Your Community Neighbourhood Plan Survey Lytham St Annes results February 2019
Prepared by Lyndsey Shorrock Senior communications and engagement officer NHS Blackpool and NHS Fylde and Wyre CCGs
Executive summary
NHS Blackpool and NHS Fylde and Wyre Clinical Commissioning Groups are committed to listening to patients and members of the public to ensure their views and experiences inform quality improvements and commissioning intentions. In late 2018, under the Healthier Fylde Coast partnership, which includes the NHS, local authority, the voluntary, community and faith sector and residents, the CCGs developed a ‘your community neighbourhood plan survey’ to provide public perceptions data in relation to the 10 neighbourhoods across the Fylde coast.
The survey asked residents about their community (the place where they live, the surrounding area and the places they use in their daily life, for example, shops, schools and health services). It also asked how neighbourhoods (groups of GP practices, social care, local councils, the voluntary sector and residents, which usually cover populations of between 30,000 and 50,000) can work together to improve health and wellbeing in their community.
The survey ran from 16 November to 21 December 2018 and was promoted on social media, the CCGs’ website, via GP practices and through paper surveys in GP surgeries. Patient participation groups helped to distribute and promote the surveys. The survey was broken down into three distinct sections, ‘your community, ‘working together’ and ‘your voice’.
For the purposes of this report, the data analysis will focus on the first two sections, with the findings of the third section being used to inform a refresh of the CCGs’ communications and engagement strategy in Spring 2019 and to supplement the findings of the NHS England 360 stakeholder survey.
A total of 1,543 responses (both online and paper responses) were received, with 256 responses coming from the Lytham St Annes neighbourhood, which covers the Lytham, St Annes, Ansdell and Freckleton areas.
The table below shows a breakdown of the responses by practice.
Registered patients population Number of surveys January 2019 returned
Poplar House Surgery 7,311 42
Ansdell Medical Centre 8,971 46
Holland House Surgery 11,026 44 Parcliffe Medical Centre (Formerly Clifton Medical Practice/Park Medical 73 Practice) 12,497
Fernbank Surgery 10,720 40
The Old Links Surgery 1,940 11
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Key findings
Generally speaking, the respondents to the survey in the Lytham St Annes neighbourhood, rated ‘opportunities for walking, cycling and being outdoors’, ‘being able to get around either by yourself, with family/friends or by public transport’ and ‘natural spaces that let you enjoy wildlife, trees and nature’ as at least good if not excellent. Overall, ‘places for children to play and learn outdoors which are safe’ was rated as good, however ‘places for older children and teenagers to meet which are safe’ was rated as poor or could do better. Respondents felt ‘affordable, accessible community sports and recreation facilities’ and ‘sense of community and the chance to meet up with others’ were good, however this was closely followed by could do better. ‘Opportunities to take part and ‘make a difference’ to where I live’ was rated bas could do better.
In responding to what would help them feel their community is a better place to live, people cited more for teenagers and young people to do, better transport links, safer roads and more/better cycles paths.
More than half of respondents said they know what there is in their local area to help them live a healthier lifestyle and cited outdoor spaces, gym or sports facilities, and various community groups as the local resources which help them live a healthier life.
The majority of respondents believe it is very important for services to work together to improve health and wellbeing, although generally speaking they also believe that most organisations could do better at working with others.
The majority of people believed that if services worked together, more could be achieved and people were less likely to slip through the net. While the perceived outcome of services working together is improved health and wellbeing.
Data analysis
Your community
Thinking about where you live, how would you rate the following? (1 being very poor and 6 being excellent)
160 140 120 100 1 80 60 2 40 3 20 0 4 5 6 Don't know
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As a mandatory question, 256 people answered the above question. More than 70% of people rated ‘opportunities for walking, cycling and being outdoors’, ‘being able to get around either by yourself, with family/friends or by public transport’ and ‘natural spaces that let you enjoy wildlife, trees and nature’ as at least good if not excellent. Overall, ‘places for children to play and learn outdoors which are safe’ was rated as good, however, the majority of people felt ‘places for older children and teenagers to meet which are safe’ was poor or could do better, with a third of people not knowing how to rate this category. Most people felt ‘affordable, accessible community sports and recreation facilities’ and ‘sense of community and the chance to meet up with others’ were good, however this was closely followed by could do better. Finally, 38% of the respondents rated ‘opportunities to take part and ‘make a difference’ to where I live’ as good.
What would help you feel your community is a better place to live well?
Not everybody chose to answer the above question which received 125 responses, although some individuals did choose to make more than one comment. Analysis of this data showed some clear themes and trends, demonstrated in the above word cloud. The majority of people felt there should be more, safe places/activities/facilities for young people, as well as better transport links, more public transport (particularly buses), safer roads and more/better cycle paths.
They wanted to see more local shops, with better car parking and more (affordable) sports/gym facilities, as well as clean, safe outdoor space – a number of people referred specifically to wanting lower/dropped curbs.
Residents felt that having more police on the streets would help them feel their community is a better place to live, along with more of a community spirit and improved health care services, for example access to GP appointments.
You can view the full list of the categorised responses to this question in Appendix A and the verbatim responses in Appendix B.
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Generally, do you know what there is in your local area to help you live a healthier lifestyle?
No 22% Don't know 21%
Yes 57%
As a mandatory question, 256 people answered the above question. More than half of respondents said they know what there is in their local area to help them live a healthier lifestyle.
What local resources help you live a healthier life?
Caveat – it appears a small minority of people answered the question on the basis of what local resources would help them live a healthier life.
Not everybody chose to answer the above question which received 136 responses, although some individuals did choose to make more than one comment. The vast majority of people cited outdoor spaces, such as the beach, parks and places to walk or cycle as the local resources which help them live a healthier life, followed by gym or sports facilities, namely the YMCA. Respondents also cited various community groups, including running and
5 | Page walking groups and a small number of people also mentioned access to health services when needed.
You can view the full list of the categorised responses to this question in Appendix C and the verbatim responses in Appendix D.
Working together
How well do you feel the following organisations work with others (including the local community and voluntary sector) to improve health and wellbeing and provide healthy choices? (1 being very poor and 6 being excellent)
140 120 100 CCGs 80 BTH GP practices 60 Councils 40 Schools 20 Your employer 0 1 2 3 4 5 6 Don't know
As a mandatory question, 256 people answered the above question. Nearly half of the respondents seemed to know the least about the CCGs, schools and their employer, citing they didn’t know how well those organisations worked with others. Generally speaking, the remaining respondents felt all of the organisations could do better at working with others.
How important is it for local services to work together to improve health and wellbeing in your area?
No opinion Not important 5% 1%
Fairly important 14%
Very important 80%
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As a mandatory question, 256 people answered the above question. The majority of people (80%) felt it was very important local services to work together to improve health and wellbeing in their area, while 14% felt it was fairly important, just 1% said it wasn’t important.
Following on from the above question, respondents were asked to give a reason for their answer with 140 people choosing to give a response.
The majority of people believed that if services worked together, more could be achieved and people were less likely to slip through the net. While the perceived outcome of services working together is improved health and wellbeing. A smaller number of people said that organisations and agencies should share information and offer a consistent message to the public. Respondents also said that there would be less duplication, that working together would be better for more vulnerable groups and that people also needed to take responsibility for their own health and wellbeing.
You can view the full list of the categorised responses to this question in Appendix E and the verbatim responses in Appendix F.
Outcomes
The findings of the survey have been shared with GP practices within the Lytham St Annes neighbourhood in order to inform the development of their neighbourhood plan. The plan will be unique and ensure joined-up care tailored to the needs of the local population.
The findings of the survey (along with public health data) are intended to help the neighbourhood determine their priorities, agree the outcomes they want to achieve and think through the ‘how, what and where’ of service delivery.
