1 Darlington Healthy New Town Miriam Davidson, Director Public Health Ken Davies, Housing Strategy Officer
2 We will cover: What is a Healthy New Town?What are our ambitions and priorities? Red Hall – the early steps of a longer journey Will we achieve more through collaboration? What are the challenges for a HNT?
3 What Is Healthy New Towns ?10 HNT sites announced March 2016 Part of the new ways of working – 5YFV Ambition – go beyond existing good practice, developing new and creative approaches that offer potential to make a substantial contribution to closing the gaps in health, in care and finances Drive closer collaboration between LAs, planners, developers and the NHS
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5 HNT Core Objectives Develop new and more effective ways of shaping new towns, neighbourhoods, strong communities that promote health and wellbeing, prevent illness and keep people independent Show what’s possible with a radical rethink of how health and care services are delivered, supporting New Models of Care, developing learning about integrating services to provide better outcomes at same/lower cost Be able to replicate/make learning available elsewhere
6 Why Darlington? This area was chosen due to its extreme health inequalities: significantly high premature mortality rates; 76% of households experience at least one kind of deprivation compared to only 32% in the Borough as a whole; 29% of adults are obese; lung cancer rates are significantly high higher levels of worklessness (only 27% of economically active adults in full time employment; significantly higher percentages of children and older people living in poverty and people living in means tested households) emergency hospital admissions are significantly high – particularly for myocardial infarction and chronic obstructive pulmonary disorder; children’s admissions are significantly high as is the number of residents with a limiting life-long condition an ageing population that wants to stay near their community (a significantly higher population of pensioners living alone)
7 Impact on the people in this NeighbourhoodPlaced within the most deprived 2.5% of neighbourhoods 52.2% of pupils eligible for free school meals (15.6% nationally) Poor health indicators 41% of people over 16 years – no qualifications (32% for Darlington) 16% struggling to meet their energy bills Red Hall far exceeds the local, regional and national averages for the proportion of residents receiving almost every type of DWP benefit Red Hall ranks in the top 2.7% most deprived neighbourhoods nationally for ‘the attainment of qualifications and associated measures of relative educational disadvantage
8 DARLINGTON EASTERN GROWTH ZONECentral Park Town Centre Red Hall Link 66 Logistics Ingenium Park Advanced Engineering
9 Aspiration for DarlingtonEmbeds health, housing, care and planning in a new strategic approach. Partnership approach with the private sector, CCG and foundation Trusts to actively plan and work together on projects that embed the principles of planning for better health outcomes through improvements to the built environment, the adoption of digital technology and new models of care. Area will see the development of 2500 new homes as well as the regeneration of existing social housing. The project will see a number of investments and innovations that will directly make a contribution to health outcomes in an isolated and deprived ward Whilst also ensuring that the benefit of the proposed new development in the area contributes to social cohesion, access for all and long term health benefits for the wider population in the Eastern Growth Zone.
10 DIGITALLY ENABLED LIFESTYLESConnected Darlington Bringing a healthy life to communities… Bringing healthy communities to life LOCAL H & WB VILLAGES Local health hubs for planned integrated care delivery Enabled self management of health and wellbeing Proactive activity based health improvement Flexible use of existing NHS estate to deliver services Integrated healthy work places Local H&WB Teams Community Assets DIGITALLY ENABLED LIFESTYLES Smart homes with built in monitoring Digital health and wearable tech to enable self-management Internet of things Interoperable IT & record systems Wireless 4G/5G SMART NEIGBOURHOODS Lifetime Homes Green technology Sustainable transport Activity enabled neighbourhoods Community led innovation and planning Unplanned Care and Rehab Big Data Driven
11 What are the key priorities?
12 Regeneration, Housing and Economic GrowthSustainable new housing developments that enable healthier ways of living and exercise Generation of HNT design principles that are embedded in all developments and can be replicated elsewhere Enhanced public realm to aid connectivity, social cohesion and sense of community Harnessing natural benefits of green space
13 Regeneration continued…..Improved access to employment opportunities and employability Renewal and regeneration of social housing stock to change the image, increase attractiveness and desirability of area and increase residents’ aspirations Integration of new and existing to form coherent communities Developing opportunities for in-reach of health and care services Community development and engagement to influence proposals and generate civic pride and ownership of changes
14 New Models of Care Recognises that well designed and connected communities have a big impact on health and wellbeing and it designs in preventative/public health gains Re-design of care services around populations in hubs – primary, community, mental health, social and voluntary sector – virtual initially, to determine if any built environment requirements; Initial step in-reach to Red Hall Community Centre
15 Digital Enablement Harnessing the advantages of digital care – to remotely monitor and triage patients, reduce visits, streamline pathways and free up staff time for ‘sicker’ patients Remove ‘blackspots’ /Cloud wifi / 5G / improved coverage to support staff to access patient record anywhere enabling teams in community to wrap care around individuals better, improve access to employment opps, training and education Development of a digital culture – digital eagles through luncheon clubs, money support to school children, digital champions
16 What has happened to date on regeneration and early steps in re-invigorating Red Hall?
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18 Properties 642 properties built in 1960’s and 70’sOne third owner occupation 28 Housing Association Sheltered Housing flats Non Traditional design Poor thermal efficiency Low value homes, around £50k
19 Radburn Design
20 Off site construction
21 Investments to Date All properties on a 20 year cycle for new kitchens and bathrooms All heating systems replaced with energy efficient condensing boilers every 15 years £5.5m spent on: External wall insulation (EWI) Double glazing Composite doors Partial demolition Back to fronts
22 External Wall Insulations Before
23 After
24 Front to Backs
25 New Build 40 Council Houses and Flats - £5.2m:12 Flats - Badminton Close 8 Flats - Deepdale Way 20 Houses and Flats (I x 6 B adapted house) – Anfield and Aintree Court, completed March 2017 Plans for the future: A further 38 properties including shared ownership Modern housing for older people
26 New Build
27 Working with the CommunityRed Hall Neighbourhood Renewal Strategy Groundwork Trust-Community development project
28 Involvement is criticalLots of consultation- slowly moving towards empowerment
29 What is happening? Skills training Digital skills Budgeting skillsCommunity pride-street champions Energy Efficiency Project Newsletter Mutual Gain Holiday Hunger Carnival and Spectacular Healthy eating Football
30 Future Planned Work Park, Play areas and village greenAdditional car parking – school and community centre Replace existing shop with new commercial centre/clinical space-Economic Viability report/Infrastructure works Levelling playing pitch/changing facilities Walks Traffic flows Transport Access
31 We are on a journey… Only got ‘go ahead’ in MarchWe’ve come a long way in starting to define our ambitions and projects Workstream leads have remarked on the changing style of conversation around inter-dependencies …if nothing else this is a good thing? We hope to keep on learning and from other HNT sites too…..
32 THANK YOU FOR LISTENINGANY QUESTIONS?