Social Action

Working
together
for Health
We help communities
to organise

2008
Changing
practice
We seek to
make practice
more responsive

Grass roots work

We engage with
Forging
Taking local people’s alliances
own agendas
control We link
We teach people community groups
to manage their for mutual benefit
own health

Access
to services
We improve
Influencing policy people’s knowledge
We take local people’s agendas of their entitlements
to decision makers

Building
networks
We sustain services
for local people

SAfH Annual Report 2008 -Themes

We divide our work into five main themes, which take up different positions along the SAfH Spiral. Whilst most of our projects fall within more
than one of these, one theme is usually more prevalent.
One underlying theme which is not listed below, but which deserves special mention is Training and Education. This is a core activity which is
central to everything we do and which runs along the entire spiral, touching each and every project.
Self Management
Next up is Self Management. This is about empowering people to take control of their health, the third step on our spiral. We train and support
local people to deliver projects such as the Diabetes Prevention Programme. This is targeted at the Bangladeshi community in Tower Hamlets and
helps those at risk of developing diabetes to make lifestyle changes which can improve their chances of avoiding the disease. Participants take
part in a six week education and training course, a nine week physical activity course and receive follow up mentoring for a further six months.

Community Development
At the centre of our spiral are the local people themselves, the grassroots. We believe that strong, active communities, based upon the values of
social justice, respect and equality, are an essential prerequisite to health. Therefore community development is the part of our work which kick-
starts the spiral into action: We listen to local people's concerns and issues, then facilitate their access to information and services, support them
in formulating their own solutions and in having their voices heard.
In 2007 we undertook community research into the views, concerns and aspirations of local residents on four estates in Hackney. More than one
thousand residents participated. We trained local lay people from different ethnic backgrounds to gather and help interpret the information, which
now informs our work on those estates.
Health Information and Literacy
The second step on our spiral is about Access to Services. For us this includes improving local people's knowledge of the services they are
entitled to and health professionals' awareness of local needs.
The success of these courses depends entirely on the involvement of our lay participants. They not only help with promoting our work in their
communities. They also lead on quality assurance and evaluation and many will, in time, become accredited trainers themselves.
Networks and Alliances
Networking is half way along our spiral; it is the heart which pumps life through Social Action for Health and runs through all aspects of our
work. Networking helps to share the workload between member organisations, as well as resources, experiences and learning.
The Hackney Information and Advice Consortium, for example, places generic advice workers from the consortium's member organisations
within GP surgeries. Patients often come to their GPs with a complex mix of issues. This service allows the GPs to focus on health whilst the
patients' wider social problems are not being ignored.
A new alliance hosted by SAfH, Hackney LINk, will create pathways and opportunities for local residents to influence policy and practice in the
local health and social care economy.

We train and support local people to act as own-language health guides within their communities. In this way we provide excluded people with Research and Influencing Policy
information and guidance on positive health and how to access health services. The health guides also act as representatives, bringing issues of In order to inform policy from a sound evidence base, we continue to act as delivery agent in research projects run by partner institutions. The
concern to the policy makers. methodology applied is informed by our community work.