The findings of the third section – ‘your voice’ – have been used to inform the joint NHS Blackpool and Fylde and Wyre CCGs communications and engagement strategy 2019-21 which can be viewed at https://www.fyldecoastccgs.nhs.uk/document/20190227-ce- stratetgy-pdf/.
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Appendix A – categorised comments
What would help you feel your community is a better place to live well?
Young people
1. More for youths to do 2. Facilities for older children 3. More things for teenagers to do 4. More facilities for teenagers 5. More youth workers helping our teenagers to grow and learn 6. Also meeting place for 14 - 18 year olds, staffed by older teenagers supervised obviously by adults offering friendship social interaction and working on ideas given by participating young people. 7. Feeling safe, more for teenagers to do and more places for them to meet to keep them off the streets 8. Provide more activity opportunities for children 9. Investing more in the young people. Especially teenagers. 10. A lot more things for teenagers to do without costing a lot of money 11. More activities for teenagers 12. More provision for teenagers and young adults 13. Tackling the growing problem of social drug use in youth culture 14. More facilities for teenagers to meet up 15. Better areas for Children to play safely 16. There is not enough FREE amenities in this area for the 13-17 age group 17. More opportunities for young people to be able to get together in a safe environment. 18. Teenagers definitely require more activities or meeting places that would meet their needs 19. More activities for teenagers or a hub 20. Places for youths to meet instead of the hanging around children’s play areas 21. More schemes to help adolescents feel involved and meet in safe places
Transport/roads
1. More public transport during the evenings 2. Better public transport 3. Better bus route 4. Better transport facilities, both train and bus 5. Less traffic 6. Improved road networks 7. Road system in particular is an absolute nightmare – takes so much time to get in and out of the town – only two roads out to Blackpool – can’t enjoy the town because it gets so busy 8. Better road networks – gridlocks currently at peak times 9. Public transport we can rely on 10. Better roads, no potholes 11. Better road maintenance 12. Better transport links 13. Safer complete cycling routes. Often go into sections on busy main roads 14. Traffic calming measures on Lytham Road, Freckleton, instead the evening drag racing strip that it is now. 15. Less traffic and more (maintained) cycle paths.
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16. The link road being completed. Not closing multiple main roads out of the area all at once. Hours of time wasted each week sitting in traffic while commuting to work do not make for happy people. 17. Reinstate bus services 18. More cycle paths 19. Better cycle paths 20. Better cycle lane provision and safer streets for cyclists/pedestrians. Too much priority is given to the driver and most drivers could cycle many of their journeys. Get the fit out of their cars and there'll be room for the less capable. 21. Improved cycle routes throughout the area, more pedestrianised areas away from road traffic
Amenities/facilities
1. More and better, free car parking 2. Good shops 3. Library 4. Post office facilities 5. Butchers 6. Good health centre 7. Various restaurants and takeaways 8. Sports and social clubs 9. Outdoor recreation facilities such as an outdoor gym 10. Free parking 11. Healthier shops 12. Council sports facilities in Fylde 13. More car parking 14. Accessibility in public rooms i.e. paradise rooms, church halls 15. More affordable sports facilities 16. Now that Smooth Gym has closed in Lytham there at least 140 ladies of a certain age who have lost the opportunity to exercise on power assisted machines and to enjoy each other’s company. We urgently need some similar facility. Please. 17. Town centres need to be improved. Parking should be easier, charity shops restricted , local independent shops need to be encouraged, local people should be rewarded for supporting local shops, keeping revenue within the community 18. Adults require more activities at the weekends and evenings and it would be useful if more partnerships are sought with places like Lytham Hall to provide more social activities in the evenings/weekends where all age groups can take part. 19. More affordable exercise places 20. More housing with no infrastructure to support it
Environment
1. Cleaner streets 2. Paths should be cleared regularly of leaves or sand 3. More recreational space 4. Fenced off dog walking area so that dogs can run without fear of running into children/road 5. More visible pavement bins 6. Litter and irresponsible dog owners blight my community. 7. We need to address the decline of the high street 8. More green spaces 9. Less wine bars
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10. Some streets are not safe to cross for my children to be able to access local parks (in St Annes) and where I live there are no alleys or cul de sacs nearby for them to play safely therefore, we have to go out together for them to be able to play outside. 11. Safer street lighting; walking/running after 6.30pm can feel intimidating and lonely; 12. Reduce parking on streets 13. Less housing developments being built turning our village in to a town and ruining our green spaces. 14. More outside space to be used by the community
Pavements I have a mobility scooter, need more dropped curbs Lower dropped curbs in St Annes Too few lower/dropped curbs
Police
1. Better policing 2. More police 3. Reduction in crime 4. More police on the street 5. Clean up the drugs 6. Clean up the drug scene in the area 7. A police station that is manned as it used to be 8. More Police on the beat. 9. More visual policing especially around parks recreational areas 10. More police on patrol to keep anti-social behaviour low, do not let it get out of control 11. A more visible police presence 12. More policemen on the beat 13. Better policing
Community
1. More social neighbours 2. Adult coffee mornings for charity causes at various locations in Lytham 3. A meeting place for all ages, so that community spirit could be built up, rather than the me me me culture that we have now. 4. A Community meeting place or hub based in St. Annes or Lytham with easy access which would be open every day to drop in, with cafe attached. Maybe staffed with volunteers, offering advice, crafts, classes, health education etc. 5. If Lytham Institute and library were reopened it would make an ideal Community Centre, which is lacking in the Town 6. Dedicated community space & time opportunities to meet up with locals to discuss what matters 7. Neighbours that are mindful of nuisance noise (e.g. radios in gardens and shouting and singing until the early hours every day) neighbours that are mindful of nuisance activities like constant machine/building noise on weekends and evenings. 8. Need a community centre for all ages. The nearest one is the YMCA. 9. Integration of young and old to form a sense of community spirit 10. For people to be more friendly 11. For people to respect one another’s privacy
Health services
1. Better referrals to subsidised gym assessments 2. Not moving my dental surgery to Lytham to give a longer travel time
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3. GPs and consultants at Blackpool Victoria being more empathetic in the eye clinics 4. GP resources cannot cope with increasing population 5. More access to medical practitioners who are able to give specific advice on arthritis & fibromyalgia. 6. Improved health care services. From personal experience, it is always difficult to get an appointment at the GPs. Similarly, I recently spent some time at Blackpool Victoria hospital and I had to wait some time before being allocated a bed and there was little communication with staff and patients. 7. The appointments system at our GP practice needs overhauling
Communication
1. Information! Nothing known about hospitals, consultants, doctors, number of beds, area services. Dentist NHS availability. Doctors surgery facilities. Why ear syringing & stitch removal not available? 2. More communication with other members of the community 3. I receive a paper directory regularly promoting local activities already which is great as I don't use Facebook and don't go on-line after a day at work using a PC.
Other
1. I speak for the elderly - since the closure of day centres which were community hubs – there isn't a designated community hub to just drop into without it being organised by someone else. 2. More facilities for the elderly. 3. More mental health services for all and lessened waiting lists for counselling. More CAMHS appointments and assessment for teens not having to travel out of the area 4. Better help for those with mental difficulties 5. More activities for small children and for mums to meet up 6. Easier to make a doctor’s appointment 7. A work life balance 8. Wouldn’t want to live anywhere else 9. On the spot fine for dog owners 10. More involvement with the community police and council. 11. Nicer people 12. Can’t think of anything, it’s a lovely place to live. 13. Less nightlife and licenses which extend into the early hours as this effects sleep for those working early mornings. 14. Drivers obeying speed limits and children (teenagers) being taught to dispose of their litter thoughtfully 15. I love where I live can't improve it! 16. More meetings for the general public 17. Reducing the number of benefits housing 18. Schools to encourage sports - cheaper sporting facilities 19. Events to engage with interested parties in specific areas of interest 20. Very happy with it 21. Positive and sympathetic contribution to ending homelessness and begging in our Town Centres 22. More investment needed in St. Annes to encourage new businesses and bring community back to how it used to be. 23. This is a very open question as it would depend on your own individual needs and as I work my time is limited, but things like Local Link indicate there is plenty in the community trying to make it a better place to live well.
