North Ayrshire

Green Health Partnership

Proposal

Elaine Caldow

Public Health Programme Lead

www.naturalhealthservice.scot

Public Health Health & Social Care

People with a defined needGeneral population (incl. groups within general population)

Scotland’s Natural Environment & Green Infrastructure

Everyday contact

with nature

Recreation

Pastimes

Volunteering

Learning

Active travel

Nature based

health promotion

initiatives

Health walks

Green gyms

Community growing

Nature based

interventions with

defined health or

social outcome

Therapeutic & exercise

programmes as a

treatment intervention

ONHS Strategic Interventions

NHS Greenspace for Health Partnerships

• Managing and developing NHS greenspace for staff, patients and visitors

Local Green Health Partnerships

• Developing area wide co-ordinated cross -sector action to upscale and mainstream green exercise

Green Infrastructure for Well-being Partnerships

• Developing partnerships to maximise the health benefits from planned investment in new green infrastructure

Our story so far.....

2011

Strategic review NHS A&A

Greenspace

2012

NHS Greenspace

National Demonstration

site at UHA/ Ailsa (South

Ayrshire)

2016

Greenspace for Health Project at UHA/ Ailsa

(South Ayrshire)

2016

NHS Greenspace

project Ayrshire Central Hospital

2016

Joined the Our Natural Health

Service Steering Group

2017

North Ayrshire Green Health Partnership

The ONHS Vision for GHPs

•mainstream green exercise programmes in local health delivery & promotion

•co-ordinate & up-scale cross sectoral action shaped around local health priorities and outcomes

•targeted approach, responding to inequalities

•shift to a demand led approach to green exercise services (commissioning approach)

Support from ONHS

Green Health

Partnerships

SNH Support

-for the GHP steering group

-networking with other GHPs

Funding

-£100K pa for 3 operational years

-Expectation of local funding contribution

Evidence & Research

- evaluation of ONHS

- advice & co-ordination

- knowledge exchange

- research linksCommunications

- key messages

- target audiences

- creative products

- promotion & information

Green Exercise

- Workforce Development

(awareness, knowledge & skills)

- Product QA

- Intra / inter sector networking & sharing

good practice

North Ayrshire GHP Strategic Fit

GHP

Active Communities

Strategy

Local Transport strategy

Fair for All

Open space strategy

Outdoor Access

Strategy

Healthy Weight Strategy

HSCP Strategic Plan

Mental health and wellbeing

strategy

North Ayrshire GHPKey Elements

• (Further) developing green health services and initiatives

• Developing referral pathways and signposting

• Building capacity

• Information and communications

• Monitoring and Evaluation

Green health services and initiatives

• Deliver a range and balance of activities which enable people to : connect; keep learning; be active; take notice; give (Five Ways to

Wellbeing , New Economics Foundation)

• Focus on priority groups

• Build in support mechanisms

• Maximise the use of North Ayrshire’s green infrastructure

• Engage communities

Developing referral pathways and signposting

Public Health Health & Social Care

People with a defined needGeneral population (incl. groups within general population)

Scotland’s Natural Environment & Green Infrastructure

Everyday contact with

nature

Recreation

Pastimes

Volunteering

Learning

Active travel

Nature based health

promotion initiatives

Health walks

Green gyms

Community growing

Nature based interventions

with defined health or social

outcome

Therapeutic & exercise

programmes as a treatment

intervention

Building capacity

• Core project staff (co-ordination, delivery , training , pathway development, evaluation, support for peer buddies)

• Green Health Initiative Development Fund (allocated through Participatory Budgeting)

Information and communication

• Disseminate the evidence;

• Engage with communities and encourage ownership and use of the outdoors (ONHS short films; DREAM- ON (DRop Everything And Move Outdoors in NATURE);

• Publicise and promote access to green health activities (www.carena.org.uk)

Monitoring and Evaluation

• Process evaluation: what difference has the GHP made?

• Monitoring outputs: measuring changes in green health activity and participation

• Impact evaluation: of a small number of core funded green health initiatives

• Contribution analysis: what part has the GHP had to play in delivering key outcomes in North Ayrshire?

Process so far and next steps...

Agreement and support from Active

Communities Strategic

Partnership

Feb 2017

Survey Monkey

June 2017

Stakeholder scoping event

June 2017

Draft proposal to

Scottish Natural

Heritage, CPP SMT

Aug 2017

Process so far and next steps...

Draft Proposal to CPP Board

Sept 2017

Draft Proposal to HSCP PSMT

Oct

2017

Proposal submitted

to and endorsed by SNH

Oct 2017

Formation of GHP

Steering Group

Nov

2017

Recommendations CPP Board

• Approve the proposal for submission to Scottish Natural Heritage;

• Agree that the GHP reports to the CPP via the Active Communities Strategic Partnership;

• CPP partners agree to participate in the GHP and support its development, delivery and promotion;

• CPP partners agree to consider how green health activities can be further integrated into services and practice.

Thanks for listening