Health Creation:
WellFed Cornwall!
We now have a rapidly growing family of us working on a programme to connect food, climate, health, soil, biodiversity and community. We met on 11 April in Newquay, decided to call ourselves WellFed Cornwall as a working title and have a whole bunch of things we want to achieve in the next 12 months. :)
Our Story
So we know we have massive problems in Cornwall (and elsewhere) around access to good food for one and all, through not enough local fruit and veg shops, not enough public transport; not enough green spaces to grow it in and not enough money to pay for it regularly! And as a result we battle with malnutrition, poor mental and physical health, diabetes, loneliness, anxiety, more diabetes, poor circulation, obesity and General Grand Misery.
And we know it costs our health care services an actual fortune to try and deal with this through medicine. Which is bonkers. Especially when we grow food like nothing else here in Cornwall; when we have fantastic community growing spaces and brilliant community based grower people, doing the most brilliant job of growing people, place and a healthy planet. Our community growing network is our actual immune system.
So a big bunch of us - community food growers, social prescribers, clinicians, public health professionals, VCSE partners, diabetes nurses, health coaches are working on a series of pilot programmes to bring health systems, and food systems, together. We're bringing food into diabetes groups, developing veggie box prescription programmes, supporting cooking groups and recipe cards and food bank groups, working with Bath and Cardiff universities to develop simple systems to capture all the right data to show the benefits to people, our health system, our communities, our habitats and our natural environments. Narrowliff Surgery in Newquay has led the way with their pilot project this last 12 months and they're sharing their learning, and building on it.
(and if you want to check out where your nearest community food grower is:
Our priorities this summer of 2024:
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we now have seven (UPDATE JUNE 2024: 9!) further practices who want to develop veggie box/bag pilots across West, Mid and N&E ICA - and we're here to help
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continue to learn from and with the patients, communities, growers and VCSE and health care professionals we're working with
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develop a set of integrated metrics, and tools, to capture all relevant impacts with colleague from Bath and Cardiff universities
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develop the network across health care professionals, community food growers and VCSE partners
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run face to face event in autumn
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secure further partners and resources
People already making food part of our healthcare and making it part of our work towards health creation.
feedback
"Hi, I'm the bloke who made a flippant response when you asked how often I ate vegetables. I said every four weeks. I took home the box of veg you kindly gave me and reflected on it over the afternoon and decided I needed to change my attitude to healthy eating. I prepared a salad meal for my wife and myself. On Saturday I visited Asda and stocked with a variety of vegetables and will be eating more healthily in the future, all thanks to you."
"Well, I'm getting on well with the veg boxes! This last week I had pointed cabbage which I cut into 4 and roasted. Kholrabi which I cut into thin strips with carrot and made into a slaw for salads. The fennel I used in various ways, including stir fry. The bushy leaves of the fennel I cut off, put them in vase of water to keep them alive, and and have been having fennel tea. I'm due to pick up next week's box tomorrow so will be interesting to see what's in it. I like experimenting with veg I have not had before."
When Henri Sloan from Bodriggy Surgery worked with Annette from our team to offer veggie boxes simply as a one off to a social support group she facilitates, the response was super positive. Just having the opportunity to explore a veggie box for the first time, and have a chat about food, has triggered the following responses. Next task - keep this great good food energy going!
People indicated they felt healthier simply using a veggie box
75% wanted to eat more fruit and veg
75% scored the session 5/5 for enjoyment.
Just giving people the opportunity to chat about good food and unearth possibly old skills, can lead to positive decisions and actions ...
resources to share:
recipe cards
These recipe cards are Word documents or Powerpoint slides you can download, use,edit and change as you wish if you would like to use them in your initiatives. We'll develop and gather more that would be useful for veggie box and bag schemes. Feel free to remove some unnecessary or unlikely-to-have ingredients, or change the wording, or images, to suit the needs of the people who may use them - be creative!
Some of the fabulous talks from our Health and Climate Skills Lab this year looking at ... the F Word!
Narrowcliff's Pilot Veggie Box on Prescription
Dr Kath Brown, Narrowcliff: Plants not Pills
Caroline Court, Cornwall Council Public Health: Food!
Imagine If:
A Day in the Life of a GP, 2030
resources to share:
exemplar projects
We're collecting examples of emerging initiatives, and other fabulous projects - if you come across one that you think should be here, let us know!
Active project
Bridging the Gap: enabling people on a low income to access climate and nature friendly food
Sustain
Launceston Health Centre Veggie Bag and Box Prescription Pilot:
more exciting detail to come, watch this space - contact us for details!
Launceston and Tamar Valley PCN, Cornwall
Coastal PCN Veggie Bag and Box Prescription Pilot:
more exciting detail to come, watch this space - contact us for details!
Coastal PCN, Cornwall
Active project
Alexandra Rose Charity, London
Atlantic Surgery Veggie Bag and Box Prescription Pilot:
more exciting detail to come, watch this space - contact us for details!
Penwith PCN, Cornwall
St Clare Health Centre Veggie Bag and Box Prescription Pilot:
more exciting detail to come, watch this space - contact us for details!
Penwith PCN, Cornwall
Petroc Surgery Veggie Bag and Box Prescription Pilot:
more exciting detail to come, watch this space - contact us for details!
Watergate PCN, Cornwall
Liskeard and Looe and N&E ICA
And if you want to join our informal network,
just email Manda here. )
some of the photos from the welcome day at
Goonown Growers near St Agnes
for the first group of participants!
The day involved cooking lessons, weeding activities, chat, laughter, lunch - and going home with a veggie box!
BREAKING: Sustain have just released their new report and webinar (spoiler alert)
that shows that good food creates good health ....
