Future Calling Ltd Plumpton College A Review of the Initiatives Linking the Protected Landscape to Health and Wellbeing in the South Downs National Park Carried out on behalf of the shadow South Downs National Park Authority, Natural England and the South Downs Joint Committee by Plumpton College Future Calling Ltd The University of Brighton March 2010 Contributors Becky Taylor, Plumpton College. Belinda Heys, Future Calling Ltd. Andrew Church, Hannah Macpherson, Neil Ravenscroft and Niall Burnside, University of Brighton. Contact Details Becky Taylor Plumpton College Ditchling Rd Plumpton BN7 3AE Becky.taylor@plumpton.ac.uk CONTENTS PAGE Page Executive Summary 3 1. Project Background 2. Project Objectives 3. The Process 6 7 8 4. Current Provision 4.1 Summary of Current Provision 4.1.1 Education Programmes 4.1.2.For people with physical and learning disabilities 4.1.3.Walking Schemes 4.1.4.Bushcraft 4.1.5.Care Farming 4.1.6.Conservation Programmes 4.1.7.For people with mental health difficulties 4.2 Conclusions 9 10 10 13 15 19 21 22 23 24 5. Demand 25 5.1 Introduction 5.2 What do we mean by demand? 5.3 Demand and barriers to accessing the countryside 5.4 The organisations surveyed, and the summarized results of the survey 5.5 Summary of Demand 5.6 Conclusions 5.7 Examples of good practice in eco health provision outside the National Park boundary 25 26 26 27 28 32 32 6. Barriers in developing the South Downs as an eco-health resource 34 7. Recommendations 38 References 42 Appendix 1: Interview Schedule - current provision Appendix 2: Interview Schedule - demand. Appendix 3: Demographics and Strategic Commissioning Priorities South Downs Eco-Health Report 2 EXECUTIVE SUMMARY The South Downs National Park Authority and Natural England commissioned Plumpton College and the University of Brighton to undertake an audit of current eco-health activity within the new South Downs National Park boundary and an analysis of potential demand for such activity. The aim of the project being to Identify gaps in provision and opportunities where the natural environment of the SDNP could help deliver substantial social gains. The key barriers to developing the South Downs as an eco-health resource were: B1: Inadequate information on eco health opportunities within the South Downs National Park area B2: Poor recruitment and lack of training for volunteers. B3: Lack of transport links into the park, and poor rural transport links within the park. B4: A lack of promotion of the health benefits of participating in activities currently delivered within the park B5: An absence of specific reference to eco-health in relevant plans and documentation B6: Difficulty accessing funding for establishing and developing eco health schemes B7: Lack of access to key resources within the park for specific activities. B8: Lack of facilities in the park B9: Lack of current provision for particular user groups B10: A shortage of opportunities to participate in some activities B11: A lack of schemes specifically for Park residents B12: A shortage of residential holiday places B13: Coordination relating to educational eco health schemes From these barriers it was possible to identify 10 recommendations for future work, including cross-cutting themes, which if developed will support eco-health activities across the National Park. RECOMMENDATIONS 1) Better provision of information to improve understanding and use (B1, B4, B5). A new resource is required in order to: raise awareness of the high quality environment and its potential health benefits provide information on opportunities for participating in eco health activities promote the health benefits of existing activities 2) Research and partnership working to assist providers with accessing resources and obtaining funding (B6, B7, B13). South Downs Eco-Health Report 3 In order to address the difficulties currently facing providers with regards to funding it is essential that a mechanism is in place that facilitates partnership working. Further research needs to be carried out to establish the health benefits of participating in specific eco health activities to provide the robust evidence required for funding applications. There is a need for a forum across the national park area for eco health providers to work in partnership to facilitate access to physical, human and financial resources. An education sector working group should be established to share best practice, enhance future provision and undertake research into the use of the SDNP as an outdoor classroom. 3) Increasing provision for training and education of volunteers (B2). There is a need to provide short, low cost or subsidised training courses aimed at volunteers who wish to gain a working knowledge of the skills needed to work on eco-health schemes. 4) Improving transport links from areas with high population local to the national park and improving links within the park itself (B3). The review of demand and commissioning organizations suggest that the SDNP will only be able to address the need for further eco health provision if good public transport links exist between the park and urban communities. 5) Development and improvement of small-scale facilities that support ecohealth activity within the National Park (B8). Such facilities include signage, information boards, outdoor play areas for children, restaurants with toilets suitable large enough to seat at least 40 people for tea, areas with flat paths suitable for the elderly and those with disabilities to walk on without fear of falling. 6) Developing provision for specific user groups (B9) Certain user groups, such as those with mental health difficulties, currently have fewer opportunities to engage in eco health activity within the National Park. This gap can be addressed through: The provision of new activities and resources. Opportunities for the SDNP authority to link with schemes currently being developed and rolled out. Existing schemes in other areas of the country that could be developed in the park. 7) Addressing gaps in provision for some activities (B10) Some activities such as Care Farming and Bushcraft could be further developed within the park and this development has the opportunity to promote health benefits. The National Park Board could work with organizations such as Sustrans, the Environment Agency and commercial operators to link any proposed initiatives into the eco health agenda within the park. 8) A ‘Healthy Living in the South Downs National Park’ initiative (B11). The initial period of establishing the National Park provides an ideal opportunity to establish a scheme that brings together all the opportunities for residents to engage South Downs Eco-Health Report 4 in eco health activities and links to places such GP surgeries, businesses, schools and community centres located within the boundary. 9) Developing three residential respite care facilities for children(B12) There is a need for respite care facilities within the area as there is currently a shortage of such provision. 10) Integrating Eco Health at the heart of the 21st century National Park The establishment of a 21st century park encouraging people to visit and enjoy the natural resource provides an opportunity to develop the park as a true ‘green lung’ for the South East. South Downs Eco-Health Report 5 1. PROJECT BACKGROUND Recent years have seen an increase in the gap between the healthiest and the least healthy members of society, despite large amounts of money spent on healthcare i. It is predicted that nine out of ten adults could be overweight or obese by 2050 and 4 million could have diabetes by 2025.ii Although the South East is considered the healthiest region in England, one in six residents currently has a mental health problem, the region has the third highest sickness absence rate in England and within the South East region there is a fiveyear difference in life expectancy between areas with the worst and best life expectancy. Many of the wards with the poorest mental and physical health statistics are located along the South Coast, immediately adjacent to the South Downs National Park area.iii It is well established that exposure to natural places can lead to positive mental health outcomes and that physical activity improves both physical and mental health. It therefore follows that taking part in activities in green places (in the presence of nature) will lead to positive health outcomes. Some of the current mental and physical wellbeing challenges facing society could, then, be addressed by increasing the population’s interaction with green places. Eco-health initiatives offer a cost effective option for both prevention of and recuperation from ill health. Natural England state that their Walking the Way to Health scheme is helping to get over 200,000 people walking over a three-year period. With direct costs of £11 million it is anticipated that this will save £81 million in the costs of treating conditions such as heart disease, stroke and diabetes. This represents a saving of £7.18 in health care costs for every £1 invested iv. There are a number of policies at both a national and regional level that refer to the role of the natural environment in maintaining healthy lives and Natural England has also taken on board the importance of health and well-being, including it as a goal within the organisation’s strategic outcomes and supporting a number of initiatives linking people to the environment for health benefits. Local delivery of national policy objectives needs to address these local priorities and these are highlighted in the South East England health strategy and the Natural England Health Position Statement. This has been recognised by a number of national Indicators (NI) adopted by local government in the South Downs area such as NI 8: Adult participation in Sport and Active recreation, NI 119: Self-reported measure of people’s overall health and wellbeing and N1 56: Obesity among primary school age children in year 6. The South Downs Joint Committee (SDJC) has also reflected the need for considering the potential health benefits in their business plan and has been instrumental in developing a number of initiatives over recent years. There is still much scope to both develop and enhance this activity. The South Downs have long been recognised as a green-lung for the South East. The confirmation of the South Downs as a National Park presents an opportunity to promote the health agenda within the everyday core activity of the authority, thus embedding eco-health at the heart of the 21st century National Park. South Downs