Tuesday, 8 April 2008

Healthy Croydon Briefing April 2008

Topics for the Healthy Croydon Partnership meeting 17 April 2008
The two main items for the Healthy Croydon Partnership meeting on 17 April 2008 are:

The Annual Report of the Director of Public Health
This year’s Annual Report of the Director of Public Health examines the health of children and young people in Croydon. Members of the Children and Young People’s Strategic Partnership have been invited to take part in the meeting. The speaker is Dr Tim Crayford, Director of Public Health. Dr Crayford is also President of the UK Association of Directors of Public Health.

Croydon’s alcohol strategy
Croydon’s alcohol strategy is currently being updated. The Healthy Croydon Partnership is being asked to comment on the draft strategy. The strategy will be presented by Dominic Conlin, Director of Strategic Commissioning for Croydon Primary Care Trust and Chair of Croydon’s Drug and Alcohol Action Team. Jan Annan, Associate Director at the International Centre for Drug Policy (ICDP) will also speak about a new project in Croydon to develop the skills of healthcare professionals to identify alcohol problems early and to deliver brief interventions to help people manage their drinking.


Healthy Croydon Partnership meeting programme 2008-09
Topics for future meetings of the Healthy Croydon Partnership were agreed by the Joint Chairs of the Partnership on 14 March 2008.

17 April 2008
Annual Report of the Director of Public Health
Croydon’s draft alcohol strategy

10 July 2008
Obesity & overweight
Men’s health

9 October 2008
Child and maternal health
Carers

22 January 2008
Community Strategy & Local Area Agreement

The Joint Chairs also agreed that the Partnership should have an away day in June 2008 to review the Healthy Croydon Partnership vision and to take forward changes to the Partnership arising from the partnership review. In addition the Healthy Croydon Partnership will host an Open Event for all member of the Partnership Groups and members of the public. This is planned take place in the autumn of 2008. Dates for the away day and Open Event will be confirmed.


Healthy Croydon Partnership Review
The Healthy Croydon Partnership is one of eight theme partnerships within Croydon’s Local Strategic Partnership (LSP). Established in its current form in 1998 and last reviewed in 2003, Healthy Croydon predates the LSP. With 14 Partnership Groups reporting to it, Healthy Croydon is currently one of the most complex of the theme partnerships. This reflects the breadth of the health and care agenda and Croydon’s high level of ambition for improving health and well-being and delivering world class health and social care services.
The review of partnership arrangements in health and social care was initiated following the annual meeting of the Healthy Croydon Partnership Executive Group with Partnership Group Chairs and lead officers in March 2007. Whilst those participating recognised significant achievements derived from partnership they also identified a need to ensure our partnership arrangements remain fit for purpose. On 7 June 2007 the Healthy Croydon Partnership Executive Group commissioned the Healthy Croydon Support Unit to carry out an audit of partnership arrangements and to report with recommendations. The project has been overseen by two members of the Executive Group: the Director of Adult Social Services as Council Corporate Lead for Health and Social Care, and the Director of Public Health.


Three broad questions have informed the review:
  • How does the partnership add value?
  • How is the partnership governed?
  • Are the current arrangements ‘fit for purpose’ in order for the partnership to deliver?
These questions informed the development of a local diagnostic tool adapted from the model set out by the Audit Commission in Governing partnerships: bridging the accountability gap.

Key themes emerging from the review are:
  • Strengthen the leadership role of the Healthy Croydon Partnership members in developing strategy and holding the partnership groups to account for delivery;
  • Improve focus on priority outcomes including aligning partnership structures to those outcomes;
  • Strengthen governance and performance management;
  • Share best practice across the partnership especially in relation to the involvement of service users and carers;
  • Strengthen the connection between the work of the partnership groups, the Healthy Croydon Partnership and the Local Strategic Partnership.

The report should be read in the context of the broader review of Croydon’s Local Strategic Partnership. A report and recommendations on that review was made to the LSP Board on 10 January 2008. The recommendations in the Healthy Croydon Partnership review take into account the findings of the overall LSP review.

For a copy of the Healthy Croydon Partnership Review contact Rachel Nicholson, Health Inequalities Policy Officer 020 8760 5773 rachel.nicholson@croydon.gov.uk

Improving health and well-being: our plan for a healthy Croydon
Croydon’s new joint health improvement plan for Croydon Improving health and well-being: our plan for a healthy Croydon 2008-11 has now been published. The plan has been developed by the Healthy Croydon Partnership and sets out intended outcomes and plans in seven priority areas.

These are:

  • Improve the environment so that Croydon is a healthier place to live and work.
  • Identify and narrow unfair differences in health between different parts of the borough and different groups of people.
  • Reduce the number of people who smoke.
  • Encourage people to be more active and to eat a healthy diet.
  • Improve sexual health.
  • Encourage safe and responsible use of alcohol.
  • Promote mental health and well-being.

For copies of the plan contact Ruth Finlay, Project Manager 020 8760 5773 ruth.finlay@croydon.gov.uk

Local Area Agreement update
Draft priorities for the new Local Area Agreement (LAA) were discussed at the Healthy Croydon Partnership meeting on 23 January 2008. Work on the LAA has been underway to refine the priorities and to agree indicators which will be used to measure progress. The LAA is due to be signed off by central government in June 2008.

