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  1. 1. Appreciative Enquiry Workshop (AEW) & Café Notes Limehouse Well London Lead Partner for Tower Hamlets: LSx This document was produced by the Well London Community Engagement & Mapping Teams at The Institute of Health & Human Development, University of East London
  2. 2. Contents Page Appreciative Enquiry Workshop Notes 3 Themed Summaries 6 Community Café Notes 10 Services and Amenities Mapping 19 Pen Profile 24 Well London Projects Overview 31 2
  3. 3. Tower Hamlets – Hind Green Area of Limehouse Well London Appreciative Enquiry Workshop (AEW) Venue: Lansbury Lodge, 117, Ricardo Street, Poplar, London E14 6EQ Date: Thursday 22nd November 2007 @ 3pm Due to initially poor attendance, and that some of those present had to leave early, the normal AEW agenda was truncated, and questions set to ask. There follows a description of the findings from the shortened AEW. Later more people arrived. Attendance Representatives of; 1. Well London Partners – LSx, ACE, UEL, Groundwork (East London) and LHC. 2. City Gateway (Co-host) 3. SPLASH 4. Local Food Co-op 5. Tower Hamlets PCT (Public Health Department) 6. Tower Hamlets Council 7. Community residents 8. Poplar Harca (Housing Association) 9. Poplar Somali Community 10. Councillors 11. African Women‟s Welfare Association The questions that the appreciative enquiry process would like answers to are the following; i. What are the most important things that Well London should take account of? ii. In three (3) years time, at the end of the Well London programme, what do you hope to have as outcomes? iii. What will need to happen in order to achieve these? What needs to change and what needs to stay the same? iv. What works well in this community? v. Who needs to be involved? vi. What are your Priorities? What are the most important things that Well London should take account of? Do not blame the community or residents when things don‟t work out. Need to support families. 3
  4. 4. People need to be responsible for their own health. People know what it means to be healthy, and want to be healthy. Youths and hard to reach people should be the priority target groups in the area. Previous projects have focused on the Bangladeshi group. They are not the only group in Tower Hamlets. Other groups must feel that they are part of the Well London specifically, and the community as a whole. Hindgrove is a very good community. In three (3) years time, at the end of the Well London programme, what do you hope to have as outcomes? Social Enterprise – people starting their own businesses. Increased opportunities for volunteering. Stronger families. Young people being responsible. Confident parenting. Better health awareness, in terms of healthy living and eating. A more cohesive community. Council and PCT spending less money to treat obesity and associated illnesses in three years time because there will be increased physical activities, healthy eating and better mental health and wellbeing. What will need to happen in order to achieve these? What needs to change and what needs to stay the same? Projects must develop a feeling of local ownership. This would involve social enterprise and capacity building. Give the people the necessary skills – committee membership, leadership and communication skills. Increase employability – by providing skills. Increase opportunities for volunteering. Raise the aspirations of the young people. Be inventive how we communicate information. It should be in unconventional, creative and fun ways. Build peoples confidence in healthy eating. Build peoples language skills, e.g. through ESOL classes. Transform access to physical activities. Schools – work with schools to make education exciting and improve healthy eating through the tuck shops. Need for a food market research. Integration with people you would not normally speak with. Getting children involved with cooking. Listen to each other to understand each other. Break language barriers, e.g. people knowing the English names of foods, fruits, vegetables, herbs and spices. Families should be supported holistically. Access to arts and arts groups. Access to good food and to enjoy cooking. Promote team spirit. Develop vocational skills. 4
  5. 5. Increases neighbourliness. What works well in this community? Park wardens – involve the local people. Train people to work with families. Cafes – fresh, hygienic and culturally appropriate. Arts. Exhibition of different cultural foods, and tasting sessions. Who needs to be involved? Families. Food co-ops. Primary Schools (tuck shop). Celebrities. Local artists. Councillors. Local people. Friends of Bartlett Park. GLA. What are your Priorities? Healthy eating. Sense of community. The process and outcome of Well London should be to increase community cohesion. Time banks. Volunteering. Create opportunity for healthy living centre in Hindgrove. Capacity building. Principles 1. Intergenerational. 2. Cross cultural. 3. Surroundings need to look good (Bartlett Park). 4. Link up with schools. 5. Using food as a main theme and thinking laterally, in order to tackle many other underlying issues like diabetes, sickle cell, obesity, disabilities, mental wellbeing and family structures. Food is a core subject. See also Themed Summaries on Page 6 5
  6. 6. Themed Summaries This section summarises the collective information that emerged from the different sources – community cafes, mapping exercise, walk-abouts, local intelligence, pen portrait and youth consultations – according to WL themes. Reference: Healthy eating Café The community was convinced that diet-related illnesses, especially amongst 1.6.16 young people and the Bengali population, were common, with obesity and 1.1.7 diabetes seen as priority challenges. There was a view that it was difficult to 1.1.8, 1.6.6 access affordable, good quality, fresh food locally and that traditional diets of people from certain ethnic origins were high in fat. There was a strong sense that 1.3.9 the culture of family meals was breaking down; with individual family members 1.5.6 obtaining quick meals at different times from the vast range of cheap fast-food 1.6.14 outlets which dominate food retail in the area. Fresh fruit and vegetable consumption was low, especially amongst white British residents. As one teenage boy put it: “I’ve never seen any fruit in my house… no, that’s not nan brought a bag of apples round the Christmas before last… but nobody ate them and they got thrown out in the end.” There is a range of existing healthy eating initiatives in the area, however some of 1.6.12, 1.6.8 these suffer from lack of funding, and others are still in their infancy. Alongside 1.5.3 these issues, there are particular groups in these local communities that are not being served by any of these programmes – in particular young people and 1.1.1, 1.1.2 elders. Primarily there are a number of food co-ops being offered, and the up take of these has been promising. However, even here there are segments of the community not being served – for example the LAP 7 area has three food co-ops 1.6.11 within it, but the LAP 8 area has none. The uneven provision of healthy eating in terms of food supply – both in geographic and demographic cases needs to be addressed. This is of particular interest to the Somali community who have been requesting a food co-op for a number of years. One solution posited to address 1.3.6 the geographic spread of co-ops, and to make them accessible for elders, would be to run one from the GP surgery. The food co-ops that do exist are also quite 1.6.4 new and it was suggested that initiating good practice form more established co- ops (like Newham) would improve these services. 1.6.3 Although access to a healthy food supply is a concern, there are a number of others. Many groups have been identified as lacking the skills needed to cook healthy meals. This was raised as a particular concern among certain ethnic 1.5.5 groups such as African women. While existing initiatives (such as those at 1.3.1, 1.3.3 Lansbury lodge) provide healthy eating and food hygiene certification for women, there was the desire expressed to run other initiatives such as the cook and eat club previously run by Poplar HARCA. This was successful as they also had child 1.2.2 minding facilities available. There are a number of initiatives that cut across the theme of healthy eating and 6
