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Community Education For Better Health

Worker’s Educational Association

End of Pilot Project Report July 2011


Background The WEA The WEA is a national educational charity, established in 1903 and based locally across 9 regions, including the West Midlands. Learning provision includes community based health education courses located in areas of multiple deprivation. Provision is organised in partnership with statutory and other voluntary organisations to ensure groups are filled and to avoid duplication. The WEA manage and deliver 2 health education projects in Dudley and Stoke on Trent. Based on the success of these models the WEA applied to the Worcestershire Partnership Health Improvement Fund in 2009 for funding to run a Community Education for Better Health pilot project in the north of Worcestershire.

Community Education for Better Health (CEBH) The WEA was awarded funding of £74,927 for a 2 year project (April 09 – April 11) from the Worcestershire Partnership‟s Health Improvement Fund to manage and deliver a programme of health education and fitness in the „health hotspot‟ areas of: Broadwaters and Greenhill in Kidderminster; Charford in Bromsgrove; Abbey, Batchley and Central in Redditch. The CEBH project started in August 2009 and the first courses were run in October. An extension of the project was agreed until July 11 to tie in with the academic year. The Health Improvement target that the project was designed to contribute to was: N121 Mortality rate from all circulatory diseases at ages under 75. The funding was for a new pilot community-based education project “Project work will focus on identifying and engaging adults, particularly older people (45+) and/or adults from the Black and Minority Ethnic (BME) communities from health deprived wards, to participate in healthy lifestyle education programmes specifically designed to reduce the risk of circulatory diseases.” The expected outcomes for CEBH were: Adults residing in the target hotspot areas report:   

Improved health and fitness/wellbeing by the end of the project Improved awareness of how to adopt healthy lifestyle by the end of the project Improved confidence in accessing public health and/or social care services by the end of the project

This report outlines the successes and learning points from the project. The WEA will use the findings from this report in the development of future projects nationally. It is hoped that it will also influence the development of other community health initiatives across Worcestershire


Foreword The Foreword is usually from someone important in the organisation. We asked one of our learners to write one for us on behalf of everyone who has used the project, as there is no one more important to us than our learners.

I’m really pleased to be able to write this foreword for the WEA CEBH end of project report. I found out about these courses because my GP made an appointment for me with one of the Health Trainers and she persuaded me to try the Confidence course in Redditch Library. I was nervous about going to the first class. It felt like going back to school. The tutor was great and was very flexible. I made some brilliant new friends. It felt like we ran the course. We talked about things that were important to us and the course was build around everybody’s needs. The first course was not long enough. We made notes about this on our feedback forms and it was good that the WEA listened to us; they are very accommodating. Some things don’t always sink in the first time you hear them and the second course went into more depth as the trust built up. 2 hour classes were just enough to keep everybody interested. It was good that the courses were free as it made them open to absolutely everyone - there were no airs and graces, everyone was equal. Taking the measurements was helpful, as having an incentive to lose weight certainly helped my confidence. I am joining another 2 WEA courses in September and I have persuaded my daughter-in-law to come with me on one of them. I can’t fault the courses. It was all totally brilliant! Jude Prosser 05.08.2011

Index Background Foreword Index Process Outputs Achievements Curriculum Courses Feedback Case studies Health Measuring Health Measure Issues Lessons learned What next Acknowledgements Contact information Page 1