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24. More things for adults to be involved with. There seems to be a lot for children and a lot for the elderly but not much for those in between who have not grown up here and who don't have established friendship groups 25. At my age I am more than satisfied with available features around the Fylde, At the moment there is nothing that I need but understand that care for the elderly at a reasonable cost is becoming something of a problem. 26. A bank 27. Not sure as there opportunity’s for most people where we live
Appendix B – verbatim comments
What would help you feel your community is a better place to live well? more sociable neighbours More and better, Free car parking. Good shops Library Post office facilities butchers Good health centre Various restaurants and take aways Sports and social clubs I speak for the elderly - since the closure of day centres which were community hubs - there isn't a designated community hub to just drop into without it being organised by someone else. more activities for small children and opportunities for mums to meet up outdoor recreation facilities such as an outdoor gym Better policing, more public transport during the evenings. For people to respect one another's privacy For people to be more friendly More police. Free parking. Cleaner streets More for youths to do. I have a mobility scooter and slot of curbs don’t have dropped or lowered stone/curbs for getting my scooter up and down Healthier shops Adult coffee mornings for charity causes at various cafe locations in Lytham. Council sports facilities in Fylde Pretty happy with environment Better public transport More car parking Easier acceptability to Dr,s ie making an appointment , you should be able to make one at any time and not have to ring the surgery at 8.30 am every time you need to make an appointment. . Paths should be cleared regularly of leaves or sand.. Accessibility in public rooms ie paradise rooms , church halls, . Correct dropped kerbs, the ones in st annes are not low enough. Reduction in crime Betterbus route A work life balance. Wouldnt want to live anywhere else community great Better transport facilities, both train and bus. Less traffic. there are too few lower kerb, some don't have a matching kerb, or are not lowered correctly.
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Worst of all no lowered kerbs Not sure More recreational space and improved road networks. There is a huge amount of housing constantly going up, with no infrastructure to support it. We're adding more and more houses, and thus residents to St Annes, without increasing school spaces, park areas or recreational activities.
The road system in particular is an absolute nightmare. It takes a ridiculous amount of time just trying to get in/out of the town as there are only 2 roads out to Blackpool, both of which have recently had yet more housing built on it. I know a lot of residents are very angry about this. I feel I am not able to enjoy the town I live in because it gets so busy. More Mental Health services for all and lessened waiting lists for Counselling. More CAMHS appointments and assessment and teens not having to travel out of area for specialist Mental Health beds. Better referrals to subsidised gym assessments. Not moving my dental surgery to Lytham giving me a longer travel time. GP's and consultants at Blackpool Victoria being more empathetic in the eye clinics. Facilities for older children Better road network - gridlocks currently at peak times morning & evening More police on the streets. Public transport we cold rely on and better roads no potholes Fenced off dog walking area so that dogs can run without fear of running into children or running into a road. More affordable sports facilities. There isn’t really much competition so prices are fixed fairly high in my opinion. More visible pavement bins. This might encourage the community to dispose of their rubbish in a responsible way. On the spot fine for dog owners. Better road maintenance. Clean up the drugs A meeting place for all ages, so that community spirit could be built up, rather than the me me me culture that we have now. More things for teenagers to do. Clean up the drug scene in the area. More involvement with the community police and council. Better transport links Now that Smooth Gym has closed in Lytham there at least 140 ladies of a certain age who have lost the opportunity to exercise on power assisted machines and to enjoy each others company. We urgently need some similar facility. Please. safer complete cycling routes. Often go into sections on busy main roads Information! Nothing known about hospitals,consultants,doctors.number of beds, area services. Dentist nhs availability. Doctors surgery facilities.why ear syringing & stitch removal not available? More facilities for teenagees nicer people A police station that is manned as it used to be. More youth workers helping our teenagers to grow and learn. A Community meeting place or hub based in St. Annes or Lytham with easy access which would be open every day to drop in, with cafe attached. Maybe staffed with volunteers, offering advice, crafts, classes, health education etc. Also meeting place for 14 - 18 year olds, staffed by older teenagers supervised obviously by adults offering friendship social interaction and working on ideas given by participating young people. More Police on the beat. ? Town centres need to be improved. Parking should be easier, charity shops restricted , local independent shops need to be encouraged, local people should be rewarded for supporting
13 | Page local shops, keeping revenue within the community If Lytham Institute and library were reopened it would make an ideal Community Centre, which is lacking in the Town Traffic calming measures on Lytham Road, Freckleton, instead the evening drag racing strip that it is now. Less traffic and more (maintained) cycle paths. Litter and irresponsible dog owners blight my community. we need to address the decline of the high street Can’t think of anything, it’s a lovely place to live. The link road being completed. Not closing multiple maon roads out of the area all at once. Hours of time wasted each week sitting in traffic while commuting to work do not make for happy people. Less nightlife and licenses which extend into the early hours as this effects sleep for those working early mornings. Feeling safe, more for teenagers to do and more places for them to meet to keep them off the streets Drivers obeying speed limits and children(teenagers) being taught to dispose of their litter thoughtfully Reinstate bus services and provide more activity opportunities for children. I love where I live can't improve it! Investing more in the young people. especially teenagers. More cycle paths. GP resources cannot cope with increasing population More communication with other members of the community A lot more things for teenagers to do without costing a lot of money More green spaces Not sure Better cycle paths. More activities for teenagers More access to medical practitioners who are able to give specific advice on arthritis & fibromyalgia. More provision for teenagers and young adults More meetings for the genrl public Less wine bars Better cycle lane provision and safer streets for cyclists/pedestrians. Too much priority is given to the driver and most drivers could cycle many of their journeys. Get the fit out of their cars and there'll be room for the less capable. Dedicated community space & time opportunities to meet up with locals to discuss what matters Tackling the growing problem of social drug use in youth culture
Reducing the number of benefits housing Improved cycle routes throughout the area, more pedestrianised areas away from road traffic. Schools to encourage sports - cheaper sporting facilities. Some streets are not safe to cross for my children to be able to access local parks (in St Annes) and where I live there are no alleys or cul de sacs near by for them to play safely therefore, we have to go out together for them to be able to play outside. More facilities for teenagers to meet up Neighbours that are mindful of nuisance noise (eg radios in gardens and shouting and singing til the early hours every day) neighbours that are mindful of nuisance activities like constant machine/building noise on weekends and evenings. Better areas for Children to play safely MORE VISUAL POLICING ESPECIALLY AROUNG PARKS RECREATIONAL AREAS Events to engage with interested parties in specific areas of interest very happy with it There is not enough FREE amenities in this area for the 13.-17 age group
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More opportunities for young people to be able to get together in a safe environment. Don't know Positive and sympathetic contribution to ending homelessness and begging in our Town Centres Teenagers definitely require more activities or meeting places that would meet their needs. Adults require more activities at the weekends and evenings and it would be useful if more partnerships are sought with places like Lytham Hall to provide more social activities in the evenings/weekends where all age groups can take part. I receive a paper directory regularly promoting local activities already which is great as I don't use Facebook and don't go on-line after a day at work using a PC. More investment needed in St. Annes to encourage new businesses and bring community back to how it used to be. Safer street lighting; walking/running after 6.30pm can feel intimidating and lonely; This is a very open question as it would depend on your own individual needs and as I work my time is limited, but things like Local Link indicate there is plenty in the community trying to make it a better place to live well. More things for adults to be involved with. There seems to be a lot for children and a lot for the elderly but not much for those in between who have not grown up here and who don't have established friendship groups More activities for teenagers or a hub Places for youths to meet instead of the hanging around childrens play areas. Improved health care services. From personal experience, it is always difficult to get an appointment at the GPs. Similarly, I recently spent some time at Blackpool Victoria hospital and I had to wait some time before being allocated a bed and there was little communication with staff and patients. More police on patrol to keep anti social behaviour low, do not let it get out of control Nothing At my age I am more than satisfied with available features around the Fylde, At the moment there is nothing that I need but understand that care for the elderly at a reasonable cost is becoming something of a problem. More schemes to help adolescents feel involved and meet in safe places More affordable exercise places Need a community centre for all ages. The nearest one is the YMCA. A more visible police presence More policemen on the beat Intergration of young and old to form a sense of community spirit More facilities for the elderly. Better policing The appointments system at our GP practice needs overhauling
Better help for those with mental difficulties A bank. Reduce parking on streets Not sure as there opportunity’s for most people where we live Less housing developments being built turning our village in to a town and ruining our green spaces. N\A More outside space to be used by the community More activities advertised People being responsible for their own actions. Eg picking up dog poo and putting it in a bin. Not leave it lying around in the bag. Community centres A hospital with a decent management team. The chief executive and medical director should be first to go. More policing and less door to door, out of town, out of prison sellers They are scary
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More community based activities, get togethers. Police on the streets. Shops not struggling to pay business rates - ie more support for independent shops. more facilities for older people with limited mobility etc. Central community centres for all - a hub. Fewer people visit Fewer new houses without developing more supporting infrastructure. More community news about events etc.
