Delivering Public Health
Poverty, inequality and health 15 May 2014
Kindly hosted by
Delivering Public Health
Welcome & Chair’s Introduction
Angela McConville
Chief Executive, Westway Trust
Agenda 8.30
Arrivals and refreshments
9.00
Chair’s welcome – Angela McConville
9.10
Health inequalities – Laura Austin Croft
9.25
London’s poverty landscape – Rachael Takens-Milne
9.40
Fairness Commission – Ellie Kuper Thomas
9.55
Q&A and discussion
10.25
Chair’s summing up
10.30
Coffee and networking
11.00
Close
Delivering Public Health
Poverty, inequality and health
Laura Austin Croft
Health Inequalities Programme Lead, Greater London Authority
Delivering public health - Poverty, inequality and health Laura Austin Croft, Greater London Authority
Life expectancy and healthy life expectancy Indicator/ tool
London
Life expectancy (201012)
Higher than the England average for both sexes
Healthy Life Expectancy (2009-11)
Slightly lower than for England as a whole for both sexes
Slope index of inequality Of the lowest 10 local authorities in England for in life expectancy at SII for male life expectancy, four in London. birth (2009-11) Top four with lowest SII for female life expectancy in London. The Segment Tool (2009- 13 London boroughs where male life expectancy 11) was lower than England as a whole. For 11 of these boroughs, excess mortality from cancer and circulatory diseases contributed over 40% of the inequality gap between the borough and England. Source: Understanding inequalities in London’s life expectancy and healthy life expectancy (PHE, 2014)
Socio-economic determinants of health - London Compared to England, London: • Has a higher unemployment rate but more young people in employment, education and training • Performs slightly better across most economic security indicators • Performs worse across all housing indicators • Has lower rates of depression and hospital admissions for self-harm • More low birth weight babies and a significantly higher rate of tuberculosis
Mayor of London Health Inequalities Strategy (2010) Five strategic objectives: 1) Empower individual Londoners and communities 2) Improve access to health and social care services 3) Reduce income inequalities 4) Increase opportunities for “good� work 5) Develop London as a healthy place
Achievements Healthy schools
Healthy workplaces
Pan London programmes
Healthier catering commitment
Well London
Achievements HIV
Alcohol
Campaigns
London Living Wage; Know your rights
Cancer
Achievements Housing and homelessness
Transport
Across the GLA
Education
Economic development
The delivery plan going forward‌ New policy landscape (within and outside of the GLA) The London Health Commission Building on current achievements and identifying where more can be done
Closing questions How best can the Mayor support local action to reduce health inequalities? What would you like to see in a London health inequalities delivery plan going forward? laura.austincroft@london.gov.uk
Delivering Public Health
Poverty, inequality and health
Rachael Takens-Milne
Grants Manager, Trust for London
Poverty and Inequality in London Presentation to Future of London public health series Rachael Takens-Milne, Trust for London
London poverty and inequality • London has highest rate of poverty of any English region for children, working age and pensioners. • 28% of Londoners were living below the poverty line in 2012. (38% of children) • London also has a disproportionate proportion (17%) of UK’s highest earners. • London therefore is the most unequal region in England.
Economic inequality
Poverty in London: 10 years ago and now
1999-00 to 2001-02
2009-10 to 2011-12
2.5
Total number in poverty has hardly changed.
