poor health is strongly linked to deprivation and inequality. Although life expectancy rates have increased for both male and female, inequalities are apparent between the affluent and more deprived areas. For example, between 1998-2002, life expectancy for males in Yorkhill was 62.9 years compared to 75.2 years in Jordanhill. The rate for females was 72.7 and 80.7 years respectively. This inequality is also reflected in death rates from coronary heart disease, stroke and lung cancer. The rates are improving more rapidly among the more affluent groups compared to the ones that are disadvantaged. The Model of Health – Individual and Neighbourhood level illustrates the factors that have a positive impact on health and others that have a negative effect. (Appendix 3)


Reducing Health Inequalities Community Health and Care Partnerships have a statutory responsibility to participate in local Community Planning Partnerships to meet the Social Justice requirements for ‘Closing the Opportunity Gap’ 2003. They will be required to develop and implement the action plans agreed in the Regeneration Outcome Agreement developed by the Glasgow City Community Planning Partnership. The West Glasgow CHCP area will contain two local Community Planning Partnerships within its boundary. These are:

Drumchapel, Anniesland and Garscadden, Scotstounhill Partick West and Hillhead and Anderston, City

Local Community Planning Area

Population No. of Data Zones

No. of DZ in bottom 15%

Population living in these bottom 15%

% of local population living on bottom 15%

Drumchapel/Anniesland & Garscadden/Scotstounhill

56,594 71 46 37,212 65%

Partick West & Hillhead & Anderston/City

80,072 89 21 18,240 24%

The overall target will be to reduce health inequalities by increasing the rate of improvement within the 15% most deprived communities. These have been identified within the west and will be the target for regeneration through the Community Regeneration Fund. Community Health and Care Partnerships can contribute to reducing inequalities by: • Measuring health and health need and identifying those geographical areas groups and individuals with greatest inequalities. • Working with patients, service users, and the wider public to design health & social services and health improvement programmes which address unmet need. • Ensuring equity of outcomes not just equality of access. • Working with community planning partners to design services and programmes and interventions, which meet the needs of the most vulnerable groups. • Taking a community development approach to empower communities and encourage participation. • Supporting and working in partnership to address underlying causes of health inequalities like poverty and unemployment.


Health Improvement and West Glasgow Community Health and Care Partnership The mapping of current health improvement activity and involvement of key stakeholders in the organisational development process, has highlighted a broad range of activity with commitment from a number of partners. There is more evidence of activity within established structures and partnerships and gaps in some of the more deprived areas. Health improvement priorities should reflect locally identified need and relate to national policy for improving health. The framework for health improvement in Improving Health in Scotland: The Challenge advocates four priority themes based on Early years, Teenage transitions and Adults of working age and the Community as a key setting. The seven special topic areas to be targeted are Smoking, Physical Activity, Healthy Eating, Mental Health and Well-being, Alcohol, Sexual Health, Health & Homelessness. These themes and topics will enable action to improve health, life circumstances and lifestyle issues within local communities. The local mapping exercise around health improvement activity within West Glasgow Community Health and Care Partnerships shows a wide range of activity, based on partnership working and addressing social circumstances, lifestyle issues and action to improve health.(Appendix 4) The key partnerships include representation from local community members, a range of both statutory and voluntary sector agencies. Funding for the activities is derived from a broad range of funding streams. Most of the activity is targeted in many of the deprived neighbourhoods which are currently within the social inclusion partnerships. However, there is a gap in activity within many of the 15% most deprived communities due to lack of established structures and lack of dedicated resources. The Community Planning Partnerships and the Community Regeneration Fund will enable targeted resources and establishment of activity, based on local need and in partnership with a range of agencies. Some key partnerships within the west area include:

- Drumchapel Social Inclusion Partnership - Dumbarton Road Corridor Social Inclusion Partnership - New Learning Communities Clusters - Children’s Services Planning - Community Safety Partnership - STAR Partnership


