North Wales Health Improvement Review External
Stakeholder Engagement Events – Summary of Feedback
Children & Young People
Needs & Issues
Access - Access to fast food, etc – school attached to leisure facilities; Physical
activity opportunities post school – costs; Rurality – services; Smoking cessation
for young people (bespoke service); Physical activity opportunities beyond PE
/tem sports; Lack of facilities for cooking; Accessibility to local – fruit shops –
food; Accessible and acceptable transport; Good diet and exercise to develop
lifelong bone health; Access to training and jobs; Contraceptive services;
Social Inclusion & Inequities – Isolation; Parental issues – Mental
Health/chronic illness. Young carers; Looked after children/ those not in school;
Housing; Changes to benefits; Teenage pregnancy; Bullying; Unemployment;
Avoiding two tier system; Poverty of aspiration; Need for parenting support;
Boundary setting; Unemployment; Role models; Social inclusion; Feeling valued;
Importance of built & natural environment; Reduction in poverty; Needs of
young carers – supporting them to be a child; Children with learning disabilities support needed; Minorities groups – may have different culturally specific needs;
Health risks - Increased risks of self harm; Childhood obesity –snack/fast food;
Oral health – energy drinks; Reduced physical activity –computer games/mobile
phones; Iron levels in teenage girls; Substance misuse (parents and child) –
smoking/alcohol/drugs (peer pressure); Road (driving) safety; Energy drinks up to 14 cans a day!; Alcohol and young people; Emotional health and well
being. Low self esteem; Feeling safe vs parents’ anxieties - risk aversion;
Personal hygiene; Disturbed sleep; Shelter & warmth;
Service Delivery - Parental concerns/fear; Lack of continuity or access to
support; Wider environment around school – planning; Silo working/ partnership
working; (Additional) Capacity within universal services/for delivery (schools
nurses, leisure activities etc.); School based clinics; Getting the right people to
the groups/sessions; More community support; Giving parents confidence;
Family approach; Working with peer groups; Linking up – leisure; Focus on
sense of achievement/ aspirations; Good mental health awareness; Technology
led services; Legacy and longevity of programmes; Good home-school links;
Good community links; Positive learning environment at home and at school;
Rights of a child to be involved in service delivery and development; Smooth
transition to adult services; Coordination of services; Political awareness;
Communication - Online protection; Use of social media; Girls/engagement;
Nutrition messages – transforming into practice; Consistency of message to
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parents; Consistent key messages across sectors e.g. Change 2 Life messages.
Avoiding duplication; Gap information around physical activity; Promoting guide
lines for physical activity. - CMO; Right advice, right time, right method;
Resources - Healthy school dinners; Short term funding and tension regarding
expectation of mainstreaming;
Training & Education – Cooking skills/education; Education –
Sexual health/breastfeeding; Behaviour management; Sexual health and
relationship; Motivating participation; Cooking – curriculum; Financial skills
debt; Time within curriculum regarding PHSE; Lack of cooking knowledge;
Nutrition – staff working in settings; Budgeting skills; Promoting breastfeeding –
young women; Providing greater training for staff in setting – schools nurses.
Youth workers - Updates on emerging issues. General training; Education on
health issues e.g SRE, drugs, smoking – all topics; Literacy – skills to access
services; Skills to access healthy lifestyle; Increasing awareness of teachers
regarding health and health literacy; Carers advice;
Wordle
Existing Services
Lacking - Youth workers (URDD) – variation/inequity; Importance of linking –
networks. Avoid duplication;
Available - Leisure services – 5x60; active 8-16 (Flintshire and Wrexham);
MEND; School nursing; Educational social workers; Teachers; WNHS schemes;
Swimming; Eco schools; Guides/Brownies; NSPCC; Childline; Action for
Children; Sports clubs; Young carers; Team around the family; Families first;
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Food co-ops; Youth justice; Police (school liaison officers); Peer education;
Designed to smile; Change 4 Life; Appetite4Life; Stop Smoking Wales; Road
safety officers; Cooking Bus; Mobile library; Project JIWSI; GPs; Empowering
Pedals (2nd Yr school children); C- SAW – 3rd sector – children with autism;
Dragon Sport; Smoke bugs; Young ambassadors (sport Wales initiatives);
Communities first; Local play projects “open access play”; Welfare rights; Caia
Park Health Team; ASSIST; Fruit and vegetable Co-ops; CAIS/ substance misuse
Services; Interchange; Careers Wales; Sexual health services – LARC; Sure
Start; Project Lydia; C Card schemes; Dan 24/7; Dentists; Play Wales/Rangers;
Youth services; Scouts; Urdd; Young Farmers; Bike ability; Safe routes to
Schools; Walking groups; Policy liaison; School - nurses, staff; School councils –
fora – SNAGS; Pupil Referral Units; NERS; Pupils with additional needs; Pupils
with additional needs; Pedal power; Young carers groups; Family information
services; Family learning; School counselling; Family support service; CAMHS
and mental health awareness programme; Family and children’s learning
centres; Food Dudes; Special schools; Community Dieticians; Daffodil;
Supporting people – housing; Specialist play schemes; Red Cross Youth
Outreach;
Potential - Young people – skilled up to support older people
Wordle
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Opportunities
Partnership - Collaboration and multi –agency working; Systematic use of
school councils, youth forums etc.; Early input and influence for C and YP –
especially in relation to projects; Get rid of inconsistencies when centres share
sites/close proximity; Better networking; Skills/swaps – pooling expertise;
Good Practice - Better ‘programme’ management with opportunities for
sharing/accessing good practice; Strengthen planning - good practice (e.g.
Wrexham); Sharing good practice; Family information services;
Potential Development - Weight management programmes for YP post 13;
Focus on key issues (e.g. breastfeeding/cooking) within the time available in
curriculum; Media campaigns in using the technologies C and YP have and use
(i.e. Social Media); Legislation; Improved access to sexual health services domestic abuse , etc; Results based accountability; Marketing – social
marketing; Health improvement network – youth workers. (Similar to Phys Act
Network); Value of smaller projects; Mentoring and coaching; Janet and John
guides to what works?; Evaluation tool – from top standards; Someone looking
over evaluations;
Conditions & Provisos - Mapping what is happening in order to reduce
duplication; Ask people what they want (currently tends to be ad hoc in relation
to specific projects); Embedding skills knowledge in all funding streams; Models
designed to meet needs of C and YP; Consistent messages; Not all areas of
Wales are the same; Reflection – evaluation is what we are doing still effective?;
Need for long term view –planning?; Flexibility/ moving with the times; Playing
the long game v fire fighting; Need to open doors for people to hear about good
practice in smaller projects; What would the service look like?
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Summary
The needs and issues identified by respondents fell into the following categories:
 Access
 Social inclusion & Inequities
 Health risks
 Service delivery
 Communication
 Resources
 Training & Education
High on the list of identified needs was parental support, recognising both the
importance of parental influence on child development and the difficulties faced
by many parents in impoverished communities in particular. Whilst there was
good recognition of the influences of social determinants on health there was
also a great deal of concern expressed for risk-taking behaviours of both young
people and their parents with sexual health, physical inactivity, diet, smoking,
alcohol and substance misuse all cited as problematic.
It was evident that there are many services available and directed towards
supporting children and young people with the school naturally providing a hub
for many of the services and interventions. However, there was a recognised
need for better integration, sharing and direct engagement with young people
themselves. The potential to utilise modern communications to promote health
messages was indicated with a social media savvy target audience.
Synthesised Wordle of Key terms used across all questions
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