Appendix C – categorised comments
What local resources help you live a healthier life?
Outdoor space
1. Good walking areas handy for shops frequent bus and train services 2. Wonderful coastline, free to walk, it's flat for cyclists and also for wheelchair users 3. Parks and open spaces 4. Nearby beach and children's play grounds, parks, recreation facilities 5. Promenade and Lytham Green 6. Beach, parkland and woodland walks 7. Promenade cycleway 8. Open air, ie; Prom, Lytham Green, Beach etc. 9. Beach 10. Fairhaven Lake, promenade, beach for dog walking 11. Walking in wood with dog 12. The parks are pleasant to walk through and enjoy wildlife, sometimes paths needs clearing of leaves or Bird fouling. On a few occasions dogs running off their leads, and dog fouling, where the DOG owners do not clear up after them . 13. Parks 14. Parks 15. Seaside air! 16. Beach 17. Places to walk and exercise 18. Park area 19. Walking in places such as Fairhaven Lake and Green Drive 20. Having the beach nearby 21. Stanley Park - excellent place for long walks 22. Community walks 23. Ashton gardens, the promenade and Fairhaven Lake 24. Access to green spaces, Fairhaven Lake etc 25. Places to walk are very good 26. The beach 27. Lots of great places to walk. 28. Being in seaside environment with plenty of parks 29. Excellent area for outdoor walking 30. Parks 31. The beach 32. The beach 33. Trees 34. We have the Beach and Promenade, Witch Wood, Green Drive, Lowther Gardens for walking. Park for You youngsters playground, 35. The cycle path from Warton to Lytham but it is poor in places and the road is very busy through Warton before it starts.
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36. Walking and cycling the promenade from Lytham to Blackpool and beyond. 37. The estuary path up to Freckleton all the way from Lytham 38. Plenty of reasonably quiet country roads to walk the dog 39. Living so close to the beach - a free walk along the prom lifts the spirits. 40. Fairhaven lake, Washington park, Lansdowne park 41. Parks, Lytham Hall, Lytham Green, beach 42. Beach 43. Open spaces 44. Plenty open space to enjoy being out in fresh air without having to pay anything ! 45. Walk with dog in local parks and on sea front 46. Open spaces available locally. 47. Lots of parks 48. Open spaces and child friendly areas that enable us to be outside often. 49. Walking 50. Prom for cycling and running, info online for other activities 51. Parks 52. Parks, Beach, cycle path to Blackpool prom 53. PARKS 54. Walking round Fairhaven Lake 55. Lytham Hall, Witch Wood 56. Lovely coastal and green walks on the doorstep but too many tempting cafes! 57. Personally when not working, I enjoy walking 58. Beach, 59. I take advantage of the many green open spaces - I enjoy walking my dog around Warton/St Annes/Lytham. 60. It’s lovely to be a part of a community that clearly cares about its landscapes, open spaces so much! 61. Walking along the front at Lytham 62. Walking area 63. Walking the Lancashire Coastal path 64. Being near to open spaces such as LYTHAM green and the beach 65. Local fresh air it’s free 66. Walking 67. Plenty of places to walk, cycle outside spaces 68. Promenade for walking 69. The beach and beautiful local parks 70. Green spaces 71. Walking 72. Sea air 73. The sea air 74. Excellent out door facilities 75. Plenty of outdoor walking
Gym/sports facilities
1. Sport teams 2. Sports field and facilities 3. Sports clubs 4. Swimming bath as Kirkham 3 miles away 5. Access to the local woods and beach, Lytham Green 6. YMCA gym 7. YMCA 8. Golf courses 9. YMCA pool and gyms 10. YMCA
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11. Cheap gym or fitness facilities. The YMCA is the main one in my area but it is very expensive! 12. Sports facilities 13. YMCA 14. YMCA 15. YMCA fitness facilities 16. YMCA 17. Gyms 18. Being a member of the YMCA 19. Attending the gym 20. Ymca 21. YMCA 22. I'm now a swimming member and swim twice a week 23. YMCA 24. Plenty of gyms, exercise classes 25. Swimming pools 26. Rugby, Tennis, Cricket, Bowls and Football for sports 27. YMCA 28. YMCA 29. YMCA 30. YMCA 31. Local keep fit classes, 32. Well there are gyms & ONE swimming pool but they are expensive to do on a weekly basis especially when you are on a tight budget 33. YMCA 34. YMCA 35. Local tennis club 36. AND LOCAL GYM/ SWIMMING POOL 37. Gyms 38. Fylde Coast YMCA 39. YMCA 40. YMCA offer facilities for indoor sport and classes, as well as swimming pool. 41. Swimming baths and gyms but these are costly and not available to all 42. YMCA – reasonable membership price 43. YMCA, local fitness businesses, diet clubs 44. YMCA 45. YMCA 46. YMCA 47. Exercise classes, Gym 48. YMCA St Annes 49. Swimming pool "Move more 50. Local YMCA Sports Centre 51. The baths 52. YMCA 53. YMCA 54. Lytham Cricket and Sports Club 55. Gym run a water aerobics in a local hotel pool 56. Swimming pool
Community/Groups
1. Fylde Y Women can and other activities organised through YMCA/Fylde BC 2. Walking club
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3. Walking and running groups 4. Running group 5. Support groups, information regarding diet. 6. Park run at Lytham Hall 7. Junior park run at park view 8. Walking groups 9. Y Women Can scheme at the YMCA 10. I attend and share healthier lifestyle choices with work colleagues 11. More information about local groups 12. I have completed a y active course-couch potato to 5k 13. Running club 14. Sporting groups, eg crown green bowling, groups that get together to clear rubbish of the beach. 15. Nordic walking group 16. I help the Warton in bloom to make a nicer environment which gets me outside and meeting people. 17. Plenty of volunteer opportunities and social groups mean we never need to be lonely, so long as we are brave enough to take the first step to join in 18. There are regular sports groups which meet through the week ranging from walking groups to gardening clubs to rehabilitation groups for long term conditions. 19. Walking groups, 20. YMCA activities, walking group etc. 21. Activities, social groups, educational groups 22. Excellent neighbours, good friendly churches and many local clubs 23. Park View Run Together group 24. Local sailing club 25. Lytham Hall Parkrun. 26. Parkview 4U friendly runners 27. Park view 28. Local allotment 29. Local Crown green bowling clubs 30. Just good friends
Health services
1. Access to health services when needed 2. GP surgeries 3. Local pharmacies 4. Access to Hearing clinics at Lytham Hospital 5. Good optician care 6. Access to my GP nearby and my dentist 7. GP is good 8. Doctors, clinic
Other
1. Good food shops 2. Don’t know and would like to know 3. Support for chronic illness to avoid isolation. 4. Transport links, accessible places to eat and leisure activities etc. 5. None 6. Availability and choice of foodstuffs 7. Promotion via Fylde Council's Facebook page 8. Volunteering 9. Libraries
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10. Dance Classes 11. Voluntary organisations 12. Good greengrocers, fish shop, butchers selling good variety of fresh products. 13. Local medical practice 14. Pleased library has reopened. 15. Free smoking cessation, family planning, online advice for example one you 16. Plenty of opportunity for community volunteering 17. Social media is very useful for finding out about local events, groups etc
