March 2013 Quarterly Meeting Notes
Date & Time: 6th March 2013, 10am – 1pm
Venue: Lighthouse West London, 111-117 Lancaster Road, W11 1QT
Theme: Women’s Health & Wellbeing
Eddie Chan, BME Health Forum Chair and Director of the Chinese National Healthy Living Centre, welcomed all to the meeting and introduced the first item.
Dr. Meena Patel, Associate Specialist, Coombe Wood Perinatal Mental Health Service
The Coombe Wood Perinatal Mental Health Service is an inpatient service where mothers can be treated.
Women or couples with mental health issues can be admitted with children to assess their capability (to cope).
In the surrounding areas, in Chelsea and Westminster and St Mary’s hospitals there is a similar service.
Perinatal mental health looks at all psychiatric conditions that occur in pregnancy and up to the first year after birth. It can be from simple depression/ anxiety to severe bipolar depression.
Postnatal depression. Postnatal depression is extremely common and a vast amount is dealt with in primary care. It is only dealt with in secondary care when it is very serious.
There is a lot of research and literature on postnatal depression. In an ideal world when a baby is born mother and child form a close bond, however, unfortunately this does not always happen. Lots of expecting and new mothers experience emotional difficulties due to all the changes that are happening to them and most can manage, but for some it is too overwhelming.
More common and less serious type of postnatal depression is often called ‘Baby Blues’.
Some statistics and info on Baby Blues:
- 50-70% newly delivered mothers
- 4 to 10 days post partum, last 1-2 days
- Disturbed sleep, vivid dreams
- Fluctuating mood
- No treatment required
Puerperal Psychosis is a condition that can happen to a few women postnatally that is very serious and a psychiatric emergency.
Some statistics and info on Puerperal Psychosis:
- 1-2/1000 newly delivered mothers
- Within hours to first few weeks
- Past/family history of BAD, PP
- Rapid deterioration of mood-lability
- Confusion, insomnia, agitation, over activity
- Delusions, hallucinations
- Risks involved
- Need urgent psychiatric treatment
Puerperal psychosis is however effectively treatable with medication.
- Traditionally not recognised/treated
- Symptoms of depression, overlap symptoms of pregnancy
- Tearfulness/irritability attributed to hormone
- Often persist into post partum period
- 10-15% pregnant women experience depression and anxiety
- 10-15% women experience PND (postnatal depression) following birth
- On set within days up to one year of delivery
- More insidious onset
- Untreated, may persist for one to two years
Symptoms of PND (postnatal depression) are similar to normal depression
- For at least two weeks
- Persistent low, irritable, anxious mood
- Sleep disturbance
- Impaired appetite
- Lack of energy, loss of interest
- Poor memory and concentration
- Inability to cope with daily chores
- Guilt feeling
- Anxiety of harming baby
- Suicidal thoughts
Often the low mood is taken out on a partner.
Anxiety is very much related to depression and this anxiety can be about anything:
- About ability of being a mother
- Something wrong with the baby
- Baby’s health
It is not unusual to attend health settings such as GP surgery or A&E with these worries and when mothers don’t mention depression the doctors do not necessarily pick up on this.
Suicidal thoughts – for women to actually act on suicidal thoughts is very rare BUT it does happen so it’s very important to ask questions.
Dr Patel related a case study of a serious case where a middle class woman suffocated her 2 children and then attempted to take her own life as a result of a serious case postnatal depression and anxiety. (check presentation slide for details).
So Why does it happen?
- Don’t know enough
- Probably multiple stresses
- Large number of risk factors researched
- Strongest to emerge:
– Previous history /family history of depression
– Antenatal depression
– Lack of support from partner, domestic violence
– Life events- moving house, bereavement, loss of job, money worries
- Can occur even with no risk factors
- hormones: no conclusive evidence
Risks of untreated PND
- Mothers: protracted suffering, suicide
- Practical parenting difficulties
- Attachment difficulties- less responsive
- Fathers: increased rate of depression and general health problems, if mother depressed
- Both parents depressed-impact on infant
- Infant: attachment difficulties
- Short/long term cognitive behavioural emotional social developmental difficulties
- Risk of neglect, rejection
- Infant’s temperament and resilience modify negative outcomes
- Detection (mother won’t often admit it as she will be concerned about being labelled incompetent – Stigma of Mental Health). Health professionals don’t always pick up on it for this reason as women often present with other problems. Even when it is, it is often not treated adequately – there is not enough knowledge.
