Project “Healthy Ageing ” Final Report Udine H.C.P.O. – Healthy Cities Project Office 31 st May 2015 H E A L T H Y A N D A C T I V E A G E I N G 1 INDEX Introduction: The Story-telling of the Project 2 Part I - The transfer experience of the City Partners 3 Introduction 3 The support given to city partners in the transfer process 4 Klaipeda 7 Brighton & Hove 9 Edinburgh 12 Grand Poitiers 15 Udine 17 1. Main actions implemented 17 2. Expertise 22 3. Communication & Dissemination 23 Part II – The main results achieved 27 Klaipeda 1. Main results achieved and future developments 27 2. Main lessons learned 29 3. Project Assessment: “before” and “after” the Project 29 Brighton & Hove: 1. Main results achieved and future developments 31 2. Main lessons learned 32 3. Project Assessment: “before” and “after” the Project 32 Edinburgh 1. Main results achieved and future developments 35 2. Main lessons learned 37 3. Project Assessment: “before” and “after” the Project 37 Grand Poitiers 1. Main results achieved and future developments 39 2. Main lessons learned 41 3. Project Assessment: “before” and “after” the Project 42 Part III – Improvements in the good practices 44 Udine 1. Future developments 44 2. Main lessons learned 46 3. Project Assessment: “before” and “after” the Project 47 Part IV - The Model Proposal for a feasible transfer activity (by Fiorenza Deriu) 50 Introduction 50 What does it mean to transfer a good practice? 50 How can we transfer a good practice? 55 1 Introduction: The Story-telling of the project The aim of the “Healthy Ageing” Transfer Network time, the project partners had the opportunity to 2 was to improve understanding and analysis of both know more about the good practices of Udine. At the local context and the living conditions of elderly the same time, they could also work in groups in people; to provide the cities with more effective order to think over the real opportunities for services that are able to meet citizens’ needs; to transferring the activities implemented by Udine in increase awareness on healthy lifestyles in later their own contexts. Some time was also dedicated ages, to encourage the participation of older people to put the partners on stage, by giving them the in initiatives with the purpose of keeping them opportunity to describe their local contexts; the mentally and physically active. challenges of ageing in their own cities; the For these reasons, the focus of this Pilot Network opportunities for transferring the good practices of was the transfer of some good practices Udine. implemented and positively experienced by the City of Udine. During 2014 the LE started some bilateral visits to the City partners in order to meet Udine, the so-called “giving city” , had the LSGs working at local level. In those occasions successfully undertaken and implemented the the LE presented the URBACT Programme and the following activities: main lines of action of the Healthy Ageing Pilot a) the production of a Healthy Ageing Profile of the Transfer Network, took part in some meetings with City and a very effective Integrated different stakeholders and answered to their questions. The LE visited Brighton&Hove (8-9 April Health Map System (GIS – Geographical 2014) and Edinburgh (20-21 July 2014). Information System), by matching the distribution of the elderly population on the territory of the City to the provision of public, The first Transnational Peer Review health and social services offered at local level Meeting was held in Klaipeda on 16-18 June (health centers, general practitioners, post- 2014 and was focused on citizens’ engagement. offices, bus stops, community centres, The second one, which took place in Edinburgh (6-8 chemists’, etc); October 2014), was jointly managed with b) the deployment of the Vancouver Brighton&Hove and was concerned with preventative services in later ages. The last one was Protocol , a methodology developed by the held in Grand Poitiers (19-21 January 2015) and W.H.O. Age Friendly Cities Network, in order to was focused on the challenge of intergenerational engage citizens, caregivers and public/private policies on ageing. services providers in decision making; c) the promotion and implementation of Finally, to better focusing on an intergenerational preventative services / activities , project developed by Udine, four Students aimed at keeping older people physically, mentally and socially active as long as possible Exchange Visits were organized (3-14 March (for example, walking groups, urban gardens, 2015) in order to disseminate the Project Project “Camminamenti” Move your “CamminaMenti” and its good practice based on the minds…minds on the move, etc). cooperation among different generations. These visits were very interesting for both the “giving” and the “receiving” cities. On one side, the LSG After the kick-off meeting in Paris (29-31 