Winner: Redbridge and Waltham Forest health authority

Project: Health Ladder to Health Rising

Contact: Louise Hartnett, tel: 020-8926 5040

Management

The SRB management team is accountable to the partnership board and comprises a small core team led by the HA's director of partnership development.

Innovations and successes

Joint working

More than 100 voluntary and community groups were involved in developing the SRB bid and 40 have been involved in Redbridge and Waltham Forest health authority manages the first health-led Single Regeneration Budget scheme in the country, on behalf of a partnership that represents some of the most deprived communities in north-east London. The Health Ladder addresses priority health-related issues through five work streams, from which 16 programmes and 58 projects have been developed. The five streams aim to improve access to training and jobs in health and social care; improve access to primary care; co-ordinate the response to public health issues such as domestic violence and poor housing; support voluntary and community organisations and achieve effective partnership working.

The scheme is an integral part of Health Rising in Redbridge and Waltham Forest, the local health improvement programme.

Last year, the scheme achieved all targets, was commended by the London Development Agency and rated as zerorisk by district auditors. New projects include: Face 2 face, a counselling and support service for young people, which won an NHS Beacon award, and the refugee health professionals project, which won an NHS Equality award. By the end of year two, almost 30 jobs had been created; 476 training weeks had been delivered; 60 refugee doctors were in training, almost 2,000 local residents had accessed new health facilities and 140 community or voluntary groups had been supported.

developing joint programmes. The scheme involves partnership with two local authorities, local trusts, Leyton Orient football club, local community health councils, faith groups, regeneration, housing and education providers, Sure Start and a host of national initiatives.

The judges said: A very impressive programme, with clear strategic direction and effective partnerships. This is rooted in the mainstream and not just a device to spend millions of pounds of SRB money. It also demonstrates real successes, with some impressive outputs.

Runner-up: Redbridge and Waltham Forest HA

Project: The Living Well Programme

Contact: Philip Groom, tel: 020-8926 5129

Started in 1998, this is a multidisciplinary, client-centred treatment, support and health promotion programme for and led by people with HIV. It promotes long-term life skills for health and trains and funds Living Well advocates, who support others and lead the project. It has developed a 'health and social care community' of people with HIV and a 'virtual community' of health and social care commissioners and providers.

Management

The programme is managed by one coordinator, a virtual team of providers and commissioners and people with HIV. It is part of a three-year HIV strategy agreed by people with HIV, the voluntary sector, health authority, social services, local trusts and education services.

Innovations and successes

It started alongside the Long-Term Medical Conditions Alliance, promoting people with HIV as expert patients. It has formed longerterm virtual communities; increased knowledge on living with HIV; improved access to services and empowered users.

The judges said: Impressive collaboration between professionals and people living with HIV/AIDS, with clear benefits for the latter. As a user-led scheme, this scores highly, but it is not making sufficient contact with other agencies.

Runner-up: Somerset HA

Project: Five-a-Day keeps the doctor away

Contact: Sue Chant, tel: 01823-344263

Somerset is one of the five national pilot sites for the Five-aDay programme. Funded by the Department of Health, this is part of the Diet and Cancer Reduction programme. The project aims to encourage people in Somerset to eat five portions of fruit and vegetables a day. It is divided into eight elements, including partnership work with producers, retailers and community groups and interventions aimed at particular groups, such as working adults, schools and older people.

Management

Nationally, there is a programme manager who maintains regular contact with the pilot sites. There is a local Five-a-Day steering group, chaired by the regional public health cancer lead and made up of representatives from the county council, five district councils, primary care groups, community health council and food projects.

Innovations and successes

The project is the only national pilot to have investigated county-wide interventions. A community grant scheme has enabled 51 groups to apply for up to£500 for food projects. A schools competition attracted entries including fruit tuck shops and a children's recipe book.

The judges said: An example of genuine joint working, demonstrated in the presentation. But it is too early to judge how effective this partnership is in terms of outputs and outcomes.