Inventing our future Collective action for a sustainable economy

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42 Chapter 2 – An overview of social exclusion Gypsies and Travellers constitute one of the largest minority ethnic groups in the East of England. The East of England has 25% of England’s Traveller community, which represents the highest recorded number of caravans in England (A Review of the Health Needs of Gypsy Travellers in the East of England, Regional Public Health Group, 2006). Gypsies and Travellers have significantly poorer health and more self-reported symptoms of ill health than other UK residents, including BME groups and economically disadvantaged white UK residents (Healthy Futures: a regional health strategy for the East of England 2005-2010, EERA, 2005). Maternal and child health are especially problematic, with Gypsies and Travellers often experiencing great difficulty in accessing preventative health services. Indeed, health inequalities between Gypsies & Travellers and the general population are some of the starkest in the region, with Gypsy and Traveller women living on average 12 years less and Gypsy and Traveller men 10 years less than their counterparts in the wider community (Gypsies & Travellers Strategy, Commission for Racial Equality, 2004-7).
Regional Social Strategy – the strategy to achieve social inclusion throughout the East of England 2.3 – SO7: To improve access to services, especially for disadvantaged groups Access to services is influenced by physical, financial, cultural and language factors. These potential barriers to social inclusion can also be exacerbated by poor confidence and trust in service provision, inappropriate forms of service delivery and discrimination by service providers. In rural areas, social exclusion can be disproportionately influenced by access to services, as even the most basic of community services such as grocery shops, banks and doctors’ surgeries may be difficult to reach. The loss of local facilities like these from small towns and villages impacts on social exclusion where people are unable to travel, or find it difficult to travel to access services further afield. Lack of services also impacts on feelings of community vibrancy and cohesion. Rural households in the East of England have poorer geographical availability of key services compared to the average for rural England. Data provided by the Countryside Agency, now part of Natural England, shows that the East of England has the smallest proportion of households living within a set distance of 9 out of 11 key services, in particular: • banks and building societies (65.1% of rural households live within 4 km) • dental surgeries (74.7% of rural households live within 4km) • hospitals (only 16.7% of rural households live within 4 km). i) Financial services Financial exclusion and spiralling debt are growing problems for low-income households. Costs can be higher for people without access to mainstream financial services as, for example, utility companies often charge lower prices if bills are paid by direct debit. Likewise those least likely to have household insurance are the most likely to be burgled, and may also find it more difficult to deal with the financial loss. Nationally, • 1 in 6 of the poorest households still do not have any type of bank account • lone parents are three times as likely to have no account as the average household • Bangladeshi and Pakistani households are twice as likely as the average household to have no bank account • half of the poorest households are uninsured. (Monitoring Poverty & Social Exclusion, Palmer et al, York, New Policy Institute and JRF, 2003). ii) Information and advice services Lack of effective information, representation and advice can preserve and extend inequality and disadvantage, increasing the risk of exclusion by denying access to services such as health, housing and training. This in turn has a negative impact on employment prospects, quality of life and community cohesion in general. Language barriers too present particular problems for migrant workers and refugees, for example when seeking work or trying to understand the benefits system. Failure to provide information in the appropriate format combined with the lack of interpreters can reinforce rather than reduce social exclusion. 43
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Inventing our future Collective act
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2 Foreword Welcome to the East of E
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Michael Allen East of England Envir
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Where are we now? The purpose of th
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Where are we now? The purpose of th
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Where are we now? Policy context 10
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Where are we now? Long-term trends
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Where do we want to be? 2.1 Vision
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Where do we want to be? Headline re
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In the future, people in business w
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Our future in the East of England,
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The best way to nurture gifted youn
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Managers need to embrace the idea o
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What do we need to change? 3.1 Ente
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Enterprise Enterprises are the hear
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What do we need to change? Enterpri
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Innovation Innovation - the success
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What do we need to change? Innovati
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Digital Economy Digital technologie
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What do we need to change? Digital
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Resource Efficiency Getting more fr
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What do we need to change ? Resourc
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What do we need to change ? Resourc
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What do we need to change? Skills f
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What do we need to change? Skills f
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What do we need to change? Economic
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What do we need to change? Economic
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Transport A transport system that e
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What do we need to change? Transpor
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What do we need to change? Transpor
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Spatial Economy High-quality and di
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What do we need to change? Spatial
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What do we need to change? Spatial
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What do we need to change? The spat
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How do we get there? 4.1 Leadership
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How do we get there? Leadership, go
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Our universities’ interaction wit
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Peterborough plays a significant ro
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We aim to make the East of England
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How do we get there? Monitoring Hea
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Indicators linked to RES goals Ente
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From soca to steel pan, mas to new
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Indicators linked to RES goals Reso
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Indicators linked to RES goals Tran
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How do we get there? Monitoring 2.
