1. We Are Team Leeds Improving the health of the poorest the fastest
24/05/2018
We Are Team Leeds Improving the health of the poorest the fastest
Tony Cooke, Chief Officer, Leeds Health Partnerships Team
Tony to introduce self and presentation
24th May 2018
Tony Cooke

2. 24/05/2018
Investment in social infrastructure – including public health, early years support, skills and employment services – should go hand in hand with investment in physical infrastructure, and in business development. This will have a first order impact on productivity and living standards. And ultimately on health outcomes.
If people are healthier, they are more likely to be in work and contributing to the local economy… it’s a virtuous circle.
Tony Cooke

3. Best Core City (ONS/PHE 2017)
24/05/2018
Best Core City (ONS/PHE 2017)
So this is Leeds at its best – one of the 8 core cities and the one with the best health outcomes, a thriving financial sector and night time economy etc etc
Tony Cooke

4. So much more to do… BUT STILL WITH ENDURING INEQUALITIES 24/05/2018
HOWEVER,,, Not everyone is benefiting from or contributing to
economic growth to their full potential.
Over 160,000 people in Leeds live in neighbourhoods that are amongst
the 10% most deprived neighbourhoods in England. Pattern of inequality.
Over 26,400 children were living in poverty in the city in 2015.
Unemployment has been reducing, but is still too high in
some parts of the city.
Absolute Poverty is estimated to affect 155,000 people in Leeds (after housing costs are deducted from income)
The RSA’s Inclusive Growth Commission highlights that reducing inequality and deprivation can itself drive growth.
So what is a city to do to close the gaps?...
Tony Cooke

5. Ambition - Planning the short term in the context of the short term
24/05/2018
Ambition - Planning the short term in the context of the short term
improving health and economy – must be joined up
People who are out of work or in low paid jobs will find it easier to
obtain support and access to opportunities they need to
get into the workforce and progress into better jobs.
Not everyone is benefiting from or contributing to
economic growth to their full potential.
Some of the issues are concentrated in particular neighbourhoods, where poor housing stock and conditions, financial exclusion, physical and mental health problems and poor quality local services can be issues. Some town and district centres in Leeds have struggled to adapt to changing retail trends.
What do the strategies aim to do?
Tony Cooke

6. 3 things from LHWS that we focus on:
24/05/2018
3 things from LHWS that we focus on:
Being the best city (or the best that we can be!) for health and wellbeing = compassionate city, strong economy, working ‘with’, parity of esteem. Doing okay on this – Leeds ranks as best core city for health and wellbeing (what works wellbeing indicators)
Everything’s connected = using digital technologies for social good, community approach, priority neighbourhoods. Some progress but more we can do
Improving the health of the poorest the fastest = Much more to do on this, putting more attention, and this is what we want to focus on in this workshop
Tony Cooke

7. 24/05/2018
Better conversations: A social movement focused on people and their strengths
Focus on ‘what’s strong’ rather than ‘what’s wrong’
Put people at the centre of all decisions
Working
‘with’ means…
Build on the assets in ourselves, our families & our communities
Actively listen to what matters most to people
Be ‘restorative’. Offer high support and high challenge
Start with people’s lived experience
Work as partners to achieve individual goals
This is the how.
Leeds approach – again back to putting people at the heart – pull out social prescribing as a”more on this later”
Also better conversations between our partners who can make a difference to the economic context
In Leeds we believe wellbeing starts with people: The connections, conversations and relationships between services and citizens and between people in their families and communities have a huge impact on us all.
Our commitment to working with people is about bringing these beliefs to life, by developing the skills and mind-set across Leeds’ health and care workforce to use solutions that work with people wherever it is safe, appropriate and the right thing to do.
Quality conversations make a difference, especially when used positively by services to work ‘with’ people to find solutions rather than things being done ‘to’ people or ‘for’ them.
Tony Cooke

8. 24/05/2018
You could quickly pull out key bits of the Growth Strategy 12 ideas (like our priorities)
1 - 6
Tony Cooke

9. 24/05/2018
7 - 12
Tony Cooke

10. Strong economy compassionate City
24/05/2018
Strong economy compassionate City
Creativity in development agreements:
Social Inclusion Fund – Annual Fund through the Grovesnor Casino for social and financial inclusion projects including the Council’s Financial Inclusion Team
Social value in the built environment: Leeds Arena acted as a local hub for construction training – 90 apprentices as well as 140 local jobs. Victoria Gate saw 240 Leeds residents finding work on the development of the site.
£400k per annum from the casino to their financial inclusion fund .
Victoria Gate
Leeds
Sir Robert McAlpine and MACE group
CHY worked with Sir Robert McAlpine and MACE group throughout this project to ensure that employment and skills were delivered and monitored on site. 151 local jobs were created as part of this project and 92 District jobs resulting in over 240 Leeds residents finding work on this site. Alongside this, over 291 new employment outside of Leeds were filled with over 48% of these roles being undertaken by Leeds City Region residents. Both contractors also worked with CHY to help support local young people through work experience placements. Sir Robert McAlpine worked with Construction and Housing Yorkshire (CHY) to support the Headstart program; a 6 week programs for NEET individuals looking for their first step into the industry. Sir Robert McAlpine offered 30 weeks work experience to 6 Headstart Trainees giving them invaluable work experience in the industry.
BAM Construction and Leeds City Council
The Leeds Arena was our first major project. CHY were involved throughout the procurement process, mobilisation stage and on-site delivery. We advised on the Social KPIs, developed a Social Infrastructure during mobilisation and coordinated the Social Projects on site. Working collaboratively with the client Leeds City Council, the main contractor BAM Construction and local third sector organisations it became a bench mark nationally on what Social Value can be achieved through true collaboration. We worked with 171 businesses within the supply chain to create 286 weeks of work experience, support 90 apprentices, secure 140 local jobs and deliver 58 educational workshops.
Project Information
Tony Cooke

