Fratton RPA Report_Digital Copy

www.portsmouth.gov.uk

Rapid Participatory Appraisal: Fratton Ward

Public Health Portsmouth 2016

2 Rapid Participatory Appraisal: Fratton Ward

AcknowledgementsThank 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.

Contents1 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 documentThe 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 objectivesThere 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.

RationaleThe 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 historyToday, 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 historyDuring 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 ageFratton 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 IIFratton 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 presentFratton 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 didThe 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 aimsWe 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/participantsParticipants (‘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 questionsWe 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 informationWe held seventeen 1:1 interviews, and six focus groups, and typed up the transcripts from these.

5. Analysis of informationThe 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 informantsA 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 processKey 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 knowData presented below is available via the Joint Strategic Needs Assessment website (see references).

Health and wellbeingLife 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 demographicsFratton 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

White86%

Main language is English91.8%

Can speak English very well3.1%

Can speak English well3.5%

Cannot speak English well1.4%

Cannot speakEnglish0.2%

Mixed3%

Asian/Asian British7%

Black/Black British3%

Other1%


Levels of deprivationFratton 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 housingFratton 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 average23.8%

England average19.9%

Fratton27.9%

Portsmouth average19.0%

England average16.2%

1201.9% Detached

3605.6% Semi-detached

87013.4% Flat (purpose-built)

4,66071.7% Terraced

4907.5% Flat (conversion)

00% Caravan


Figure 4 – Occupancy in Fratton

Source: Fratton Ward MATs Profiles

Education and SkillsThe 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).

EmploymentThere 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

Owned

54% 32.7% 11.2% 1.1% 1%

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rente

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Shared

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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.

CrimeThe 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

1222Wholesale retail

1046Human health+ social work

650Administration

614Education

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 provisionFratton 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 assetsOther 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 interviewsWe 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 [email protected] 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.


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What participants told us (part 2): Findings from the workshopsParticipants 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 Community1. 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 Health1. 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 Environment1. 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 Education1. 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 People1. 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 actionTo 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 [email protected] or call 023 9284 1560.

Closing remarksThe 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 organisationsThe 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 groupsThe 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

OrganisationsOrganisations 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

GlossaryAcronyms 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 termsJoint 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.

ReferencesAnnet 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 informationOther 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 [email protected]

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 questions1:1 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 Action/sTimescale (Short, Medium, Long)

Lead organisation /person

Resource required

(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

FBL Kingston Rec play area Funding/Planning

FBL Churchyard Green Gym Funding

Young people as role models National Citizens Programme - Youth in action

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

Coordinate programme with FBL & ASDA (Natalie) in the first instance

Confirm length of lease for use of hub from National ASDA office

A programme linking and promoting local activity

Invite local stakeholders to participate in offer

Expressions of interest:

• 1 night per week: Substance misuse drop-in programme for young people

A programme of regular activities by different organisations, local people and volunteers

Physical activity: Young people

• ‘Sweaty beasts’ (Physical Activity like boxing)

• Dance programme

• Chat over chai

• Wellbeing Service

3. Young people as role models Young people -led initiatives with visible young leaders

• 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

16

Appendix C: Action PlanFratton RPA Action Planning Meeting 18th July 2016 & 20th July 2016





Resource required

(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

FBL Kingston Rec play area Funding/Planning

FBL Churchyard Green Gym Funding

Young people as role models National Citizens Programme - Youth in action

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

Coordinate programme with FBL & ASDA (Natalie) in the first instance

Confirm length of lease for use of hub from National ASDA office

A programme linking and promoting local activity

Invite local stakeholders to participate in offer

Expressions of interest:

• 1 night per week: Substance misuse drop-in programme for young people

A programme of regular activities by different organisations, local people and volunteers

Physical activity: Young people

• ‘Sweaty beasts’ (Physical Activity like boxing)

• Dance programme

• Chat over chai

• Wellbeing Service

3. Young people as role models Young people -led initiatives with visible young leaders

• 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





Resource required

(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

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

Healthy weight group in Fratton To evaluate publicise future group activities

Local cookery leaders

• 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

Residents have access to healthy foodLocal volunteers recruited for growing project in Manor Infant school