Health Improvement and Community Involvement Community Health and Care Partnerships will engage with local communities, patients and carers as individuals and as key drivers for service improvements. The development of a public participation forum ( PPF) which is built around existing good practice in public involvement will enable each Community Health and Care Partnerships to strengthen their relationship with voluntary sector organisations, community groups and individuals. The Public Participation Forum will enable the CHCP to engage the public in discussion around the wider health improvement agenda and raise health issues from the community perspective. Health improvement will engage with local communities to develop and implement health and well-being strategies and action plans that are based on local need. Building community capacity for health improvement will ensure local ownership, enhanced skills and knowledge of communities and individuals to participate in addressing health issues. Health Improvement and the role of the Voluntary sector The voluntary sector has a key role in delivering on the health improvement agenda within local areas, both as a partner and through health-related projects. The voluntary sector also delivers services that address the underlying social and economic factors that contribute to inequalities in health. The voluntary sector will be a main partner in developing local action plans around health improvement based on local knowledge, local needs and complement the work of existing projects. This will enable national priorities to be addressed, identify gaps and sustain current activity. A number of health related voluntary projects receive funding from the Health Board and are accountable through service level agreements to deliver key result areas. The area benefits from two Healthy Living Initiatives, Drumchapel L.I.F.E. and the Annexe in Partick. In addition, many Social Inclusion Partnership projects also receive contribution for the delivery of health improvement programmes.


Delivering the Health improvement Plan: The Health Improvement Workforce The current health improvement workforce with a substantive remit to deliver health improvement programmes includes staff from the voluntary sector, public health practitioners, health improvement officers, health promotion officers, oral health practitioners and smoking cessation advisors. Knowledge, skills and competencies for public health are available across a variety of roles within local areas. Capacity building for health improvement is also targeted at other staff and local community activist. The occupational standards for public health have been developed by skills for health and approved as UK wide occupational standards by the regulatory authorities in the UK. (See below) The West Glasgow CHCP will have a core health improvement team that will lead and influence local action on key health improvement needs identified by local communities and linking to national policy and local strategies. The health improvement agenda requires partnership working and commitment from a range of agencies that can have an impact on the social circumstances of local communities. The West Glasgow CHCP health improvement plan will link with the Joint Health Improvement Plan (JHIP), which will be developed through the Community Planning Partnerships. National Standards for Public Health • Surveillance and assessment of the population’s health and well being • Promoting and protecting the population’s health and well-being • Developing quality and risk management within an evaluative culture • Collaborative working for health and well-being • Developing health promotion programmes and services and reducing inequalities • Policy and strategy development and implementation to improve health and well-being • Working with and for communities to improve health and well-being • Strategic leadership for health and well being research and development to improve health and well-being • Ethically managing self, people and resources to improve health and well-being


West Glasgow CHCP Strategic Priorities for Health Improvement

The lead drivers for these priorities are listed in Appendix 6

1. Addictions

• Action on Tobacco : Raise awareness of tobacco issues in local communities. Set up and promote access to local smoking cessation service, through development of local groups and links to local pharmacies ‘Starting Fresh’ programme. Support prevention programmes in local schools and youth services. Develop smoking cessation service for mental health patients.

• Local Addiction Strategies Support the work of the established local strategies within the Dumbarton Road Corridor and Drumchapel. Link to workplans for North West and West Community Action teams. Develop links with the STAR partnership. Support local drug forums and the alcohol counselling provision, to identify gaps and address these on a partnership basis.

2. Mental Health Implement training provision around Mental Health First Aid, Stigma and Suicide Prevention. Implement the recommendations from the Dumbarton Road Corridor Mental Health Audit. Support the local stress centre and develop services in other areas. Investigate further development of the befriending service for older people.

3. Employment and Poverty

Support the implementation of Pathways to Work, the Equal Access Strategy and Work Development Team. Establish links to local training and employment initiatives as part of local regeneration measures. Improve access to uptake of benefits through local projects.

