Together For Health In Gateshead
Transcription
Together For Health In Gateshead
Together for Health in Gateshead Your Local Engagement Board Meeting (LEB) Thursday 29th January 2015 14:00 to 15:30 at Bewick Suite Gateshead Civic Centre AGENDA 13:50 - 14:00 Refreshments and Registration 14:00 - 14:05 Welcome and Opening Remarks – Paul Gertig, Lay Member, CCG 14:05 - 14:10 CCG Update Presentation – Mark Dornan, Chair Gateshead CCG 14:10 - 14:25 Introduction to Live Well in Gateshead – Catherine Scott, Public Health Specialist Health Improvement, Public Health, Gateshead Council: • Live Well Gateshead Hub - Jo Dickinson, Programme Manager • Wellness Service, Judith Hindess, Sports, Lifestyle and Health Development Manager • Building Community Capacity, Gary Carr, Area Co-ordinator 14:25 - 15:20 Round table discussion 15:20 - 15:25 Feedback 15:30 Closing remarks – Paul Gertig, Lay Member, GCCG Please take time to visit the exhibition stalls where further information on the Live Well Gateshead Team is available For information on future meetings contact gccg.enquires@nhs.net or telephone 0191 217 2751 Check our website www.gatesheadccg.nhs.uk - Follow us on Twitter Together for Health in Gateshead Your Local Engagement Board Meeting (LEB) Gateshead CCG Update Local Engagement Board 29th January 2015 Dr. Mark Dornan, Chair – Gateshead Clinical Commissioning Group Housekeeping • Mobile Phones on silent please! • Please visualise your nearest Fire Exits • No Fire Drills are planned Current Pressures Emergency Care Centre (ECC) Queen Elizabeth Hospital http://www.qegateshead.nhs.uk/eccvideo What will it mean for your visit? • If you are involved in a medical emergency our new centre will make things much more straight forward, comfortable and quicker. • Instead of being spread out across the hospital the new Emergency Care Centre (ECC) will bring all urgent services together under one roof. The ECC will include services like: • Accident and emergency • Walk in centre • GP services • Medical & surgical assessment • Urgent children’s services • It will provide much more dignity for patients because they won’t need to be wheeled around public areas of the hospital as part of their stay • The facility will also offer more comfort and privacy thanks to single assessment rooms, bedrooms and en-suite bathrooms for all patients in the short stay wards • Opening January 2015, staged approach began this week Winter 2014/15 In response: • More than 50 additional beds opened at QE Gateshead • Outpatient clinics and some elective surgery cancelled or realigned to free up hospital staff for patient care • Close joint working with partners in health and social care to manage patient flows and enable patients to be discharged • 15 nursing care home beds identified to receive patients on a short-term basis for further assessment and recovery to release pressure on hospital beds • Care homes supporting assessments and placements on the same day and discharges from hospital over the weekend Keep Warm – Keep Well • One of the best ways of keeping yourself well during winter is to stay warm • Eat well • Wear warm clothes • Travel carefully in icy weather • Look in on vulnerable neighbours and relatives Developing a new vision for mental health services for Gateshead and Newcastle What is Deciding Together? • No decisions have been made • Intensive period of listening and engaging with service users, carers, stakeholders, and the public • Information gathered will be used to develop options for formal consultation • It’s different from before • More background information is available on the Newcastle Gateshead Alliance website: www.newcastlegatesheadccgalliance.nhs.uk • Opportunity to complete the engagement survey on your tables or you can complete it online (using address above) • Engagement period is until Monday 9th February 2015 Deciding Together - How can we spend the mental health pound? • Friday 13th February 2015 For third sector organisations and mental health provider organisations: 10.30 am to 2.30pm (lunch included) Centre for Life, Newcastle • Saturday 14th February 2015 For service users, carers and members of the public: 10.30 am to 2.30pm (lunch included) Centre for Life, Newcastle How to register…….. Please: Call: 0191 217 2670 or Email: nneccg.NGAlliance@nhs.net (see leaflet on your tables) Public E-Bulletin Issue 2 Introducing Patient User Carer Public Involvement member Ray Venus Ray is a very active volunteer who has lots of experience making sure the patient voice is heard. His involvement began over 40 years ago when his son Michael was born with Downs Syndrome and had lots of health problems. Ray championed the cause for Michael and for other children and families to make sure the best services were available for those who needed it. If you would like to register your details to receive this bulletin, please email: gccg.enquiries@nhs.net Your Ideas…suggestions • We would like your ideas/suggestions on how can we get more of the local community to come along to attend there meetings? • Please note any ideas/suggestions on your evaluation form Live Well Gateshead Hub Jo Dickinson Programme Manager Client pathway through the Live Well Gateshead Hub – Referrals Referrals can come into the hub in a variety of different ways: • Self referral • GP • Referral Agent • Wellness Service Full Health Assessment All clients are offered a full health assessment: • The assessment is completed over the telephone