Healthy Croydon will have responsibility for the delivery of the following priorities in the Improving health and well-being section of the LAA:

  • Increase life expectancy within the borough
  • Maintain and improve quality of life for an ageing population
  • Improve the quality of health and social care
  • Support vulnerable adults needing care

The Partnership will also need to maintain an overview of priorities in other sections of the LAA including:

  • Childhood Obesity
  • Reduce teenage pregnancy
  • Improve the life chances of vulnerable children and young people

Selected indicators to measure progress against the priorities above are:
NI 123 16+ current smoking rate prevalence
NI 9 Adult participation in sport
NI 125 Achieving independence for older people through rehabilitation/ intermediate care
NI 126 Early access for women to maternity services
NI 124 People with long term conditions supported to be independent
NI 141 Number of vulnerable people achieving independent living
NI 55 Obesity amongst primary school aged children in reception year
NI 112 Under 18 conception rate per 1000
NI 53 Prevalence of breast-feeding at 6-8 weeks from birth

The Healthy Croydon Partnership will receive performance reports against these priorities and indicators.

Joint Strategic Needs Assessment
The Local Government and Public Involvement in Health Act 2007 places a duty on local authorities and Primary Care Trusts (PCTs) to produce a Joint Strategic Needs Assessment (JSNA) of the health and wellbeing of the local community. A local JSNA Project Board has been established, chaired by Dr Tim Crayford, the Director of Public Health.

Croydon’s JSNA will help us understand the current and future health and wellbeing needs of the population of Croydon over both the short term (three to five years) to inform our Local Area Agreement, and the longer term future (five to ten years) to inform our strategic planning. It also aims to ensure that we commission services and interventions that will achieve better health and well-being outcomes and reduce inequalities. In particular, JSNA will address those outcomes described in both the National Indicator Set for local authorities and local authority partnerships, and the “vital signs” referred to in The NHS in England: The Operating Framework for 2008/09.

For more information about the JSNA contact Jennie Mussard, Consultant in Public Health Intelligence 020 8274 6114
jennie.mussard@croydonpct.nhs.uk

Croydon’s Local Involvement Network (LINk)
Local Involvement Networks (LINks) are being set up across the country and replace Patient Forums. They aim to give local people the chance to say what they think about their health and care services, what is working well and what is not so good. They will also give people the chance to check how services are planned and run. They will feedback what people have said to services so that things can change for the better.

Croydon Council has been asked by the Department of Health to set up a contract with an organisation which will help the LINk do its work. Croydon’s LINk should build on the work of a wide range of individuals, groups and networks in Croydon who over the years have helped patients, service users and members of the public have a say. An interim LINk Steering Group has been established and an interim host organization (the Shaw Trust) appointed to manage the transition from Patient Forums to LINk. The selection of the final LINk host will take place during the summer 2008.

More information about LINks can be found by downling the publication LINks Explained from the Department of Health website
http://www.dh.gov.uk/.

For more information about Croydon’s LINk contact Tom Magill, Facilitator, 020 7096 8793
tom.magill@shaw-trust.org.uk

Health and Care Forum
Croydon’s Health and Care Forum met on 25 March 2008. The main topics for discussion were accessible transport and an update from Adult Social Services. There was also a demonstration of the Talk2Croydon website. The next meeting will be on 23 June 2008.

For more information about the Health and Care Forum contact Cath Collins, Community Involvement Worker 020 8683 7010
cath.collins@cvalive.org.uk

Consultation – Mayday Foundation Trust application
Mayday Healthcare NHS Trust is consulting on its bid for Foundation Trust status. Mayday believes that becoming a Foundation Trust is the best way to continue to provide a full range of high quality and responsive health services to local people by putting the future of Croydon’s health services firmly into the hands of Croydon people.

As a Foundation Trust, the Trust Board would no longer report through the Strategic Health Authority in London to the Department of Health. Instead it would be accountable to the Council of Governors who are directly elected by the membership drawn from local people and staff.

The Council would have real power to influence the way the Trust worked. Mayday hopes that members of the Healthy Croydon Partnership will support the bid by responding to the current consultation and consider becoming members or standing as governors of the new organisation.

The consultation closes on 15 May 2008.

The full consultation document is available at www.maydayhospital.org.uk/. Printed copies are available from the Foundation Trust Project Office on 020 8401 3209 or by sending your name and address to ft@mayday.nhs.uk. Large print and audio tape versions of the summary document are also available on request.

For more information contact: Foundation Trust Project Office 020 8401 3209
ft@mayday.nhs.uk

Consultation – Healthcare for London
The Healthcare for London consultation ended on 7 March 2008 with over 3,500 responses from individuals and organisations across London. The consultation, which lasted for over three months, was aimed at staff, patients, residents, commuters, representative groups, unions, elected representatives and anyone who has an interest in, or might use, London health services. More than 4,000 members of the public visited the 35 roadshows, one of which was held in Croydon. The analysis of the consultation responses will be presented in public on 6 May 2008. Croydon Primary Care Trust Board will be considering the proposals on 22 May 2008. On 12 June 2008, the Joint Committee of PCTs which has overall responsibility for the consultation will meet in public to agree a set of recommendations.

Events
Croydon Council staff are taking part in a wide range of healthy activities as part of the Activate Your Workforce initiative. These include lunchtime exercise classes and signage in Taberner House encouraging people to use the stairs rather than lifts. Teams from across the Council are planning to compete in a Pedometer Challenge between 21 April and 18 May. The Healthy Croydon Support Unit will be entering a team. Watch this space for the results….

