For further copies of this report please contact: Emma Thomas Tel: 0151 443 4987

Health & Social Care Headquarters Nutgrove Villa Westmorland Road Huyton L36 6GA www.knowsley.nhs.uk www.knowsley.gov.uk

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Our Community’s Health | Real Lives | The Future Foreword We are pleased to present to you Knowsley’s Public Health Annual Report for 2007. The report has been written jointly by the Director of Public Health, the Executive Director of Children’s Services, and the Director of Health and Social Care, since we are all working together to improve the health of the population.

This report, Healthier Together, looks at each of the geographical areas in Knowsley, and considers their history, the current issues, the health challenges and the future developments. We hope this will give people more of an understanding of life in each area within Knowsley. This report gives a flavour of the wonderful mix of organisations in Knowsley, all working together to improve life for local people. An enormous amount of regeneration is taking place, which will result in great improvements in the quality of life for local people.

Many aspects of life are already improving for Knowsley residents, and this is being reflected in improving health.

We hope you find this report interesting and informative.

Contents

04 Kirkby

16 Huyton

28 Prescot, Whiston, Cronton & Knowsley Village

Dr Diana Forrest Damian Allen Jan Coulter 36 Halewood Director of Public Health Executive Director of Director of Health Children’s Services and Social Care 42 Contributors

43 Useful Contact Numbers

Building a Healthier and Happier Knowsley Community 43 Acknowledgements

NB: Real names and pictures are not being used for the stories in this report. The stories are true, but names and pictures have been changed to protect confidentiality. Kirkby

Wards North Kirkby: Northwood, Park and Shevington South Kirkby: Cherryfield, Kirkby Central and Whitefield Population North Kirkby: 21,800 South Kirkby: 21,000

Sandy Brow Farm c.1920’s © Knowsley Library Service

Past It is thought that there has been a settlement at Kirkby since at least the 9th century, Sixteen new schools were needed for the children and young people who made up a high with the earliest known chapel dating from 870 AD. Norse people arrived and settled proportion of the population. At the peak of development, the town also had 15 churches, in Kirkby (via Ireland) around the same time. Up until the 20th century, the area remained 13 pubs, 12 doctors’ surgeries, 3 clinics and 6 banks. However, the provision of amenities rural with a population of less than 1,000 and farming as the main occupation. did not keep pace with the rate of housing development and population influx. For example, the first permanent shops were not opened until 1955. At the start of World War Two, a Royal Ordnance Factory was built on 12 farms in the area to provide munitions. There were 32,000 workers when production was at its height. As the population grew, it became clear there was a risk of overcrowding on the new estates. Most of the workers travelled in from surrounding towns, although a few homes were In the 1960s an additional estate was built at Tower Hill, on the northern edge of the town. built for managers and key staff. Initially, all homes were rented. In recent years, however, the housing mix in Kirkby has changed, When the ordnance factory closed, Liverpool City Council began to develop an industrial estate with many new homes built for sale. In particular, the area north of Shevington Lane, Tower Hill, on the site. In 1947, industries in Kirkby included paint manufacture, kitchen cabinets, aluminium has been extensively developed. Another 300 new homes, mostly for sale, will be built as part products and engineering works. It was the presence of these employment opportunities which of the planned regeneration of Tower Hill. helped Liverpool identify Kirkby as the location for housing development. Throughout this time the industrial estate has had mixed fortunes. It was developed and During the 1950s, Kirkby was greatly expanded by Liverpool City Council, with three new estates extended to house a wider range of businesses, then suffered decline during the high built to address housing shortages in the City. The population of Kirkby rose rapidly from 3,145 unemployment of the 1970s and 1980s when many factories closed. Over the past 10 years it to 52,088 by the early 1960s. Kirkby Urban District Council was created in 1958 to manage has been growing again, attracting new companies providing services as well as manufacturing. the new town.

4 Kirkby Kirkby 5 Present Achievements Key Issues Residents in Kirkby are benefiting from a number of new services and facilities. There are two Area Partnership Boards for Kirkby (North and South), each with their own Tower Hill Primary Care and Community Resource Centre, for example, opened in membership and locally based team of officers. Due to the many similarities across the town, December 2005. The building brings health services and community facilities under however, the two Boards have agreed the same priorities for action. one roof. There are two GP practices, health and social care services, a pharmacy and a wide range of clinics on one side, with community and leisure facilities on Reducing crime and anti-social behaviour has been a focal point of action for the police and other partners. Work undertaken by the police in the community has helped in preventing the other. Community and youth groups regularly use the building for activities. and detecting crime, as well as reducing anti-social behaviour. Kirkby also has a new Sports Centre, right on the edge of the town centre. In terms of health, both men and women in Kirkby have a lower life expectancy than the It replaces the separate leisure centre and swimming pool, offering a wider range Knowsley average. More adults in the town smoke compared to the Borough average, of activities. In its first three weeks, 1,161 adults registered to use the centre. and smoking rates are significantly higher than the national figure. Rates of smoking are The number of young people using local sports facilities has gone up from 1,500 highest amongst those who are unemployed or have never worked. to more than 3,000 since the centre opened in September 2007. South Kirkby has the highest levels of binge drinking and North Kirkby the highest teenage pregnancy rate of the six Area Partnership Boards in Knowsley. With this in mind, helping to The latest new service for residents is Kirkby Walk in Centre, which opened in give young people positive opportunities and activities that they can take part in is a priority December 2007. Based in St Chad’s Clinic in the town centre, it is staffed by nurses for both South and North Kirkby. This includes work to reduce alcohol and substance misuse who can provide treatment for minor illnesses and injuries. and teenage pregnancy.

Both North and South Area Partnership Boards have also been involved in a major consultation about the redevelopment of Kirkby Town Centre. Knowsley Council arranged wide consultation, Stop Smoking Service the results of which have been used to develop a draft vision for the new town centre. Smoking is the major cause of ill health and early deaths in Knowsley and is a particular problem Better public transport, building new schools and improving the environment are also key issues. in South Kirkby, where smoking rates are much higher than the Knowsley and England averages. South Kirkby residents suffer from a number of smoking-related health problems, including heart disease, cancers and breathing difficulties.

There is a range of services to help people to quit smoking. Some are based in pharmacies and GP practices, while the Roy Castle Fag Ends stop smoking service offers free support at community venues across the area. Health Trainers are on hand to support anyone who needs help with going to the services. Another team of smoking cessation workers go into schools, colleges and youth centres to tackle the problem as early as possible.

Both smokers and non-smokers can get involved in the Knowsley Smoke Free Community initiative. The aim is to make it easy for people to get information about how becoming smoke free can benefit everyone. As many homes, buildings and community groups as possible will be encouraged to become smoke free and display the Smoke Free message.