Link officer from Wellbeing service: promote referrals Time

Food labelling in local supermarkets Investigate approach with supermarts

Increase in food eterprises in Fratton Food enterprisesFratton street mapping report and follow up

Development of 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 misuseCentral Point located in Fratton, create links with Fratton RPA health indicator

Outreach service in Fratton from recovery hub

New Recovery cafe

Support for Fratton Homeless and other excluded groups

Increased access to specialist help in the locality

• 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

(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

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

Increase in local applications to community chest fund Work with Action Portsmouth

Social enterprise group: Fratton

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

Healthy streets in Fratton

Healthy streets initiative including safer routes to school and changing street safety perceptions

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)





Resource required

(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

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

Healthy weight group in Fratton To evaluate publicise future group activities

Local cookery leaders

• 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

Residents have access to healthy foodLocal volunteers recruited for growing project in Manor Infant school

Link officer from Wellbeing service: promote referrals Time

Food labelling in local supermarkets Investigate approach with supermarts

Increase in food eterprises in Fratton Food enterprisesFratton street mapping report and follow up

Development of 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 misuseCentral Point located in Fratton, create links with Fratton RPA health indicator

Outreach service in Fratton from recovery hub

New Recovery cafe

Support for Fratton Homeless and other excluded groups

Increased access to specialist help in the locality

• 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

(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

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

Increase in local applications to community chest fund Work with Action Portsmouth

Social enterprise group: Fratton

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

Healthy streets in Fratton

Healthy streets initiative including safer routes to school and changing street safety perceptions

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)





Resource required

(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

Map existing & identify 'what's missing' e.g meet with Pompey in the Community

Time

Publicise what is on - newsletter and media

Increase in the uptake of sporting/physical activity opportunity in Fratton

More physically active residents

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

Residents having skills to maintain healthy lifestyles and create peer support within Fratton communities

Co-ordinate Fratton Mini Olympics

Increase in uptake of FBL community grants to initiate and run community cooking/cookery projects

Train cookery leaders

Support cookery leaders to apply for funding to set up cookery clubs

Cooking on a budget skills workshops linked with community projects/financial literacy initiatives

Link with Food partnership Food & Health inequalities sub-group

Develop skills in maintaining healthy lifestyles

Fratton online health channel Link with local Library as hub for connecting to the internet

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

FB & twitter feeds

Fratton positive newsfeed

Digital applications to encourage self help and peer supportCommunity signposters to help residents to use digital app to maintain their own health and wellbeing

(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 Hate Crime event on Hate Crime awareness day in Oct 2016

Embed emotional resilience in youth work - ?Off the recordsIncreased in emotional resilience

Young people champions

Financial literacy workshops for YP ? 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





Resource required

(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

Map existing & identify 'what's missing' e.g meet with Pompey in the Community

Time

Publicise what is on - newsletter and media

Increase in the uptake of sporting/physical activity opportunity in Fratton

More physically active residents

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

Residents having skills to maintain healthy lifestyles and create peer support within Fratton communities

Co-ordinate Fratton Mini Olympics

Increase in uptake of FBL community grants to initiate and run community cooking/cookery projects

Train cookery leaders

Support cookery leaders to apply for funding to set up cookery clubs

Cooking on a budget skills workshops linked with community projects/financial literacy initiatives

Link with Food partnership Food & Health inequalities sub-group

Develop skills in maintaining healthy lifestyles

Fratton online health channel Link with local Library as hub for connecting to the internet

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

FB & twitter feeds

Fratton positive newsfeed

Digital applications to encourage self help and peer supportCommunity signposters to help residents to use digital app to maintain their own health and wellbeing

(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 Hate Crime event on Hate Crime awareness day in Oct 2016

Embed emotional resilience in youth work - ?Off the recordsIncreased in emotional resilience

Young people champions

Financial literacy workshops for YP ? 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: [email protected] • Published: October 2016 • Ref: 114.37

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