For more information on the Activate Your Workforce initiative contact Rachel Nicholson, Health Inequalities Policy Officer 020 8760 5773
rachel.nicholson@croydon.gov.uk

News
Talk2Croydon has won first prize in the ICELE (international centre of excellence for local e-democracy) Organisational E-participation awards. This eminent award is given to the organisation who can show how, through engaging online, they have made a real difference to the communities they serve, from a change of services, to a change in policy, to the delivery of a new service.

Croydon Voluntary Action UK (CVA) manages the website in partnership with Croydon Council, Croydon Primary Care Trust and Mayday Healthcare NHS Trust. Talk2Croydon aims to enable the people of Croydon to influence local decisions and raise issues they care about within the borough. It allows the local community to talk to the local public services without attending meetings or events, making it easier to get involved.

In a national scheme that showcases excellence Croydon has an almost unrivalled record - and has become a Beacon holder in each of the last four years. Winning Beacon status in the local strategic partnership and local area agreement category has singled Croydon out as the only borough in London to receive top level recognition for this key approach to strategic planning.
Awards are granted only to boroughs that can demonstrate a clear vision, excellent services and a willingness to innovate within a theme and Beacon holders are recognised as being at the cutting edge of policy development and often ahead of the pack in implementing the latest ideas. At the Beacon awards ceremony communities and local government minister Parmjit Dhanda said: "Croydon is leading the way in its use of new ideas and methods and is ideally placed to drive change, helping to improve public services for everyone."

The POP Service received its new state-of-the-art bus on 6 February 2008. The POP bus brings services for older people direct to the heart of the community. In just under a year with the previous bus, some three thousand older people took advantage of the services on offer. The bus provides a wide range of information, advice and services. It is staffed by experts from a number of different organizations.


The older people’s Open Space event took place on 26 February in Fairfield Halls. This is the second Open Space event and it was again very successful with a diverse group of older people representing Croydon's vibrant community. Councillor Margaret Mead, Cabinet Member for Health & Adult Social Care, attended for the whole day and opened the event with a short speech. Outcomes and recommendations will be incorporated into the new Older People’s Strategy.

Making a difference to the lives of carers in Croydon a carers’ Open Space event took place on 5 March to develop the new Carers’ Strategy for 2008-2011. The event had over 100 attendees from a wide group of carers across a range of sectors. As with the older people’s event, Councillor Margaret Mead opened the event and attended for the whole day. The event gave carers, and people working with carers, a chance to have conversations about what really matters to carers in Croydon.

Croydon’s Boxercise project run by Mind is features in the new Year of Healthy Communities calendar from the Improvement & Development Agency (IDeA). Copies of the calendar can be obtained from Cynthia Talor 020 7296 6178 cynthia.taylor@idea.gov.uk

Dr Tim Crayford, Director of Public Health and Mike Pilgrim, Acting Director of Environment, Culture and Public Protection, launched the Croydon Tobacco Control Alliance on 18 March 2008. The Alliance brings together all the local agencies which influence tobacco control in the borough. The aim is to reduce uptake of smoking, provide support to those giving up, reduce access to tobacco through effective enforcement, and protect non-smokers from tobacco smoke. For more information about the Tobacco Control Alliance contact Ruth Finlay, Project Manager 020 8760 5773 ruth.finlay@croydon.gov.uk

Tessa Jowell MP visited Croydon on 20 March 2008 to discuss the 2012 Olympic Games. She joined a team hosted by the leader of Croydon Council, Councillor Mike Fisher, and chief executive Jon Rouse to talk through how Croydon might benefit from London 2012. Under discussion were Croydon's plans for maximising opportunities for sport and physical activity as well as proposals for the cultural Olympiad leading up to the Games.

In Croydon an action plan is being developed as part of the Cultural Strategy. It will include all the projects that cultural organisations in the borough would like to deliver as part of the Olympiad and a grant scheme will be made available for projects which meet the core values. Croydon’s strategy for the Games will be signed off in June. It will set out a vision for Croydon and explain how we will fulfil our aim of making everyone feel part of London 2012 and involved in this once-in-a-lifetime opportunity.

For further information about the 2012 Games in Croydon contact Edward McDermott 020 8726 6000 x62228
edward.mcdermott@croydon.gov.uk

Thursday, 25 October 2007

Healthy Croydon Briefing October 2007

Croydon’s joint health improvement plan
Work is underway to develop a new joint health improvement plan for Croydon. The Healthy Croydon Partnership Executive Group is overseeing the process. We are aiming for the final draft plan to be endorsed by the Council Cabinet and PCT Board in December 2007. A wide range of stakeholders were invited to contribute to the development of the plan at an event at the Fairfield Halls on 28 September 2007. The proposals for the plan will be an agenda item at the Healthy Croydon meeting on 31 October 2007.

We want our plan to be an accessible public document, setting out clearly and in plain English, our vision for a Healthy Croydon and how we intend to work together to deliver that vision for the people of Croydon. The plan will focus on key health improvement outcomes in six or seven short themed chapters. We also want to include examples of things we are already doing to improve people’s health and well-being in Croydon.