6 Kirkby Kirkby 7 “It’s great to know that there’s someone there to support you.” Real lives Carol and John Support to stop smoking

Carol and John are a married couple, both in their mid 40s. They are carers for their son, who has mental health problems. Both Carol and John had smoked up to 20 cigarettes a day since they were teenagers. The couple decided to give up smoking in July, after the ban came into effect. Publicity about the ban had made them more aware of smoking related issues and they felt it was the right time to make this change to their lifestyle.

Carol was worried about the effect smoking was having on her son, who did not smoke, and about who would look after their son if they became ill. John was also worrying about the financial cost of smoking. He thought they would benefit if they gave up, maybe even being able to afford a family holiday.

Giving up smoking at the same time as her husband was a big help to Carol, who was a very anxious person with little confidence. She felt that having support from John enabled her to take the positive step. Although Carol and John both attended the Roy Castle Fag Ends drop in session at Westvale Community Centre, they had to go at different times so one of them could stay at home to care for their son.

After his first appointment, John encouraged Carol to attend. They then both became regulars at the sessions. During the 12 week programme John seemed to cope really well and adjusted to his new routine of being smoke free. Carol struggled a little more and would often praise her husband for his achievements, rather than recognise her own success in staying quit. The Fag Ends advisor provided continuous support and encouragement to Carol, praising her successes and helping to build her confidence and self belief, as this was the key to keeping her from relapse.

Thirteen weeks on and neither John nor Carol has started smoking again. They know that although the medication side of the service has finished, they can still go to the sessions for support whenever they feel it is needed.

John now insists all visitors must smoke in the garden, as since he stopped smoking the house smells so much better. Carol has commented that she is worried about putting weight on, as she feels she is enjoying food more now she has stopped smoking.

8 Kirkby Kirkby 9 Community Matron Service In South Kirkby, as elsewhere in Knowsley there are large numbers of people living with long term health conditions, such as Chronic Obstructive Pulmonary Disease. This is a condition mainly caused by smoking that makes it difficult to breathe and simple tasks become hard to do. Real lives A Community Matron Service has been developed to help improve quality of life and increase life expectancy of people suffering from long term conditions. The Community Matrons are part How a Community Matron can help of a team that assess people’s needs and arrange support from the right agencies to make sure they receive the help they need. There are more than 1,000 people benefiting from the service in Knowsley as a whole. Agnes has lived with her husband in their own home for the past 35 years. Their four children have grown up and left home. Agnes has suffered from Chronic Obstructive Pulmonary Disease for the past few years and she has also developed heart failure. Her condition has led to Agnes experiencing frequent chest infections, often leading to her being admitted to hospital. A Community Matron now visits Agnes regularly, performing a clinical examination and prescribing medication if required. This reduces the number of times Agnes goes into hospital.

When Agnes had a chest infection she found it difficult to wash and keep herself clean. Health care assistants attached to the community matrons have helped Agnes to maintain her usual standards of personal care. Over the last six months Agnes’ health has deteriorated and social services have now been asked to arrange for Agnes to have long-term assistance with her personal care.

As Agnes has lost weight gradually over a period of six months, the community dietician visits her to help with her weight control and diet. In addition, an occupational therapist assessed Agnes and her home to decide what equipment would improve her quality of life. Bathing equipment, a perch stool, a zimmer frame and stair rails have all helped.

Agnes’ breathlessness made it increasingly difficult to go out and about and she was no longer able to go to the shops or visit her local social club. A wheelchair has greatly improved her quality of life and her family are now able to take her where she wants to go.

Managing Agnes’s health problems and coordinating the input of specialist services have greatly improved her quality of life. There has also been a positive effect on her husband’s wellbeing as he now feels supported in the care of his wife.

“I haven’t had to visit hospital so much since I had a Community Matron.” Agnes

10 Kirkby Kirkby 11 Working with Young People – THINK clinics and THINK in a Box clinics THINK clinics were initially developed in Knowsley to provide young people with specialist sexual health clinics where they could get contraception and advice on sexually transmitted infections. The clinics are expanding and now provide alcohol and substance misuse services and referrals to other agencies. There are now plans for the clinics to offer an even wider range of health related services for young people, such as smoking cessation.

Two clinics are held each week in Kirkby Health Suite and are well attended. They are staffed by specialist doctors, nurses and youth workers. It was recognised, however, that not all young people can travel to the town centre to get advice and information from these clinics so it was decided to provide ‘mini clinics’ in local youth centres. THINK in a Box clinics take the services to young people in environments they can get to easily and where they feel comfortable. These are particularly useful for young people who may feel embarrassed at going to a town centre clinic.

Tower Hill and Northwood Youth Centres both have well established THINK in a Box clinics. Staff at the centres have run health awareness sessions to promote healthy lifestyles and the availability of support from THINK clinics, particularly around the links between alcohol/ substance misuse and risk taking behaviour.

In the first three months of running the THINK in a Box clinics in Kirkby, 61 visits were made by young people. The majority of these (51) were young women. The services that are most requested from these sessions are health education and advice, highlighting the importance of providing clear health messages about preventing unplanned pregnancies and sexually transmitted infections. Condoms can also be distributed. Real lives Healthier lifestyles for young people

Laura is a fifteen year old young woman from North Kirkby. She wasn’t attending school very often and didn’t have much ambition. She was also drinking nearly every day and not practicing safe sex. She attended one of the THINK clinics in Kirkby where the youth worker discussed Laura’s sexual health. Laura was asked for permission to involve the clinic’s alcohol and substance misuse nurse in her consultations. Together they set some goals to help her stop binge drinking and practicing unsafe sex. In particular, the staff worked with Laura around issues such as delaying sexual activity, self esteem, peer pressure, losing control and relationships.

From these consultations, Laura now feels that she has the information and confidence that she needs to make her own decisions about sex and drinking too much. She also knows where to go “Now I’m a lot more confident, and enjoy helping if she feels that she does need help, and tells her friends where they can get help.

other young people when I can.” Laura has become a peer mentor, talking to other young people about her experiences and Laura supporting them to go to the clinics. She will also work with the Sexual Health Youth Work Team as a peer mentor when they provide information sessions for young people.