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Appendices 5.1 Underlying principle
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Appendices Underlying principles Su
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Appendices Underlying principles Su
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Appendices Key terms 145 5.2 Key te
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Appendices Key terms 147 Integrated
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Appendices Key terms 149 qualificat
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Appendices Acronyms 151 5.3 Acronym
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Appendices List of stakeholders inv
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Appendices List of stakeholders inv
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If you know anyone who needs this d
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‘OUR ENVIRONMENT, OUR FUTURE’ T
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CONTENTS 1 Introduction 11 1.1 Why
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Introduction 1.2 PURPOSE OF THE ENV
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The Landscape and Natural Environme
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The Historic and Built Environment
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The Historic and Built Environment
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Natural Resources • Surface Water
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Natural Resources Mineral extractio
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Meeting the Environmental Challenge
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The Way Forward 6.1 DELIVERING SUST
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The Way Forward SA11: Enhance biodi
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Appendix 1 - Bibliography Power of
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Appendix 3 - Other Regional Strateg
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HealthyFutures A Regional Health St
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HealthyFutures A Regional Health St
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Preface I am delighted to introduce
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10 6 What actually determines the h
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12 Delivering Healthy Futures 11 Gi
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01 Introduction Chapter summary Hea
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What the Strategy does not address
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20 2.5 Against this backdrop, the W
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22 Figure 2.1: Sustainable Futures:
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03 Describing the health of people
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Figure 3.2: Projected trends in old
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Figure 3.4: Trend in male life expe
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3.7 In 2001, the incidence of all c
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Local Authority Male Female Male Fe
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Figure 3.8: Unemployment Index of M
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Figure 3.12: Male life expectancy M
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Conclusions 3.19 Across the East of
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42 Figure 4.1: The main determinant
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44 The changing experience of group
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46 4.18 There is a direct relations
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48 Working and learning environment
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50 Access to health care and other
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52 Diet ‘People in lower socio-ec
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54 Figure 4.2: Summary table highli
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Section B: Healthy Futures: Regiona
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60 5.4 Healthy Futures has a number
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62 5.10 In response there is a need
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06 Theme A: Health in Sustainable C
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• Acknowledge the potential links
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Sustainable transport and health -
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Timescale Suggested lead partner(s)
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6.11 Against this backdrop, there i
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Young people, volunteering, social
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6.18 In addition, there are real op
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84 Nationally, the early years work
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86 7.7 The agenda with regard to ch
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88 Strategic Priority 4: To ensure
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90 Strategic Priority 5: To encoura
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92 (iii) Issues relating to life-wo
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94 Strategic Priority 5: To encoura
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96 Strategic Priority 6: To support
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98 Town and Bridge Project: Improvi
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100 Strategic Priority 6: To suppor
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102
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104 people seeking asylum and refug
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106 Strategic Priority 8: To harnes
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108 Strategic Priority 9: To unders
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110 Strategic Priority 9: To unders
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112
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116 Figure 9.1: Delivering Healthy
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118 Strategy Date published 2004 20
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120
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122 Consultation process Overview O
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124
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126 Links between Healthy Futures a
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128 • Improving the basic skill l
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130 C: Other PSA Targets (from SR20
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132 Active ageing This is defined b
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134 Social Capital Defined as ‘th
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136 Bibliography A Shared Vision: T
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138 The CHD National Service Framew
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Regional Housing Strategy for the E
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2 1 Foreword I am very pleased to i
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4 For the foreseeable future, most
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6 Recommendations for public invest
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8 8 Recommendations for public inve
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10 3.12 There are considerable diff
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12 Figure 1. Relationships between
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14 The regional strategic framework
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16 4.25 In preparing the East of En
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18 Each of these sub-regions has a
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20 5 More, sustainable housing prov
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22 Strategic policy: planning frame
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24 5.28 Partnering: the principle o
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26 5.40 EEDA, the development indus
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28 5.54 Local Authorities: local au
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30 5.62 EEDA has a key role to play
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32 6.10 Quality applies as much to
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34 6.31 The EERA/RHB must ensure th
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36 6.53 The EERA/RHB will encourage
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38 6.63 There are three levels of a
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40 Figure 8. Policy framework: hous
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42 7.10 Barriers to achieving more
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44 raising awareness of refugees as
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46 Providing mixed communities and
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48 Figure 10. Policy framework: pro
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50 Supply of affordable housing 7.5
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52 Homelessness 7.69 Rising levels
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54 Supporting people 7.82 ’Suppor
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56 7.95 There is a lack of detailed
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58 8.4 The most significant source
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60 8.14 The Decent Homes Standard i
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62 Disabled Facilities Grants 8.30
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64 recommended in national guidance
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66 Figure 17. Investment themes The
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68 Thematic targeting of investment
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70 Growth 8.61 Three of the Growth
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72 8.77 Similarly, although much pr
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74 8.94 This is not necessarily abo
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76 9 Implementation, managing and m
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Page 422 and 423: 84 10 Appendix Appendix 1 - deliver
Page 425 and 426: Regional Social Strategy the strate
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Page 430 and 431: 6 Achievements of the strategy to d
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Page 434 and 435: 10 Chapter 1 - Vision, aims & objec
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92 Chapter 3 - Effective interventi
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94 Chapter 3 - Effective interventi
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96 Glossary Glossary BME Black and
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98 Acknowledgements Acknowledgement
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