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What is the Health Action Zone?. A multi-sectoral partnership which works to reduce inequalities and promote the health, wellbeing and safety of the population of North and West Belfast. What is Health?. HAZ works on a broad social model of health, recognising that many issues which affect health lie outside the health sector, eg:Poor housingLow educational attainmentUnemployment/dependency on social welfareImpact of conflict.
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1. Tackling Inequalities in Health in Belfast Caroline Bloomfield, Health Action ZoneTom Crossan, Belfast City CouncilAnne McClean, North & West Belfast Health & Social Services Trust 1 June 2006
2. What is the Health Action Zone? A multi-sectoral partnership which works to reduce inequalities and promote the health, wellbeing and safety of the population of North and West Belfast
3. What is Health? HAZ works on a broad social model of health, recognising that many issues which affect health lie outside the health sector, eg:
Poor housing
Low educational attainment
Unemployment/dependency on social welfare
Impact of conflict
4. HAZ Council Acute Hospitals (Mater, Royal, City)
Belfast City Council
Belfast Education and Library Board
Belfast Inst of Further & Higher Education
Business in the Community
Council for Catholic Maintained Schools
Department for Employment and Learning
Department for Social Development
Eastern Health and Social Services Board
Greater Shankill Partnership
North & West Belfast Health and Social Services Trust (lead)
North Belfast Community Action Unit
North Belfast Partnership
Northern Ireland Housing Executive
Northern Ireland Probation Board
Social Security Agency
University of Ulster
West Belfast Partnership Board
5. The main determinants of health
6. The Distribution of Multiple Deprivation in Belfast: Noble 2001
7. Strategic Focus
Developing effective practice;
Impacting on mainstream service development and delivery;
Ensuring links between practice and policy
Provides an overarching framework for the proposed work programme - it is
sufficiently flexible to respond to the changing policy environment as required.Provides an overarching framework for the proposed work programme - it is
sufficiently flexible to respond to the changing policy environment as required.
8. Partnership All HAZ work is premised on partnership working:
Between statutory organisations
Between statutory organisations and community + voluntary organisations
Often performs a brokering role, facilitating dialogue between a range of organisations
Community Participation - to strengthen community participation throughout
HAZ work - team of 3.5 - 1 is CDW. E.g CEG/Partnership Boards/CHIW
TG2 - to ensure the engagement of young people and agencies working with them
in order that key issues of need are addressed.
Child Safety Forum - to bring together all those within the HAZ who have a role
in promoting child safety and child protection.
HLC Network-to create a means for sharing information and learning among the
8 in HAZ and 2 in other parts of the city.
Evaluation and Research -commission an evaluation of partnership working and agree
a framework for overall HAZ evaluation. - impact of automatic external defibrillators/
special support interventions with disadvantaged pregnant women/range of other progs.
Information Database - extended and used to inform development pathways -
occasional papers and increased access on website.
Communication - clear communication strategy roll forward - reference Jonathan Community Participation - to strengthen community participation throughout
HAZ work - team of 3.5 - 1 is CDW. E.g CEG/Partnership Boards/CHIW
TG2 - to ensure the engagement of young people and agencies working with them
in order that key issues of need are addressed.
Child Safety Forum - to bring together all those within the HAZ who have a role
in promoting child safety and child protection.
HLC Network-to create a means for sharing information and learning among the
8 in HAZ and 2 in other parts of the city.
Evaluation and Research -commission an evaluation of partnership working and agree
a framework for overall HAZ evaluation. - impact of automatic external defibrillators/
special support interventions with disadvantaged pregnant women/range of other progs.
Information Database - extended and used to inform development pathways -
occasional papers and increased access on website.
Communication - clear communication strategy roll forward - reference Jonathan
9. Development Pathways A range of organisations working together with communities in an integrated way, where: .
Need is most acute
Change is most feasible
Opportunities for multi-agency co-operation are greatest
Ensuring maximum effectiveness and collaboration Designing joint interventions that will deliver improvements in key indicators
of health and wellbeing which are greater than if each of the agencies were
left to choose their own independent intervention.