Inside cover 1 1 2 3 4 6 7 8 11 12 13 14 15 16 Inside cover Back cover


Process A brief outline of the life of the project The pilot was awarded funding in July 2009. A Project Organiser was appointed in August. The first task was to recruit tutors, find venues and attract the right learner to the courses. From the start the project did not want to recruit people who could easily have gone to private gyms etc. It was considered essential to target the hard to reach learners who would not normally see exercise and health education as being of benefit for them. This meant recruiting motivational tutors who were sympathetic to the needs of these learners and were able to break down their activities into bite size chunks. Initially progress was slow, as was to be expected. It was „pushing the snowball uphillâ€&#x; with lots of effort for very little return. Initially it was difficult to match tutor availability, venue availability and be able to put on courses at times and places that matched the needs of and availability of learners. Gradually the pace of the project picked up. Our partner organisations were very supportive of the project and we found the best way of reaching learners was through our partners. As organisations saw the benefit and the difference that we could make, we were increasingly asked for more and varied courses. When the courses started we had a steep learning curve with taking and collating the health measurements. We offered learners the opportunity to have blood pressure, resting pulse rate, height, weight and waits measurements taken at the start and end of the physical activity courses. It was not compulsory and people could opt for all or some of the measurements. These measurements were confidential and not stored with the course registers. Initially it was hard for learners to see the relevance of these measurements, and the health education handouts, as most of them had just come to take part in an activity. Over time we got better at how we advertised the courses and sold the idea to learners. The more success we had, the more demands were made on the project. We had increasing demands for services for people with chronic, low level mental health needs and, with the agreement of the Steering Group, we were able to respond to these needs. The development of this work gave another dimension to the project. We are proud to have developed a holistic approach to physical, mental and emotional health that uses a range of physical activities, creative activities and group-work to improve fitness, healthy eating, stress management, confidence and self esteem. This pilot project has successfully more than met the majority if its targets and we have developed a style of work that is transferrable to other projects and areas of work. We are looking for opportunities to take this work forward into future developments within the WEA and to share our learning from this project for the benefit of others.

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Outputs and Outcomes The projected project outputs were: Carry out intensive outreach in specific areas Done

Engaging at least 300 people in a community context Exceeded

Designing and delivering 30 local and structured education/physical activity adult classes and activities

health Exceeded

Making use of community venues and a limited amount of exercise equipment that is stored and transported to various locations

Done

Recording and reporting health improvement outcomes Done

The projected project outcomes were:

200 adults residing within target hotspot areas report improved health/and or fitness and/or well being Exceeded

300 adults residing within target hotspot areas report improved awareness of how to adopt healthy lifestyles by the end of the project Exceeded

300 adults residing within target hotspot areas report increased confidence in accessing public health and or social care services by the end of the project

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Partially


Achievements

We are proud of the achievements we have made during the project. For a small project with only a short time to develop we have achieved more than could be expected. We are particularly pleased with the difference we have made to lives of some of our learners (see pages 8-11 for more information). There are many more examples that we could have given in addition to the case studies on page 11. A particular strength of the project has been the style of working. Learners have felt cared for by the tutors. Tutors have worked hard to ensure the safety and comfort of learners while encouraging them the push themselves that little bit further in either physical exertion, trust and confidence or lifestyle changes During the project we became aware of how difficult it was to provide health information relevant to each area. There was a lot of information available but it was difficult to systematically collate and give this to learners in an easy to use form. Because of this we developed a health information pack for each area which gives information on where to obtain help and support on a wide range of health topics. These have been well received by learners. Initially we experienced difficulty with learners failing to see why we needed to take the health measurements. We worked hard at how we explained the process and made it more relevant to individuals on the course. We found that a lot of the older learners did not mind being weighed but did not like having their waist measurements taken and we were happy with this as long as they participated in the other measurements We developed a style of working which enabled the health measuring process to go on alongside the activity of the course. This helped learners to be able to feel less rushed when having the checks and they had time to ask questions without feeling they were holding other people up. We were pleased that the Steering Group allowed us to respond to the needs of learners with mental health concerns who fell below the threshold for statutory services. We were able to help fill a need for these learners. They then demonstrated some of the biggest lifestyle changes. One learner lost nearly 4 stone during 2 separate courses she attended during the project. We worked in all of the Health Hotspot areas during the project. This enabled us to be sure we were reaching the most at need learners. Though this did cause some problems at public events when people from outside these areas wanted us to put on courses for them and we were unable to do so. The project has helped to raise the profile of the WEA in the north of Worcestershire. This has led to requests for other courses which have been added to the mainstream Worcestershire WEA programme

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Achievements

 43 Courses run  520 learners  567 Individual health measures improved  All project milestones met in timely fashion  Stands at 13 multi agency public events  Multi agency Health Fair run in Charford  Development of low level mental health work  Nominated for Compact partnership award  Health Hotspot areas reached  Development of Health information packs  Provision responsive to learner need and feedback  15 tutors recruited and used  Excellent partnerships developed  The right learners reached (see below)

