Working for Better Health: Olympic and Paralympic legacy

Andrew Attfield, Associate Director of Public HealthBarts Health NHS Trust

Jane Connor, Assistant Director Health LegacyNHS North East London and the City

Health, Work and Welfare ReformCity Hall, 5th November 2012

Regenerating East LondonLondon’s bid for the 2012 Games promised that:‘‘The most enduring legacy of the Olympics will be the regeneration of an entire community for the direct benefit of everyone who lives there’’2012 Bid Candidate File and Host City Contract

Once in a lifetime opportunity to transform East London This requires tackling health barriers to work

The Host Boroughs legacy aspirations

• Olympic and Paralympic Host Boroughs are Barking and Dagenham, Greenwich, Hackney, Newham, Tower Hamlets and Waltham Forest

• Host Boroughs sub-region of over 1.2m people characterised by concentration and scale of poor life outcomes

• On all key indicators, outcomes for Host Borough residents worse than the average for London – the “Convergence” gap

The Host Boroughs legacy aspirations

• Convergence Action Plan 2011-2015 (joint Host Boroughs and GLA plan) sets out actions to create wealth and tackle poverty; support healthier lifestyles; and develop successful neighbourhoods

• Since 2008 collaboration between NHS Trusts and the Host Boroughs to secure a health legacy from the Games

Already achieved• New, effective model of jobs

brokerage developed, linking local unemployed people to employment opportunities

• Jobs brokerages for Olympic construction and LOCOG, Westfield Stratford, and Games time temporary jobs

• 20% of people employed to build the Olympic Park from Host Boroughs

• Westfield Stratford employs over 4,000 local people

Already achieved• 13,500 Host Borough residents had

temporary jobs during the Olympics and Paralympics

• Local community can use the Olympic and Paralympic venues in legacy, which will employ mostly local people

• Ludwig Guttmann Health Centre – the Olympic Polyclinic – designed for community use after the Games

• Global companies like Siemans moving in to the area, and UCL planned extension to Stratford

But …

Key Convergence Indicators Gap 2009 Gap2011 2014/15 Target Progress and

RAG rating

Theme: Creating wealth and reducing poverty

Employment rate – aged 16-64 5.5% 4.8%

Narrow the gap to 2-3%

Gap reducing slightly –not on track

Median earnings for full time workers living in the area £30.60 £39.40

Narrow the gap with the London average to £25

Not on track – gap increased by £9.00

Proportion of children in working age families receiving key benefits 8.4 6.6

(2010)

Narrow the gap to 5-6%

Gap reducing –target on track

Pupils achieving at least Level 4 in English & Maths at Key Stage 2

2.2(2009/10)

1.5(2010/11)

Convergence with London average

Gap reducing – on track

Pupils achieving 5 GCSE grades A* - C (including Maths & English) in maintained schools 7.4 4.6

Narrow the gap with the London average to 3 – 4%

Gap reducing – on track

Theme: Supporting Healthier Lifestyles

Life expectancy: (male)

2.2(07/09)

2.1(08/10)

Narrow the gap to 2 years

Gap reducing – on track

(female) 1.7(07/09)

1.6(08/10)

Narrow the gap to 1.5 years

Gap reducing – on track

Theme: Developing successful neighbourhoods

Violent crime levels Violence against the person, per 1,000 population

6.1(09/10)

4.3(11/12)

To narrow the gap to 3-4%

Gap reducing – on track

Key Convergence Indicators

Working for Better Health• The Convergence Action Plan 2011-

2015 includes objective “to reduce the number of people whose health affects their ability to secure or maintain work”

• Working for Better Health has brought together Public Health, JCP, London Health Programmes and GLA Health Team to engender local action to deliver against this objective

Local actions• Engaging with SMEs to promote “Mindful Employers”• Disseminating the Healthy Workplace Toolkit• Piloting Workplace Wellbeing Charter in Greenwich and

Barking & Dagenham• Establishing pilot Work Clubs and placement of JCP

Employment Advisors in Health Centres• Community Works for Health filled over 80 jobs at the Trust in

2011/12• Providing information to GPs about the impact of Welfare

Reform• Fast-track referral of in-work patients

to physiotherapy

Community Works for Health

• Providing a local workforce for Britain’s biggest NHS Trust

• Pathway offering apprenticeship, training and employment support towards targeted vacancies

• Training includes work placement, health promotion and coaching support

• Underpinned by public health approach to health inequalities

Royal Docks Work Club and Employment Coaching

• Based at Royal Docks Work Club, commissioned by Newham Public Health, delivered by Community Works for Health

• For patients whose health affecting ability to work or find work

• Work Club and JCP advisor help with finding a job; income maximisatin; advice on job retention; CV writing; confidence building; long term health condition management

• GPs from south locality refer patients using a prescription-style form

• Runs one morning a week• Face to face promotion with GPs and practice

managers results in referrals

Future activity• Sector Skills Academy• Evaluate Work Clubs, design sustainable model linked

to training and skills providers• Better understanding of impact of Welfare Reform• Setting 1% target for apprentices at Barts Health• Positive Action approach to employment

andrew.attfield@bartshealth.nhs.uk

jane.connor@elc.nhs.uk