For more information about the health improvement plan contact Ruth Finlay, Project Manager
Tel: 020 8760 5773
Email:
ruth.finlay@croydon.gov.uk

IDeA Healthy Communities Peer Review - next steps
A copy of the final report and management action plan has been distributed to all members of the Partnership. Work is already underway in a number of areas highlighted by the Review including a ‘fitness for purpose’ review of Partnership Groups and the development of the joint health improvement plan. The Management Action Plan arising from the review is being overseen by the Council Corporate Management Team with input on the partnership issues from the Healthy Croydon Partnership Executive Group.

For more information about the Healthy Communities Peer Review contact Steve Morton, Healthy Croydon Partnership Manager
Tel: 020 8760 5773
Email:
steve.morton@croydon.gov.uk

Review of partnerships in health and social care
Croydon has a broad range of health and care partnership arrangements. These were last reviewed in 2002-03. It is important to ensure that our partnership arrangements are robust and remain ‘fit for purpose’.

A new review began in July 2007 with collection of key documents from fourteen health and care partnership groups. Initial findings were discussed by the HCP Executive Group on 21 September 2007. Follow up interviews with Chairs and lead officers and members of the partnership groups are underway. A final report with recommendations will go to the HCP Executive Group meeting on 6 December 2007. The report will be made available to all partnership groups by the end of December 2007. It will identify best practice and contain an improvement checklist for Partnership Groups which will enable them to identify, prioritise and address areas for improvement.

For more information about the Healthy Communities Peer Review contact Rachel Nicholson, Health Inequalities Policy Officer
Tel: 020 8760 5773
Email:
rachel.nicholson@croydon.gov.uk

Croydon’s Think Tanks
Croydon’s Think Tank projects are still going strong! These projects were initiated by Healthy Croydon over 10 years ago to tackle health problems affecting the most deprived areas of Croydon. They aimed to address a wide range of underlying determinants of health such as poor housing, education or income and parenting skills. They are funded by Croydon PCT and Croydon Council. Projects funded through the Think Tanks include the Welfare Benefits Project, Croydon Drop In, the Talk Bus, the SAFE project and the Business Start Up scheme.

A recent evaluation aimed to assess whether Think Tank projects are still delivering effective interventions to improve health and reduce health inequalities in deprived areas of Croydon. It also aimed to establish whether the projects were delivering against current health priorities for the borough in a cost effective way. The conclusion is that the majority of projects are delivering good quality interventions which improve health and contribute to reducing health inequalities. They provide value for money in terms of their impact on individuals’ health and add value in other areas, including, for example, increased family income, access to education and training, and helping vulnerable people stay in their own homes.

For more information about the Think Tank projects contact Rachel Nicholson, Health Inequalities Policy Officer
Tel: 020 8760 5773
Email:
rachel.nicholson@croydon.gov.uk

Talk2Croydon
Talk2Croydon - a website aimed at helping people to get involved in decisions that affect them and their communities and supporting organisations with community involvement has been publicly launched. It gives residents a platform to discuss public services, regardless of whether they are run by Croydon NHS, the Council, the police or whoever. As well as being able to raise issues that matter to them, people will be able to find out what changes as a result.To find out more log on to
www.talk2croydon.co.uk

Health and Care Forum
Croydon’s Health and Care Forum met on 18 September 2007. The main topics for discussion were the draft Strategy for Mental Health & Social Care in Older Age and also Refugee Health and Care in preparation for the Healthy Croydon Partnership meeting on 31 October 2007. The next meeting will be on 11 December 2007.

For more information about the Health and Care Forum contact Cath Collins, Community Involvement Worker
Tel: 020 8683 7010
Email:
cath.collins@cvalive.org.uk

Croydon Council’s Corporate Assessment
The Comprehensive Performance Assessment (CPA) framework was first introduced for single tier and county councils in 2002 to rate councils on how well they were delivering services to their local communities. Since then it has evolved and in 2005 it was made harder becoming a more stringent assessment with greater emphasis on outcomes for local people and value for money. Under the CPA councils are rated annually by combining scores for individual services to achieve an overall score. Croydon’s current overall CPA score, published in February 2007, is 3 stars, performing well.

One of the key components of the CPA framework is the corporate assessment – a special periodic inspection – that results in a separate score and detailed inspection report. You can view Croydon’s most recent corporate assessment – which took place in 2004/05 – at
www.audit-commission.gov.uk/cpa/authority.asp

The Council’s next corporate assessment is scheduled to start on 28 January 2008 for two weeks. It will involve having a team of about 20 inspectors on-site who will interview Council Members, staff, partners, stakeholders and residents, as well as visiting council facilities. Children’s services are also going to be inspected at the same time, in a separate inspection known as the Joint Area Review. Part of the assessment will look at how the Council has worked with its partners to improve health and well-being in the borough.

For more information about CPA contact Linda Oram
Tel: 020 8726 6000 ext. 47016
Email:
linda.oram@croydon.gov.uk

PCT Commissioning Strategy Plan
The PCT’s five year Commissioning Strategy Plan was submitted to NHS London on 4 October and will be taken to the PCT’s October Board meeting. Between now and the end of December the PCT will be developing a three year detailed operating plan. The five strategic goals set out in the Commissioning Strategy Plan are:

By 2012, we will improve health and reduce inequalities by focusing on the two areas of greatest potential health gain: children & young people and smoking.

By 2012 we will improve the quality of life for people with long term conditions, through designing a whole system model with generic pathways with increased self care, reduced urgent care and increased provision of planned responses.