2.14 2.0
1.95
1.5
1.0
0.5
0.0
Total in poverty
There have been changes by work, tenure and location 1999-00 to 2001-02
2009-10 to 2011-12
1.4
1.3 1.1
1.2 1.0 0.8
1.0
1.0
1.0
0.8
0.8 0.7
0.7
0.5
0.6 0.4
0.9
1.0
0.6
0.4
0.3
0.2
0.2 0.0 Working families
Workless families
Pensioners Social rent Private rent
Owned
Inner London
Outer London
Child poverty by ward
Change over past decade • Add LSE comparator graphs here
Overcrowding
Infant mortality
Child mortality by poverty rate http://www.crae.org.uk
Adult limiting long-term illness
Premature mortality
Inequalities in life expectancy
Practical approaches • Coalition of Latin Americans UK tackling 20% never been to GP www.clauk.org • Tackling FGM special initiative • Become a Living Wage employer: significant improvements in psychological well-being • London Child Poverty Alliance 10 pledges incl childcare, free school meals, improved rented homes http://familyfriendlylondon.org.uk/
Contacts • • • • • • •
www.trustforlondon.org.uk Twitter: @trustforlondon www.londonspovertyprofile.org.uk Twitter: @PovertyLondon www.londonmapper.org.uk www.casedata.org.uk rachael@trustforlondon.org.uk
Delivering Public Health
Poverty, inequality and health
Ellie Kuper Thomas
Senior Strategy, Policy and Performance Officer, LB Tower Hamlets
Tower Hamlets Fairness Commission Delivering public health – Poverty, inequality and health Future of London Thursday May 15th
Why? Launched in November 2012 To examine how the Council and its local partners could marshal diminishing resources to prevent existing inequality from being exacerbated
Who? What? •
•
14 independent commissioners from a range of backgrounds – Business, Faith and Community leaders, Researchers, Activists. 12 month programme of evidence gathering and engagement: • •
•
3 day long public meetings on Housing, Jobs and Money, and Safety Nets Drop-in consultations, community visits, specialist consultation events, meetings with experts and written evidence submissions.
Their work was informed by research undertaken by the Corporate Strategy and Equality Team in the Council and researchers at Toynbee Hall.
The Report: “Time to Act� Launched in September 2013 16 recommendations relating to money and financial inclusion, employment and housing. Recommendations addressed to 4 audiences: national government; the council and local public sector; businesses and; the voluntary and community sector.
MONEY 1. That the poverty premium be eradicated in Tower Hamlets. 2. Tower Hamlets becomes an online borough. 3. That government gives local authorities greater power to limit unhealthy businesses. 4. That government and financial services support the development of the credit union sector. 5. A local and national campaign to raise awareness of the impact of high cost credit, promoting alternatives. 6. Develop a holistic response to residents affected by welfare reform.
JOBS 7. That all schools offer a wide curriculum and provide aspirational opportunities to students. 8. Reimagine local employment services so they work better for local people and businesses. 9. That local businesses offer more work experience and employment opportunities. 10. That all employers in Tower Hamlets become accredited Living Wage employers. 11. That the council sets ambitious targets for the expansion of childcare provision and leads work to develop new and alternative models of provision.
HOUSING 12. That the government reduce restrictions on LA borrowing, does not topslice the New Homes Bonus, allows LAs to keep all RTB proceeds and introduces covenants to limit conversion of RTB into buy-to-let. 13. That financial institutions work with the council and house builders to develop new models of long-term investment in social housing. 14. Illustrate the negative impact of investment in the London property market. 15. That rent models are based on the principle that social rents should relate to the income of tenants, not the market rate. 16. That the standard of private rented accommodation is improved, and tenants better protected, through a landlord registry scheme for Tower Hamlets.
Recommendations to Action Action day in November 2013: 80 participants including Cabinet members, officers from the council and its partners, representatives from the London Assembly, London Councils, think tanks, community and voluntary sector organisations and business. Generated actions which were developed with Council Officers and other organisations who had agreed to lead on key actions Including: the GLA’s Housing Committee; the Church of England; the Financially Inclusive Tower Hamlets Network; Barclays; the Tower Hamlets Housing Forum; the London Community Credit Union; the Unite Union and the Tower Hamlets Partnership Executive. Cabinet Report, 3rd April 2014 Focus on actions the Council is taking in response and highlights actions that partners have agreed
Thank you!
Future of London www.futureoflondon.org.uk @futureofldn Future of London