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Better health and wellbeing for Londoners most affected by the pandemic

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The pandemic has had a profound impact on Londoners’ health and wellbeing. It has created new challenges and worsened existing inequalities, with some communities affected more than others. London’s recovery must include focused action not just to address the direct impact of the pandemic, but to ensure that, in the longer-term, those groups and communities most affected have the opportunity to live healthier, happier lives.   

Mission: "Better health and wellbeing for Londoners most affected by the pandemic."
 
To do this we'll need to work together so that:

  • From the youngest to the oldest Londoners, no one’s health suffers because of who they are, where they live or how they work 
  • All of London’s communities have the tools they need to protect their health, and have confidence in London’s health and care services
  • As we learn more about the pandemic, the best data and information is available to support policy decisions   

 
Focus might include:

  • Increasing support for Londoners’ mental health and wellbeing and ensuring better access to services 
  • Implementing the recommendations of the PHE ‘Beyond the Data’ report to address the unfair/unequal impact of COVID 19 on London’s BAME communities
  • Taking coordinated action to tackle issues like smoking and obesity, making sure that London becomes a city that supports everyone to be healthier, including those most at risk
  • Increasing the positive impact of health and care organisations and systems on their local environment and communities

What do you think of this mission? Is there anything critical to London’s recovery missing from this mission? What does this mean for you personally and your community?  What actions or interventions would have the most impact? How will we know that we’ve succeeded?  Who has a role to play to meet this challenge? 

The discussion ran from 07 August 2020 - 01 October 2020

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Comments (135)

Avatar for - Adelie penguin
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Everyone, more or less, have been affected by the pandemic. I would like to know how are you going to determine who are the most affected?

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Everyone, more or less, have been affected by the pandemic. I would like to know how are you going to determine who are the most affected?

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I support the mission. Mental health especially important as a lot of the time it is only at emergency stage that it is identified. More opportunity locally to help such as :

doctors surgeries libraries!  council offices underused  could...

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I support the mission. Mental health especially important as a lot of the time it is only at emergency stage that it is identified. More opportunity locally to help such as :

doctors surgeries libraries!  council offices underused  could be spaces where people can meet for "wellbeing" activities such as breathing classes gentle movement to music yoga and meditation.

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Avatar for - Monarch butterfly
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Those most affected are not likely to use this platform so I do hope that options ways of getting views will be sought.

Pandemic and wellbeing! Those whose living conditions are not conducive to good mental health will have been sorely...

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Those most affected are not likely to use this platform so I do hope that options ways of getting views will be sought.

Pandemic and wellbeing! Those whose living conditions are not conducive to good mental health will have been sorely affected by having to stay in the one place that is not or does not feel safe. 

Local authorities will talk about support for those with poor mental health but do not deliver or even worse they treat those with mental health issues in such a way that they are part of the problem. If it is the local authorities responsibility to deal with housing issues and they do nothing, then they are highly unlikely to offer support. 

On a personal level, I am denied the support I need because the local authority has not dealt with a housing issue they have said they will! 

Local authorities need to be held to account, at present they ignore residents and waste money on schemes of no benefit to residents or close resources that are sorely needed.

I guess you will know the mission has had an impact when people can turn to their local authority and get the support they need, when local authorities do what they say they will do, and when people do not feel trapped by an inactive local authority, when local authorities stop blaming central government for all their ills and start to take ownership of their finances.

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Any strategy must a) be led by the facts as they become known, b) shared with the public and misinformation countered, and c) cover everyone's health issues, not just Covid 19.  Of course the vulnerable (of which I am one) should be...

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Any strategy must a) be led by the facts as they become known, b) shared with the public and misinformation countered, and c) cover everyone's health issues, not just Covid 19.  Of course the vulnerable (of which I am one) should be protected, but thier needs should be on an equal footing with other serious needs, such as potentially terminal illnesses.