  7. 7. outdoor activity. Like most parts of London, there is a long waiting list for access 4.6.1 to an allotment, however there is some provision of community gardens, for instance Poplar HARCA‟s community herb garden, and SPLASH‟s women‟s 1.5.2, 4.2.1 gardening project. Mapping Locally, some community-run services exist like the LLCP „Healthy Eating‟ events, HARCA community herb garden at Poplar and SPLASH (South Poplar And Limehouse Action for Secure Housing) gardening project for women. But outlets for relatively good quality, fresh produce, such as the food markets in Whitechapel, are located some distance from the SOA. Physical activity Café It was believed that levels of physical activity are generally low. Amongst elders this related to lack of community activities, fear of going out and physical problems getting down stairs. Long term residents mourned the passing of earlier days, when there had been more sense of community in the area and the wider 4.1.3 community would take an interest in older people – making sure they were well and had what they needed. As one resident put it: “Some of these older people don’t see anyone from one end of the week to the next. They could die in their flats and not be discovered for weeks.” Amongst young people, the barriers were identified as poor quality of open 4.6.3, 4.6.7 spaces, and a lack of local gyms and local sports/active leisure facilities, especially floodlit sports areas where young people could play football and other sports in the evenings. What was available was often beyond local people‟s 2.5.9, 2.5.11 means, being primarily targeted and priced for workers in neighbouring Canary 2.5.12 Wharf. There was no local dance facility. The local swimming pool had been 2.5.13 closed several years previously and was lying derelict. There was a strong need for gyms and exercise classes to be more supportive of beginners e.g. confidence building, more appropriate inductions, crèche and childcare, group support. 2.5.10 Identified priorities were exercise opportunities for elders; the need to link exercise opportunities training and employment of local people especially young people, as this is an area of interest for young people; and sports activities such as football to be made more accessible at different times of the day and year, 2.5.15, 4.5.7 floodlit and open 24/7. Although there is a general lack of physical activity in the locale, there are a 2.1.1- 2.1.6 number of existing physical activity classes held for elders, young people and 2.1.10 women. These range form dance and yoga classes to five a side football. However there are a number of hard to reach groups such as Somali women 2.3.1 who do not have experience with public transport, and therefore require assisted transportation to and from physical activity centres. Although there are few green spaces in the vicinity, Bartlett park is under used 4.6.3 due to issues with dog fouling, poor lighting, and a lack of benches. There are a number of walking initiatives in place, however these vary in attendance. It has been suggested that as well as improving the physical space which would lead to higher use of the park, that themed walks should be established to make this activity more desirable. Mapping Few services were identified including LLCP-run „Keep Fit‟ classes and a gym in Mile End offering a wellness pass. 7
  8. 8. Mental health Café It was asserted that there were high rates of depression among residents. Key 3.1.1, 3.1.3 issues were poverty, and isolation and fragmentation within communities affecting especially elders, ethnic minorities and vulnerable groups. The ugly physical 3.5.5 environment and unhealthy aspects of environment eg spitting, dog litter, drug-related rubbish were believed to contribute. Lack of work, a sense that peoples lives were not under their own control, and that they were excluded from mainstream society with few resources created low self esteem, stress and anxiety. Use of drugs, especially cannabis, was reported as widespread among 3.1.4 young people. Attitudes to mental health in the community were causes for concern where there was a perceived lack of understanding, shame and prejudice, as well as the attitudes of many professionals who lacked a holistic approach to causes and treatment of depression. 3.5.10 From the café data, there emerge two main groups that need access to mental health initiatives. Family counselling and information on parenting would assist in 3.5.1 relieving pressure form families in the area. Alongside this, there is the need for culturally sensitive initiatives that can adequately address the particularities of 3.3.3 ethnic groups. One example of this is the problem among the Somali community with the drug Khat that can lead, or certainly worsen issues of mental health. 3.3.2 There is a general overall need in the area for more mental health initiatives, although there will be a youth counsellor at Limehouse youth club from 2008. 3.1.2 Mapping A considerable number of services exist and target the elderly and BME groups (Bangladeshi, Black African, Somali, Afro Caribbean, Jewish, Chinese and Vietnamese) Open Spaces Cafes There were strong concerns that the quality of the local environment was poor, and what access to green space there had been was disappearing as the 4.5.4 development of East London‟s designated growth areas accelerates. There is both a perception and a reality of crime in open spaces. Young people have a negative ownership of the space – „a place to get up to no good‟ – rather than a positive ownership – „a place they are proud of‟. As one community member put it: “Look at Bartlett Park – it’s just a flat muddy field, no features… railings are rusting rotten and falling down and its bang opposite a huge yard full of rubbish behind the old derelict school. …. Says it all, really!” There was a strong interest in bringing beauty and interest to open spaces, improving the aesthetic quality of the area in general and involving young people in the work to achieve this. Despite the lack of general open and green space within the SOA, there are many successful open space projects, such as the aforementioned community garden 4.2.1 projects. The most valuable green space in the area is Bartlett Park. There is a widespread feeling that the park is underused due to the dog fouling, poor lighting 4.6.3 and uninspiring landscaping found there. While the walking initiatives are still under-accessed, there was an interest expressed in establishing a “green gym” 4.5.3 where residents can access physical activity in the open air. Overall there is a lot of demand for more land to establish these gardening and outdoor projects. 8
  9. 9. Mapping Few facilities are available, the chief one being Bartlett Park. Smaller areas include a purpose built park on Brimfield street and community garden projects. Arts and Culture Café Like the healthy eating theme, there is fairly uneven provision of arts and cultural activity in the area. While there are some very successful initiatives many of these are tailored to very specific groups, while there is no provision for others. There is a well developed textile interest in the area, with a number of programmes such as those delivered by City Gateway, and the African Women‟s Welfare Association. Because these are well established and well accessed, there is the 5.1.1, 5.2.1 potential to use these projects as routes to progression and accreditation for these skills. Youth in the area have access to City Gateways media and multi- media programmes. The arts and cultural organisations that operate here have 5.5.2 expressed the interest in establishing partnership projects and in particular an inter-generation initiative. Mapping Arts Council England, London‟s provisional database contains 325 arts organisations in both Limehouse (intervention, E14) and East India and Landsbury (comparison) SOAs; 40 of them are located within the E14 postcode and cover music, visual arts and theatre art forms. Cross-cutting themes The general situation was believed to have worsened with the contracting out of increasing numbers of what used to be closely linked council services providing integrated sources of information about what was going on in the community. Now there was a host of contracted out services with multiple providers, no joining up and no real grounding in the community. Providers were often in competition rather than cooperation with each other. It was felt that the WL Alliance doesn‟t need to work with local people – there are already plenty of local organisations doing that – but rather needs to support and develop the capacity of these organisations and help support groups of local people to run programmes themselves. Developing a sense of community is important, so invest in the capacity building process of individuals and local organisations and then promote 6.6.4 the role of local people in delivering services within their own community. This could be done in a way which promotes healthy lifestyles amongst local people as part of the process. There was a need to link health and well-being needs to employment and training opportunities for local people, especially for young 7.4.24 people – City Gateway and food co-ops are two key organisations which could play a major role. Deals needed to be brokered and consortium muscle used to lever in resources and support. It is important to play a connecting role with local services and agencies, and to develop and support better access to existing facilities and services e.g. 24 floodlit pitches and making any activity fun and not punitive. 7.4.20 Through the discussion a number of other issues that are of particular interest to the area emerged. There is the need for raising awareness of particular conditions among those groups that are at high risk. The need to educate the African and 7.3.2 Asian communities about sickle cell anaemia is one such example. Alongside this 7.4.14 the issues of Khat use, diabetes, HIV/AIDS, TB and vascular disease were all 7.3.3 identified as being problematic for particular communities and a programme of awareness raising was suggested by many. 9