12 Kirkby Kirkby 13 Healthy Schools Kirkby will also benefit from the major Building Schools for the Future programme which gets underway soon. The building work is the culmination of many years of planning to provide Work is also going on in schools to improve the health and well-being of young people. education centres fit for the 21st century. Ruffwood School, for example, is working towards achieving the Healthy Schools Award by January 2008. This national programme aims to make a difference to the health and achievement There will be two new Learning Centres in Kirkby, replacing the three existing secondary schools. of young people by supporting them to reach their potential. The programme also promotes Kirkby Community Learning Centre, due to open in September 2009, will be on the site of the learning and healthy lifestyle choices. A key aspect of the Healthy Schools Programme is existing Brookfield School. It will serve the Kirkby community for education of 11 to 16 year olds, Personal, Social and Health Education. Subjects covered include alcohol and substance misuse, specialising in sports. The second will open in January 2010, on the site of the existing Ruffwood sexual health and emotional health and wellbeing. School. This Learning Centre will specialise in business and enterprise, serving the Catholic community of the area for education of 11 to 18 year olds. Ruffwood School has a dedicated Personal, Social and Health Education teacher who works with the Healthy Schools Team to deliver an imaginative and progressive curriculum. This teacher Both Learning Centres will be available for use by the wider community until late in the evening, worked with the Team to organise an event to highlight sexual and emotional health in January at weekends and during school holidays. They will also act as a base for some services to 2008. Ruffwood School is currently the only secondary school in Knowsley that is delivering children and families. the SEAL (social and emotional aspects of literacy) resource. Delivery of many other services in Kirkby is set to improve with the introduction of patch The Healthy Schools Team also works in Primary Schools in Kirkby. All of these schools have management. Work has been done in recent months to identify natural communities in the area. achieved the Healthy Schools Award or are working towards it. For children in primary schools, These communities, or patches, will form the basis of the new approach to neighbourhood the Programme promotes healthy lifestyles, including healthy eating, emotional well-being management. Potential problems will be identified and understood at a very local level and and understanding puberty. then addressed through creative interventions and initiatives.

Information packs about growing up are given to primary school children and their parents. Neighbourhood Wardens, Police Community Support Officers, Pride Team Members, School/Public Health Nurses also provide information sessions for parents. Feedback from Board Members and Ward Members come together to form teams for each patch. parents has been positive, with one parent from North Kirkby saying “I wish we had this They meet to discuss and share information and local knowledge on how concerns will when I was growing up.” get resolved. They will carry out a series of joint patch inspections (Street Scene Scans and Fear of Crime Surveys) and develop appropriate action plans. This in turn will help to develop a feeling of community, and support the work of Councillors to create The Healthy Schools Adviser said, “The puberty packs are a great resource for better, safer communities. parents so that they can use the leaflets as an opener for talking about puberty with their children, and this supports the delivery in school.“

Future Although a lot has already happened to improve life for people in Kirkby, there are many more plans to make things even better. Some of the key initiatives are outlined below.

There are likely to be major changes to Kirkby Town Centre over the next few years. Knowsley This section of the annual report has been written by Liz Gaulton and Susie Gardiner Council is consulting local residents on a Draft Interim Policy Statement for the Town Centre. This will set the framework for considering proposals for developing the area. Suggested uses for with contributions from Clare Aspinall, Alison Cook, Joanne Cotter, Mary Farrell, an extended town centre include a stadium, shops, leisure facilities and housing. A health impact John Ghader, Paul Marshall, Laura Moore, Janet Rhodes, Lorraine Rimmer, assessment will be undertaken of proposed developments to maximise the positive health Steve Stewart and Ian Whiteside. benefits and minimise any potentially negative health implications. For further information about this section of the annual report please contact: Liz Gaulton on 0151 443 4910 or Susie Gardiner on 0151 443 4846.

14 Kirkby Kirkby 15 Huyton

Wards North Huyton: Longview, Page Moss, Stockbridge and St. Michaels South Huyton: St. Bartholemews, St. Gabriels and Swanside Population North Huyton: 30,700 South Huyton: 27,800

Huyton Station c. 1860 © Knowsley Library Service

Past The townships of Huyton and Roby were both mentioned in the Domesday survey of 1086. North Huyton is mainly residential, stretching from Stockbridge Village to Mosscroft. Most of Huyton was listed as Hitune meaning ‘High Town’ and Roby as Rabil, meaning boundary farm. the area was developed from the 1930s onwards when Lord Derby sold land to Liverpool Spellings changed several times over the next few centuries before settling on those used today. Corporation, expanding the ancient township of Huyton. Many of the current estates were From the late nineteenth century the area was generally referred to as Huyton-with-Roby as built by the Corporation over the next 20 years. the two townships were joined together for administrative purposes. Stockbridge Village differs from the rest of the area. Originally built in the 1960s and called Transport has played an important part in the development of the area. In 1726 the new turnpike Cantril Farm, it soon suffered from problems related to design, layout and construction. In the road between Liverpool and Prescot passed through Roby. Just over a hundred years later, the early 1980s the area underwent significant investment. It was given a new name and a new Liverpool to Manchester railway was built through the two townships, bringing new industries and landlord. Unpopular properties were demolished. opportunities. The line is still an important link in the national network. Today the M62 and M57 motorways pass through the area, meeting at the edge of Huyton industrial estate. Although there is an increasing number of privately owned homes, a high proportion of people in North Huyton live in social housing managed by Knowsley Housing Trust and Villages Housing. During the 19th century, quarrying and coal mining took place in Huyton and other industries moved into the area. Short streets of terraced housing were built nearby to house the expanding In 2001, part of the area was chosen for the New Deal for Communities programme, covering workforce. Some of the terraces remain, while many more homes have been added for sale and about one-third of the North Huyton population. The £55.8 million programme is designed to to rent in the area around the industrial estate. reduce deprivation in the area and improve health, housing, environment, education, employment and community safety. Roby has remained a residential area. Over the years many new homes have been added to the original settlement, with the majority of housing being owner occupied. Present In the 1960s there were major changes in Huyton town centre. Many old buildings were Huyton is covered by two Partnership Boards (North and South). The areas have different key demolished to make way for a new shopping centre to serve the area. Derby Road has since issues and priorities. been pedestrianised and a larger shopping area has recently opened.