- Guidelines and protocols in primary care and maternity services
- NICE: all pregnant women to be asked
– Past/current mental health problem
– Past/current psychiatric treatment
– Family history of mental health problems
– Last month feeling low or hopeless
– Loss of interest, pleasure
– Need for help
Monitoring mood (Protocols in primary care and maternity services)
- Mid wives to monitor mood at all antenatal appointments
- Postnatally: HVs and GPs screen for PND at 6 weeks, 3 months, 6 months
- Use EPDS and GHQ for screening
- Assess further if high score
- Don’t know enough about PND to prevent it
- Sensible tips during pregnancy:
– Don’t try to be super woman
– Don’t move house
– Friends with other expecting couples
– Antenatal classes with partner
– Identify someone to confide in
– If previous history, discuss with GP +HV
– Rest, accept/ask for help
– Healthy diet, exercise
– Build in leisure
– Don’t blame yourself/partner
– Never too late to have treatment
Treatment of PND
– anyone can experience it
– Will get better
– Not her fault, not a bad mother
– Relieved by diagnosis (and reassured that they will recover)
– Guidance for what to do
– Practical help with baby
– Patience, being positive
– Time together
- Hormonal therapy: considerable debate and research
- Little reliable evidence for effectiveness
- Concerns about side effects
- Not in mild depression
- Risk: benefit ratio important before prescribing
- ADs not tranquilisers/pep pill
- Not addictive
- Take two or more weeks to work
- Need not stop breast feeding
- Need to continue for 6 months to reduce risk of relapse
- Guidelines suggest easy and quick access
- Evidence for equal effectiveness for:
– Non directive counselling (supportive listening), 6 to 8 sessions by trained HVs
– CBT: structured therapy to solve problems by changing unhelpful thoughts, beliefs, behaviours
– Interpersonal therapy: focus on mothers past and present relationships
- Social circumstances, cultural issues
- Home start, family support worker, befriending
- Mother and baby groups, NCT
- Children centres/Sure Start
- Family focused interventions:
- Couples-individual or groups focused on parenting help to improve depression and general health
- Mother infant therapy help to improve attachment
- Infant massage: Significant positive effect on mother infant relationship and depressive symptoms
- Books: Coping with PND-Fiona Marshall 1993
Overcoming PND-Williams, Cantwell Robertson 2009
- Understanding PND : MIND
- Postnatal depression : Factsheet: RCPsych
Association of Postnatal Illness: 020 7386 0868
Meet-a-Mum Association (MAMA): 0845 120 3746
National Childbirth Trust: 0870 444 8707
NETMUMS : www.netmums.com
HOMESTART UK :0800 068 6368
FAMILY WELFARE ASSOCIATION: 020 7254 6251
CRY-sis: 08451 228 669
[Most of the content of the PowerPoint presentation are included in the notes above but to see the whole presentation click on the link HERE]
Question: If postnatal depression is diagnosed and treated, how long is it usually treated for?
Answer: from a few weeks to months.
Question: Fathers increasingly suffer from depression. What kind of support is offered to them?
Answer: We have a men’s mental health group however there is not much research on fathers or very limited and it would be good to get more info. Some children’s centres also run father’s groups though.
Well at Home – Women’s Health & Housing
Martin Turner, Well at Home Project Officer, Residential Environmental Health
The aim of the talk is to highlight the link between poor housing and health.mvcf I have been a housing specialist for 30 years and have inspected thousands of properties, some in very poor conditions.
In Westminster Environmental Health has been very pro-active. Previously they have been more re-active by trying to sort problems out when house holders present them to us.
Increasingly we are trying to target vulnerable house holders as these people often do not seek help – various reasons, sometimes language barrier or are simply just not aware that they can seek help for various issues.
We have begun doing work with local NHS services on health and housing for vulnerable householders.
The majority of these householders are women. 5 to 1 of those seen at front door are in fact women. Why?:
- Single women
- Single parent families
- Mothers with young children at home – men at work in the day
Women are most often left with responsibility to deal with living conditions.
Women also live longer than men on the whole and in fact we tend to see a lot of elder women.
I think women in broad terms are more vulnerable to health hazards at home. They spend a lot of time at home for obvious reasons and so are more exposed to the harmful conditions that could be present.
Our project is called:
Well At Home
- Partnership project
- NHS Funded
- Aim to improve health & well-being
- Targeted interventions
- Vulnerable residents
- Across tenures
- Several phases – currently work with GPs
Assessing Housing conditions
- Health & Safety Rating System (HHSRS).
- Looks at health impact of property deficiencies.
- Range of 29 hazards – 4 groups:
- Protection against infection
- Protection against accidents
Excess cold is very common – which then goes on to cause dampness and mould growth. This particularly affects the health of the under 5 age groups. It can cause asthma.
Hoarding – we deal with a lot of cases of hoarding. This can be dangerous as it can cause falls; is a fire hazard and also entrapment.