or face to face and take around 20 minutes to complete. • In the assessment clients tell us about their own health issues including:Physique Exercise Housing Social Inclusion Emotional Wellbeing Diet Smoking Relationships Other Circumstances Alcohol Finance Signposting for further support • • • • Wellness Service Specialist Service Self-help All clients will be followed up: 2 Week Courtesy call 12 Week programme follow up 6 Month follow up 12 Month follow up Training and Support • The Live Well Gateshead Hub provides training, support and mentoring to health and wellbeing providers, for example pharmacies offering stop smoking support and GP practices offering NHS Health Checks • The hub also offers Brief Intervention training on a range of topics including emotional health and wellbeing, motivational interviewing, sexual health, alcohol and smoking. Wellness Service Judith Hindess Sports, Lifestyle and Health Development Manager Client Support Referral to Live Well Gateshead offers the client the option to meet a Wellness Coach at a time and place convenient for them 1-2-1 support over 12 contacts Appointment within 7 days Life course – whole family approach Tool kit Information and buddy support to engage in services Based in communities using local facilities Group Wellness Sessions Targeted group work in communities, working with families, communities of interest and vulnerable people Session offered will cater for all abilities providing support and information which can be applied to every day living o o o o o o 12 Healthy Lifestyle programme Lifestyle4life Cooking on a budget and demonstrations Made of Money Understanding Health Inequalities RSPH Emotional Resilience Sustainable change Education to increase understanding and awareness to reduce risk factors and enable individuals / families to make long term behaviour changes around multiple behaviours Take Notice Connect Be Active Give Keep Learning Neighbourhood Management Team Building Community Capacity to Improve Health Gary Carr Area Co-ordinator • work with local communities and groups across Gateshead, targeting their effort in those areas that need the greatest support to help improve their health and wellbeing. • we will help to raise awareness around the importance of good health and wellbeing and the ways in which individuals, groups and local communities can make their own changes. • we will help local community groups to get involved in new activities, set up new projects and help groups gain new skills, knowledge and confidence to make lasting improvements themselves. The main activities of the team will include: • identifying community skills, assets, issues and needs • working with local groups and community organisations to help them understand local health issues, and support them to use local assets such as community buildings, health services and community activities to help them address health (both their own and others) • linking local communities with key service providers including the Wellness HUB and Wellness Service to help shape the services they receive • helping to raise public awareness on issues relevant to the community • ensuring local people can have their say and are able to get involved • providing improved health related information and/or better access to it • encouraging volunteering and supporting an increase in volunteering opportunities • planning, attending and coordinating meetings and events Who we are Central Neighbourhood - Kay Robson and Deborah Tait kayrobson@gateshead.gov.uk deborahtait@gateshead.gov.uk Inner West Neighbourhood - Scott Holmes scottholmes@gateshead.gov.uk West Neighbourhood - Michael Lemin michaellemin@gateshead.gov.uk East Neighbourhood - Garry Stamp garrrystamp@gateshead.gov.uk South Neighbourhood - Brian Kielty briankielty@gateshead.gov.uk Examples of work done by the Capacity Building Team • The Whinnies Allotment Street Gate • Changing Lives@Teams • Teams Life Centre (these can be found in your packs) The Whinnies Allotment Street Gate Introduction The Whinnies is a Care Home for up to three residents and is part of the a local social care charity Community Integrated Care which supports people with learning difficulties and physical disabilities to live full and happy lives. The Whinnies home benefits from a large adjoining piece of land that has been utilised for community gardening and allotment plots for a number of years. The allotments are used by the residents and other mental health/social care service users from the local area. Who was involved? • The Whinnies CIC Care Home and its residents • Creative Support • MENCAP • Local Community • Local volunteers • Northumbria in Bloom • Dignity e-forums Approach The allotment plots are of their Social Inclusion Gardening Network S.I.G.N which aims to give people the chance to enjoy nature, learn new skills and cultivate plants and nurture their own allotment plots. It also benefits from chickens and the eggs they lay. Individual plots are assigned to a range of individuals and groups for their sole use as part of a larger community gardening initiative. They are supported by a number of local volunteers who come down and help out on the plots and offer advice and support to improve individuals’ knowledge and skills. In addition to the routine gardening undertaken by the plot holders the Whinnies also hosts a range of community events, fund raisers and open days throughout the year. These events are promoted and advertised locally and encourage the wider local community to engage with the project and the service users. This not only enhances the experiences of the service users but also engages local people in the Network’s activities. 