By 2012 we will have models of care and deliver services designed around the needs and preferences of local people, which provide services closer to home where possible and centralised where necessary based on quality and expertise.

By 2012 we will improve the quality and infrastructure of maternity services and ensure that all women have choice about the maternity care they receive, together with improved access to services and continuity of midwifery care and support.

By 2012 we will improve services and promote independence for people with learning disabilities through the delivery of the social care change programme which will reprovide services for clients currently in community homes.

For more information on the Commissioning Strategy Plan, contact Fouzia Basit, Assistant Director: Strategic Planning and Performance Improvement
Tel: 020 8274 6205
Email
fouzia.basit@croydonpct.nhs.uk


Consultations
At the PCT Board meeting on 28 August 2007 the Board agreed not to take forward the Primary Care Strategy proposals in their current form. The PCT consulted widely on the proposals over three months from March to May 2007. The consultation generated a high level of interest and the PCT received 189 formal responses. A focus group was held to confirm that the findings were accurately represented. Overall, concerns raised by local people indicated a need to undertake further development work, which will also take into consideration the Commissioning Strategy Plan and Healthcare for London proposals. Revised proposals will be developed by March 2008.

Events
SLaM are organising a half day event on Suicide Prevention, 10 December 9.15 – 1.30 at the Bethlem Royal Hospital. For more information contact Kristy Papas on 020 3228 3745
kristy.papas@slam.nhs.uk

The Girls Matter Conference is due to take place at Croydon Chamber Town Hall Croydon on 27 November 2007. It is the first of its kind to be held in Croydon and will focus on five key areas:
Raising Aspirations
Teenage Pregnancy & Sexual Health
Girls & Gangs
NEET – Not in Education, Employment or Training
Self Esteem & Positive Body Images

For more information visit
www.girlsmattercroydon.com

Thursday, 2 August 2007

Well London – what does it mean for Croydon?

Well London is a new Big Lottery funded programme which aims to improve health and well-being across London. The Well London Alliance, a group of organisations brought together by the London Health Commission, has been awarded £9,460,000 by the Big Lottery. Well London will work with the most disadvantaged communities in London, at a very local level, using a community development approach. The programme will tackle three of the most important determinants of health inequalities: poor diet, lack of physical activity and poor mental well-being. Well London will also research and assess what interventions work, to help guide future policy and develop practice.

In Croydon part of Broad Green around Handcroft Road and Parson’s Mead has been chosen as one of 20 areas for delivery of Well London. The area has a population of about 1600 people, and has been selected because of its high levels of deprivation. It will benefit from the delivery of coordinated community-led projects to improve health. Well London aims to build on and complement existing provision and initiatives in Broad Green, while enabling the development of new activities in partnership with local people. A number of projects will be delivered over 3 years by different partners of the Well London Alliance. Central London YMCA are the lead for young people and children, Groundwork for physical activity and the environment, London Sustainability Exchange on food access, SLaM for mental health and well-being and the Arts Council England for the use of art and culture in improving health.

The first Well London work in Broad Green will begin in October 2007 in the form of a comprehensive health needs assessment to capture local people’s own accounts of their needs and priorities. This will happen through community cafes, focus groups and interviews in the community. Before October 2007, we need to identify a local co-host organisation, to facilitate the effective design and delivery of the needs assessment. Ideally this should be a grass roots voluntary organisation with good links and networks across Broad Green and the surrounding areas.

The Healthy Croydon Partnership will facilitate the establishment of Well London in Croydon. A Local Advisory Group made up of organisations already working in the area will be set up to oversee the work. SLaM are Croydon’s lead partner in the overall Well London programme. Together we will aim to capture and disseminate learning from Well London to inform work in other parts of the borough.

If you would like to be involved in setting up Well London in Broad Green, or would like to be kept informed, please contact Rachel Nicholson, Health Inequalities Policy Officer, on 020 8760 5794 rachel.nicholson@croydon.gov.uk

For information on Well London visit the London Health Commission website www.londonshealth.gov.uk/well_london.htm

Tuesday, 17 July 2007

Healthy Croydon Briefing July 2007

IDeA Healthy Communities Peer Review update
Healthy Croydon has been working with the Improvement & Development Agency (IDeA), other local authorities, PCTs and a range of national organisations to inform the development of a new Peer Review process. The Healthy Communities Peer Review aims to assist local authorities and their partners develop effective approaches to improving health and well-being. The new Peer Review will be informed by a benchmark which looks at performance in four areas:

  • Leadership
  • Empowering communities
  • Making it happen
  • Improving performance


Croydon Council was asked by the IDeA to be one of the first authorities to pilot the new peer review. The review team, headed by Tony Elson, former Chief Executive of Kirklees Council, visited Croydon from the 24th to the 26th April. They met a broad range of officers and members within the Council, frontline staff, staff from partner organisations, voluntary and community sector representatives and members of the public.

A draft report was sent to the Council by the IDeA and is being considered by Council leadership and Healthy Croydon's Executive Group. The final report is expected in August 2007. Initial feedback identified a numbers of areas of particular strength including robust partnership working, a strong performance management culture and excellent community engagement. The pilot review also identified a number of areas for consideration including the need for clearer emphasis on outcomes, the need to strengthen member and officer leadership, and the need to ensure strategy and business plans across the Council reflect the health improvement agenda. There are also opportunities to build the role of Overview and Scrutiny in health improvement and to learn from the experience of the Healthy Schools programme.