4. Children and Families Establish a co-ordinated approach to provision of services for children and families by building upon the existing work of the Child Health Project and other local initiatives. Support programmes around parenting, breastfeeding, physical activity and nutrition. Influence the development of pre-5s provision in new community based centres. Oral Health: Develop the work of the Oral Health Action Team, building upon existing work and availability of new funding and staffing opportunities.


5. Young People

Support local youth work through established projects and activities that promote health. Improve access to health services through the development of a drop-in service in various locations. Involve young people in the development and on-going establishment of relevant services. Maintain links with local befriending service. Develop health improvement interventions through the New Learning Communities in West Glasgow.

6. Older People Support the local senior forums and groups. Develop and implement plans around mental health, domestic abuse, physical activity and nutrition. Raise awareness of fuel poverty issues. Support local carers groups.

7. Gender Health Issues Support the development of men’s health groups and investigate the possibility of employing a dedicated development worker to promote men’s health. Support local women’s groups and programmes around health improvement. Develop the Domestic Violence subgroup as a West Glasgow Forum.

8. Sexual Health Support Teenage Pregnancy prevention programmes and develop work with the Sandyford Community Hubs.

9. Patient and Public Involvement Develop the capacity of the CHCP to involve patients in formal consultations for service development and subsequent evaluation. Maintain links with the PFPI framework and the Primary Care Collaborative Project. Support the development of an effective Public Partnership Forum through the CHP community engagement strategy. Ensure links between this and the community engagement structures for Community Planning. Develop links with the local voluntary network. Ensure that the PPF has an input to the development of health improvement priorities

10. Capacity Building

Establish training and development opportunities for staff and local communities through provision of the Community Development Training, Health Issues in the Community and other relevant training. Support volunteers through local projects and initiatives.


Develop a shared vision around health improvement and health inequalities for all CHCP staff to integrate this into their core practice. Develop a framework for monitoring and evaluation of health improvement activity.

11. Community Planning and Health Improvement Support the Community Plan and Regeneration Outcome Agreement. Use a partnership approach to address local needs and priorities in the15% most deprived neighbourhoods. Build upon the health related work already established through the Social Inclusion Partnerships. Equity issues As part of the organisational development process, the issue of equity was discussed. It was agreed that this will require establishment of local needs, partnership working and targeting of resources to the more deprived communities to tackle the underlying health inequalities. It was emphasised that prudent use of resources coupled with criteria for funding and a monitoring and evaluation framework is essential. Harnessing expertise for health improvement In terms of the expertise already existing within the area, partners were keen to ensure that a community development approach building upon work already developed and sharing of good practice should be paramount. Applications for funding on an area wide basis can ensure cohesiveness and a more strategic approach to delivery of health improvement priorities. Communication and information The partners also highlighted the need to share information about current activity, and receive information about the CHCP resources and services. The establishment of a communication strategy, local websites and events to share views will allow other partners and stakeholders to be better informed. Implications of boundary changes. The boundary changes for the West Glasgow CHCP, and the timescale and process for developing this draft health improvement plan has resulted in Woodside not being able to contribute to the plan. There is a need to map current activity and ensure that the health improvement develop the necessary links and establish the local need for the area.


Next steps: Action plans to deliver the strategic health improvement priorities

The organisational development process, the involvement of key stakeholders and the range of current health improvement activity will allow the stated strategic priorities to be implemented through the development of action plans, both for topics and themes. A comprehensive ‘pilot’ planning tool has been developed which can assist in recording the key aims and objectives for each area of work. The grid has four main sections:

• What and Where • Evaluation, Dissemination and Training • Health Improving Principles & Approaches • Personnel & Resources.

