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The Healthy Thames Project: Shaping Health Services

Thames Ward is going through immense change right now as you may have noticed around you. The way health services run is also changing in a way you can’t see yet, but you can be a part of shaping it.

The Healthy Thames Project is one way you can be involved, through a collaboration between:

  • Thames Ward Community Project
  • Barking Riverside Limited
  • The council – LBBD
  • CCG (Clinical Commissioning Group – part of the NHS)
There are plans for a new Wellbeing Hub to be built in Riverside. It will form part of the New Integrated Health Service. But what does that mean? Instead of calling a GP receptionist, and waiting ages to get an appointment, you can speak to a link worker who can make direct referrals to various departments which may be able to help you with all sorts of treatment and support. At the Hub there will be so much more choice in the care you receive. You could even be the person running health and wellbeing activities!

We want local people to:

  • Be part of decision making on health services
  • Be able to run health and wellbeing activities

So, how can you get involved and what can you do now before the Hub is built?

Join the Healthy Thames Working Group

The Healthy Thames Working Group is a forum. A chance to speak on the topics that affect health services in your area. We want local people to be in a position to attend health board meetings and be part of decision making. This might mean that we need to create training, shadowing and mentoring opportunities and new local networks. This will help people feel more comfortable and knowledgeable to have a say at meetings where decisions are made around health services in the area.

You can be a part of the Healthy Thames Working Group!

We meet 4 times a year in person at the Sue Bramley Centre. We take part in workshops, hear from local people and health workers and get to know each other over food from local caterers. If you want to join the next Healthy Thames Event, or join the Working Group, send an email to Rahela@twcp.org.uk.

Healthy Thames Working Group: Shaping Delivery

What if you could get healthy in your local area with a neighbour? Someone trained and qualified, knowledgeable about Thames ward, and more importantly a familiar face.

The first meeting of the Healthy Thames Working Group took place recently, to get people who live and work in the area to meet and workshop ideas. This was to think about how to get local people delivering on health services and being a part of decision making. It might sound like a lot in one meeting, but this is just the start of an initiative that Barking Riverside, LBBD and the NHS Clinical Commissioning Group have teamed up on with TWCP. The idea is to change the way people receive support in health and wellbeing, putting local resident’s ideas and efforts at the heart of it, to try and re-design a service with residents of Thames Ward.

People met at The Sue Bramley Centre on Friday 17th September and shared ideas around ‘What could delivery look like?’, ‘What’s needed to make this happen?’ and ‘How will you know progress is being made?’ This was to get people thinking outside of the box about how we get help from GPs, local services and organisations, so that there are more options of support for residents. There were great ideas that came out of the discussion. There was the idea of a time bank so people could help each other by offering their skills to support neighbours. There was talk of a small fund that paid for venue hire, or equipment that could be booked and shared, or professional coaches to come to the area to run sessions. We also heard from people about the gaps in knowledge, for example, some attendees asked for training in fundraising, safeguarding, and support with DBS checks.

It was really great to meet so many new people, and hear from residents who have lived in Thames for a while. It was also a chance for people working in the area to hear from residents, and for all to be a part of the discussion in an informal way. We ended the evening with some delicious food from a local caterer, which replenished everyone after all of the brainstorming.

The next get together is in December, and it would be great to have you there to share your views on health! Get in touch with Rahela@twcp.org.uk you’d like to know more and attend the next one.

We also have some training coming up on Tuesday 26th October, sign up here for an ‘Intro to Public Health’ with Ope from CU London!

Rahela Begum

Health Outreach Worker

A Month of Barking Food Forest

Here at TWCP, we pride ourselves on being genuinely resident-led, and there’s nothing that expresses this in its truest form more than the Barking Food Forest. From the beginning, the site itself was secured through the hard campaigning work and drive of the Young Citizen Action Group at Riverside School, who after 2 years managed to take possession of the keys for the community garden site from BRL. Community effort continued with successful grant applications supported by TWCP. Fast forward to our co-design sessions, which were a hit with young people and residents, the long awaited GPR scan of the grounds, and we were finally ready to start in-person sessions at the end of August. 

