ForewordI am very pleased to have been asked to write the foreword to thisdocument and to be able to demonstrate publicly my gratitude andsupport for the work undertaken by my colleagues work<strong>in</strong>g <strong>in</strong><strong>Healthy</strong> <strong>Liv<strong>in</strong>g</strong> Centres across <strong>Kent</strong>.We know that the circumstances <strong>in</strong> which people live are a major <strong>in</strong>fluence ontheir health and well-be<strong>in</strong>g; many health <strong>in</strong>equalities are the result of povertyand deprivation and poorer people are more likely to die earlier and suffer moreill health and chronic disease. It is <strong>in</strong>creas<strong>in</strong>gly important that we cont<strong>in</strong>ue toengage with all of our local communities to deliver mean<strong>in</strong>gful <strong>in</strong>itiatives toassist <strong>in</strong> reduc<strong>in</strong>g health <strong>in</strong>equalities.<strong>Healthy</strong> <strong>Liv<strong>in</strong>g</strong> Centres, together with community resource centres and a widerange of other community development <strong>in</strong>itiatives, offer us the opportunity toensure that our public health goals cont<strong>in</strong>ue to be delivered <strong>in</strong> partnership withcolleagues from all statutory and voluntary agencies. Crucially, it also ensuresthat local communities are actively engaged <strong>in</strong> the process of healthregeneration with<strong>in</strong> their local areas.You will be able to see from this publication the enormous diversity of workundertaken with people of all ages. This work might be <strong>in</strong> relation to sexualhealth and teenage pregnancy, smok<strong>in</strong>g and alcohol or physical activity andnutrition. There are also a huge number of <strong>in</strong>itiatives designed to contribute tothe mental and physical well-be<strong>in</strong>g of local people through reduc<strong>in</strong>g thenegative effect of some of the wider social determ<strong>in</strong>ants of health.<strong>Healthy</strong> <strong>Liv<strong>in</strong>g</strong> Centres are a key element <strong>in</strong> deliver<strong>in</strong>g our public healthpriorities across the county and cont<strong>in</strong>ue to demonstrate the rewards ofpartnership work<strong>in</strong>g.Merad<strong>in</strong> Peachey, Director of Public Health for <strong>Kent</strong>Work<strong>in</strong>g with CommunitiesThe <strong>Healthy</strong> <strong>Liv<strong>in</strong>g</strong> Centres and other community projects featured <strong>in</strong> this brochureencourage people to live well. They are flexible and responsive to community needs; theystrengthen and support local residents by provid<strong>in</strong>g non-stigmatis<strong>in</strong>g activities and services<strong>in</strong> a safe, non-judgemental environment; they are accessible to everyone regardless of age,status, race, beliefs or abilities.They aim to:■■■■■<strong>in</strong>crease participation and cohesion;build up trust with<strong>in</strong> communities;help combat crime by facilitat<strong>in</strong>g family support and diversionary activities for young people;provide opportunities for tra<strong>in</strong><strong>in</strong>g and learn<strong>in</strong>g;improve access to health and other public services.Good health and well-be<strong>in</strong>g are encouraged via healthy eat<strong>in</strong>g and healthy lifestyle choices,and also by build<strong>in</strong>g confidence through:■■■■■volunteer<strong>in</strong>g opportunities;learn<strong>in</strong>g basic IT and literacy skills;tackl<strong>in</strong>g debt issues;improv<strong>in</strong>g life skills;bereavement support, and■ help <strong>in</strong> relationships or jo<strong>in</strong><strong>in</strong>g a community group.Resources are often focused on lone and youngparents, low <strong>in</strong>come families and people experienc<strong>in</strong>gexclusion or educational disadvantage.Centres provide a wide variety of community support<strong>in</strong>formation and advice, work<strong>in</strong>g <strong>in</strong> partnership withCitizens Advice Bureaux, Job Centre Plus, PoliceCommunity Support Officers and local councillorsurgeries. Drop-<strong>in</strong>s for sexual health advice(<strong>in</strong>clud<strong>in</strong>g free condoms/emergencycontraception and chlamydia screen<strong>in</strong>g), DIAL,MINK, CAB, KCA, Carers Voice, Special NeedsAdvice/Activities Service and G<strong>in</strong>gerbreadare also run.
