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Making the Most of NHS Outdoors Estate for Health and Wellbeing the Green Exercise Partnership Parklands, Woodlands, Grasslands Each of the Health Boards

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Making the Most of NHS Outdoors Estate for Health and Wellbeing the Green Exercise Partnership Parklands, Woodlands, Grasslands Each of the Health Boards November 2019 | Issue 6 National Boards Collaborative News from the National Boards Collaborative Making the Most of NHS Outdoors Estate for Health and Wellbeing The Green Exercise Partnership parklands, woodlands, grasslands each of the health boards. In total, is a joint venture between and farmlands – much of which greenspace improvements have Scottish Forestry (formerly has been gifted or left to the NHS been delivered across 87 hectares of Forestry Commission Scotland), in legacies for the benefit of NHS the NHS estate including: Scottish Natural Heritage, NHS staff and patients. The NHS outdoor estate is a valuable public asset. • 46 hectares of woodland National Services Scotland and Partnership working between the NHS Health Scotland. health and environment sectors is brought back into sustainable management The Partnership aims to build showing how to make greater use of links between the health and this resource to improve the health • 11,000 trees planted in environment sectors, following and wellbeing of staff, patients, woods and along walkways visitors and the wider community. growing evidence that public and parklands health can be improved by getting With £3 million of funding from people engaged with the natural Scottish Government, NHSScotland • Four therapeutic gardens created environment. Through its Greening Health Boards and the Green • 1.4 hectares of wildflower the NHS Estate programme, the Exercise Partnership, greenspace meadow created Partnership aims to establish at least interventions were delivered at 13 one project in each of the eleven sites across ten mainland Health • 20km of new / upgraded paths mainland Area Health Boards to Boards with other sites identified • 3.2km of all abilities trails created show the health benefits that flow for future implementation by NHS from positive investment in and Shetland and NHS National Services • 50 new seating and rest areas management of the NHS estate – Scotland. The Partnership also the greenspace around hospitals provided assistance to each Health • Interpretation panels, site maps and healthcare centres. Board to undertake landscape and walking leaflets produced NHSScotland has over 164,000 assessments, appraisals and ’master individual staff, and its estate is one planning’ of the estate to develop Overall, the NHS Greenspace of the biggest in Europe, with over priorities for future greenspace Demonstration Project has shown 1,500 buildings including circa improvements across one or more how the contribution of greenspace 200 hospitals and assets of their sites. assets to health and wellbeing, worth over £7.2 billion. Considerable progress has been biodiversity and climate can be These public assets include made with a range of inspiring better realised through both large greenspace in the immediate projects across a diversity of health scale improvements as well as hospital grounds as well as wider and care settings delivered by simple and small scale changes. 1 A small country using informal networks and opportunities for collaboration Global Citizenship: Scotland’s International Development Strategy – Linking The State Hospital / Forensic Network with Pakistan Psychiatric Association. International development is a key part of Scotland’s global contribution within the international community. It encompasses our core values, historical and contemporary, of fairness and equality. It is about Scotland acting as a good global citizen. As the First Minister said in announcing Scotland’s commitment to the global goals: “Scotland cannot act with credibility overseas if we are blind to equality here at home. And our ambitions for a fairer Scotland are undermined without global action to tackle poverty, promote prosperity and to tackle climate change”. Learning about partners homosexuality and transexuality Creating clear and robust including restrictions and still need attention. partnership arrangements limitations As a small country, we are also According to the World Health Honouring requests and keeping better able to take advantage Organization figures about promises of informal networks and Pakistan, there could be 20 million In October 2018, Dr Khan opportunities for collaboration, people who could suffer from delivered lectures on the interface and to share learning. This mental illnesses and 0.2 million of between mental disorder and enables collective action and them suffer from severe mental a partnership approach – the illness. offending in Pakistan to mental health and legal professionals. network of connections Scotland There are only 500 psychiatrists; Following a request by the PPS to and Malawi have built up since the many of them only have limited time of David Livingstone is an exposure without any formal develop a structured programme excellent example of this and an training of qualifications in for Pakistan’s mental health and invaluable tool for development. psychiatry to meet this demand. criminal justice professionals Our priorities are to encourage Most of the population resides (similar to the Scottish Approved new and historic relationships, in rural areas but most of the Practitioners Courses), he ran a engage the people of Scotland, services are concentrated in cities. two day programme in October enhance our global citizenship The social services are geared 2019 in Karachi. and empower our partner towards physical rehabilitation The teaching seminar adapted a countries (Pakistan, Malawi, and there are no psychiatric social Zambia and Rwanda). workers for mentally ill patients. section from the Pakistan Penal Dr Khuram Khan, Consultant Code and scenarios were used to Forensic psychiatry specialties are facilitate engagement between Forensic Psychiatrist represents still not developed and currently solicitors and mental health The State Hospital in his role there is no facility that offers as a Champion for the global elective for health law. There professionals. This programme is citizenship progamme of the are certain other challenges now scheduled to run in Lahore in Scottish Government (supported in the law such as the issue of February 2020. by Professor Lindsay Thomson, suicide as well as the disparity There have been plans for other Medical Director at The State between Sindh (Pak) Mental Psychiatrists / Psychologists from Hospital). He has established Health Act and Pakistan penal links between The State Hospital, code about the course of legal The State Hospital to engage the Forensic Network, and the action for attempted suicide. with counterparts in Pakistan to Pakistan Psychiatric Society (PPS). Other sensitive areas such as facilitate learning. Newprogramme ihub directory Health Improvement Scotland website is regularly updated to (HIS) works in partnership include information on new work. with health and social care All the improvement organisations to redesign and collaboratives include a learning improve services in local areas. network and a number of stand- A new programme directory has alone learning networks also been launched explaining the support work across the country. services that are available. Our fourth type of improvement It describes the four main types work is bespoke support, of improvement work and lists which meets a specific need for transformation within a local nearly 40 current improvement system. programmes. Download the programme Prototyping and improvement directory PDF for a more collaboratives have been set detailed explanation of our four up to meet emerging priorities. main improvement approaches, Current programmes are listed in along with the full list of current the programme directory and the improvement programmes. A public health approach to justice Around 500 delegates from Chair of NHS Health Scotland, “We want to make a difference all over the world gathered David Crichton, said: in communities across Scotland in Edinburgh for a major “We know that people in by reducing reoffending and conference aimed at changing custody are disproportionately changing lives for the better, lives by strengthening links affected by health inequalities. and we know that key to between public health and the For example, 49% of women doing this, is to take a public justice system. Delegates met to and 23% of men in custody health approach. This includes promote collaborative working experience anxiety and addressing adversity in between frontline services, depression compared to 15% childhood, challenging poverty, public health, justice workers, of the general population. tackling poor housing and academics, policy makers and We also know that issues like ensuring that everyone can people with lived experience. problem drug use, mental ill enjoy their right to the highest NHS Health Scotland Chair, health and violence cut across sustainable standard of health. David Crichton, who is also a many aspects of society and “We will continue to work Scottish Police Authority Board organisations, and whilst with the Scottish Government, Member, and Police Scotland many public health and justice Community Justice Scotland Chief Constable Iain Livingstone, practitioners see the same and other justice partners, attended opening session, which people, they tend to view the particularly in health and social featured the latest research issues through different lenses. care, to improve the health and frontline perspectives on and wellbeing of the people key issues like mental health, of Scotland, including those childhood trauma, drug use, involved in justice system, violence and harm victims
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