Our Aim: • To work with local people towards health, justice, equality and community
Our Values: • We start with the people
• People have the right to take control of their lives
• People’s health can be improved by tackling isolation, poverty, racism and unemployment
• Healthy communities are good for the whole society
 Chair's Report Director’s Report
The Board has worked well together to shape SAfH's strategy, Social Action for Health is dynamic, evolving rapidly into an
review progress and support the management. We enjoyed a organisation that is capable of learning, an organisation that has
number of opportunities for Trustees and staff to come together. a memory and that has a story to tell.
We continue to place a priority on reducing our deficit, which, Our community work with local people has developed well
though largely historically-based, gives cause for concern. during the year. The project managers have gained confidence
and clarity about their tasks. They are now making their own
We are doing this through broadening our funding base, raising
decisions about their direction of travel on a day to day basis,
more unrestricted funds and reviewing our pricing strategy.
mirroring the way participants claim the project outcomes for
These measures will also allow us to continue to strengthen the
themselves and ensuring sustainability in the work.
core management team and provide more development for staff.
This confidence bears fruit, with project managers bringing in
With the generous help of Peter Mac Poland we have been able
work for their teams, from within their own networks; they are
to build a new website, which more adequately demonstrates
supporting each other, learning from each other every day and
the full breadth of our work.
developing the means to be truly accountable. Some practical
Total number of contacts
Opportunities abound and the organisation is growing and benefits of this mutuality include:
diversifying, building on a strong reputation for creativity • the design and implementation of our monitoring system on a
and an ability to engender good local relationships. SAfH-wide basis which provides broad, coherent data on our
The new people we have welcomed during the year have work across the themes as well as detailed data on the content
of the work;
already made considerable contributions to SAfH:- Networks
• they are pooling the process ofandrecruitment for new sessional
Mary Julian joined the Board in December 2007; Mary has Alliances
workers who bring fresh enthusiasm and energy into
3%
brought a lot of energy and commitment to her role as Trustee. the organisation;
• sessional staff are developing a portfolio of skills as their work
In April 2008, we welcomed Sharon Hanooman as Deputy
programmes within SAfH diversify.
Director; with Sharon in post the organisation feels increasingly
robust and purposeful. We are now planning to build up
Total theofskills
number sessionsof our project
Self Community the growing
coordinators, the next level in SAfH, nurturing
Our new Patron Dick Stockford will work alongside Baroness
Total number of contacts Management Development
interest in career advancement,
35% since we42% want our staff to grabDevelopment
Uddin to raise the profile of SAfH. hold of the opportunity to engage in mainstream society.
I want to thank everyone who makes SAfH what it is for their I would like to thank all the staff for their commitment and zest.
Health
commitment and support to an organisation of which we feel We work in a stimulating environment
Information that reflects the diversity
justly proud. of east London, building bridges.20% The energy generated is
Networks
purposeful and productive. I am honoured to be a part of it.
and
Dr Jean Boulton Alliances
Total number of sessions
Elizabeth Bayliss
Chair 3%
Total number of contacts
Executive Director
Trustees Report 2008
The turnover of SAfH continues to grow, with an increasing depth • To extend the funding base, we sought the advice of supporters with
in our projects and an increasingly solid reputation for creativity and understanding of the funding context for the voluntary sector. This
effectiveness. We continue to struggle with the building of reserves. In resulted in engagement with a charitable foundation interested in
April 2008, we are left with a net deficit of £34,547; this is largely historic, supporting voluntary sector development and in a successful bid for
arising from underfunding of projects in the past. The pricing policy now funding, for the first time, for training and education from the LSE.
in place is designed to rectify this situation; equally, the building up of • As well as the Board's formal meetings, we have had two strategy
reserves, which is a key priority, will create some protection against the awaydays to help set the direction for the organisation; new members
impact of slow settlement of invoices by statutory agencies that cause receive induction and we have sharpened up our governance
cash flow fluctuations.
processes. Our new auditors, Sayer Vincent, have also been very
The budget for 2008/9 comprising secure funded projects generates helpful in stream-lining our financial reporting procedures
a surplus that will reduce this historic deficit, covers the cost of the Signed on behalf of the Trustees:
new Deputy Director post and will begin the process of building up
Dr. Jean Boulton
the reserves.
Total number of sessions 6th November 2008
The main objectives of SAfH during 2007/8 were
• To sustain and consolidate the innovative ways of working we have Auditors Statement
developed in response to the needs of local people; to increase the scale The financial statements give a true and fair view, in accordance with
of projects to maximise impact UK Generally Accepted Accounting Practice of the charity company's
• To secure full cost recovery; to increase senior management capacity state of affairs as at 31March 2008 and of its incoming resources and
application of resources, including its income and expenditure, for the
• To extend the funding base beyond health and social care to include
year ended.
funding to pay for our development and for training and education work
as an end in itself Sayer Vincent • Chartered accountants and registered auditors
• To develop the role of the Board of Management and thus strengthen 8 Angel Gate • City Road • London EC1V 2SL
the organisation
The strategies we adopted to achieve our objectives were as follows:
• To sustain our innovative and highly effective ways of working, we
sought to protect the identity of our projects, promoting them locally, Board of Trustees: Patrons:
regionally
Healthand nationally; we have helped commissioners understand Dr Jean Boulton (Chair)
Baroness Uddin
how they might better meet their targets by enabling us to assist.
Information Gulrook Begum
Community Dick Stockford
33%
• To increase the scale of our projects to maximise impact we have Anwara Dewan
48%worked on a more thematic basis, linking projects together, building up Simon Dein
the synergy between projects under a single project manager. We have Nigel Jackson
sought funding that enables a larger scale of work. Mary Julian
Janet McMillan
• To secure full cost recovery, we have increased our prices to ensure that
Flora Ogilvie
the projects are
Self not underfunded.
Andy Turner
•Networks Management
To increase senior management capacity we have successfully Patrick Vernon
14%
restructured, deleting the post of Administration Manager in order to
and
release funds to contribute to the costs of a Deputy Director.
Alliances
5%