16 Huyton Huyton 17 Housing Renewal in the New Deal for Communities Area North Huyton Providing a decent standard of housing for all residents is a key outcome for the New Deal for Communities. A housing-based masterplan for the New Deal for Communities area is by far the Key Issues largest project in the programme. When the New Deal for Communities was created, there were North Huyton has the highest population of the six Knowsley areas and some of the poorest 400 derelict and burnt-out properties. These have all been demolished as part of an overall plan health. A higher percentage of people in North Huyton smoke, compared to the Borough to clear 1,200 homes (mostly rented) and replace them with 1,450 homes, mostly for sale. average, and more die of heart disease. On average, men in North Huyton will die younger than those elsewhere in Knowsley. Life expectancy for women is the third lowest in the Borough. In 2003, residents and agencies carried out a Health Impact Assessment of the housing renewal plans to identify the positive and negative effects of the work, on local people’s health. One of Children in the area are least likely to have been breastfed and have the highest number of the key issues identified was the need to provide co-ordinated support to the elderly, disabled decayed, missing and filled teeth in Knowsley. and other vulnerable residents who were being re-housed as part of the scheme. A new way of working was developed to ensure residents received the services and care they needed. The Area Partnership Board has made reducing childhood obesity one of its priorities and will build on the work already going on to improve health through New Deal for Communities. Every affected resident (tenants and owners) was visited by a housing officer who gathered For example, increasing breast feeding can reduce obesity and, in time, levels of heart disease. details of their current homes. Residents were also asked about their health and any services they Reducing smoking and improving the dental health of children are key areas of work for had, such as a district nurse or meals delivery. With residents’ permission, information was shared New Deal for Communities. between partner agencies, including the New Deal for Communities, Knowsley Housing Trust, Knowsley Primary Care Trust and Health and Social Care. Other priorities for the Area Partnership Board are to increase the number of people in work, support residents to improve their skills and reduce levels of crime and anti-social behaviour. Every two weeks, a multi-disciplinary team chaired by the New Deal for Communities Health Work on all of these could also help to improve health. For example, smoking in the area is Project Manager met to discuss the needs of residents due to move and ensure care packages more common among those who do not work. Supporting people into work could help to moved with them. The team has already tracked and supported more than 200 of the 366 reduce the number who smoke. households identified as needing this intensive support.

The process developed by the team has made a big difference to the lives of people affected by moving house. It also allows the adult social services team and Primary Care Trust staff to plan Achievements support, rather than react to crises resulting from a move. Residents in North Huyton were the first in Knowsley to benefit from services being planned and delivered at a local level. Through New Deal for Communities a number of new ways of working have been developed and tested. These include involvement of the community in planning what should happen. The learning and good practice is now being spread to the rest of North Huyton and to the Borough as a whole.

Involving young people in identifying what was needed and increasing staff and services in the area led to a marked reduction in the rate of teenage pregnancies. Work to reduce teenage pregnancy in the New Deal for Communities area won a national award in 2007 from the Municipal Journal magazine.

North Huyton is also benefiting from new buildings to deliver health services. The Longview Primary Care Resource Centre opened in 2007, providing GP surgeries and a range of other services. A larger centre is now being built at Page Moss.

18 Huyton Huyton 19 On moving day, Joe was taken to a support worker’s home so he could relax while the removals team did their job. Joe was then taken to the flat and immediately felt comfortable and safe. He still gets a lot of care because of his mental health, but does not have any problems with Real lives his new home. Alice, 55, was visited by a member of the IKAN team to assess what support she needed. Her sister, Sally, 60, was with her for the visit and talked about problems with her own home. Sally, Making it easier to move who had a number of health problems, was one of the last residents waiting to be moved from a demolition area. Her home was cold and in poor repair. Through the joint agency meeting, urgent repairs were dealt with and Sally’s living conditions were vastly improved. Joe, 71, lived in a flat which was due to be demolished. He had mental health problems and did not want to move – he felt safe and secure in his home. Joe had not been out of Football Coaching in Stockbridge Village his flat for several months and was verbally aggressive when his carers talked about moving. Stockbridge Village has become the home of a new football-based community scheme called Three weeks before the move, the assistant care manager became involved, spending time with Kickz, linking the power of football and the appeal of the Liverpool and Everton football clubs. Joe to gain his trust. Gradually, Joe accepted that he would be going to a new, much better Kickz aims to target some of the most disadvantaged areas of the country to create safer, flat in the area. Joe would not visit the flat, so the assistant care manager took photographs of stronger more respectful communities through the development of young people’s potential. the inside and outside to show its quality and security. The photographs helped Joe feel more positive about the move. The scheme is designed to involve young people in constructive activities and increase playing, coaching and officiating opportunities for those taking part. It is also hoped the project will break down barriers between the police and young people, leading to reduced crime and anti-social behaviour in the neighbourhoods. Taking part can give young people a way into education, training and employment. They may also be encouraged to volunteer with other projects throughout the area.

Twenty-four young people said they were interested in learning football coaching skills. Everton Football Club gave them all the opportunity to complete an accredited football coaching course. The skills they learnt are being put to good use in the community as the young people are running an inter-school football competition. It is hoped this will become an annual event. The new skills and enthusiasm are encouraging young people to get active and involved in their community.

“I didn’t want to leave but now I’ve got a much more comfortable home.” Joe

20 Huyton Huyton 21 South Huyton Key Issues Compared to other areas in Knowsley, residents in South Huyton have better health and are likely to live longer. Levels of teenage conceptions, low birth weight, tooth decay, and smoking are all lower than the rest of the Borough. Health in the area is still worse than the rest of the country, however, with significantly higher levels of respiratory disease and coronary heart disease than the England and Wales average.

South Huyton Area Partnership Board has identified anti-racism, community cohesion, anti-social behaviour and youth provision as priorities. Work has been going on to raise awareness, engage and involve residents in community activities. There have also been initiatives to improve the look and feel of life in the area. These have included tackling trespassing, putting up extra security fencing, a blitz on graffiti, crackdowns on fly tipping and general clean ups. In addition, alley gates have been installed in some parts of the area to reduce problems of crime and anti-social behaviour.

Achievements

Manor Farm Primary Care Resource Centre opened in February 2007. It includes There has been significant work to prevent racism in the area through training and education. two GP practices, baby clinics, counselling, cardiac and respiratory clinics, diagnostic For example, anti-racism resources have been developed for schools. These include ‘Inside Out’ services, physiotherapy, weight management, diabetes clinics, mental health – a creative learning pack to encourage anti-racist activities with young people and resources services and speech and language services. to promote Black History month. In addition, young people have been actively involved in the development of ‘Senseless’ – an anti-racism film by the Liverpool Culture Company – which will In the wider community, there has been regular work to reduce sales of alcohol be produced as a DVD and teaching resource. There has also been a strong emphasis on training, with learning mentors in every school being trained on how to deal with racist incidents to young people by enforcing the legal age restrictions. There have also been a and a new reporting system is being introduced. number of community events such as the activity week held in St John’s Community Centre, which included a healthy living day. Residents across the area have been Agencies are working together to support families and individuals affected by racism in Knowsley. able to join in with a community dance initiative called Shimmy Shimmy Shake Shake. Specialist support has been developed for young people.

Knowsley Against Racism Racism is a serious crime that has a major effect on people’s lives, yet all too often this crime is ignored. Knowsley Against Racism is a campaign to challenge all forms of racial hatred and make the Borough a safer place in which all people can live, work and spend their leisure time regardless of their background. The Council and its partners have launched the campaign as part of a strategy to stamp out racism in the area.

Knowsley Against Racism needs the support and involvement of the whole community. The campaign is asking everyone to stand up and be counted by actively reporting incidents, and showing their support by signing pledge cards and displaying window stickers against racism.