These plans can be recorded within a database which will allow comparisons to be made within the different CHCPs in Glasgow. The development of the action plans will be in conjunction with local communities and key partners who are involved in local initiatives, to set the aim and objectives for individual areas of work. This process will also allow negotiations to take place around funding and staff time commitment. The health improvement workforce will have a key role in these negotiations and development of local plans. The inclusion of areas like the City Centre and Woodside will require a local mapping exercise to be undertaken of the current activity and perceived gaps in provision. Evaluation and sustainability of current areas of work will also be considered.


APPENDIX

West Glasgow Community Health and Care Partnership Draft Health Improvement Plan 2006/07

Appendix 1.

Overview of Organisational Development (OD) Process for Health Improvement in Community Health and Social Care Partnerships (CHSCP’s)

Why an OD Programme for Health Improvement in CHSCP’s?

CHSCP’s have a key role in delivering health improvement for their local communities. NHS Health Scotland and the Health Improvement Directorate of the Scottish Executive recognise that CHSCP’s, as new organisations, need time and resources to effectively take forward the health improvement agenda and therefore have invested in an OD process to support all CHSCP’s in developing a local Health Improvement Plan. These local Plans are to be submitted to the Scottish Executive by December 2005.

What’s involved?

NHS Greater Glasgow has already received financial support to undertake this OD process on the basis that the OD programme follows the approach piloted within West Fife by the “Skills for Life” team. The OD process will broadly cover three main stages;

1. Information event – Tuesday 26th July 2005

The purpose of this half day event was to commence the process for taking forward a health improvement plan for West Community Health and Social Care Partnership by:

Providing background information on the new CHSCP’s and their health improvement role.

Highlighting some of the health improvement issues for the developing West CHSCP.

Providing an opportunity for interested groups and individuals to discuss, map out and acknowledge the current health improvement activity within the West CHSCP area.

Around 40 individuals and groups from the West Glasgow CHSCP area were invited to attend this first event, although due to the holiday period, the actual number of attendees was approximately 20.

2. 1 ½ Day Stakeholder event – 25th August (full day) & 26th August (half day)

This 1 ½ day event aims to focus a group of key stakeholders on the development of a draft strategic plan for health improvement in West CHSCP. A draft programme of the event is included with this invitation letter. A diagonal sample of 25 stakeholders, from a range of levels within the new CHSCP, has been invited to participate in this focussed event. It is intended that the wider stakeholder group will have the opportunity to input to the Plan in stage 3 of the process.


3. Consultation Event on Draft Health Improvement Plan – 24th November 2005

Objectives for the day will be to:

Update stakeholders on the CHSCP process and progress made within West CHSCP.

Give stakeholders the opportunity to comment on the Draft Health Improvement Plan.

Update stakeholders on the next steps.


Appendix 2.

Scottish index of multiple deprivation datazones for Glasgow - map


Appendix 3.

Model of Health – Individual and Neighbourhood Level Everything on top enhances, and reducing the bottom improves


Appendix 4.

West Glasgow Community Health and

Care Partnership

Mapping of Health Improvement Activity compiled by

Shadow Health Improvement Team and input from

Stakeholders event on 26 July 2005.

For further information contact: Uzma Rehman on 0141 201 4789 Email: [email protected] November 2005. .


mailto:[email protected]

KEY PARTNERSHIP INITIATIVES

Title: Drumchapel Social Inclusion Partnership 1. Represent GGNHSB on SIP Board to ensure strategic approach to local health

gain within local community planning. 2. SIP Co-coordinators group - Strategic development and reporting of annual

action plans. 3. SIP Monitoring group - Oversee monitoring of SIP funded projects. 4. SIP Funding sub-group - allocation of funding for local programmes to tackle

consequences of poverty and social exclusion. 5. SIP Health and Social issues implementation Group - Chair & Develop

implementation of HSIG action plan. Title: Dumbarton Road Corridor Social Inclusion Partnership

1. Represent GGNHSB on SIP Board to ensure strategic approach to local health gain within local community planning.

2. SIP Monitoring group - Oversee monitoring of SIP funded projects. 3. SIP Funding sub-group - allocation of funding for local programmes to

tackle consequences of poverty and social exclusion. 4. SIP Health & well-being Theme Group – Chair and co-ordinate health

related activity across all sub-groups. Title: New Learning Communities

1. Influence and contribute to joint planning, development and implementation of school action plan – Drumchapel

2. Influence and contribute to development and implementation of school action plan – St Thomas Aquinas, Hillhead, Knightswood, Hyndland and Notre Dame.

