Fratton RPA Report_Digital Copy

www.portsmouth.gov.uk
Rapid Participatory Appraisal:
Fratton Ward
Public Health Portsmouth
2016

2 Rapid Participatory Appraisal: Fratton Ward
Acknowledgements
Thank you to all the residents, professionals and
Portsmouth City Council personnel who gave
their time to participate and engage with this
project. We are indebted to those who willingly
gave their insights and views during the process
of holding interviews and workshops.
Their understanding and sharing of the lived
experience of the people of the Fratton ward to this
project, without the enthusiasm of all those who
took part, this work would not have been possible.
Contents
1 Summary: the purpose of this document..................................................................................................... 3
2 Fratton RPA: aims, objectives and rationale.................................................................................................. 4
3 Fratton: a brief history................................................................................................................................. 5
4 What we did............................................................................................................................................... 6
5 What we know........................................................................................................................................... 7
6 Mapping our ‘assets’................................................................................................................................. 11
7 What participants told us (part 1): Themes from the focus groups and interviews...................................... 12
8 What participants told us (part 2): Findings from the workshops................................................................ 13
9 Prioritising the findings (part 3): Taking action........................................................................................... 17
10 Where next?.............................................................................................................................................. 18
11 Closing remarks......................................................................................................................................... 18
12 Participants: Backgrounds and organisations.............................................................................................. 19
13 Reference information............................................................................................................................... 20
14 Appendix A: Life expectancy map.............................................................................................................. 21
15 Appendix B: RPA questions........................................................................................................................ 22
16 Appendix C: Action Plan............................................................................................................................ 30

Public Health Portsmouth 2016 3
1
Summary: the purpose of this document
The following pages describe the trajectory of the RPA from its inception in November 2015 to
its formal conclusion in July 2016.
This includes the aims and objectives of the
work, a summary of health and background
information relating to Fratton, and the themes and
findings that have emerged from the interviews
with residents, traders, young people, service
providers and community activists. Throughout
this report you’ll see some quotes that came from
our conversations with people in Fratton.
The body of themes and findings can be found
in these sections: What participants told us (part
1): themes from focus groups and interviews
and ‘What participants told us (part 2): findings
from the workshops’. Findings across five
core areas (community, health, environment,
education and young people) are outlined.
The project goal was to ‘boil these down’ through
discussion and collaboration to a handful of priority
recommendations and actions; details of which can be
found in Prioritising the findings (part 3): Taking action.
We hope that you can find these useful,
as commissioners, development workers,
community organisers and service providers in
understanding the nature of some of the issues
impacting health & wellbeing in this ward.
There is so much
potential…

2
Fratton RPA: aims, objectives and rationale
Aims and objectives
There are many factors that shape the health
and wellbeing of the people of Fratton, and
common underlying perceptions. It was our aim
to gain an understanding of the lived experience
of residents within the ward, combine this with
what is known about residents’ health from
our data, and foster collaboration between
Portsmouth City Council, local partnerships,
organisations, community groups and residents to
seek solutions to identified priorities, together.
The objectives were therefore to:
1. Gather the views and perspectives of the residents
of Fratton, to understand the lived experience of
residents, with a particular focus on the factors
that affect health and wellbeing in the ward.
1. Combine residents’ views with what is already
known about the area in terms of health, and
make links between the two forms of knowledge.
1. Agree areas of priority, explore solutions and
make recommendations to be taken forward.
Rationale
The main driver behind this RPA project, as with all
the work undertaken by the Public Health Team in
Portsmouth, is a desire to improve the health and
wellbeing of the city’s population. In particular, the area
of Fratton was chosen for this RPA project owing to the
relatively poorer health outcomes seen in the ward.
For example, the life expectancy of Fratton residents
is lower than that in many other wards in the city (see
Appendix A for life expectancy map of Portsmouth).
Understanding more about the factors that contribute
to statistics such as this, and how these factors
are experienced by the people of Fratton, is key
to tackling the issues – in essence, we wanted to
know the stories behind the statistics. In turn, this
will help reduce health inequalities, address issues
related to social deprivation, and improve the
health and wellbeing of the people of Fratton.
It is worth noting that this RPA work has taken
place on the background of ‘Fratton Big Local’, a
£1 million-plus lottery funded project that aims to
‘leave a lasting legacy’ within Fratton. This will ‘bring
together all the local talent, ambitions, skills and
energy from individuals, groups and organisations
who want to make their area an even better place
to live’, through the creation of a ‘Big Local Plan’
facilitated by residents and the organisation.
… Lots going on at
community centres for a wide
range of ages…

3
Fratton: a brief history
Today, Fratton is one of fourteen wards that comprise the city of Portsmouth. In size, it is 0.49
miles square with a population of just under 16,000 people. A brief history of the area is as
follows:
Early history
During the 6th century AD the Saxons landed on
and colonised Portsea island, building a settlement
which took the name Frodda ing tun, meaning ‘the
farm (or village) belonging to Frodda’. Over time
the place name changed to Froddington, Frodtone,
Frotton and finally to Fratton. The location was
referred to in the Domesday Book in 1086, when
the village had a population of around 100 people,
with residents’ main occupation being farming.
Industrial age
Fratton remained a village separate from Portsmouth
until the 1800s. In 1847 a railway station was built,
and through the 1870s and 80s the rapid growth
of Portsmouth, driven by the industrial revolution,
meant that Fratton became incorporated into the
city of Portsmouth. During this time much of the
area was rebuilt, such that little of pre-1800s Fratton
still exists today. High density Victorian terraced
housing, set out in a grid pattern, still characterises
much of present day Fratton. Two historical figures
of note, Charles Dickens and Isambard Kingdom
Brunel, were both baptised in the ward.
World War II
Fratton received a significant degree of damage
from air raids during the Second World War. In
the grounds of St Mary’s Church are located war
memorials commemorating those with connections
to Fratton who lost their lives during the conflict.
Post-war to present
Fratton was identified as a General Improvement
Area in the late 1970s and early 80s, with central
government funding provided to facilitate
improvements. Fratton Community Centre was
established using Urban Aid funding during this
period. The Bridge Centre opened in 1989, with
ASDA adding a superstore there in 2001. Fratton
received Big Lottery funding in the early 2000s, and
in 2011 ‘Fratton Big Local’ was launched with over
£1 million of funding also sourced from the lottery.