Social Action for Health Social Action for Health

SAfH Monitoring Outputs 2007/08 Health Statement of financial activities (limited by guarantee)
Self Community
Information (incorporating an income and expenditure account) Balance sheet
Management Development Community 2008 2007
During 2007-08 42% Participant Ethnicity Development
Networks 33%
and
35% For the year ended 31 March 2008 Restricted Unrestricted Total Total As at 31 March 2008 2008 2007
SAfH worked 2007/08 48% £ £ £ £ £ £ £
Alliances
with 7,465 people 3% Incoming resources
Health Incoming resources from generated funds Fixed assets
Information Tangible fixed assets 5,692 6,375
Other 4% Unknown White 245 245
20% Investment Income - 407
10% 15% Indian 1%
Self 5,692 6,375
Pakistani 0% Incoming resources from charitable activities
Total number of sessions Management
Self Community
Health Networks 14% Current assets
Information Caribbean Community Development - 160,848 146,408 97,253 154,226
ntacts Management Development and 160,848 Debtors
Community 33% 12% Male 36%
Health Information 19,680 181,483 -
35% 42% Alliances Female 64% 161,803 196,266 Cash at bank and in hand 27,291
Development Bengali
5% Self Management 218,271 65,062 283,333 177,554
48% African 23%
Networks and Alliances 327,832 - 327,832 554,406 97,253 181,517
8% Health Guides - 148,566
148,566 176,971
Health
Somali Liabilities
Information Turkish/ Other incoming resources - 13,098 13,098 15,735 Cash at bank and in hand 8,627
13% Kurdish
works 20% Creditors: amounts due within one year 128,865 174,066
4% Chinese 1%
nd Self Total incoming resources 1,017,320 98,085 1,115,405 1,267,747
nces Management Net current assets (40,239) 7,451
%
Networks 14% Resources expended
and Net assets (34,547) 13,826
This number includes 4,629 Participant
AlliancesGender Charitable activities
people with whom we Other 4% Unknown White 2007/085% Community Development 176,328 - 176,328 129,180
10% Health Information 137,767 19,680 157,447 204,230
worked in greater depth and 15% Indian 1%
Pakistani 0% Self Management 209,325 50,601 259,926 197,554
on a more continuous basis: Networks and Alliances
Health 432,044 - 432,044 506,604 Funds
Community
Caribbean
Information Health Guides 110,938 - 110,938 234,643 Restricted funds
Development Community 33% 12% Male 36% - In surplus 38,622 127,066
42% Development Female 64%
Bengali Governance costs - 27,095 27,095 7,687 (26,623) (120,657)
48% In deficit
African 23%
Unrestricted funds
8% Total resources expended 1,066,402 97,376 1,163,778 1,279,898 Designated funds 10,957 -
ealth General funds (57,503) 7,417
mation Somali Turkish/ Net incoming resources before transfers (49,082) 709 (48,373) (12,151)
Other 4% Unknown White 13%
20% Kurdish Total charity funds (34,547) 13,826
10% 15% Indian 1% Chinese 1%
Self 4% Gross transfers between funds 51,166 (51,166) - -
Pakistani 0%
Management
Networks 14% Net income for the year 2,084 (50,457) (48,373) (12,151) Approved by the trustees on 8 October 2008
Caribbean and
12% and signed on their behalf by
Alliances Male 36% Female 64% Net movement in funds 2,084 (50,457) (48,373) (12,151)
5% Bengali
African 23%
8%
Reconciliation of funds Dr Jean Boulton, Trustee
The figure for Networks and Alliances (221 contacts = 5%) only includes second tier contacts, Total funds brought forward 9,915 3,911 13,826 25,977
ie the groups and partners we haveSomali
worked with. It does not include the 1,046 patients who
Turkish/
have received a direct service at 16 different health outlets, via our alliance partners.
13% Total funds carried forward 11,999 (46,546) (34,547) 13,826
Kurdish
4% Chinese 1%