Title: Children’s Services Planning

1. North West and West Children’s CSF - Link up children’s service planning Title: Homelessness Strategy

1. Implement homelessness strategy in the West CHSCP Title: Equal Access Strategy 1. Provide support and mechanisms for long-term unemployed to move into the employment market.


ADDICTIONS

Title: Drugs and Alcohol

1. DRC SIP – implementation of local addiction strategy 2. Support provided through Community Engagement Worker. 3. Alcohol Counselling provision. 4. Support for people with gambling addiction. 5. Local events and training to raise awareness of addiction issues. 6. Development of DRC Addiction Forum. 7. Momentum – personal development programmes for those affected by

addictions.

Title: Smoking Cessation 1. Set up smoking cessation service for the west including smoking cessation

groups and access to help for quitting. 2. Promote equitable delivery and uptake of Smoking Cessation services and

provide evidence based support. 3. Action of Tobacco - Raise awareness of tobacco issues locally and facilitate

action on tobacco through development of implementation plan. Additional information from mapping • Drumchapel – implementation of local addiction strategy. • Cannabis Support Group • Health Information Points • North West and West Community Action Team - workplans • Smoking cessation for mental health patients • Starting fresh – community pharmacy smoking cessation • STAR Partnership services • Pubwatch – Partick Police. • Volunteering opportunities – support and training.


CAPACITY BUILDING

1. Public health – information, training and development on public health policy and guidelines for all LHCC staff.

2. Community Development Training – Implement training for identified LHCC staff and volunteers.

3. PHP Network – Peer support, networking and sharing of good practice. 4. Protected Learning Time – events for primary care staff. 5. Termination of Pregnancy – Assist to develop TOP service and disseminate

information. 6. Asthma – update and raise awareness of asthma in schools. 7. Asylum seekers – recruit volunteers to provide support through buddying for

asylum seekers in Drumchapel. 8. CHAT Roadshows – to assess local health needs using various consultation

methods. 9. Community Health Information Point – information and sign-posting for

Drumchapel area. 10. Health Issues in the Community – deliver training in Drumchapel. 11. School of Homeopathy Clinic - Support and promote the clinics service in

Drumchapel. 12. Volunteers – train and support volunteers in health in Drumchapel. 13. Health Promotion Campaigns – raise awareness of health issues in

Drumchapel. Title: Patient and Public Involvement

1. Public Participation Forum – engage service users, carers and the public in

discussion to inform the establishment of a West PPF. 2. Youth consultation – to establish a service at the Community Centre for

Health. 3. Domestic Violence – raise awareness, provide information and sign-post local

women to appropriate services. 4. PFPI steering group- drive forward PFPI agenda, identify gaps, share good

practice and update quarterly return. 5. Podiatry redesign – involve service users in evaluation of new service. 6. Diabetes framework - consult patients on diabetes framework and link to

Clinical Network for Diabetes. 7. General Practitioner Assessment Questionnaire – Westone GPs – patient

questionnaire on service provision. Monitor service, feedback results to patients and consult on future developments.

8. Scottish Primary Care Collaborative – Phase 1 – improve access to appropriate health care professionals and improve service for diabetics. Phase 2 – improve access and services for those who have proven CHD


CHILDREN AND FAMILIES

Title: Children under 5s. 1. Play@home - Westone LHCC only. Early years programme to increase

physical activity and social development. Develop and deliver training pack. 2. Child Health Project – Riverside and Westone LHCCs- Support families to

enhance parenting skills through Health Visitors input. 3. Asylum parents group – Kingsway – develop and deliver 8 week programme.

