London Borough of Newham
The London Borough of Newham is a London borough formed from the former Essex county boroughs of West Ham and East Ham, within east London, the name being a portmanteau word reflecting its creation while combining the compass points of the old borough names.
The 150Club scheme is an initiative by NHS Newham Clinical Commissioning Group (CCG), Newham Council and the 150Club partnership - made up of the West Ham United Foundation working with the council’s leisure trust activeNewham and the Staywell Partnership.
It is an innovative 24 week programme offering local residents at risk of diabetes or cardiovascular disease a wide range of tailored physical activities to help combat the diseases. It aims to empower local people and enable them to take greater control of their own health.
Taking its name from the recommended amount of 150 minutes of exercise people should take per week, the 150Club is part of a bid to tackle high rates of diabetes and cardiovascular disease in Newham by helping people to stay healthier. The borough has the second highest predicted prevalence rate of Type 2 diabetes in England, with more than 24, 500 of residents currently diagnosed with diabetes.
This initiative, known as the Newham Community Prescription Scheme, was first piloted in a number of Newham GP practices in 2013. The lessons learned from this initiative have now been used to roll-out the Newham Community Prescription across the borough, helping reduce the risk of long-term health complications associated with diabetes, such as heart disease, stroke or kidney disease.
GPs across the borough can now refer patients aged 18 and over who are at risk of developing diabetes or cardiovascular disease to the 150Club.
Further information: http://www.newhamccg.nhs.uk/GetInvolved/newham-community-prescription.htm
The financial model for the 150club is based on activity and outcome payment works whereby someone allocates a budget to the scheme (in this case the CCG) and that gets allocated to the community prescription provider, and then they pay out a base level to get community groups involved, and then those community groups get more payment if particular outcomes are achieved with the individuals who have been referred to them.
While this is a pro-active solution oriented model, some have commented that the referral channel can be slow and there are limited resources for the 150 club.
Alternative financial models are either no payment to community groups, or simply fixed payments to community groups independent of outcomes. Or perhaps simply based on number of referrals.
Newham has the youngest overall population and one of the lowest White British populations in the country according to the 2011 UK Census. The borough has the second-highest percentage of Muslims in the UK, after the London Borough of Tower Hamlets, at 32%. A 2017 report from Trust for London and the New Policy Institute found that 36% of local employees in Newham are in low paid work; the highest percentage of any London borough. Newham also has a 37% poverty rate, which is the second-highest rate in London.
When using Simpson's Diversity Index on 10 aggregated ethnic groups, the 2001 UK Census identified Newham as the most ethnically diverse district in England and Wales, with 9 wards in the top 15. However, when using the 16 ethnic categories in the Census so that White Irish and White Other ethnic minorities are also included in the analysis, Newham becomes the second-most ethnically diverse borough with six out of the top 15 wards, behind Brent with 7 out of the top 15 wards.