‘Towards a Healthy Amber Valley’ Locality Public Health Plan 2018-19 Version 30/11/18

Locality Public Health Plan Our locality plan sets out the priorities and actions for improving health and reducing health inequalities for people in Amber Valley and informs the use of the Amber Valley Public Health locality fund. The document includes aims, actions and expected outcomes and outputs to be achieved.

Amber Valley Health Partnership Amber Valley Health Partnership (AVHP) is an open group for partners with a shared vision to deliver improved health and reduced health inequalities across Amber Valley. This plan has been developed by AVHP members using local data, information and local insight.

Partnership working is critical to achieving improvements in health and well-being at a local level. Collaboration on shared priorities, exchanging good practice, addressing barriers and finding solutions is necessary to improve health and wellbeing. It is also important to make the most of local resources and arrangements to avoid duplication, maximise effectiveness and value for money. Amber Valley Locality Public Health Plan 2018-19

Contents

Page Our Locality Demographics & Health Inequalities……………………………………………………………………………….. 3 Health Profile………………………………………………………………………………………………………………….. 4 Our Partnership Who are we…………………………………………………………………………………………………………………….. 5 Partnership Vision and Aims ….……………………………………………………………………………………….. 6 Partnership Diagram…………….…………………………………………………………………………………………. 7 Partnership Actions 2018-19..…...... 8 Ways of Working …………………………………………………………………………………………………………….. 9 Funding & Resources..…………………………………………………………………………………………………….. 10-11 Our Plan Interventions and Projects ……………………………………………………………………………………………..... 12-13 Overview 2018-19……………………………………………………………………………………………………………. 14 Our Previous Work Summary of Projects 2017-18 ………………………………………………………………………………………… 15 2017-18 Annual Report…………………………………………………………………………………………………….. 16 2017-18 Case Studies……………………………………………………………………………………………………….. 17-18 Across Appendix A: County Public Health Programmes…………………………………………………...... 19 Appendix B: County Public Health Locality Programme 2017-18 Annual Report ………………. 20

2 Our Locality Demographics & Health Inequalities

Demographics Amber Valley is a borough council area in southern Derbyshire. The borough contains the four market towns of , , and Ripley as well as many villages and smaller settlements. The current population of around 124,000 (which includes just below 6% of people who are not white British) is expected to rise to by 10% to 136,000 by 2035. The total population is made up of: 65+ 25%; 16-64 years 59%; and 0-15 years 16%. Population projections show an ageing population, such that, by 2035, 36% of the population (28,000 people) will be aged over 65, 20% over 75 and 8% over 85, with a large deficit in numbers entering working age.

Health Inequalities There are marked health inequalities by gender and level of deprivation. Life expectancy is 9.1 years lower for men and 8 years lower for women in the most deprived areas of Amber Valley than in the least deprived. Although the borough ranks 162nd out of 326 English local authority areas in the 2015 English Index of Multiple Deprivation (1 being the most deprived), 8 of the 78 Lower Super Output Areas within Amber Valley fall in the top 20% of most deprived areas in England. There is also a hidden element of deprivation which exists in the western parishes amongst the farming community.

Tackling Inequalities Target wards: Alfreton, , & , Ripley, & Aldecar 3 Our Locality Health Profile

Health & Wellbeing The health of people in Amber Valley is varied compared with the England average. About 15% (3,000) of children live in low income families. Life expectancy for women is lower than the England average.

Child health In Year 6, 17.8% (210) of children are classified as obese, better than the average for England. The rate of alcohol-specific hospital stays among those under 18 is 33*. This represents 8 stays per year. Levels of teenage pregnancy, breastfeeding initiation and smoking at time of delivery are worse than the England average.

Adult health The rate of alcohol-related harm hospital stays is 703*. This represents 906 stays per year. The rate of self-harm hospital stays is 201*. This represents 241 stays per year. Rates of sexually transmitted infections and TB are better than average. The rate of statutory homelessness is worse than average. Rates of violent crime and long term unemployment are better than average.

Health Profile Click on the following link to view the full 2018 profile produced by Public Health England.

* rate per 100,000 population Our Partnership Who we are

5 Our partnership Partnership Vision & Aims

Vision Our vision is for a ‘healthier Amber Valley’ where residents feel confident and supported to choose a healthy lifestyle and stay healthy.