22 Huyton Huyton 23 “I didn’t like going to school at first, but it’s much more fun now.” Real lives Stephen Ensuring race is not an issue

He was also supported by the Neighbourhood Wardens through “out of school activities” and discreet protection on the journeys to and from school. At the end of the series of sessions Stephen reported that he ‘felt better’, was not scared anymore and had more friends to play football with. Stephen has been encouraged to ask for help in the future if he thinks he needs it. The support worker will stay in contact each term through the school.

Mrs. E., from Eastern Europe, is now working and living in Huyton. She has two children who attend a local secondary school. Her oldest child has language support through the English as an Additional Language Co-ordinator. During a meeting with the school to discuss support for her son, Mrs. E mentioned she was having problems with children at her home making racist comments and causing damage. A meeting was organised between Mrs. E (supported by a translator), the Equality and Diversity Manager, English as an Additional Language Co-ordinator and a Knowsley Housing Trust representative.

Help provided as a result of the meeting included additional language support in school, transport costs to keep the children in the same school, alternative housing (Mrs E was living in private rented accommodation), and advice on benefits. Now settled in her new home, Mrs. E. still gets support through the English as an Additional Language Co-ordinator, who can liaise with other agencies to deal with problems faced by the family in the future.

Community Cohesion Another priority for South Huyton is to improve community cohesion by encouraging people to support and appreciate differences within and between communities. The aim is for all residents to feel valued and respected. Encouraging the community to get involved and working together on projects that promote community harmony has been a major focus in the area. Some examples of the many community initiatives are described below. Stephen, a pupil at a local primary school, is originally from West Africa. He reported to school that he had suffered racist abuse both in school and in the community. Stephen was frightened Ten Acre Pits and upset and did not want to go to school anymore. Ten Acre Pits is a wooded area, surrounded by homes on all sides. The woodland has suffered in a number of ways, including neglect and misuse, anti-social behaviour, fires and criminal Through the Equality and Diversity budget, a support worker from an Afro-Caribbean background damage. Due to an increase in complaints, it was felt that something needed to be done to was provided to help Stephen. Over a number of sessions, Stephen was able to talk about his turn around the woodland’s fortunes. feelings and was encouraged through activities to rebuild a positive image of himself.

24 Huyton Huyton 25 Following consultation with residents from the area, an event was organised at the woodland. Residents and staff took part in a clean up of the site and the planting of more than 70 young Future trees. Neighbourhood Wardens offered safety advice and activities, while the Veggie Van gave The next few years will see even more change for the better in Huyton, with a series of building away fruit and vegetables along with lifestyle advice. More than 100 people came along to the projects bringing a new look to the whole area. They will also bring better housing, health services day to offer their support and suggestions. From these people, a ‘Friends of Ten Acre Pit’ has and education and training facilities for residents. been established. Further clean up days and planting are planned for the near future. At Page Moss, work is already well under way on the Primary Care Resource Centre due to open St Bartholomew’s Week of Action, Church Road, St Bartholomew’s Ward in March 2008. This will include GPs, dentists, a pharmacy and a range of treatment rooms, providing More than 400 people a week pass through St Bartholomew’s Church doors, all with a passion services for residents throughout North Huyton. Local young people helped design and paint a series to make a difference in their local area. Each year the volunteers organise an action week around of colourful murals to decorate the hoardings around the site while the building work is going on. the church. This year the Council gave them extra support so they could make a difference to Further along Liverpool Road, the derelict Bluebell pub has been demolished to make way for the wider area. another new health services building. Building work is due to start early in 2008. There are also plans to build a multi-purpose health centre at Pilch Lane to provide a number of services, including GP practices. Provided with extra staff and materials and some funding, the volunteers have In the Hillside area, work has started on the first phase of the home rebuilding programme made a real impact. The painting of a fantastic mural in Roby Station underpass, described earlier. The Revive programme was officially launched in October 2007 on the former along with the cutting back of shrubs, trees and overgrowth has made the local Beechwood School site. As part of the launch, children buried a time capsule containing area feel safer and lighter. information about the history of the school and surrounding area. Residents are suggesting names for the new streets on the themes of trees, plants and flowers.

The cemetery, which has suffered from vandalism, now has a painting on the rear wall. The week Work has also started on the North Huyton Learning Centre, a Catholic and Church of England showed a positive partnership approach, with staff and volunteers working in some terrible joint faith school due to open at the beginning of 2009. It will be the first of seven learning conditions to make a real difference to the local community. centres being built to replace all secondary schools in the Borough. The Learning Centre for South Huyton, specialising in Arts and Sports, is due to open the following September. St John’s Action Week, St John’s Estate, St Gabriel’s Ward With so much building work going on, it seems appropriate that construction workshops will be Residents of the St John’s estate were asked what they felt was lacking in their area. the first phase of the Specialist Skills and Construction Centre to be built on land off Princess Drive. Neighbourhood Wardens questioned more than 150 people. The results were used to plan an Facilities for training in floor laying and office skills will follow by November 2008. action week, with a range of activities provided by a number of partner agencies. Although having The Centre will deliver a variety of trades, changing in response to employers’ demands and more activities was high on the residents’ list, it was realised there was a lot already happening will also have a public café. that residents did not know about. Local venues were also recognised as being under used, which led to the action week being focussed in and around the local community centre. In a Not all plans are linked to new buildings, however. Following the success of the Action Week at fun-packed week for all ages, activities provided free of charge included dance, advice on healthy St John’s Community Centre, more events to bring together communities will take place in 2008. lifestyles and healthy eating, educational courses, therapies, exercise, luncheon and film clubs, and information on training and employment opportunities. This section of the annual report has been written by Matthew Ashton, Richard Holford and Mary Farrell, with contributions from Phillip Chalmers, Tommy Dunn, Lisa Harris, Catherine Hudspith, Jackie Patterson, Paul Peng, Sheila Pigott and members of the Huyton Health Forum

For further information about this section of the annual report please contact Matthew Ashton on 0151 443 4844, Richard Holford on 0151 443 4992 or Mary Farrell on 0151 443 4988.