All health services - NHS, GPs, and residential care - must be adequately funded.  GP services have suffered but have not had the same attention as care homes and hospitals.  GPs are the front line for care in the community, yet are unable to function properly - regular tests such as blood pressure, heart conditions, and asthma, have gone by the board. I suffer from more than five medical conditions but have only spoken to my GP over the telephone for the past five months.  GPs' powers (e.g. of referral and prescription) have been undermined and the importance of their role in prevention and treatment on all health issues is undervalued.

Mental health has been a poor relation for far too long, and prolonged lockdown for many people will not have helped.  Again, it comes back to adequate funding, as well as a recognition of the different needs in different cohorts or communities.

Obesity and smoking should not be lumped together.  Their relationship to Covid may well be different.  Although smoking becomes addictive, there is an element of choice initially, wheras obesity has many causes and is not always a matter of choice for the overweight but is a lifelong, and often losing battle.  Neither condition should be made the subject of blame or shame.

What has been lacking so far is leadership, coherence, common sense, and co-ordination.  If London can take the lead on these matters, it will be a better place to live.

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Avatar for - Colombian spotted frog
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Sweden is still 5th worse in Europe, UK 2nd worse, for deaths from Covid-19 per head of population. But has far fewer people, about 25, per Km squared than UK, about 275. Sweden's outcomes are also more nuanced than you suggest: see, e.g...

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Sweden is still 5th worse in Europe, UK 2nd worse, for deaths from Covid-19 per head of population. But has far fewer people, about 25, per Km squared than UK, about 275. Sweden's outcomes are also more nuanced than you suggest: see, e.g. https://www.bbc.co.uk/news/business-53664354

The basic question you need to answer is this. Has the British government done enough combatting the virus to give people the confidence to return to work in sufficient numbers to get the economy moving again? My answer and the fact that we're shaping up to have the worst recession in Europe backs it up, would be NO.

And even if you do you're faced with a second problem  When people resume work, where there are still jobs, they must produce products and services that other countries also hit by or recovering from Covid will want to or can purchase. 

I'm saying that the British government has a major role to play creating jobs and the best way it can do that is not Johnson's half-baked new deal where he spends a pittance compared to FDR. But a real Green New Deal. Retrofitting every home & business across the land with insulation and solar panels. Greening all our transport. Not building more and more roads. We move towards meeting our climate commitments, people/businesses save on fuel bills and people across the country have decent jobs and pay taxes. And we might have a world fit for our grandchildren. What's not to like?

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Mission: “Better health and well-being for Londoners most affected by the pandemic.”

What do you think of this mission?

This mission says nothing about lifespan. It should. Many patients have as a life-goal, to survive well enough and...

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Mission: “Better health and well-being for Londoners most affected by the pandemic.”

What do you think of this mission?

This mission says nothing about lifespan. It should. Many patients have as a life-goal, to survive well enough and long enough to achieve a particular task. My life-goal is to get my son into uni/training. Not mentioning lifespan at all leaves us open to many interventions that reduce lifespan.

Sorting out social care is something London should be actively involved with. It’s corrupt to not provide medical care on the grounds that the medical care needed has been classified as social care.

Is there anything critical to London’s recovery missing from this mission?

Yes, Money and a can-do attitude. To achieve the mission local health services will have to be improved. Especially administration. During Covid-19, many medical procedures have been reviewed, and improved, to meet new goals.The attitude is important.

What actions or interventions would have the most impact?

The Mayor’s office should obtain administrative data collected by health care operations and pay a team of economists to answer this important question. I can’t do that. I fear the motivation for asking this question of London residents is political.

As a wild guess, I think that getting telemedicine sorted out and making it the norm, could save a lot of resource. Medical chat-bots can help, but access for all is essential. Some will need a human to interact with.

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Avatar for - Koala
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No one left any school in this country, in the last 50 years, having learned that time is more precious than money. Now that this shift in priorities has been forced upon us, there are a lot of casualties who just can't think outside of the...

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No one left any school in this country, in the last 50 years, having learned that time is more precious than money. Now that this shift in priorities has been forced upon us, there are a lot of casualties who just can't think outside of the old box. A lot of people living in London, came here specifically to earn their fortune and retire to the countryside where there would be more space. I'm witnessing an exodus of people no longer prepared to put up with over-priced poor housing with barely enough space for a closet, let alone space to 'work from home' in.

