Annual Report 2015/16

re: fresh your health and wellbeing Annual Report 2015/16

Executive Summary 2015/16 was the second full year of the Wellbeing Service being operational and has again resulted in further increases in the number of people supported to make changes on a one-to-one basis with quality outcomes, overachieving targets. Local data also shows the highest overall physical activity levels ever recorded demonstrating re:fresh is still meeting its objective of getting more people, more active, more often. The past year had many challenges with continued, significant reductions in public sector budgets; for both local government and Public Health. This resulted in a reduction in Public Health funding and the implementation of the Leisure Review to meet the 731,000 savings required for leisure. Achieving the savings required impacted programme capacity for free leisure and this started to take effect in the final three months of the financial year. This report describes the results they have delivered in 2015/16.

Foreword 2015-16 has been another busy and productive year for the Healthy Lifestyles Teams as a whole. re:fresh has continued to be a population level intervention with some work to ensure it remains fit for purpose and evidences it s continued achievement of Public Health s aims for improving health and wellbeing and reducing inequalities across the borough. Now in its second full year of operation, continues to assist in enabling citizens and partners to improve their health and wellbeing by making getting help as simple as possible with a single point of access, one telephone number, one website and one email. More people than ever before contacted us to get help, advice and guidance and received the support they needed to make positive and sustainable changes in their lives. During ongoing economic challenges the increased throughput and improved outcomes achieved by the Wellbeing Service were delivered within existing resources and this continues to go from strength to strength. In 2015-16 the Wellbeing Service delivered almost 2000 one-to-one interventions with over half of all clients coming from within the top 20% of the most deprived wards. We know that focussing on the whole person, including the wider determinant of health is making a difference to peoples lives because they tell us so; 76% report improvements in their mental health too. Importantly the Wellbeing Service is supporting those individuals, families and communities most in need and helping them to look after themselves. Investment in the borough s new leisure facilities and the opening of Blackburn Sports and Leisure Centre has helped more people to be more active; attendances in leisure activities have increased from 654,998 in 2014-15 to 727,688 in 2015-16 with 280,857 of the overall attendances from free leisure. The re:fresh programme of free leisure is an important part of the overall offer and we have seen increased levels of physical activity since the introduction of re:fresh assisted by removing the price barrier to participation and ensuring that leisure plays a key role in reducing health inequalities. This report shows that re:fresh continues to demonstrate its strength and ability, through qualified, experienced staff and trained volunteers to engage with and support local people to make healthier choices. Richard Brown Health Partnerships & Commercial Manager

What is re:fresh? re:fresh is Blackburn with Darwen s overarching approach (and brand) to leading healthier lives and living longer. The focus of re:fresh is improving physical activity levels and engaging the public with positive health messages about making better choices and being more active. A significant part of this is achieved via additional infrastructure to increase physical activity levels including engagement/support staff and free physical activity opportunities in a range of settings.

re:fresh Annual Report 2015/16 brings together a wide range of services into one single access point, the Wellbeing Hub. The service is there to support people to make a positive change and also provide information and guidance on a wide range of health and wellbeing issues. This is an effective and simple way for people to access the most appropriate support and also makes it easier for professionals and partners to refer/signpost people to get the right information and support. Click the TV to see the Wellbeing Service video. offers information, advice and guidance on a range of topics including: Healthy eating Welfare benefits & debt Being more active Employment Losing weight Safe and healthy housing Stopping smoking Cutting down on alcohol The service is delivered by the Healthy Lifestyles Team within the Leisure, Health and Wellbeing section of the Council and links to a variety of other council services and a wide range of external and third sector partners, services and groups. Wellbeing Advisors and Health Trainers work within the Wellbeing Service, playing an important face to face role, providing information, support and guidance to individuals wanting to make changes towards a healthier lifestyle. Health Trainers offer both one-to-one support and group activities within the community.