Eco-Health Report 6 2. PROJECT OBJECTIVES Modern life has brought with it a number of changes in lifestyle, not least a decrease in both physical activity levels and time spent outdoors. This has contributed to not only a rise in obesity and other physical and mental health problems but also a drop in ecological knowledge and understanding amongst the population. At the same time a range of conservation and access legislation has designated a wide range of land as being of value for outdoor recreational purposes. The South Downs offer a natural environment of exceptional quality with a large catchment population. The inception of the National Park provides an opportunity for encouraging and increasing physical activity, and for engagement with the environment to improve health and well being through schemes that specifically link communities to the natural environment. The objectives of this project were therefore to; Conduct an initial audit of the current level of provision of such activity in the area Assess the current and potential demand for such provision expressed by relevant public and voluntary organisations whose strategies on health and wellbeing create a potential demand for eco health initiatives Identify gaps in provision Provide a basis for building a network of provision and providers Identify opportunities where the natural environment of the SDNP could help deliver substantial social gains. Map Showing National Park Boundary South Downs Eco-Health Report 7 3.THE PROCESS The methods used to achieve the aims included: Desk based analysis of information, academic papers, surveys and reports obtained from websites, libraries and by telephone; Telephone interviews and email surveys with stakeholder organisations responsible for the delivery of eco health initiatives for communities local to the SDNP. Telephone interviews and email surveys with key public agencies and charitable organisations responsible for commissioning eco health schemes and referring potential participants Desk Based Analysis A concise review of the literature on the health benefits of the outdoors and relevant national and regional plans was conducted. This set the project and process in to context and assisted in the development of a series of key words. These key words were then entered into a search engine in order to gain web-based information on current eco health provision in the SDNP area. Further paper-based information was also used. This analysis helped to determine the stakeholders, public agencies and charitable organisations that were interviewed in the following stages of the process. Further guidance was also provided by the project steering committee. Telephone Interviews and Email Surveys with Stakeholder Organisations delivering of eco health initiatives These interviews and surveys took place in March 2010 and followed a predetermined schedule (see appendix 1). Stakeholders were asked for information relating to the nature of their client group, the number of participants, the location of the activity and ways in which they would like help from the South Downs National Park Authority and other organisations. Telephone Interviews and Email Surveys with Key Public Agencies and Charitable Organisations commissioning eco health schemes These interviews and surveys were carried out in March 2010 following a predetermined schedule (see Appendix 2) with the opportunity for further probing where appropriate. The purpose of these interviews and surveys was to gain a picture of the situation with regards to demand for eco-health activities in the area. Possible barriers to both commissioning and participation were also discussed including public transport difficulties, attitudinal problems, lack of awareness and information, lack of time or motivation, dependence on others and inadequate facilities The outputs from this process provided to the steering group included: This report A database of current eco health provision within the South Downs National Park A GIS inventory of current eco health provision within the South Downs National Park South Downs Eco-Health Report 8 4. CURRENT PROVISION (within the National Park boundary) For the purpose of collecting and analysing data on current provision initiatives were categorised. Only schemes, projects and initiatives that include an explicit link between health, well being and the natural environment were included in the audit. Nevertheless a wide range of initiatives have been considered from well known measures such as health walks through to less well publicised initiatives such as bush craft courses and care farms. In all of these there is an explicit attempt to utilise the natural environment to promote health and well being. Categories of Eco-Health Schemes, Initiatives and Projects in the South Downs National Park Education Programmes Schemes for people with physical disabilities / learning difficulties Walking Schemes Bushcraft Conservation programmes Schemes for people experiencing mental health difficulties South Downs Eco-Health Report 9 4.1 Summary of Current Provision 4.1.1 Education Programmes School Programmes There is a wide range of programmes available to schools that specifically develop health and wellbeing in children, ranging from encouraging sustainable travel to school (with an emphasis on walking and cycling), to growing food in the school grounds, to designing the schools grounds so that they offer opportunities for exercise, and so that they also can be used as outdoor classrooms. In addition, there are schemes that promote sustainability, schemes that promote healthy eating and so on. There are other schemes that take place in the natural environment that could potentially be explicitly linked to health, such as HLS educational access visits. Map Showing Location of Education Programmes Some of the programmes on offer to schools (some of which have been taken up by schools based within the National Park area) include: Earth Restoration Service and School Tree Nurseries Programme Eco-Schools The Food For Life Partnership Fruitfull Schools Garden Organic for Schools Project Growing Schools South Downs Eco-Health Report 10 Healthy Schools Landscape for Learning Natural England’s Big Wildlife Garden The RHS Campaign for School Gardening RSPB Wildlife Action Awards Sustainable Schools Award The vast majority of schools in East Sussex and West Sussex have sustainable travel plans, with the numbers of children travelling to school sustainably increasing year on year. In Hampshire “The Ecology Group runs an annual Hampshire School Nature Watch to encourage and teachers outdoors to discover wildlife in their school grounds. The Ecology Group and Property Services are together trialling changes in routine school grounds maintenance to increase biodiversity and promote nature study. Architect and Design Services and Landscape, Planning and Heritage have comprehensive programmes for the design and improvement of school grounds, incorporating nature areas for children and wildlife. The Trailblazer Project, Outdoor Centres, Education Centres and Country Parks all provide active outdoor learning in the natural environment, supporting health and wellbeing alongside formal education.”v East Sussex County Council has an Outdoor Education Advisor, as does West Sussex County Council. Hampshire County Council has an Outdoor Education department with a specific area of the website devoted to Outdoor Education activities available within the County. Outdoor Education Advisors meet regularly in a South East region group. It has been more difficult to ascertain the range of outdoor activities that schools are engaging in outside the school gates and how much the Downs are being used. The West Sussex Outdoor Health Officer reports that the Downs are used a lot by schools and youth services for activities such as mountain biking, navigation, camping and walking. Girl Guides make use of the Downs for walking and orienteering, among other activities. The Sussex and Hampshire Wildlife Trusts both offer outdoor education programmes to schools. Recommendations That the current level of use of the South Downs National Park as an “outdoor classroom” for physical activities, conservation activities, and other activities related to the curriculum be further investigated. The following questions should be addressed: How much are schools (i.e. early years, primary and secondary schools) arranging trips into the Downs? What are the barriers for schools? What can the Authority do to assist schools in making the most of what the National Park has to offer? South Downs Eco-Health Report 11 Do the schools have a need to engage specialist providers to provide specific eco-health activities? These may be short excursions, experiences or courses (for example, ranging from a couple of hours to a day) or longer, possibly residential or camping excursions. We recommend that the National Park Authority consults a small group of representatives from early years, primary and secondary schools based with the National Park, to ask them the questions posed above. In addition, we recommend that the South Downs National Park authority explores ways of partnering with the Outdoor Education Advisors from the counties and unitary authorities in or just outside the Park. Currently the Advisors meet regularly in a South East region group. Further Education Colleges and Universities There are several land based further education colleges within and close to the National Park offering a range of courses to participants 14yrs+. Although the courses do not have an explicit link to health at present there is an opportunity to develop this. The local Universities of Southampton, Winchester, Portsmouth, Brighton and Sussex all currently use sites in the SDNP for undergraduate work in geography, ecology, biology, archaeology and sociology. These universities are also encouraging student volunteering in local communities as part of their community engaged strategic goals, A number of student volunteers from Brighton and Sussex universities are currently involved in eco health projects in the South Downs. This may provide an opportunity to increase the number of volunteers in eco health projects which the review of provision in this report suggests needs to be addressed. Both the further and higher education establishments are ideally placed to offer education and training in eco health related subjects and undertake further research as identified in this piece of work. Recommendations In order to maximise the potential benefit of the location of FE colleges and Universities within