Learner Numbers

Total

Men

Women

Disability *

BME

Over 50

On Benefits

Oct - Dec 2009 Jan – March 2010 April – Sept 2010 Oct – Dec 2010 Jan – March 2011

37 53 77 116 143

7 9 9 18 10

30 44 68 98 133

18 21 34 59 68

2 2 2 11 21

15 37 38 61 80

22 24 23 52 55

April – July 2011

94

9

85

51

21

29

58

520

62

458

251

59

260

234

11.9%

88%

48.2%

11.3%

50%

45%

Project Totals

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Curriculum Venues: We have made use of a range of community buildings for our classes, including: Church halls, Schools, Social Club, Library, Community Centres, Pub, Youth Centre, Sheltered accommodation, Day centres. Use of these facilities has enabled us to reach the „health hotspot‟ communities and has allowed us to be flexible in our approach to courses. All venues had an Accommodation Survey carried out before the courses to ensure they met Health and Safety requirements and provided a suitable learning environment Staffing: We have been fortunate in being able to recruit some excellent tutors. While many tutors are excellent in their subject we also needed tutors who could work at an appropriate level for our learners and gently motivate them to achieve more than they thought that they could do. Learners: From the start we did our best to ensure that we reached the learners that the project was designed for. It would have been easy to fill places with people who saw free courses as an alternative to paying at the gym. We aimed our recruitment at people living in the „health hotspot‟ areas who would not normally have seen health education and exercise as something they would have been interested in. Our partner organisations have been a great help to us in helping to recruit the right learners Systems: The project has developed effective systems for the collection and collation of course information and health measurement information. Health measurement information is confidential and not stored with the registers and enrolment forms. Course information is held a WEA West Midlands regional office. Course files include registration forms, evaluation, learning records etc. The WEA also randomly contact a sample of learners to ask for feedback in confidence to ensure learner evaluations are not influenced by the tutors presence. Partnerships and Events: We feel that working through partners was the best way to recruit learners to the project. It helped to ensure we were not just providing an activity in isolation and then leaving the learners high and dry. We were able to kick-start health initiatives that could be continued by the partner organisation at the end of the course. We found interagency meetings and events were an excellent way of raising the profile of the project and helping us meet new organisations to work with. The Health Improvement Coordinators in all three areas were excellent at opening doors for us and ensuring the project gained support from other professionals in the 3 areas. Additional Learning Support The WEA has a Learning Support scheme where people with disabilities or additional learning needs are able to have a WEA worker to assist them in being able to fully participate in the class. The CEBH project has been able to access this support and several learners have made use of, and valued, this support.

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Courses

Courses run during the project

Fit Can Be Fun

11

Tai Chi

9

Confidence and Assertiveness

6

Dance Fit / Strictly For Fun

4

Healthy Eating

3

Confidence Through Creativity

2

Healthy Families

1

Words and Wellbeing

1

Confident Crafts

1

Women’s Wellbeing

1

Because You’re Worth It

1

Women Getting Fitter

1

Positive living

1

Personal Development Through Poetry and Painting

1

Total Courses Run

43

= Fitness and Exercise Courses = Confidence, Self Esteem and Wellbeing Courses – some using a variety of creative arts as a tool = Healthy Lifestyle Courses Page 7