  10. 10. Community Café Notes Café date (2007): 1. Healthy Eating 1.1. Healthy Eating across the life cycle. 1.1.1. Lack of healthy eating projects aimed at youth or elders. Oct 1.1.2. Particular need identified is healthy eating and cook and eat clubs for elders. Oct 1.1.3. Interest expressed in holding a food co-op form GP surgery which would be particularly beneficial to elders accessing their GP. Oct 1.1.4. More info needed in schools. Despite Jamie Oliver and other publicity in this area the perception is that school food remains poor. Feb 1.1.5. Family learning week in Oct is good – more of that please! Feb 1.1.6. Bring back milk to primary schools Feb 1.1.7. Schools report eating disorders among young children - refusing to eat school meals - lack of awareness on the part of parents of how to get kids to eat anything other than crisps and sweets. Feb 1.1.8. TH has highest rate of childhood obesity, and this is a growing problem. Feb 1.2. Healthy Eating and gender 1.2.1. Lansbury Lodge Women‟s Project provides training in food hygiene and healthy eating for women. Oct 1.2.2. Poplar HARCA used to provide family learning with their Cook and Eat Club, however they would like to run this again with Lansbury Lodge. 10
  11. 11. They had 15 women attend when they provided a crèche. Oct 1.3. Healthy Eating and Ethnicity 1.3.1. Ninety percent of Somali community do not access health information, including healthy eating information. Oct 1.3.2. Need to support BME Health Guides with food co-ops as health trainers. Oct 1.3.3. Need to raise awareness of good food and healthy eating among African women. Oct 1.3.4. Poplar Somali community work closely with Poplar HARCA in the Black food project. Oct 1.3.5. Was a pilot project for Somali community on healthy eating with drop in sessions and cooking classes, but funding ran out. Oct 1.3.6. Somali community have been asking for a food co-op for three years. 1.3.7. Somali based healthy eating and weight loss project successful. Oct 1.3.8. Levels of food-related diseases are very high among Bangladeshi community - Diabetes Type II, Coronary Heart Disease, Hypertension. Feb 1.3.9. Bangladeshi people from the Sylhet region have not adapted their diets to the more sedentary lifestyle here. Feb 1.3.10. 90% of the client groups of the food co-ops are Bangladeshi. Feb 1.3.11. Increase in diabetes in the Afro-Caribbean and Asian communities 1.3.12. Many children from ethnic minority groups don‟t eat school Feb dinners Feb 1.3.13. Linking health to other things - Could incorporate language teaching Feb into cooking class. 1.3.14. 1.4. Healthy Eating and disability Oct 1.4.1 No identified healthy eating projects targeted for disabled community. 1.5. Healthy Eating – Cross cutting issues 1.5.1. Limehouse Project are exploring the possibility of running a community kitchen involving local residents as a way of engaging communities. Oct 1.5.2. Poplar HARCA existing provision of community herb garden. Oct 1.5.3. Poplar HARCA existing provision of food co-op, however this needs development – in particular they find it difficult to meet delivery costs. Oct 1.5.4. Interest expressed in holding a food co-op form the GP surgery. Oct 1.5.5. Cooking classes – cook & eat for community groups – have been tried before at Lansbury Centre. Worked well, but need more input & promotion to keep them going. Feb 1.5.6. There is a culture of fast food. Need to change the lifestyles and everyday processes. There are no healthy take-aways or cafes in the Feb area. Need to provide these and support. Catch people early, use a holistic approach. Raising awareness for all ages. Feb 1.5.7. Subsidy / tokens for fruit and vegetables. Feb 1.5.8. Increased availability of healthier cheap take-away food instead of the usual take-away fare eg pasta bars. Feb 1.5.9. Increased support to existing co-ops already running in the area. There are 4 up and running and all are led by community volunteers. They are popular, but there needs to be more awareness raising to reach more people in the community. The co-ops buy Grade 1 fruit directly from the wholesalers so it is high quality and fresh. It is sold at just above cost price and is slightly more expensive than market stall prices but much better quality. The range of food sold is tailored to the ethnic mix of the local community. Paid staff at THCDA supporting the volunteers are funded through grants. Feb 1.5.10. Support to THCDA, perhaps to work in conjunction with City Gateway, 11
  12. 12. to run cookery classes hosted by a chef. They have done this before with success. Feb 1.5.11. Offer incentives to people to take part in evaluation eg £1 voucher for the food co-op. Feb 1.6. Healthy Eating misc. 1.6.1. Want to see local fast food shops sell and promote healthy food also. Oct 1.6.2. Need for Healthy eating session/workshop about how good food is essential to good health for all the community. Oct 1.6.3. Suggestion of looking at Newham and Greenwich‟s food co-ops and import good practice form here as they are further developed than the Limehouse example. Oct 1.6.4. Poplar HARCA do not have the capacity to run another food co-op (they already run one.) However they could run one from the GP surgery. Oct 1.6.5. The existing food co-op at Hine Grove Community centre, but the Lansbury food co-op is the strongest in Poplar. Oct 1.6.6. Diabetes is an issue among the populace – the surgery has identified this, and would like to conduct group work on healthy diet, but has no room to do so. Oct 1.6.7. Hind Grove food co-op is to be moved from Hind Grove to City Gateway. Oct 1.6.8. City Gateway also run community cafes to promote healthy eating – the money made from the sale of tea and coffee here helps fund this. Oct 1.6.9. City Gateway needs investment in visual aids and teaching materials. Oct 1.6.10. City Gateway feel that access is there for the food co-op, now the next stage is educating the people how to cook with these foods and are particularly interested in the cook and eat projects. Oct 1.6.11. There are three food co-ops in LAP 7, but none in LAP 8. Oct 1.6.12. Food co-ops (some do exist) Feb 1.6.13. Fruit and vegetables at local market - trade off between quality and price. Feb 1.6.14. Healthy food is often not accessible. E.g. is easier to carry home a 24- pack of crisps than a big bag of vegetables if you don't have a car. Feb 1.6.15. More food co-op locations needed, in micro-communities. Feb 1.6.16. Diet related illnesses are a major problem. Very high incidence of Diabetes and type 2 heart disease. Feb 1.6.17. Fruit and veg available: Markets: the greengrocers stalls at Chrisp Street market: 1 Asian, 2 British. Some of the quality of the fruit and veg is very poor. Supermarket: Somerfield is quite expensive for fruit and veg Food co-ops at Hindgrove Community Hall: run by community volunteers with Tower Hamlets Community Development Agency. (LH) Feb 2. Physical Activity 2.1 Physical Activity across the life cycle - elders 2.1.1. Limehouse project provides over 50‟s yoga and exercise class. Oct 2.1.2. Poplar HARCA existing provision of Dance class for elders. Oct 2.1.3. Existing provision LAP 7 & 8 healthy living sessions for over 50s. Oct 2.1.4. Existing Health walks for elders in Hind Grove. Oct Physical Activity across the life cycle – youth 2.1.5. Lansbury Lodge Women‟s Project provides ballet and dance classes for children. Oct 2.1.6. Gateway Motion have set up a gym for young people particularly and the local community more broadly. Oct 2.1.7. Young people playing football in the park could be harnessed into a league and into more structured sports development. Oct 12