and around the park, the South Downs National Park Authority should work closely with these organisations to take forward research and development opportunities suggested in this report. South Downs Eco-Health Report 12 4.1.2 Physical and Learning Disabilities Current eco health provision for people with learning and physical disabilities in the SDNP is offered by a number of different organisations including local and national charities and educational establishments. Activities available within the park boundary include farming, conservation activity, small animal care and horse riding. Map Showing Location of Provision for People with Physical and Learning Difficulties The following schemes have been identified: Nourish Community Interest Company (Brighton, East Sussex) Offer vocational training in catering and hospitality to adults with learning disabilities and adults with mental health issues, including running an Organic farm at Stanmer. There are currently approximately 60 participants in this scheme and the client group is sourced from Social services, South Downs Housing, the Primary Care Trust, Care Co-ops and other day service providers. The scheme is self-funded as a community interest company Lewes Railway Land Trust 14 Adults with learning disabilities visit the site one day a week and carry out practical conservation activities. This is often referred to as ‘The Nature Corridors for All’ team of adults with learning disabilities (they are twinned with a learning disabled group in France). The group has been running for 6 years with 14 core members sourced from social services and other local day care organizations in the Lewes area. The Minders working group also meets on the first Sunday of every month. This is a general adult group that carries out practical conservation activities. South Downs Eco-Health Report 13 Further Education Provision Plumpton College Plumpton College offers programmes for young people and adults with learning difficulties through the Rural Pathways and Certificate in Land based Studies. The programmes offer the opportunity to learn about different aspects of land based studies such as agriculture, conservation and animal care. Both programmes recruit to capacity most years with approximately 15 – 20 learners. Brinsbury College Brinsbury college offers a Land based Certificate in Skills for Working Life for young people and adults with learning difficulties. Both programmes offer learners the opportunity to gain experience in different aspects of land based provision. The courses above are aimed at helping participants to gain entry to employment and develop independent living skills. Through implementation of their equality and diversity policies both colleges also offer opportunities for participants with physical disabilities to enrol on any of their programmes provided it is safe for them to participate. Riding for the Disabled The Riding for the Disabled Association (RDA) offers children, young people and adults with disabilities to take part in horse riding, carriage driving and vaulting at a number of centres across the park. Founded as a national organisation in 1969 the association is a registered charity and operates as a federation of almost 500 member groups across the country. In terms of provision there are a number of different schemes available for people with physical disabilities / learning difficulties within the park area although providers noted that there was a demand for expansion of this provision in a number of cases where schemes were oversubscribed. Some providers also commented on the lack of facilities available within the park such as footpaths suitable for wheelchairs, car parks with toilets, changing facilities and signage. Currently the provision is mainly located in the central and eastern areas of the park. Anecdotal evidence would suggest that at the western end of the park there is provision in the nearby cities of Portsmouth and Southampton and that the convenience of locating schemes within these areas due to the proximity to large populations and good transport links means there is little demand for new schemes within the park boundary. Recommendation In order to discover whether the gap in provision to the western end of the park is an issue further work is required to determine whether there is demand from residents living in this area for developing schemes for those with learning and physical disabilities. South Downs Eco-Health Report 14 4.1.3 Walking Schemes A significant number of regular led health walks take place fully or partially within the South Downs National Park area. They are offered by a range of Primary Care Trusts (PCTs) and local authorities including Adur, Arun, Brighton and Hove, Chichester District Council, East Hampshire, Lewes, Mid Sussex, Petersfield and Winchester. West Sussex PCT offers “A Step in the Right Direction”, a range of independent walks (i.e. walks that are not led), distributing brochures (which contain suggestions and maps for walks) through GP surgeries. There are different regular health walk models, ranging from those that leave from the same place every Monday, for example, to walks programmes that offer a different walk, which begins at a different place each week, for example, at 10 a.m every Thursday. Map Showing Location of Walking Schemes Some walks programmes are expanding (for example, Mid Sussex) and others find that they have spare capacity on their walks (for example, Lewes). However, the overall trend of the Health Walks programmes within the Park boundary is that the programmes are expanding, both in terms of the numbers of people attending the walks each week, and in terms of the number of days that Health Walks are offered and the numbers of walks offered. Most participants find out about Health Walks in their area through word of mouth, with a smaller number (no more than 10%) being referred by their GP or other health practitioner (such as a Health Trainer). Anecdotal South Downs Eco-Health Report 15 evidence from the audit suggests that GPs and health practitioners tend to refer the majority of people to gyms in the first instance rather than onto health walks. The majority of people taking part in Health Walks are over 50. Health Walks co-ordinators are looking into ways of involving other social groups in Health Walks. For example, in Adur a walks programme for parents starting at the school gate has been introduced, called Stride Out, consisting of an hour’s brisk walk (these do not take place in the South Downs National Park at present). In East Hampshire, the Health Walks co-ordinator is working with Children’s Centres to offer walks to parents and families. In Arun, the health walks co-ordinator has approached existing groups/organisations such as the Women’s Institute and Children and Family Centres, to recruit and train Health Walk Leaders, in order to expand the range of people taking part in health walks. The majority of health walk leaders that we spoke to mentioned the need to recruit and train new walks leaders, particularly those with knowledge of the South Downs, nature, conservation, health and fitness. Co-ordinators mentioned that parents, particularly young parents, prefer to join a group of peers and fellow parents, and tend not to return if they are the only young parent pushing a pushchair in a health walk made up of people over 50. All health walks programmes are available on-line. Promotion of health walks is mainly done through distributing the health walks programmes to GP surgeries, libraries, etc. Other approaches taken are: In Petersfield the Health Walks programme is working with Milletts, the retail sports wear chain, who are helping to publicise the Health Walks programme, and in Brighton and Hove they run a successful poster campaign with the Bus Company (e.g. posters about the health walks posted in the Brighton and Hove buses). The majority of providers have found that paid advertising does not really work, and have looked at other ways of publicising Health Walk information. Chichester District Council’s Heartsmart walks are now included (for free) in the “What’s On” section of the local newspaper. This attracts new walkers to the scheme. The question of providing other activities for walkers to “progress” on to was not a particular focus for the majority of health walk co-ordinators who were consulted. Progression from shorter walks to longer, more challenging, walks was definitely something that all the health walk co-ordinators were ensuring was available to their walkers. Other green exercise options offered in some areas are green gyms and Nordic Walking (Age Concern’s Fit as a Fiddle campaign is offering free Nordic Walking in Hampshire for the over 50s). Nordic Walking is offered as a “progression” option in East Hampshire. The Health Walks co-ordinator in East Hampshire is exploring the possibility of working with Run in England (www.runinengland.co.uk), in the future to see if it might be possible to train group leaders and start some running groups. Health Walk groups outside the National Park boundary, such as those in Eastbourne, Seaford and Peacehaven, do not regularly offer walks in the National Park, but do offer one-off longer walks in the Park, ranging from once a year to up to five times a year. South Downs Eco-Health Report 16 There are also a few commercial walks providers, who offer walks with a specific health focus. In Surrey there is a Health Walks co-ordinating group which meets regularly to share good practice and to co-ordinate and plan health walks in the county. Some health walks leaders mentioned the need for walks co-ordination, and it would be worth exploring the possibility of setting up such a Health Walks co-ordinating and development group for the South Downs National Park area. There is a lot of excellent provision with regard to Health Walks in the South Downs National Park and walks co-ordinators are developing and exploring innovative ways of expanding the range of people taking part in health walks. Currently gaps in provision exist in several areas. The coastal town walking for health schemes do not have regular south owns walks. The need for additional provision of walks for health in the most western section of the South Downs would be worth investigating. Currently there is activity taking place however it is difficult to map given that there is no regular meeting places/start points within the park. Recommendations In order to offer better co-ordination of the many walking schemes currently offered we recommend that the National Park authority