Most hazards can have a psychological component. We are asked by law to consider the psychological impact of the situation – not just physical e.g stress from overcrowding.
Some specific hazards where effects on mental health are recognised:
- Crowding and space
- Entry by intruders
- Noise – can become extreme and end up in death threats etc. We can actually do quite a lot about noise and we can insist on sound proofing where it is a real problem.
Cumulative hazards – usually we will find that there a combination of quite a few different hazardous situations found together.
Holistic view of people’s health
If the psychological effects of living conditions are not taken into account then problems cannot be solved.
GPs – GPs don’t often take housing issues into account. We want to educate/ work with GPs to take note of many more reasons why poor health exists. Also for them to refer vulnerable clients to us where they suspect housing could be the cause of health issues.
We work with nurses to assess housing conditions and the health of the whole family e.g in one family the husband is blind, the property is overcrowded, he falls over. He would like a guide dog but he lives on the first floor and so it is not suitable. The children aren’t doing well at school. So when we go in we try and pick up the whole story and see how everything accumulates and interrelates. This is a holistic assessment of the home – including all the householder.
There is a range of things we can do. There are certain grant aids available; For private sector tenants we can make the landlords do the improvements. A lot of notices are given to housing association landlords as well.
Sanctuary grant – this is available for women who have Domestic abuse issues and need improvements made to their home to help protect them as a sanctuary.
[To see the powerpoint presentation please click on this LINK. Please note that the original presentation for the 6th March meeting is not available but the one attached is from an earlier date and is very similar including all the relevant contact information.]
Question: Do you just take referrals from GPs or from any other avenue?
Answer: We take referrals from anyone.
Question: Is there a similar service in Kensington & Chelsea?
Answer: Not sure but they certainly have and Environmental officer.
Question: There are a lot of problems with dealing with many private sector landlords. Are Westminster doing anything locally to put pressure on these landlords?
Answer: It’s difficult as there are a lot of rogue landlords about and there are no definite solutions to this. What we can do is insist landlords fix things that are immediately endangering the tenants lives e.g. open wiring etc.
Question: When a building becomes structurally unsafe, is this part of your work as well?
Answer: It can be – Not overall dangerous structures, but falling elements/ falling ceiling - yes. Basically if we think it will impact on the health and safety of the tenant’s health today we will take immediate action.
Question: How do we refer clients to you?
Answer: Email or phone is fine.
Question: How would you tackle situations where people are convinced their housing is unsafe because of spirits?
Answer: We would try and tackle this appropriately, probably by approaching a religious leader – we would certainly take this seriously.
BME Carers and Families Forum
Idil Hassan, Project Worker, Midaye, Somali Development Network
We work across Tri – borough wide.
Definition of a Carer:
‘A carer is someone of any age who provides unpaid support to family or friends who could not manage without this help. This could be caring for a relative, partner or friend who is ill, frail, disabled or has mental health or substance misuse problems.
Anyone can become a carer; carers come from all walks of life, all cultures and can be of any age. Many feel they are doing what anyone else would in the same situation; looking after their mother, son, or best friend and just getting on with it.’
Many careers do not actually define themselves as such and do not even know that they can access any kind of support.
Most often carers do not chose to become carers – it just happens to them.
People are defined as Carers through assessment - to be recognized by the government and found eligible for support. Sustainable support depends on the outcome of the assessment.
Each borough has a local strategy for carers and the current one goes up until 2014.
Carers services can be different in each borough.
Not every carer however is assessed as not everyone who is a carer knows to do to do this. And in addition to this, even when many are assessed, they are often not assessed properly due to culture/ language barriers.
Our local strategy tries to identify and access hidden carers but they are not always successful. Community organizations could really help with this.
Why BME Carers? Why the Forum?
The BME Carers forum came about after evidence for the need was found. Midaye works mostly from the heart of the Somali community. The word for depression does not even exist in the Somali language – people in fact get upset if they are told they may be depressed. There are a lot of unheard voices in the Somali community.
There is evidence that mainstream Carers forum/ groups do not offer adequate support to non/ or poor English speakers.
The BME Carers Forum was in fact extremely popular right from the start. Written info normally sent out carers are not understood by many ethnic minority groups because of cultural issues and language barriers. Women carers often need more support – especially those from BME groups. The BME Carers Forum ensures the seldom, heard get the support they need that is not catered for in regular Carers groups.
What we do
Training – provided in 3 languages (Somali, Arabic and Bengali)
We don’t expect people to speak English.
- To creat more links
- Strengthen Carers’ voices
- Improve services for carers and help BME carers have a voice in consultations to do with carers.