5 Ways to Wellness framework Connect The project helps to connect residents, service users to their local community. Through the use of e-forums and service communication processes there is greater understanding and connectivity between service users and service providers in Gateshead – enhancing partnership working. Be Active Residents and allotment gardeners are more active through their work on the plots and socialise with other users Take Notice Participants and visitors take a greater interest in their local environment and wildlife through their interaction on the gardening plots. The local community can appreciate the appearance of the gardens when they visit. Keep learning Both participants and volunteers learn new skills and experience new activities. Visitors learn more about the Whinnies and what it can offer. Give The project involves volunteers who give up their time to help support others. Plot holders also mutually support each other through volunteering time, sharing equipment and/or plants and produce. Outcome The project enriches the lives of the residents, other allotment users and visitors. It engages the local community more in the network and enhances the local environment through the upkeep of the allotment plots. Lessons Learned Successes • Residents and participants lives are enriched through gardening • New skills and knowledge are gained through participation • The local community are engaged • Funds are raised to help sustain the allotments for the future What we would/could do differently • Promotion and publicity could be improved • More funding opportunities could be explored if time permits • More volunteers could be recruited and utilised to support Network activities Contact information: Brian Kielty, Communities, Culture and Volunteering, Gateshead Council, Civic Centre Regent Street, NE8 1HH, briankielty@gateshead.gov.uk tel: 0191 4333024 Performance Indicator - Case study relevance Where communities/groups are sharing networking around the 5 Ways to Wellness best practice Tick all that apply and Y Where communities/groups show increased capacity to recruit and manage volunteers - demonstrated through groups recruiting new volunteers, registering volunteers and volunteer hours, accessing support/training linked to volunteering Y Where communities/groups are involved in priority setting Where communities/groups can demonstrate how they are influencing service delivery through, but not limited to, JSNA, DPH Report, commissioning intentions, service reviews, OSC process, etc. Where communities/groups can demonstrate how they are lobbying and influencing public health issues important to them through for example, license reviews linked to alcohol / applications for licenses; engagement with ward councillors and MPs; Planning policies e.g. linked to active travel, transport, takeaways and Government consultations Evidence of informal or formal networking between organisation and groups Y Evidence of assets brought into use/benefiting from increased usage for health and wellbeing purposes in targeted neighbourhoods Y Evidence of volunteers / positive role models promoting health promotion messages Y Where communities/groups can show increased ability to raise funds demonstrated through groups and organisations who put new fundraising practices in place, demonstrate new funds raised and accessing funding support or training (recognised through Capacity Assessment Tool) Social prescribing opportunities developed within targeted neighbourhoods with communities, CCG and primary care staff Live Well Gateshead Programme Group Based Activities The Gateshead Wellness Service will offer one-to-one, group-based or family-based support to people to make changes that improve their health and wellbeing. It is for people who would like help to address unhealthy behaviours such as smoking, unhealthy weight, physical inactivity and unhealthy use of alcohol. Individuals and families will be supported for up to 12 weeks by a Wellness Coach, and will be signposted onwards to other services and community activities as needed. Gateshead Council’s Sport, Physical Activity & Health Development Team are the providers of this new service. 12 Week Healthy Lifestyle Programme (1hr session per week) A group activity programme promoting healthy eating behaviours, covering a different topic each week including: o Goal Setting – Food Diaries o Fat o Eat Well Plate o Carbohydrates o 5 a day o Physical Activity o Alcohol o Cooking Demonstrations o Salt o 5 Ways to Wellness o Sugar o Evaluation The hour long sessions include an opportunity to be weighed weekly and participants will receive hand outs, recipes and fact sheets Lifestyle 4 Life (1hr group session) These group sessions are delivered by the Wellness Team within local communities, targeting existing community groups, families or individual referrals made into the Wellness Service. The aims of the sessions are to: o Raise awareness of the ‘5 Ways to Wellness’ and how they contribute towards good health. o Raise awareness of the key lifestyle factors that we can control. o Engage with the group to provoke thought into personal lifestyle choices through interactive engagement. o Provide educational information on