4
What we did
The steps we followed in going about this
project were broadly based on the World Health
Organisation’s ‘Rapid Participatory Appraisal’
(RPA) process [Annet & Rifkin, 1995].
This is a process of identifying and assessing
community health needs in a defined area, in order
to better understand key health issues that affect
local residents. In an RPA, data relating to health
status is collected and examined, and priority issues
identified with the help of ‘key informants’. Key
informants are community members, who due to
their official or unofficial leadership positions, are
able to represent a wide range of community views.
Central to the work was understanding the lived
experience of the people of Fratton. Their views,
opinions, and experiences are every bit as important
as ‘numerical’ data relating to the health status
of the population in the area. Therefore, involving
the local community in helping to identify health-
related needs, and identifying actions, which can
address these needs, lies at the heart of this work.
The project was carried out in the autumn of 2015.
The steps involved in undertaking the work were:
1. Setting the aims
We defined the project and set the goals.
The vital contribution of communication
and listening skills were recognised as
being key to achieving the study aims.
2. Selection of information/participants
Participants (‘key informants’) were selected
on the basis that they could provide a broad
knowledge of the Fratton community, and
were drawn from a range of professional,
community and campaigning backgrounds.
3. Design of interview questions
We drafted interview and focus group questions,
and trialled these with assistance of colleagues at
Public Health Portsmouth. This meant the questions
were designed and phrased to be as meaningful
as possible when used with participants.
(See Appendix B for the RPA questions).
4. Collection of information
We held seventeen 1:1 interviews, and six focus
groups, and typed up the transcripts from these.
5. Analysis of information
The interview and focus group transcripts
were analysed by themes. This information
was then used to produce resources to be
used at the initial three-day workshop.
6. Review of findings with key informants
A three-day workshop was held at The Bridge
Centre (the shopping complex owned by ASDA,
the largest retailer in Fratton). Using the ‘issue
maps’ created at the previous (analysis) stage,
participants, service providers, organisations and
Fratton residents engaged with the research team
to review the material and identify salient issues.
7. Defining priorities based on the review process
Key priorities relating to the health and
wellbeing of Fratton and its inhabitants were
drawn out, collated and weighted. These
appear as the ‘findings from the workshops’.
The final stage in defining priorities is to re-convene
participants at the final workshop, and identify key
recommendations and actions to be taken forward.
You can find the outcomes of this in Appendix C.

5
What we know
Data presented below is available via
the Joint Strategic Needs Assessment
website (see references).
Health and wellbeing
Life expectancy in Fratton is significantly lower
than the national average for both men (75 vs 78
years) and women (81 vs 83 years) respectively.
Life expectancy has reduced slightly since 2011.
With regard to life expectancy gaps, there is a 7–9
year difference in life expectancy for men in the
most deprived areas of Fratton compared to the least
deprived areas of Portsmouth, whilst the equivalent
figure for women is a 6 years difference. See
Appendix B for life expectancy map of Portsmouth.
Fratton residents have high rates of hospital admissions
and premature deaths related to respiratory and
coronary heart disease. Lifestyle factors such as smoking
are contributing to this trend. Deaths from all cancers
(under 75 years) is higher than the national average.
Hospital admissions for alcohol-related
harm are significantly higher than the
national (and Portsmouth) average.
Children with excess weight (in reception
year), and obese children (in year 6) show
similar levels to the national average (but with
both at around 22%, this is still high).
The number of deliveries to teenage mothers is
significantly higher than the national average.
With regard to health perceptions, 7% of Fratton
residents reported their health as ‘bad’, and a further
2% have reported their health to be ‘very bad’.
There is also an increasing rate of working age
carers (caring for a family member or loved one)
requesting assistance from social services.
Population demographics
Fratton ward has a population of 15,700
(7.5% of Portsmouth’s total).
The ward has a younger demographic than
Portsmouth, and the country as a whole, with
higher proportions of children and working age
people (likely including many students).
Fratton has a diverse population with around
19% identifying themselves as non-White British,
higher than Portsmouth as a whole (16%). Of
note, ‘Bangladeshi’ makes up 8% of the current
school population within the ward (Figure 1).
Languages spoken at schools in additional to
English include Bengali and Polish, but there
are many other languages spoken including, for
example, Afrikaans, Arabic, Albanian, Latvian,
Pashto, Punjabi, Vietnamese and Farsi (Figure 1).
In terms of religion, just over 50% of residents
identify as Christian, and 3.7% as Muslim.
Around 38% declare no religious belief.
Figure 1 – Ethnicity of resident population in Fratton and English speaking skills in Fratton
Source: Census data
Ethnicity
English speaking
White
86%
Main language
is English
91.8%
Can speak
English very well
3.1%
Can speak
English well
3.5%
Cannot speak
English well
1.4%
Cannot speak
English
0.2%
Mixed
3%
Asian/Asian British
7%
Black/Black British
3%
Other
1%

