Healthy Communities cyllidwyd gan Lywodraeth Cynulliad Cymru. Cynulliad Lywodraeth gan cyllidwyd (Anghydraddoldebau Iechyd), Ceredigion (2002 - 2008), - (2002 Ceredigion Iechyd), (Anghydraddoldebau A toolkit to help community organisations and Seiliedig ar brofiad prosiect "Calon Lân" Lân" "Calon prosiect brofiad ar Seiliedig groups in Ceredigion promote healthier lifestyles yng Ngheredigion i hybu dulliau iachach o fyw o iachach dulliau hybu i Ngheredigion yng Based on the experience of the "Healthy Heart" Pecyn cymorth i helpu sefydliadau a grwpiau cymunedol grwpiau a sefydliadau helpu i cymorth Pecyn (Inequalities in Health) project, Ceredigion (2002 - 2008), funded by the Welsh Assembly Government. Cymunedau Iach Cymunedau Argraffwyd ar bapur wedi'i ailgylchu ac ddefnyddio inciau argraffu llysieuol. llysieuol. argraffu inciau ddefnyddio ac ailgylchu wedi'i bapur ar Argraffwyd www.zodshopdesign.co.uk amgylchedd i'r cyfeillgar dylunio zodshop l l [email protected] [email protected] 01570 424107 01570 01970 633395 01970 Llanbedr Pont Steffan SA48 7HA 7HA SA48 Steffan Pont Llanbedr Aberystwyth SY23 2NL 2NL SY23 Aberystwyth Y Bryn, Heol y Gogledd, Gogledd, y Heol Bryn, Y 15-17 Ffordd Portland Portland Ffordd 15-17 Tîm Iechyd Cyhoeddus Ceredigion, Ceredigion, Cyhoeddus Iechyd Tîm Ymlaen Ceredigion, Ceredigion, Ymlaen Cysylltwch â: Cysylltwch Alan Whittick, Swyddog Datblygu Cymunedol Datblygu Swyddog Whittick, Alan Ymlaen Ceredigion: Ymlaen Rhian West, Gweithiwr Hybu Iechyd Hybu Gweithiwr West, Rhian Tîm Iechyd Cyhoeddus Ceredigion: Cyhoeddus Iechyd Tîm This Toolkit has been prepared in partnership with Ymlaen Ceredigion Prosiect: y Swyddogion and the Ceredigion Public Health Team. Ymlaen Ceredigion a Thîm Iechyd Cyhoeddus Ceredigion. Cyhoeddus Iechyd Thîm a Ceredigion Ymlaen Project Officers: ag partneriaeth mewn hwn Cymorth Pecyn y Paratowyd Ceredigion Public Health Team: Rhian West, Health Promotion Practitioner Ymlaen Ceredigion: Alan Whittick, Community Development Officer Contact: Ceredigion Public Health Team, or: Ymlaen Ceredigion, Y Bryn, North Road, 15-17 Portland Road, Lampeter SA48 7HA Aberystwyth SY23 2NL 01570 424107 01970 633395 [email protected] [email protected] Designed by zodshop ● environmentally sensitive design ● www.zodshopdesign.co.uk Printed on 100% recycled paper using vegetable based inks. Toolkit Contents: 2 Organisations and groups who took part. 3 Who we are. 4 Aim of the Toolkit. 4 What do we mean by "health"? 5 Why promote healthy lifestyles? 6 Why are community organisations well placed to promote healthy lifestyles? 7 Getting started…key principles. 9 The key facts about food. 11 Types of projects - food. 14 The key facts about physical activity. 16 Types of project - physical activity. 19 The key facts about smoking 21 Types of project - smoking. 22 The key facts about stress. 23 Types of project - stress. 24 Overall good practice. 26 Help! 26 Resources, training and help (Ceredigion). 29 Resources, training and help (National). 32 Service Level Agreements 34 Policy 35 Evaluation 37 Self-assessment 38 Acknowledgements. 2 HEALTHY COMMUNITIES TOOLKIT Organisations and groups who took part in the Healthy Heart programme in Ceredigion: l Ceredigion Local Health Board l Surestart l Ceredigion County Council l Homestart l Ceredigion Health Alliance l Flying Start l Ceredigion Association of Voluntary Organisations (CAVO) l Women's Aid, Aberystwyth l Area 43 (Youth support and information centre) l Penparcau Family Centre l Primary Health Care Teams in Aberystwyth l Residents of Golwg y Castell and Ridgeway, (Ystwyth Medical Practice, Church Surgery, Padarn Cardigan Surgery) and in Cardigan (Ashleigh Surgery) l Cardigan Toy Library, Maesglas l Ceredigion Healthy Schools Scheme l Penparcau Youth Club l National Smoking Cessation Service l Jigso - Children's Centre, Cardigan l University of Wales (Dept. of Sport and Exercise Science l Cardigan and Aberystwyth after schools Clubs and Dept. of Leisure) l Ceredigion Pupil Referral Unit l Communities First, Aberystwyth l Plascrug Leisure Centre l Ceredigion Social Services l Finch Square Café, Cardigan l Ceredigion Youth Offending Team l Camau Bach (MYM) l Ceredigion Pupil Referral Unit l Canolfan Padarn (Day Centre) l Ceredigion Training l Cardi Cardiacs l Age Concern, Ceredigion l Crazy Fruit Club l Ceredigion WI l Crymych Leisure Centre l Cantref Housing Association l Aqua Serena Country Club l Ceredigion Local Agenda 21 l Aberystwyth Mind l Children and Young People's Partnership l Small World Theatre l Pfizer UK l and the lead organisations - Ceredigion Public Health Team (National Public Health Service) and Ymlaen Ceredigion (a not for profit organisation promoting sustainable community development). Small World