Draft Action Plan for Resilient Local Health & Wellbeing

What needs What barriers will How to do it? Who : Scottish Who: East Who: Local level When: short term & When: When: long term
to be done? be addressed? Government Lothian Council action Milestones medium term & Milestones
See list attached & Milestones
A. Review SOA and Community First steps for many Review SOA and ask “How well Local Heath Board Community Sustaining Dunbar x
Planning does the SOA help achieve this Planning
action plan?”
B. Ensure SOA creates enabling all Get findings of the above Chief Executive to Lobby ELC and x
policies for resilient local evaluation to ELC read and act monitor and
health and well being
evaluate
C. Develop a Local Health Forum 1,2,14,all A health Forum to oversee, Health Board Community Sustaining Dunbar all all all
to deliver Action Plan Monitor and Evaluate the Planning facilitate
implementation of this plan
D. Develop a set of agreed local 9, 16 Set up a working group, use Community Sustaining Dunbar, x
health and well being survey findings and identify list Planning and Local Health Forum
indicators including water, soil,
air, biodiversity quality.
of indicators Environment
Forum
E. Gather a baseline for how Build upon what we have Community Sustaining Dunbar, 4
healthy people feel they are started. Planning Local Health Forum
locally and what their ideas are
for being more healthy and
well.

F. Ensure implementation of the 1 to 26 Use this action plan as basis Local Health Board Community Sustaining Dunbar X X X
plans for improving local health for facilitated workshops Planning facilitate
and wellbeing
bringing stakeholders together
G. Watershed and water quality 9,23,25 Gather data, analyse data and SEPA Community Sustaining Dunbar 1,5,11 15 20,24
assessment and development do assessment using indicators Planning and facilitate
of a watershed management
plan
as above. Environment
Forum
23 Assess how well Curriculum for Forest Schools Sustaining Dunbar 6,10,11 15,16,17 19,24
H. Curriculum for excellence Excellence and local schools Teachers facilitate
includes practical skills and build practice skills and
how to be healthy and well
through reconnecting with
connects learning with locality
locality and living less oil
dependent lifestyles.

21,23 Implement all Local Resilience Community Sustaining Dunbar 3,6,7,9,11 14,15,16,17,18 19,21,24
I. Identify ways to reconnect Action Plans Planning, facilitate
physically and socially to the Education,
locality.
Economic
Development and
all identified in
action plans
 Draft Action Plan for Resilient Local Health & Wellbeing
What needs What barriers will How to do it? Who : Scottish Who: East Who: Local level When: short term & When: When: long term
To be done? be addressed? Government Lothian Council action Milestones medium term & Milestones
See list attached & Milestones
J. Identify ways to make it easier 17,10 Implement Transport Action See Transport See Transport Sustaining Dunbar 2,6,10,11 19,20,23,24
for all abilities to make more Plan Action Plan Action Plan facilitate
active transport choices.

K. Open discussions with local 1,2,3,6,8 Set up meeting and present Local Health Board Community Sustaining Dunbar 10, 12,13,18 19,21,22,23,24
Health Board about action plan and discuss. Set up Planning facilitate
relocalisation of services e.g.
Community hospitals with A&E
a Local Heath Forum

L. Start discussion with 4 Go and speak with them Sustaining Dunbar, 8 15,18
Pharmacies about opening all High Street Task
day Saturdays.
Group
M. Feasibility study of outreach 5,8 Speak with GPS and Health Community Sustaining Dunbar 10 13, 18 19, 23
surgeries in villages Board to see if they are Planning facilitate
interested.
N. Develop a network of
registered volunteer carers and
emergency helpers

O. Identify care home and

homecare needs for all ages.
 Draft Action Plan for Resilient Local Health & Wellbeing

Situation now

What are the issues/barriers now?

From the people’s point of view:
1. Poor public transport to specialist health services and hospitals
2. Threat of closure of local hospital e.g. Belhaven
3. Not enough NHS dentists locally
4. Limited opening hours for Pharmacies
5. No Saturday morning GP surgeries
6. Distance to A&E too far
7. Limited number of care home places
8. No surgeries outside Dunbar in villages
9. Surrounded by polluters e.g. cement works, landfill, Torness
10. Not safe to cycle and paths not joined up for walking.
11. Lifestyles so busy it’s hard to find time for exercise and feeling stressed.
12. Availability of good quality Food
13. Too many takeaways
14. Patient transport takes all day for round trip.

Overall:
15. oil is a primary raw material for many drugs, equipment, and supplies; that transport for patients, staff, deliveries, and services is heavily oil dependent;
16. Nutrition quality of the food has declined
17. We live more sedentary lifestyle than before.
18. Health Services and facilities require cars/ transportation to get to them.
19. Public transportation and links are poor.
20. Limited local employment
21. We do not have a localised economy
22. Debt based economy forces us all to run faster to stand still
23. Lack of connection to local landscape/ resources.
24. Not enough allotments – waiting lists for allotments.
25. Uncertain health risks from polluting industries
26. Antibiotics are losing their effectiveness.
 Draft Action Plan for Resilient Local Health & Wellbeing
Short Term Milestones

1. Water quantity and quality is assessed and watershed management plans are developed.
2. Better public transport and links to get to specialty health services from all over ward 7.
3. Fewer people are on waiting lists for allotments.
4. Baseline measurement for how healthy people feel.
5. Local Action plans for improving local health and well being developed.
6. It is easier for all abilities to be more active, walking, cycling to school, work and entertainment.
7. More community social support groups
8. There is Delivery Service from Chemists.
9. Community Garden s
10. Patient Transport improved.
11. Clean up local environment and polluters

Medium Term

12. New care home for all ages and more resources for homecare.
13. More GPs & NHS Dentists
14. There is enough/ more local employment/ work available.
15. Implementation of Local food, Transport, Health Enterprise and Education Plans
16. All land and space that can be is used for food production. Many more people are employed in food growing and preparation, and people’s involvement with food is far greater
17. Local drama, art, music, dance, and celebration are commonplace
18. Communities have a network of registered volunteer carers and emergency helpers

Long Term
19. Our basic needs are being met locally;
20. We have a sense of purpose.
21. We have supportive personal relationships, strong and inclusive communities, good health, financial and personal security, rewarding employment, and healthy, attractive and productive local environments.
22. Pollution is greatly reduced.
23. All essential drugs are produced without petrochemicals, some locally
24. All NHS estate is a net energy generator
25. Every NHS facility is accessible on foot, by bicycle, and by public transport
26.By 2025 we are more locally resilient because we are healthier and happier and able to access health care services and facilities using 50% less fossil fuels than we do in 2010.