Levels of deprivation
Fratton is significantly more deprived than
the Portsmouth and England average, with
29.1% of children and 27.9% of older
people living in poverty (Figure 2).
Fratton is the 4th ranked ward (out of 14)
in Portsmouth for overall deprivation (based
on ‘indices of multiple deprivation’). For the
‘living environment’ category, Fratton is the
2nd most deprived ward in the city.
Average household income within Fratton (2009 data)
was however estimated at £28,700, higher than the
Portsmouth (approximate) average of £26,200.
Geographically, small areas within Fratton,
such as the St Mary’s area, have higher levels
of deprivation than Fratton as a whole.
Figure 2 – Average percentages of older people
and children living in poverty in Fratton
Source: PHE Local Health Profiles.
Physical environment and
housing
Fratton consists of mostly Victorian terraced houses,
being fairly typical of the residential areas in the
city. Fratton is the second most densely populated
Portsmouth ward (after Central Southsea).
There are 6,510 households in Fratton. The majority
of houses are terraced (72%) – a much higher figure
than is found in Portsmouth or nationally (Figure 3).
Just over 50% of householders own their own
home, with around one third renting privately.
Private renters make up a much greater proportion
of Fratton households compared to both
Portsmouth and the country as a whole. 11%
of households are socially rented (Figure 4).
The terraces include some of the oldest properties
in the city, many fronting directly on to the
pavement or set back by small forecourts.
Homelessness is not a Fratton-specific issue; recent
figures suggest that there are around 1500 cases
of homelessness within Portsmouth as a whole.
Figure 3 – Accommodation type in Fratton
Source: Fratton Ward MATs Profiles
Older people Children
Fratton
29.1%
Portsmouth average
23.8%
England average
19.9%
Fratton
27.9%
Portsmouth average
19.0%
England average
16.2%
120
1.9% Detached
360
5.6% Semi-detached
870
13.4% Flat (purpose-built)
4,660
71.7% Terraced
490
7.5% Flat (conversion)
0
0% Caravan

Figure 4 – Occupancy in Fratton
Source: Fratton Ward MATs Profiles
Education and Skills
The early years provision within Fratton (for
2–4 year-olds) has been externally assessed
as outstanding or good by Ofsted.
On average, pupils in Fratton have lower
attainment with regard to obtaining 5+ GCSE
A*–C grades, and achieving at Key Stages 1
and 2, than across Portsmouth as a whole.
Adult literacy rates in Fratton are also lower than
across Portsmouth, with 14% of adults within the
ward having literacy skills at the level expected when
leaving primary school (defined as entry level three).
Employment
There are 7,664 ‘economically active’ people
within Fratton (aged between 16–74 years).
The two biggest employers by industry are
‘wholesale and retail trade’ (1222 individuals) and
‘human health and social work activities’ (1,046
individuals). Other notable sectors of employment
are ‘public administration’ (650 individuals) and
‘education’ (614 individuals). (Figure 5).
The majority of Fratton residents are in some
form of employment and are economically
active (63.3%). Almost a third (30.5%) are
economically inactive but this reduces to 18.6%
if you remove retired residents. (Figure 6)
The largest age group that are economically
inactive is the 16–24 year olds (42% of those
who are economically inactive). The next
largest age group is the 25–49 year olds (37%)
and finally, the 50–64 year-olds (21%).
Of those that are employed, 72% are in full-time
employment (defined as 31+ hours per week),
and 28% are part-time. The majority of these
residents work locally (within a 10km radius).
The largest occupational group is comprised
of ‘low skill elementary occupations’ (such as
cleaner, shop assistant) at 15% (only slightly
higher than the Portsmouth average). The smallest
group is comprised of professional or senior
O
w
ned
54% 32.7% 11.2% 1.1% 1%
Privately
rented
Socially
rented
Rentfree
Shared
ow
nership
Just over 50% of householders own their own
home, with around one third renting privately.
Private renters make up a much greater
proportion of Fratton households compaired to
both Portsmouth and the country as a whole.
11% of households are socially rented.

management positions, at 8% (which is below
the average for Portsmouth as a whole).
The decline in the defence industry and dockyard
closures in the late 1980s–1990s caused significant job
losses across the city, and more recently the withdrawal
of the defence industry from 2014 has furthered
this issue. However, the development of Gunwharf
Quays (between 1995 and 2001) has brought steadily
increasing numbers of visitors to the city and has
subsequently increased employment opportunities.
Crime
The rate of anti-social behaviour incidents
in Fratton is 48.5 per 1000 residents, higher
than the Portsmouth average of 44.2.
Fratton’s overall crime rate of 63.4 per 1000
residents in 2013–14 is however significantly lower
than the Portsmouth average at 81.7 per 1000
residents. (The Portsmouth average is notably
raised however by the high rate of crime in Charles
Dickens ward, which neighbours Fratton).
Figure 5 – Fratton residents employed by industry
Source: ONS
Figure 6 – Employment status in Fratton
Source: Fratton Word MATs Profiles
1222
Wholesale retail
1046
Human health
+ social work
650
Administration
614
Education
SHOP
14,123
63.3% Economically active (employed)
6.2% Economically active (unemployed)
11.9% Retired
8% Student
4.8% Looking after home or family
3.8% Long term sick or disabled
2.1% Other

