HEALTH AND WELLBEING ACTION GROUP
THURSDAY, 3 SEPTEMBER 2009 at OUT Of THE BLUE, DALMENY PLACE,
1. Present and Apologies
John Palmer (Chair) North East Edinburgh LHP
Jenny McKenzie Leith Central Community Council
Anne Nixon Home – Start
Julie Boyle Aberlour Outreach Edinburgh
Anne Munro Pilmeny Development Project
Ryan O’Neill Men in Mind
Juliet Sherriff Link-up Women’s Support Centre
Parveen Haider MILAN
Sam Anderson The Junction
Elaine Farris NHS Keep Well
Dave Crosbie Turning Point Scotland
Katherine Purvis ECFI
Pippa Coutts Scottish Development Centre for Mental Health
Sheila Ralston Leith Academy
Alastair Tibbitt Greener Leith
Sheila Mackie North East Edinburgh LHP
Juliet Sherriff Link-up Women’s Support Centre
1.2. The following gave their apologies:
Lesley Craise Dr. Bell’s
Anne Dey CEC Development Manager, Older People’s Day Care
Mary Elton Sure Start (Speech and Language Therapy)
Meichelle Walker ELCA
Loraine Duckworth Partnership Development Officer, Leith NP
Jim Scanlon Leith Links Community Council
Fiona McRae NEECS
Ewan Blain CEC Health & Social Care
Janina Szmaites Older People’s Rehabilitation Assessment, Leith CTC
Moira Heatly Fort Primary School
David White Edinburgh CHP
Mary Hastie Sikh Sanjog
Christine Mackay CEC, CL&D
Marise Gowenlock Multi-cultural Family Base
Eddie Dunlop Port of Leith HA
2. Minutes of the meeting of 4th June 2009
Agreed as a correct record
3. Matters arising from previous minutes
3.1 BME Communities and Health
John explained he had tried to organise a meeting in early August, but had
discovered it clashed with the Mela and so postponed it to a date late in August.
Unfortunately nobody had come to the meeting. Anne Munro explained this was
because it was in the middle of Ramadan.
The meeting agreed another meeting should be arranged; to be in the evening to
enable community members to attend and to avoid 17th October as this was Diwali.
A number of people said they had minority ethnic people working in their projects or
had other contacts. John asked to be sent contact details for them, so they could be
invited and he would try and arrange another meeting.
Pippa asked if Keep Well had noted any specific issues arising from minority ethnic
communities. Elaine said nothing at the moment, although it was agreed there were
a number of issues around long-term conditions.
3.2 YWCA Lochend
John reported the building was now open again under the new name of Restalrig
Lochend Community Hub. The area of benefit was Restalrig, Lochend and South
Leith. Funding was from FSF and CEC Children & Families, so it had to meet
relevant outcomes. It also had to charge for use of the building. A range of
parenting, mental health, youth work, employability and welfare rights’ organisations
were working from it and it was hoped to open a café.
It had been re-painted and freshened up and provided good usable space. To book
space, contact The Ripple project. The next step was to establish long-term
governance and sustainable funding.
4. Neighbourhood Partnership Meetings
4.1 Development of Health and Wellbeing Sub-group
John said he had met Jenny and others from Leith Central Community Council to
explore ways of involving community representatives more. He pointed out the sub-
group has its own specialisms, with their own forums. He was hoping much of the
detailed work and planning would happen in these and they would feed back to the
HWB group. Community representatives and users were perhaps best placed to
contribute in these groups.
Anne Nixon confirmed the Early Years forum has an ‘engaging parents’ bubble,
which is looking at achieving this. Alastair, as a Greener Leith representative,
pointed out the HWB was a service provider meeting, but that it should have a
mechanism for gathering community priorities, working on these and reporting back
the results. Jenny thought this would be best achieved in small group dialogues.
Parveen thought she could facilitate such dialogues with her community.
John said he envisaged the HWB group evolving more into a strategic group, with
greater involvement of sector managers from the main statutory service providers,
plus representatives from the voluntary sector. The specialist forums would feed into
this. Alastair was concerned that in such a model they would just make decisions
without reference to community priorities. There needed to be an annual ‘community
engagement cycle’ to go along with the budgeting cycle. Juliet said she would love
to do more consultation with her users, but she did not have the resource for this. It
would be really useful to have someone available who could come and spend the
necessary time to gather their views. Sam pointed out that using FSF for community
engagement had been prohibited.