Where are we now?

It’s been a journey filled with collaborating, learning, and of course hard work. We’ve been steadily building momentum through various meetings with key stakeholders, co-design sessions with local people, collaborating with local organisations, such as Every One Every Day and taking others on that journey with us through our online channels. To note some key moments:  

  • JM2 Group have supported in maintaining the site. 
  • Going Picking have provided much needed learning in terms developing this project through meetings and a tour of their own site. 
  • Make:Good architecture and design studio has been working with Riverside students and the BFF team to design a Pavilion that will be built on the site. 

We are all grateful for the support we’ve received but our greatest and most important connection has been with the residents. Over the month, we have been able to engage with residents of all ages, from all walks of life, seeking a space where they can learn and be free in. Over the past 5 weeks we have enjoyed sessions building planters, building the compost area, planting bulbs, watering, digging and socialising! 

It's been a real whirlwind start to Barking Food Forest. It's encouraging to see lots of enthusiasm & hard work from the community so early in the project. Organisations have given invaluable support which really helps at this challenging start up phase. We've had a lot of fun & got a lot done, I'm really looking forward to seeing where we will be this time next year!

The New Model of Care: Wellbeing Navigators Programme

Thames Ward Community Project, and the Public Health and Community Solutions departments within the Council have partnered up to launch the Wellbeing Navigators Programme. The pilot programme hopes to reduce the pressure on the statutory health system (GP surgery, hospitals etc) through early intervention – by getting people active with a healthy social life. We also hope to strengthen the voluntary sector by providing additional sign ups to sports and wellness groups. Thirdly, we aim for the programme to build community. In post-industrial Barking and Dagenham, for a broad range of socio-economic reasons, community, compared to the 1950s and 1960 isn’t what it was. Social prescribing and the New Model of Care is meant to revert to that social cohesion by giving people a reason to meet and improve their health and wellbeing collectively.
 
The idea was first tested in Torbay before lockdown, and the link to Simon Sherbersky’s talk illustrates the concept well.

For me the importance is that it gives power back to the community and voluntary sector to improve their own community. It's a healthier and more natural way of improving physical health and mental health, that is more congruent with our innate gregarious human nature as well.

How to get involved?

If you are looking at investing some of your time to support others in their wellbeing journey and to get into a health care career, then this role could be for you! 

We are looking for friendly and caring individuals to invest some time in supporting residents of our Thames Ward. You should be confident, enthusiastic, non-judgemental, and capable of interacting with people. The role will help engage with those who are facing challenges in the community and connect them to others and services who are qualified to offer support or advice.

The role is only open to Thames Ward residents due to the community-based nature of the role. We will provide necessary training and a single point of contact for support throughout this role.

If you think you are perfect for this role or want to find out more, please contact: lydia.freeman@lbbd.gov.uk or alex@twcp.org.uk 

Sue Bramley Summer Camp a HIT with young people!

60+ young people attended the ‘Food, Fitness, and FUN’ Summer Camp at the Sue Bramley Centre, making it a great success! Children travelled in from across the borough and also from Newham, and Havering boroughs to attend the sessions.

Delivered by Thames Ward Community Project, alongside Mums On A Mission, Creative Wellness and Riverside Muslim Group, the programme provided enjoyable activities and nutritious meals for primary and secondary school aged children who were eligible for benefits-related free school meals. 

The opportunity was provided as part of the government’s expanded Holiday Activities and Food (HAF) programme being delivered across Barking and Dagenham. The camp at the Sue Bramley Centre offered a range of activities including fitness, arts & crafts, cooking, and workshops about leading a healthy lifestyle. Tennis and cricket sessions also took place as part of the programme in Castle Green leisure centre.

The feedback from the sessions were overwhelmingly positive with young people choosing a ‘smiley face’ to describe how they felt about the programme and some saying they ‘loved it’, ‘it was amazing’, and ‘it was fun!’

I've never eaten all these fruits before and now I like them.

I love the arts class!

