Tackling health inequalities - everyone’s business 25th January 2012
express briefing @ 8
Male life Expectancy at birth, Sandwell and England 79.0
Life Expectancy (Years)
78.3
77.7
78.0
77.9
77.3 76.9
Gap: 3.4 years
77.0 Gap:
76.0
Gap:
Gap:
2.5
3.5
2.9
3.6 years
years
years
years
Gap:
75.0
Sandwell 74.9
74.4
74.0
England
74.3
74.4
74.2
73.0
72.0 2003-05
2004-06
2005-07
2006-08
2007-09
3 year periods
2
Female life Expectancy at birth, Sandwell and England Life Expectancy (Years)
83.0 82.0
82.3
Gap
Gap 1.6 years
81.8
82.0
81.6 81.1
Gap: 1.8 years
Gap:
81.0
1.9
Gap
years 80.7
years
1.7 80.0
2.0
years
Sandwell
80.0
80.0 79.7
79.0
England
79.4
1.8
78.0
77.0 2003-05
2004-06
2005-07
2006-08
2007-09
3
Life expectancy & disability free life expectancy at birth, by neighbourhood income level, England and Sandwell 1999-2003
Neighbourhoods by income deprivation (population percentiles) 4
So… • Poverty and deprivation correlate with poor health and disability • Sandwell has a lower life expectancy than the national average • People in Sandwell spend more of their lives ill and/or disabled 5
A matter of civic pride?
6
What determines health and wellbeing?
7
Public health – a new asset Public health brings knowledge, skills and experience • to support and add to the work of the council • to use information, research and intelligence • to support priority setting and risk stratification • to assess plans for health impact.
8
The Marmot Review • The best evidence for what we need to do • The biggest influences on health & wellbeing are the ‘social determinants’ of health • The ability to influence these sits largely with the local authority 9
Marmot Review policy objectives A. Give every child the best start in life B. Enable all children, young people and adults to maximise their capabilities and have control over their lives C. Create fair employment and good work for all D. Ensure a healthy standard of living for all E. Create and develop healthy and sustainable places and communities F.
Strengthen the role and impact of ill health prevention
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Give every child the best start in life • Reduce inequalities in early development • High quality maternity services, parenting programmes, childcare & early years education • Build resilience and well being of young children across the social gradient 11
Create and develop healthy and sustainable places and communities •
Prioritise interventions that reduce both health inequalities and mitigate climate change
•
Fully integrate public health, planning, transport, housing and environmental health systems
•
Support locally developed and evidence based community regeneration programmes
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Public Health transition • Transfer of public health responsibility to local authorities by 2013 • Ring-fenced public health budget • ‘Health premium’ to reward success
• Key role for Health & Wellbeing Board • Joint Strategic Needs Assessment and Health and Wellbeing Strategy will be key documents • Joint work on the social determinants of health 13
Public Health Transition (2) • Transition plan - Spring 2012 • Impact on Council is significant • Due diligence
• 2 pieces of the jigsaw • Sandwell Council can influence the social determinants • Public Health brings knowledge, evidence & experience
• Build into business plans 14
Everyone’s business! • Consider health impact of our activity • Read the Public Health Report • Read the Marmot Review summary • Visit the dedicated Health pages on Sandwell Trends www.sandwelltrends.info 15