Others thought not enough feedback was given to people on priorities they had
already argued for. People suffer from consultation fatigue and feel it is not worth
bothering if they are not given any response. A healthy cycle of engagement is
needed – ‘listen, plan, do and report back’.
John said he had raised in the NP the idea the sub-group should be informed about
the amount of FSF allocated to ‘Health Inequalities’ and ‘Early Intervention’ and the
grants made. They could then examine the allocations against agreed priorities and
make recommendations back to the NP. This would of course raise conflict of
interest issues for members of the sub-group. Members accepted this, but wanted
the process to be more transparent than it had been previously. John said the NP
was still to decide how it would allocate next year’s FSF, through an application
process or by commissioning work.
John pointed out it was more difficult to influence budgets available to the main
statutory providers as they were primarily spent on staff, and not, as in the Housing &
Built Environment sub-group, on capital works. Anne Munro said she was not clear
both about how the NHS Patient Participation forum fitted within the NP structures of
Health and Wellbeing sub-groups and the CHP budget. John said the large majority
of the CHP budget went on prescribing, GP practices and community nursing. Of
more interest for HWB sub-groups were Health Inequalities, Children & Young
Persons, Drug and Alcohol and other government funding streams, which were
mainly controlled at city level. He undertook to try and produce an easy guide to this
Action: John Palmer
John raised the question of having a community representative as a lay Chair of the
sub-group. People thought this was acceptable, but that a transparent, repeating
process for choosing the Chair should be agreed.
John summarised by saying the sub-group was the conduit between local, specialist
forums and community groups and strategic decision-makers. The aim was to find
ways of increasing the flow of information both ways through this conduit; at the
moment it feels like a dial-up service and needs to be turned into a more interactive,
4.2 FSF Funding
The Funding Panel had met in July and agreed to tender two briefs; for ‘support for
parents in Leith’ and ‘therapeutic services for children and families affected by mental
health and substance abuse problems’. These had not yet appeared on the
4.3 Children & Families sub-group
John reported this had met in late August. The main items had been
The Leith Adult Learners’ Network to establish a directory of learning
opportunities and a feasibility study into opening a Guidance Access Point in
Leith Community Centre.
The ‘support for parents’ tender
The proposed closure of Fort Primary school, which will go for statutory
consultation later in September.
Members with specific interests asked if they could be linked into the circulation list
for this sub-group.
4.4 Health & Built Environment sub-group
Alastair reported the City’s bid for City Centre Regeneration funds had been refused,
but they would try again. This would be to improve the streetscape of Leith Walk and
re-brand it as an ‘international’ shopping street. Anne Munro said she had a report
from 1975 proposing the same thing. Some of the empty units would also be used
for business gateway services.
John reported the NP wanted to re-start an Employability and Financial Inclusion
sub-group. This was welcomed.
5. North East Drug and Alcohol forum
Sam reported a first meeting had been held, and agreed the purpose of the forum
was to look at priorities in the field; share information and good practice; organise
seminars, events and training for other voluntary and health workers. It had been
agreed to cover Leith and Craigentinny & Duddingston.
The second part of the meeting had been to plan the HWB input into the NP Public
Enquiry to be held on 9th September on the ‘impact of alcohol on the people of Leith’.
John thanked those willing to be involved, which included The Junction; Early Years
organisations; a GP; the Alcohol Problems Service; Turning Point; Health and Social
Care Addictions team and Pilmeny Older Men’s group.
The meeting expressed its appreciation this forum had been set up.
6 Healthy Lifestyles
6.1 ECFI Little Leithers
Katherine described the evaluation collaborative they had been involved with through
Food & Health Scotland and Evaluation Support Scotland. She had reports
available. There were 6 projects across Scotland that were supported in their
evaluation work, and came together in learning events. Quite a lot of the methods
used were qualitative and so at the final event in Glasgow they will be trying to get
parents to attend. Anne Nixon said they work with some of the same parents and
one can see the impact the Little Leithers scheme has.
The scheme gives vouchers worth £40 to 20 parents to be spent in local fresh food
shops and the ECFI food co-op. The evaluation has shown the parents have
become much more adventurous and knowledgeable in their food choices. The first
group have now been withdrawn from the scheme and ECFI are recruiting another
group. They already receive ‘healthy start’ vouchers, are on Income Support and are
referred by Home-Start, Children & Family Centres and health visitors.