The problems we're about to face in London are multi-faceted as successive Govts have neglected to invest in the mental & physical health, education and the environment of the people they rely on to pay taxes. But those are the keys - invest in education and put the environment above profit, and mental & physical health will look after themselves. So no Silvertown. No HS2. No more student loans - bring back grants, just like the ones current MPs enjoyed in their day.

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I agree with the principles laid out.

Green spaces need to be protected and expanded, bringing greenery into all urban planning.

I'd also like to see much more done to reduce traffic and noise pollution, so being stuck indoors is at...

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I agree with the principles laid out.

Green spaces need to be protected and expanded, bringing greenery into all urban planning.

I'd also like to see much more done to reduce traffic and noise pollution, so being stuck indoors is at least a calmer experience! 

 

 

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Avatar for - Staghorn coral
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An issue not much discussed is the impact on mental well being and attitude of people effectivly excluded from society for five months. Unable to attend functions, enterainments, social contacts and all the normal contact of life for five...

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An issue not much discussed is the impact on mental well being and attitude of people effectivly excluded from society for five months. Unable to attend functions, enterainments, social contacts and all the normal contact of life for five months. One feels excluded, depressed and anxious.  What can be done?

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Avatar for - Colombian spotted frog
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Abandon the Silverton tunnel, reduce the sky high fares on public transport, the most expensive in Europe!!! E scooters and cycles to be banned from the pavement. Harsher penalties for car drivers who openly flout the rules re parking...

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Abandon the Silverton tunnel, reduce the sky high fares on public transport, the most expensive in Europe!!! E scooters and cycles to be banned from the pavement. Harsher penalties for car drivers who openly flout the rules re parking, speeding etc. Better planning scrutiny with regards to social housing and private property extensions. Need I say more.

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Avatar for - Koala
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Current Government/media "leaks" need to move away from unhelpful blanket threats. In March it was lockdown for all over-70s. Now we hear of suggestions to send all over-50s into lockdown if case numbers rise, and/or all those obese. [Not...

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Current Government/media "leaks" need to move away from unhelpful blanket threats. In March it was lockdown for all over-70s. Now we hear of suggestions to send all over-50s into lockdown if case numbers rise, and/or all those obese. [Not for the benefit of those concerned, obviously - confining someone with weight issues to the house would ensure little exercise but handy access to the fridge!] 

What we have as communities gained over this summer is an increased sende of neighbourliness and kindness; people have looked out for each other. We have a national government keen to find scapegoats - young people, minority communities, care homes.... while THEY carry on ignoring the "guidance" they have issued to US. Faced with financial hard times ahead, fairness will be more important than ever. Nobody's mental health is supported by a sense of being victimised. 

 

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Avatar for - Adelie penguin
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A multi pronged approach is needed (as well as a change of Government). 

Vulnerable people should be supported to continue shielding if their health is at high risk.

There is an over emphasis on cycling while walking is practically...

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A multi pronged approach is needed (as well as a change of Government). 

Vulnerable people should be supported to continue shielding if their health is at high risk.

There is an over emphasis on cycling while walking is practically ignored, change crossings to give greater priority to those on foot and longer crossing times so the less mobile can cross safely, look at sensible routes people will take .e.g. short cuts and put paths in place to accommodate them, pedestrians must always have priority. 

the lockdown has shown how much more pleasant the air is with less planes and cars and this should be encouraged by measures such as topping expansion of City Airport once and for all and the ULEZ whilst looking at sensible scrappage schemes for more of those living within the North/South Circulars.

Bring NHS back into full public control and stop contracting out of any public services to profit making organisations.

Increase the supply of social housing and stop the proposed changes to planning.. 

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Avatar for - Colombian spotted frog
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I agree with you 100%. I fear nothing will happen all we will get is talk and lots of talk.

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I agree with you 100%. I fear nothing will happen all we will get is talk and lots of talk.

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Avatar for - Tiger
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I strongly support this initiative and the mission statements are excellent.