Aim The Amber Valley Health Partnership provides a coordinated, innovative and evidence-based approach to health improvement and reducing health inequalities in the Amber Valley District by: . Responding to health need and setting priorities within Amber Valley as outlined in the Derbyshire Health and Wellbeing Strategy, the Borough Council’s Corporate Improvement plan, the County and Local Joint Strategic Needs Assessments (JSNA) and other relevant health need assessment data. . Acting as the central coordinating body for health improvement projects planning, implementation and evaluation across Amber Valley. . Promoting partnership working throughout the district and encouraging understanding of the different agencies roles and responsibilities. . Planning, implementing and evaluating the locality Public Health plan. . Ensuring that the focus of partnership activity in the Borough is aimed at addressing four key priority areas which were identified through a Consultation exercise in June 2018:

Mental Health & Older People & Ageing Healthy Weight & Social Isolation Emotional Wellbeing Well Physical Inactivity

. The diagram (overleaf) shows the wider context for the partnership and how it operates. . Partnership Actions for 2018/19 were discussed and agreed at the Partnership Meeting September 2018 6 County Health & Wellbeing Public Health Locality Amber Valley Place Alliance Strategy Programme

Derbyshire Sustainability & Local Area Committee Transformation Plan

Plan ‘Towards a Healthy Amber Valley’- Locality Plan 2018-19

Aim Improve Health Reduce Health Inequalities

Mental Health & Older People & Ageing Healthy Weight & Social Isolation Priority Emotional Wellbeing Well Physical Inactivity

Children & Young Housing and Winter Inactive Groups People Key Target Deaths Obesity and Diabetes Carers 5 Ways To Wellbeing Falls Prevention Prevention Isolated older people Areas Vulnerable Groups Dementia Social Eating Anti-Stigma

Reduction in: self- harm, Reduction in: fuel poverty, Reduction in: Reduction in: loneliness stigma winter deaths, falls, social obesity/excess weight, and poor emotional Improvement in: emotional isolation incidence rate of pre- wellbeing Key health, wellbeing & Improvement in: diabetes Improvement in: access to relationships, access to community cohesion, Improvement in: levels of services and support for Outcomes services, support for people access to services, activity, diet & nutrition, people with long term with long term conditions, dementia awareness access to services conditions awareness Partnership Actions 2018-19 Our partnership Partnership Actions 2018-19

Priority Target Areas Partnership Actions in Amber Valley 2018-19

Mental Children and Young Develop a clearer understanding of pathways for support and care Health People 5 Ways to Wellbeing Implement the 5 Ways to Wellbeing model and 5 Ways to Wellbeing grants Support vulnerable Identify gaps in support for universal credit claimants during rollout locally groups Anti-stigma Align with national campaigns for mental health awareness and promote locally e.g. Time to Talk; Suicide Prevention Healthy Inactive groups Support development of ‘Active Amber Valley’ subgroup to strategically oversee Weight & development and delivery of physical activity focussing on inactive groups Physical Diabetes prevention Promote preventative initiatives Inactivity and obesity Social eating Contribute resources (locality funding/small grants) and assist with coordination of local initiatives including School Holiday Food Programme Older Housing and excess Raise awareness of services for cold homes e.g. boiler replacement People winter deaths Falls Prevention Participate in collaborative work with the Amber Valley Place Alliance on the Falls Prevention Pathway Dementia Endorse the work of the Dementia Action Alliance and promote dementia friendly communities Social Carers Identify groups of carers who may not be able to access local opportunities isolation Isolated older people Support coordinated approaches e.g. through First Contact, to link people with existing local initiatives 8 Our Partnership Ways of Working

Amber Valley Health Partnership has adopted several key approaches that continue to be part of our ways of working:

Healthy Communities • In 2017 Amber Valley registered to the UK Healthy Cities Network (UKHCN), part of the wider WHO European Healthy Cities Network • AVHP’S Healthy Communities priority for 2016-18 was Health Literacy

Five Ways to Wellbeing • To raise awareness of simple ways that individuals can take control, improve or maintain their own wellbeing the Partnership considers the importance of the Five Ways To Wellbeing throughout local work:

Connect Be Active Keep Learning Give Take Notice

Raising Aspirations • The Partnership has promoted projects with targeted communities and schools to raise aspirations of young people and their families • A targeted employability programme, Raising Aspirations, specifically commenced 2017-18 in Swanwick school to provide support to school students with special educational needs to help them develop skills, ideas and grow in confidence; this work will continue in 2018-19 Our Partnership Funding & Resources

Funding . The current economic climate means that resources are limited and will be for the foreseeable future . Effective partnership working ensures that duplication is reduced and scarce resources can be maximised . Since 2014 Derbyshire County Council has primarily funded and administered the health partnership through its Public Health Locality Programme . The Locality Programme provides an annual budget allocation for each locality, plus staffing capacity including a full time Public Health Service Development Officer, supported by a named Locality Lead and Health Improvement Practitioner . Additional resources are drawn from other Public Health funding streams in-year (Mental Health; Physical Activity) . Effort is made to secure additional funding from other partners and support groups/organisations to access external funding sources to improve the effectiveness and sustainability of investment Resources 2018/19