Support and develop parents & toddlers group. 4. Victoria Park Inclusion for Play- Support group to establish play area

including those with special needs. 5. Whiteinch Centre – influence and support the development of services for pre-5’s within the new build. 6. Weaning Fayres – Provide information and support on weaning and nutrition

in Westone and Riveside LHCCs. 7. Buddies Club Nursery – Glasgow wide service. 8. NHSGG Breastfeeding Strategy – Implementation of strategy in local areas. 9. UNICEF UK – implement seven point plan through Westone GP practice

population. 10. Breastfeeding Initiative – Westone and Riverside LHCCs. Peer support for

mothers in deprived areas. Recruit and train volunteers. 11. Review of Well Baby Clinics – in line with NFH priorities and implement

guidelines. 12. Breastfeeding Friendly Nursery – city wide approach – develop and publish

pack/resources. Develop and deliver training. 13. Child Protection Guidelines –training and support for LHCC staff to

implement guidelines. 14. New Opportunities Fund – prepare bids to provide vulnerable families service

for G15 area and crèche provision. Additional Information from stakeholder event

• Homestart • Arts and music activities for pre-5s – Annexe • Working for families – tackling barriers to workless households. • Sure start – Drumchapel • Baby Massage • Head Lice project in Community Pharmacy.

Title: Oral Health Action Team

1. Develop and support oral health improvement projects targeting parents and carers of pre-school children.

2. Support nurseries to attain ‘Smile Too Nursery’ status. 3. Develop appropriate dental care pathways. 4. Implement recommendations form research into barriers to uptake of dental

services.


mailto:Play@home

5. Support development of weaning sessions and well baby clinics. 6. Implement and support National Demonstration project locally

GENDER HEALTH ISSUES Title: Men’s health

1. Men’s Health group Drumchapel – Involve local men and partners to improve

men’s health. Men’s MOT clinics. 2. DRC Men’s health sub-group – Pilot Wellman Clinic in west; consultation

with men in DRC and mapping undertaken in Anderston area. 3. Asylum seekers international men’s group - Kingsway

Title: Women’s health

1. Kingsway Women’s Group – involve local women in health related activities. 2. DRC Domestic Violence sub-group – partners and local women involved in

producing information. Activities planned for raising awareness and linking to 16 Days of Action. Counselling and support for survivors of domestic abuse.

3. Drumchapel – raise awareness of women’s health issues, link to Glasgow’s Women’s Health policy.

MENTAL HEALTH

1. DRC Mental Health sub-group – take forward recommendations from Mental

Health Audit. 2. Investigate possibility of extending befriending service for older people. 3. Improve access to information – link to website for DRC SIP and local health

information points. 4. Develop a therapy and counselling service for Whiteinch, Scotsctoun and

Yoker . Additional information from Stakeholder event. 1. Mental Health Priority Project – Westone LHCC 2. Health & well-being clinic for mental health service users 3. Stress management service – COPE in Drumchapel 4. Royston Stress Centre – outreach project in DRC. 5. Work Development Team – employment support. 6. Coach House Trust services. 7. Diabetes screening for mental health patients.