Centres also offer a valuable space for local networks and supportgroups to host events <strong>in</strong>clud<strong>in</strong>g:■■■■■■■■■Opportunities for older people;After school and homework clubs; parent and toddler sessions;Health Visitor/baby cl<strong>in</strong>ics;Parent<strong>in</strong>g classes;Junior and senior youth clubs;Drop-<strong>in</strong> sessions for young unemployed people;Education and tra<strong>in</strong><strong>in</strong>g;Keep-fit, relaxation and self-defence classes;Free computer/<strong>in</strong>ternet drop-<strong>in</strong> sessions for all ages and abilities.■ Diabetes, stroke and mental health support groupsThere are also summer family fun days andevents, coach trips, parties, discos, barbecues,summer play schemes and out<strong>in</strong>gs.The centres contribute to last<strong>in</strong>g changes to the lives ofresidents, help<strong>in</strong>g them overcome the problems that oftenprevent them from enjoy<strong>in</strong>g healthy lifestyles and play<strong>in</strong>g a fullpart <strong>in</strong> economic, social and community activities, and bygenerally improv<strong>in</strong>g their quality of life.Teenage PregnancyTeenage pregnancy cont<strong>in</strong>ues to hit the headl<strong>in</strong>es both nationally and locally. In <strong>Kent</strong> there are 28 wardsacross the county with a teenage pregnancy rate of more than 75 per 1,000 teenage girls. The centresacross <strong>Kent</strong> run regular 4YP (For Young People) cl<strong>in</strong>ics staffed by tra<strong>in</strong>ed nurses <strong>in</strong> partnership with localPrimary Care Trusts (PCTs). The young people that use these services have access to advice on emergencycontraception, condoms, ongo<strong>in</strong>g contraceptive advice and referrals for term<strong>in</strong>ation and other sexualhealth services (where appropriate). Hold<strong>in</strong>g these cl<strong>in</strong>ics <strong>in</strong> the Centres has proved <strong>in</strong>valuable for SchoolNurses who have found that young people are often more will<strong>in</strong>g to come for advice <strong>in</strong> these moreconfidential community sett<strong>in</strong>gs than they are <strong>in</strong> school where they risk be<strong>in</strong>g seen.The service is supported by tra<strong>in</strong>ed centre staff who are also able to give out condoms on the days whenthe cl<strong>in</strong>ics are not runn<strong>in</strong>g. There are strong l<strong>in</strong>ks between this work and the role of youth workers,secondary schools and youth clubs. This has led to an <strong>in</strong>crease <strong>in</strong> the numbers attend<strong>in</strong>g 4YP cl<strong>in</strong>ics.The centres are also work<strong>in</strong>g with teenage parents <strong>in</strong> their areas. Work with YoungMen and Dads is also seen as a key part of the <strong>Kent</strong> Teenage Pregnancy strategy.And so the centres across <strong>Kent</strong> are work<strong>in</strong>g hard to start up “Dads”groups<strong>in</strong> partnership with other local agencies.The centres also play an active role <strong>in</strong> the <strong>Kent</strong> wide TeenagePregnancy Local Implementation Groups (LIGs). Thisensures that the centres are stakeholders <strong>in</strong> the <strong>Kent</strong>Teenage Pregnancy strategy as well as be<strong>in</strong>g able tofeed their community perspectives<strong>in</strong>to the LIGs.4 <strong>Healthy</strong> <strong>Liv<strong>in</strong>g</strong> <strong>in</strong> <strong>Kent</strong> mak<strong>in</strong>g a <strong>difference</strong>5