6
Mapping our ‘assets’
Health provision
Fratton is serviced by one GP surgery, but there are
several within walking distance (including a walk-in
centre at St Mary’s Hospital). The area also houses
a dentist surgery and a number of pharmacies.
Mental health provision is also represented by
volunteer groups and charity organisations.
Other assets
Other assets that can be identified in Fratton, and were
at points mentioned during the RPA process, were:
• Green spaces
• Local schools
• Fratton Big Local
• Fratton Community Centre
• Local library
• The Bridge Centre
• The shopping centre (commercial)
• Vacant properties (potentially)
• Play areas (four)
• Railway station
• Assets in other areas of Portsmouth
which can be accessed
• ‘Un-mappable’ assets: subjective or
intangible (e.g. ‘community spirit’)
There are always lots of
community things happening
but I’m not sure people always
know how to access them.
Everyone seems to know
everybody, everyone seems to
look out for everybody…

7
What participants told us (part 1): Themes
from the focus groups and interviews
We analysed the interview and focus group transcripts in order to draw out themes from
participants’ responses.
Four main themes were identified:
1. Views about Fratton
2. Factors that influence health
and wellbeing in Fratton
3. Tackling the issues
4. Young people’s views
Categories were created under each theme in order
to summarise the information. For example, the first
theme (views about Fratton) was categorised into
topics such as community, crime, and transport.
Since the identification of themes was a stepping
stone in the analysis process, the full text which
describes the themes is not included in this report.
However, it is available in a separate document entitled
Fratton RPA Newsletter which can be accessed by
emailing rpa@portsmouthcc.gov.uk or calling
023 9284 1560.
I only concern myself about my health
when it becomes an issue and needing
to. You tend to focus on yourself when
it’s a last ditch thing.

8
What participants told us (part 2):
Findings from the workshops
Participants were invited back and asked to take part in one of three workshops held at an
empty unit at the Bridge Shopping Centre.
At these workshops, participants were asked to
look at the information and themes produced
at the previous stage and prioritise areas that
were thought to impact most significantly on
people’s health and wellbeing in Fratton.
The participants used a colour-coded system
to analyse the ‘issue maps’ used at the
workshops, to indicate areas of priority.
The priority criteria were:
• Impact (which issue has most effect
on the Fratton community?)
• Changeability (which issue has the
most potential for change?)
• Resource feasibility (which issue is most
feasible in terms of available resources?)
Responses to the above were counted up and
weighted. The areas of priority that emerged were:
(A) Community
(B) Health
(C) Environment
(D) Education
(E) Young people
These five priority areas A–E (‘the findings’) are
expanded upon below. Individual points under each
priority area are labelled with lowercase lettering.
A Community
1. A culture of low aspirations was highlighted,
in particular amongst young people. The
best ways to improve this dynamic were
thought to be: developing voluntary
schemes, promoting role models, and
encouraging healthy living in partnership
with schools and other service providers.
2. The ‘image’ of Fratton (as a rundown,
deprived area) was considered to create
negative perceptions. Community responsibility
and engagement could install a greater
sense of pride and could become an
opportunity to engage regular volunteers.
3. Participants identified a need for a physical
information point in Fratton that is
regularly updated and accessible. The Bridge
Centre was identified as the most suitable
venue due to its central location.
4. Social media was identified as an underused
mechanism of communication. It was thought
to have the potential to communicate health and
wellbeing information effectively. The desire for a
unified ‘voice’ across platforms was raised, whereby
the same information can be accessed through
several different media. A local newsletter (that
could be disseminated via social media, and in
physical form) was identified as a potential solution.
5. A perception of lack of safety, specifically
within open spaces such as Kingston Park, was
identified. Several suggestions were made to
address this issue, for example residents could run
activities (facilitated by the council and Fratton
Big Local) such as ‘Park Patrols’, promoting
safety and unity within the Fratton community.
6. Participants identified a lack of community
cohesion. Community groups could be
encouraged to share and connect through local
networks. Organisations such as Fratton Big Local
were identified as having the infrastructure to
facilitate this in conjunction with the council.
7. The elderly in Fratton were identified as often
being isolated and detached from the community.
Intergenerational initiatives that are health
and wellbeing focused could address this.
8. A wider understanding of city-wide assets
amongst the Fratton community was identified

as being needed. Families and individuals tend
not to travel far from their homes. Southsea
Beach and Southsea Common were flagged as
having the potential to be promoted as spaces to
improve health and wellbeing. Several suggestions
were made around how to facilitate this, e.g.
reinstatement of a free ‘Seaside Bus’ service.
B Health
1. Participants conveyed that there is a widely held
perception that healthy lifestyles are difficult and
expensive to maintain. Portsmouth City Council’s
Wellbeing Service was cited as a service that could
promote and deliver education to residents about
the real costs and benefits of healthy living.
2. Participants observed a lack of services tackling
the prevalence of substance misuse. Services that
do exist are often poorly advertised and lacking in
funding. Networking with services citywide, and
creating ‘mobile’ substance misuse surgeries were
offered as opportunities to address this issue.
3. Food choices in the area were considered
to be often based on ‘set habits’, with the
dialogue surrounding such lifestyle choices
alien to many residents. A need to promote
healthy and affordable food choices was
therefore identified, along with a concerted
effort to make information accessible.
4. Deep rooted (negative) social norms (often
intergenerational) were identified as needing to
be addressed. Some solutions proffered were the
creation of affordable physical activities for all age
groups, whilst existing initiatives (such as over-50s
football) need to be promoted. With regard to
young people, real (and affordable) alternatives to
current lifestyles need to be offered and advertised.
5. Sunnyside Surgery is the primary healthcare
provision within the ward. It was highlighted
that efforts need to be made to increase
accessibility for users, who often struggle
with the journey. As Sunnyside is heavily
visited, it is also an ideal location for outreach
workers to provide information pertinent
to residents’ health and wellbeing.
C Environment
1. Local ‘pride’ in Fratton was considered to
be low. Participants perceived that residents
lack access to the resources and power to
make physical changes to their surroundings.
Suggestions included volunteer ‘painting
and cleaning’ groups to facilitate this.
2. There are many unused buildings within
Fratton. It was suggested that reuse of these
spaces by social enterprises should be encouraged
by all service providers within Fratton, to
ensure that future development is in step with
positive health and wellbeing outcomes.
3. Participants identified a lack of usable green
space. Gardens are often paved which compounds
this issue. It was suggested that existing green
spaces be opened up as much as possible, creating
more usable areas (e.g. benches) and making
dimly lit spaces brighter at night time. Decisions
need to be made with input from young people
as they are the primary users of such facilities.
4. Participants identified that many Fratton residents
rent property from private landlords and that
residents are unaware of their rights as tenants
and expectations are low. A suggested solution
was communicating information to residents to
enable informed decisions to be made. It was
also identified that PCC need to focus on utilising
existing spaces to avoid further overcrowding.
5. Rubbish, fly tipping, drug refuse and dog
fouling are prevalent issues within Fratton. It
was identified that current rubbish collection
techniques need to be reviewed, the benefits
of recycling communicated to residents,
and ample amenities provided to facilitate
residents transition into ‘greener’ living. Local
business owners could be encouraged to keep
the area surrounding their shops clean. This
could be achieved by introducing voluntary
litter picking schemes and also establishing a
central point for large rubbish collections.
6. Safety at night time was felt to be a
major concern for many Fratton residents.
Improving street lighting in poorly lit areas
and establishing neighbourhood watch
schemes were suggested solutions.