Question: How long have you existed? Where do you meet and how often?
Answer: We’ve existed since September 2012 and we meet every 2 months in Thorpe close offices/ training rooms.
We are the only Tri – Borough forum. We hold meetings during the day and we are also hoping to offer one to one sessions.
Domestic Violence, Health and Maternity Project
Rina Mehta, (Domestic Violence and Maternity) Project Coordinator, Standing Together
We work with services who work with those at risk of Domestic Abuse. We don’t actually do frontline work ourselves.
Domestic Abuse = incidents or patterns of controlling coercive behavior taking place in close relationships – intimate or family context.
¼ of women will experience Domestic Abuse. It is more prevalent with women but survivors can also be men.
2 women a week will die as a result of domestic abuse.
There is a 1.2 billion cost of physical healthcare treatment resulting from domestic violence, (including hospital, GP, ambulance, prescriptions) so it is a public health issue.
Why work with pregnant women?
- 30% of domestic violence starts in pregnancy
- Between 4 and 9 women in every 100 are abused during their pregnancies and/or after the birth
- Domestic violence has been identified as a prime cause of miscarriage or still-birth and of maternal deaths during childbirth
Domestic Violence Project at Imperial (Queen Charlotte’s and St Mary’s Hospitals)
We are working with midwives. It is part of the midwives assessment to ask questions about Domestic abuse and we are looking at the issues around asking these questions and making sure the questions are being asked routinely.
We also have a Domestic Abuse Advocate from ADVANCE in Hammersmith and Fulham and the reach of this advocate is wide.
We are working with the BME Health Forum, the MSLC (Maternity Services Liaison Committee) and Children and Health groups to raise awareness and provide training.
We know that women want to be asked about Domestic abuse but many professionals feel worried to make women nervous – however this is found not to be true.
The midwife may be the only opportunity for a survivor to speak to someone – to access some kind of support, so it is vital that questions are being asked and information is available to them.
[For more detailed notes from this presentation please view the PowerPoint slides at this LINK.]
Question: Should Midwives be asking everyone?
Answer: Yes. We are trying to implement the routine enquiry. We offer training to staff, midwives and consultants. We are also raising awareness in BME community groups. We can offer training and info sessions and can be quite flexible about how we format this for any group.
Question: Are you finding that women are often not disclosing?
Answer: Yes, women with mental health issues or many BME women will not get linked directly to a Domestic violence services but they will present in other health settings.
Question: What support is there for the children involved in these cases, what agencies are there?
Answer: Once we deal with the main issue we look at the longer term issues. There are mother and children support groups. There is DVIP (Domestic Violence Intervention Project) – there are quite a lot of services we can link them into.
Question: What do midwives do if the man/ partner is also present with the woman?
Answer: We do try to see women on their own. We inform them by letter beforehand. However if the partner is there we make sure we do not ask the question.
Question: There is also domestic abuse happening between carers and those being cared for. Is there any project around this?
Answer: We don’t deal with this in our project but they could be linked to POVA.
Question: A major obstacle to disclosure is the fear that their children will be taken away from them or there will be intrusive intervention from statutory services.
Answer: In reality it is a factor but it is not common at all. However if we work with a mother before birth we can work on a care plan with them.
Comment: But it is a barrier…
Answer: The reality is that social services do not take this step most of the time.
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THEME: Domestic Abuse among BME Communities. This meeting explored the issue of Domestic Abuse from many different angles such as the barriers around housing, the particular difficulties for people with no recourse to public funds and the psychological issues for young people who have been exploited...
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Pregnancy is a time of hope but can also bring challenges and strains. Healthy Relationships:Healthy Baby is a new programme from a local charity, especially for expectant mums and dads living in Westminster. Our dedicated team will work with you and your family so you can bring an end to hurtful behavior...
Theme: Young People's Health & Wellbeing. This was a great meeting to attend to hear about projects in the voluntary sector and ask our NHS commissioners and providers some searching questions. Presentations included: Westminster Mind, Spectra, Al Badja and the Westminster council...
The Talking Talk Shop is now open at The Dalgarno Trust on Wednesdays from 11am - 12.30pm. We work with people from all backgrounds with varying disabilities, who are on waiting list or finished counselling but wish to continue talking in a confidential, relaxed and safe environment...
#PeerTalk: K&C Mind’s Peer Support Network Newsletter - This issue includes:Happy new year; PeerFest 2015; Peer Support Fair; Steering Group; Peer Bank; Peer Support Directory; Marsh Award; Peer Support in the news; Dates for the diary...
The LSCB Newsletter for January 2016 is now available to download. Please note that the newsletter particularly highlights the Tri-Borough LADO role [Local Authority Designated Officer], whose purpose is to investigate any allegations of misconduct amongst staff who work with children and/or young people...