re:fresh Annual Report 2015/16 Performance Summary 2015/16 Activity Performance Indicators Target Total Achievement Incoming contacts in to the Wellbeing Service (calls, emails, referrals) New clients referred via the Wellbeing Service who access a Health Trainer Referrals to other services (not Health Trainers) within the Wellbeing Service or information only interactions 2400 5242 218% 800 984 123% 1600 2515 157%

re:fresh Annual Report 2015/16 Performance Summary 2015/16 Health Trainer Key Performance Outcomes: Key Performance Indicators Target Achieved Clients who access services within the top 20% of the most deprived wards 52% 47% Clients from within the top 20% most deprived wards to achieve goals set within 3 months Clients to achieve all goals in their wellbeing plan with 6 months Clients who achieve their goals to maintain behaviour after 6 months Clients who achieve their goals to maintain behaviour after 12 months Clients demonstrate an improvement in their mental wellbeing 55% 85% 55% 80% 72% 83% 50% 83% 90% 76%

re:fresh Annual Report 2015/16 Performance Summary 2015/16 Where people came from: Of the 5242 contacts into the Wellbeing Service 1831 were referrals. 14% The following graph shows the source of these referrals: 35% 51% GP/NHS Health Professional - 927 Wider Partners - 649 Self - 255

re:fresh Annual Report 2015/16 Performance Summary 2015/16 What support was provided for these referrals? Gender 36% Male - 349 Female - 634 Ethnicity 22% White - 576 BME - 193 Not Stated - 215 984 accessed a Health Trainer (54%) 64% 20% 58% 847 accessed another healthy lifestyle intervention (46%) Who we helped: Age Deprivation 5% 8% 9% 15% 14% 20% 14% 15% Under 18-201 18-25 - 143 26-35 - 133 36-45 - 135 46-55 - 152 56-65 - 90 Over 65-53 Not Stated - 77 8% 5% 15% 9% 16% 47% Q1 Most Deprived - 459 Q2-162 Q3-90 Q4-144 Q5 - Least Deprived - 82 Not Recognised - 44

Free Leisure re:fresh continues to offer a wide ranging programme of free leisure and physical activity opportunities and is a key part of the projects success. It encourages many people to try new activities. Free leisure is not restricted to leisure centres but includes community venues, green spaces and parks too. Blackburn with Darwen Physical Activity Levels National Data Active People Survey 1 2005/06 Active People Survey 9 2014/15 Blackburn with Darwen North West England Blackburn with Darwen North West England Regular participation (3 days a week 30 mins moderate intensity) % change from baseline (APS1) 16.3% 20.8% 21.3% 20.7% 22.8% 23.3% +4.4% +2% +2%

Free Leisure The results for Active People Survey 9 (APS9) demonstrate that the gap between Blackburn with Darwen and the North West has been shortened from 4.5% in APS1 to 2.1% in APS9. In 2012 the Department of Health (DH) commissioned Sport England to include a number of questions on wider participation in physical activity in the Active People Survey (APS). While the APS regularly reports on participation in sport, the DH physical activity data is based on participation in the additional activities of walking and cycling for active travel, dance and gardening alongside sport and recreational walking and cycling.

Free Leisure 2012 (mid-january 2012 mid- January 2013) 2013 (mid-january 2013 mid- January 2014) 2014 (mid-january 2014 mid- January 2015) Difference England 54.9% 56.0% 57.0% +2.1% North West 52.1% 53.5% 54.2% +2.1% Blackburn with Darwen 47.4% 51.4% 48.8% +1.4% The data shows the percentage of adults (aged 16 and over) who met the Chief Medical Officer s recommended guidelines on physical activity of at least 150 minutes per week.