7. It was identified that people in Fratton are not
very active. Solutions offered include the provision
of more cycle lanes by City Planning, and taking
a focussed approach towards ‘place making’
when designing new points of interest in the area,
promoting healthier lifestyles in their design.
D Education
1. It was identified that there is a lack of
opportunities to engage in educational
activities within the community. How and where
education is delivered is a barrier to engagement.
Sport provides an opportunity for education-related
activities and creates informal social and support
networks. The ‘Victory Hants’ scheme is an example
of the above in action. It has successfully developed
a network of volunteers and role models which is
making a positive lasting impact on the community.
2. Participants identified an absence of key
health and lifestyle skills (such as: budgeting,
financial awareness, good and bad health
choices, the effects of drugs and alcohol) within
the community at all levels. Solutions included
information being disseminated by relevant
service providers (unified in intent and content).
3. Parental engagement with children’s
education was perceived by participants to be
low. It was offered that the benefits of healthy
lifestyles need to be communicated to parents
in a non-judgemental environment which is
more likely to prolong parent participation.
There is capacity to enable the above in school
hours, but very few options exist outside of
school time. Schools, (both as a venue and
service provider) could provide the space and
provision to facilitate a scheme of this nature.
4. Adult education levels within Fratton are
low. Some parents struggle with basic maths
and English. It has been identified that this
creates an isolating effect on both the individual
and their dependents and is a precursor for
intergenerational apathy towards education.
There is potential to engage with parents at the
antenatal or children’s preschool stage, where
they can be encouraged to get involved with basic
levels at the same time as their children do.
5. Participants identified a link between positive
adult education outcomes and volunteering. The
opportunity to learn a variety of skills is a strong
motivator for participation. Solutions included
local businesses being encouraged to take on
volunteers in trained work placements. As an
example, the Sue Ryder shop on Fratton Road
currently offers the opportunity to undertake
NVQs in exchange for the participant’s time,
and there is ‘no shortage’ of volunteers.
6. It was identified that the value of art as a tool
for engagement should not be underestimated.
It is an accessible form of education that creates
many unique opportunities for educational service
providers to engage with the community. Art
could be utilised to improve and promote the
physical environment, encouraging community
ownership, improving attainment and creating
tangible results that participants can enjoy.
E Young People
1. Young people also identified a culture of bullying
within their peer groups. Issues such as body
image, racism and violent behaviour were raised.
These issues are often felt to be compounded
by peer pressure. This issue was perceived as
crossing day-to-day experiences within Fratton
and on social media. It was suggested that a
local community group could be established to
provide support for victims of bullying to share
their problems and access other relevant services.
2. Participants made links between anti-social
behaviour and (lack of) youth provision. It
was identified that accessible youth services were
needed in the area to help promote healthy ideals,
create opportunities to engage and allow young
people to take responsibility for the spaces they
use. Revitalised provision for the young people
of Fratton could help educate young people
about community issues whilst also encouraging
them to become involved in community life.
3. Young people themselves were identified as
the instigators of lasting change and it was
highlighted that service providers need to focus
on creating long term opportunities for young
people, creating an environment where hope and
aspiration can flourish. In turn this would improve

health and wellbeing outcomes for young people.
Challenging the current intergenerational
apathy towards education and self-improvement
was identified as a requirement of any service
provider working with young people in Fratton.
4. Drugs were identified by young people as prevalent
within Fratton. Drug users were felt to congregate
in community areas with drug related refuse (such
as used needles) often seen. It was suggested
that providing more information about the effects
of drug use would help negate this issue.
5. Sexual health provision within Fratton was
believed to be inadequate. Young people also
believe that part of the problem is widespread
ignorance about these issues. What is currently on
offer was not felt to be suitable: who is providing
the advice and where it is provided from were
both causes of concern for young people. It has
been suggested that there should be a central
point of contact within schools and/or the local
area that can offer advice and education in a
confidential and comfortable environment.
6. A lack of opportunity for young people
to express their opinions was highlighted.
A suggested solution was a suitable and
accessible platform, to enable young people
to be heard on relevant issues. Service
providers could prioritise engagement with
young people. Incentivising engagement by
providing young people with tangible rewards
or things to do (for example offering free
activities etc.) was a popular suggestion.
Participants (key informants) and their invitees
(individuals or service providers identified as
having a stake in the proceedings going forward)
were invited to participate and utilising the
findings, debate and vote on the priorities.