representatives had the opportunity to collect much January 2014), the network started the preliminary more information on this specific project and, on the work in order to draw up the Baseline Study. For this other side, the students could visit some health purpose, on 26-28 February 2014 the city of Udine centres for the elderly operating at local level in the was visited by the Lead Expert (LE) Fiorenza Deriu, four City partners and find out new ideas for future who collected as much information as possible in projects in Udine. order to have an idea on the implementation of the good practices that had to be transferred in the receiving cities. This visit was also a preliminary The Final Conference , hosted by Udine on 20-21 March 2015, was the final event of the step aimed at planning the Partners’ Study Project, during which all partners presented their Visit , which was hosted by the Lead Partner from main results and hold a wider discussion on 5th to 7 th of March 2014. That was a very important methodologies and tools. starting point of the project because, for the first 2 PART I 3 THE TRANSFER EXPERIENCE OF THE CITY PARTNERS Introduction UDINE was the “giving city” of the “Healthy Ageing” Pilot Transfer Network and, as Lead Partner, it was in charge of proposing to the other partners its ‘good practices’ on healthy and active ageing, which means the experience that the city had gained both at the European and international level – considering its participation in the W.H.O. Healthy Cities Project and its leadership of the W.H.O. Healthy Ageing Subnetwork – and at a local level – with the implementation of many activities and projects aimed at promoting the quality of life of older people and allowing them to live as long as possible physically, mentally and socially active. The most important “good practices” presented by the Municipality of Udine to the Project partners were: a) the production of a Healthy Ageing Profile of the city, whose 4 aims are 1) to allow an overall understanding of the local context, 2) to provide evidence for promoting health at the local level, 3) to create new opportunities for cross-sectoral work and community involvement and 4) to act as a basis for setting priorities and taking decisions. The Health Profile is an important step in order to start a process of social health-building, where the population and all components of society (public institutions, private organisations, third sector, NGOs, etc) can share their ideas and evaluations. The profile is based on 22 indicators grouped into 3 main thematic sections: the population profile (Section A ), the access to health and social support services (Section B ), the socio-economic portrait of the local context in terms of vulnerabilities and strength points (Section C ). The first two sections have been built upon basic demographic, morbidity, mortality and access to services information; the third group is referred to the determinants of health on the basis of a life-course approach. b) the development of a Mapping System , which allows us to match the distribution of the elderly on the city territory with the provision of public, health and social services offered at local level (by using GIS). This research was carried out in collaboration with the Department of Statistics of the University of Udine, which led to the production of some “City Health Maps”. These maps analyse the distribution of older people in the territory and the accessibility of services (for example, health structures, general practitioners, post offices, bus stops, free-time opportunities, care centres, chemist’s, etc) and show the exact points where services should be more implemented in the urban environment. c) the development of the Vancouver Protocol within the W.H.O. Age Friendly Cities Network , in order to record the experiences and the needs of older people through a consultation process with citizens, caregivers and providers of services in the public, private and voluntary sectors, in order to discover not only the existing “age-friendly” urban features but also the barriers to active ageing. Starting from the W.H.O. statement that “a City is ‘Age-Friendly’ when it recognizes the importance of elderly people and 3 respects their decisions; encourages their participation and involvement in community life; faces at needs of ageing in a flexible way; promotes physical and societal environment supporting active ageing”, during the first phase , 5 focus groups were held (4 with older people aged 60-74 and over 75 and 1 with health carers). During the second phase , 3 more focus groups were added (1 with public service providers, 1 with 4 the private sector and 1 with volunteers). In each focus group, 8 topic areas were analyzed, in order to put into evidence barriers and gaps, and also to collect suggestions for future improvements.