East Lothian CHP HEAT Report

A recent report on East Lothian Community Health Partnership’s (CHP) progress towards meeting the Health Improvement aspects of the Scottish Government’s NHS HEAT Targets is attached below.

Health Improvement Heat Targets – September 2009

These are the areas that the CHP is tasked with developing and reporting on and there are obvious links with many areas of Support from the Start with a significant focus on early years and children’s health.  The targets H2, H3 and H7 in particular on dental health, child healthy weight and infant feeding respectively are obviously linked.

Explicit links are also made with the relevant outcomes from the East Lothian Single Outcome Agreement.

It may be possible to use the data compiled in this report and future updates to set baseline information and monitor progress for some aspects of Support from the Start.

If any service Champions would like further information please feel free to get in touch.

WhiteCraig Stay & Play

The enclosed document is a proposal that has recievied backing from the Support from the Start Service development fund. Sponsored by Pauline Homer – the proposal has been developed in partnership with Lena Hutton community development officer and Maureen Black, Play Adviser with East Lothian Council Early Years Service.


The service development fund was developed to provide resources to the champions identified by services to test out ideas for tackling health inequalities in the target communities. The service fund has a minimal application process with simple rules – the key criteria being that the proposal contributes to learning about how core services can tackle health inequalities.





Reflections on a rainy day

It probably hasn’t escaped your notice that it has been quite wet lately.

A colleague on a forest school leader course that I am undertaking at the present time alerted me to the following piece on the BBC website – it really does make you ask the question why in a country where rain is pretty common we are so unprepared for it.

What is it in our culture that makes such a sharp demarcation between indoor and outdoor? During the recent heavy rain I was due to pick up some forest school equipment from a nursery in East Lothian that had run a forest school programme before the summer break. Bad planning on my part meant I arrived at the same time as all the parents that were coming to pick up their kids – because it was raining many more than usual came by car. But what struck me was that even in this very outdoor minded nursery there was no where for parents or other kids to stand out of the by then heavy rain other than within the door of the nursery itself. This made me think of my daughters school where it seems like the slightest bit of rain means an indoor playtime.

Perhaps this is something we need to pay more attention to if we are serious about getting children and parents more physically active, and out of cars. Why can’t we cope with children getting a bit wet when playing, or walking to and from places, why do we not have more outdoor covered spaces to cope with the fact that it rains quite a bit in Scotland?

Autumn Training at Children in Scotland

Posted on behalf of Helen Duncan:

Brighten up your autumn

with Children in Scotland


Don’t head for hibernation once the summer is over. Children in Scotland has a wide range of training workshops and seminars, to stimulate, motivate and meet your CPD needs.


With so much on offer between now and December, whet your appetite with these hand-picked highlights – or download a copy of our Training and Conference Guide for the full schedule –





Building attachment: theory into practice

Resilience and Coping, Additional Support Needs
Secure, insecure and disorganised attachment and understanding ways of working with and caring for children who have experienced loss, separation, abuse and neglect.
25/9/2009, Edinburgh

Transforming early years spaces on a shoestring

Approaches to Education

Practical ideas on providing a quality education environment without breaking the bank
29/9/2009, Glasgow

Group work with young people
Working with Young People
Theoretical and practical groupworking skills with young people
1/10/2009, Edinburgh

Working with drug and alcohol misuse
Health and Wellbeing
Examine the use and misuse of non prescribed drugs and alcohol and the skills required in working with young people involved in misuse
2/10/2009, Edinburgh

Infant mental health and wellbeing
Health and Wellbeing, Resilience and Coping
Influence in very early life for future mental health and wellbeing and practical assessment and solutions
5/10/2009, Glasgow

Risk assessment, analysis and management in child welfare and protection
Child Protection

Providing an accessible, evidence based risk framework that can be applied in day to day practice
6/10/2009, Edinburgh

Promoting positive behaviour in young children
Managing Behaviour

An introduction to managing behaviour in the early years
7/10/2009, Glasgow

Dealing with conflict, anger and aggression (over 12s)
Managing Behaviour, Working with Young People

Explore strategies for communicating effectively with young people who display challenging behaviour
8/10/2009, Glasgow

Empowering change: an introduction to solution-oriented approaches
Working with Young People, Additional Support Needs
Help young people and workers develop goals and solutions rather than analyse problems
9/10/2009, Glasgow


For these and a wide variety of other courses, download the Children in Scotland Training and Conference Guide http://www. childreninscotland.org.uk/docs/events/TrainGuide.pdf

or go online to www.childreninscotland.org.uk/events

Book online today – prices from £90 for Children in Scotland members





Alison Rowan, Training Development Officer

Children in Scotland, Princes House, 5 Shandwick Place, Edinburgh EH2 4RG

Phone: 0131 222 2405 Fax: 0131 228 8585 arowan@childreninscotland.org.uk 


Resources, sustainability, learning and inequality

The key to understanding East Lothian’s Equally Well Test site is that it is not a short-term project to tackle health inequality. The test site status relates to developing and sharing learning about how services and communities can work together to address inequality in health outcomes. In other words it is not based on a new service, or a new intervention but on how existing services can tackle health and inequality. However this does not mean that new investment is not needed, and that some of that may have to be short term and project based. Service change and re-design is implicit in the Equally Well approach as  if you accept that health inequality is entrenched within our communities then you have to accept that continuing to do things in the same way will not result in the desired change.