Improved mental health and wellbeing support is undoubtedly vitally critical, in particular, as equally is better research and support for the BAME communities...

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I strongly support this initiative and the mission statements are excellent.

Improved mental health and wellbeing support is undoubtedly vitally critical, in particular, as equally is better research and support for the BAME communities who have been severely affected by the Covid-19 pandemic, but the other shielding and elderly groups must not be neglected either.

 

 

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Avatar for - Vaquita
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Combating pollution is essential I have asthma and my health deteriorated when I moved to Fulham partly prob to air traffic,

There needs to be better support for organisations like Open Age which provide activities that help improve the...

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Combating pollution is essential I have asthma and my health deteriorated when I moved to Fulham partly prob to air traffic,

There needs to be better support for organisations like Open Age which provide activities that help improve the physical and mental health of over 6os. They have developed ways of delivering excellent classes via zoom and utube for those of us self isolating.

More advice, ideas and encoragement re healthy eating and forms of excercise needs to be offered in classes to all ages to help not just people who are obese. Many need this and stigmatising of obesity is not helpful. More psychological understanding of the roots of all eating disorders needs to be disseminated to all people. 

The content of the food parcels was nutritionally dreadful. 

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Avatar for - American pika
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Health: A war on obesity? Cycling, walking etc are obviously positive moves. Scooting, maybe, but not electric bikes & electric scooters until these are regulated and controlled! Maverick e-scooterists are the new scourge of pedestrians...

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Health: A war on obesity? Cycling, walking etc are obviously positive moves. Scooting, maybe, but not electric bikes & electric scooters until these are regulated and controlled! Maverick e-scooterists are the new scourge of pedestrians, just as psyco-lists on the towpaths were (& still are).

Meanwhile, many leisure centres remain closed. Others have opened gyms but not swimming pools. Rumours abound that some swimming pools will never open again, and the staff made redundant. This is government doubletalk in the extreme. £500m earmarked to subsidise the restaurant industry (much of which fuels obesity), whilst nothing is offered to 'leisure' pursuits such as swimming.

Swimming is one of the best excercises there is, involving all the muscles of the body while supporting the weight against gravity. It is ideal for older people whose joints are becoming weak, and overweight people whose muscles have trouble supporting them.

A rescue package is needed urgently to prevent the closing of such facilities for merely financial reasons.

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Avatar for - Amur leopard
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I think all of the above are correct. Nevertheless there's one issue that concerns all of us. That's having healthy eating habits, that will make it easier to tackle mental health problems and health in general. Most of Londoners are used...

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I think all of the above are correct. Nevertheless there's one issue that concerns all of us. That's having healthy eating habits, that will make it easier to tackle mental health problems and health in general. Most of Londoners are used to eating out, have ready made meals, take away or eating meals really quick. Eating out is good but not every single meal. There's lots of salt, sugar, preservatives in all those kind of meals that make our health poor for the body to fight any kind of viruses or bacterias. "What we eat is who we are"

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improving young teens mental health is really important we have young kids age 18 and under carrying knifes around for protection. during this whole pandemic those who feared to go outside have felt much more safer indoors and i know a lot...

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improving young teens mental health is really important we have young kids age 18 and under carrying knifes around for protection. during this whole pandemic those who feared to go outside have felt much more safer indoors and i know a lot of people at home who feel unsafe because of abuse. My best friends younger cousin who was just 15 has commitied suicide due to being bullied online and in school. Young teens mental health is a priority we must understand what they are going through and help them out as much as possible too many people are losing their lifes due to gang fights, knife crimes or suicide. We must improve their mentel health and make them understand what they are thinking about or what thry are planing to do. 

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Avatar for - Orangutan
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Improving Mental health is a priority need in Islington. We need to preserve the green spaces we have and create more at every opportunity - and not just bits of car parking space and compromised open space around new tower blocks. We need...

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Improving Mental health is a priority need in Islington. We need to preserve the green spaces we have and create more at every opportunity - and not just bits of car parking space and compromised open space around new tower blocks. We need to tackle noise, particularly noisy fast motorbikes to provide calm surroundings for young people. 