Theatre - Riverside Festival, healthy food theme, Cardigan. WHO WE ARE 3 Who We Are: The Ceredigion Healthy Heart programme was established in April 2002. Originally a three year programme funded by the Inequalities in Health fund Ceredigion Healthy Heart Programme of the Welsh Assembly Government, it was subsequently extended and is now due to finish in March 2008. It is one of 62 Inequalities in Health projects in Wales. The overall aim of the fund was to target areas of inequality and reduce the risk of developing coronary heart disease in ways that could be sustainable. The Ceredigion Healthy Heart programme worked in the communities of Aberystwyth and Cardigan. Our aim has been to reduce the risk of serious illness by promoting healthy lifestyles. This meant focusing on healthy eating, physical activity and issues relating to smoking and stress. The programme has worked with individual groups and organisations to identify ways which would make it easier for their members to either eat healthier food, increase physical activity or deal with stress and smoking issues Within the two towns, 52 projects emerged. Activities chosen by the participants included, fruit snacks, provision of healthy meals, recipe swaps, cooking skills, training on healthy eating, production of resources such as a Cardigan step and calorie map, production of an exercise video, community gardens, physical activity sessions, classes and equipment, awareness raising discussions and events, environmental improvement, personal mentoring, smoking cessation support and residential and other intensive programmes aimed at young people at risk. The best results came when community leaders were able to work with both their members and their staff to bring about positive changes in lifestyles. It was important to do this in a way which could be sustained after the project had finished and into the long term future. 4 HEALTHY COMMUNITIES TOOLKIT The healthy heart programme showed conclusively What do we mean by health? that community organisations, given initial support and a modest level of investment from our fund, were The World Health Organisation defines health as: pleased to promote healthy lifestyles. "a state of complete physical, mental and social well-being and not merely the absence of disease Community organisations felt that the introduction of or infirmity". the healthy lifestyles agenda, especially where related to food, produced a positive response from both staff In the light of this definition, many community and members. Social interaction and communication organisations will recognise that they already make a increased and raised confidence which in some significant contribution to the health and well-being of cases led to other healthy lifestyle initiatives, such as their members. For example: group activities (e.g. walks) or smoking cessation. Many community organisations support vulnerable and hard-to-reach members of the community. They Some initiatives have had such a positive response engage with them and listen, offering advice, that participants have agreed to contribute to the reducing stress and providing a safe, positive social cost to make the initiative sustainable for the long- environment. term. Indeed, some of these organisations have health issues at the centre of their agenda, for example those supporting people experiencing mental health The Aim of the Toolkit problems. The aim of the toolkit is to encourage and support It is important therefore for everyone to recognise that community organisations and groups to promote community organisations are already likely to be healthy lifestyles by: contributing to the health and well-being of their members in some way. l Clarifying the meaning of health Health is also about the individual staying healthy. l Identifying the potential of organisations to This includes, having access to information, making influence healthy lifestyles informed choices about health and well- being and having the confidence and self esteem to make l Identifying the benefits of promoting healthy changes. lifestyles to both organisations and members Adopting a healthy lifestyle is one of the ways of l Providing information on healthy lifestyle improving your health by enjoying healthy food, taking messages enough exercise, stopping smoking and tackling stress issues. l Providing information about resources, training and support networks, both locally and Community organisations have the opportunity to nationally. adopt an "holistic" approach to health which can be particularly effective, as it considers the whole person The Toolkit is based on the experience of the healthy and the situation in which they find themselves. heart programme's work with community It is an