Health Promoting Homes Programme

“Healthier, Happier, Longer Lives for All.”

Séamus Mullen – Investing for Health

Outline

• Background to IFH

• Context for Programme’s development

• Programme Components

• Evaluation of the Programme

• Way forward?

Background to IFH:

IFH developed by NI Assembly (September 2002)

Shift in public health policy – treatment to prevention

Link between premature death and disease to social and economic inequalities

Partnership a critical factor to success

IFH Aims:

Overarching aims of IFH at NI level are:

1. To improve the health status of all our people

2. To reduce inequalities in health

IFH Objectives: Poverty

Skills and Attitudes

Emotional Well-being

Healthy Environment

Neighbourhoods

Reduce Accidents

Healthier Choices.

“Socio-economic inequalities in health reflect differential exposure from before birthand across the life span, to risk associated with socio-economic position” (Acheson, 1998)

Partnership Members:

HS&S 17%

District Councils 17%

Other Statutory 13%

Community & Voluntary

29%

WHSSC 7%

Private Sector 7%

LSP/HLC10%

“Healthier, Happier, Longer Lives for All”

“To inspire and lead people to work together for positive living”

Our Vision is:

Our mission is:

Strategic Roles of IFH:

Influencer

Agenda setter

Lead

Funder

Themes:

Outline:

• Programme Origin

• Programme Development

• Multi-agency delivery approach on priority target

• Evaluation

Origin:

• Money identified in HWIP• PFA target – obesity

PFA Target 1.13:“Boards, Trusts and Investing for Health partnerships to produce, by 31

March 2006, an integrated plan detailing their contribution to halting the rise in levels of obesity in children by 2010”

• IFH approached to develop a programme– Multi-agency– Preventative

Programme Concept:

• First integrated programme focusing on prevention of weight gain and obesity – Personal development– Nutrition– Physical Activity– Oral Health– Breastfeeding

• Home setting – cascade effect

Programme Development:

• Surestart, IFH and Westcare Health Promotion

• Surestart provided basis for the programme

• IFH coordination and agenda setting

• Health Promotion - evidence base

Partners in the Project

• Investing for Health• Health Action Zone• Strabane Surestart• Westcare Health Promotion Department• Sperrin Lakeland Trust• Foyle Health and Social Services Trust• Strabane District Council• Parents Advice Centre

HEALTH AND SOCIAL SERVICES BOARD

W E S T E R N

Programme Delivery:

• Targeted 25 families to achieve 20 – Surestart database

• 6 month delivery

• Incentive based

• Based within own community

• User-led times/venues

Programme Evaluation:

Effective:

• Model of practice

• Variety of levels

• Value for money

Model of practice

• Inter agency working

• Inter sectoral working

• Continued impact

• Learning

Variety of levels

• Service provider level

• Community level

• Individual level

Value for money

• Sustained commitment• Met majority of projected outputs• Effective use of incentives and subsidies• Inter agency and inter sectoral working• Low overhead costs at no cost to quality

delivery …. 75% spent on project delivery• Quality of life outcomes for participants

Next steps:

• Evaluation successful – some learning points

• Roll out in Strabane and Fermanagh 2005/06

• Mainstream/recurrent funding to deliver in most deprived areas of the WHSSB area (Reform and Modernisation/IFH cocktail)

• Place on agenda of other organisations which may have a role

Present Programmes:

• Dry Arch Centre (Dungiven)

• Bogside and Brandywell Health Forum

• Omagh Surestart

• Strabane Surestart

• Homestart Lakeland

Contact IFH:

Web: www.westernifh.org

E-mail: IFHSecretary@whssb.n-i.nhs.uk

Tel: 028 7186 0086

Fax: 028 8956 1006