Appendix D – verbatim comments
What local resources help you live a healthier life? Fylde Y Women can and other activities organised through YMCA/Fylde BC good walking areas handy for shops frequent bus and train services Sports clubs Sports field and facilities Walking club Sport teams Swimming bath as Kirkham 3 miles away Access to the local woods and beach, Lytham Green YMCA gym Wonderful coastline, free to walk, it's flat for cyclists and also for wheelchair users. Parks and open spaces. nearby beach and children's play grounds, parks, recreation facilities YMCA, Promenade and Lytham Green, good food shops Beach,golf courses,parkland and woodland walks.YMCA pool and gyms, promenade cycleway. YMCA A cheap gym or fitness facilities. The YMCA is the main one in my area but it is very expensive! Open air, ie; Prom, Lytham Green, Beach etc. Don’t know and would like to know Beach, sports facilities Walking and running groups Fairhaven Lake, promenade, beach for dog walking Running group YMCA Walking in wood with dog Support groups, information regarding diet. Support for chronic illness to avoid isolation. Transport links, accessible places to eat and leisure activities etc. YMCA The parks are pleasant to walk through and enjoy wildlife, sometimes paths needs clearing of leaves or Bird fouling. On a few occasions dogs running off their leads, and dog fouling ,where the DOG owners do not clear up after them . None Don't know parks park run at Lytham Hall YMCA fitness facilities junior park run at park view Seaside air! YMCA Walking groups, gyms beach
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Places to walk and exercise. Availability and choice of foodstuffs. Access to health services when needed. No idea Y Women Can scheme at the YMCA. GP surgeries Local pharmacies Park area Walking in places such as Fairhaven Lake and Green Drive. Access to Hearing clinics at Lytham Hospital. Good optician care. Access to my GP nearby and my dentist. Being a member of the YMCA Having the beach nearby Promotion via Fylde Council's facebook page & Volunteering I do not use any. I attend the and share healthier lifestyle choices with work colleagues. Stanley Park - excellent place for long walks. Don't know More information about local groups. Attending the gym and community walks Ashton gardens, the promenade and Fairhaven.Lake. Ymca Access to green spaces, Fairhaven Lake etc. YMCA-I have completed a y active course-couch potato to 5k.I'm now a swimming member and swim twice a week. Places to walk are very good . GP is good Running club The beach See above it's just shut down, but there are lots of great places to walk. Being in seaside environment with pleanty of parks None YMCA, sporting groups, eg crown green bowling, groups that get together to clear rubbish of the beach. I don't need help Excellent area for outdoor walking. Plenty of gyms, excercise classes. Libraries. Parks.Swimming pools. Dance Classes. Voluntary organisations. The beach trees Nordic walking group The Beach I think I am capable of finding my own way of making a healthier life We have the Beach and Promenade, Witch Wood, Green Drive, Lowther Gardens for walking. Park for You youngsters playground, The YMCA, Golf Clubs, Rugby, Tennis, Cricket, Bowls and Football for sports Don't know of any The YMCA although there are not many classes at convenient times especially if you work. The cycle path from Warton to Lytham but it is poor in places and the road is very busy through Warton before it starts. Walking and cycling the promenade from Lytham to Blackpool and beyond. The estuary path up to Freckleton all the way from Lytham. Plenty of reasonably quiet country roads to walk the dog. Ribby Hall has lots of outdoor activities and there's the pool and gym. I help the Warton in bloom to make a nicer environment which gets me outside and meeting people. Primary Care Sports facilities Living so close to the beach - a free walk along the prom lifts the spirits. Plenty of volunteer opportunities and social groups mean we never need to be lonely, so
21 | Page long as we are brave enough to take the first step to join in. Fairhaven lake, Washington park, Lansdowne park. YMCA. I don’t access anything other than my go when needed Running groups, parks, Lytham Hall, Lytham Green, beach and YMCA Beach Open spaces Plenty open space to enjoy being out in fresh air without having to pay anything ! Good greengrocers ,fish shop ,butchers selling good variety of fresh products . there are regular sports groups which meet through the week ranging from walking groups to gardening clubs to rehabilitation groups for long term conditions. YMCA- attend gym and walk with dog in local parks and on sea front Walking groups, local keep fit classes, Lots of parks and open spaces available locally. Excellent neighbours, good friendly churches and many local clubs Park View Run Together group well there are gyms & ONE swimming pool but they are expensive to do on a weekly basis specially when you are on a tight budget Local sailing club The sea aie Lytham Hall parkrun. YMCA. Parkview 4U friendly runners Don't know. regular st annes listings ymca park view Open spaces and child friendly areas that enable us to be outside often. Walking Local allotment Lytham Cricket and Sports Club Prom for cycling and running, info online for other activities Local medical practice Noe Parks Parks, Beach, cycle path to blackpool prom YMCA Local tennis club Walking round Fairhaven Lake Not aware of any PARKS AND LOCAL GYM/ SWIMMING POOL gyms and excellent out door facilities I am pleased that the library has reopened. Don't know Fylde Coast YMCA YMCA, Lytham Hall, Witch Wood Lovely coastal and green walks on the doorstep but too many tempting cafes! Personally when not working, I enjoy walking and the YMCA offer facilities for indoor sport and classes, as well as swimming pool. Plenty of outdoor walking, swimming baths and gyms but these are costly and not available to all, Plenty of opportunity for community volunteering. YMCA- reasonable membership price Just me Beach, YMCA, local fitness businesses, diet clubs YMCA I take advantage of the many green open spaces - I enjoy walking my dog around Warton / St Annes / Lytham.
Its lovely to be a part of a community that clearly cares about its landscapes, open spaces
22 | Page so much! none None The whole environment suits my own requirements perfectly. Free smoking cessation, family planning, online advice for example one you. (National) Walking along the front at Lytham Gym, walking area I run a water aerobics in a local hotel pool. Walking the Lancashire Coastal Path. Being near to open spaces such as LYTHAM green and the beach. Local Crown green bowling clubs. Swimming pool. Don't use any my family help and keep my husband and I busy and when ill help all they can . YMCA Ymca Local fresh air it’s free Walking Doctors, clinic. None Exercise classes, plenty of places to walk, cycle outside spaces Gym YMCA St Annes Swimming pool promenade for walking Move more Just good friends Local YMCA Sports Centre The baths Don’t know Social media is very useful for finding out about local events, groups etc The beach and beautiful local parks Green spaces YMCA activities, walking group etc. walking. Activities, social groups, educational groups. YMCA Sea air.