Locality Fund (£99,685) Amber Valley Health Partnership

Projects in Locality Fund: Raising Aspirations Oversight Coordination Amber Valley focussed on 5 Ways to Wellbeing (£10,000) our priority In-kind areas Fund Holding Match funding contributions

PublicHealth Physical Activity (£76,034) - Health Referral - Walking for Health Local External - Innovation Fund Amber Amber Valley Community Funding - Looked after Children Valley CVS Borough Council 10 Organisations Sources Our Partnership Funding & Resources (2)

Locality Budget 2018/19 . A portion of Locality Funding in 2018-19 has been allocated Funding Source Amount centrally for Raising Aspirations, and reserved for the Small Grants programme (£10,000) Public Health Locality Fund (Unrestricted) £89,685 . The remaining Public Health Locality Allocation 2018-19 for Public Health Locality Fund (Small Grants) £10,000 Amber Valley is £89,685 . 5 Ways to Wellbeing Grants Fund has been agreed for 2 years Five Ways to Wellbeing (Sept 18-Aug 19) £10,000 from September 2018-August 2020. Amber Valley will receive £10,000 each year

How is locality funding allocated? . Locality Funding in 2018-19 will be allocated to groups and organisations operating in Amber Valley via a grants process with applications reviewed by a small panel of partnership members . This panel is elected by the partnership on an annual basis and consists of representatives for elected members and officers from the County and Borough, Southern Derbyshire CCG and from the voluntary and community sector . Further allocations for Locality Funding, where funds are remaining, will be made on basis of strategic recommendations via task and finish groups, or the work of subgroups to the partnership (Active Amber Valley) . Eligible groups and organisations will be invited to apply for the funding rounds for the Small Grants, and Five Ways to Wellbeing

11 Our Plan Interventions and Projects

Intervention/Project and brief description Priority Expected Outcomes (summarised) Provider Budget Allocation

Young Carers Music Project Mental - Improved emotional health, wellbeing and relationships Derbyshire £3150 Young Carers supported by the Young Carers Health for participants and other young carers reached through Carers service will write, record and produce a music project Association record and video to raise the profile of Young - Development of skills for education and employment for Carers and to raise awareness of the issues they participants face as a Young Carer - Reduction in social isolation and increased access to services for young carers

Emotional Wellbeing Training & Resources Mental - Improved emotional health, wellbeing and relationship Ripley Schools £6600 Creation of a mental health and wellbeing ‘hub’ Health for children and families, and improved access to Cluster of resources, staff training, and engagement services programme across the cluster schools to create a - Consistent approach e.g. for families with different unified approach to better mental health and children attending more than one school wellbeing of Ripley children and families - Increased levels of activity - Improved community cohesion Young at heart intergenerational sessions Older - Participation in physical activity – older adults and Fleet Arts £2040 Pilot project of creative intergeneration sessions People children using music, movement and play delivered in - Improved mobility and reduction in falls in older adults Care Homes - Benefits for emotional health, wellbeing, and community cohesion

Universal Credit Digital Inclusion Mental - Reduced stress and associated physical and mental CAB £6725 Support for people making and managing Health health impacts of stress for claimants Universal Credit claims, improving digital skills - Improved financial status and housing security and financial capability

12 Our Plan Interventions and Projects (2)

Intervention/Project and brief description Priority Expected Outcomes (summarised) Provider Budget Allocation

Vspa+ Older - 60 adults supported (priorities: over 60 years, rurally CVS £6452 Extend the vSPA response by providing 1:1 People/ isolated) support for six weeks for people identified Social - Reduced social isolation with more complex needs to link with Isolation - Improved community cohesion, community opportunities in the community and services engagement - Increased access to services This Girl Can Activity Mornings Physical - Participation of women who have not been recently Place Leisure £6490 Start up of female-only physical activity Activity physically active and are not previous users of leisure sessions at Alfreton, Ripley and William Gregg centres, overcoming stigma and negative views of Leisure centres physical activity - Improved levels of activity, physical health and mental wellbeing - Social interaction opportunities created to help address loneliness and isolation Junior Park Run (Shipley) Physical - Increased levels of physical activity contributing to Park Run £3000 Start up of a 2k Junior Parkrun on Sundays at Activity healthy weight for children Shipley for children between 4 and 14 years - Improved community participation and social cohesion Community Wellbeing Roadshows Mental - Improved awareness of mental health and wellbeing P3 Amber Trust £2852.50 Six roadshows at venues across Amber Valley Health through promotion of 5 Ways to Wellbeing with provision of community health checks, - Increased access to services (including non-statutory and promotion of health services and local and volunteer/community services) community provision Dancing for Health Falls Prevention Older - Engagement with partners to develop pilot Arts Derbyshire £15000 Pilot project of evidence-informed dance People - Participation of 15-20 older people sessions for falls prevention among people - Reduced fear of falling who have fallen/are at high risk of injurious - Reduced number of falls in cohort falls through implementation and - Development of a sustainable model maintenance phases 13 Our Plan Overview 2018-19