26 Huyton Huyton 27 Prescot, Whiston, Cronton and Knowsley Village

Wards Prescot East, Prescot West, Whiston North and Whiston South Population 27,700

High Street, Prescot c.1909 © Knowsley Library Service

Past Covering the largest land mass of all the Area Partnerships, Prescot, Whiston, Cronton and A large part of the area is farmland, with two distinct types of agriculture. At one end of the area, Knowsley Village has a rich and varied history. Prescot, for example, was already a well-established most of the land forms part of Lord Derby’s estate around Knowsley Hall. This is traditional town in Medieval times and was included on the Gough Map of Britain drawn in 1350. For the grass parkland, mainly used to graze a large flock of 1,000 sheep and a small herd of pedigree 100 years before Knowsley was created, Whiston was the administrative centre of the largest Aberdeen Angus cattle. There are also forestry and sporting activities on the estate, together Rural District Council in England. Cronton and Knowsley Village were part of the District, together with Knowsley Safari Park. The south of the area – Cronton and part of Whiston – is made up with other parts of Knowsley and parishes now in St Helens and West Lancs. of mainly arable land. It is also home to the only agricultural machinery dealer in Merseyside. One farm bottles water from a natural spring on its land. Prescot, Whiston and Cronton all had coal mines at some time. In 1984, Cronton Colliery became the last in the area to close. Watchmaking was also a major industry for these areas, although it was mainly centred on Prescot. Other industries included brick making and pottery. Present

During much of the 20th century, British Insulated Callender’s Cables (BICC) was a major Key Issues employer in the area. The works dominated Prescot Town Centre until their closure in the 1980s. Compared to Knowsley as a whole, the area is relatively healthy. When compared to England and Most of the site has since been redeveloped, including a retail park, housing and business units. Wales, however, levels of poor health can be seen. There is variation within the area, as might be Whiston still has a number of industries, including manufacture of cookers. expected given its size and make up. For example, smoking and obesity are particular problems in Whiston, Cronton and South Prescot. Teenage pregnancy is a concern in North Prescot, while low life expectancy for men and high levels of incapacity benefit are concerns in the South Prescot area.

Health is one of the key priorities identified by the Area Partnership Board. Specific areas of concern reflect the issues outlined above, plus breast feeding rates and dental decay in children. Other priorities include the environment, anti-social behaviour and crime, particularly burglary and criminal damage.

28 Prescot, Whiston, Cronton and Knowsley Village Prescot, Whiston, Cronton and Knowsley Village 29 Achievements The area has two new buildings providing community health and social care services. Prescot Primary Care Resource Centre in Sewell Street was the first of the new generation of health service buildings. Opened in 2003, it houses two GP practices as well as a number of health and social care services.

Whiston’s new primary care resource centre opened in November 2007. More than 14,000 patients will benefit from services provided at the centre in Old Colliery Road, Whiston. The centre contains a range of services including two GP practices, a pharmacy, dental services and a wide range of clinics and services, some previously only available in hospital. There are new all-weather sports pitches next door, making healthy lifestyle choices easier for residents, too.

There have been significant developments in and around Prescot Town Centre in recent years. Much of the work has been on the former BICC site. Cables Retail Park is now well established, while the new Prescot Business Park has the potential to generate about 500 jobs. Work is about to start on building 400 homes opposite the retail park.

Alcohol Control Issues relating to alcohol underlie a wide range of problems, from anti-social behaviour and the impact this has, often on vulnerable groups, to direct effects on the health of those who drink too much. Alcohol misuse also links to other health issues, including drug misuse and teenage pregnancy.

As a town centre, Prescot faces extra problems with alcohol, particularly in relation to people coming in from outside the area to visit pubs and other licensed premises. Steps have been taken to reduce the impact on the local community by tightening controls on the availability of alcohol.

Knowsley has reviewed its licensing policy in relation to entertainment in licensed premises. While not discouraging entertainment, the policy aims to ensure it is not a nuisance to the local community. This is part of a wider Government strategy to tackle crime, disorder and anti social behaviour and reduce alcohol harm. This wider view recognises that licensing laws are not the most effective way to control how people behave once they are away from licensed premises.

Knowsley’s review makes allowances for the provision of effective closed circuit television (CCTV) in and around licensed premises and gives greater emphasis to managing the behaviour of customers while they are there. It also focuses on the prevention of public nuisance around sensitive times, such as from late evening to early morning. In addition, the review promotes new measures relating to designated Public Places and Alcohol Disorder Zones.

30 Prescot, Whiston, Cronton and Knowsley Village Prescot, Whiston, Cronton and Knowsley Village 31 Health Trainers are employed to help people to help themselves to live more healthily. They work with individuals, providing support and encouragement. This can include linking with other services to help people to address their own health needs. Real lives Health Trainers in Whiston

Penny, aged 46, was attending NHS weight management sessions. She asked for support with doing more physical activity. A Health Trainer met Penny to discuss what she needed and to make a personal plan of how she could increase her physical activity. The Health Trainer offered to go with Penny to her chosen activities, increasing her confidence and motivation. Penny explained she did some walking, but felt this was not enough. She also felt that she lacked the confidence to go swimming or take part in any other physical activity due to her size and told the Health Trainer that she didn’t want to go to a gym. As she had not done much strenuous exercise for a while, the Health Trainer told her about classes held locally that would be ideal for her as they were relatively easy.

Penny did not want to attend her local leisure centre as she knew a lot of people from the area and said she would feel embarrassed. The Health Trainer arranged for her to go to another leisure centre, which has the same classes. Penny took part in the gentle exercise sessions and, after her initial reluctance about going into the water and embarrassment about her size, she also took part in aqua fit classes, which helped her to gain confidence.

After four more sessions supported by the Health Trainer, Penny has felt able to carry on by herself. She has made new friends and now has the motivation and confidence to take part in evening activities, encouraged by the Health Trainer and other members of her family.

“My Health Trainer really gave me the confidence to enjoy swimming and exercising again.” Penny

32 Prescot, Whiston, Cronton and Knowsley Village Prescot, Whiston, Cronton and Knowsley Village 33 Support for Carers The role and needs of carers, often family members, are frequently overlooked. Failure to recognise their importance and need for assistance can mean people needing care being unable to remain at home, where they wish to be.

Harry was an independent and active 82 year old with Chronic Obstructive Pulmonary Disease (breathing problems). He lived alone but had a son and daughter who lived nearby. His daughter relied on him for the support he gave her in looking after her adult son who has a disability.

When Harry was admitted to hospital and diagnosed with Lung Cancer, he discharged himself before his full care needs could be established, although a social care package was put in place to support him. His children visited daily and attended to his needs overnight. The District Nursing service became involved and asked the integrated Health and Social Care team, named Henrietta, to provide a Carer Break for Harry’s daughter who was showing signs of strain. She was juggling care and support for her father with that of her disabled adult son, having also lost the help she used to get from Harry. The new Whiston Hospital takes shape A further assessment found Harry was depressed and not eating or drinking properly. He had also been in bed for over two weeks, effectively having given up following his diagnosis and saying that he was waiting to die. This was creating serious medical problems. He also felt his needs were not being considered or met by those sent from an agency to support him. The Henrietta Future team took over the full package of care, including care and support for the informal carers. The Whiston skyline is currently dominated by giant cranes as the hospital is being rebuilt to A night sitting service was offered to give Harry’s children some respite, with additional breaks provide improved services and facilities. The first phase is expected to be complete by 2010, available in the afternoon as and when needed. with final completion in 2012. Building work at Whiston coincides with an improvement programme at St Helens Hospital and involves a review of services provided at the two sites. A care plan was put in place to help Harry regain his independence and mobility and make sure he was well nourished. The support for his daughter and son meant they could maintain their As part of the Building Schools for the Future programme, two new Learning Centres will be own support for him. Harry regained his self esteem and motivation and lived for a further eight created in the area. Prescot Whiston Community Learning Centre will specialise in languages. months until his death at home, which was where he wanted to be. It will be built on the site of the current Prescot School. Whiston Prescot RC Learning Centre, to be built on the site of Higherside School, will specialise in technology.