9
Prioritising the findings (part 3): Taking action
To conclude the formal part of the Fratton RPA process, a ‘priority setting’ meeting was
scheduled for 17 July 2016 chaired by Mary Shek, Service Manager for the Wellbeing Service,
and Jane Leech, RPA Project Lead.
The findings were displayed for participants to
categorise into high, medium and low priority
recommendations. Once this process was completed,
priorities were counted to identify the 2 highest
ranking priorities in each of the topic areas:
• Community
»» culture of low expectations
»» image of Fratton
• Health
»» healthy lifestyles
»» lack of services tackling substance misuse
• Environment
»» local pride
»» unused buildings
• Education
»» lack of opportunities
»» absence of key health and lifestyle skills
• Young people
»» culture of bullying
»» instigators of lasting change
The meeting concluded with the participants
debating the topics and drawing out any other
associated issues and finally, committing their time
to taking action on the priority recommendations
which they have collectively agreed upon.
If your parents drink and your
parents smoke and it’s just
kind of what you do, then it’s
just what you do.

10/11
Where next?
There are already a number of service providers,
community groups and faith groups operating
throughout the city, and in Fratton, who significantly
contribute to the health, wellbeing, and community
resilience of residents. The intention here is not to
duplicate such activity, but to embed the priorities
and recommendations identified through this
work within existing services, create networks
between services and community initiatives, and
together determine the best ways forward.
These priority recommendations now form a starting
point for a multi-agency approach to address them.
An ‘oversight’ group has been convened and its
next steps are to map the key indicators against
each recommendation, identify a lead and monitor
the actions and timelines against these.
If you would like to get involved in contributing to
addressing the priorities with this group or would like
to find out more about the RPA project itself then
please email rpa@portsmouthcc.gov.uk or call
023 9284 1560.
Closing remarks
The social, economic, cultural and physical environment
in which people live their lives has a significant effect
on their health and wellbeing. Although genetics and
personal behaviour play a strong part in determining
an individual’s health, good health starts where we
live, where we work and learn, and where we play.
If we can continue to work collaboratively,
then collectively we can take action to drive
real and lasting change for the benefit of
the whole community of Fratton.
Fratton deserves better…
If we all did our bit then we
could begin to change the way
it is.

12
Participants: Backgrounds and organisations
The majority of participants were either residents of Fratton or their main focus of operation
was within the ward (and in many cases, both).
Participants were also targeted so that different age
groups, faith groups and the black and minority
ethnic community, were all represented.
Interviews and
focus groups
The background/role of those who we
interviewed (key informants):
Faith Leader
Wellbeing Worker
Community Safety Officer
Smoking Practice Lead
Fratton Big Local Development Officer
Fratton Big Local Board Member
Former GP
Fratton Surgery Employee
Community Activist
Youth Worker
Elected Councillor
Community Warden
Child and Family Practitioner
Pharmacist
Community Worker
Youth Leader
Local Business representative
Organisations
Organisations represented included:
Fratton Big Local
Portsmouth City Council
Youth Services
Credit Union
Pompey in the Community
Fratton Children’s Centre
Lalys Pharmacy
Voluntary sector
St Mary’s Church
Fit for Sport
Bangladeshi Women and Children’s Social Group
Fratton secondary school pupils
Fratton residents and traders
Fratton Live at Home Project (50+ group)
Interviewees may have had more than one role;
the lists above are intended to give a flavour of
participants’ backgrounds/roles and affiliation only.

13
Reference information
Glossary
Acronyms and jargon have generally been
avoided where possible in this document, but
the following acronyms may sometimes be
seen or heard in connection with this work,
and so are included here for information:
FBL Fratton Big Local
IMD Index of Multiple Deprivation
JSNA Joint Strategic Needs Assessment
PCC Portsmouth City Council
PHP Public Health Portsmouth
RPA Rapid Participatory Appraisal
WHO World Health Organisation
Key terms
Joint strategic needs assessment: a process that
identifies current and future health and wellbeing
needs, and inequalities, in a population.
Key informants: community members, who due to their
official or unofficial leadership positions, represent a
wide range of community views [Annet & Rifkin, 1995].
Participants: individuals who took part in the interviews
and focus groups which comprised this study.
References
Annet H & Rifkin SB, for the World Health
Organisation [WHO] (1995). Guidelines for rapid
participatory appraisals to assess community health
needs. Available online: http://apps.who.int/iris/
bitstream/10665/59366/1/WHO_SHS_DHS_95.8.pdf
Public Health Portsmouth. Joint strategic needs
assessment. Data online at: http://data.
hampshirehub.net/def/concept/folders/themes/
jsna/portsmouth-jsna/interactive-maps
Further information
Other Fratton RPA related documents are available:
• Fratton RPA Newsletter 2016
• Fratton RPA Interim Reports 2016:
Outcomes and Recommendations
• Fratton Healthy High Street Survey 2016
If you would like copies of these please
email rpa@portsmouthcc.gov.uk
My wife, with my children, whenever we
get the chance….when the weather is
good we always go to Kingston Park…
the greenery, the beauty of nature…. You
feel that, OK, there is something here that
our children can enjoy as well.