Some Learner Feedback

at the very Heart of our report

More confidence in balance and mobility. Enjoy the activity and the company. Our teacher is so nice with smile every time. recently had knee surgery. I feel much better after joining the course. I feel more confident. I look forward to another course in t and feel much better now . I would like to say Please I would like to attend more exercises. We enjoyed it very much. I have lost for myself we like dancing more. Thank you. I feel confident doing exercises. I feel strengthen in my body. I have lost weight. I im course I feel much better overall after going to the course. This is my social event and I meet my friends. I feeling very good h very fit and want to do a lot more. My children are happy to see me happy all the time. Tremendous progress I feel I have made o tutor. I feel more confident and motivated able to do things on my own and join a slimmer’s club with positive results. I have of the other people on the course. I especially liked the self defence/personal safety session and the sessions about depression an and understanding stress related foods. Slightly less anxious less ostracised. Life is generally changing for the better. Have enjoyed balance and posture. I am more flexible – very good for my health. It has given me more confidence in myself and have bette enjoyed exploring my artistic talents, getting to know other people in the group. I feel more confident and I am enjoying it. V toilets, which being in a wheelchair is very good. This has made me realise there are things I can do!!! Support workers ar hands when needed: because I can’t use my hands very well any more. Exercises have helped my circulation to improve. I issues. Have noticed that I am much more aware of having had dreams. I put this down to being more relaxed. I still wake up sever for long. Balance greatly improved as with coordination, social skills and relaxation. I walk more and eat healthier due to learni I have learned how to communicate, reduce stress and worry. I can communicate better with people, better skills I would not hav relaxed and motivated. Not as tired – more alert. Relaxation. Easier movement, balance. I have gained reduced stress and improv like my ‘old self’ and I am more assertive and less aggressive and less defensive. Did not expect it to be so informative and gain short time. Positive thinking is the key. I have been happier, more assertive and have completely changed my life. I have lost a energy, feel better in myself, which is obvious to anyone close to me. I can do more than I think I can. Reading my work out lou in my ability to read out loud. Hi Hen, some brilliant poems! I’ve learned a lot on the course, learnt how to cope with difficult used to go out without someone with me. I’m now catching the bus on my own to this course and I’m a lot more confident. I quit smoking and started back at the gym. I feel I have greater confidence and greatly reduced stress. I didn’t realise how far I had c but not as much; and I am now learning to take positive criticism. I am less stressed. My confidence has improved for the better suit the need of the group. Really lovely tutor who delivered the course specifically to our needs. The course has made me re Preparing to Teach in the Lifelong Learning Sector (PTLLS). I would not have entered the college to look at a course before this, yet

I lost weight and inches from my waist, and my thyroid activity improved. I lost my weight and good effect o


Learner Feedback

( continued)

Weight loss and more mobile. The tutor was very patient with us. Much more alert and not so stressed. The course is very beneficial. The tutor was very compassionate, very helpful and put people at their ease. I certainly learned a lot in the few weeks the course ran. I went to the doctor about an ongoing health problem after talking with the health advisor and have now started to receive treatment and advice for coping with it. I feel more relaxed/less anxious doing the course has really helped. Asthma has improved have not needed the inhaler as much. Sleep pattern gone to pot but all other parts have improved. It has given me time out and reduced stress. I’ve felt more positive and now realise I’ve got to be stricter with my diet to see a change. Lost weight. Lower blood pressure. Have more energy. Loss of weight and more motivated. John told me the course had spurred him on and he is now going line dancing and goes walking. Feel much better and it has helped my arthritis. My attitude has improved to the need to stay fit and eat healthily. I absolutely adored it! I enjoyed the company. The dancing is good exercise. It made me more mobile and helped my balance. I would like to do more. I am now cooking with more thought about what to cook and how to cook things. One learner who doesn’t normally feel comfortable enough to eat in front of others, tried all the foods offered on the course. He also made one of these recipes at home. I stopped smoking, do more exercise & eat healthier now. Totally happy with the course overall. In fact it has done more for me than my physiotherapy did previously. Quit smoking! Raised awareness in fitness and discovered I like to dance. I feel less stressed. I have more confidence. Feel fitter. Fitness has improved. Feel Healthier. Had fun. Reduced stress and lowered blood pressure. Met some lovely people. Nice to have a bit of ‘me’ time without feeling guilty.Blood pressure lowered. A bit more happy in myself. I think my confidence is so low and I have so little belief in myself I found it very difficult to ‘Believe’ what I was being told. I feel I have learned how to manage and reduce my stress levels by practicing Tai Chi moves. Tutor very good, patient and gave us health tips etc. We loved it. Can we carry on these classes after New Year as well. More of this. Music was excellent, it made exercise fun to do. It always makes me feel more cheerful. I can lift my arms higher. I like doing something in groups. I’ve lost weight with your course and eating less. A lot more alert. I have been getting off to sleep more easily and waking up in the morning not quite so early. I feel more confident and happy. I’ve learned there are a lot of others with the same problems and that you are not alone. A bit less creaky. We are all ‘Loose Women’ now!! All these quotes are taken from the WEA „Tell Us About It‟ evaluation forms, course learning records, or tutor reports. All are held on file at the WEA West Midlands Regional Office Page 10