This section of the annual report has been written by Tom Fairclough with contributions from Carole Bayliss, Tracy Dickinson, Christine Hughes, Deb Lee and Karen Simpson.

For further information about this section of the annual report please contact: Tom Fairclough on 0151 443 4912.

34 Prescot, Whiston, Cronton and Knowsley Village Prescot, Whiston, Cronton and Knowsley Village 35 Halewood

Wards Halewood North, Halewood South and Halewood West Population 20,200

Halewood Village c.1910 © Knowsley Library Service

Past Present Halewood Area Partnership, which includes Tarbock Parish, covers the southern end of Knowsley. Key Issues The two settlements changed little for many centuries. Both Halewood and Tarbock were mainly Coronary heart disease is one of the largest causes of death in Halewood. Between 2003-2005, agricultural. Each had a hall or manor house and a village centre. Originally part of Hale, Halewood deaths from coronary heart disease were 43% above the national average. Over the same has been a separate township since at least the 15th century and had its own church from 1839. period, deaths from cancer in the area were 45% greater than the national average. Halewood Until the 1880s, the Brick Wall Inn at Tarbock sold ale produced at a brewery just across the road. also experienced the highest mortality level for stroke in Knowsley, with a rate 39% greater The arrival of the railway in the mid-19th century brought industry to Halewood. In the 1930s than that in England and Wales during 2003-2005. some of the land in the area was sold by Lord Derby to Liverpool City Council. From the 1950s In 2006 a Knowsley survey found that 36% of adults in Halewood reported being overweight onwards homes were built on this land to help relieve housing problems in Liverpool. By the and 20% reported being obese. Like many people in Knowsley, half of Halewood residents 1970s, the population of Halewood had increased ten-fold as people moved into the new reported exercising vigorously less than once a month. Babies in Halewood are less likely to be estates. At the same time, unemployment began to rise as there was not enough work for the breastfed than in other parts of the country. In 2005-2006, 35% of mums in Halewood breastfed increasing population. The opening of the Ford Motor Company in the 1960s brought prosperity their babies. Although this is the second highest rate in the Borough, it is still significantly below to the area. Many local people work at the factory, now taken over by Jaguar, while around a the England average of 62.9%. third work in the public sector and 3.7% are unemployed. The Area Partnership Board has made youth engagement, community development and Halewood has the smallest population of the six Area Partnerships. It is officially classed as rural affordable housing its key priorities for 2007-2008. Knowsley Council and its partners have fringe and has 36 farm holdings – almost half the farms in the Borough. These are generally identified the need to fully redevelop the Ravenscourt area of Halewood, to create a centre larger than the average farm in Knowsley, mainly producing crops such as cereals, oilseeds and that offers a wide range of services and facilities accessible to the whole community. pulses. There is some livestock, including pedigree pigs, and a successful farm shop. The former New Hutte Primary School in Halewood has been developed into a base for officers from the Council and partner organisations. Being based together helps officers to identify, plan, co-ordinate and respond better to local priorities. It also makes it easier for them to keep in touch with residents.

36 Halewood Halewood 37 A Healthy Start Breast milk gives babies all the nutrients they need for the first six months of life and can make a major contribution to an infant’s health and development. As well as providing complete nutrition, breast milk has an important role to play in protection against gastroenteritis, raised blood pressure, obesity and infections of the respiratory system, middle ear and urinary tract. There are also benefits for the mother, as women who do not breastfeed are more likely to develop cancer of the ovaries and breast, than those who do.

A number of factors can influence a woman’s decision to breastfeed. For example, the experiences of her friends and family, messages in the media, and advice from her midwife or GP can all make her more or less likely to breastfeed. She may also be concerned about plans to go back to work while still breastfeeding. Knowsley has a Breastfeeding Strategy to help people overcome their problems and promote the benefits of breastfeeding over formula milk. Market research is taking place to help improve understanding of the barriers and find out what help local women need to overcome them.

Few of the women who do start to breastfeed continue for the six months as recommended by the Department of Health. Again, the reasons for this are complex. One of the main reasons women report stopping breastfeeding is that they feel that they do not have enough milk. This feeling may be influenced by the baby’s behaviour, comments from health professionals, the views of family and friends and the mother’s own self-esteem. There may also be clinical problems with feeding. There is now a programme of education and training for both local mums and health professionals to increase the support available to women who want to breastfeed. The Halewood Bumps to Breast support group for breastfeeding mothers is run in the local Children’s Centre. Last year six women from the group trained to become peer counsellors and are now on hand to provide advice and support to other mums wanting to breastfeed their babies.

Women thinking about breastfeeding may also be affected by living in a community where breastfeeding is seen as embarrassing and difficult to do in public, while the feeding of formula milk is considered to be more normal. Halewood Library, Clinic and Children’s Centre have all received the Knowsley “Breastfeeding Welcome Award.” This means that local mothers know they will be welcomed and supported if they need to feed their babies while out and about. Real lives Getting baby off to a good start

38 Halewood Halewood 39 “Making food at home is better for baby and for my purse!” Kelly

Weaning, the gradual introduction of semi-solid foods, can begin once a baby is six months old. Knowsley’s Community Cooks run weaning courses across the Borough. Venues include community centres and children’s centres, giving parents the chance to meet in familiar and informal settings. The courses aim to give parents and carers the confidence and knowledge to prepare healthy foods for their babies and not to have to rely on buying ready made foods.