HAF was a great success and a good opportunity for kids to learn, play and enjoy! They cooked, tried new healthy recipes, and explored their creativity by doing different arts and crafts.

Creative Wellness Girls' Football

Also over the summer, Creative Wellness in partnership with Muslimah Sports Association, delivered football sessions led by a qualified coach, for young girls in Thames Ward. Girls of all abilities between the ages of 8 to 16 years old took part, and commented about how important it was to have the ‘girls only’ football sessions. 14 young girls attended regularly and were gifted t-shirts from Mercurial Sports who played a key role in organising the sessions.

Director blog August 2021: Getting things done

Most of us will know what it feels like to make a list of things we need to do, diligently work through it, maybe get sidetracked by stuff, come back to other stuff that is urgent and cannot be put off any longer.  Get to the end of the day, or week and then do it all over again – another list. 

Maybe most of us will also know what it feels like to have too much to do – and that some tasks won’t get done, fall through the gaps in our busy lives.  Which generates stress, no matter how hard we work.   

One of the ways I decompress is by reading – whatever takes my interest, novels, current affairs, books on ideas and theory – and I found myself reading about stress free productivity – hence the blog.  The premise being that the more we are able to relax, the more things get done. Having a lot of things on your mind limits how much gets done – we feel overwhelmed.  It is exhausting thinking about all the things that need to get done, and this is simply trying to recall what it is we need to do, not even the act of doing it.   

A lot of this is obvious but we often miss what is obvious – like where we find ourselves placing our attention.  I was a bit shocked to realise how much time I spend thinking about doing things and trying to remember all the things I should be doing rather than actually doing them. Quite a lot of my life caught up on that hamster wheel.  Whereas what I enjoy is being absorbed by what I am doing, being in the moment, not distracted by trying to chase after lists.   

The wider reflection for me, is about how we do community work.  Again I spend a lot of my life going to meetings, having conversations with people which come down to – so what are we going to do?  Dancing around who does what and will it get done and do we even get to the point of spelling out that there is an action and someone is going to do it. I break things down into issues, solutions and actions.  In community work we spend a lot of time talking about issues but we often miss the solutions and fail to take actions.  Sometimes that is fine because we need the space to simply speak it out, build relational power and trust – people before programme.  Not rush to transact business and instrumentalise people.  So chat about issues is fine.   

But and there is a but, I think one of the major reasons why community work falls short is we don’t then go on to frame the solution and action in specific measurable terms.  Sometimes I think this is a deliberate strategy – power holders get people to talk about issues but that is all it is.  Stuff doesn’t get done if it hasn’t been clearly agreed what the action is and who is going to do it. I think that is what transparency and accountability means.   

I was in a meeting the other week with a lot of public sector workers who lamented the absence of smaller community groups in the delivery of local services and thought was given about how these small groups might ‘get on board’.  I seem to have heard the same conversation for years, a subtext of almost every meeting I go to.  My thought is – if you want to get more community groups ‘on board’ you just do it.  If you really want to do it, you will find a way.  It really isn’t hard.  This is about political and institutional will.  The fact that it still gets talked about means the will is lacking.  The solution for example is to identify what resource exists and ring fence and re-direct some of it. Trouble is, no one is framing the solution and the action – hence smaller community groups are disenfranchised.  This is by design.  I’m not saying there is a malign intent – I just think there are a lot of people copping out. Sometimes people blame the ‘system but we are the ones who create the system by who we are and what we do.   So for me it is not about the ‘system’ or bureaucracy, it is just about the will and desire to do it differently and better.   

Sometimes it occurs to me that maybe the same people in the ‘system’ have a lot on and feel overwhelmed.  They can’t relax but bounce from meeting to meeting – too many things to do, important people to placate.  No wonder stuff doesn’t get done.  Or when it gets done it happens at the margins because no one felt the need to form a committee or bring external consultants in.  Sometimes it feels like a conspiracy to agree things are being done when they are not.  There’s a fear factor.  Maybe that sounds a bit critical.   