Case Studies AC is a lovely young woman with trust and confidence issues. She came out of her shell during the Personal Development Through Poetry and Painting course in Kidderminster and was the first to volunteer when I asked for someone to talk about their experiences of the course: I came originally from ASHA. I thought I would be no good but got convinced to come along and give it a try. I was nervous but gave it a go. Poetry and pictures have helped me get stuff out. It’s tough but it’s fun. I can either do my own thing or work on what everybody else is doing. Sarah’s pretty good, too. Very encouraging and makes everyone feel a bit important. I shouldn’t be so hard in putting myself down the whole time. This course is like a safe sanctuary in a way. I think I could do more with my creative side now than I did originally. And just a few lines from her poem “Alien”: So as I feel this anger bubbling up I hope that I don’t lash out at myself. But even more don’t, I hope, don’t believe I’m an alien again

JC attended the Fit Can be Fun course in Bromsgrove run for Bromsgrove District Housing Trust. He was a regular participant in a 5 week taster course. The following term he enrolled on the course but only managed to attend on the first and last week as he is a carer for his wife and also has commitments as a minibus driver for a voluntary organisation. We expected from this that he would not get very much benefit from this course. However, when he came to the last week of the course he surprised everybody by saying that he had lost 8lb in weight during the time we had not seen him. Having his weight taken at the start of the course had been the spur he needed to change his diet and take more exercise. He used the handouts on healthy eating that he had been given the previous term. His wife had also lost weight through this process even though she did not attend the courses.

W attended a Tai Chi course at Sandycroft in Redditch While we were reviewing the course on the last day she described the effect that her anxiety and paranoia had been having on her life. She said that the combination of the support from the mental health project at Sandycroft and the Tai Chi with us had helped her get things into perspective and see her difficulties as a „blip in her life instead of controlling her life‟. She described how she used the techniques she had learned in the Tai Chi sessions to keep herself calm when she felt pressure building up. This was helping her stay in control and react less emotionally to situations.

Mr H attends Arch Hill Court and took part in the Healthy Eating course. He had suffered poor health and had a triple by-pass. He is in and out of hospital and does not very often participate in the activities that are on offer. He is unable to stand for very long and finds it hard to cook complicated and lengthy recipes. His interests include cooking. Mr H joined the Healthy eating course and enjoyed it immensely. He participated and learnt a lot. He also commented that he found confidence as he didn't realise he had so much to contribute. He was very disappointed when the course came to an end. He particularly enjoyed tasting the food, which gave him ideas on cooking for one and realised that he could retain his independence and cook the food he liked to eat. Mr H's confidence has grown so much since this course, that he now attends many other groups. He even appeared in a film about the credit crunch! Mr H has gleaned a lot of advice on eating food, which will help him keep well. He now understands the labels on food and the difference between saturated fats and unsaturated fats. Page 11


Health Measurements Our biggest challenge was gathering and collation of the health measurements. Our intention was to take blood pressure, height, weight, BMI, and waist measurements at the start and end of each course. We found that it was not always possible to collect 2 measures as not everyone was present at both sessions. As the project developed more confidence type courses we offered the measurements to these classes as well, but as a one off measurement. Fitness was unlikely to improve as a direct result of these classes. We found that this acted as a motivational force and encouraged some people to make lifestyle changes We devised an information sheet to give out during the health measuring which gave learners information about blood pressure readings. We felt we needed to do this to ensure no one went away after the session and started to worry if their readings were a little high 28 people were advised to ask their GP to check their blood pressure as a result of our checks. We did not ask for the results of these checks but several learners came back and told us that there had been a positive response from their GP and changes had been made to medication etc. Health measurement information is confidential and not stored with the registers and enrolment forms. Start and end measurements are entered onto an Excel spreadsheet in a way that enables us to extract relevant information as needed. We did find a difficulty that there was no separate space at many of our venues and it was difficult to maintain confidentiality in an open space. Learners often wanted to talk about specific health issues during the health checks and in group sessions as well. We maintained professional boundaries about what we could and could not help with but ensured that learners were supported in accessing medical help where needed. This sometimes took the form of helping them prepare for a visit to their GP by ensuring they were clear about what they needed to say and to ask. We were pleased that the courses often inspired people to make lifestyle changes. The measurement process, tutor input, course handouts and peer support from group members all played a big part in this. As well as the improved measurements our evaluation forms show the following outcomes: Improved health and/or fitness

