1. Working for Better Health: Olympic and Paralympic legacy Andrew Attfield, Associate Director of Public Health Barts Health NHS Trust Jane Connor, Assistant Director Health Legacy NHS North East London and the City Health, Work and Welfare Reform City Hall, 5 th November 2012

2. Regenerating East London London’s bid for the 2012 Games promised that: ‘‘The most enduring legacy of the Olympics will be the regeneration of an entire community for the direct benefit of everyone who lives there’’ 2012 Bid Candidate File and Host City Contract Once in a lifetime opportunity to transform East London This requires tackling health barriers to work

3. The Host Boroughs legacy aspirations Olympic and Paralympic Host Boroughs are Barking and Dagenham, Greenwich, Hackney, Newham, Tower Hamlets and Waltham Forest Host Boroughs sub-region of over 1.2m people characterised by concentration and scale of poor life outcomes On all key indicators, outcomes for Host Borough residents worse than the average for London – the “Convergence” gap

4. The Host Boroughs legacy aspirations Convergence Action Plan 2011-2015 (joint Host Boroughs and GLA plan) sets out actions to create wealth and tackle poverty; support healthier lifestyles; and develop successful neighbourhoods Since 2008 collaboration between NHS Trusts and the Host Boroughs to secure a health legacy from the Games

5. Already achieved New, effective model of jobs brokerage developed, linking local unemployed people to employment opportunities Jobs brokerages for Olympic construction and LOCOG, Westfield Stratford, and Games time temporary jobs 20% of people employed to build the Olympic Park from Host Boroughs Westfield Stratford employs over 4,000 local people

6. Already achieved 13,500 Host Borough residents had temporary jobs during the Olympics and Paralympics Local community can use the Olympic and Paralympic venues in legacy, which will employ mostly local people Ludwig Guttmann Health Centre – the Olympic Polyclinic – designed for community use after the Games Global companies like Siemans moving in to the area, and UCL planned extension to Stratford

7. But …

8. Key Convergence Indicators Gap 2009 Gap 2011 2014/15 Target Progress and RAG rating Theme: Creating wealth and reducing poverty Employment rate – aged 16-64 5.5%4.8% Narrow the gap to 2- 3% Gap reducing slightly –not on track Median earnings for full time workers living in the area £30.60£39.40 Narrow the gap with the London average to £25 Not on track – gap increased by £9.00 Proportion of children in working age families receiving key benefits 8.4 6.6 (2010) Narrow the gap to 5- 6% Gap reducing –target on track Pupils achieving at least Level 4 in English & Maths at Key Stage 2 2.2 (2009/10) 1.5 (2010/11) Convergence with London average Gap reducing – on track Pupils achieving 5 GCSE grades A* - C (including Maths & English) in maintained schools7.44.6 Narrow the gap with the London average to 3 – 4% Gap reducing – on track Theme: Supporting Healthier Lifestyles Life expectancy: (male) 2.2 (07/09) 2.1 (08/10) Narrow the gap to 2 years Gap reducing – on track (female)1.7 (07/09) 1.6 (08/10) Narrow the gap to 1.5 years Gap reducing – on track Theme: Developing successful neighbourhoods Violent crime levels Violence against the person, per 1,000 population 6.1 (09/10) 4.3 (11/12) To narrow the gap to 3-4% Gap reducing – on track Key Convergence Indicators

9. Working for Better Health The Convergence Action Plan 2011- 2015 includes objective “to reduce the number of people whose health affects their ability to secure or maintain work” Working for Better Health has brought together Public Health, JCP, London Health Programmes and GLA Health Team to engender local action to deliver against this objective

10. Local actions Engaging with SMEs to promote “Mindful Employers” Disseminating the Healthy Workplace Toolkit Piloting Workplace Wellbeing Charter in Greenwich and Barking & Dagenham Establishing pilot Work Clubs and placement of JCP Employment Advisors in Health Centres Community Works for Health filled over 80 jobs at the Trust in 2011/12 Providing information to GPs about the impact of Welfare Reform Fast-track referral of in-work patients to physiotherapy

11. Community Works for Health Providing a local workforce for Britain’s biggest NHS Trust Pathway offering apprenticeship, training and employment support towards targeted vacancies Training includes work placement, health promotion and coaching support Underpinned by public health approach to health inequalities

12. Royal Docks Work Club and Employment Coaching Based at Royal Docks Work Club, commissioned by Newham Public Health, delivered by Community Works for Health For patients whose health affecting ability to work or find work Work Club and JCP advisor help with finding a job; income maximisatin; advice on job retention; CV writing; confidence building; long term health condition management GPs from south locality refer patients using a prescription-style form Runs one morning a week Face to face promotion with GPs and practice managers results in referrals

13. Future activity Sector Skills Academy Evaluate Work Clubs, design sustainable model linked to training and skills providers Better understanding of impact of Welfare Reform Setting 1% target for apprentices at Barts Health Positive Action approach to employment

14. andrew.attfield@bartshealth.nhs.uk jane.connor@elc.nhs.uk