Paulo Freire, a Brazilian educator, wrote about how oppression operates through a culture of silence.  Power holders encourage magical and naive thinking when addressing social problems – magical in the sense of things being an act of fate or chance, naïve in the sense that those in power always and only act on the best interests of those without power and in fact want to give power away rather than hold on to it.  Freire suggests only critical thinking gets things done – that’s why maybe I’m coming across as critical.  Critical as in asking questions, trying to move from issue to solution to action.  Sometimes getting lost in a list of things to do.

 

Matthew Scott

TWCP Director

 

Allen, D (2015) Getting Things Done. London: Piatkus 

Friere, P (1995) Pedagogy of the Oppressed. London: Penguin 

Director blog July 2021: Wellbeing – The personal is political

Wellbeing has rightly risen up the agenda of things people are talking about – not just because of the pandemic but also because people expect more from employers, the workplace and the day-to-day social spaces we inhabit.  That’s a good thing.
 
What I wonder is whether we have a strong enough shared understanding about what wellbeing is?  Inevitably wellbeing means different things to different people but is there a robust enough overall vision?  A big tent that people can unite behind and get with the programme.  My sense is that we don’t have this – I don’t think wellbeing has broken through because if it had, we’d be living in a very different world.
 
Wellbeing is a warm comforting word, like ‘community’; it gets sprayed around as a non-specifically positive thing.  Fuzzy and vague.  But as we know goals and objectives that are not ‘smart’ (specific, measurable, achievable, realistic and timed) or even ‘smarter’ (evaluated and reviewed) – well those loose goals have a habit of not getting done.
 
To be fair there are plenty of toolkits and how-to guides around:
 
 
 
 
So just like safe-guarding, equal opportunities, health and safety and similar must-have policies it is easy enough to get something written down, and more to the point, understood, used and reviewed.  In other words, it can be managerial, technocratic and in its better moments a framework for accountability.
 
What I feel is lacking from the wellbeing conversation society is having with itself these days is a deeper location of wellbeing as political thing.  Funny how that gets airbrushed out of the picture; how we don’t get around to talking about structures of power, control and oppression – move along, nothing to see here.
 
I’m all up for doing more exercise, going on long walks together, learning a new skill.  My point is that the answer to social problems is through both individual self-care AND wider institutional and political actions.  And all I get from the professionalised choreography about wellbeing is the former not the latter.  
 
At its worst wellbeing is just a mix of naive and magical thinking – if you are on the sharp end of poverty that is as much about politics and economics as opposed to learning how to breathe properly.  The solutions to the stresses that bear down on us can be framed in terms of things you can do as an individual and things that the state can do to or for you, for example via legislation. A tussle between the agency of the individual to sort their lives out versus the structure of the state (NHS / Council etc) to sort it via tax and as public servants.  
 
If you are in power, with all that money and patronage what message would you want to put out there?  I’d say it would be about putting all the responsibility on the shoulders of individuals and then try and make out like it was deeply meaningful and empowering.  An example of how ideas need to be questioned or else they end up carelessly repeated as assumed ‘common sense’: an ideological con trick.  
 
To be clear, I just think we need a mix of emphasis on what individuals can do, and what wider society needs to get done.  A balance, not one thing or the other.  
 
What I reckon we could do is use the opportunity that is presented by wellbeing to put a whole lot of things on the agenda.  To think critically, to open up conversations and propose new solutions and actions.  I think this is best of both worlds – the individual bit and the collective action joined as one.
 
The slogan that ‘the personal is political’ is associated with second wave feminism but I feel it is universal and multi-purpose.  We can use what we experience to prompt reflective conversations that critically examine how we are living and how we might want to live differently.  That in turn is a programme for political action.  If we get the opportunity to jump on the wellbeing bandwagon and chat freely why not give it some welly?  Be a shame not to.
 

Matthew Scott

TWCP Director

Community Wellbeing Event: Creating Connections, Building Resilience

The Event

The Community Wellbeing event brought together TWCP staff and steering group members, staff and volunteers from the Red Cross, local residents, and health and wellbeing professionals to listen and comment on related topics. The event also provided an opportunity for a general update on TWCP and the Red Cross’s work for interested residents and partners. It was particularly beneficial that the event consisted of a good mixture of different groups and organizations, which reflected the diversity of the Thames Ward and wider Barking area.