Appendix E – categorised comments
How important is it for local services to work together to improve health and wellbeing in your area? – Please give a reason for your answer
Joined up service/coordinated approach
1. One service/need requires the support - generally of another or impacts upon another therefore all need to work together 2. It's very important to work together, but services are so stretched and fragmented, the people who really need these services often slip through the net. The volunteer sector in any organisation is essential, without them a lot of agencies would not survive- the very word volunteer means it may not be on a regular basis. 3. Organizations need to know what is being done by others for each individual under their care so that they can coordinate treatment and maintain a consistent holistic approach. 4. If everybody is pulling in the same direction things will improve
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5. Quality a d committed working together not just a one off and box tick or photo opp. 6. Without a joined up service nothing will work 7. There needs to be a joined up collaborative approach to health and well-being. 8. Joined up common sense approach to health promotion is required which is lacking in big bureaucracies 9. We need a joined up approach 10. Each sector has their own way of working; sharing ideas would assist in putting good ideas into practice, thereby assisting more of the community. 11. Many conditions or needs are multi agency, not just required from a single service 12. By working closer together they can concentrate on delivery agreed outcomes. At the moment there seem to be initiatives but base lines are to set so evaluation becomes impossible. It seems, sometimes the launching of an initiatives is the import thing not the impact and outcome 13. Better coordination 14. To know what the public want and to work together to help in any way to resolve the problem s. 15. To work together to keep disruption to a minimum 16. local services should complement each other 17. Many residents have more than 1 requirement for support, a cohesive working together by the facilities will help the people most in need. 18. Things always improve with good collaboration and communication 19. If local services work together then more us able to be achieved 20. When local services work together it can only have a positive effect. The ymca and local churches are very active in my area. The wide open spaces-beaches are cleaned regularly by volunteers. 21. everyone is wanting the same outcome 22. Most effective way to make a real difference 23. It takes everyone working together to provide the facilities and to encourage people to use them 24. To have all parties focusing on one common goal 25. If everyone works together change might be made, as opposed to nobody taking responsibility for anything. 26. Integration of services. For example, social care will be of major importance in the future and should be closely working with NHS resources in matters such as timely discharge from hospitals to avoid bed blocking. 27. There is still poor coordination between secondary and primary care 28. To make sure that nobody " falls through the cracks" so everyone gets all the help they need 29. More support and a caring environment 30. If departments don't liaise with each other, things get missed. 31. No matter what it is when people come together with different skills they make a difference 32. More can be achieved by working together 33. All organisations appear to work independently. Need to address each issue by asking all groups what is their contribution to this problem.
Improved health
1. There are a lot of unhealthy people in the area, eg overweight, inactive, smokers, drinkers, drug users, people with poor diet, who will put strain on our services. 2. Everyone benefits from people being fitter and healthier. People are happier, more motivated. 3. Encourage individuals to lead a healthier & more active lifestyle to prevent future health, physical & mental, problems in the future.
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4. If people are unhealthy it can lead to depression and all that goes with it. It can also lead to people being a financial burden on families and the local health service taking meagre funds away from other necessary health services where people can't help themselves. 5. Health and wellbeing are the core of a socio/economic productive and caring community. 6. Necessary to improve life expectancy for our area which is the worst in the country 7. Positive health and wellbeing promotes collaborative communities and a feeling of wellness puts less pressure on GPs and hospitals leaving Services more readily available when they are needed by others. 8. Being unfit unhealthy adds more strain to local services 9. Prevention is better than cure. 10. Improved health and wellbeing will lead to a healthier community reducing the burden on the NHS and increase work productivity by reducing illness. 11. VCSE make a massive contribution to health and wellbeing in the local community, and wellbeing has to move upstream, preventing illness and promoting healthier behaviours - which should be less medicalised and more community-centric 12. We have a primarily elderly population and it’s important to keep them fit & healthy, need every service to work together to give these options to all 13. "Health and wellbeing is within the control of the individual however local services can encourage and incentivize improved lifestyle choices for the benefit of the individual and the community. 14. Poor health affects everything else. 15. There is so much conflicting advice about what constitutes a healthy diet etc 16. Health and wellbeing of local population improves community and desirability of local area to others thus having a positive effect on local community. 17. Healthy life style means people are less likely to access NHS 18. Because we are all stakeholders and poor health impacts negatively on the community and its resources. I notice central government is not included and with their political policy of austerity they are largely having a negative impact on many people's health and wellbeing. 19. Healthier happier people, healthier happier community. 20. It's important that everyone ensure and promote health and wellbeing to maintain a good quality of life for residents. 21. Healthy mind and body leads to less social problems 22. Future health 23. Create a holistic care plan for people with complex care needs and also creating solutions to prevent illness or poor wellbeing. Promoting good health is preventing poor health 24. Enhance wellbeing in all age ranges thus reducing pressure on health care facilities 25. It is important for services to provide facilities to enable residents to improve their health and wellbeing and to promote these 26. To make a better quality of life 27. Healthy people generally cause less strain on an overworked and underfunded system 28. People need to be better supported to live healthier lifestyle 29. Meeting the social needs of the public will help them to feel less isolated and hopefully reduce seeking healthcare services.
Communication/information
1. It's important that local services are all saying the same things so that consistent advice is given.
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2. Local services need to have continuity & communication across all services & individuals. 3. Total lack of communication within the NHS and local hospitals...One department having no idea what the previous has or is doing. Could save thousands if they spoke to each other. Same with the council total lack of urgency 4. Agencies should share information 5. So that general information is circulated 6. helps to share resources and publish information 7. Very important not enough open communication. 8. The public are not informed of decisions made by the above first three organisations. 9. They don't need to work together but they do need to get their messages out to sign- post people so they know what is available and identify cost etc or even free opportunities 10. people can feel very isolated and vulnerable if each organization has no signposting etc 11. GP surgeries can signpost patients to various groups and activities in the area. For example Holland House promotes and organised a dementia friendly sing a long at Lowther Gardens theatre - my father attended via his care home and loved it
Reduce demand/better use of resources
1. It's the only way efficient and effective services can be provided. 2. Best use of resources. 3. to make better use of limited resources 4. Helps identify gaps in services and provide support to cover gaps. 5. Cooperation is vital when resources are finite - health and wellbeing is multifaceted so needs a joined-up approach to make a real difference. For example, schools need support in signposting pupils and families to opportunities outside school 6. It is only by combining resources and thinking that initiatives will stand a chance of getting off the ground. It. Is also more likely that volunteers will come forward if joint public sector leaders are able to demonstrate commitment and the availability of resources. 7. Long term solutions need to be in place to reduce the burden on the NHS over time. 8. No one organisation will be able to reach out to all people so need to pool their contact databases and resources
Less duplication
1. All services should work together to stop duplicating jobs 2. Need joined up thinking otherwise duplication leads to a waste of resources 3. If organizations work together and share information they would be less duplications and repetition which would save money in the long run. 4. Avoid duplication 5. If everybody works together then there is no duplication. It is less likely that areas get missed especially outlying villages with less amenities and transport links. It may be more cost effective to pool resources. Schools have vast underused resources such as theatres, spots halls, music studios, gyms etc that are empty at evenings and weekends. If something is successful in one area it can more easily be replicated. The more people who contribute the more ideas can be generated. 6. No point in each doing their own thing. May be replication/overlap. 7. They need to work together to prevent duplication of services and combine resources and information. 8. Sensible for all to be transparent and not replicating what others are doing or have done and failed.
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Individual responsibility
1. If possible people should take some responsibility for themselves 2. We all need to work together to help and support each other 3. I'm capable of arranging my own wellbeing and do so. 4. It is not the place of local government or state bodies to interfere in people's chosen lifestyles. 5. Health is important. As someone who practises yoga and tai chi and swims two miles a week I feel exercise is the best investment in your health you can make. 6. People should take control of their own health 7. We all need to work together and people also need to go and look as plenty is out there. 8. If local services don't engage with the community they're meant to serve - then we're on the road to nowhere!
Vulnerable groups
1. I am registered disabled and I feel all these are important 2. People as they/we age can become or feel isolated as a result/linked to physical ailments and immobility. Society needs to be kind and considerate to people of all ages. 3. To help less fortunate families feel supported emotionally. 4. Local services have access to lonely, vulnerable, disabled and sick people and disadvantaged people in the community. 5. As I am one of the Boroughs Senior Citizens, and do not have family living locally to help, I want to be sure help will be available for me when I need it 6. Otherwise elderly do not know what is happening. There is a gap here between groups for the elderly and under 60’s 7. As you get older you need a lot more support 8. There isn't enough help for the elderly who live alone. Seen them struggling at supermarkets .out in the streets you can tell by a glance who is coping the ones with money can afford to pay for a good hot meal delivered to their door while the less well-off are struggling to afford good food . It’s a case of do you eat or do you keep warm today for thousands of pensioners.