  13. 13. 2.1.8. Limehouse Youth Club existing provision provides safe space with physical activity such as gym, climbing, sports. Oct 2.1.9. Gateway Motion existing provision work with young people and qualify them in fitness instructing, sports coaching etc. Oct 2.1.10. City Gateway existing provision of youth 5 a side football. Oct 2.1.11. Childcare facilities at gyms would help parents exercise. Feb 2.1.12. Children no longer go swimming in their schools. Feb 2.1.13. For kids – creation of arcades which will combine the children with each other using their love for computers, include games such as „dance moves‟ which are more active, to increase exercise. Could pay for a day pass instead of per-game. Feb 2.2 Physical Activity and gender 2.2.2 SPLASH existing provision of swimming for Bengali women in Blackwall - also provide transport to Tiller rd. as many of this community do not have experience on public transport. Oct 2.2.3 SPLASH existing provision of Yoga for women in St. Matthew‟s community Centre. Oct 2.3 Physical Activity and Ethnicity 2.3.1 Exercise advice and training for Somali women (35+) is best done in one on one sessions. Oct 2.3.2 Many women from BME groups can't cycle but would love to learn and would enjoy it. Cycling courses set up in the more secluded areas of parks would probably be very popular. Oct 2.4 Physical Activity and Disability 2.4.1 Lack of information on disability and physical activity. Oct 2.5 Physical Activity – cross cutting themes 2.5.1 Gateway Motion has the capability to provide qualified sports coaches to deliver sports sessions. Oct 2.5.2 Existing provision of taster sessions at Tiller leisure centre (swim and gym) with health trainers. Oct 2.5.3 Poplar HARCA existing provision of football training Oct 2.5.4 Poplar HARCA existing provision of sports development training courses. Oct 2.5.5 Poplar HARCA existing provision of walking groups, swimming, and MOT health checks. Oct 2.5.6 Existing health trainer led walks. Oct 2.5.7 Need for more cycling awareness and the possibility of free bike hire in the area. Oct 2.5.8 LAP 7 & 8 would welcome working with partners to make walks more interesting e.g. themed walks – or trails – etc. Oct 2.5.9 Lack of affordable facilities – what is available is too expensive. Local gym costs £2.50 for children – and less (£1.90) for adults on benefits. Feb 2.5.10 Existing gyms not always welcoming/ geared up for new joiners. Better inductions needed. Feb 2.5.11 For residents not on benefits, swimming and other leisure centre facilities are very expensive (nearly £4 for a swim) Feb 2.5.12 Subsidised fitness activities generally taken up by those who could otherwise afford to pay anyway, e.g. Pilates classes at Ideas Stores full of Young Professionals. Feb 2.5.13 Further information needed on what is happening to Poplar baths, currently closed. Feb 2.5.14 Free or subsidised gym facilities or classes. City Gateway are looking into a reward system with GLL Leisure services (who run Tower 13
  14. 14. Hamlets Leisure services). This would link going to the gym with healthy eating. Feb 2.5.15 Weekend sports provisions. Need to open up centres for free evening and weekend provisions. Turn them into inter-generational areas. 3. Mental Wellbeing 3.1 Mental Wellbeing across the life cycle 3.1.1. Need for education projects for young people to help realise their potential and reduce depression amongst youth. Oct 3.1.2. Limehouse Youth Club will have a mental health counsellor from 2008, based at the club. Oct 3.1.3. Isolation – especially older people. Feb 3.1.4. Issue of Drugs – especially with young people. Feb 3.1.5. Rising levels of eating disorders among children. Feb 3.2. Mental wellbeing and gender 3.2.1. Lansbury Lodge Women‟s Project offer training and programmes that support community cohesion and provide support for isolated women. Oct 3.3 Mental Wellbeing and Ethnicity 3.3.1 Need for more mental health support for Somali community. Oct 3.3.2 Real issue with drug taking of Khat in the Somali community which results in sleep deprivation, depression and suicide. Oct 3.3.3 Need for parenting courses delivered in a culturally sensitive way to help reduce anxiety and depression. Oct 3.3.4 Need for more support for mental health that is culturally sensitive and addresses the particular needs of ethnic groups. Oct 3.3.5 Bangladeshi community: depression is not a well understood concept. According to tradition people, poor mental health is often addresses through herbal / spiritual remedies. Feb 3.4 Mental Wellbeing and disability 3.4.1 Lack of information on the state of mental wellbeing among the disabled community. Oct 3.5 Mental wellbeing – cross cutting themes 3.5.1 Parenting courses and confidence building needed to help parents cope with their situation and reduce depression. Oct 3.5.2 Poplar HARCA existing provision of regular one on one outreach sessions. Oct 3.5.3 Limehouse Project existing provision of family support to deal with domestic issues and thereby reduce stress. Oct 3.5.4 Existing provision of advice centre from Limehouse project provides a wide range of advice and personal development programmes. Oct 3.5.5 Ugliness of the physical environment affects how people feel about themselves. Feb 3.5.6 Depression still not widely recognised as an illness – lack of holistic approach here. Feb 3.5.7 Stress from housing, one had two years in temporary accommodation, difficulty finding housing, have to bid for properties to rent from council, this is stressful. Feb 3.5.8 Housing has poor repair jobs, young people often living on people‟s couches. But feel like they are not taken seriously Feb 3.5.9 Single parents are stressed, struggling to pay bills. Feb 3.5.10 Counselling services are not good; doctors often just put 14
  15. 15. people on drug therapy. Feb 4. Open Spaces 4.1 Open Spaces across the life cycle 4.1.1 City Gateway has potential for adding focus on the external environment and outdoor spaces and adding horticultural and gardening skills to mix of activities on offer. Oct 4.1.2 City Gateway also has potential for activities such as healthy walks and involving young people in small improvements to their environment and play area Oct 4.1.3 Lack of neighbourliness means people don't feel safe letting kids roam. Feb 4.1.4 Teenagers spend a lot more time indoors, eg playing computer games. Feb 4.2 Open Spaces and gender 4.2.1 SPLASH existing provision for women‟s gardening project (particularly for Bengali women). Oct 4.4 Open Spaces and disability 4.4.1 LAP 7 & 8 keen on sensory gardens and the potential to establish one in the area. Oct 4.5 Open Spaces – cross cutting themes 4.5.1 Need for a project to retain the few green spaces left in Poplar. Oct 4.5.2 Need for an overhead access bridge over Bartlett Park. Oct 4.5.3 Debbie one of the Health Trainers, mentioned the idea of „green gyms‟ and would be keen to promote this, rather than indoor gyms. Oct 4.5.4 New housing developments encroaching on open play-spaces. Feb 4.5.6 Perception that play spaces are less safe. Feb 4.5.7 Lack of floodlit pitches etc Feb 4.6 Open Spaces – misc. 4.6.1 There are long waiting lists for allotments in the area. Oct 4.6.2 It has been identified that there is a bit of derelict land at the back of East India Dock Road, just within the boundary of the SOA. (This was noticed by Christine from SPLASH.) Oct 4.6.3 The usage of green spaces and open space – e.g. Bartlett Park – is very low and definitely under-utilised, and dog fouling is seen as a key problem here, alongside poor lighting and a lack of benches. Oct 4.6.4 There are some healthy walks available but these do not seem to be signposted enough. Oct 4.6.5 Most people don‟t have gardens, but the specially designed areas aren‟t used enough, partly as the older kids have taken them over, with vandalism and intimidating others, also green spaces are taken over with dog excrement. Feb 4.6.6 Concern over future of the farm given extent of development in the area. Feb 4.6.7 People don‟t want to go out because streets are dirty – spitting, links to high TB in LBTH and dog fouling. Feb 4.6.8 Not only lack of open spaces, but too many uninteresting spaces. Feb 4.6.9 John roach secondary – rubbish fermenting, been derelict for 10 years. Take the rubbish away. Feb 4.6.10 Any new planning developments should not result in loss of green or other public space. Feb 15
  16. 16. 5. Arts and Culture 5.1 Arts and Culture across the life cycle 5.1.1 City Gateway work with youth and are particularly interested in the graffiti project, in partnership with SPLASH and other youth providers. Oct 5.1.2 SPLASH have an experienced community visual artist – David Bradbury who would be interested in the development of further Oct projects. 5.1.3 Groups present interested in establishing inter-generational creative projects. Oct 5.2 Arts and Culture – gender 5.2.1 City Gateway have an arts and textiles focus and run a course for women. 6-10 attend and it costs £50 a week to run. Oct 5.2.2 There is interest here in extending or finding a progression route for these women perhaps through “Stitches in time.” Oct 5.3 Arts and Culture - Ethnicity 5.3.1 African Women‟s Welfare Association existing provision of sewing projects that celebrate traditional cultures. Oct 5.3.2 All groups interested in exploring culture and cultural differences through these creative projects. Oct 5.3.3 Although the Bengali community wasn‟t represented on the night other partners felt they should also be involved. Oct 5.5 Arts and Culture – Cross cutting themes 5.5.1 City Gateway existing provision of youth based media and multi-media projects. Oct 5.5.2 Clear desire from groups that a multi-partnered project was welcomed, providing there were clear agreements in place. Oct 5.5.3 Splash also run Splash Arts - which focuses on community art as an engagement tool, and has potential overlap with community arts approaches that Groundwork often takes in designing open space Oct projects. 5.5.4 Healthy Spaces offers the potential for using art/signage/trails etc. to enhance use and enjoyment of open/green spaces. (They cover 7 Oct blocks of council flats, from a Porta-Cabin just under the Westferry DLR). 6. Cross-Cutting themes 6.1 Cross Cutting themes and the life cycle 6.1.1 Lack of after school clubs/ snooker/ places to hang out liked to security concerns (and costs) where older teens can cause trouble at existing centres – links to drugs and alcohol – links to antisocial behaviour (dog fouling, drug Feb paraphernalia) – links to lack of respect/ neighbourliness. 6.2 Cross Cutting themes and Gender 6.2.1 Need to raise awareness of health issues particularly among African Oct women. 6.2.2 SPLASH existing provision Healthy Living drop in sessions for women Oct in St. Vincents, Limehouse. 6.3 Cross Cutting themes and ethnicity Feb 6.3.1 Escalation of anti-Muslim attitude in the area. 6.6 Cross cutting misc Feb 6.6.1 Integrate community facilities into new build planning proposals. Feb 6.6.2 Increased community participation impacts health in all 3 ways above. 16