the topics discussed. o Provide information with regards to activities and support available within participants’ local communities (relevant to the target group). o Provide information on how to access the Wellness Service. Group Based Activities are FREE to all participants who register with the service. Emotional Risk and Resilience (half day session) A half day training session delivered with the following objectives: o Gain an understanding of what emotional resilience is. o Discuss and identify how to promote emotional resilience in self and others. o Gain an understanding that will assist in identifying unhelpful thinking and behaviours to build resilience and effectiveness. o Practice to develop techniques and skills in challenging unhelpful thinking and behaviours to build resilience. o Give participants the opportunity to relate learning to practical objective setting. This training will be offered to volunteers supporting the Wellness Service. Royal society for Public Health (RSPH) Training (one day session) A one day Level 2 accredited course which can be delivered within the community, supporting the idea that health is everyone’s business and focuses on: o How health inequalities arise. o The principles of promoting health. o How to inform and signpost others. The training can be delivered in educational and workplace settings, and will be offered to the volunteers supporting the Wellness Service. Made of Money (2hr session) A two hour session to raise awareness of how financial matters can contribute to a person’s health and wellbeing, and offer financial support and advice. This can be delivered to adults and adapted to be delivered to families. Learn to Cook Food Demonstration (2hr session) An interactive two hour demonstration/cooking session. This can be delivered to adults and adapted to be delivered to families Learn to Cook (4 week course) Two hour cooking sessions delivered weekly over 4 weeks, working with adults and families to demonstrate how to cook healthy meals on a budget. The sessions are interactive and enable families to work together and prepare ingredients promoting 5 a day. For more information e-mail lifestyleservices@gateshead.gov.uk or call 0191 433 8112 Teamz Kidz @ Teams Life Centre Introduction Teamz Kidz is a twice-weekly club for 7-11 year-olds providing positive creative, sporting, social, bonding experiences that develop self-esteem and community confidence. It operates out of the former Teams Community Centre that was leased from Gateshead Council to Dunston Family Church during 2014. Teamz Kidz is one of a range of new activities offered for local residents to support their health and wellbeing. Who was involved? • • • • • Dunston Community Church Local Schools Parent Volunteers Community Police Ward Councillors Approach The Teamz Kidz programme will actively engage and encourage young people to achieve new skills through participating in a variety of activities that simultaneously develop responsible citizenship and social cohesion. The programme operates within a local statistical backdrop that highlights a prevalence of binge drinking, child obesity, anti-social behaviour, youth unemployment, poor educational achievement and low levels of volunteering. In its work with young people the programme consequently aims to convey a positive, caring ethos that will contribute to urban transformation both now and in the future. The programme’s ethos will be supported and reinforced by child-friendly input from a variety of socially orientated organisations who have agreed to partner with the project. For example, the programme imaginatively conveys principles of healthy home relationships that positively deter domestic violence and of responsible bike riding through bike maintenance and ‘bike-right’ skills) A feature of the programme is to develop new skills and raise self-esteem. This will be measured through presentation of awards and certificates to participants in recognition of their progress in acquiring new skills and demonstrating positive behaviour. The Capacity Building Element of the Neighbourhood Management team will work closely with the management team at the Teams Life Centre to develop this programme and other identified priorities in the months and years ahead. Contribution to the 5 Ways to Wellness Framework: Connect The programme emphasizes the importance of appreciating social conventions and positive socialisation. In the future, the project will develop increasing links to the parents of the young participants to maximize potential contacts and encourage their involvement as volunteers. Urban transformation needs to engage not only with young people at a formative stage but also with their parents. Be Active An important part of the project is team sports and activities, these take place in the building’s modern gym facility Take Notice When the participants get to secondary school age they too will be encouraged to work with the programme on a volunteer basis, strengthening the programme ethos as their younger peers identify readily with those who are older and who belong to their community. This also strengthens and develops the positive serving spirit of the young volunteers and increases their sense of worth, well-being and community confidence. The programme aims to develop partner links further to offer greater sustainability and impact locally. The current ‘heart-to-heart’ and ‘head-to-head’ meetings with partners will be