The first group still need support to maintain good food choices now they no longer
get the vouchers. Part of the scheme is to provide cookery classes and training in
health and hygiene and food preparation.
6.2 Food and Health Training Hub
This is a FSF funded, city-wide project commissioned by the Health Inequalities
Standing Group from ECFI and other partners. It will employ a co-ordinator to pull
together all the learning and training around food and health; promote and expand
opportunities for such training; and quality assure what is provided.
It will develop a portal to highlight available training opportunities; give details of
provider organisations; establish a skills bank; provide details of training
programmes, resources and start relevant forums. It will link into NP HWB sub-
groups and other food and health initiatives across the city.
6.3 Active Leith
Alastair reported Greener Leith had obtained Climate Challenge funds for its Active
Leith project, the aim of which was to reduce Leith’s transport carbon emissions by
15%. It started off by doing public consultations with over 400 people in Leith asking
what they thought of various modes of transport and their most frequent destinations.
The project is essentially about behaviour change and so is a marketing campaign. It
has developed a range of initiatives:
Asking people to sign up to 7 pledges, with a range of support mechanisms to
help them stick to the pledges, like coaching via text messaging. People can
sign up on the web-site, www.weloveleith.com
A dedicated lift share portal for Leith, plus a ‘buddy’ system to help people
take the first steps to cycling or walking
A discount with the City Car Club, which reduces the number of cars on the
roads plus encourages people to use public transport more
Giving away 50 recycled bicycles through the Bike Station
A shopping bag incentive, with local shops giving discounts if the bag is used,
to encourage people to walk to and use local shops
A direct mail out to every household in Leith, with specially designed ‘active
travel maps’, showing bus routes and stops, pedestrian crossings, off road
routes, car club parking spots etc. There is also an active travel planner,
showing how long it would take them to get to the top 10 destinations if they
walked, cycled or went on the bus, how many calories they would use and
how much carbon they would save.
They are recruiting 20 volunteer active travel coaches, who will be trained in
bicycle leadership, cycle maintenance and health walks. They will link to
existing health walks.
They will be organising promotional events. The first is the launch on 20th
September when they will be pedestrianising the Shore, and running fun
activities such as a ‘dress up your bike’ competition with local schools, an eco-
driving simulator, a 5-a-side football competition for the Car-free Leith Cup etc.
Establish a future travel manifesto, showing how transport planning in Leith
could be altered to give greater emphasis to more active travel.
Pippa asked how this was to be evaluated. Alastair explained they are partnering
with SisTech, a consultancy running from Heriot Watt University, who are looking at a
range of methods. They had assumed that if they could show increases in active
travel; this would automatically translate into health benefits. They were also working
with the LHP, so that healthcare professionals would use the active travel planners
and refer people to the pledges etc.
7. Early Years Report
Anne Nixon reported Dr Bell’s was establishing a Therapeutic Alliance Partnership to
offer clients both counselling and access to complementary therapies. The Early
Years forum has a number of initiatives, including increased engagement with
parents as referred to earlier. They were also looking to up-date and re-print the
local A-Z of services, covering a range of services that parents might need to use.
John referred also to the two FSF commissions that should be advertised soon.
8. Care of Older People
There was no time for this report to be taken. Parveen asked that it could be put
higher up the agenda at the next meeting.
Juliet reported that ELCA has arranged to provide services to her users.
Link-up is also hosting this year’s See Me photographic competition, the theme of
which is ‘a positive frame of mind’. For the first time there is an Under-18s category.
Submitted entries can be seen on www.seeme.org and votes can be cast there for
them. Link-up will display winning photos in Mental health week from 12 th October.
9.2 Keep Well
Elaine explained the Keep Well programme works from four GP Practices in Leith
giving 45 minute health checks to everyone between ages of 45 and 64. If they have
any non-medical issues to be resolved they are referred to her as the project’s
Outreach worker. From now on she can also receive referrals from Practice patients
aged over 30. This part of the scheme may also be extended to patients from other
10 Date of Next Meeting
Thursday 5th November, 11.30 am to 1.30 pm at Leith CTC, 12 Junction Place