establishes a South Downs development forum made up of health walks co-ordinators and other relevant people, in which to share good practice, the results of pilots, and coordinating walks programmes to ensure that the needs within each area are met. South Downs Eco-Health Report 17 4.1.4 Bushcraft Bushcraft training and activities cover everything from survival in the wild, identifying, preparing and eating wild food to creating a shelter, tracking skills, to woodcraft skills, fire-making and campfire cooking. The health aspects of bushcraft are not explicitly highlighted by the organisations offering bushcraft training, courses and activities. However, there are obvious health benefits to learning how to survive, live and feel at home in the wild, particularly for children and young people. “Wild or wilderness experiences, as is true of nature and outdoors experiences in general, are very important for the physical, emotional and mental development of children and young people”.vi The potential of wilderness experiences for young people at risk is, in addition, being increasingly recognised. The socially binding effects of doing adventurous or challenging activities in the wild with other people is something that is explicitly offered by the bushcraft leaders, for example, in offering team building activities for groups of workers from organisations. Map showing Location of Bushcraft Activities (not all activity is mapped as some information is commercially sensitive) Bushcraft activities, trainings, and experiences are offered by private commercial providers and by charitable trusts, such as the Sussex and Hampshire Wildlife Trusts. The courses tend to be aimed at adults (including offering away days and team building events for companies), with providers also offering courses and experiences to children, families and young people. One provider offers weekend camping and canoeing courses specifically for either dads and sons, or mothers and South Downs Eco-Health Report 18 daughters. Another provider offers Forest School and Outdoor Play schemes to children. A number of the providers offering programmes in the South Downs National Park also offer vocational trainings to adults, for example, to become a Bushcraft Instructor, or an apprenticeship in Modern Woodland, as well as CPD trainings for Forest School practitioners. A provider based just outside the National Park offers trainings for groups travelling to remote areas, for example, in first aid or exploration medicine. One provider has worked with the West Sussex Youth Offender department, offering tailor made rehabilitation courses for Young Offenders. The following is a list of all the independent Bush Craft organisations offering bushcraft courses and activities within the boundary of the South Downs National Park. Bushcraft activities are also offered by the Sussex and Hampshire Wildlife Trusts (for both adults and children): Birchbark – Bushcraft, Canoes and Camps (Hampshire) Birchbark offers various bushcraft & canoe activities, courses and camps, held throughout the year. Birchbark offers experiential education packages that are ‘hands on’ and tailored around each person, family or group’s learning needs. Jay Witt of Birchbark runs father/mother and son/daughter bushcraft/open canoe coaching sessions, and similar courses for adults, in woodland on the South Downs and on the River Hamble. Forest Knights (Sussex) Forest Knights specialises in teaching wilderness skills to people of all abilities. Their focus is on developing a deeper understanding and appreciation of the outdoor environment. Forest Knights offer courses in traditional wilderness skills, wildlife-based courses for the budding naturalist, and management and team development. Forest Knights also offer bushcraft courses/ experiences for children and families. Forest Knight’s site is just outside the South Downs National Park area (just south of Arundel). However, they also run demonstrations and courses at Amberley Museum and Heritage Site, which does fall into the SDNP area. Hampshire Wildlife Trust Hampshire Wildlife Trust offers bushcraft courses for adults, and a Forest School programme for children. The events, courses, family days, holiday activities, and curriculum related activities include a range of bushcraft skills and activities (from navigating to identifying flora and fauna). Red Deer (in partnership with Green Craft) – Midhurst, West Sussex Red Deer offers both Bushcraft and Survival courses, nature observation and wildfood gourmet courses; all are designed and tailored as necessary to appeal to a wide range of individuals, groups, families, clubs, or corporate parties across a wide range of age groups and abilities. The courses are held on the Cowdray Estate located near Midhurst, West Sussex close to the borders of Hampshire & Surrey. Red Deer works in partnership with Green Craft. Green Craft offer bushcraft and survival courses to schools, youth groups, colleges and universities. South Downs Eco-Health Report 19 Safari Britain – Firle, East Sussex Safari Britain offers weekends and weekdays of luxury camping with wildlife adventures for groups of adults and children. Mainly groups of families book to attend the safaris, although this year Safari Britain is also working with local schools to offer day (i.e. not including camping) educational experiences. Sussex Wildlife Trust Sussex Wildlife has a Forest Schools programme which they offer to local schools. In addition, they run Forest School Leader training courses. With regard to bushcraft they offer courses for adults, family bushcraft days, and holiday club bushcraft activities for children. Woodcraft School Ltd. & Woodcraft Foundation, Midhurst, West Sussex Woodcraft School are specialist providers of bushcraft courses in the UK from beginner to instructor level. They offer courses in, for example, wild food, bow making, bushcraft, primitive technology and canoe expeditions. Most courses are based near Midhurst in West Sussex and are suitable for adults of 18+ although they do sometimes allow younger ages at their discretion. Woodcraft Foundation provides a selection of these courses to children. The Foundation offers Forest Schools for children aged 5 to 13 (for local schools). “We are now offering schools in the local area a chance to visit our site on a regular basis using the Forest School method of teaching. Our site is set up with composting toilet, a heated work area in the winter, easy access and controlled use of the 400 acres of woodland we have to play and learn in.” From April 2010 the Foundation will be offering Outdoor Play Schemes. Overall, Bushcraft is an expanding area of eco health activity, serving the adult market (with courses and vocational activities, away-day team building activities for organisations, and customised events for private groups) and offering courses and activities for children and young people. The majority of providers are small commercial organisations, with the exception of the Woodcraft Foundation, a Community Interest Company, and the Sussex and Hampshire Wildlife Trusts. Recommendations In order to increase the uptake of current bushcraft activities and to assist the providers to make better use of all the natural resource available within the park, the National Park authority could work with Bushcraft providers by making their work more visible (through promotion and publicity). Some providers are looking for suitable woodlands within the National Park area in which to offer bushcraft activities and the National Park Authority may be able to help by facilitating discussion between landowners and providers regarding access. Providers mentioned the need for grants to enable them to continue to offer bushcraft activities and the National Park Authority, along with other organisations such as Natural England could work with both Bushcraft and other eco-health providers to explore potential funding sources, develop partnerships and assist with the bidding process. South Downs Eco-Health Report 20 4.1.5 Care Farming Care farming is the therapeutic use of farming practices. Care farms provide a range of services for individuals and groups of vulnerable people including those with mental health problems, learning disabilities and disaffected young people. There are currently only three farms listed in East, West Sussex and Hampshire on the National Care Farm Initiative website, none of which fall within the National Park boundary. The main 'care' activity on regular family farms within the park is on an informal basis and therefore not widely known. For example, New Farm Horizon consultancy are currently in expansion discussions with a farmer at South Harting, who is already taking 3 young people once a week. New Farm Horizon has also identified a niche to encourage a relatively small care enterprise (say 6 'farm helpers' one morning a week) on a typical family farm without major structural change in contrast to the larger 'care farms' where care is clearly the predominant and daily activity. The SDNP, with a high level of family farms including sheep and woodland and increased social inclusivity arising from above average visitor levels together with the need to generate further income to keep some smaller farms going has major potential. Within the boundary of the National Park there are currently around 50 farms of which New Horizons hope a proportion will consider a 'pilot' care enterprise in due course. It is clear that despite the demand in the South East, the region is behind on establishing recognized care farms when compared to most other regions in England, particularly the West Midlands, hence the lack of establishments listed in the SDNP on the NCFI website. Recommendation The resultant potential for care farms is being explored by New Farm Horizon but there is an opportunity to develop a strategic approach to care farming in the SDNP. In order to do this the South Downs National Park Board could work in partnership with Natural England to commission the further research required to explore the possibilities. South Downs Eco-Health Report 21 4.1.6 Conservation Programmes Conservation programmes are currently offered through BTCV and the Sussex Wildlife trust. These schemes are not exclusive to people with any specific health difficulty or disability hence they have been categorised separately to those in other sections. Due to the nature of these programmes (they work on different locations across the National park and in the surrounding areas) it is not possible to map these activities. BTCV Green gyms The BTCV Green Gym initiative is