A copy of the final report and management action plan will be distributed to all members of the Partnership. Work is already underway in a number of areas highlighted by the Review including a ‘fitness for purpose’ review of Partnership Groups and the development of strategic framework for health improvement. Members of the Partnership will be kept regularly updated on developments.


For more information about the Healthy Communities Peer Review contact Steve Morton, Healthy Croydon Partnership Manager
Tel: 020 8760 5773
Email: steve.morton@croydon.gov.uk

Healthy Croydon @ Croydon Summer Festival
Healthy Croydon organised a healthy living marquee at this year’s Croydon Summer Festival which took place in Lloyd Park on 14 & 15 July. Free fruit and still water were one enticement for people visiting the Healthy Croydon marquee. PCT and Council staff, alongside local voluntary organisations, spent two days promoting and encouraging healthy living at the Festival. There was a particular emphasis on small lifestyle changes that people can take to reduce the risk of diabetes, stroke and coronary heart disease. We also aimed to show people how healthy living can be fun!

There were a variety of displays in the marquee with service information and fun activities covering a range of topics including Mental Health and Well Being, Physical Activity, Smoking Cessation, Breast and Cervical Screening. In addition, local Afro-Caribbean and Asian Cookery clubs were able to give delicious healthy eating tips and recipes.

Nurses were available to carry out blood pressure and waist measurement checks, which many visitors took advantage of. These simple tests were particularly effective as people were able to see how a reduction of only a few centimetres on their waist measurement would move them from a ‘high risk’ to a ‘low risk’ group of getting diabetes. Those that had high blood pressure were advised to visit their GP. The health checks were complemented by advice from local Diabetes UK representatives.

Children had the opportunity to draw ‘a picture of health’ which uncovered plenty of budding young artists and vivid imaginations. The pictures also showed that young people do already have good knowledge about what they can do to live healthily. Young people also enjoyed looking at replica food and were surprised by the amount of salt, sugar and fat hidden in everyday foods.

The marquee welcomed hundreds of visitors from a wide range of ethnicities and ages, all benefiting from all the information and advice on offer. The Mayor, several local councillors, MPs and the new council Chief Executive all visited the marquee during the festival. Many visitors completed evaluation forms saying they had taken away useful information and positive messages about how they might be able to lead healthier lives.

Croydon Health Profile 2007
Croydon’s Health Profile has recently been updated. The 2007 Croydon Health Profile can be found at http://www.communityhealthprofiles.info/

Headlines from the Profile include:

  • On average, men in Croydon live longer than in England as a whole, although for women life expectancy is similar to the England average.
  • Death rates from major causes, such as cancer and heart disease and stroke are similar to the England average.
  • There is a high rate of reported violent crime compared to England as a whole although the rate is lower than the London average.
  • Croydon is estimated to have a higher percentage of adults who eat healthily, and a lower proportion of obese adults compared to the England average. Binge drinking amongst Croydon residents is estimated to be below the average for England.
  • The percentage of the population with recorded diabetes is higher than average, which is consistent with Croydon's ethnic mix.
  • Teenage pregnancy rates are high in Croydon compared to the England average.
  • Areas in the north and east of Croydon tend to have higher levels of deprivation than those in the south.
  • Men in the least deprived areas live over 6 years longer than those in the most deprived areas, and women almost 5 years longer on average.
  • There is a low proportion of people in routine and manual occupations in Croydon compared to England as a whole.
  • 1 in 5 of the White British population in Croydon is in these occupations compared to over 1 in 4 in England.

Electronic records - Croydon first again!
After being the first area in the country to go-live with the electronic prescriptions service, Croydon PCT has once again taken the lead. If a patient moves to a new area, their electronic record can now be transferred to their new GP through the NHS Care Records Service computer network. Previously this could only happen between GPs using the same IT systems. GPs in Croydon took part in a successful trial to send records between different computer systems. Now trusts around England will follow suit.

For more information about the Electronic Records trial contact John Toole, Head of Information Management and Technology
Tel: 020 8274 6097
Email: john.toole@croydonpct.nhs.uk

Homes for the Future (New4Old) Programme
Councillor Margaret Mead, Cabinet Member for Health & Adult Social Care will be placing the last piece of concrete at the top of the Heavers Farm building on 20 September. Heavers Farm is one of 4 sites being redeveloped as part of the Homes for the Future Programme (formerly known as the New4Old programme).
Homes for the Future is the council's programme to modernise residential and day care services for older people in Croydon. It has the backing of Central Government and Private Finance Initiative (PFI) Funding. Credit approval has been secured for £38 million.
More information about Homes for the Future can be found on the council website or from Adriana Costantino, Homes for the Future Project Officer
Tel: 020 8726 6500
Email: adriana.costantino@croydon.gov.uk

Beacon Awards – Round 9
Croydon is seeking its 7th Beacon award following this year’s double award for Increasing Voluntary Sector Delivery and Delivering Cleaner Air. A small project team has worked with a wide range of individuals and organisations to compile evidence to support an application under the Local Strategic Partnerships and Local Area Agreements theme. Short-listing of applications will take place in October. Panel assessment visits will then be held in November and December 2007, which will give an opportunity to present additional material and more examples of good practice from Croydon. Panel presentations will take place in January 2008 and short-listed authorities will hear the final decision next March.

