Creating Wellbeing in North West England
Wendy Meredith Deputy Regional Director of Public Health
Inequalities begin from birth Charles from Chelsea Baby
Aged 10
Aged 20
Aged 45
Aged 60
Born to affluent parents – will live 10 years longer than Mark
Enjoying a good life, lots of opportunity to play sport
At university with 10 x A* at GCSE. Plays rugby and eats a healthy diet
Fit and healthy businessman, manages stress by playing squash
Retired early to spend time with his grand-children and travel
Wayne from Wigan Baby
Aged 10
Aged 20
Aged 45
Aged 60
One of 6,000 teenage conceptions each year. Will live 11 years less than Charles
Growing up in poverty, as are around half of kids in Manchester
Left school with no qualifications, casual labourer, drinks, smokes and takes drugs
Weighs 18 stone, has high cholesterol, early stage type 2 diabetic
Died from massive stroke
Health Inequality in the North West •infant mortality •teenage conception rates •Cardio-Vascular Disease and Cancer •highest rate of alcohol-related hospital admission •highest smoking prevalence •lifestyle behaviours – obesity •Strategic shift from healthy habits to wellbeing
Why act now? Global Warming
Financial Crisis
Health Inequalities
Time of opportunity
Catalyst for action
Spring Election
Co-Creation In support of the strategic shift to wellbeing we are developing the new skills and relationships we need to work with partners across all communities and sectors. “Forming a partnership with the Review team has created an enhanced momentum and interest in the region to tackle health inequalities.�
Partnership with the Marmot Review team “The approach has started to create solutions to people’s questions, such as: - How do we involve people, organisations and communities to enjoy life and live longer? - How can we give every child born in the North West the best possible start? - How can we support public demand for social justice? - How can we best beat the impact of the recession? - How do we move from theory and evidence about the gap to realistic organisational, local and individual action?” Fair Society, Healthy Lives
“Details are provided about two major regional partnerships, between the Review team and the North West region and London. The aim of these partnerships has been to work with regional partners as exemplars in implementation and for the Review to learn from their work.� Fair Society, Healthy Lives
Work in Progress
The Marmot Review
Developing work on the policy areas
Reducing health inequalities will require action on six policy objectives: • Investing significantly more in the early years
• Reducing inequalities in educational skills and outcomes • Improving both employment and working conditions • Implementing a minimum income for healthy living • Refocusing resources to create healthier, more sustainable, and socially cohesive communities • Placing more focus on prevention of ill health rather than relying on the NHS to treat its effects.
Investment for Health
Supported by regional leaders from all sectors, Investment for Health (i4h) aims to ensure that public investment becomes a force for the creation of health and wellbeing for all communities across the North West.
Social Value – Doing the Right Thing •An accreditation scheme for NHS organisations –Sustainability –Worklessness –Community Outreach/engagement –Procurement & Commissioning
•A foundation to promote social value in the North West •Making sure that complex systems don’t get in the way of solving complex problems Better Care Better Health Better Life
North West Regional Wellbeing Survey Mean WEMWBS score 20
25
30
Warrington
31.79 29.97
Halton and St Helens Stockport
29.59
Cheshire West
28.58
Blackburn and Darwen
28.57
Heywood, Middleton and Rochdale
28.37
Central and Eastern Cheshire
28.34
Central Lancashire
27.77
North West
27.70
Wirral
27.68
Sefton
27.59 26.85
East Lancashire Cumbria
26.70
Manchester
26.60
Tameside and Glossop
26.50
North Lancashire
26.20
Knowsley
26.17
Blackpool Liverpool
Better Care Better Health Better Life
35
26.10 25.69
Five ways to well-being Action that individuals can take ‌‌. 1. Connect..with family, friends, colleagues, neighbours 2. Be active..walk, run, garden, dance 3. Take notice..be curious, reflect on experiences 4. Keep learning..try something new 5. Give..doing something for others Better Care Better Heath Better Life
A Social Movement •What do people really think about health inequalities? •A new and better language? •How can we use social media? •How do we create transforming large-scale change? The emotional health of every child is the responsibility of not only their parents, but everyone who comes into contact with them. Health inequality impacts on everyone and is everyone’s business. Better Care Better Halth Better Life
Our Life Our vision is that people in the North West will use their collective power to achieve change that will improve health and wellbeing. We believe that in order to achieve the policy and culture change needed at local, regional, national and European level, we need to unite individuals and organisations in focused campaigns. Better Cre Better Health Better Life
New approaches to services • Integrated planning and decision making that takes account of a range of social / environmental outcomes e.g. green space, support into work • Joint service delivery for well being support responsive to public choice e.g. warm homes, physical activity • New NHS prevention service
“If we are going to make a transition to a sustainable society we have to get away from using these one dimensional metrics and start looking at the complexity of human life within a living environment … And when we start measuring those things and counting them and paying attention to them, then we’ll certainly find ways of supporting them and increasing them. But if we ignore them and only look at pounds, then of course, nature really doesn’t count.” Richard Heinburg, Author of Peak Everything
Wellbeing is a joint endeavour no single agency or sector can deliver it. Better Care Better Health Better Life
• What public services do we need to promote the wellbeing of our communities? • What should the “Wellness Services” offer look like? • How do we mobilise effective action on the social determinants of health at local and regional level?
Creating Wellbeing in North West England
Wendy Meredith Deputy Regional Director of Public Health