14
Appendix A: Life expectancy map

15
Appendix B: RPA questions
1:1 Interview Questions: CENTRAL Area:
Interviewer name:..........................................................
Date:.............................................................................
Participant initials:..........................................................
Thank you so much for agreeing
to be interviewed.
As part of the research we want to:
• Understand more about (fill in area name):
.....................................................................................
• Understand the links between health, and other
local factors such as education, employment or crime
• Understand the stories behind the statistics
– we know certain facts about health in the
local area, but we don’t understand WHY
• Agree what is most important, explore possible
solutions and develop the opportunities
to take action on these together
Our aim is not to carry out a consultation
about the quality of services or facilities in
the local area, particularly as we can’t promise
to improve these. But we do really want to
understand the positive and negative features of
life here form the community’s perspective.
We’ll be carrying out interviews and focus
groups during September and October 2015.
The interview itself will last for between 1 and 2 hours.
I hope you will be happy for me to
audio record the interview?
We have consent form here that I’d like you to fill in
and sign. This is to show that you understand what the
process is, and are happy to take part in the interview.
Get signed: (Participant Consent Form)
Final point on confidentiality:
We would like to ask if not to use individual
or family names in the interview.

Question Key concepts Notes
1. Please would you tell me
briefly about your role in:
**Your name
** Do you live in the area
**Organisation (and
department if applicable)
**Subsector known
about eg. children, older
people (if applicable)
**Theme known about
eg. housing, employment,
health (if applicable)
Who in the community
do you work with –
colleagues & or residents?
What do you do in the
community – areas
of responsibility?

2. What do you think people
feel about living in:
(Introduce the assets map.
If they wish, informants
can use it to help them
with their answers)
Positive aspects of area?
Remember: who, why & when?
Negative aspects of area?
Opportunities for change
& improvement?
What stands in the way of
change & improvement?
What are people / families
/ community like?
What do you see/feel
when you are walking
about in the area?
Summarise, summarise, summarise…

3. What do you think of local
facilities and services?
(Use the assets map)
**Which of these things
do you think are really
important and valued?
Were you aware of these?
**Do you know of
any other things that
aren’t on the map?
**Is there a particular
person who makes things
happen, or an information
/ social / family network /
community events/festivals?
Are there any other things
that you think are really
needed for the wellbeing
of the community?
Are there any facilities
or services in other parts
of Portsmouth that you
wish the community
here could access?

4. Statistics tell us that
the average life
expectancy for:
residents is
years less than
residents in many other
parts of Portsmouth.
Why do you think
that might be?
For clarity:
On average XX residents are
expected to die x years earlier
than many other areas of the city
(Show the Portsmouth life
expectancy map and the
facts and figures sheet)
This question aims to
understand detail on
• What is the issue
• Who does it involve
• How is it happening
• Where & when does it happen
NB: Reminder to not
use individual peoples
or family names
Do you think local
people know about the
difference in life expectancy
between different parts
of Portsmouth?
What do you think people
who live in XX think
about their health?
What do you think is going
on in peoples’ life that is
affecting their health?
Who do you think is taking
care of themselves and
think about their health
locally? and why?

Notes on question 4
Who do you think
isn’t taking care of
themselves? And why?
Is there anything locally
that helps people
with their health?
Is there anything locally
that stops people from
being healthy?

Building on the issues & topics
identified in the last question
5. What do you think of local
facilities and services?
You mentioned x was
a problem, how would
you make that better?
You mentioned x was good,
how can we build on that?
Who can make
the changes?
What can the
community do?
What can we all do and
how can we do it together?
What are the barriers
to change?
What are the incentives
to change?

Is there anything that we
haven’t captured today that
you would like to tell me?
** Do you have any documents,
reports or evidence of
relevance to the RPA
Thank you very much for your time,
we really appreciate it.
Next steps:
• send this audio file to be transcribed.
• check it for accuracy against my notes.
• send the interview transcript to
you for your approval.
• If there are parts of the interview that you are not
100% happy about then we will remove them. You,
me and the transcript company will be the only
people to hear the audio taping of this interview.
Interviewee’s Postal Address: (required to
send a copy of the transcript back)
.....................................................................................
.....................................................................................
.....................................................................................
.....................................................................................
Would you like to participate further?
• Receive email updates on the aims and progress of
this RPA?
Yes (Please provide email) or No
• Meet with us again to form part of a group
to identify areas to prioritise
Yes (Please provide email) or No
• Please do not contact me again
(tick if relevant)
Email address of interviewee:
.....................................................................................
.....................................................................................
If you have any queries about any of this,
please feel free to contact me.

Fratton RPA
Priority Links
Identified indicators Outcome/s
(A) COMMUNITY
To create a culture
of high aspiration
especially among
young people
and improve the
image of Fratton.
1. Intergenerational work relating
to developing the physical
infrastructure of Kingston Rec
to include a green gym and
upgrade the churchyard
An improved Kingston Rec & churchyard which
is well used, aesthetically pleasing and safe
Young people as role models
2. Community hub that is well used
by residents as a focal point and
also maintained by local volunteers
A community hub in the Bridge Centre and
surrounding hubs like Fratton Community Centre with
a programme to iink with local offer and priorities
A programme linking and promoting local activity
A programme of regular activities by different
organisations, local people and volunteers
3. Young people as role models Young people -led initiatives with visible young leaders
16
Appendix C: Action Plan
Fratton RPA Action Planning Meeting 18th July 2016 & 20th July 2016