  17. 17. 6.6.3 Health-related network of community groups, PCT, other statutory organisations - co-ordinate services, avoid duplication, cross-referrals, shared Feb strategic thinking, shared best-practice 6.6.4 Micro-local service provision, in existing community centres - perhaps some kind of capacity building-exercise, mapping empty community space Feb during the week, and then moving food co-ops etc around. 6.6.5 Involve a mixture of local people and others in delivery - avoid being Feb patronising. 6.6.6 Health Bus: a double Decker based on the City Gateway Big Bus idea, bus to provide a coking space, and activity space and also exercise Feb equipment. Could travel around communities with food co-op produce etc. 6.6.7 Need for budgeting courses, teach people how to make the best of their money, and give them the feeling of control, many believe they can‟t afford a healthier lifestyle or activities for themselves and their kids, but on Feb benefits you can. 7. Miscellaneous 7.1 Miscellaneous issues across the life cycle 7.1.1 Need for drug education for young people. Oct 7.1.2 Existing provision Poplar HARCA, provides youth work for 13-25 year olds, and family learning form 8-12 years of age. Oct 7.1.3 City Gateway existing provision of skills development, work placements and apprentice programmes for young people. Oct 7.1.4 Issue of very few young people visiting the GP. Oct 7.1.5 One gap in provision - activities that mothers and children or families could do together. Oct 7.1.6 Need for outreach – particularly visiting old people. Feb 7.3 Miscellaneous issues and ethnicity. 7.3.1 SPLASH Existing provision of ESOL classes for Bengali and Polish Oct communities. 7.3.2 Need to promote self-management on specific health issues, in particular sickle cell anaemia amongst high risk ethnic groups. Oct 7.3.3 Need to raise awareness of specific diseases such as Tuberculosis, HIV/AIDS, vascular disease and problems of KHAT use among the Somali community. Oct 7.3.4 African Women‟s Welfare Association existing provision of assistance with lost African children. Oct 7.3.5 African Women‟s Welfare Association existing provision of raising awareness of sickle cell anaemia however this needs further attention. Oct 7.6 Miscellaneous 7.4.1 SPLASH existing provision of smoking cessation classes. Oct 7.4.2 Want to run more group sessions form Limehouse GP practice however they do not have the physical room to do this. Oct 7.4.3 Limehouse practice has many doctors and nurses that are keen to further help the community with various projects. Oct 7.4.4 Limehouse practice recommends healthy living, but has a problem with follow up and is never sure if their advice is taken. Oct 7.4.5 Limehouse GP surgery would like to know more about these initiatives in the area as they can advertise on their notice boards. Oct 7.4.6 There are high levels of measles and mumps in area so surgery would be interested in working with community groups and Well London to promote health issues and things like flu jabs. Oct 7.4.7 The GP have a 25% turnover, mostly young vulnerable people with no support networks at all. Not enough doctors. Feb 17
  18. 18. 7.4.8 One said they had inaccessible GP‟s with judgemental attitudes. Feb 7.4.9 Need more drop in centres not at the GP‟s for the Bengali community, with more health promotion. Feb 7.4.10 Investing in personal relationships: Really important in getting information around and encouraging people to come to things. Feb 7.4.11 Need for Drop in centre – sign posting of services, support – one stop wellness shop. Feb 7.4.12 Perception that Yuppies come in and drive up the prices of the local services. Also make it impossible to buy good housing. Feb 7.4.13 Also need for advertising of the available services that are accurate and reach everyone – lack of effective communication network. Feb 7.4.14 Need for education of general hygiene, e.g. concerning spitting, dog excrement, STD and sex education, increase access to contraception, nappies. TB is rife. Feb 7.4.15 Personal Hygiene: People need education on it. Feb 7.4.16 Lack of continuity of funding – lack of sustainable funding strategy. Feb 7.4.17 S106 monies not being spent on wellness development. Feb 7.4.18 Transient population (25% per annum turn over on GP lists). Feb 7.4.19 Need for better family planning advice and STI prevention work. Feb 7.4.20 What ever you do make it fun! Feb 7.4.21 Use the market as a resource for connecting communities around health and wellbeing. Eg recipes in butchers. Feb 7.4.22 Encourage people to respond to positive message not punitive messages about their health, motivate and inspire people. Feb 7.4.23 Connect more to schools. Feb 7.4.24 Train local people as fitness trainers so they can deliver the classes themselves. Set up a social enterprise which can be contracted to deliver the healthy activities and programmes. Feb 7.4.25 Engage with the Olympics developments. Feb 7.4.26 Cook and eat clubs with gym equipment and advice eg including a young person‟s GP/nurse. Feb 7.4.27 Personal development to help change people‟s perceptions of themselves and their role in the community. Feb 7.4.28 Integrate community facilities into new build planning proposals. Feb Increased community participation impacts health positively. Feb 7.4.29 Encourage people to volunteer – do something good with time, fills your mind instead of boredom and increases confidence. Feb 7.4.30 Consortium doesn‟t need to work with local people, already plenty of local organisations doing that, consortium needs to support capacity of these organisations and help support groups of local people to run the activities themselves. Feb 18
  19. 19. Services and Amenities Mapping Borough & ONS code WL partner Borough lead Co-host Tower Hamlets London Sustainability Exchange Tim Madelin City Gateway E01004252 Director of PH, THPCT Lansbury Lodge, 117 Ricardo Street, London E14 6EQ SOA post codes E14 - 7DJ 8EZ 8HB 7DL 9LN 8ED 8DT 8EX 6JW 9LH 6HX 8FN 7DB 6JG 7AE 9LJ 7HN 9HS 6JJ 8JA 9LL 6HT 7DX 6HS 7EN 7ES 6JR 6JX 6JY 7DR 7DY 6JP 7DT 7DZ 7EF 7DH 7DW 7EG 7EP 7DU 7EQ 7EB 7EA 7EE 7ED 7DN Snapshot/contextual info Overview Mapping summary Population: 1730 The SOA is in the Limehouse ward in the Local Area Partnership (LAP) 7 Demographics: multiethnic which also covers East India & Lansbury. It comprises multiethnic community with 1/3 Bengali and population with a dominant Bengali community and a high proportion of ¼ under 16 years. people under the age of 15. Bangladeshi residents in Tower Hamlets have a younger age Locally, some community-run services exist like the LLCP „Healthy profile than those from other Eating‟ events, HARCA community herb garden at Poplar and SPLASH ethnic groups. (South Poplar And Limehouse Action for Secure Housing) gardening project for women. But outlets for relatively good quality, fresh produce, such as Residents in public housing: the food markets in Whitechapel, are located some distance from the 71%; housing stock is poor with SOA. highest level of overcrowding (28%) in London. Few physical activity services were identified including the LLCP Keep Fit classes and a gym in Mile End offering a wellness pass. Similarly green Housing tenure in the borough is currently undergoing significant spaces are few, the chief one being Bartlett Park. Smaller areas include a changes due to growth in private purpose built park on Brimfield street and community garden projects. sector housing, regeneration initiatives, registered social A considerable number of mental health services exist and target the landlord development, and high levels of 'right to buy' sales. elderly and BME groups (Bangladeshi, Black African, Somali, Afro Caribbean, Jewish, Chinese and Vietnamese). Arts Council England, London‟s provisional database contains 325 arts organisations in both Limehouse (intervention, E14) and East India and Landsbury (comparison) SOAs; 40 of them are located within the E14 postcode and cover music, visual arts and theatre art forms. The level of community interest or access to these services is not clear. Rating scale: General impression of service provision in relation to WL themes and + Poor focus groups (see explanation of rating in the left panel): ++ Fair +++ Good Theme Target groups ? Not sure Healthy eating + CYP ++ Physical activity + Gender ++ Mental health & WB ++ BME groups +++ Green spaces + Disabled + Arts and culture ? Community groups & ++ social enterprise Schools and education Primary schools: there are none in the SOA. The nearest schools are (i) Our Lady‟s on Copenhagen Place and (ii) Stepney Greencoat (just West 19