Each four week course includes information on healthy eating, oral health, food hygiene and food labelling. There is also an opportunity to try out recipes, starting with weaning foods and progressing to family meals. The emphasis is on healthy, well balanced meals. Kelly, one of the mums on the Halewood course, said: “The course was so relaxed and fun, but educational. I feel more confident, I have learned how to cook home made food and I have not bought any jars of baby food.” The new Ravenscourt development Healthy Lifestyles Access to fresh food has become difficult in Halewood following the closure of most of the shops at the Ravenscourt centre. The area has been made a priority for the Veggie Van which provides The development will include a Primary Care Resource Centre. This will house three GP practices, fresh fruit and vegetables to communities without good access to produce. In addition to its usual as well as providing a range of health services. In time, these could include some clinics usually services for Halewood, the Veggie Van now stops at Ravenscourt every week, linking in with visits provided at hospitals, reducing the need for people to travel long distances. by a mobile meat shop. The second phase of the new development will see the creation of a new retail heart for the Supporting healthy lifestyles has been a key theme within the Disability Services in Halewood village. A medium sized supermarket and up to 12 other stores will improve access to healthy over the last 12 months. All staff working in the service have attended training on food and food as well as other everyday items. nutrition and oral health. They are also developing a number of projects to encourage people to By 2009, Halewood will also have a new secondary school as part of the Building Schools for be more active. This has been helped by a “Wheels for All” centre, set up at Halewood Leisure the Future programme. Halewood College will be rebuilt to provide improved facilities, offering Centre with £35,000 funding. “Wheels for All” provides a range of specially designed or adapted extended hours and community access. Like the current College, the new learning centre will bikes for use by people with physical disabilities or limited mobility. Susan was encouraged to try specialise in performing arts. cycling to increase her physical activity. She has really enjoyed it and made new friends. Susan is now taking a keen interest in her health and has recently joined the local gym and a slimming club.

Future Halewood town centre will be transformed with the redevelopment of the Ravenscourt area. Planning permission has already been granted to build a new joint public services building. This will include a Council One Stop Shop, with a cash office, a library and a Post Office. This section of the annual report has been written by Katie Dee with contributions It will also provide accommodation for partner organisations such as Knowsley Housing Trust, from Kerrie France, Johanna Lee, Julie Macklin, Kerry Martlew and Helen Moore. Halewood Town Council, Knowsley Citizens Advice Bureau and Halewood Credit Union. For further information about this section of the annual report please contact: Katie Dee on 0151 443 4993.

40 Halewood Halewood 41 Contributors Useful Contact Numbers • Matthew Ashton Public Health Development Specialist, Knowsley PCT/MBC • Clare Aspinall Teenage Pregnancy and Sexual Health Development Officer, Knowsley MBC Organisation Contact Details • Aaron Barker Public Health Intelligence Officer, Knowsley PCT/MBC • Carole Bayliss Business Development Officer, Knowsley MBC Community Cooks 0151 285 6013 • Phillip Chalmers Locality Nurse Manager (Central), Knowsley PCT Community Matron Service 0151 443 2882 • Alison Cook Healthy Schools Advisor, Knowsley MBC • Joanne Cotter Community Health Development Officer, Knowsley PCT Health Trainers 0151 289 9555 • Katie Dee Public Health Commissioning Manager, Knowsley PCT • Tracy Dickinson Head of Environmental Health & Consumer Protection, Knowsley MBC IKAN Team 0151 443 4527 • Tommy Dunn Area Development Officer – South Huyton, Knowsley MBC • Mark Fairclough Operations Manager Active Sport & Leisure – Kirkby, Knowsley MBC Knowsley Primary Care Trust 0151 443 4900 • Tom Fairclough Public Health Commissioning Manager, Knowsley PCT www.knowsley.nhs.uk • Mary Farrell Public Health Development Manager, Knowsley MBC/PCT 0151 489 6000 • Kerrie France Locality Nurse Manager (South), Knowsley PCT Knowsley Metropolitan Borough Council www.knowsley.gov.uk • Susie Gardiner Public Health Commissioning Manager, Knowsley PCT • Liz Gaulton Deputy Director of Public Health, Knowsley PCT/MBC Learning Disability Service 0151 426 5885 • John Ghader Area Relationship Director – North Kirkby, Knowsley MBC • Catherine Harris Trainee Public Health Analyst, Knowsley PCT/MBC Neighbourhood Wardens 0151 443 4509 • Lisa Harris Area Relationship Director – North Huyton, Knowsley MBC • Richard Holford Public Health Development Manager, Knowsley PCT Roy Castle Fag Ends Knowsley 0800 195 2131 • Catherine Hudspith Area Relationship Director – South Huyton, Knowsley MBC www.roycastle.org • Christine Hughes Health Trainer, Knowsley PCT THINK (Teenage Health in Knowsley) 0800 138 6559 • Susannah Jones Health Development Officer – Healthy Lifestyles, Knowsley PCT www.knowsleythink.com • Paul Langton Public Health Intelligence Manager, Knowsley PCT/MBC • Deb Lee Area Relationship Director – Prescot, Whiston & Cronton, Knowsley MBC Veggie Van 0151 290 0193 • Johanna Lee Clinical Lead Nurse – Learning Disabilities, Knowsley PCT • Julie Macklin Community Cooks Team Leader, Knowsley PCT • Paul Marshall Children’s Services Manager, Knowsley MBC Acknowledgements • Kerry Martlew Health Nursery Nurse, Knowsley PCT • Helen Moore Infant Feeding Strategy Co-ordinator, Knowsley PCT Sincere thanks are due to the large number of individuals and organisations involved in • Laura Moore Community Health Development Officer, Knowsley PCT researching, writing, editing and proof reading this report. Area Relationship Directors, Health • Lisa Newson Health Development Officer – Obesity & Health Trainers, Knowsley PCT Forums and other key partners for each area helped identify achievements, issues and future • Jackie Patterson Health Project Manager, North Huyton NDC developments. Without their assistance this report would not have been possible. • Paul Peng Corporate Equality & Diversity Manager, Knowsley MBC • Sheila Pigott Employment Projects Manager, North Huyton NDC The historical introductions to each chapter are based largely on information from the Knowsley • Janet Rhodes Locality Nurse Manager (North), Knowsley PCT Local History section of the Council website. We are grateful to Knowsley Library Service for the • Lorraine Rimmer Community Matron, Knowsley PCT historic images in the report. • Karen Simpson Health Trainer Co-ordinator, Knowsley PCT Although many people have played an important part in the production of the report, a small • Steve Stewart Area Relationship Director – South Kirkby, Knowsley MBC group of individuals have been working hard at the centre to make sure it happened. Matthew • Emma Thomas Public Health Events & Support Officer, Knowsley MBC/PCT Ashton co-ordinated the production, and provided encouragement and support to contributors; • Julie Tierney Head of Health Improvement, Knowsley PCT Emma Thomas kept authors to deadline and brought together the various drafts of the report; • Viv Valente Head of Patient & Public Involvement, Knowsley PCT Mary Farrell edited the text and Phil Morris helped to develop the overall design of the report. • Ian Whiteside Substance Misuse Officer, Youth Service, Knowsley MBC • Chris Williamson Public Health Intelligence Analyst, Knowsley PCT/MBC

42 43 For further copies of this report please contact: Emma Thomas Tel: 0151 443 4987

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