For more information about the Beacon scheme and Croydon’s application contact Amanda Guest-Collins, Policy Officer
Tel: 020 8604 7010
Email: amanda.guest-collins@croydon.gov.uk

Rogers Review
Peter Rogers’ report on the ‘National enforcement priorities for local authority regulatory services’ was published on the 21st March this year alongside the Budget. Its recommendations were accepted in full by the Government. The Review sets out 5 National Enforcement Priorities (and one short term Priority) and criteria for selecting local priorities. The National Enforcement Priorities are:

  • Air quality, including regulation of pollution from factories and homes (includes air quality plans)
  • Alcohol, entertainment and late night refreshment licensing and its enforcement
  • Hygiene of businesses selling, distributing and manufacturing food and the safety and fitness of food in the premises
  • Improving health in the workplace
  • Fair trading (trade description, trade marking, mis-description, doorstep selling)
    Plus,
  • Animal and public health, animal movements and identification – a time limited priority due to a review of delivery

Croydon council will be working with partners to identify local enforcement priorities. The criteria for selecting local priorities are that an issue:
Causes significant harm within a local authority area,
Generates high levels of local concern,
Is such that local authorities can make a difference to outcomes in their locality and
Can be dealt with by each local authority independently of what other local authorities do

For more information about the implications of the Rogers Review for Croydon contact Mike Pilgrim, Divisional Director Public Protection
Tel: 020 8686 4433 x 65433
Email: mike.pilgrim@croydon.gov.uk


Consultations
A consultation on Croydon’s Draft Joint Strategy for Mental Health and Social Care in Older Age 2007 – 2010 was launched on 9 July 2007. The Draft Joint Strategy sets out the strategic direction and development of mental health services for older people, based on a comprehensive needs analysis, over the next 3 years. The strategy aims to ensure older people with mental health conditions are supported to live actively and independently for as long as possible and to ensure fair access to services tailored to individual needs. The consultation ends on 1 October 2007.

For copies of the consultation document contact Sue Cousins at Croydon PCT
Tel: 020 8274 6237
Email: sue.cousins@croydonpct.nhs.uk

If you have any queries or would like to discuss the strategy please contact Claire Godfrey Assistant Director Older People, Physical Disabilities and Sensory Impairment Partnership Commissioning on 020 8274 6251 claire.godfrey@croydonpct.nhs.uk

Wednesday, 4 April 2007

What is the Healthy Croydon Partnership?

The Healthy Croydon Partnership was set up in 1999 to provide strategic leadership for health and social care services in Croydon. Healthy Croydon is now one of the family of partnerships that comprise the Croydon Strategic Partnership.


Healthy Croydon aims to protect and improve the health, safety and well being of local residents, visitors and people who work in Croydon. Its vision is that
people in Croydon:

  • are able to make informed choices about their health
  • can maximise their health and well being
  • are supported by high quality services which are responsive to their needs
  • do not experience inequalities in health

With over 330,000 people living in Croydon it is crucial that organisations work together to ensure a true multi-agency approach to improving health in Croydon. The Healthy Croydon Partnership is ambitious for improving the health of local people and for improving services. It has been responsible for developing a shared understanding of priorities for health and well being in the borough, selecting key priorities to be jointly worked on, and providing the context and commitment for successfully implementing improvements. Healthy Croydon oversees the development and monitoring of the health and well being elements of Croydon's Sustainable Community Strategy.

The Healthy Croydon Partnership comprises the most senior local representatives of health agencies, the council, voluntary sector, police, probation and business. This includes the Chairs of the NHS agencies, Council Cabinet and shadow cabinet members, elected members of the voluntary/community sector and a business representative. Chief Officers from each agency also attend and participate in the meetings. Attendance at meetings is extremely high, with additional expertise being brought in to deal with particular topics.

Healthy Croydon does not have formal decision making powers but it is, nevertheless, a highly influential body in shaping both strategy and service provision. Formal decisions need to be referred to the constituent partnership agencies. The Partnership as a whole is not able to vote to compel any member agency to take a particular course of action.

Healthy Croydon has a small Executive Group made up of Chief Officers and Directors of member organisations. It oversees and steers the work of the Partnership and is chaired by the Chief Executive of the PCT. The main work of Healthy Croydon is taken foward by fourteen Partnership Groups. They are each responsible for leading an aspect of health and social care provision e.g. Older People, Children & Young People, Mental Health, or a cross-cutting theme or support function, e.g. Carers, Community Involvement.

The main outcomes of working together have been:

  • attracting additional resources
  • better deployment of resources through joint commissioning
  • better integration of services
  • better joint planning of services
  • promoting health and well being for all
  • a clear focus on health inequalities

Healthy Croydon has successfully contributed to a £20m SRB bid for NW Croydon; a £1m bid for a Healthy Living Centre network; a Sure Start Programme. It has also set up its own Think Tank and Health Inequalities funding programmes. Healthy Croydon is also part of the national Communities for Health programme. As a measure of its desire to innovate and work jointly, the Partnership set up a series of Partnership in Action projects to use the flexibilities provided by the 1999 Health Act to jointly provide health and social care services. Croydon was the first authority in London to register an integrated service under the Act. These were services for people with learning disabilities. Subsequently, community services for people with mental health problems have similarly been integrated between Social Services and health services, operating under a single joint manager. The Healthy Croydon Partnership is also involved in the development of a number of joint strategies addressing issues such as Smoking Reduction, Teenage Pregancy, Obesity, Mental Health Promotion and Breastfeeding.