  20. 20. Residents with no formal of the SOA).There is also (iii) Stebon School to the North on Walwood St; education – 47% (iv) Bygrove on Bygrove St; (v) Mayflower on Upper North St; (vi) There are at least 90 different Lansbury Lawrence on Cordelia St to the East, and (vii) St Saviours to languages spoken within Tower the North East Hamlets, and 69% of pupils in the borough have English as a Secondary schools: there are none in the SOA. St Paul‟s Way (E3 4AN) second language and Langdon Park (E14 0RZ) are roughly equidistant from the SOA Health The nearest GP practice is Limehouse Practice (Gill Street Health Clinic. 11 Gill Street, London E14 8HQ). Further away is Selvan Surgery (74-78, Gough Walk, Canton Street, London E14 6HR) Community organisations and City Gateway enterprise hub – activities cover Media Services, Floristry & social enterprise Crafts, Sports Coaching, and IT. Youth Foundation Concordia East Community Enterprise Centre – E3 4AA African Women Welfare Association Ayoka Association Poplar HARCA (Housing and Regeneration Community Association) Poplar Somali Community Association Tower Hamlets Cooperative Development Agency Employment & job brokerage City Gateway‟s enterprise projects include: - ENGAGE - capacity building course, aimed at engaging & Median income - £ motivating young people aged 15-17; offers a mixture of job Economically active -48% (2 nd preparation, life skills and various training courses that can lead to lowest in the country) accreditation. Unemployed – 6% - EXPORT - work based learning course aimed at providing a Despite considerable economic platform from which to literally export trainees into work or further growth in the area and education commitment to increase job opportunities, economic activity - Lansbury Lodge Women's Project (LLWP) - funded by the London is low and TH experiences unemployment rates that are Development Agency to provide training and progression routes for among the highest in the country. women from predominately BAME backgrounds. LLWP is part of the Lansbury Lodge Community Project (LLCP), a partnership Unemployment rates vary between City Gateway and Tower Hamlets Community Church considerably across the different ethnic groups in Tower Hamlets. (THCC). Other LLCP community programmes include Babies and According to the Toddlers groups and after-school clubs for children such as Ballet, 2001 Census, Bangladeshis had Creative Dance, and Arts and Crafts the highest unemployment rates, exceeding 40% in those aged under 25 Libraries, arts & culture Idea Store Chrisp Street (East India Dock Road, London, UK, E14 6BT) - offers free internet access, courses and events for every age and interest, ACE London‟s database contains 325 arts organisations in both thousands of books for loan, and CDs and DVDs for hire for a small fee Limehouse (intervention, E14) and East India and Landsbury Watney Market Library - 30-32, Watney Market, London, UK, E1 2PR (comparison) SOAs; 40 of them are in the E14 postcode. 20
  21. 21. Bancroft Local History Library and Archives (E1 4DQ) – 1.8 miles away Limehouse Town Hall Consortium Trust is a group made up of 4 arts-related Cubitt Town Library (E14 3HG) – 2 miles organisations working in the Town Hall – Creative Week, Arts organisations within E14 postcode (ACE London database): Primal Pictures, Stitches in Time and Boxing Club. Their activities cover education programmes, Organisation Postcode Art form social enterprise, cultural events, 1. River Cultures Festival E14 8SR Dance publications and workshops 2. Monteverdi Choir and Orchestra Ltd E14 4AB Music 3. Company FZ E14 0JW Theatre Cultural visits to the theatre and 4. Roland Egan Productions E14 9FE Theatre arts are estimated to be above national average for the new 5. Strangelings E14 0JW Theatre residents but well below for 6. Wadajir Somali Community E14 0EG Theatre established community members 7. Art 2 Architecture London Ltd E14 8BP Visual arts 8. Gate E14 0JW Visual arts 9. Hi8us South E14 7EQ Visual arts 10. Interlude Magazine E14 7HA Visual arts 11. Limehouse Town Hall Consortium Trust E14 7HA Visual arts 12. Ss Robin Trust E14 4AE Visual arts 13. Stitches In Time E14 7HA Visual arts 14. Surface To Air Ltd E14 0BG Visual arts 15. The Prenelle Gallery E14 4AE Visual arts 16. Zulu Mint Limited E14 0JW Visual arts 17. Alpha Grove Centre E14 8LH 18. Bantumusic Band E14 7PG 19. BiMA Dance Company E14 9UN 20. Blau Productions E14 3AT 21. Continuuuum Arts E14 8SR 22. Derrick, Emma E14 8NU 23. Dianne Davies Designs E14 0JW 24. Friends Of Stitches In Time E14 7HA 25. Generating Company Ltd E14 0JW 26. Ideaal Projects E14 0JW 27. Int‟l Visual Communications Association E14 9RP 28. Leaside Regeneration Ltd E14 6RN 29. Map Productions E14 8AP 30. Mooch E14 0JW 31. Museum In Docklands E14 4AL 32. Random Showers E14 8PB 33. Renaissance One E14 6RP 34. Revellers E14 9GR 35. Splash Arts E14 0AE 36. The Cedar Centre E14 9WA 37. The Space E14 3RS 38. Trini Lit-Fete E14 6RP 39. Version Group (The Boxing Club) E14 7HA 40. Xebek E14 0QT Green spaces & play areas Purpose built park on Brimfield street for 11 year olds and younger Although green spaces are available many of these are Community garden projects dominated by older youths who other‟s find intimidating. Bartlett Park (v close/in the SOA) - may be up for improvement next year as part of the Parks/LAP green space strategy which will mean there will The area is in need of attention to facilitate the removal of be significant match available if timed right. An organisation called excessive dog excrement, drug Friends of Bartlett Park is working with the LB Tower Hamlets Open paraphernalia and local drunks. Spaces team. David Bratby, Programme Director for SPLASH Arts, is 21
  22. 22. Would also benefit from flood already working with the Open Spaces team consulting communities lights to encourage activities across Tower Hamlets to improve green spaces as well as working with during the winter evenings. Poplar HARCA. Pennyfields (a green space in E14 just south of the SOA) - recent consultation on this open space with the Parks and THP team with David has already culminated in a new football/sports facility for this space, online for summer 2008. There is hope to attract more resources for community art and further improvement for next year to add to this initial development Healthy eating LLCP - Healthy Eating events Consumption of 5 portions of fruit and vegetables per day is well below the London average Some food coops Access to healthy and affordable HARCA community herb garden – at Poplar food is limited with a vast number of shops only offering fast food and newsagent type products. SPLASH (South Poplar And Limehouse Action for Secure Housing) Additionally, local markets are women‟s gardening project. reported to offer food of quite poor quality or simply too At a further distance from the SOA are good food markets such as those expensive. Local food coops are available, but under–advertised. in Whitechapel. Physical activity LLCP - Keep Fit classes Levels of activity and entertainment within the SOA A gym in Mile End offers a wellness pass differ dramatically between local established residents and those Mile End Stadium (Rhodeswell Road, London, UK, E14 7TW) - offers a new to the area. PA such walking full range of leisure facilities including athletics, sports hall, astro pitches, and cycling are estimated as below national average for the grass pitches, cricket and tennis former group. Barriers to PA include cost, lack of confidence to break away from the peer group, being single and lack of awareness about the opportunities. Mental health Community Mental Health Team Prevalence of depression and anxiety, and rates of MH hospital African-Caribbean, Asian and Somali Hospital Visiting Schemes - E3 4LY admissions are higher than the London average A number of BME-specific services, mainly: African & African-Caribbean Communities BME targeted services are also - African Caribbean Project – Mind in Tower Hamlets provided for Jewish, Chinese and - African Women‟s Welfare Association Vietnamese communities - Creative Insights Project – Mind in Tower Hamlets - Pritchard's Road Centre - The Mellow Campaign - Tower Hamlets African Caribbean Mental Health Organisation (THACMHO) Bangladeshi Community - Bangladeshi Access Service (BAS) 22