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The critical thing missing from the mission is tackling traffic pollution and the other effects of traffic that damage people's physical and mental health (such as noise, community severance, direct injury, fear, reduction in mobility and...

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The critical thing missing from the mission is tackling traffic pollution and the other effects of traffic that damage people's physical and mental health (such as noise, community severance, direct injury, fear, reduction in mobility and isolation, and consequent increases in obesity and related diseases). Thousands of lives per year are lost due to these causes every year. Also there is a clear link between high pollution and high incidence of COVID. There is no other one area where such a large health impact could be made with simple, proven measures.

Some progress is being made by the mayor to tackle these issues, such as the ULEZ, and implementation of a few cycling schemes, but these go no-where near far enough. The ULEZ needs to cover the whole of London, and all London's main roads need safe facilities for cycling, scooting, use of mobility scooters and powered wheelchairs, etc. Junctions need to be re-modelled to make them easy and rapid to cross on foot and safe to cycle through. All residential areas need to be covered by Low Traffic Neighbourhoods and it needs to be made safe for all children to walk and cycle to school. The elderly and disabled need to be enabled to use active methods of travel so far as possible by removing the domination of streets by motor traffic. Parking space on roads needs to be extensively rededicated to active travel space and greening the city. 

Many leading cities around the world have already extensively implemented the measures needed: look at Amsterdam, Copenhagen, Paris, Berlin, Barcelona etc. There is nothing new that needs to be discovered on this, just political will and a driven implementation.

Further, I would recommend abandonment of the Silvertown Tunnel project, which will only create more traffic and pollution, instead spending the money on the measures above to enable active travel.

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I agree with Fred's points below - have added more below...

1) More affordable housing

2) Conserve open spaces in heavily built up zones

3) Improve mental heath services, support and treatment

4) Support food banks for the most needy

5...

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I agree with Fred's points below - have added more below...

1) More affordable housing

2) Conserve open spaces in heavily built up zones

3) Improve mental heath services, support and treatment

4) Support food banks for the most needy

5) Make immigration procedures simpler and visas free for essential service workers e.g. NHS staff

6) More scientific information why we can't go back to the 'old normal', there seems to be some strong views that people don't believe how serious the R rate is and what are the real consequences if there was no lock down in place. It's blatantly obvious isn't it that there were many infections and high death rates, people simply shouting they want the old normal is quite mind blowing.

As this virus is invisible, it's harder for people to acknowledge until it happens to them. I have 2 people in my work contract covid and luckily survived it ok, but there have been friends that have family & colleagues pass away from this. Please just show more scientific information to back up the decisions taken, education will stop misinformation and unnecessary complaints of going back to the "old normal". People need help to adapt and evolve in a community.

7) Resolve the Grenfell enquiry, why has this taken so long? Are other buildings with similar cladding being tested / replaced?

8) Please have more temperature testing in airports and Eurostar exit. Lots of staff standing around chatting when they could be doing temperature checks or invest in tech that does infa red screening when people walk through. Have seen this in Beijing airport.

9) Continue to promote hygiene & respect for all We're in this together and seeing TFL staff not wearing face masks on shifts gives the impression that it's ok for public NOT to wear masks. Education in respect & empathy needed.

 

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The Grenfell Inquiry will never be resolved. Its function is to divert attention from the real cause of deaths in the fire, cover-up the levels of toxicity people suffered and still suffer, protect bad government regulations that support...

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The Grenfell Inquiry will never be resolved. Its function is to divert attention from the real cause of deaths in the fire, cover-up the levels of toxicity people suffered and still suffer, protect bad government regulations that support business before health, and above all ensure the profits of the buildings and chemical industries remain high. Some of the same organisations, companies and people are steering the Grenfell Inquiry as are behind covid policy and the profits that will be made from distributing its "cure".