11. Anchor Institutions Programme
24/05/2018
Anchor Institutions Programme
Large public and private organisations using their influence to drive change in communities via better procurement (Leeds£, targeted employment, incubating small businesses etc)
NHS Leeds Teaching Hospitals Trust offers over 400 apprenticeships, targeted at young people living in the most deprived areas of the city
Leeds Health Partnerships Team: each team member has an objective to “improve the health of the poorest fastest”
Tony Cooke

12. 100% Digital Ambition
Digital Roadmap tackling exclusion – assistive technology
ActivAge partnership with Samsung and European partner cities
Supporting the independent living of older adults at home through Internet of Things technology
1000 people using wearables for daily activity monitoring and prevention of loneliness
Leeds Care Record evolution to Person-held record

13. Innovation - Planning the short term in the context of the long term
24/05/2018
Innovation - Planning the short term in the context of the long term
The Leeds Academic Health Partnership: Universities, NHS, Leeds City Council to tackle the ‘grand challenge’ of prevention of disease, inequality and self-management
Drive the adoption of research and innovation and use it to drive social change
The Health and Care Academy: supporting social mobility through growing our own workforce, ensuring it reflects the diversity of the city and targeting priority communities, addressing skills shortages, developing ‘One City’
Leeds Centre for Personalised Medicine and Health: Personalised solutions to health issues e.g. genomics
As an anchor institution – LCC has committed to paying the real living wage for all its employees
Tony Cooke

14. Industrialisation of success
24/05/2018
Industrialisation of success
Social Prescribing
Wellbeing co-ordinators that connect people to local activities and support, building on their own individual strengths and their identified needs.
Income and debt and finding employment, training and education as well as traditional health services such as stopping smoking
Extra investment in community-based welfare advice in certain parts of the city – more than 5000 people have benefited in first two years
Leeds City Council and public health commissioners have long recognised the
linkages between health improvement and financial support initiatives, and a
commitment to support and fund the advice sector. One local research study
includes the following findings: A survey of Leeds residents who have had Financial
Inclusion support found that over 63% of credit union clients believe that their
quality of life had improved. 67% of residents receiving debt advice said they had
reduced stress and worry as a result of receiving services, and 41% said their
health had improved. A significant number of those surveyed said that they could
now buy the amount of food that they needed to feed their families and to pay for
heating their homes. All of this can have significant health implications and in turn
result in fewer demands on the health service. (Economic Impact Study Dayson,K
et al, 2009)
In the first two years of the advice contract, more than 5,000 people have received
advice through the outreach services in GP surgeries, mental health services and
Children’s Centres. Feedback from a sample of clients indicated that 62% felt their
stress or anxiety had improved as a result of the advice.
Tony Cooke

15. Third sector at the heart of our plans
3S central to long term plans
Investment maintained despite austerity and use of BCF to invest
Neighbourhood Network Schemes to tackle loneliness and promote care closer to communities
Integration on our own terms – community focused, bottom up and asset based

16. Leeds Food Action Network
24/05/2018
Leeds Food Action Network
Food poverty
The Leeds Food Action Network: a partnership approach to supporting the 25,000 and more people unable to afford food in the city
The number of people accessing food banks went up by 25% in Homelessness.
In order to combat food poverty the council supports Leeds Food Aid Network
(FAN). Leeds FAN brings different people, initiatives and institutions together who
are involved in tackling food poverty in the city of Leeds. As well as the Local
Welfare Support Scheme, run by the Council, there are 6 foodbanks and
6 organisations providing food parcels. Last year, demand for foodbanks increased
by 25% compared to 2014/15. There are also 11 drop ins / soup kitchens, 4 Street
Outreaches, 2 specialised services providing food for Asylum seekers / Refugees, a
number of informal parish pantries and certain forms of Social Enterprise run on a
community café/pay as you feel model e.g. The Real Junk Food Project. In addition,
Public Health has partnered with Fare Share to set up 6-7 Fare Share outlets in
Inner East Leeds.
Breakfast cereal is being provided in Leeds school clusters representing 92
schools, involving around 6,000 children, with more schools expressing an interest
in taking part. The scheme is also providing fresh fruit to schools from a
new partnership with a major wholesale Fruit and Vegetable supplier. In the last 12
months enough food has been supplied to provide 383,175 breakfasts.
Tony Cooke

17. 24/05/2018
Geoff’s story
You’ve heard a lot from me and the things we are doing as a city… but it’s not enough.
Let Geoff tell you in his own words how poverty is effecting him
In-work poverty.
Choices are political…
Tony Cooke

18. 24/05/2018
Questions
It’s a journey for all of us but our ambitions and values drive the Leeds approach
So who DOES get to decide whether Geoff eats or goes hungry?
What if people living in poverty, like Geoff, could take the lead and challenge health and economy leaders to work collaboratively to tackle this issue?
Would it make a difference to decisions? What new solutions might emerge?
*waiting to hear back from Ian Copley re. room layout to provide instructions for group discussion*
First question comes from Geoff – rest adapted from those suggested by Rachael from the poverty truth commissioners
Tony Cooke

19. Find out more… Anthony.cooke@leeds.gov.uk www.leeds.gov.uk/bestcity
24/05/2018
Find out more…
Ways to keep in touch and find out what we are doing in Leeds. Contact Tony directly – health and wellbeing links (strategy, follow the Board on twitter) – more on the inclusive growth and poverty work
Tony Cooke