  23. 23. - Bangladeshi Men‟s Project – Mind in Tower Hamlets - Bangladeshi Women‟s Project – Mind in Tower Hamlets - Bangladeshi Youth Movement - Bengali Cultural Association of London - Bondhon Women‟s Group - Boyan Bangladeshi Women‟s Group - British Bengali Welfare Association - Gourab - Nafas: Bangladeshi Drugs Project - Primary Care Mental Health Workers - Tower Hamlets Friends & Neighbours - Toynbee Hall Legal Advice Centre - Women‟s Health & Family Service Somali Community - Daryeelka Maanka – Mind in Tower Hamlets - Project Liban - Tower Hamlets Friends & Neighbours - Tower Hamlets Law Centre - Women‟s Health & Family Service - Zitat – Mind in Tower Hamlets Other service provision and potential amenities Community consultations by the Young Foundation highlighted a number of concerns and project plans for the ward, suggesting initiatives such as health coffee mornings, improving access to services through door-to-door engagement and community referrals implemented by the prescription of social/community activities by GPs. 23
  24. 24. Pen Profile Tower Hamlets intervention site Limehouse E01004252 Tower Hamlets is one of the most ethnically and culturally diverse areas of the country. Limehouse LSOA E01004252 is inhabited by 1,730 people. Just over 70% of the population represents a mix of established multiethnic communities living in social housing, whilst 51.92% of the population are white, less than half of them are British2. New influxes of white residents are occurring in the recently developed areas, often upwardly mobile singles and childless couples. Overall 31% of residents are of Bangladeshi and 6.31% of African ethnicity2. Overall 24.4% of the population are children under the age of 16. Limehouse has an IMD of 70.9 and is the 4th most deprived LSOA in London. Location and Environment The Limehouse ward falls into Local Area Partnership 7 which covers East India & Lansbury, and Limehouse wards. The LSOA is about half a mile north east of Canary Wharf bordered by Limehouse cut in the North, and spanning the East India Dock Rd to reach down in the south to Westferry Station. Limehouse ward has a high rate of fatal accidents associated with the Burdett Road and East India Dock road junction.8 At ward level, the percentage of Council below standard (77.5%) in April 2005 remains significantly higher than the national average of 35%. At the same time, the escalation in private housing prices and rental costs caused by the housing boom and redevelopment in the area has made affordable homes hard to find.1 Only 7.77% of Limehouse SOA residents own their home outright and 11.4% with a mortgage, placing it in firmly within the bottom 15% in London. Twenty two percent of residents live in Housing Association and 49% in Local Authority (top 10% in London for both ) rented accommodation and 24
  25. 25. Limehouse ward remains highest out of all Tower Hamlet wards for the greatest proportion of council tenants requesting transfers due to overcrowding.8 Local people report that bad housing means that kids want to get out of the house. However within the Limehouse SAO there are few places for young people to go for recreational purposes or activities, and this is reported to generate problems with drink and drugs, domestic strife, family breakdown and violence. Limehouse SOA is in the top 15% of London SOAs for overcrowding (28% of households) and in the top 25% for homes without central heating. Existing data and local consultations have highlighted a concern for the lack of neighbourliness in the area. The established community also are much more likely than the national average to believe that their neighbours go their own way and that the area is not a good place to live 10. Within the more established communities there are multiple concerns about the neighbourhood. Problems with noisy neighbours, burnt out cars, racism and homes in bad condition are estimated at twice the national average and concerns over teenagers hanging out, rubbish and people using or dealing drugs at 50% above the national average. There are a number of conspicuous derelict buildings and rubbish dumps (old secondary school backing onto Lindfield St.) and the local baths/swimming pool has been left disused for several years. Health Status In contrast to the majority of Tower Hamlet wards, males in the Limehouse ward have experienced an increase in Standardised Mortality Rates (SMR) and females continue to have the highest rate of SMR and the lowest female life expectancy figures in the Borough8. All cause age standardized death rates on the SOA are in the top 2% in London. The Limehouse SOA is in the top 15% of London SOAs for years of potential life lost per thousand people. The MOA containing the SOA is in the top 102% of all MOAs in London for death from myocardial infarction and in the top 5% for death from stroke. Additionally 24.76% and 20.75% of the working population suffer from limiting long term illness, placing Limehouse SOA in the top 2% on both accounts.7 Stroke related admissions to hospital in the MOA are top 1% in London, yet admissions for myocardial infarction are lower: just inside the top 30%, which may suggest an issue with reporting the symptoms early. 3 However rates of smoking and obesity are estimated as average for London while proportion of the population who binge drink is estimated as in the lowest 12% in London 6. Finally, at ward level there are concerns for high rates of teenage conception and pressure among health care services, for example there is only 1 dentist for every 2,906 people1. Mental Health The Mental Health index for Limehouse SOA stands at 1.3, thus indicating a high greater than average prevalence of depression and anxiety, and is the 5th highest of London SOAs. Furthermore, mental health hospital admissions for the MOA are in the top 20% for London. The SOAs has 8% of the population claiming incapacity benefit for mental health issues and is in the top 1% of London SOAs on this indicator. The proportion of those claiming incapacity benefit for mental health issues places them 45th in London, within the top 1% 7 . Mental health is also reported to be seriously affected by the environment. The established population have high levels of concern about rape, racism, insults and pestering, attack from strangers and mugging. Local residents have identified as particular issues in the LAP 7 area a) the need for study support and family learning; b) a lack of aspiration and positive role models leading to high unemployment; c) poor take-up of primary care services, particularly screening services and d) a need to increase the range of services delivered in community settings 9. Diet Only 20.6% of Limehouse SOA residents consume more than five portions of fruit and veg per day; well below the London average of 27.6, placing them in the bottom 10%. Only 36.6% consuming more than 5 fruit and veg per day which is 10% under the national average. Access to healthy and affordable food is limited with a vast number of shops only offering fast food and newsagent type products. Additionally, local markets are reported to offer food of quite poor quality or simply too 25
  26. 26. expensive. Local food coops are available, but under–advertised. If people are prepared to travel, good food markets do exist such as those in Whitechapel. Exercise The level of activities and entertainment within the Limehouse SOA differs dramatically between the local established residents and those new to the area. Cultural visits to the theatre and arts are estimated to be above national average for the new residents and well below for established community members. Furthermore, activities such walking and cycling are all estimated as below national average for this former group10. Around the SOA there is a lack of affordable gym facilities and although a discount card is available it appears that few people know about it. Including this is a gym in Mile End which offers a wellness pass. Locals have expressed strong interest in activities such as swimming, however these are expensive. Barriers such as cost are coupled with issues around confidence to break away from the peer group, being single and simply not knowing about the opportunities. Participation in voluntary and charity work within the more established community are estimated at national average, however for the smaller, less established community they are substantially below. Wider Determinants Benefit dependency Within Limehouse SOA benefit dependency is common with 12% claiming DLA (London rank top 2%), 16% claiming IC/SDA (London rank top 0.5%) and 32% claiming IS (highest SOA in London); and 15% claiming JSA State pension is collected by 41% of the population, which could be a reflection of the young age of the community4. Education Just under half of the population (47.43%) have no formal qualifications which place them in the top 1% for London SOAs. Whilst level 1, 2, 3 and 4 qualifications are low at 13.87%, 12.9% , 7.76% and 13.09% respectively, placing them just outside the bottom 10% for level 4. Attainment of other formal qualification is also low at 4.95% for the total population 2. Raising aspirations and educational attainment are considered critical to the future wellbeing of local residents, especially in helping to support their entry into sustainable employment. 15% of economically active Tower Hamlets residents hold no formal educational qualifications, compared with 9% across London as a whole. 1 Fuelling this, at ward level Limehouse students are seen to underperform at GCSE (level 2) compared to the borough average1. Crime Despite a 14.8% reduction in total crime within the Limehouse ward from 2004 to 2005 levels of fear of crime remain high. Reports highlight a focus upon achieving the ambitious targets in the Crime and Drugs Reduction Strategy, particularly reducing anti-social behaviour, violent and drug related crimes, focusing upon those related to the acquisition of drugs. 1 In contrast to the majority of Tower Hamlets wards the number of reported incidents of residential burglary within Limehouse has increased over recent years. However, street crime reported as among the lowest in the whole borough8 Green Spaces Although green spaces are available many of these are dominated by older youths who other‟s find intimidating. On Brimfield street there is a purpose built park for 11 year olds and younger, however, due this is often closed due to frequent vandalism. Plans to reopen the park are in discussion. Locals view parks as potential areas for safe and fresh play and sports such as football, however the area is in much need of attention to facilitate the removal of excessive dog excrement, drug paraphernalia and local drunks they would also benefit from flood lights to encourage activities during the winter evenings. Employment activity. 26