a scheme in which leaders guide participants through a range of practical conservation projects with the focus on improving both their health and the environment at the same time. There are currently two Green Gym schemes operating within the South Downs National Park Area. Portslade Green Gym – meet once a week for 3 hours and work at a number of sites across Brighton and into the national park, currently approximately 25+ people participate on a regular basis. The group recruits members through word of mouth, the BTCV website and they have a leaflet that they produce themselves. They currently struggle to obtain small scale funding to enable them to, for example, purchase new tools. Wecock Green Gym – the group work on different sites in and around the Park in Hampshire including Waterlooville and Wecock. They recruit members through word of mouth, the BTCV website and the Havant Volunteer Bureau Website. Currently there are only 5 regular members and they feel they would benefit from better promotion of their scheme and the eco health opportunities it offers. Sussex Wildlife Trust Access to Nature The Access to Nature in Sussex Project will work with people from deprived parts of Hastings and Brighton & Hove and offer a broad range of activities and encouragement to help them engage with nature and improve their local greenspace. This is a three-year project, just initiated, with Lottery funding. Recommendations The current BTCV provision suffers from low numbers of participants and a lack of small scale funding opportunities. As with Bushcraft the National Park Authority could work with providers and other organisations to assist with publicity and marketing, identifying funding opportunities, facilitating partnership working and assisting with the preparation of funding bids. South Downs Eco-Health Report 22 4.1.7 Mental Health There are currently two schemes operating within the park boundary exclusively for people with mental health difficulties. Phoenix Futures Phoenix Futures provide care and rehabilitation services for adults with drug and alcohol problems in the UK. In partnership with Natural England, the National Trust and a number of other organisations they run a unique and innovative Conservation Therapy Programme. Volunteers from the Phoenix Futures’ substance misuse treatment services work as a team to assist in the conservation of specific areas of the countryside. One of these areas is currently Kingley Vale NNR. This particular programme is run in conjunction with their Alpha residential service and in partnership with the Sustainability Centre in East Meon. Phoenix Futures conducted a piece of research that found that involvement with the conservation therapy programme resulted in a 28% increased retention amongst service users compared with those who were not involved, over a 12 week period. Mind (Worthing and Arun branch) – currently have a ‘Get active’ programme. This involves day centre visitors having the opportunity to take part in a number of ‘active’ activities. Two of these activities have a direct link to the environment. All participants are 16 yrs+ and attend the Mind day centres. Details of the activities are as follows: Led walks, that take place in a number of different areas within the park. There is no regular timetable as such and the locations are determined mainly by the knowledge of the walk leader. Coarse fishing, in partnership with the Environment Agencies fishery division, participants currently go fishing in Berry, Steyning and Ashurst. Given the statistics on mental health issues facing the South Coast there is currently a lack of provision in this area. Providers indicated that it was often not appropriate or possible for particular user groups to join in with more generic schemes. Recommendation In order to address the current lack of provision for this user group it is recommended that the National Park Board work with current providers to explore the possibility of expanding provision for this user group and investigate the opportunities for developing new provision. South Downs Eco-Health Report 23 4.2 Conclusions Map showing Location of Eco Health Activity in the South Downs Note: not all activity is shown due to the fact that some activity takes place at moving locations and therefore cannot be represented As can be seen on the map there is a range of provision currently operating within the park boundary but certain gaps exist, particularly with regards to some user groups. The map above does not show all activity as some of the provision, for example conservation work and certain walking schemes, run in different locations and therefore cannot be mapped in this way. Schools programmes and health walks are, on the whole, well catered for and geographically spread across the park. There is a concentration of activities around Brighton and Hove. This can be accounted for due to the proximity of the park boundary to the city. Fewer schemes are seen in the west of the park. This could be due to the fact that the cities of Portsmouth and Southampton are located slightly further from the park boundary. There is also a lack of schemes in the far east of the park. Currently health walk schemes are those best integrated into health care. Further work could be done to raise awareness of such schemes with GPs and other referrers in some areas. There is scope for the SDNP authority to work with PCTs to develop green exercise schemes specifically for the prevention and management of specific conditions (including post-operative rehabilitation programmes). None of these specific schemes currently operate within the South Downs. Other provision such as the Green Gym initiative could also benefit from better awareness amongst the health profession. South Downs Eco-Health Report 24 5. DEMAND 5.1 Introduction Area Surveyed When considering demand we focussed on a wider geographical area than that covered by the South Downs National Park. This wider geographical area (outlined in black on the map below) is a wide ribbon of land around the National Park, which incorporates part of the Sussex and Hampshire coastal strip, including coastal cities such as Southampton, Portsmouth, Brighton and Hove. This wider area was focussed on as people from this wider catchment area are likely to be key users of the Downs, even though the National Park is not necessarily right on their doorstep. We focussed on three areas in considering demand for green exercise and ecohealth schemes within the South Downs National Park: 1. We looked in further detail at possible demand for the gaps in provision that became visible through the audit of current provision. 2. We surveyed the commissioners for physical activity and/or obesity in all the Primary Care Trusts that serve the National Park and its greater catchment area and summarised the strategic commissioning priorities of all the PCTs that serve the greater National Park area. 3. We surveyed key people from other organisations that fund, offer and encourage eco health initiatives such as the County Councils and County Sports Partnerships. South Downs Eco-Health Report 25 5.2 What do we mean by demand? The approach to demand that we have taken is one of looking at public health needs across the area covered by the South Downs as expressed by relevant organisations. We considered to what degree these health needs and related funding sources will create demand for eco health initiatives from organisations and members of the public in the SDNP and surrounding area. This approach has enabled us to attempt to answer the following key questions relating to eco-health initiatives: How can green exercise support the goals of different public and third sector organisations to increase the health and well being of the population as a whole, and the health and well being of specific groups within the population? How can activities and facilities within the National Park help meet strategic goals in health care, social care, education and sport and recreation? How can these goals inform the priorities of the National Park Authority so that in the future it can help develop the provision of an innovative Natural Health Service to all sectors of the population living within the greater National Park area? 5.3 Demand and barriers to accessing the countryside Demand for eco-health initiatives in the SDNP will also be shaped by any barriers that exist that limit the opportunities for those who would like to use the South Downs for health related activities. Common barriers to accessing green spaces and the countryside, identified through research include: Many people currently experience real or perceived barriers to accessing green space and the countryside. There is strong evidence of underparticipation in countryside recreation by young adults, low income groups, people from minority ethnic and black groups, women, older people and people with disabilitiesvii. For under-represented communities (people with a disability, people from minority ethnic communities; people living within areas of disadvantage) viii barriers include: Difficulties with public transport Attitudinal problems (i.e. of the public towards some under-represented groups) Language barriers Lack of access to appropriate information Lack of awareness (of opportunities in countryside recreation) Dependence on others (such as carers) Lack of time or motivation Poorly maintained paths South Downs Eco-Health Report 26 Mosaic is a national project led by the Campaign for National Parks that aims to build sustainable links between black and minority ethnic communities and nine of the National Parks in England and the Youth Hostels Association. The South Downs National Park authority will no doubt be consulting Mosaic partners and other key national and local partners when developing its inclusion strategy. To increase social inclusion “The provision of new facilities or transport is not sufficient; a more comprehensive and integrated approach is required to increase the level of visiting from under-represented groups, including increasing people’s understanding of and sense of belonging in the countryside.”ix Barriers to accessing the South Downs were also considered in our desk analysis and surveys of PCTs and other key organisations. Many of the most deprived wards in the South East lie just outside the boundary of the South Downs National Park and it was felt by some of those interviewed that these communities may face a number of economic, logistical and social barriers to accessing the SDNP. Key questions considered in this report include: How can the park serve these disadvantaged communities? What needs to be put in place to make it easy and enjoyable for people to travel into and spend time in the National Park? A growing proportion of the population in the South East is made up of people over 65, and also those over 85. Some people in these age groups will also face barriers to accessing the SDNP. Services both within the park and within the greater catchment area of the park need to be designed include this group of the population. Promoting good mental health and well being is a priority across all the primary trusts in the region, and there area specific groups who suffer particularly from mental health difficulties, such as the younger working age population in Brighton and Hove and women over 65 in West Sussex. 