 One example of how we are using resoources to support and develop core services is the £80,000 that will be invested over two years in fast tracking the development of forest school / kindergarten in the target communities. The greater bulk of this fund will be used to train a pool of teachers and community based staff as level three forest school leaders. This will give schools and nurseries in these communities a sustainable base on which to provide forest school programmes as part of their mainstream provision. On-going costs are limited to materials and equipment, especially as most East Lothian schools can access woodland within a short walking distance.

Another example of how we are using resources to support learning and service development is the Service Development Fund. This small fund is accessible only by the staff identified as service champions and is intended as a resource that allows them to foster learning about service development. The fund has simple criteria and very simple rules for the application process. Accountability is to the planning board for health improvement in East Lothian through the Support from the start steering group. A key part of the fund is that it is transparent so all bids have to be circulated to all the champions for comment. The criteria for the fund are as follows:-

Service Development Fund criteria

  •  It contributes to one of the four short term (or learning) outcome areas of Support from the Start
  • It demonstrates a potential for learning in one or more service area
  • Is explicit about how the lessons from the supported work will be communicated

 The steering group has the final say on whether a bid is approved but will be influenced by the comment and thoughts of the champions. The discussion amongst champions has occasionally been robust but the following projects have been approved. Ohter projects are in the pipeline and will be posted as they are approved. Part of the commmittment made when using this fund is that learning positve or negative will be shared. This information will be posted oon this web log when it becomes available.

 Summary of projects supported by the service development fund to date

Active Schools – £1500 to develop extra-curricular outdoor learning pack for early years and trial in Support from the Start area.

Whitecraig primary – £1300 for Health Story sacks for parents

 First Step – £1640 for a sleep service for parents who are having sleep issues with children

 Through care After care Service-  £159- resources for Vulnerable Young Mums Group

Patchwork EH32 – £1656 for each of two years. Capacity development to support the extension of Patchwork to more parents in the Prestonpans area.

Community Champions Launch

  Community Champions  On the 30th of July we launched the six community champions for Support from the Start at the home of Hibernian football club – Easter Road Stadium. The six are here seen with (back row) Alan Blackie, Chief Exec – East Lothian Council, Kay Barton Scottish Government Health Directorate and Roger Knox Public Health Spokesperson and depute provost of East Lothian Council.

The six community champions are – Middle Row- Dadswork represented by Kevin Young, Musselburgh & Inveresk Community Council represented by Irene Tait, Hibernian Community Foundation represented by Susan Deacon, Homestart represented by Linden Ross. Front row Patchwork EH32 represented by Katie Barron, Elizabeth Gilbert & Natalie Lees, National Childbirth Trust represnted by Nicky Neighbour.

Hibernian Community Foundation were the first organisation selected as a community champion for Support from the Start – the motto of the foundation is ‘Learning, Health and Opportunity’ and it is chaired by Susan Deacon a former health minister for Scotland. Susan was one of the key note speakers at the seminar which followed the photo opportunity, along with Kay Barlow from the Scottish Government health Division and Liz Cregan the chief nurse for East Lothian. The seminar was attended by those staff from east Lothian services that have been nominated as service champions for tackling health inequaltiy. The theme of the seminar was leadership for learning health and opportunity. The morning was very positive,  and gave all the individuals most directly involved in the test site a chance to meet each other and talk over the role of champion for the process.

Tackiling health inequality is not an easy or straigh forward task and time out of busy schedule to reflect on what can and needs to be done as well as find out more about those you need to work with is sometimes just as important as doing.

Leadership is one of those that we can feel embarrassed about – but for me leaders are people that can work with others to make a difference. Tackling a complex issue like health inequality is not going to happen unless some people are prepared to take a lead and think through what can be done and then make it happen. The East Lothian champions as a team are well able to do that.

 Champions at Easter Road

 east-lothian-champs-event-30-july-2009  leadership-tacking-health-inequality   Presentations


The idea behind “Bright Ideas To Take The Panic out of Packed Lunch” came from the parents and staff at Prestonpans Infants School, who were concerned about the rise in the number of less healthy snack foods that children were bringing into school in their packed lunch boxes.
These included a number of products marketed specifically for packed lunches, which are often high in fat, sugar and salt, as well as less healthy, highly processed items such as sausage rolls, fizzy juice, crisps and chocolate.

This work  led to advice being issued  to all parents on healthy packed lunches including a well designed pull out card with sample packed lunches.

Evaluation of this programme can be found healthy-packed-lunches-report-final-v4

 Marjorie Shepherd

Food & Health development officer

East Lothian Council

Marjorie’s has also posted the follow document for information

HAVE YOUR SAY IN EAST LOTHIAN – A consultation on Scotlands national food policy
In Autumn 2007, the Scottish Parliament agreed with the Scottish Government that a national food policy was needed for Scotland. The thinking behind it was that a national policy would help ensure a more joined-up approach to food in Scotland, covering every part of the food chain from farm gate to plate. It would provide long-term direction and foresight for the industry and make real the full potential of Scotland’s food for the benefit of everyone.
Funding was made available through a grant from Community Food and Health Scotland (CFHS) to run five consultation events in East Lothian.