Action/s
Timescale (Short,
Medium, Long)
Lead organisation
/person
Resource required
FBL Kingston Rec play area Funding/Planning
FBL Churchyard Green Gym Funding
National Citizens Programme - Youth in action
Coordinate programme with FBL & ASDA
(Natalie) in the first instance
Confirm length of lease for use of hub
from National ASDA office
Invite local stakeholders to participate in offer
Expressions of interest:
• 1 night per week: Substance misuse drop-
in programme for young people
Physical activity: Young people
• ‘Sweaty beasts’ (Physical Activity like boxing)
• Dance programme
• Chat over chai
• Wellbeing Service
• Feasibility of Youth Health Champions (YHC) -
• Short term funding from partners to provide support to
7 youth health champions and train more champions
• Set up social enterprise in medium term
Funding
• YHC run health campaigns linked with
National Citizens Programme
• Walking Football
• Yearly mini education and careers fair with colleges
and higher education with speeches from role models

Fratton RPA
Priority Links
(B) HEALTH
1. Residents perceive
that healthy lifestyles
are easy and feasible
to maintain.
Residents adopting healthier
eating habits due to increase in
confidence, knowledge and skills
Project linking up local growing, healthy eating,
food recycling, cooking, budgeting
Healthy weight group in Fratton
Local cookery leaders
Residents have access to healthy food
Local volunteers recruited for growing
project in Manor Infant school
Food labelling in local supermarkets
Increase in food eterprises in Fratton Food enterprises
(B) HEALTH
2. Adequate
support to tackle
the prevalence of
substance misuse
Recovery hub model - develop
self-help/peer support for those
recovering from substance misuse
Peer support for those recovering from substance misuse
Outreach service in Fratton
from recovery hub
Support for Fratton Homeless
and other excluded groups
Increased access to specialist help in the locality
(C) ENVIRONMENT
To create high local
pride in Fratton by
empowering local
residents to access
resources and power
to make physical
changes to their
surroundings
Positive local pride
Volunteers - painting groups/clean up groups
Increase in local applications to community chest fund
Social enterprise group: Fratton
Healthy streets in Fratton
Healthy streets initiative including safer routes to school and changing street safety perceptions

Action/s
Timescale (Short,
Medium, Long)
Lead organisation
/person
Resource required
Local food initiative/projects to connect and coordinate
communications through group, build healthy
lifestyle network & communication offer locally
Linking Growing in Manor Infant school, healthy eating,
cookery skills, budgeting skills and food enterprises
Time
Cookery with bake off competition Funding
Link Fratton RPA Health Indicator with
city-wide Food Partnership
Time
To evaluate publicise future group activities
• To train community signposters in Fratton and
nearby to be community cookery leaders
• 6 week cookery courses and food hygiene for residents
• Find out about Penhill schools after school clubs
Funding
Link officer from Wellbeing service: promote referrals Time
Investigate approach with supermarts
Fratton street mapping report and follow up
Development of food enterprises
Central Point located in Fratton, create links
with Fratton RPA health indicator
New Recovery cafe
• Better signposting to services
• Inclusion of homeless clients and excluded
groups in services - tackling culture of services
• Investigate feasibility of training programme for
services e.g community centres frontline staff
Insurance issue to be sorted out with high
risks activities like decorating on a ladder
Insurance
Project to be brokered by FBL Cities of
Service with businesses like Colas
Work with Action Portsmouth
Monthly meeting programme to initiate and support
set-ups and partner with UnLtd for funding set-ups
Time and funding
set-ups
Group to identify city partners and map properties
in the area; lobby for meanwhile use
Time
Invite: Safer routes to schools officer
Healthy high streets survey report cmplete
Safer routes to schools and safer routes to
shops (including safer cycle lanes)

Fratton RPA
Priority Links
(D) EDUCATION:
1. Opportunities
to engage in
educational
activities within
the community
and developing
key health and
lifestyle skills
Increased awareness of physical
activity available in the area
Increase in the uptake of sporting/physical activity opportunity in Fratton
More physically active residents
Residents having skills to maintain
healthy lifestyles and create peer
support within Fratton communities
Increase in uptake of FBL community grants to initiate
and run community cooking/cookery projects
Cooking on a budget skills workshops linked with
community projects/financial literacy initiatives
Develop skills in maintaining
healthy lifestyles
Fratton online health channel
Key health messages communicated regularly including
use of videos e.g ones used in Carers Centre
Portsmouth Together to recruit a
volunteer with Social Media skills
Digital applications to encourage self help and peer support
(E) YOUNG PEOPLE
Address culture of
bullying within peer
groups (body image,
racism and body
Local community group to provide
support for victims of bullying
and address those who bully
Decrease in reported bullying in Fratton
Increased in emotional resilience
Young people champions
Financial literacy workshops for YP

Action/s
Timescale (Short,
Medium, Long)
Lead organisation
/person
Resource required
Map existing & identify 'what's missing' e.g
meet with Pompey in the Community
Time
Publicise what is on - newsletter and media
Wellbeing worker link with local gyms,
initiative community gym champions
Initiate feasibility: healthy walks Fratton
Invite: Sky Rides link officer
Bring Active rides to Fratton
Co-ordinate Fratton Mini Olympics
Train cookery leaders
Support cookery leaders to apply for
funding to set up cookery clubs
Link with Food partnership Food &
Health inequalities sub-group
Link with local Library as hub for connecting to the internet
FB & twitter feeds
Fratton positive newsfeed
Community signposters to help residents to use digital
app to maintain their own health and wellbeing
Hate Crime event on Hate Crime
awareness day in Oct 2016
Embed emotional resilience in youth
work - ?Off the records
? Investigate Natwest & Banks support for this
Incorporate FBLs projects aspirations for local
young people (YP) into this matrix
FBL activity (YP) tender leader to be invited to
participate in this group once announced

Produced by: marketing@portsmouthcc.gov.uk • Published: October 2016 • Ref: 114.37
You can get this information in large
print, Braille, audio or in another
language by calling 023 9284 1560
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www.portsmouth.gov.uk

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