OLDER PEOPLE. 1. Represent issues for older people in Dumbarton Road Corridor sub-groups. 2. Develop and implement plans around mental health 3. Develop and implement plans around domestic violence. 4. Active Senior Group – Promote local events and consult on service provision. 5. “Movin Aboot” - Increase levels of physical activity for older people. 6. Public involvement of older people in producing an older persons health promotion pack 7. Welfare Rights - Access to welfare rights service for older people. 8. Establish local data intelligence on older people within DRC. 9. Plan work on targeting and providing services to vulnerable older people – over 65 years of age. 10. Establish links with DACS that deliver care to Enhanced Home Care Patients. 11. Raise Awareness of Fuel Poverty issues by training health staff and older persons groups. 12. Raise awareness of WOSCAP campaigns around oral cancer and bowel cancer. 13. Deliver a befriending service for older people who are isolated. Additional Information from stakeholder event 1. Senior Forums and groups: Active Seniors Group (DRC), Knightswood Seniors Forum, Partick Senior’s Forum. 2. Partick South Carers Group 3. Princes Royal Trust for Carers. 4. Community Pharmacy – compliance needs assessment and support. 5. My medicines (post discharge interface project) 6. Community Older Person’s Team


YOUNG PEOPLE

1. Establish a youth health service within Riverside and Westone areas. 2. Partick Youth Development Project - establish youth activities within the

wider Partick Corridor. 3. Dumbarton Road Corridor Youth Health Project – develop youth activities and

provide an outreach service across the area. 4. Templeton Shafton Youth Project - Access to health services, information and

knowledge. 5. Youth Health Stakeholders Group – Advisory group for Drumchapel area. 6. Youth Practitioners Group – delivery of health drop-in service in Drumchapel 7. theplace@drumchapel – Health education, information and clinical service. 8. Youth involvement – in design and delivery of health services with links to

HEAT and Drumchapel Youth Forum. 9. Ciy-wide LHCC Youth Health Forum – share good practice and networking 10. Anniesland GP Practices Youth health - Improve access to GP services by

young people. 11. DRC Befriending service – for vulnerable youth, support from trained

volunteers. Additional information from stakeholder event

• Consultation for Youth Health Service – LHCC • School visits to Primary Care premises in Drumchapel • Drum Cartoon Network • Access to training and employment issues- Youth Health Project • Kingsway youth activity • Youth Art and Music activities – Annexe • Positive Futures – Career Scotland – Drumchapel Opportunities. • Yoker After School Care • Peterson Park Halls – youth activities. • Whiteinch Mentoring Project. • Scotstoun Boys Football Teams.


Lead Drivers for Health Improvement 1. Tobacco Control and Smoking Lead drivers: A Breath of Fresh Air for Scotland (2004) GG NHS Smoking Policy and Glasgow Tobacco Strategy, Glasgow Community Planning Partnership. 2. Nutrition - Food and Health Lead drivers: Eating for Health: Meeting the Challenge (2004) Food and Health Framework, (Glasgow Healthy Cities Partnership). GGNHSB Weight Management Strategy. 3. Physical Activity Lead drivers: Let’s make Glasgow More Active, Physical activity strategy for Glasgow, GG NHS Weight Management Strategy, CHD /Stroke Strategies. 4. Community Safety and Injury Prevention Lead drivers: Local Authority Community Safety Partnership strategies. Glasgow City Community Plan: Keep Glasgow a Safe Place, Glasgow Housing Association strategy.

5. Oral Health Lead drivers: Improving Oral Health and Modernising NHS Dental Services (2005) GG Oral Health Strategy, Food and Health Framework, Glasgow Healthy Cities Partnership. 6. Heart Health Lead drivers: GG CHD Strategy, Stroke Quality Assurance Framework 7. Cancer Prevention Lead drivers: Cancer in Scotland: Action for Change, NHS GG Cancer Plan 7. Alcohol and Drugs Lead drivers: Greater Glasgow Corporate Action Plan on Drugs and Alcohol; Tackling Drugs in Scotland - Action in Partnership; National Plan for Action on Alcohol Problems; Greater Glasgow Health Board Alcohol Strategy Implementation Plan; Greater Glasgow Health Board Hepatitis C Strategy; Hidden Harm – Responding to the Needs of Children of Problem Drug Users; Getting Our Priorities Right: Good Practice Guidance for Working with Children and Families affected by Substance Misuse.