Staff Members at October 2008

White
designing with care • coredesign 020 8525 6633

Ahmed1%
15% Suj Indian Project Manager, Hackney Information and Advice Consortium Volunteers:
Akhter 0%
AsmaPakistani Project Co-ordinator, Healthy Moves
Jahera Ali Project Co-ordinator, Health Guides • Corrine Douglas
Leila Ali Lead Health Guide
Feride Baycan Community Development Manager,
• Clementine Jack
Male 36% Female 64% Hackney • Dr Flora Ogilvie
Bengali
Elizabeth Bayliss Executive Director
23%
Andy Benson Co-ordinator, Hackney Advice Forum • Geraldine Phillip
Vivienne Boucher Co-ordinator, Hospice Project • Ida Scoullos
Zahir Raja Chowdhury Project Assistant, Healthy Moves • Mark Laville
kish/ Nirban Chowdhury Project Manager, Cancer Screening,
rdish
• Peter Mac Poland
Healthy Moves and Thalassaemia Projects • Raymond Smith
4% Chinese 1%
Eyarun Chowdhury Project Manager, Health & Advice Links (TH and Hackney), Health Guides
Susie Crome Project Manager, Self Management
Pauline Facey Finance and Administrative Assistant
Madhu Francine Project Co-ordinator, Self Management, Hackney
Sharon Hanooman
Md Enamul Haque
Deputy Director
Project Worker, Diabetes Prevention
Funders 2008
Shanti Kar Finance Manager
• Barts and The London NHS Trust
Monjila Khatun Co-ordinator, Hospice Project
Abul Khurshed Project Worker, Self Management (left Sep 08) • Big Lottery Fund
Yuksel Konca Project Co-ordinator, Refugee Outreach Schools Project (on maternity leave) • City and Hackney PCT
Lola Malaolu Community Development Worker, Hackney • City and Hackney Health and
Jeba Maleque Project Worker, Health Guides Social Care Forum SAfH Registered Office:
Khaleda Maleque Project Worker, Health Guides • East London Integrated Care
Rachel Mboyo Outreach Worker, Refugee Outreach Schools Project, Hackney
The Brady Centre
• Guys, Kings and St Thomas
Nimo Mohamed Project Co-ordinator, Health Guides 192 Hanbury Street
School of Medicine
Sharun Nessa Cleaner
Abbey Palmer Community Development Worker, Hackney (left in October) • Hackney Community London E1 5HU
Shabira Papain Project Manager, Health Guides (on maternity leave) Empowerment Network
Shahida Parvin Project Worker, Self Management • Islington PCT Telephone no: 020 7426 5370
Tina Patel Project Manager, Self Management • Learning Trust
Ameena Rahman Project Assistant, Health & Advice Links (TH & Hackney) • London Borough of Hackney
Aliyah Shariff Project Worker, Lead Health Guides • Macmillan Cancer Support
Tuhin Sheik Data Inputer
• Newham PCT
Mark Whyte Project Co-ordinator, Mental Health Guides, Hackney
• NHS Sickle Cell and
Thalassaemia Screening
Programme
• North East London Diabetes -
SAfH Sessional Workers • Hibo Noor • Nurum Nessa
London Research Network
at October 2008 • Hidayet Konak • Onagete Louison
• NRF Tower Hamlets Partnership
• Husneara Khanom • Peter Smith
• Abdi Hussan • Ocean New Deal for Communities
• Ida Scoullos • Philip Morgan