Allocated: Income Project/Intervention Lead Organisation Organisation Type Priority Allocated Young Carers Music Project Derbyshire Carers Association CVS Mental Health 3150 Emotional Wellbeing Training & Ripley Schools Cluster Schools Mental Health 6600 Resources Young at heart intergenerational CVS Fleet Arts Older People 2040 sessions Universal Credit Digital Inclusion CAB CVS Mental Health 6725 Vspa South Derbyshire CVS CVS Older People/Social isolation 6452 This Girl Can activity mornings Place Leisure CVS Physical Activity 6490 Junior Park Run (Shipley) Park Run CVS Physical Activity 3000 Community Wellbeing Roadshows P3 Amber Trust CVS Mental Health 2852.50 Dancing for Health Falls Prevention Arts Derbyshire CVS Older People 15000 Total Allocated 2018-19 so far £52,039.50

Ringfenced for Partnership Priorities:

Income Project/Intervention Lead Organisation Organisation Type Priority Allocated 5 Ways to Wellbeing (additional to Amber Valley CVS (Fundholder) CVS Mental Health/ Social Isolation 10000 5WWB Grants Fund) Active Amber Valley (specific AVBC (Fundholder) Varied Physical Activity 20000 £30,000 Not yet Allocated:

Project Lead Organisation Organisation Type Priority Proposed Cost Total £7,645.50

14 Our previous work Summary of Projects 2017-18

Income Project/Intervention Lead Organisation Organisation Type Priority Allocated Blue Box Belper Blue Box Voluntary/Community Physical Inactivity/Healthy Weight £4,000 Safespeak Relate Voluntary/Community Mental Health/Emotional Well Being £15,000 This Girl Can Dance Qudos Creates Voluntary/Community Physical Inactivity/Healthy Weight £11,289 Vspa S Derbyshire CVS Voluntary/Community All £12,000 PFP Leisure/ County Winning Goals Community Mental Health/Emotional Well Being £4,339 Community Trust Digital inclusion Project CAB Voluntary/Community Mental Heath/Emotional Well Being £1,525 Young Carers Derbyshire Carers Voluntary/Community Mental Health/Emotional Well Being £3,900 Eats and Treats Amber Valley CVS Voluntary /Community All £10,000 Raising Aspirations Raising Aspirations Community Mental Health/Emotional Well Being £15,000 Small Grants Various Voluntary/Community All £5,000 5 Ways to Wellbeing Grants Various Voluntary/Community All £22,500 School Food Holiday Programme Various Various Physical Inactivity/Healthy Weight £800 Emotional Health and Wellbeing Ripley ions school County Council Mental Health/Emotional Well Being £4,500 Marlpool Lunch club Marlpool Lunch Club Voluntary/Community Older People/Ageing Well £580 Health Literacy DCC Adult Community Education County Council All £5,000 PFP Leisure/Amber Valley Borough Activity Project Community Physical Inactivity/Healthy Weight £10,000 Council Community Woodland Nature Trail Voluntary/Community Physical Inactivity/Healthy Weight £500 Trust Healthy Workplaces Various Various All £1,900 Community Kitchens Various Various Physical Inactivity/Healthy Weight £5,000 Dementia Friendly Swimming PFP Leisure Community Older People/Ageing Well £2,000 Move On Project Salcare Voluntary/Community Mental Health/Emotional Wellbeing £2.085 Mental Health Training Amber Trust/P3 Voluntary/Community Mental Health/Emotional Wellbeing £450 Total Allocated £148,368