5.4 The organisations surveyed about demand for eco-health schemes and the summarized results of the survey We consulted a range of public organisations with regard to gaps in current provision and future demand, including what the South Downs National Park could do to help them meet their priorities. We mainly consulted Physical Activity and Obesity Commissioners in the Primary Care Trusts that serve the park, and we also consulted people from Outdoor Education, Social Care, and the County Sports Partnerships. The consultation took the form of either responding to an emailed questionnaire, or a telephone interview. Relevant points from the surveys and interviews have been included in the conclusions at the end of the section for each of the PCTs (see appendix 3). The following four needs came out strongly in the survey: South Downs Eco-Health Report 27 1. The need for eco-health provision for particular groups 2. The need for good transport links into the park (including sustainable transport options, such as cycling), particularly for disadvantaged communities situated outside of the park boundary. 3. The need for taking a holistic approach to designing provision including how information is provided (both before people get to the park and when they enter the park) and education / assistance in giving families, children and young people ideas of what to do in green spaces. 4. Survey respondents stressed the need for partnership working, in particular to access funding for green exercise schemes and facilities within the park. 5.5 Summary of Demand This table summarises the demand priorities of the organisations surveyed, and highlights specific needs to be tackled in particular areas within or just outside of the South Downs National Park: Age /Group Issues Children Increasing physical activity to tackle obesity Families Highlighted by the following areas All areas Recommendations Provision of short breaks East Sussex That the families of disabled children and young people be consulted to get a clearer idea of their needs and wishes in terms of short break provision. Other partners such as the PCTs and the East Sussex Children and Young People’s Trust should also be consulted. Increasing physical activity and use of green and blue spaces All areas That the SDNP work with NHS Portsmouth, Healthy Pompey and Portsmouth City Council to pilot good information for families and adults to inform them about what the National Park has to offer, and on-site in the National Park offer play areas, information boards, or play scheme coordinators to facilitate a variety of forms of exercise in the park – South Downs Eco-Health Report To explore opportunities for joint partnership working (for example, with schools, third sector organisations and local authorities) to increase the provision of outdoor play facilities for children within the National Park. 28 such as walking, running, cycling, games, kite flying, green gym activities and more. Teenagers / Young People Young working age adults Mental health Drug and alcohol misuse Working age adults over 35 with long-term conditions (including mental health disorders) Working age Increasing adults over 40 physical activity with long term conditions South Downs Eco-Health Report Brighton and Hove, East Sussex From the research and consultations conducted for this report it is not yet clear what ecohealth provision is needed to meet the needs of young people. Further research and consultation (with young people as well as relevant third sector and public organisations) is needed to gain greater clarity, followed by, if appropriate, the piloting of one or more smallscale schemes in partnership with other organisations. Brighton and Hove To explore the piloting and provision of eco-health activities to improve mental health, and to develop local eco-health rehabilitation programmes for drug and alcohol misuse. To explore with BCTV whether it would be possible to begin an Ecominds “Wellbeing comes Naturally” conservation group (which would train people who are experiencing mental distress to become part of a group of conservation volunteers). Surrey West Sussex Care Farm provision (gardening, care of animals, farming activities, etc.) could also be developed for adults suffering from depression and other mental health disorders. Brighton and Hove To explore the possibility of working in partnership with the PCT, Brighton and Hove County Council and Sussex County Sports Partnership to pilot a green exercise initiative for working adults over 40 with long term conditions. 29 Increasing physical activity Adults with specific health conditions Adults from 40 – Hampshire 74 with specific vascular disease risk factors That the SDNP works with Hampshire NHS to develop specific green exercise activities/schemes offered in the National Park to fit into the pathway for the targeted prevention of vascular conditions (aimed at adults aged 40 to 74 with vascular disease risk factors) as part of a range of physical activity opportunities available to this targeted group. Hamphire NHS’s focus on the prevention of vascular conditions offers a good opportunity to pilot green exercise provision for the prevention and/or management of a specific group of conditions. Adults of working age and older who are at risk from heart disease and/or stroke and adults with heart disease or who have experienced a stroke. Considering the higher incidence of heart disease and stroke in the city, we recommend working with Southampton PCT to develop and offer green exercise options in the National Park to fit into the care pathways for the prevention or management of heart disease and/or stroke (for at risk adults of working age and older) South Downs Eco-Health Report All areas Considering the expected growth in the 65 – 74 age group in Southampton, promoting green exercise activities for those over 65 would be worth exploring. Longer health walks, and other forms of green exercise such as Nordic Walking would be worth investigating and piloting (for example, perhaps through working with Age Concern to start a Southampton/South Downs Fit as a Fiddle group), to offer progression routes from the health walks offered in and around the city. Older People Southampton 30 Mental health conditions West Sussex To build on and further develop the Crawley horticulture/conservation scheme for people with mental health issues, and roll this out to other areas in West Sussex (targeting, in particular, those in receipt of sickness benefit who are suffering from mental health issues and women over 65 suffering from depression). To pilot in the West Sussex section of the South Downs National Park a range of green exercise and eco-health provision for people of all ages in West Sussex suffering from mental health issues. Adults with learning disabilities To increase provision for physical activities and engagement with nature and the countryside. Surrey The general population Increase levels of physical activity Improve transport links into the National Park Improve physical access to the park All areas Deprived communities Increasing levels West Sussex of physical activity South Downs Eco-Health Report For the SDNP to work with partners to develop eco-health provision for adults with learning disabilities. We recommend exploring the development of one or more Care Farms within the National Park, close to the Surrey border aimed at providing voluntary work (either day provision or residential provision) for adults with learning disabilities. That the Park Authority work with Hampshire NHS (and other relevant partners) to develop a holistic approach to making the National Park accessible and attractive to those living outside the park boundary in Hampshire, particularly people from Gosport, Havant and Rushmoor, in order to increase the health and wellbeing of the population and reduce health inequalities. To continue and build upon the good work of the health walk coordinators in the priority areas of Adur, Arun and Worthing. 31 5.6 Conclusions The SDNP is well placed to host and/or deliver activities, schemes and facilities that will meet demand that is likely to be generated by the commissioning priorities in the PCTs and the subsequent responses by health practitioners e.g. GPs and the general public. The analysis for this report suggests, however, that there are some key issues that will need to be addressed if this is demand is to be met in the SDNP and if all communities are able to take up new opportunities. These include: Ensuring good sustainable transport links from seaside towns and cities, such as Portsmouth, Southampton, Arun, Adur, Worthing, Eastbourne and urban south Hampshire. There may have to be innovative third sector transport provision in addition to or instead of ‘public transport’. Good information provision for all potential user groups especially for those living in deprived communities Partnership working is developed with education and third sector organisations who play a key role in developing links between young people and outdoor sport and leisure activities in the SDNP. A South Downs National Park “eco-health champion” is appointed as soon as possible to begin working with the Physical Activity commissioners to encourage the inclusion of eco-health as a priority within each new Physical Activity commissioning plan. Provision of short breaks for children and young people with disabilities (including those with complex needs). Buildings or places used for daytrips and residential stays will need to be fully accessible for this client group, their friends, carers and families. Gaps in provision are addressed, especially relating to provision for particular user groups, such as people with learning disabilities and people with mental health problems in parts of the South Downs area. Such gaps in provision