Middle Eastern Women & Society Organisation's January newsletter is now published. We have a new section called "your say" where we will feature our reader's opinions on issues such as domestic violence, emotional abuse, and women's rights...
Healthwatch Central West London have a new Patient Participation Group Best Practice Guide! Thinking about starting up a PPG, joining a group or getting more members for your PPG? Then have a read of this guide! It has top tips on recruiting patients, the roles and responsibilities of a PPG, and the support...
THEME: DEMENTIA - This was a great event to attend to find out more about how services for people with Dementia have been planned and delivered and question the people in charge of doing so. It was also a great opportunity to find out more about how to support people with Dementia and what services are available in the NHS and the third sector including some specialist services for BME communities.
Kensington and Chelsea Mind’s Peer Support Network have a new monthly newsletter, called #PeerTalk. November is the first issue...
The Barlby Surgery is currently recruiting volunteers (Practice Champions) from Barlby Surgery and the local community. Practice Champions are individuals with the local community that volunteer to develop support groups and health education events for children. These groups will support children and their...
The new CNWL Single Point of Access was launched on 3rd November 2015. This is a one-stop entry point into working age adult secondary community mental health services for patients living in the North West London boroughs of Brent, Harrow, Hillingdon, K&C, and Westminster...
On People First: Why do men engage less with primary health care? Men, on average, visit the GP 20% less than women, and younger men visit the GP half as often as younger women. Men are generally poor users of primary care. They are less likely to access other health services such as dentists...
About the role: Inside every prison and immigration removal centre there is an Independent Monitoring Board (IMB) - a group of ordinary members of the public doing an extraordinary job.IMB volunteers spend a few days a month independently monitoring day-to-day life in their local prison...
SMART Projects is launching a Stop Smoking Service, funded by the Kensington & Chelsea Social Council and in partnership with the Kick-it Stop Smoking Service. SMART will be providing Stop smoking advice on a one to one basis and workshops for people who would like to find out more...
Healthwatch Central West London have begun a research project on maternity and associated services in our three boroughs (Kensington and Chelsea, Westminster and Hammersmith and Fulham). We want to assess the quality of the experience of women who have delivered and used inpatients,outpatients...
DVIP’s Al-aman service has continued to receive funding from London Councils to support women from Arabic speaking communities who have been affected by gender based violence, forced marriage, female genital mutilation and honour based violence...
A directory of services was produced by the Different Voices Group at The Advocacy Project. It is a user involvement group that focuses on improving inpatient services and tackling the stigma attached to mental health. All the recommendations in the booklet are based on the service users’ own experiences of having used those services...
Westminster Time Credits Newsletter (October 2015).Since our update announcing that organisations can now sign up to the Westminster Time Credits network we have been super busy here at Westminster Time Credits. Our main focus has been to get out and about to spread the news...
Flu season is here again. For most people flu is an unpleasant illness from which they recover in two to seven days. However for children under 6 months, those over 65 years, those with underlying medical conditions and pregnant women, the risk of serious complications is higher. These complications...
Royal Trinity Hospice has launched a new service to support people with dementia and their carers living in Kensington and Chelsea, tackling recognised inequalities in access to palliative and end of life care.Funded by West London CCG, Trinity’s specialist Community Dementia Nurse will support people...
Brush up on your spoken, written and grammatical English to become a more confident speaker! For people aged 50 and over. TUESDAYs - 10.00am – 12.00pm. £3.00 per class @ New Horizons, Guinness Trust Estate,
Cadogan Street, London, SW3 2PF...
The Healthier Homes Project is a Public Health funded project to assist in reducing hospital admissions, GP visits and winter deaths caused by residents living in homes that are too cold, damp or are in dangerous conditions that put their health at risk.The project works as a referral service...
The Middle Eastern Women & Society Organisation (MEWSO) is pleased to bring you our second monthly newsletter. MEWSO is a women's run organisation dedicated to providing mental and emotional support to Middle Eastern and North African women who have faced/witnessed domestic violence...
On the 1st July ADVANCE in conjunction with eight other organisations launched a shared service across Hammersmith & Fulham, Kensington & Chelsea and Westminster supporting women and girls who are experiencing or have experienced violence and abuse this partnership is called Angelou...
Mytime Active has been commissioned by the London Borough of Hammersmith and Fulham, the Royal Borough of Kensington and Chelsea and Westminster City Council to offer a range of free healthy lifestyle services across the three boroughs. Our Mind, Exercise, Nutrition…Do It! (MEND)...