• Abdi Hussain • Richard House Children's Hospice
• Izabela Catarina • Rabaya Islam
• Abdi Mohamed • Sport England
• Jill Jackson • Rachel Mboyo
• Abdul Kadir • St Joseph's Hospice
• Julie Edwards • Reshna Miah
• Abdul Khurshed • Team Hackney
• Julie Pengelly • Rebeka Nasrin Chowdhury
• Abul Hussain Khondoker • Tower Hamlets PCT
• Jusneara Khanom • Roland Aiyadogbn
• Abolaji Mayowa • Queen Mary University of London
• Kalphana A Khan • Rose Yidmia Njinimbot
• Ahmet M Caglar
• Kamrun N Ruly • Rowshan Ara Khanam
• Alhaz Hussain
• Katarzyna Kwiatkowska • Ruby Khanam Partners 2008
• Amina Munye
• Katherine Dentone • Sadek Syed
• Amina Rahman During the year we have enjoyed
• Kefayet Hussain • Samantha Shakes
• Anna Wagner networking with countless
• KJ Ferdaus • Saeed Omar
• Ann Miller individuals and organisations and
• Leyla Atik • Sayeda Begum
• Anthony Folkes provided services from many
• Loleta Cumberbatch • Sayada Zakia Sultana
• Asma Begum
• Loretta Wilson • Sema Inci different locations. These have Hackney Office:
• Ashraf Chowdhury included a large number of advice
• Ayan Abdi • Magdalena Sikora • Shalliene Burgin 62 Beechwood Road
• Mahbubul Alam • Shahida Parvin agencies, community centres,
• Benjamin Burns schools and over 45 GP surgeries. London E8 3DY
• Maria Cotrini • Shamema Khan
• Benjamin Ejeka
• Martha Orozco • Shahnaz Begum
• Betty Lwigale Telephone no: 020 7275 2730
• Masuma Begum • Shahnaz Rifat
• Brenda Leacock
• Mariam M Abdi • Shireen Sultana
• Charles Charlesworth
• Maxamud James • Showket Ali
• Christina Rowe
• Mazhar Hussain • Shuaib Achala
• Christine Cupid
• Michael Calderbank • Shukri Jama
• Christopher Jackson
• Millicent Christian • Shuhena Begum
• Enamul Haque
• Misbah Uddin Khan • Sidney Millan
• Emma Triggs
• Md Murad Mhamud • Siriol Davies
• Elizabeth Hughes
• M K Barbhuiyan • Solma Khatoon
• Fakhrul A Chowdhury Charity no: 1040496 • Company no: 2954744
• Md Abdus Salam • Sonia Gomes
• Farah Reza
• Farhana Begum • Mohammed Fokor • Stephen Laudat SAfH is a charitable company limited by guarantee
Visit our new website: www.safh.org.uk
• Mohamed Ismail Amir • Syeda Zinath Rahman
• Farhiya Sharif Abdullahi
• Mohammed Thufayel Islam • Syeda A Begum
• Farida Kamal
• Fatima Bibi • Mohamed Khaledur Rahman • Suleman Khan Email: info@safh.org.uk
• Mohamed Kako • Sultana Parben
• Fokor Uddin
• Momina Choudhury • Tahera Islam
• Fozylot Ara Begum
• Murad Mohamed • Tania Caliendo
• Funso Sanyaolu
• Musse Ali • Tanvir Ahmed Auditors:
• Gay Cooper
• Nazmim Ara Begum • Tessa Miller Sayer Vincent
• G Kelly Kinsala
• Neil Thomas • Thufayel Ahmed
• Gullu Cicek
• Nilufer Begum • Ulupi Patel Chartered Accountants and Registered Auditors Social
• Hafiza Begum
• Nimo Mohammed • Zaman Barbhuiyan 8 Angel Gate
Action
• Hamida Islam
• Nimao Barud for
• Hazel Roach
• Noorjahan Begum City Road Health
• Helen Mary Julian
• Nurul Choudhury London EC1V 2SL