  27. 27. Despite the considerable economic growth in the area and commitments to increase job opportunities, proportions of the population who are economically active in the borough is the second lowest in the country.1 Within the SOA population only 47.8% are economically active placing them in the bottom 1% for London SOAs. Additionally the unemployment rate is 6%, among the highest 25% among London SOAs.2 Conversely, Job centre estimates suggest that at ward level unemployment has dropped by 10% between the years 2004-200512. Existing projects Recent community consultations by the Young Foundation highlighted a number of concerns and project plans for the ward, suggesting initiatives such as health coffee mornings, improving access to services through door-to-door engagement and community referrals implemented by the prescription of social/community activities by GPS. These and many more were raised and considered in terms of the barrier to achievement with a list of follow up actions11 Additionally the City Gateway has a number of successful partnerships with lifeline community Projects and the THCC offering a vast range of projects including social enterprise, media and IT classes for locals of all ages. Over the last year City Gateway have engaged over 1,000 people 13. With City Gateway‟s successes in mind, SOA residents have voiced strong interest in the development of more personal and local projects for the Limehouse area. Notes 1. Tower Hamlets LAA 2. Census Key Data, (2001) 3. LHO Data. 4. Department of Work & Pensions. 5. 2004 Population Resident Estimates 6. HSE Data (2000-2002) 7. Office of National Statistics. 8. Tower Hamlets Partnership – Ward Data Report 2005. 9. Tower Hamlets Primary Care Trust. LAP 7. An Assessment of Health Need Tower Hamlets PCT 10. Experian data. 11. The Young Foundation. 12. Jobcentre Plus & GLA Estimates, Mar-05. 13. City Gateway 2006. 27
  28. 28. LSOA Code E01004252 Ward Name Limehouse Demographic Education Economic Benefits Population (2004) 1730 Percent no qualifications 47.43 Males 837 Rank in London (out of 4765) 25 Economic Activity Rate 48% % claiming Disability Living Allowance 12% Working Age 1036 Percent level 1 quals 13.87 Rank in London (out of 4765) 4730 Rank in London (out of 4765) 98 % claiming incapacity benefit or severe % under 16 24% Rank in London (out of 4765) 2137 disablement allowance 16% Ranking in London %under 16 (of 4765) 694 Percent level 2 quals 12.9 Unemployment rate 6% Rank in London (out of 4765) 21 Percent White 51.92 Rank in London (out of 4765) 4010 Rank in London (out of 4765) 1101 % claiming income support 32% Ranking in London (out of 4765) 3969 Percent level 3 quals 7.76 Rank in London (out of 4765) 1 Percent Bangladeshi 30.97 Rank in London (out of 4765) 3673 % claiming jobseekers allowance 15% Percent Black African 6.31 Percent level 4 quals 13.09 Rank in London (out of 4765) 3 Rank in London (out of 4765) 4286 Health Health Health Mental Health Cause of death -all: age 1574. Synthetic estimate of % smokers 27.6 Years of potential life lost ( per 1000) 86.91 standardised rate 7 Index of Mental Health (mean=0) 1.3 Percentile 52% Ranking in London (4765) 631 Ranking in London (4765) 77 Ranking in London (4765) 5 Cause of Death: MI age- Hospital admissions for mental health: age- Synthetic estimate of % binge drinkers 10.9 Percent with LLTI 24.76 standardised rate 18.7 standardised rate 536.8 Percentile 17% Ranking in London (4765) 64 Ranking in London (959) 73 Ranking in London (959) 159 Cause of Death: Stroke age- % pop claiming Incapacity benefit or SDA for Synthetic estimate of % obese 19.2 % working-age pop with LLTI 20.75 standardised rate 24.4 MH 8% Percentile 49% Ranking in London (4765) 90 Ranking in London (959) 44 Ranking in London (4765) 45 Hospital Admissions Stroke SE %Adults 5+ fruits 20.6 age-standardised rate 313 Percentile 8% Ranking in London (959) 10 SE % Children 5+ fruits 36.6 Percentile 8% Level 1: 1+ 'O' level passes, 1+ CSE/GCSE any grades, NVQ level 1, Foundation GNVQ Level 2: 5+ 'O' level passes, 5+ CSEs(grade 1s), 5+ GCSEs (grades A-C), School Certificate, 1+ 'A' levels/AS levels, NVQ level 2, Intermediate GNVQ Level 3: 2+ 'A' levels, 4+ AS level, Higher School certificate, NVQ level 3, Advanced GNVQ Level 4: First degree, Higher Degree, NVQ levels 4 & 5, HNC, HND, Qualified teacher status, Qualified Medical Doctor, Qualified Dentist, Qualified Nurse, Midwife, health Visitor 28
  29. 29. Housing Housing % own outright Average household size 2.54 7.77 Percentage of Ranking in London (4765) 4170 Ranking in London (4765) population in Percentage of 1399 % own with mortgage 11.84 Rooms per household Poscodes postcodes 3.9 Ranking in London (4765) 4458 Ranking in London (4765) 4168 % rent from LA B8: Just 48.76 moving in 17.95 percent overcrowded 21.57 28.09 Ranking in London (4765) D26: South Asian 445 Industry 7.69(4765) Ranking in London 6.58 755 % rent private landlord E36: Metro Multiculture 6.01 74.36 Without central heating 71.85 4.42 Ranking in London (4765) 3635 Ranking in London (4765) 3676 % rent from housing 22.44 Without sole use of bath/shower/toilet 0 association Ranking in London (4765) 425 Ranking in London (4765) 3458 29
  30. 30. Characteristics derived from Experian Profiles YOU CAN CLICK ON THE HYPERLINKS TO SEE THE EXPERIAN PROFILES Percentage of Experian Archetype Poscodes B08: Just Moving In 17.95 D26: South Asian Industry 7.69 F36: Metro Multiculture 74.36 In the table below the numbers are the percentages which the area is expected to be above or below the national average value Characteristics derived from Experian Profiles Diet Neighbourhood problems bad diet 31 Noisy Neighbours 104 Teenagers hanging about 33 Physical Activity Rubbish 27 gym membership -26 Vandalism and graffiti 47 marathon participation -39 Racism 97 People using or dealing in 49 Smoke and Drink drugs in bad condition Homes 83 smoker 10 Burnt out cars 86 heavy smoker 41 Drink alcohol daily -46 Worries Heavy/medium beer drinking 32 Things stolen from car 25 Car stolen -8 Hospital Admissions Mugging 22 HES Total admissions -3 Burglary 9 HES Emergency -36 Rape 35 HES Alcohol and drug abuse 24 Attack from strangers 22 HES Mental Health 30 Insulted or pestered 86 Racial attack 102 Teenage pregnancy HES Teenage Pregnancies 26 Leisure Cycling -19 Social Capital Football -2 Neighbours help each other -24 Golf -27 Neighbours go own way 22 Hiking and walking -33 Good place to live -22 Ski-ing and snowboarding -5 Average place to live 108 Theatre and the arts -12 Bad place to live 119 Voluntary and charity work -2
  31. 31. Well London Projects Overview The programme has a two-tier design. Of the fourteen projects, eight are 'theme-based' and promote mental well-being, healthy eating and open spaces and physical activity. Overarching these are seven 'Heart of the Community' projects that will deliver capacity building and training, community consultation and engagement and promote access. Themed projects Healthy eating Buywell Will make it easier for people in our target communities to eat healthily because good quality, affordable, culturally appropriate and healthy food will be easier to buy. Responding to local needs identified in our ongoing assessment, Buywell will support organisations and individuals to: Introduce healthier choices on the menus and ranges of local food to restaurants and/or shops Increase the use of healthy, seasonal food in community meals, eg older people's lunch clubs Set up new community-led "food co-ops" as social enterprises (where gaps exist), linked to local producers/markets Expand the role of existing "food co-ops" so that they help people to access other food, mental health and physical activity-related services. Assist them to become more financially independent. 31