Spice, the social enterprise that has developed Time Credits -a way of recognising and celebrating the time people give to their community and to encourage more new people to get involved in volunteering – are setting up a local network in Westminster, with a specific focus on South Westminster…
HM Inspector Prisons 2015 insection of Yarl's Wood Immigration Removal Centre -12th August 2015. “The severe decline in healthcare documented by HM Inspector of Prisons demonstrates that the Home Office and its private contractors have been incapable of learning lessons. The endemic harmful...
The Lake Foundation is a Croydon-based charity that aims to improve the health and well-being of the African and African-Caribbean Community. We run a monthly African and African-Caribbean Cancer Support Group and the aim of the group is to provide anyone who has been touched by cancer with support...
The Victoria Medical Centre – the oldest practice in Westminster - was rated ‘outstanding’ in the Care Quality Commission (CQC)’s latest round of reports.
The Victoria Medical Centre offers General Practices (GP) services, and specialises in diagnostic and screening procedure, family planning services...
General Information and Advice; English Language Classes; English Language Exam; Information Technology Course; Counselling and Group Therapy; Exercise and Health Awareness Workshops; Tests For Citizenship and Settlement; Immigration and Citizenship Advice & Arts and Cultural Activities...
THEME: SUPPORTING PEOPLE APPROACHING THE END OF THEIR LIVES. This meeting was about how to best support people who are approaching the end of their lives. Public health are conducting a Joint Strategic Needs Assessment (JSNA) about end of life care and would like to hear from you about how you feel services work currently and any gaps that there might be...
EWEG (Ethiopian Women’s Empowerment Group) will provide a safe space for the clients to talk with a trained volunteers on one to one basis. The safe space will give the clients privacy to express their feelings in their own languages.If you are working with BME Groups this might be for you...
THEME: WOMEN AND CHILDREN'S HEALTH & WELLBEING
Solace Women’s aid is an accomplished charitable organisation providing a range of support services to women and children. Our specialist domestic and sexual violence counselling service provides 16 free counselling sessions which includes an assessment, for women and girls from 14 year old...
IAPT (Improving Access to Psychological Therapies) are running one off workshops and 6 weeks courses on a variety of subjects from confidence building, Improving sleep, procrastination, assertiveness and much more. People can refer themselves and organisations can also arrange for sessions to be delivered at their site...
Health Trainers provide support designed to improve wellbeing and combat the causes of chronic lifestyle-related diseases. Health Trainers are local individuals trained to identify and make contact with others to help improve lifestyle choices such as healthy eating, weight loss, increasing physical activity...
Are you looking to upskill yourself back into work or looking for experience to start work? Dalgarno Community Champions can help you! Here’s how - Supporting Opportunities: Maths and English classes; IT support; CV help; References for future employment; Work placement opportunities in Health...
‘Access to Health’ is a new project which aims to support homeless and vulnerably housed pregnant women and families with a child/children under 5 years old in Westminster or temporarily housed outside the borough...
Share your ideas, chat and catch up on local issues. Open to all SW1 residents. VENUE: The Hinsley Room, Morpeth Terrace. London SW1P 1EW. Time: Every Friday 10.30am - 12pm...
EXERCISE FOR HEALTH, WELLBEING to increase mobility, balance and sense of well-being. Open to all SW1 residents. VENUE: Hinsley Room, Morpeth Terrace, SW1 TIME: 9.30 – 10.30 AM. Every Friday - £2 donation...
THEME: WHOLE SYSTEMS INTEGRATED CARE
Al-Hasaniya Moroccan's Women's Centre have a new project for young women of Arabic backgrounds who have or are experiencing domestic violence. The service is aimed at young women aged between 16 and 25 years old who live in London...
THEME: MENTAL WELLBEING
Please be aware of the free Therapeutic Services provided by Solace Women’s Aid in Kensington & Chelsea and Westminster. These include:1to1 counselling for female survivors of domestic violence age 14 + (Ascent). 1to1 counselling for female survivors of sexual violence including child sexual abuse (aged 14+)...
Al-Hasaniya Moroccan Women’s Centre has recently been successful in securing funding for a new project to support young, vulnerable women of Arabic speaking backgrounds who are or have experienced domestic abuse.
Our service is aimed at young women aged between 16 and 25 years old...
The Free Stop Smoking Support sessions include specialist behavioural support by certified Stop Smoking Practitioners, which will improve the client’s motivation as well as help building up capacities and strategies to stay smoke-free...
The peer support is for people aged 18 to 60 who have a physical disability, hearing or sight impairments and those with long term health conditions. Westminster Connect also co-ordinates peer support for Deaf people...