Lai Ogunsola introduced the theme of ‘the new normal, working from home and the importance of social connections’ within the context of lockdown and social isolation. The discussion extended to the wider group and practical examples were shared with regard to how people cared for their mental health.

The evening continued with a recital from local spoken word performer Romeo Murisa and a music set by TWCP Co-Chair and DJ Josiah. The spoken word piece was biographic and touched upon many self-reflective themes evoked by the pandemic, social isolation and offered some thoughts on wellbeing. The music set was a light-hearted compilation of the participants favourite songs that had been shared during the introductions earlier.

Participants were then able to choose from a selection of four breakout room sessions: the first led by award winning artist Laura from At Gallery CIC who presented the work of Joshua Lance focusing on the importance of art in health; the second breakout room was led by Natalia from Early Years Cocoon and was centered on simple exercises to deal with uncertainty in our lives; the third room was led by Amtul from Community Health Champions to promote Health Champions, Covid-19 vaccinations and mental health; the last breakout room was led by Katherine from the British Red Cross, which was about building resilience and wellbeing, where themes of engagement, awareness and cooperation were considered, in order to build community to prevent disaster. 

The Impact

Opportunity was given to share clubs and social groups with each other to widen options for safe social interactions during and after lockdown. Links were shared to activities such as: LBBD volunteering opportunities, local artists’ work, community hubs such as the Bromley By Bow Centre, early years support, TWCP events and health groups, links to events on black leadership, relevant articles, music, digital classes for adults, wellbeing and loneliness support, and sports clubs.

Participants who spoke up during the event stated that they enjoyed the workshop as a fun, interactive forum to engage with relevant local issues.

I thought it was a well rounded event where we were able to promote collaboration and I’m looking forward to where this leads. I thought it was particularly successful because the event was not just about promoting collaboration within the exercises in the event, but building trust and relationships that can endure through lockdown and afterwards. I think a lot of trust has been built, showing that we value the ideas and contributions of residents, and of our partners.

I really enjoyed the event and thought it went very well. I think having breakout rooms was a good idea since it gave people the opportunity to go in depth on topics.

Really excellent event!

Creative Wellness Ladies Cycling and Walking Club Resume Sessions

Khushnood Ahmed, Resident Steering Group Member and Member of the TWCP Health and Wellbeing Citizen Action Group, runs a number of fitness and wellness clubs through her initiative Creative Wellness.

Creative Wellness is passionate about community wellness. It’s a space for women to feel excited and empowered, to expand their knowledge, and to be equipped with the action steps and resources needed to live a healthier life.

Cycling Club

Start date: April 2021

Complete the membership form via this link: Cycling Club – Creative Wellness

Bikeability training is being provided on two dates:

Saturday 17th April – Level 1 (Riverside Cycle Hub)

Saturday 24th April – Level 2 (Riverside Cycle Hub)

General club rides are every weekend, Saturday 10-12pm, departing from Rivergate centre, Barking IG11 0FJ, to suit all abilities.

A bicycle, lock, helmet, and cycling jacket can be provided to members dependent on availability.

Walking Club

Start date: 5th April 2021

Complete the membership form via this link: Walking Club – Creative Wellness

The club walks different routes every week Monday 10-11am, departing from Rivergate centre, Barking. IG110FJ.

Members are provided with a fit fitness tracker watch to monitor their step count. The weekly challenge is to do 10,000 steps or more to win the weekly prize draw for the vouchers of your choice.

You can complete the challenge in a week with the other members or with your family at your own pace.

Why get active?

During the first lockdown I felt there was a need in the community for women, whilst adhering to government guidelines, to make new friends, get involved in a sport or activity that would provide positive health outcomes, especially mental health. The project was well received by the girls and women of Thames Ward. We now have a WhatsApp group where our cycling and walking club ladies interact with each other. The clubs are a success as through them residents have formed friendships, as well as better mental and physical health!

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