Performance Summary 2015/16 Since the introduction of re:fresh, it s popularity has seen a considerable increase in the demand for beez cards, which is how people access the re:fresh activities. With nearly 10,000 new beez card applicants in 2015/16, re:fresh continues to attract new people to physical activity. To generate continued health improvements, it was important that new beez members went on to actually use their card and that existing beez members continued to increase their activity levels. Additional People Participating in 2015/16 Target: 2,122 New Adults Participating: 3,585

Performance Summary 2015/16 Active Adults beez Attendances 35,000 800,000 30,000 700,000 Adults 25,000 20,000 15,000 10,000 5000 Attendances 600,000 500,000 400,000 300,000 200,000 100,000 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 Target Groups re:fresh has performance objectives specifically targeted at hard to reach groups for physical activity participation which are defined as: Female participation Black and Minority Ethnic (BME) participation Most Deprived (health inequalities) Levels of participation in the Most Deprived group were maintained during 2015/16 compared to 2014/15, whilst there has been an increase of 2% in Female participation and an 8% increase in participation in the BME group. Free leisure attendance data continues to be closely assessed and is responded to appropriately i.e. promotion of sessions where needed, targeted messages for geo-demographic groups and changes to programming based on customer feedback and supply and demand.

Health Trainer Case Study I found out about Health Trainers through Lancashire Mind and my doctor. I wanted to try and be positive and manage my food and weight. I was introduced to my Health Trainer Shirley. I had to complete a food diary of what I would eat, then at my next appointment we went through the good and the bad things. I also wanted to do more exercise so I was referred to a local gym through my GP. I attended a couple of classes in my spare time; this gave me a lot of confidence. I used this confidence to begin volunteering with Lancashire Mind who I was having counselling with for my depression. I have now set up a group for men in my local tenant s base and I have gained the confidence to go on courses. I am still eating healthily and using everything I have learnt with my Health Trainer. It has made a big difference to my mood and confidence. I sleep better and communicate better with people. I would certainly recommend this service to other people. You are not judged, I found that I was listened to and encouraged to be honest with myself. John Gettins

Healthwise Case Study I was referred to HealthWISE in August 2015 by my GP after being diagnosed with Type 2 Diabetes. I had always been a keen exerciser, regularly attending my local gym and attending Pilates classes but after being prescribed diabetic medication I lost my confidence with exercising, fearing hypoglycaemia. My initial goal was to gain the confidence to go back to the gym and regain my previous fitness level. During the 12 weeks I regularly attended 2 supervised gym sessions per week. At first I was very anxious and brought my glucose testing kit into the gym with me. As time went on I became more confident and was able to leave the kit in my locker and then eventually at home. On completion of the 12 weeks I took up the 6 month membership offer and continued to see improvements and now feel confident that I can manage my long term health condition. Mrs B

Falls Prevention Service Case Study I was referred for the class to help with my walking as I couldn t walk more than 100 yards and dreaded seeing someone I knew as I found it extremely difficult to stand for long chatting or look back whilst walking. I ended up buying a shooting stick so I could sit down when I needed. I have spinal stenosis and after an unsuccessful operation I have been left with a lot of nerve pain in my leg. I also suffer from arthritis hypertension and varicose veins. After my fall I stopped going out alone and my garden went to rack and ruin but now I can do it all myself. Since attending the weekly session my walking has improved so much that I now walk regularly with my two dogs on my own or with friends sometimes for up to 1 1/2 hours. Every week I go on a different trip using the train with my brother in law. We have visited Halifax, Lancaster and Leeds recently. I know I couldn t have done this without the exercises. I exercise a little almost every day as I believe it has changed my life. I m still working on my balance. Derek Polton

Stop Smoking Service Case Study I first started smoking aged 16 and continued until I became pregnant in 2014. At the height of my addiction I was smoking up to 14 cigarettes a day, costing over 30 a week. After my baby was born I briefly went back to smoking before deciding last year the time was right to get help to quit for good. I accessed help from the Blackburn with Darwen Stop Smoking Service clinic based at Witton Medical Centre via specialist stop smoking adviser Paula Dobson. Because she s a stop-smoking professional, Paula was able to help me recognise how cravings work and advise me on a combination of treatment which works for me. I have now been completely smokefree for three months and I am already feeling the benefits. There s no going back for me now, the health benefits are tangible and the money I ve saved is unreal. Rebecca Gornall