could be addressed by following a similar model to successful schemes running elsewhere in the country. Some examples include; 5.7 Examples of Good Practice in Eco Health Provision Outside the National Park Boundary. Growing Well, Cumbria Growing Well is a care and social enterprise growing organic produce and delivering accredited training in horticulture. The farm building and land are rented from a tenanted National Trust farm. Growing Well provides opportunities for people recovering from mental health problems to volunteer in the business in order to develop their skills and confidence. Using an application process rather than a referral process the farm treats the volunteers as community members as opposed to patients. South Downs Eco-Health Report 32 Providing around 2000 placements each year to around 50 volunteers 50% of volunteers are paid for by Cumbria social services whilst the remaining 50% have to be funded by a grant from a charitable trust. (NCFI Case Study, http://www.ncfi.org.uk/case-studies.aspx ) Casting for Recovery Casting for Recovery UK and Ireland is a non-profit support and educational programme for women who have or have had breast cancer. They provide an opportunity for women who have been affected by the disease to “gather in a beautiful, natural setting and learn fly fishing … and offer an opportunity to meet new friends and have fun”. By providing an avenue for social support and group interactions there can be a reduction in the isolation survivors feel. The weekend retreats provided by casting for recovery are offered at no cost to participants and are open to any woman who has experienced breast cancer, subject to medical clearance from their doctor. Potential participants can contact the charity via their website or complete an application form. (http://www.castingforrecovery.org.uk/) New You Boot Camps A commercial enterprise the New You Boot Camps offer weight loss and fitness days and short courses to adults at a range of locations across the UK. A range of different courses are on offer including women and men only camps and military fitness days. The emphasis is placed on getting fit in the open air with many of the activities taking place outside. The fitness activities can be combined with cookery and nutrition classes. (http://www.newyoubootcamp.com/) South Downs Eco-Health Report 33 6. BARRIERS TO DEVELOPING THE SOUTH DOWNS AS AN ECO-HEALTH RESOURCE. The following barriers and needs have been identified through the audit of current provision and the survey/consultation process around demand. This may seem a long list, but what it shows is that green exercise and eco-health schemes are in their relative infancy in the park and that there many innovative ways in which the Park Authority could work with partners and the public to provide much need services, which would increase the health and wellbeing of different sectors of the population, leading to long-term positive effects. BARRIER Reaching wider audiences B1: Inadequate information on eco health opportunities within the South Downs National Park area NEED There are several good county and National web resources available. However there is currently no ‘one/first stop shop’ for gaining information on eco health activities within the National Park. Given the amount of existing activity, the request from providers for help with marketing, and the lack of awareness of some commissioners as to the opportunities available, such a resource would be very valuable. B2: Poor recruitment and Many organizations are currently overstretched and lack of training for there are insufficient funds for trained staff even to volunteers. organize health walks. Most non-commercial schemes therefore rely on volunteers. Providers noted a difficulty in recruiting trained volunteers who had knowledge in three specific areas 1) The National Park – it’s access routes and sites of interest 2) Conservation and environment 3) Health related issues B3: Lack of transport links Lack of transport links to take people living in the into the park, and poor rural coastal towns into the park. Brighton and Hove have transport links within the buses that take people to the Downs and to Cuckmere park. Haven, but the city seems to be the exception. Transport links, include of course, sustainable transport options such as cycling or walking routes into the park. In addition, public transport provision within the rural areas of the park is often inadequate, with young people, for example, able to catch a bus back somewhere, but unable to catch a bus back home as there are no buses after a certain hour. B4: A lack of promotion of There is currently much provision within the park that the health benefits of carries with it potential health benefits for those taking participating in activities part. These benefits are not however currently currently delivered within promoted to potential and existing participants. the park South Downs Eco-Health Report 34 B5: An absence of specific reference to eco-health in relevant plans and documentation Securing better resources B6: Difficulty accessing funding for establishing and developing eco health schemes Although the benefits of eco-health activity have been proven the value of such provision is currently not well promoted within commissioning plans and other relevant documentation B7: Lack of access to key resources within the park for specific activities. B8: Lack of facilities in the park For example, for bushcraft activities and forest schools (both need woodland), Nordic Walking, and spaces for “green gym” participants to tackle, etc Health walk co-ordinators brought this up as an issue, in particular. Facilities that would be helpful to health walk groups include signage and information boards at the start point of regular walks and restaurants/tea rooms large enough to accommodate groups of 40 people for tea, with public toilet facilities, for groups to go to at the end of the walk. Many schemes currently find funding a problem. Three main needs have been identified; - although there is evidence of the health benefits of the outdoors there is currently a lack of evaluation of interventions (although the evidence around health walks is growing). This presents problems to providers when they are seeking funding. - Short term leases / not owning land can present a problem when applying for funding. Partnerships need to be developed between providers and land owners to ensure the widest range of funding schemes can be accessed. - Most providers are small organisations and charities except in the educational field. Their funding needs are often relatively small (less than £1000) and they do not have the sufficient resource to search and access potential funding schemes. Developing provision B9: Lack of current The review of provision indicates certain provision is provision for particular user focused on particular groups e.g., health walks mainly groups cater to the over 50s. Certain user groups currently lack opportunities to participate in eco health activity within the Park. Young people - Lack of “non-educational” provision, lack of informal activities. Families Families living in deprived areas outside of the Park boundary tend to need introducing to what to do in wild spaces. For example, picnicking, playing Frisbee, South Downs Eco-Health Report 35 and other games for parents to play with children and children to play together. People with Mental Health difficulties There are relatively few activities aimed exclusively for people with mental health difficulties and only one scheme could be found specific to those recovering from addiction. Working Age Adults There are very few green exercise schemes aimed at working age adults, with most health walks, for example, taking place during weekdays, and very little provision in the evenings and on the weekends (or during lunch times). A large proportion of Brighton and Hove’s population is made up of adults of working age. Sussex County Sports Partnership runs the “Active and Healthy Workplace initiative” with which the Brighton and Hove PCT is engaged with. Currently this initiative does not explicitly include a green exercise strand. Seniors Although most participants on health walks are over 50, there are few activities specifically aimed at, for example, those over 50. Fit as a Fiddle is rolling out its programme for over 50’s across the South East. Currently, free Nordic Walking is being offered in Surrey and in Hampshire. There are no Fit as a Fiddle groups in Sussex as yet. People recovering from specific operations or conditions There are currently no such activities available within the park boundary B10: A shortage of There are currently some activities that are not well opportunity to participate in provided for within the park boundary. some activities Cycling (there are currently no “cycling for health” schemes within the park although there are number of cycling initiatives that do not have an explicit link to health in the cities surrounding the park.) Free/ low cost bushcraft Bootcamps Fishing Care Farming B11: A lack of schemes Currently most of the provision except for that in the specifically for Park education sector is aimed at those living in residents communities considered to be deprived, with larger populations, mainly based on the periphery and local South Downs Eco-Health Report 36 to the park. There are no schemes aimed specifically at residents linked directly to the fact that they are living within a National Park. B12: A shortage of For example, for children with learning difficulties and residential holiday places disabilities, to give their parents a break. Places for carers (including young carers) to go for short breaks, to have a break from their caring responsibilities, and days out and short breaks for children who have a parent who has a mental health disorder, and tend to find it difficult to get opportunities for respite care. B13: Coordination relating Currently the largest category of eco health activity to educational eco health within the Downs is that provided by the education schemes sector. However there is, at present, no ‘joined up ‘ approach to this area of provision. South Downs Eco-Health Report 37 7. RECOMMENDATIONS This section identifies the focus for future work in the South Downs based on the analysis and recommendations from all the previous sections. Ten recommendations are made, including cross cutting themes, which if developed will support eco-health activities across the National Park. 1) Better provision of information to improve understanding and use. A new resource is required in order to: - raise awareness of the high quality environment and its potential health benefits - provide information on opportunities for participating in eco health activities - promote the health benefits of existing activity In easy-to-use relevant media for different groups of people (residents of the park, those who live in the “red area” around the park, visitors to the area from London and the South East, the UK and beyond, and professionals /commissioners from health, social care, youth services, schools, county sports partnerships, local authorities and third sector organisations). This would provide a way of marketing the South Downs as the Natural Health Service "on your doorstep". This would be simple for potential participants to access and use and provide reciprocal links to other websites (e.g. websites aimed at adults with learning disabilities). Existing publications (e.g. East Sussex County Council’s directory of activities which they put out every 6 months) could be used to highlight green exercise opportunities in the area covered by the specific publication. 