Mental health
1. Given the rise in Mental Health issues such as anxiety and general Mental Health concerns in the cohorts that I work with it is vital that we all work together on prevention. Also the rise in obesity is an issue as are cuts to Sure Start and School Nursing provision. Also, the unknown impact of GDPR on information sharing needs to be assessed by the close collaboration of professionals discussing the impact of not being aware of disclosures on future provision such as the allocation of support in schools and colleges. 2. Mental health needs more investment and local children with disabilities there are very little amenities and support for families.
Negatives/funding
1. Without infrastructure and resources local services will be hard pushed to improve health and wellbeing. Too many cuts! 2. Currently the above listed services, if they talk to one another, do not take it any further - in other word the right hand does not talk to the left hand. 3. Common sense - but lack of cash seems to put a halt to any realistic changes across the above 4 (a - d)bodies.
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4. All over stretched and under funded 5. That, as you know will never happen!
Other
1. Bring wide range of different levels of care. 2. All encompassing 3. It’s clear important for organisations to work together but I don’t know if or how they do 4. It would be nice to have reduced prices for gyms and swimming pools. 5. To know other people are in same position. 6. Wider opportunities 7. Too many cooks and not enough Indians. 8. Making it a place where people want to live & work 9. I have no knowledge of what is happening on that front 10. Opinions matter. 11. If only it was more like Doctors (tv programme). But that’s a pipe dream. Health and wellbeing can be promoted by communication with other areas of the health services, community projects. Eg Ymca, just good friends to name and the local community. 12. Healthy option should be available. 13. There are such a variety of agencies and charities needed to run this community well. 14. The only place I know to get help is age concern in St Annes 15. "Cycle tracks don't join up and have cars parked all over them; Council / police 16. Park View was a great success; Local action group / Council 17. Cars are out of control and the trains in particular are no longer reliable enough to use. Council / Gov / Health promotion bodies / Schools. 18. New houses in particular have no shops / schools or public transport so people have to drive; 19. Councils / Gov / Planners 20. Hospital escalators should indicate 'The stairs are working today'. Proper cycle tracks & racks, Change facilities and place for wet clothes." 21. I chose "don't know" for Q8 your employer because I am self-employed. I think the CCG commissioning is very poor, often using large, out-of-the-area providers when local providers would have been a better choice and better for the local community (smacks of brown envelopes!!!) 22. Too many cafes/pubs/eateries whilst may be good for taxes, encourage people to eat out and not always make the right choices due to temptations and drink more alcohol. 23. I am unclear how BTH outreach with other voluntary services. They provide rehabilitation groups in community setting for pulmonary and heart patients. 24. Schools and colleges have vast areas of resource that are owned by the community - but no-one other than school staff and pupils set foot in them and then only during school hours - open the doors to others to utilise the facilities. They are publicly owned - but unavailable to the public. 25. The local big employer (Bae systems) does not seem to provide services for non-employees. (Sponsoring Freckleton in bloom hardly makes up for the disturbance of night flights). My employer BTHNHSFT is too far away to benefit me or my family with its meagre efforts to improve staff health. 26. It’s the most trusted source of information 27. The wait for a GP appointment is too long and the fact that you are asked to phone in the morning to request an emergency appointment penalizing working families as the phone is permanently engaged and Freckleton Health Centre seems very underused with few doctors working from there.
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28. I joined GP practice in area recently and had a well-being check. My BMI was 27 and I know I am overweight but they did not report this back to me (I had to chase result) and no info was provided to improve results. I asked for a cholesterol check as it has been high in the past but the readings the receptionist gave were meaningless and she didn't know if they were good or bad, so I am none the wiser." 29. Obvious. 30. Other services are fighting for improvements alone 31. As a local councillor...very important that ALL services are there for everyone. 32. Social services records of failure 33. So that it’s a safer and better place to live 34. Each local service has their own particular expertise in areas of health and wellbeing. More events can be held to advertise this. 35. Keeps community alive and belonging within local area. 36. Talking helps
Appendix F – verbatim comments
How important is it for local services to work together to improve health and well being in your area? - Please give a reason for your answer There are a lot of unhealthy people in the area, eg overweight, inactive, smokers, drinkers, drug users, people with poor diet, who will put strain on our services. all services should work together to stop duplicating jobs It's the only way efficient and effective services can be provided. One service/need requires the support - generally of another or impacts upon another therefore all need to work together It's very important to work together, but services are so stretched and fragmented, the people who really need these services often slip through the net. The volunteer sector in any organisation is essential, without them a lot of agencies would not survive- the very word volunteer means it may not be on a regular basis. Organizations need to know what is being done by others for each individual under their care so that they can coordinate treatment and maintain a consistent holistic approach. Everyone benefits from people being fitter and healthier. People are happier, more motivated. Need joined up thinking otherwise duplication leads to a waste of resources I am registered disabled and I feel all these are important It’s clear important for o ganisations to work together but I don’t know if or how they do People as they/we age can become or feel isolated as a result/linked to physical ailments and immobility. Society needs to be kind and considerate to people of all ages. It would be nice to have reduced prices for gyms and swimming pools. To know other people are in same position. To make a better quality of life If everybody is pulling in the same direction things will improve To know what the public want and to work together to help in any way to resolve the problem s. More support and a caring environment Quality a d committed working together not just a one off and box tick or photo opp. Without a joined up service nothing willbwork It is important for services to provide facilities to enable residents to improve their health and wellbeing and to promote these Wider opportunities Too many cooks and not enough indians. Each sector has their own way of working, sharing ideas would assist in putting good ideas into practice, thereby assisting more of the community.