9. Child and Youth Lead Drivers: Children’s Services Plans, all relevant topic strategies (e.g Tobacco, Oral Health, Sexual Health); Child Protection plans, national young carers strategy 10. Early Years Lead drivers: Children’s Services Plans, Draft Integrated Strategy for the Early Years, Health for All Children (HALL 4), GGNHS Breastfeeding Strategy. 11. Men’s Health Lead drivers: Scottish Executive (Well Man Funding) and Joint Party screening programme agreement, Equal Opportunities Commission Duty of Care – Gender (pilot), Local Health Needs Assessments. 12. Mental Health Lead drivers: National programme for Improving Mental Health and Well-Being, Mental Health Act, Child and Adolescent Mental Health Strategy. 13. Sexual Health

Lead Drivers: Respect and Responsibility - Action Plan and Strategy for improving Sexual Health In Scotland, Strategic Framework to Improve the Sexual Health of Gay and Bisexual Men in Greater Glasgow, Teenage Pregnancy Steering Group, Relationships and Sexual Well-being of People with Learning Disabilities, Sexual Health PIG. 14. Locality Based Programmes Lead Drivers: ‘Scotland’s Health the Challenge’, 2003, ‘Closing the Opportunity Gap’, 15. Carers Health Needs Lead Drivers: Care 21 and Kerr Report. Ensure carers are included in local health strategies 16. Action to Improve Employment Lead Drivers: Welfare to Work Forum, Community planning, Healthy Working Lives and Equal Access Strategy.


Pilot Grid - Health Improvement Action Plans WHAT & WHERE Programme title: Aim(s): Objectives: Rationale: Key Projects/Programme Elements: Intended Outcomes of Key Projects: EVALUATION, DISSEMINATION & TRAINING Key outputs / likely direct benefits from priority areas of work: Programme evaluation: Monitoring framework: Dissemination: Training Provision: a. Work force development Brief description: b. Organisational development Brief description:

HEALTH IMPROVEMENT PRINCIPLES & APPROACHES


Community participation and public involvement: Level of participation

Action

Brief description

Needs assessment involving community in gathering information and shaping programmes

Public / community consultation on service options, proposals, strategies etc

Full community involvement & representation in managing and delivering services

Agency capacity building e.g. developing community organisations and their ability to engage public

Health Improving Health Services: Category of action

Action

Brief description

Patient and Carer programmes

Access and uptake of services

Development of Quality Health Services

Policy Development & Implementation

Healthy Environment

Staff Training and Development


Partnership for Health

PFPI

Staff Health

Provision of Health Information

Research & Evaluation

Other comments: Life circumstances: Category of action

Action

Brief description

Physical environment

Economy

Employment (see revised guidance in help document)

Learning & education

Health-related behaviours

Equality Issues

Psycho-social factors

Other comments:


Health Topics Accident Prevention Food/Nutrition Alcohol Mental Health/Well-being Cancer Oral Health Chronic Disease Management /Disease Groups

Physical Activity

Community Safety Sexual Health Drugs Tobacco/Smoking Target Groups Life Stages Inequalities Adults (working age) Asylum Seekers Carers Black & Ethnic Minority Communities Child (Primary School Age)

Disabled People

Early Years (0-5) Homeless Men Lesbian, gay, bisexual, transgender

people

Older people Looked After Children Parents Offenders Women People with Learning Disabilities Young people (11-21) Unemployed/economically inactive Location Regeneration Outcome Agreement Target Area (s): Health Improvement Personnel Lead officer (s):

Team (s):

Co-workers:


Budget Total programme budget 2005-06 £ Additional NHS funding sources Details:

£ £

Additional other funding sources Details: i.e. income generation from sale of resources

£ £

Partnership working Wider NHS or external agency or partnership structure

Brief description of role(s) Budget contrib. (if to be managed thru’ Board budgets)

Total programme budget

Further comments on budgets & resource requirements:


west glasgow hi plan 02.06 - welcome to the nhs greater

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