2) Research and partnership working to assist providers with accessing resources and obtaining funding. In order to address the difficulties currently facing providers with regards to funding it is essential that a mechanism is in place that facilitates partnership working. - Further research needs to be carried out to establish the health benefits of participating in specific eco health activities to provide the robust evidence required for funding applications. This is best commissioned by authorities such as the National Park Board and Natural England in partnership with specific schemes so that the findings can be disseminated most effectively. - There is a need for a forum across the national park area for eco health providers to work in partnership to facilitate access to physical, human and financial resources. - An education sector working group should be established to share best practice, enhance future provision and undertake research into the use of the SDNP as an outdoor classroom. The working group should involve the county department/advisors, FE colleges, universities and private schools based in or close to the park 3) Increasing provision for training and education of volunteers South Downs Eco-Health Report 38 There is a need to provide short, low cost or subsidised training courses aimed at volunteers who wish to gain a working knowledge of the skills needed to work on eco-health schemes. A training needs analysis should be conducted amongst eco health providers to establish the exact nature of the courses required and the preferred delivery options, There are several education and training establishments based in the National Park who would be well placed to offer such courses. 4) Improving transport links from areas with high population local to the national park and improving links within the park itself. The review of demand and commission organizations suggest that the SDNP will only be able to address the need for further eco health provision if good public transport links exist between the park and urban communities especially in Southampton, Portsmouth and urban south Hampshire. There is also a need for the SDNP Authority to consider the role it will play in facilitating better transport links within the park boundary in partnership with the Highways Authorities. 5) Development and improvement of small-scale facilities that support ecohealth activity within the National Park Providers have indicated they could make more use of the National Park if there were better facilities available. Such facilities include signage, information boards, outdoor play areas for children, restaurants with toilets suitable large enough to seat at least 40 people for tea, areas with flat paths suitable for those the elderly and those with disabilities to walk on without fear of falling. There is a need to identify specific locations where such improvements could be made in a useful and environmentally sensitive manner. Development of such facilities will also draw activity away from those areas that may already be overcrowded and those that are more environmentally sensitive. 6) Developing provision for specific user groups Certain user groups, such as those with mental health difficulties, currently have fewer opportunities to engage in eco health activity within the National Park. This gap can be addressed through: The provision of new activities and resources, for example, open access spaces for young people to participate informally in bushcraft activities. Opportunities for the SDNP authority to link with schemes currently being developed and rolled out. Such initiatives include Age Concern's Fit as a Fiddle programme, which they are developing and rolling out across the South East. Another project worth considering could be BTCV's Wellbeing comes Naturally eco-minds project. Newhaven Community Development Association Ltd. has just won 3 years funding to develop / promote schemes that promote Health and Wellbeing activities in Open Spaces, and projects such as the Railway Land project in Lewes (where a group of people adopt, restore and care for specific areas of local land/wilderness) may also provide opportunities to address the gaps. Existing schemes in other areas of the country that could be developed in the South Downs Eco-Health Report 39 park such as Health Walks and outdoor exercise programmes for the prevention, management and rehabilitation of specific conditions, for example, for those recovering from heart attacks, and fly fishing for women recovering from having a masectomy. 7) Addressing gaps in provision for some activities Some activities such as Bushcraft could be further developed within the park and this development has the opportunity to promote health benefits. The National Park Board could work with organizations such as Sustrans, the Environment Agency and commercial operators to link any proposed initiatives into the eco health agenda within the park. Care Farming is a key area where there is some existing formal provision but potential demand from farmers has been identified. Natural England can pay some contribution towards Care Farm visits through their Educational Access HLS scheme. This could help support a wider strategic scheme for Care Farming and the possibilities for more formal activity within the park warrant further research. The National Park Board could play a role in co-ordinating this work in partnership with Natural England. 8) A ‘Healthy Living in the South Downs National Park’ initiative. There is no one scheme or initiative aimed exclusively at those people who actually live within the park. The initial period of establishing the National Park provides an ideal opportunity to establish a scheme that brings together all the opportunities for residents to engage in eco health activities and links to places such GP surgeries, businesses, schools and community centres located within the boundary. Further stakeholder research is needed to establish what would be most suitable for local residents but the review of provision suggests local schools already make considerable use of the SDNP for eco health and learning initiatives. Therefore, the scheme could include developing links between landowners and local schools to promote understanding of the countryside and the development of well managed spaces for schools’ eco health programmes. 9) Developing three residential respite care facilities There is a need for respite care facilities for children within the area as there is currently a shortage of such provision. Geographically, given the density of population in the areas surrounding the park, it would seem most sensible to consider three such centres. One to the East covering the catchment of Hastings through to Worthing along the South Coast. One centrally located to the north of the park with easy access from South London and the Surrey towns. One to the West attracting clients from Portsmouth and Southampton. These locations would reach the largest number of people, making the facilities accessible in the most environmentally sustainable way by reducing distance to travel. The centres could be new developments or could link in to existing provision by expanding current activity to include such schemes. South Downs Eco-Health Report 40 10) Integrating Eco Health at the heart of the 21st century National Park The establishment of a 21st century park encouraging people to visit and enjoy the natural resource provides an opportunity to develop the park as a true ‘green lung’ for the South East. There is currently no mechanism available for ensuring that the park is considered as a potential resource for health benefits in strategic planning within organizations such as the NHS and local authorities. In order to do this it is important that any relevant plans and documentation from the National Park Authority include and make reference to the eco health opportunities available. Initiatives in the South Downs must be integrated with the South East Health strategy and relevant national initiatives such as the Natural Health Service developed by Natural England. Currently, some of the PCTs are writing their Physical Activity Commissioning Strategies. If eco-health can be included as a priority within these new plans this would obviously smooth the way for future close collaboration between the SDNP and the PCTs. South Downs Eco-Health Report 41 References Natural England, Our Natural Health Service – The role of the natural environment in maintaining lives 2009 ii Department of Health, Health Inequalities: Progress and Next Steps, 2008 iii South Downs Joint Committee, Health and Well-being in the South Downs. Report by the South Downs Officer, 2009 iv Natural England, an estimate of the value and cost effectiveness of the expanded WHI scheme 2009. Dave Stone, April 2009 v Nature and Health: Review of initiatives linking nature, health and well being in Hampshire, Hampshire County council, June 2009 vi Wild Adventure Space for Young People, Literature Review, by OPENspace, September 2006 vii What About Us? Diversity Review Evidence, Part 1, The Countryside Agency (July 2005) viii A Review of why specific communities in Northern Ireland do not use the countryside for recreation, March 2008 (by CAAN – the Countryside Access and Activities Network) ix Diversity Review, Options for Implementation, for the Countryside Agency by Open Space, the research centre for inclusive access to outdoor environments. i South Downs Eco-Health Report 42