THEME: Unscheduled care - the utilisation of A and E and Urgent care services by BME communities
The Bayswater Families Centre, in conjunction with CAB, Homestart and Z2K are holding Drop-in Advice sessions covering: Housing Advice and Assistance; Resettlement Advice and Assistance; Welfare benefits Advice and Assistance; Debt Advice and Assistance...
There are times in our lives when we experience distressing events and times; when we can find ourselves overwhelmed with feelings that seem to have no obvious explanation.When this happens, counselling can be very helpful...
Fridays 2 - 3pm, Portobello Green Fitness Club. Price £2.10. It's fun, It's fitness, It's ZUMBA!...
Iranian and Kurdish Women’s Rights Organisation (IKWRO) is registered charity that provides confidential support, advice and advocacy and outreach to women and girls of Middle Eastern origin. We work to help women and girls who are facing gender based violence...
THEME: URGENT CARE – ‘IS THE NHS MEETING THE NEEDS OF BME COMMUNITIES?’
In light of all the changes in services in Westminster, I have recently completed a piece of work which is a document listing current employability services available at present for families...
A Moveable Crèche provides an excellent value and flexible childcare service for clients. Sessions are delivered in a venue of your choice, for as many children as the size of the venue permits...
The Horn of Africa Health and Wellbeing Project runs a WEEKLY Drinkwatchers support group on Wednesdays - sessions are free and cover the physical, social and psychological effects of alcohol and support available...
Theme: 'HAVE YOUR SAY ON IMPROVING THE QUALITY OF SERVICES AND THE PATIENT EXPERIENCE'
The HARP Support Group is a new, monthly, facilitated self-help programme, for people who are motivated to develop strategies and actions to manage and modify compulsive hoarding behaviour...
The British Red Cross runs four 'Refugees and Befriending Projects' (R'n'B) for young unaccompanied refugees and asylum seekers aged 14-21. Our peer-led befriending projects are facilitated by peer-befrienders and adult volunteers...
THEME: IMPROVING OUR MENTAL WELLBEING
THEME: IMPROVING NHS COMMUNITY SERVICES – KEEPING PEOPLE OUT OF HOSPITAL
Are you worried about diabetes? Or want to know more about it. Come to our health themed coffee morning. Where alongside your tea or coffee you can engage in health issues which affect you or others around you...
The Royal Borough of Kensington and Chelsea (RBKC) Leisure Services’ Sports Development Team provides a wide variety of sport and physical activity opportunities for RBKC residents at venues across the borough including targeted sessions for specific groups...
We also offer free training courses, complimentary therapies, other free events, talks and social meet-ups - booking essential...
Come along and join our friendly Storytelling Women’s Group at the Refugee Therapy Centre.We welcome women with all levels of English. It’s a great way to get to know new people and practise your language skills.We meet every Wednesday from 11:00am—14:00pm...
Date & Time: 7th March 12, 10am – 1pm, Venue: The Abbey Centre, 34 Great Smith Street, SW1P 3BU, Theme: Men’s Health & Wellbeing
Theme: Women’s Health & Wellbeing
Date: 6th March 2013
Venue: Lighthouse West Lodon
Please see below some information about domestic and sexual violence helplines that are funded by London Councils and available in your area...
Please note that all NHS psychological therapy services are obliged to provide an interpreter for people who are not fluent English speakers. This includes counselling services offered by GP practices as well as IAPT or other mental health services offered by CNWL or CLCH...
The Befriending Service at the Chinese Mental Health Association is running a pilot Personalisation project for ethnic Chinese sufferers of mental health. Personalisation is about giving people with needs, choice and control over their care, with support and resources provided by their local authority...
This FREE eight week group behaviour change programme is designed to help the patients to lose weight, get fitter and make more informed choices about your diet and lifestyle...
Deaf Hope is a new specialist domestic abuse service for Deaf women and children, and the first service of its kind in the UK. We have been established around 18 months and our current funding is...
Healthier LIfe 4 You is a community organisation not for profit with charitable aims.
We aim to promote Health and Wellbeing to local people in the community (Families, Children & Young people). As well as running Health workshops, we use Dance, Art & Craft and Leisure activities to enable service users to achieve emotional and Physical wellbeing...
The Royal Borough can help your business. We offer award-winning training on Food Safety and Health and Safety. We also offer Environmental Principles training, Personal Licence Holders training and Customer Service Training...
West London African Women's service - Community support and information...
ADVANCE is a specialist domestic violence crisis intervention service. We support women who are assessed as being high or very high risk of continued domestic and sexual abuse and those at risk of being killed...
Counselling Directory was set up as a free, confidential service to encourage those in distress to seek help. Visitors can read about different areas of distress, view useful articles written by counsellors and refine their...
A website/ directory for mental health service users in Westminster...
