T a b l e o f c o n t e n t s Community involvement............................................. Main Findings...................................................... 2 49 Key findings......................................................... About this project................................................. 3 50 Reccomendations/ further questions........................... Our approach..................................................... 4 51 Wider determinants of health...................................... Our respondents................................................. 5 59 Key findings......................................................... What we have learned- the big picture........................ 6 60 Reccomendations/ further questions........................... Me and my local area.............................................. 9 61 Can you support yourself financially?.......................... Key findings- general............................................ 10 62 Are you happy with your home/ where you live?............ Key findings- environment and safety....................... 11 66 Do children get the best start in life?.......................... Reccomendations /further questions........................ 12 70 Health and social care services................................... Is your local area a good place to live?...................... 14 75 Key findings......................................................... Do you feel safe in your local area?.......................... 25 76 Reccomendations/ further questions........................... Can you breathe clean air?.................................... 31 77 Focus on localities.................................................. Health, happiness and well-being............................... 34 80 Focus on inequalities.............................................. Key findings- initial engagement............................. 35 81 How Covid-19 changed things.................................... Key findings- Covid-19......................................... 36 82 Digital inclusion........................................................ Recommendations/ further questions........................ 37 91 Key findings................................................... ...... Happiness and well-being...................................... 38 92 Reccomendations/ further questions........................... Making healthy choices......................................... 42 93 Using NHS services online......................................... Focus on inequalities........................................... 45 94 Who is excluded?.................................................... Focus on Covid-19............................................... 46 98 Main findings Clean, safe outdoor spaces are extremely important to people’s health and wellbeing; both in parks and on housing estates. How people can be encouraged to use these in a socially distanced way may be key to protecting local people's physical and mental health throughout the Covid-19 pandemic. A move to digital engagement with health, social care and community services has had benefits for the majority of residents. However, a small minority are finding it more difficult to access the services they need. Projects to tackle this are essential to avoid inequalities of health outcomes for some of the most vulnerable; and it is crucial that those directly affected are involved in co-designing them. Disabled people show poorer experience across almost all areas of health and well- being and significantly poorer in relation to health and care services. More work is needed to understand who these groups are and what would help tackle these poor outcomes. More work is also needed to understand how financial inequalities impact peoples experience of their local neighbourhood. Many local people benefit from strong community connections and peer support. Neighbourhood informal mutual aid groups and volunteering initiatives started in the wake of the Covid-19 pandemic appear to meet a need to stay connected to others in a time of crisis. About this project Neighbourhood conversations COVID-19 engagement In December 2019, we asked local people Between March and June 2020, we created what makes their neighbourhood a good a survey to engage with local people on place to live and how we can support them how they stayed healthy and well during to live healthier lives. They took part in the Covid-19 pandemic and their structured interviews at four locality experience with services.It was carried out events in local libraries on the main market online and by telephone. days in the area. About this project Our approach The initial project used the Tower Hamlets Together's "I statements" to engage residents on what was important to them for a healthy life. H e a l t h y l i f e s t y l e s a n d b e h a v i o u r s W i d e r d e t e r m i n a n t s o f h e a l t h I h a v e a g o o d I am able to support myself and my family I understand the ways to a healthy life. l e v e l o f h a p p i n e s s a n d financially. I am supported to make healthy choices. w e l l - b e i n g I am satisfied with my home and where I live. I play an active part in my community. I am supported to live the life I want My children get the best possible start in life. A n i n t e g r a t e d h e a l t h c a r e s y s t e m P l a c e s a n d c o m m u n i t i e s I feel services work together to provide me with good care. I can breathe clean air in my local area. I believe money is spent in the best way to I feel safe from harm in my community. deliver local services. I believe trust, confidence and relationships are in place to work together with services to decide the next steps for our community. About this project Our respondents The initial engagement COVID-19 engagement w e r e p a r e n t s w e r e p a r e n t s o r e x p e c t i n g o r e x p e c t i n g 36% p a r e n t s 22% p a r e n t s w e r e c a r e r s f o r w e r e c a r e r s f o r 5% a n a d u l t 5% a n a d u l t h a d a l o n g t e r m h a d a l o n g t e r m 25% c o n d i t i o n 27% c o n d i t i o n What we've learned The bigger picture Local people's vision for a good neighbourhood Well supported children and youth Material security Children's centres and early years support for new Availability of jobs that pay parents; youth clubs giving Access to services decent wages; social security young people guidance and for those who can't work; good something to do. Ability to access health and affordable housing with social care services sufficient space. promptly and conveniently when needed; clear information; digital inclusion. Friendly, safe community A good life in Good environment Knowing and trusting your a good local neighbours; taking part in Access to nature, green spaces community events; people area and good food; good air quality from different backgrounds achieved through reducing car interracting; feeling safe. traffic; clean, safe public spaces. What we've learned The bigger picture O b s t a c l e s , r i s k s I n e q u a l i t i e s Local people's vision for A s s e t s Younger people and those in precarious Air pollution- heavy road traffic housing find it harder to eat healthy and a Poor hygiene and safety- public keep healthy lifestyles. spaces Parks and open spaces People in the borough's poorest wards Restrictions to use of parks- Covid- Open markets experience more air pollution. G o o d e n v i r o n m e n t 19 lockdown Leisure centres Younger people and private renters feel Population churn, gentrification less connected to their local area. Faith groups Perception of poor safety, antisocial Women and people living in housing association estates feel less safe. G o o d c o m m u n i t y Community. Volunteering behaviour organisations Cancellation of events/ closure of People with poor mental health are at Self-organised Covid-19 mutual socialising spaces- Covid-19 higher risk of social isolation. Women, people from BAME backgrounds, support groups lockdown younger people and parents of disabled High cost of housing, esp. private children felt less able to support renters and first time buyers themselves and their families financially. Local businesses, job creators Loss of jobs, difficulty finding work Renters were less happy with their homes Schools, professional training in the Covid-19 pandemic than homeowners; adults living with their M a t e r i a l s e c u r i t y Housing associations General economic recession in the parents were the least happy with where Part-own part-rent housing schemes Covid-19 pandemic they lived. Advice charities (debt, employability) Difficulties getting specialist appointments promptly; over- People from BAME backrounds, older people stretched services and those with more complex medical needs (particularly those with mental NHS services Cuts to social care services; health issues) were less satisfied with Social care services gatekeeping evaluation process services. A c c e s s t o s e r v i c e s Local and national health and advocacy Impact of Covid-19 pandemic on charities services. In the pandemic, those who are digitally exculded find it harder to access services. Digital access tools Air pollution, poor access to nature Gang crime, drug dealing, poor Younger people (under 24), White respondents and parents of special needs Youth clubs, sports clubs safety C h i l d r e n / children were less likely to think children Children's centres Social isolation and lack of y o u n g p e o p l e get the best start in life. Schools, libraries opportunities to play/ Children in overcrowded, deprived or Exercising facilities socialise/take part in activities due to Covid-19. digitally excluded households are more affected by the Covid-19 pandemic.