 

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Timeline

STAGE: Evidence gathering

Life in lockdown

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London's recovery

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STAGE: Programme design

How your feedback has started to shape London’s road to recovery

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November 2020: Workshops with key partners from health, voluntary sectors, local authorities and community organisations

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December 2020: Mental health and wellbeing impact assessments and action planning with London’s Strategic Coordination Group (SCG) – coordinated by Thrive LDN

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February 2021: Briefing our key partners and stakeholder across the health and care sector and developing our early engagement plans

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March 2021: leadership and governance for the mission transferred to the Thrive LDN Advisory Group, working closely with the Leaders’ Group and Social Recovery Board

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April 2021: Thrive LDN led engagement with the mission’s Working Group to revisit the mission narrative, develop project options and to align expectations of our key London partners

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The Mayor launched a citywide public awareness campaign on bereavement to help direct Londoners to information, advice, and support to cope with their grief.

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June - July 2021: Thrive LDN worked in partnership with Cruse Bereavement Care to deliver free, one-hour webinars on Bereavement and Loss Awareness, aimed at workers or volunteers supporting bereaved Londoners.

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July 2021: Good Thinking started working with faith groups to support the development of further, culturally competent bereavement resources which will be available from the autumn

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Launch of new wellbeing resource pages on the Thrive LDN website, marking the start of the mission's Wellbeing Campaign

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Renewed commitment to the #ZeroSuicideLondon campaign as we marked World Suicide Prevention Day

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September 2021: Continuation of a pan-London Wellbeing Campaign, focusing on protective factors. Meanwhile, wellbeing training offers for Londoners and those supporting them begun being rolled out

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September - October 2021: Delivery of a further five Bereavement and Loss Awareness webinars, taking the total to ten sessions

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Thrive LDN and the Mayor’s Peer Outreach Team host London’s World Mental Health Day festival, led by and for young Londoners.

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Read about the festival: Never Alone LDN

October 2021: Engagement around the wellbeing champion concept and resources stepped up

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November 2021: Ubele/BAMEStream trial bereavement training offers to support black Londoners

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November 2021: All London boroughs offered free training for councillors supporting mentally healthier conditions for both themselves and the communities they serve via webinars by Thrive LDN

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Marking National Grief Awareness Week, Good Thinking launched a workbook on how to support a bereaved person in a culturally sensitive way

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Winter 2021: Research into existing 'community champions' networks, mapping what already exists in London and opportunities to engage with and support these champions with additional resources, tools and training

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Celebrated London's first Great Mental Health Day, which aims to get us talking about mental health and how we can improve our wellbeing

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Read our blog post on supporting your mental health

Supported Children's Mental Health Week

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Thrive LDN hosted a roundtable on support for children and young people with bereavement and loss, attended by charity partners, policymakers, education sector staff and young Londoners with lived experience of loss

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February 2022: Good Thinking launch faith-based bereavement resources for Buddhism, Judaism and Islam

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February 2022: Ubele/BAMEStream hold immersive bereavement workshops for councillors, therapists, community workers and others supporting Londoners from Black or racialised communities experiencing grief, bereavement and loss

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February 2022: Launch of radical self-care training workshops by Thrive LDN in partnership with the Innovation Unit and Mind in the City, Hackney and Waltham Forest

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February 2022: projects for the Mayor’s Right to Thrive Innovation Fund underway

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Read more about the Fund

March 2022: Good Thinking launch faith-based bereavement resources for Christianity, Hinduism and Sikhism

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Discussion stigma and barriers to bereavement support at the UK Commission on Bereavement Faith Roundtable

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Marked the National Day of Reflection with the UK Commission on Bereavement

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April 2022: Launch of a short guide for supporting the mental health and wellbeing of displaced Ukrainians arriving to the UK

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Click here for the guide, training and further resources

9 - 18 May 2022: Marked Mental Health Awareness Week, including a Thrive LDN hosted panel on loneliness and the cost of living crisis

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16 - 22 May 2022: Celebrated Creativity and Wellbeing Week with a theme of 'get creative, get outdoors;

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Celebrate Right to Thrive projects at event with KCL

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Hold workshop with champion groups to develop wellbeing champion programme and resources

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What do you do to improve your mental health?

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Londoners have posted 159 comments

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London's Great Mental Health Day 2023

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Register to become a wellbeing champion

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