240 completed forms

Felt their health/fitness/flexibility/ stress/sleep pattern has improved as a result of this course Much better

120

A little better

117

A little worse

2

Improved awareness of how to adopt healthy lifestyles

Much worse

279 completed forms

Received health education information during the course (Making Changes/Diet/Exercise etc) Excellent

127

Good

128

Satisfactory

14

Confidence in accessing public health and/or social care

Disappointing

225 completed forms

Received local health information during the course and rated it as: Excellent

90

Good

119

Satisfactory

Raising Health Awareness

9

Disappointing

222 completed forms

Members of the public who completed our health awareness quiz at a variety of events across the 3 areas

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Issues Recruitment of learners We found that offering courses to partner organisations and them recruiting the learners was more effective than putting on our courses in isolation. Initially we would hire a venue and then undertake very labour intensive door to door leafleting to try to attract learners. Although we had some positive outcomes from this we refocused our efforts into providing classes for partner organisations as this gave them an opportunity to add a new element to their programme as well as ongoing support for our learners Health Measures Our biggest challenge was gathering and collation of the health measurements. Our intention was to take blood pressure, height, weight, BMI, and waist measurements at the start and end of each course. We found that it was not always possible to collect 2 measures. Some people did not attend the last session when the measurements were taken. Sometimes participants changed during the course (see next section) so we may not have had start measurements for some of the people who attended the last session. Also the health measurements were taken by one person to ensure consistency. Tutors need to have a greater ownership of the health measurements and monitoring process in any future project Education v Social Meeting One unexpected difficulty that we encountered through our work with partners in the community was that not all learners understood that they were enrolling in an educational course, particularly elderly learners through sheltered accommodation. We were working with them during what they essentially saw as a social meeting. This meant that some people came some weeks and not others. This was no reflection in the quality of the course they saw this slot as their social time and this was their normal pattern of attendance. This caused difficulties for the tutors in managing enrolment forms and monitoring retention of learners and it was not easy to have accurate start and end health measurements. Health Improvement We also had concerns with how we show health improvement For example, if a person improved their waist measurement a little but their blood pressure and BMI was all up we could say that they had made a health improvement. We have tried to stay within the spirit of the expectations of the health improvement measurements and demonstrate real improvements. Another difficulty is that blood pressure is so variable according to a range of external factors such as when a person last exercised, when they last ate/drank etc. A few points each way on the measurements mean very little; unlike height, blood pressure is an indicator rather than a fixed measure. We need to redesign our health evaluation form as learners think the question about the local health packs duplicates an earlier question and so are not answering the question. This has led to us being less able to demonstrate achievement for this outcome PARQ’s Before anyone undertakes a physical activity with the WEA we ensure that they complete a Physical Activity Readiness Form (PARQ). This asks questions about their physical health and if there is any doubt they are asked to check with their GP. This process was used with CEBH but we found that, particularly with the older learners, the list of conditions and medication would appear to rule them out of undertaking most forms of physical activities. It was not practical to ask for GP permission for nearly the whole class and most people were well aware of what they could and could not do. The tutors used this information to ensure the activity was scaled down to an appropriate level and a close eye was kept on individuals.

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Lessons Learned This has been a very successful pilot project reaching 520 learners through 43 courses. The pilot has met its objectives and has developed good practice in working with people with a wide range of physical, mental and emotional needs We have evolved from a mainly physical activity programme to a holistic package of physical activity, health education e.g. healthy eating, confidence, creativity and aspiration raising courses. We have learned lessons along the way and the following outlines what improvements we would take forward to a new project in the future

Continue to work through partners for recruitment of learners Tutors need greater ownership of the health monitoring process Tutors need more training in taking health measurements The health evaluation form needs revising for clarity and ease of use Any future work would look to increase the number of male learners Clarity needed with partners and learners regarding commitment to whole course Future bids need to reflect the blood pressure is only an indicator and not a fixed measure WEA need to revise PARQâ€&#x;s in light of our experience with elderly/infirm learners

We are happy to share our experiences of developing this project. Contact us if you would like further information Page 15


What Next?

