Transcript Sustainable Health and Well

Sustainable Health and Well-being
in Liverpool
Councillor Ron Gould,
Executive Member Health and
Safeguarding, Liverpool City
Council
Cities as a context for improving health
and reducing health inequalities
The challenge
Cities are places with stark contrasts
between deprivation and affluence
Cities pose challenges
How do we bridge the gap between the
haves and the have nots?
How do we sustain continued commitment
over the long term –no ‘quick fixes’
Health
“The enjoyment of health is one of the fundamental rights
of every human being .Health is a precondition for well-being
and the quality of life.
It is a benchmark for measuring progress towards the
reduction of poverty, the promotion of social exclusion
and the elimination of discrimination.
Good Health is fundamental to sustainable economic growth”
World Health Organisation 1998
The Healthy Cities approach
The significance of using the Healthy Cities approach
was and remains the recognition of the
determinants of health and the need to work in
collaboration across public, private, voluntary
and community sector organizations. Most importantly
involving local people in decision-making
This way of working and thinking includes political
commitment,organizational and community
development
with the process recognized as important if not more so
than the product or outcomes.
Healthy Cities approach
Tackle the
determinants
of health & wellbeing
Support
healthier
lifestyles
Take action on
main
health concerns
Target
People, Places
Settings
Settings of people’s everyday
lives
Liverpool Healthy City Settings
Healthy Learning Places
Healthy Neighbourhoods
Healthy Healing Places
Healthy Workplaces
Healthy Prisons
Healthy Stadia
Sustainable Community
Strategy
The plan of plans for the city built on needs
assessment
5 Strategic Drivers
•Competitiveness
•Connectivity
•Distinctive Sense of Place
•Thriving Neighbourhoods
•Health and Well-being
Liverpool First Local Strategic Partnership
Needs Assessment
National, Regional and local data available from government
departments and through North West Public Health Observatory
Qualitative data collected locally
Participatory research (training local people to conduct interviews widely
used)
Excellent links with 3 Liverpool universities
New requirement to undertake Joint strategic Needs Assessment
(Health & Social Care including wider aspects e.g. housing, transport,
environment, employment etc.
Equity audits ensure fair access to services for all
Partnerships
Liverpool First Local Strategic Partnership
– the partnership of partnerships for the city
•Executive Board
•Forum of wider partners
Sub partnerships, health, housing, economy, crime etc.
Sustainable partnerships require trust between partner
organisations, shared goals, agreed set of principles and
adequate resources to support a dedicated team that
will ensure the effective delivery of action e.g.
Healthy cities model
Important to get health integral to all city policies
Health in all Policies
International Impact Consortium established in
University of Liverpool 2000 undertakes:
•Research,
•Consultancy and
•Training
HIA widely used on major policies for the city
Capacity Building for HIA commitment signed by
Chief Executives and Leader of the council
Post established to build capacity for HIA in the
council and based with city planners to ensure
sustainable healthy urban planning
Mental Well-being Impact Assessment Toolkit recently
developed
Health is Wealth
Improved health and well-being a key outcome of
regenerating the city
Improving city centre, creating attractive environments,
business development, opportunities for employment,
improved housing, educational and health care facilities
Regenerating run down neighbourhoods
Developed an infrastructure for implementing action
through neighbourhood management with better
targeting to most deprived geographical areas and
populations
Focus on creating thriving neighbourhoods with better
connectivity within and across the city
Health is Wealth Commission” for
the city region
“
The Heath is Wealth Commission is designed to help
the Liverpool City Region tackle the inequalities
that exist within its boundaries to achieve its aspiration
for future prosperity.
It is based on the belief that a flourishing and wealthy
society depends on having a Healthy population –
a belief being increasingly recognised across the globe
City Health and Well-being
Framework
A Framework for the long term approach to improving health and
well-being for all
A coherent approach to improving health and well-being across
the life-course from womb to the end of life with evidence based
interventions at key transition stages
Builds on 2 decades of healthy cities approach.
Plans are time bound and the systematic application of the
healthy cities approach needs to be applied over time and for the
long term
A Sustainable Vision
Vision for a Sustainable Future
A future for Liverpool, in which economic prosperity,
social justice and protection of the natural and built
environment are pursued simultaneously to secure
good health and enhance well-being for all people,
now and for generations to come.
(City Health Plan 1996)
Role of Politicians
•Representatives of the people
•Executive Decision –makers
•Health Scrutiny Committees
•Neighbourhood Committees
•Role in Health Partnership and Healthy Cities
•Champions for health e.g.
Smoke free Liverpool, Obesity Task Force
Corporate & Social
Responsibility
Private and public sector organisations are
developing procurement procedures that
prioritise the purchase of supplies from the
local region as far as possible.
This reduces the carbon footprint
and supports the employment of local people
Reducing Health Inequalities
This is the raison d’etre of the healthy cities approach.
Getting better but falling behind.
Cities like Liverpool have deeply entrenched and historical
Inequalities. Although we are improving so are other areas
of the country and at a faster rate.
It is vitally important to create a sustainable dimension
to everything that we do. We intend to sustain
a systematic approach that endures beyond political, social
and economic change –
the healthy cities approach