North London Rape Crisis offers free, confidential counselling, advocacy and holistic therapies to women aged 14 and over who live, work or study in Islington, Camden, Westminster, Barnet, Enfield, Kensington and Chelsea and Haringey...
Health Trainers provide free one-to-one support, motivation and advice to borough residents (from Westminster, Kensington & Chelsea or Hammersmith & Fulham) over 18 who want to improve their health and wellbeing...
The Mosaic Community Trust’s Women’s Well-Being Project seeks to empower women who are socially disadvantaged. The Patient Empowerment and Engagement project aims to raise awareness in the local community on the availability and effective use primary care health services...
Henna’s befriender-workers will pay regular weekly or monthly visits to some of the most vulnerable ladies in the community. These visits could be to those who were members of Henna in the past and have been restricted...
Turning Point and Blenheim have been commissioned to provide the new substance misuse service in Westminser, RBKC, and Hammersmith & Fulham. This service is named the Recovery & Wellbeing network and will transform the way that drug and alcohol services are provided locally...
We support ANY family in Westminster who needs us, providing there is at least 1 child under 5. Rich or poor, settled or transient.Our trained volunteers help to give encouragement and support to change the pattern of troubled lives...
Here are a series of short films on how to use the NHS aimed at newly arrived migrants produced by the Black Health Agency. The film is available in English, Arabic, Cantonese, Farsi/Dari, French, Kurdish, Mandarin, Polish, Somali, Sylheti and Urdu...
Having Problems Managing your Nail Care??? Apply for Westminster’s new Basic Foot Care Service now!...
Living Well offers a wide range of high-quality health related services aimed at providing people with the skills they need to get the most out of life. Services include HIV service, Youth service and Community support service...
The Westminster Dementia Adviser service provides advice, information and guidance to those who have received a diagnosis of dementia, as well as their families and supporters. As well as working in partnership with NHS...
HEALTHWORKS√ offers a range of services to help the residents of Kensington and Chelsea, Hammersmith and Fulham, Westminster and surrounding boroughs
Provides community and specialist dental services, district nursing, nutrition and dietetics, diabetes and podiatry (foot health) services, Speech and language therapy for children...
Fit for Work Service in Kensington & Chelsea now expanding to Westminster and Hammermith & Fulham
Jobs in Mind, a mental health charity whose varied services provide specialist support and advice around problems at work, training and education. Our mission is to understand, support and enable the recovery of those affected by mental health problems...
The Halfpenny Steps Health Centre provides health services for registered and walk-in patients. It is staffed with a team of GPs, nurses and other healthcare professionals to deliver a high quality, continuous service...
STRESSED, ANXIOUS, DEPRESSED? If you are finding it difficult to cope with feelings of anxiety or depression, we can offer quick and easy access to help and support...
If you have employees off work sick or struggling with health problems you can refer them to Fit for Work Service at no cost to your business...
Some housing factsheets on key housing issues. The fact sheets provide a very basic summary of the issue, the possible actions you can take, and who to contact for further information...
The Women's Therapy Centre has been offering individual and group psychotherapy to women since 1976. Its access policy ensures that psychotherapy is available to all women, regardless of sexual orientation, disability, cultural or social...
Based in North Kensington we offer advice and support in health and welfare of Arabic speaking women. We have a Domestic Violence project and also a children and families mental health project as well as many other...
See details below for affordable activities for all abilities and ages available at the Beethoven Centre...
DO YOU LIVE IN PIMLICO AND SUFFER FROM A BREATHING PROBLEM? BREATHE EASY PADDINGTON is your Westminster patient support group, for anyone affected by a lung condition. We offer mutual support, information...
Who? The project is for adults with dual diagnosis mental health and learning disabilities living in Westminster. These are the only criteria for taking part; we aim for the project to be inclusive. It is run by The Advocacy...
The maternity helpline provides direct access to clinical support and advice to women and their families, irrespective of whether you are a patient of Imperial College Healthcare NHS Trust, a visitor to the area or simply require information and support.
Westminster Wellbeing is a free NHS service promoting health and wellbeing within communities and organisations in Westminster. We provide a range of services which include training and workshops for community organisations...
Maternity Action’s Advice Line offers free confidential telephone support. We will listen to you and try to understand all the issues you are facing. We will then provide you with information that is relevant to you and your situation...
Based in Portobello Road, Notting Hill Gate, London, HELP Counselling Centre provides short & long-term counselling based on an affordable, sliding scale for people who need support in negotiating a crisis as well as for those who wish to consider their life patterns and choices...
Rape Crisis London has four centres that offer help, information and support to women and girls who have experienced sexual violence of any kind, at any time of their lives...