This has been a very successful pilot. We have achieved most of our targets and over achieved on many. We have built good working relationships with our partners. We have stayed within the spirit of the bid and ensured we genuinely worked with learners from the hotspot areas, who were in need of our services. The WEA is actively seeking continuation funding but in the current economic climate this is by no means certain. In the meantime the WEA will allocate core funding wherever possible. This has implications for class size and length of courses, as these must conform to core funding criteria. There will also have to be fees for the courses although there is full fee remission for people on income related benefits. The good practice developed through this project, and the lessons learned, will be used by the WEA in the development of future delivery in the social education field. Other initiatives that have been as a result of this project are: Reachout to Carers The WEA developed a short term project for carers through Department of Health funding. This involved running workshops for carers which helped them to learn activities they could do which helped them cope with the pressures of caring for a partner or relative in their own homes as well as receiving advice and information. This 3 month project had 116 attendances by carers from across Worcestershire who attended workshops including Tai Chi, Healthy Eating, Stress Management and Hand Massage, Computer use, Art and Expression Fit Can Be Fun and Creative Crafts Reablement As one of 8 Bridge Builders the WEA is managing and delivering a Reablement project for Worcestershire County Council. This newly started project in Worcester will work with referred individuals recovering from mental health problems. This will involve using some of the activities from the CEBH project and make use of the lessons learned. Mental health The CEBH project has proved the need to work with people with low level, chronic mental health issues below the threshold for statutory services. This work will be continued by the WEA through its mainstream programme while looking for additional funding to develop this work.

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Acknowledgments Funders With grateful thanks to the Worcester Partnership for funding this pilot project. This funding has enabled the WEA to develop innovative work in the Health Hotspot areas in the north of Worcestershire. Particular thanks to Traci Lloyd-Moore, Worcestershire Partnership Policy Officer (Health Improvement), for her advice, support and her ability to help us find solutions to difficulties.

Partners This project would not have had the success that it has without the support of our partner organisations in the area. We have been able to work with a wide range of existing partners and the project had enabled the WEA to forge strong links with organisations that it has not had the opportunity to work with before. Learners have benefited from this joint working and there has been mutual benefit for the WEA and the partner organisations. The Health Improvement Coordinators in all three areas have been very helpful in ensuring that we were able to make the right connections and contacts.

Tutors and Learning Support Workers Our tutors and learning support workers have been the key to the success of the project and our ability to meet targets. The encouragement and motivation they have given, and the way they have inspired learners, is second to none. They are not only experts in their subject areas but they have shown great skill in the way they have adapted delivery to suit the needs of the less able learners

Learners We have had the privilege to work with some amazing people during the course of this pilot. Learners have trusted us with personal information and have allowed us to be a part of their attempts to make improvements in their lives. We have learned from them, at the same time as being able to offer them skills, support and encouragement. Long may their improvements continue.

With Thanks to All


Contact Us For further information about this project Jan Hall Mobile: Email:

WEA Programme Area Manager 07896 2467 03 jhall@wea.org.uk or

Hazel Wallis Mobile: Email:

CEBH Project Organiser 07766 5588 45 hwallis@wea.org.uk

We have the quarterly reports available which give much greater detail on the work of the CEBH project. We are happy to send them to interested parties on request

For further information about the work of the WEA WEA West Midlands Region 4th Floor Lancaster House 67 Newhall Street Birmingham B3 1NQ Email: westmidlands@wea.org.uk Telephone: 0121 237 8120 Fax: 0121 237 8121

www.westmidlands.wea.org.uk The Workers' Educational Association is a charity registered in England and Wales (number 1112775) and in Scotland (number SC039239) and a company limited by guarantee registered in England and Wales (number 2806910). www.wea.org.uk

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CEBH