maximized to develop more effective partnership working. Keep learning A feature of this programme is to develop new skills and raise self-esteem. This will be evaluated through the presentation of awards and certificates to participants in recognition of their progress in acquiring new skills and positive behaviour. The programme will also evolve and learn from past experiences. Give In the future, the project will hopefully develop increasing ties with the parents of young participants and where possible securing their involvement as volunteers. It also hopes to secure young volunteers who have benefited from the programme to give something back. Outcome The key outcome is to effect urban transformation. The Teams neighbourhood has the highest crime rate within Inner West Gateshead. By targeting the 7-11 year group, the programme expects to realise more positive educational and behavioural outcomes for the young participants from engagement and through transition to secondary school. Feedback from the local secondary school (Kings Meadow) will be sought to help evaluate and shape the programme. Lessons Learned Successes • Increase in membership • More contact with parents • Increased community involvement in the centre What we would/could do differently • Develop a training programme for parent volunteers Contact information: Brian Kielty, Communities, Culture and Volunteering, Gateshead Council, Civic Centre Regent Street, NE8 1HH, briankielty@gateshead.gov.uk tel: 0191 4333024 Performance Indicator - Case study relevance Tick all that apply Where communities/groups are sharing best practice and networking around the 5 Ways to Wellness Y Where communities/groups are involved in priority setting Where communities/groups show increased capacity to recruit and manage volunteers - demonstrated through groups recruiting new volunteers, registering volunteers and volunteer hours, accessing support/training linked to volunteering Y Where communities/groups can demonstrate how they are influencing service delivery through, but not limited to, JSNA, DPH Report, commissioning intentions, service reviews, OSC process, etc. Where communities/groups can demonstrate how they are lobbying and influencing public health issues important to them through for example, license reviews linked to alcohol / applications for licenses; engagement with ward councillors and MPs; Planning policies e.g. linked to active travel, transport, takeaways and Government consultations Evidence of informal or formal networking between organisation and groups Y Evidence of assets brought into use/benefiting from increased usage for health and wellbeing purposes in targeted neighbourhoods Y Evidence of volunteers / positive role models promoting health promotion messages Y Where communities/groups can show increased ability to raise funds demonstrated through groups and organisations who put new fundraising practices in place, demonstrate new funds raised and accessing funding support or training (recognised through Capacity Assessment Tool) Social prescribing opportunities developed within targeted neighbourhoods with communities, CCG and primary care staff Changing Lives: Teams Introduction Vulnerable groups like women, families and young people sometimes require specialist accommodation which is tailored to their needs. The charity Changing Lives offers a range of dedicated provision, and in Gateshead they offer supported accommodation in Eslington Park in Gateshead for 16 – 25year olds. The facility was the result of a shared vision of Four Housing Group, the Council, Changing Lives and Gateshead Redeugh 1957 Football Club and its community of teams. The £2.7m scheme opened in 2012 supported by Homes and Communities Agency funding, and provides supported accommodation for young and vulnerable people in a multi-functional facility to promote the physical health, mental wellbeing and social inclusion of diverse local community groups as well as the resident young people. Who was involved? • • • • • Changing Lives Neighbourhood Police Team Neighbourhood Management Ward Councillors Gateshead Redheugh1957 Approach As well as the general sports development aspect associated with the facility, Changing Lives staff regularly consults with residents in the facility to find out what they would like to see or develop locally. Following on from one of these events, residents asked the management team to look at the possibility of developing a cycle group. The management team at Changing Lives contacted the Neighbourhood Management team to request support applying for funding. The Neighbourhood Management team helped the residents secure funding for the purchase of 6 cycles, accessories and a steel storage container for security. The project was named the F.A.C.E Cycling project (freedom, ability, confidence and empowerment) for young people experiencing homelessness at Eslington House. Following on from this success, the Live Well Gateshead Capacity Building Service is now working with the residents to develop a more structured cycling group that can better link up with other cycling organisations in Gateshead. To sustain the support required for what can be a transient group, members of the Live Well Gateshead team are meeting with several local organisations and key local individuals to develop a steering group that can support residents at Changing Lives to better integrate with the neighbourhood. 