Croydon Council was awarded Beacon Status for its work on local health strategies in February 2001. Locally, the award was seen as recognition of the contributions of all partners to the success of the Healthy Croydon Partnership. The work of Healthy Croydon has been featured as a model of good practice in a number of publications and at regional and national conferences.


Contact details:
Steve Morton
Healthy Croydon Partnership Manager
Healthy Croydon Support Unit
4:01 Taberner House
Park Lane
Croydon CR9 2BA
Tel: 020 8760 5773
steve.morton@croydon.gov.uk

Monday, 26 March 2007

Healthy Croydon Briefing April 2007

Healthy School Awards
A further 20 Croydon schools have achieved healthy school status and received awards on Monday 26 March. There are four strands to the award: healthy eating; personal, social and health education; physical activity; and emotional health and well-being. School projects included a variety of sports activities being offered during the mandatory two hours of PE a week at Keston Primary; raffles at Fairchildes Primary where children receive a ticket if their lunch box contains a healthy choice such as a piece of fruit; and introduction of a school council at Monks Orchard Primary which has made decisions leading to an improvement in the eating environment. A total of 40 schools have now attained healthy school status.


New Croydon Council Chief Executive
Jon Rouse, 38, formerly chief executive of the Housing Corporation, has succeeded David Wechsler as Chief Executive of Croydon Council. He was previously Chief Executive of the Commission for Architecture and the Built Environment, the Urban Task Force, English Partnerships and has also worked in the Department of the Environment as private secretary to the housing and local government minister. He said: “I hope to use my skills and experience in economic and social regeneration to help the council improve the borough’s town and neighbourhood centres, expand our housing and attract more jobs.” Council leader Cllr Mike Fisher said: “I believe we have identified a rising star in the public sector who, at a relatively young age, already has a strong record of achievement.” The appointment was ratified at a special meeting of the Council on Monday 26 March.

Sunday, 18 March 2007

Healthy Croydon Briefing March 2007

Primary Care Strategy consultation
Croydon Primary Care Trust is consulting on plans to modernise primary care services in the borough and to provide a greater range of services in the community. Members of the public and key stakeholders are being asked to give their views. Copies of the consultation document and an invitation to submit a response have been sent to all Healthy Croydon Partnership members. You can download a copy of the consultation document in Word format from the Primary Care Trust website at www.croydon.nhs.uk. The consultation lasts until 25 May 2007.

Healthcare for London
NHS London has commissioned Professor Sir Ara Darzi one of London's most eminent clinicians and academics to lead a review of the capital's healthcare services. Over the next three months, Professor Darzi will be looking at healthcare systems around the world, at what works and what doesn’t, and at best practice in the United Kingdom. Healthcare For London: A Framework For Action will focus on patient pathways rather than buildings or institutions. It will develop a series of illustrative models of care and care pathways. It will draw on international examples of service delivery and evidence-based best practice.


The review will look at six key stages in a person’s life and the type of care and assistance they may receive at those times. They are:

  • Birth
  • Staying healthy
  • Sudden severe illness
  • Long term care
  • Planned care
  • End of life care

For more information about the review and how to comment visit the Healthcare for London website http://www.healthcareforlondon.nhs.uk

Beacon Awards
Croydon has been successful in the Beacon Awards scheme for the third year running. The scheme began in 2000 and is run by the Improvement and Development Agency (IDeA). It aims to identify and disseminate excellence and innovation. Each year ten themes are selected, with intense competition to become a Beacon. Whilst the Beacon is awarded to the local authority the golden thread in all of Croydon’s successful bids has been the strength of its partnership working. This has been recognized by the IDeA in our six Beacon awards over the years. The credit for Croydon’s awards lies with all the organizations who have worked together to plan and deliver services for local people.

Increasing Voluntary Sector Delivery Beacon
The Healthy Croydon Partnership considered the key role of the voluntary sector at its meeting in November 2006. Croydon has based its work with the Voluntary and Community Sector (VCS) on developing and sustaining mature working relationships. This has ensured that as a matter of course the VCS is actively involved in, and influences, joint working in all aspects of delivery. This culture of strong partnership has paved the way for the development of appropriate structures to which all sectors are committed. There is a shared belief that the partnerships in Croydon are based on treating all sectors as equal partners. A change in the political administration of the authority has left these relationships unaffected. This has ensured that the VCS at a political level are prepared, and able, to act as a critical friend to ensure delivery of joint outcomes. This is underpinned by a commitment to a ‘Compact Way of Working’ which depends on a strong and established culture of good communication between all stakeholders. Commissioning arrangements have a strong focus on developing capacity within the VCS and the integration of Local Area Agreement blocks into the structures of the LSP have the voluntary sector as a key part.

Delivering Cleaner Air Beacon
Croydon has developed new and innovative solutions to the problem of air pollution, putting Croydon on the map both nationally and internationally. The council was the first to set up an airTEXT service, designed to support those sensitive to air pollution, providing air quality alerts and health advice on how to manage their symptoms. The London Borough of Croydon was the first council to implement regular idling vehicles enforcement patrols to help to improve the local air quality.

Previous Beacon Awards
2001
Local Health Strategies Beacon
Town Centre Regeneration Beacon
2005
Getting Closer to Communities Beacon
2006
Improving Housing Services by Involving Tenants Beacon