15 16 Our previous work Case Study 2017-18

Project title: Raising Aspirations Case study: Lead organisation: Derbyshire Education Business Partnership A student at the Hub, who struggles with anxiety and with the disagreements of others, participated in this project. Target population: Year 10 students (aged 14-15 years) Meetings with a Raising Aspirations worker were used to gain the confidence of the student, and together an employer was identified Total spent: £15,000 that met the following criteria: 1. Allowed student to make the most of his primary interest Summary: The project targeted Swanwick School & Sports 2. The environment was relatively calm and would not cause anxiety College – The Hub, to provide a programme of 3. The employer and associated staff were aware of the student’s activity aimed at ‘raising the aspirations of’ need and would be sympathetic to them. young people with High Functioning Autism The student spent nearly a term attending the placement and midway Asperger’s. The main objective to increase the through, the student requested more responsibility and more time perception of employability of the young people doing employer led work. by increasing confidence, self-esteem and exposure to positive opportunities around School staff felt the placement has had a major impact on the employment. Parents and Carers of the young student’s mood in school, he now attends full time and appears to get people were also involved in the activity less anxious. The Raising Aspirations work found that there had been: 1. A measurable improvement in self confidence programme and evaluation. 2. An increase in positive self-image resulting in improved behaviour in the classroom and at home. Outputs and Engagement with 12 students in The Hub and impact: 3. Identifiable actions such as working with the public, asking for their parents extra duties and demonstrating work place independence. Contacting 11 possible placement hosts These developments to the student’s behaviour have given him the Liaising with school staff skills and confidence to move onto either further education or Intensive support for 2 students on work successful employment in the future. experience placements with local employers - Increased opportunities for education, employment, career and training skills in a more 17 complex student group Our previous work Case Study 2017-18

Project title: Derbyshire LGBT+ Older Persons Project Case study: Lead organisation: Derbyshire LGBT+ ‘H’is an 86-year-oldmanlivingalone in ruralDerbyshire.When hefirst accessed the group,he wasisolatedandalone, andhehadadifficultlife Target population: Older LGBT individuals in Amber valley due to issues about his sexualityinthepast. He had very little contact with family members and many of his friends had passed away. H felt very depressedandalone andhadseveremobilityissues. Hthenjoined Total spent: £2,366 (5 Ways to Wellbeing Grant) theGolden Rainbows group, heattendseverymeetingandhasmadeawhole rangeofnewfriends,whonotonlymeet him atthegroupbutwho Summary: The project aim was to establish a social group telephonehimandmeetupoutsideofthegroup.Hsaysthatthegroup for LGBT individual in the Amber Valley area. haschanged his lifeandinvigorated him,andhenowlooksforwardto This involved contact with a variety of statutory life. Thegrouphasalso givenhimachancetotalkaboutdifficultpartsof and voluntary agencies to find these individuals, hislifewhichrelatetohissexuality,whichhe says he was unable to do for many years. talk to them and sort out any logistical obstacles to them meeting. Hsays:“thegrouphasbeenalifelineforme,Iwokeuponedayand Many of these individuals are very isolated realizedIwasaloneand depressed,withnothingtolookforward because of their sexuality and having often lost too. Thegroupallowsmetomeetupwithother oldergaymenand contact with friends and family. Some also live talkaboutthepast,theyreallyunderstandme,andwehaveajoint in remote rural areas. difficultpast. I’vemadeloadsofnewfriendsandlookforwardtothe At the group meetings people are encouraged group.” to talk about their experiences and meet with others Herecentlytoldpartofhislifestoryatthemen’sgroupandourworker Outputs and Of the 12 sessions delivered wassotakenthathe asked permission touse it. A local playwright was impact: 42 people were involved (plus 2 volunteers) approached,andtheresultant oneact play was a sell out at Derby 11 partner organisations were involved theatre. The actors were predominantly from the local LGBT 28 people signposted to other services community and gained valuableacting experience. 33 people reported improved wellbeing 23 people reported increased physical activity 9 people increased access to services 18 Across Derbyshire County Public Health Programme

STARTING AND DEVELOPING LIVING AND WORKING WELL WELL . Tobacco Control including illicit and . Health Visiting illegal tobacco . Breastfeeding support . Smoking cessation . Children and Young People’s Health . Weight management Promotion . Health referral scheme . National Child Measurement . Walking for health groups Programme . Health Trainers programme . HENRY (Health Exercise and . Make Every Contact Count (MECC) Nutrition for the Really Young) . Sexual health services . School breakfast clubs . Drug and alcohol services – tier 2 & 3 . School holiday food programme . Family and carer support for drug . Five60 (Healthy eating, physical users activity and obesity prevention) . Living with long term conditions . Citizens advice in Children’s Centre’s programme . School Nursing service . Diabetes education . Young people’s sexual health service . Young peoples’ drug and alcohol services AGEING WELL . Health Checks for over 40’s HEALTH INEQUALITIES . Fall s prevention programme . Citizen advice in GP surgeries . Dementia Friendly . Credit Union development Communities . Affordable warmth programme . Food bank support . Support for welfare assessment

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