Healthy Communities Partnership (HCP) Case Study I started attending the community dance sessions as I was looking for something to stop me lazing around all day. I loved to dance in my younger years but at 70 I thought I was past it. The sessions now give me a reason to get up in a morning. I have met lots of new people and really enjoy having them to talk to. I have learnt new dance routines which I never thought possible. I definitely feel fitter than ever. Joan Partington

re:fresh Volunteers Case Study I first attended the re:fresh walks after my mum enquired about the Health Trainer service on my behalf. The Health Trainers I worked with introduced me to the Corporation Park walk and then the Witton Weekly Wander. It was during this walk that I got the chance to share my interest in nature, wildlife and country walking with other members of the group. I also got the opportunity to talk about Witton Country Park, which I love and holds a lot of memories for me. I then decided that I would attend the training course to become a volunteer walk leader. Walking and talking on the Witton Weekly Wander has given me the chance to meet new people and I have started to come out of myself a lot more. It has also helped me to find a social outlet and work on my low mood and self-esteem. I have been volunteering as a walking buddy and have worked with a number of clients. I will hopefully be delivering a First Steps beginners walk in Witton Country Park in July 2016. Michael Parker

Walking & Cycling Case Study I was already attending the Monday and Friday morning health walks when I was diagnosed with cancer in 2012. I was diagnosed with cancers affecting my liver, brain and oesophagus and had a torrid few years with three lots of surgery and three chemotherapy sessions. Throughout this time, whenever I have been well enough I have carried on attending the health walks. The walks have been flexible enough for me to do as little or as much as I feel capable of. The walking has helped me with all aspects of dealing with my cancer. It has kept me physically active but just as important is the affect it has had on my mental health. The socialising and support I have found on the walks have helped me cope with the psychological side of things. I have been able to share my health problems with other walkers and I always receive a warm and friendly welcome when I turn up to a walk. After four years living with cancer and carrying on walking, both my brain and liver tumours are in a stable condition and at the moment they are not showing signs of any further growth. Phil Old

Workwell BwD Case Study As a company, Access Ability was committed to promoting health and wellbeing with our service users and we felt that it was important to mirror this commitment within our workforce and we decided to start our journey to attaining the Workplace Wellbeing Charter. As a small business the help and support from the Workplace Health Co-ordinator has been very much appreciated. Andy guided us through the process which took 3 months from an initial assessment online to achieving the final sign off. The Charter gave us the opportunity to identify gaps in our business, develop policies, provide structure, and create new local partnerships as well as gaining a nationally recognised award. We have implemented the following: Healthy eating statement and smoke free policy included in the Employee handbook. Workplace Wellbeing policy designed and implemented. Tracking for staff and volunteer training and volunteer hours. Volunteer role descriptions. Health and Wellbeing displayed in the office. Ongoing Workplace Wellbeing Action Plan Zoe Woodworth, Access Ability CIC Operations Manager

Macmillan Move More Case Study I was 56 when I was diagnosed with breast cancer in 2014. My Breast Care Nurse told me about the Macmillan Move More programme. I wanted to take some control of my health and stop feeling tired all the time. With the support of the programme I began walking, going to Tai Chi classes and also taking part in a weekly Aqua and Swim session at Blackburn Sports and Leisure Centre. At first I was afraid of being in the water but the aqua sessions helped me to feel confident and motivated. The sessions are ladies only, run in a private, small pool and involve gentle shallow aqua exercises and swimming. Without the session I wouldn t be able to do all the activities that I now enjoy. I told my friend Rozi about the sessions as she had also been diagnosed with breast cancer in 2014. She says that the sessions help her keep fit and also help her when she feels down. We both attend on a weekly basis and find the opportunity to socialise with others at the class is also a big part of the benefits we feel from the sessions. It makes us feel happy and supported and we look forward to the activity every week. Hakeema Hussein & Rozi Nakhuda

01254 682037 wellbeing@blackburn.gov.uk www.refreshbwd.com