Complex idea put simply - the sum of the parts add up to more collectively
than the individual elements.
Transactional model
Making continuous connections within and between pathways.Designing joint interventions that will deliver improvements in key indicators
of health and wellbeing which are greater than if each of the agencies were
left to choose their own independent intervention.
Complex idea put simply - the sum of the parts add up to more collectively
than the individual elements.
Transactional model
Making continuous connections within and between pathways.
10. Current Development Pathways
Travellers health and accommodation needs
Communities in Schools making the school a resource for the community, and the community a resource for the school
Travellers - to ensure a multi-agency approach to address the needs of the
Travelling community - evaluated
Schools - to address the needs of pupils, parents and communities though the
CIS programme -evaluated
Neighbourhood - to co-ordinate the activity of a range of organisations to
address areas of inequality on a geographical/neighbourhood basis - GS21
-evaluated
LTU - to explore new ways of addressing the needs of long term unemployed
people and their families.
Integrated Development for YP-to create new ways of meeting the needs of
young people and delivering services/co-ordinate the programmes aiming to
promote the sexual health of YP.
Early Years -to ensure better provision of early years support to cren in N&W
Mental Health and Wellbeing - to explore how the mental health and wellbeing
needs of HAZ residents can be identified and addressed as part of a post-
settlement community building process/explore development of co-ordinated
approach to Drugs and Alcohol across Zone.
Travellers - to ensure a multi-agency approach to address the needs of the
Travelling community - evaluated
Schools - to address the needs of pupils, parents and communities though the
CIS programme -evaluated
Neighbourhood - to co-ordinate the activity of a range of organisations to
address areas of inequality on a geographical/neighbourhood basis - GS21
-evaluated
LTU - to explore new ways of addressing the needs of long term unemployed
people and their families.
Integrated Development for YP-to create new ways of meeting the needs of
young people and delivering services/co-ordinate the programmes aiming to
promote the sexual health of YP.
Early Years -to ensure better provision of early years support to cren in N&W
Mental Health and Wellbeing - to explore how the mental health and wellbeing
needs of HAZ residents can be identified and addressed as part of a post-
settlement community building process/explore development of co-ordinated
approach to Drugs and Alcohol across Zone.
11. Development Pathways (Cont) Integrated Services for Children and Young People aims to improve the life chances of children and young people through creating new ways of meeting their needs and delivering services.
Sexual health developing a co-ordinated and joint strategy to promote sexual health
12. Development Pathways (Cont) Neighbourhood developing a framework for HAZ partners to participate fully in the Neighbourhood Renewal Strategy
Mental Health taskforce on the prevention of suicide and self-harm
13. Prevention of Suicide and Self Harm Context
Growing public/community concern
Evidence of high prevalence in N&W Belfast
The need to work together to:
Raise awareness
Lobby for resources
Achieve joined up thinking and action
14. Process of Developing a co-ordinated and integrated approach HAZ Council
15. Members of Task Group Ashton Centre
AWARE
Beechmount Community Council
Belfast Education and Library Board
Belfast City Council
Catholic Church
Council for Catholic Maintained Schools
Church of Ireland
Department for Social Development
Eastern Health and Social Services Board
Greater Shankill Partnership
Homeless Support Team
Irish Church Mission
16. Outputs Process
Research better understanding
Draft Report Proposed Implementation
Recommendations for Action (local and regional)
Education
Vulnerable Young People
Family Support
Self Harm
Communication
17. Community Development Communities identifying need
Supporting communities
Supporting health initiatives
HAZ being a connector
18. Challenges Joining up policy
Changing environment
Mainstreaming
Keeping people on board
Political and social upheaval
Funding
Influencing outside authority
19. Contact Details Caroline Bloomfield
Community Development Worker
Health Action Zone
5th Floor
16 College Street
Belfast
BT1 6BT
Tel: 028 9023 7026
e-mail address:
caroline.bloomfield@nwb.n-i.nhs.uk
Web address:
www.haz-nwbelfast.org.uk