5 Ways to Wellness framework Connect The aim of the project is to actively engage young people experiencing homelessness with sport and to promote healthy living, as well as to understand the benefits that this can have on physical and emotional wellbeing. Sport helps people move forward in their lives and it can help towards motivation and goals in life such as team building. Be Active Cycling promotes and directly enables physical exercise which is a key factor in improving the wellbeing of individuals and families. Take Notice The cycling group encouraged participants to appreciate the sights of the Newcastle and Gateshead Quayside and the potential of the surroundings for future cycling events. Keep learning Getting communities out on their bikes is a great way to improve health, wellbeing and links to our local environment and promoting active travel in Gateshead. Give Cycling gives people the chance to change their travel behaviour and bring many positive aspects to their lives”. Outcome Following the success residents are now active in a number of different sports and recreational activities across Gateshead. Lessons Learned Successes • All the young people who are supported at changing lives have expressed an interest in joining the cycle group • Training needs identified for officers and volunteers What would/could be done differently? • Involve a wider range of regional partners: o Sustrans, who are a leading charity enabling people to choose healthier, cleaner and cheaper journeys o Derwentside Cycling Club is based in the North East of England stretching from Hexham through to Gateshead from the Derwent Reservoir along the Derwent Walk • Work closely with the Council’s communications team to promote successes • Explore and maximize any additional potential through other media and social networking opportunities • Ensure all the relevant statistics are gathered and used to evidence outcomes and assist in future planning of promotional events. Contact information: Brian Kielty, Communities, Culture and Volunteering, Gateshead Council, Civic Centre Regent Street, NE8 1HH, briankielty@gateshead.gov.uk tel: 0191 4333024 Performance Indicators: - Case study links Tick all that apply Where communities/groups are sharing best practice and networking around the 5 Ways to Wellness Y Where communities/groups are involved in priority setting Y Where communities/groups show increased capacity to recruit and manage volunteers - demonstrated through groups recruiting new volunteers, registering volunteers and volunteer hours, accessing support/training linked to volunteering Where communities/groups can demonstrate how they are influencing service delivery through, but not limited to, JSNA, DPH Report, commissioning intentions, service reviews, OSC process, etc. Where communities/groups can demonstrate how they are lobbying and influencing public health issues important to them through for example, license reviews linked to alcohol / applications for licenses; engagement with ward councillors and MPs; Planning policies e.g. linked to active travel, transport, takeaways and Government consultations Evidence of informal or formal networking between organisation and groups Evidence of assets brought into use/benefiting from increased usage for health and wellbeing purposes in targeted neighbourhoods Y Y Evidence of volunteers / positive role models promoting health promotion messages Y Where communities/groups can show increased ability to raise funds demonstrated through groups and organisations who put new fundraising practices in place, demonstrate new funds raised and accessing funding support or training (recognised through Capacity Assessment Tool) Y Social prescribing opportunities developed within targeted neighbourhoods with communities, CCG and primary care staff Round table discussion Case Study in pack Meet Dereck…….. Dereck is 52 years old and lives in the Felling area in Gateshead Case Study – Meet Dereck Dereck is 52 years old and lives in the Felling area in Gateshead, owning his two bedroomed terraced house. Dereck is married to Susan. They have three children who have all left home. Dereck and Susan don’t do much together and have separate interests and increasingly are leading separate lives. The family have been experiencing money problems as Susan had to give up her part time job to care for her mother. Dereck works in a local building company carrying out routine manual tasks. He successfully stopped smoking over 5 years ago. Dereck use to be a keen walker and would be interested in starting again. He’s also got some friends who have talked about starting a group but they don’t know where to start. Susan has noticed that Dereck has been putting on weight and feeling more tired than usual and has persuaded him to get a check-up at the GP’s. The check-up revealed he has hypertension and needs to make life style changes. Dereck had a Body Mass Index test which puts him in the overweight range, he tends to binge drink at the weekend with his friends and does little physical exercise. The GP feels the Live Well Gateshead team could help and Dereck has agreed to be referred and has agreed to telephone Live Well Gateshead. 1. What are the issues for Dereck? 2. How can the Live Well Gateshead Team support Dereck? 1. What are the issues for Dereck? 2. How can the Live Well Gateshead Team support Dereck? Please take time to visit the exhibition stalls where further information on the Live Well Gateshead Team is available