New report reveals power of fruit and veg on prescription
The first UK trial of GPs prescribing fruit and vegetables has shown promising results, leading to the charity behind the project to call for nationwide programmes to boost health and reduce food poverty.
Sustain Member Alexandra Rose Charity, which is currently running fruit and veg on prescriptions pilots in two London Boroughs, has released findings on the profound impact the project has had on the lives of people on low incomes, living with long-term health conditions linked to poor diet.
After just 8 months of receiving vouchers for fruit and veg, the programme has found:
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80% of participants are eating five portions of fruit and veg each day, compared to just 28% at the start of the programme.
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9 in 10 participants have seen their physical health improve, including healthy weight loss, higher energy levels and better digestion.
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7 in 10 people with high blood pressure saw an improvement as recorded by doctors and nurses.
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Over half of participants shared that their mental health has also improved as they worry less about money for food.
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The support provided has resulted in a 40% reduction in GP visits.
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£222,000 has been invested in the local economy since the project began.
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Read the full Alexandra Rose Charity Report: Exploring the power of Fruit & Veg on Prescription
As a result, Alexandra Rose Charity, which is also a partner in our shared Bridging the Gap programme, is calling for wider replication and a scale up of the approach across the UK. This suggestion was also a key recommendation of the independent National Food Strategy led by Henry Dimbleby as part of the Community Eatwell initiative.
Jonathan Pauling, Chief Executive of Alexandra Rose Charity, says:
“Food isn’t getting cheaper, healthy food least of all. Our mission is to make it easier for everyone to access fresh fruit and veg in their communities. This is a simple intervention that works. It is now time for the government to act on the evidence and progress to a national roll out of trials of Fruit & Veg and Veg on Prescription as a part of their already stated commitment to the ‘Community Eatwell’ programme. This should form part of wider measures to boost health, address food poverty and reshape our food systems for the health of those most in need.”
Only 1 in 4 adults eat the recommended five portions of fruit and vegetables a day. Consequently, in 2019, diets low in fruit and vegetables accounted for 16,000 premature deaths in the UK. With healthy food more than twice as expensive per calorie than less healthy food, affordability is a huge barrier for people on the lowest incomes to get enough fruit and vegetables into their diet.
Henry Dimbleby, author of the National Food Strategy says:
“Food related ill health costs the UK £98 Billion per year in costs to the health service and to the economy. Behind those bald numbers, lies untold misery to the sufferers and their family and carers. All of this is inflicted disproportionately on those living in poverty. By taking this one simple action – providing fruit and veg on prescription the government could do so much to assuage that. And now Alexandra Rose Charity has provided the hard evidence, there is no excuse for delay. Their Fruit & Veg on Prescription Project improves not only the diet and health of people but also the health of the local food economy. I urge government to take a look at the impressive results from these pilots and explore how these can be replicated and scaled as part of a ‘Community Eatwell’ approach to tackling food-related ill health in the UK, as recommended in the 2021 National Food Strategy."
Run in partnership with the Bromley by Bow Centre in Tower Hamlets and community health practitioners at the AT Beacon Project in Lambeth, almost 200 individuals took part in the project, receiving up to £8 in Rose Vouchers every week, which were spent on the fruit and veg of their choice at local markets and food co-ops.
Dr Chi Chi Ekhator, GP Lead, AT Beacon Project says:
“We all know that the food we eat plays a vital role in our health, but sadly we are seeing more and more people struggling with food poverty and food-related ill health. At the Beacon Project we understand the importance of building trust in our community in innovative ways to support those who have fallen through the cracks of healthcare systems as a result of inequalities in accessing health and wellbeing support. We know that change is possible, and we see the Fruit & Veg on Prescription project making a significant difference to the health of people in our community.”
With Rose Vouchers covering most or all of their fruit and veg costs, the project also significantly reduces food insecurity, with many people sharing they now worry less about money for food. One participant receiving Rose Vouchers for fruit and veg shared: “Before the Rose Vouchers I didn’t even eat fruit because it takes so much out of my money… but now I don’t have to spend my cash and I can try different fruit and vegetables.”
You can see the webinar featuring Sustain, Bridging the Gap, Alexandra Rose Charity and Dr Ekhator here:
Monthly Update
June 2024
We have been hearing that some community growers have experienced hikes in insurance as a result of welcoming people who may have been working with social prescription link workers. It appears that Naturesave are able to offer good options on insurance. If anyone is aware of other providers they can recommend, let us know, and we can share details. We can't recommend ourselves as we are not a growers, but we can make sure that recommendations from others are shared and people are able to make their own enquiries. Thank you for sharing - if people want to know more, just contact us and we can put you in contact with other growers who can share their experience. :)
Monthly Update
July 2024
We're working hard on getting all the metrics sorted, so we know how to gather the right data in the right way. There are essentially three areas we're working on, and we're developing templates and questions for them all - so don't feel you have to invent anything. Most people will be starting at some point over the next few months, once they have identified their cohort, so we hope to have as much as we can ready for you to use!
1: clinical data and impact on the participant such as weight, HbA1c levels, blood pressure. This would be gathered with the patient's consent.
2: wellbeing and general experience of the programme of the participants. This would be gathered by simple surveys asked by the health coaches/social prescribers before and after the programme. It might also be gathered by the community growers, for example how participants feel about the cookery lessons, and connection with the community growing site. We're working on templates for that now.
3: impact on the community grower organisation. This would be gathered from the community grower, for example the how they have enjoyed working with the participants and what impact is has had on the community business. It will also help us begin to understand the beneficial impact on the natural space at the site eg improved habitat; and will also help us begin to understand the carbon benefit of enabling a shift from unnecessary medications to healthy food as a means of being, and staying, healthy.
If you have any questions about this at all, just email Manda here.