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To work together to keep disruption to a minimum Integration of services. For example, social care will be of major importance in the future and should be closely working with NHS resources in matters such as timely discharge from hospitals to avoid bed blocking. local services should complement each other If organizations work together and share information they would be less duplications and repetition which would save money in the long run. There needs to be a joined up collaborative approach to health and well-being. Joined up common sense approach to health promotion is required which is lacking in big bureucracies Given the rise in Mental Health issues such as anxiety and general Mental Health concerns in the cohorts that I work with it is vital that we all work together on prevention. Also the rise in obesity is an issue as are cuts to Sure Start and School Nursing provision. Also, the unknown impact of GDPR on information sharing needs to be assessed by the close collaboration of professionals discussing the impact of not being aware of disclosures on future provision such as the allocation of support in schools and colleges. Encourage individuals to lead a healthier & more active lifestyle to prevent future health, physical & mental, problems in the future. Making it a place where people want to live & work All over stretched and under funded The public are not informed of decisions made by the above first three organisations. To help less fortunate families feel supported emotionally. I have no knowledge of what is happening on that front Opinions matter. Many conditions or needs are multi agency, not just required from a single service If only it was more like Doctors(tv programme). But thats a pipe dream. Health an wellbeing can be promoted by communication with other areas of the health services,communtiy projects. Eg Ymca, just good friends to name and the local community. Healthy option should be available. There are such a variety of agencies and charities needed to run this community well. We need a joined up approach The only place i know to get help is age concern in St Annes By working closer together they can concentrate on delivery agreed outcomes. At the moment there seem to be initiatives but base lines are to set so evaluation becomes impossible.It seems, sometimes the launching of an initiatives is the import thing not the impact and outcome When local services work together it can only have a positive effect. The ymca and local churches are very active in my area. The wide open spaces-beaches are cleaned regularly by volunteers. Agencies should share information Cycle tracks don't join up and have cars parked all over them; Council / police Park View was a great success; Local action group / Council Cars are out of control and the trains in particular are no longer reliable enough to use. Council / Gov / Health promotion bodies / Schools. New houses in particular have no shops / schools or public transport so people have to drive; Councils / Gov / Planners Hospital escalators should indicate 'The stairs are working today'. Proper cycle tracks & racks, Change facilities and place for wet clothes. If people are unhealthy it can lead to depression and all that goes with it. It can also lead to people being a financial burden on families and the local health service taking meagre funds away from other necessary health services where people can't help themselves. Health and well being are the core of a socio/economic productive and caring community. Most effective way to make a real difference Avoid duplication
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Necessary to improve life expectancy for our area which is the worst in the country We all need to work together to help and support each other Local services have access to lonely, vulnerable, disabled and sick people and disadvantaged people in the community. That,as you know will never happen! better coordination GP surgeries can signpost patients to various groups and activities in the area. For example Holland House promotes and organised a dementia friendly sing a long at Lowther Gardens theatre - my father attended via his care home and loved it I chose "don't know" for Q8 your employer because I am self employed. I think the CCG commisioning is very poor, often using large, out-of-the-area providers when local providers would have been a better choice and better for the local community (smacks of brown envelopes!!!) As I am one of the Boroughs Senior Citizens, and do not have family living locally to help, I want to be sure help will be available for me when I need it If local services don't engage with the community they're meant to serve - then we're on the road to nowhere! If everybody works together then there is no duplication. It is less likely that areas get missed especially outlying villages with less amenities and transport links. It may be more cost effective to pool resources. Schools have vast underused resources such as theatres, spots halls, music studios, gyms etc that are empty at evenings and weekends. If something is successful in one area it can more easily be replicated. The more people who contribute the more ideas can be generated. Health and wellbeing is within the control of the individual however local services can encourage and incentivize improved lifestyle choices for the benefit of the individual and the community. Re Q8 I don't have an employer so doesn't apply Poor health affects everything else. Positive health and well being promotes collaborative communities and a feeling of wellness puts less pressure on GPs and hospitals leaving Services more readily available when they are needed by others. Too many cafes/pubs/eateries whilst may be good for taxes, encourage people to eat out and not always make the right choices due to temptations and drink more alcohol. Being unfit unhealthy adds more strain to local services No matter what it is when people come together with different skills they make a difference It is only by combining resources and thinking that initiatives will stand a chance of getting off the ground. It. Is also more likely that volunteers will come forward if joint public sector leaders are able to demonstrate commitment and the availability of resources. More can be avhieved by working together . We have a primarily elderly population and it’s important to keep them fit & healthy, need every service to work together to give these options to all I am unclear how BTH outreach with other voluntary services. They provide rehabilitation groups in community setting for pulmonary and heart patients. All organisations appear to work independently. Need to address each issue by asking all groups what is their contribution to this problem. Prevention is better than cure. Many residents have more than 1 requirement for support, a cohesive working together by the facilities will help the people most in need. It's important that local services are all saying the same things so that consistent advice is given. It takes everyone working together to provide the facilities and to encourage people to use them Improved health and wellbeing will lead to a healthier community reducing the burden on the NHS and increase work productivity by reducing illness. Local services need to have continuity & communication across all services & individuals.
31 | Page there is still poor coordination between secondary and primary care So that general information is circulated No point in each doing their own thing. May be replication/overlap. Best use of resources. Schools and colleges have vast areas of resource that are owned by the community - but no-one other than school staff and pupils set foot in them and then only during school hours - open the doors to others to utilise the facilities. They are publicly owned - but unavailable to the public. VCSE make a massive contribution to health and wellbeing in the local community, and wellbeing has to move upstream, preventing illness and promoting healthier behaviours - which should be less medicalised and more community-centric There is so much conflicting advice about what constitutes a healthy diet etc To have all parties focusing on one common goal Without infrastructure and resources local services will be hard pushed to improve health and wellbeing. Too many cuts! Health and wellbeing of local population improves community and desirability of local area to others thus having a positive effect on local community. Healthy life style means people are less likely to access NHS The local big employer (Bae systems) does not seem to provide services for non employees. (Sponsoring Freckleton in bloom hardly makes up for the disturbance of night flights). My employer BTHNHSFT is too far away to benefit me or my family with its meagre efforts to improve staff health. MENTAL HEALTH NEEDS MORE INVESTMENT AND LOCAL CHILDREN WITH DISABILITIES THERE ARE VERY LITTLE AMENTIES AND SUPPORT FOR FAMILIES. Meeting the social needs of the public will help them to feel less isolated and hopefully reduce seeking healthcare services. its the most trusted source of information The wait for a gp appointment is too long and the fact that you are asked to phone in the morning to request an emergency appointment penalizing working families as the phone is permanently engaged and Freckleton Health Centre seems very underused with few doctors working from there. to make better use of limited resources Because we are all stakeholders and poor health impacts negatively on the community and its resources. I notice central government is not included and with their political policy of austerity they are largely having a negative impact on many people's health and wellbeing. I'm capable of arranging my own wellbeing and do so. I joined GP practice in area recently and had a well-being check. My BMI was 27 and I know I am overweight but they did not report this back to me (I had to chase result) and no info was provided to improve results. I asked for a cholesterol check as it has been high in the past but the readings the receptionist gave were meaningless and she didn't know if they were good or bad, so I am none the wiser. If everyone works together change might be made, as opposed to nobody taking responsibility for anything. It is not the place of local government or state bodies to interfere in people's chosen lifestyles. Sensible for all to be transparent and not replicating what others are doing or have done and failed. Currently the above listed services, if they talk to one another, do not take it any further - in other word the right hand does not talk to the left hand. Helps identify gaps in services and provide support to cover gaps. people can feel very isolated and vulnerable if each organization has no signposting etc Things always improve with good collaboration and communication Healthier happier people, healthier happier community. It's important that everyone ensure and promote health and wellbeing to maintain a good quality of life for residents. Healthy mind and body leads to less social problems
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Future health Obvious. Create a holistic care plan for people with complex care needs and also creating solutions to prevent illness or poor wellbeing. Promoting good health is preventing poor health As you get older you need a lot more support Other services are fighting for improvements alone As a local councillor...very important that ALL services are there for everyone. If local services work together then more us able to be achieved People need to be better supported to live healthier lifestyle If departments don't liaise with each other, things get missed. There isn't enough help for the elderly who live alone . Seen them struggling at supermarkets .out in the streets you can tell by a glance who is coping the ones with money can afford to pay for a good hot meal delivered to there door while the less well off are struggling to afford good food . Its a case of fo you eat or do you keep warm today for thousands of pensioners. Enhance wellbeing in all age ranges thus reducing pressure on health care facilities Otherwise elderly do not know what is happening. There is a gap here between groups for the elderly and under 60’s Social services records of failure So that its a safer and better place to live Healthy people generally cause less strain on an overworked and underfunded system People should take control of their own health We all need to work together and people also need to go and look as plenty is out there. Long term solutions need to be in place to reduce the burden on the NHS over time. Bring wide range of different levels of care. They need to work together to prevent duplication of services and combine resources and information. To make sure that nobody " falls through the cracks" so everyone gets all the help they need All encompassing Health is important. As someone who practises yoga and tai chi and swims two miles a week I feel exercise is the best investment in your health you can make. Each local service have their own particular expertise in areas of health and wellbeing. More events can be held to advertise this. If possible people should take some responsibility for themselves They don't need to work together but they do need to get their messages out to sign-post people so they know what is available and identify cost etc or even free opportunities No one organisation will be able to reach out to all people so need to pool their contact databases and resources Cooperation is vital when resources are finite - health and wellbeing is multifaceted so needs a joined-up approach to make a real difference. For example, schools need support in signposting pupils and families to opportunities outside school Total lack of communication within the NHS and local hospitals...One department having no idea what the previous has or is doing..Could save thousands if they spoke to each other..Same with the council..total lack of urgency everyone is wanting the same outcome Common sense - but lack of cash seems to put a halt to any realistic changes across the above 4 (a - d)bodies. helps to share resources and publish information Very important not enough open communication. Keeps community alive and belonging within local area. Talking helps
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